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HomeMy WebLinkAbout0101 BRAGG'S LANE - Health 101 BRAGGS LANE 1' j 299-043-001 Barnstable �® - s" Fee TA COMMONWEALTH OF MASSACHUSETTS Entered in computer: /() Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS V 2pphcation for Diopozar 6pgtem Con0tructton Vermit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. 101 6 ems' J �bl Owner's Name,Address,and Tel.No. 3coiq �3�,n►8�w �c�r'"`, t4l� Assessor's Map/Parcel-2q117 3--1 LPd 7,� L Installer's Name,Address,and Tel.No. ��`�S� � too esigner's N e,Ad ss and Tel.No. `fig 3�a G � a3 sS , / Type of Building: Dwelling No.of Bedrooms `3 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 7lPr of 3 z 33Ci gpl Design flow provided 9 gpd Plan Date S�yj-. 4 Number of sheets Revision Date Title J Z, Size of Septic Tank �.00 Type of S.A.S. L4 I3 r�Jv C%g ev ��► �� /� Description of Soil Y-ey Sei I L 11 �d 3e Nature of Repairs or Alterations(Answer when applicable) SS Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by Boar Health. ---,f� Signed Date Application Appro b Date Q G Application Disapproved by: Date for the following reasons Permit No. � � ? Date Issued 0 /�7 0 17 +fir. ♦ry z. - { / . ..�"'^+�'1^�`�--✓'1-..,�..�,..,,.�..'�"Q.*. ! © it Fee Entered in computer: THE Cb MONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes �01y 2 prication for 3h5pont 6pstem Con0tructfon permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components 4 Location Address or Lot No. IN 1 6. 1 s f L r'l Owner's Name,Address,and Tel.No. FnS�9 �(✓ /'r'`l quenhynh �� n�,��7yh.,r dC� ��, � v T �,J}_. Assessor's Map/Parcel a,9-7 Ll 3 ---I Cc l y e 1 I c I .1 L,,13 y y ^ ✓ !' Sal!7 (( �j Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ' S a& Gc��e O�r- izn" ram" 36a Gd3 a3 &j �z�-? Type of Building: Dwelling-- No.of Bedrooms '� Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 110 / 3 - 33G � gpdfr/`CDesign flow provided 1 gpd Plan Date $/n) I Lt a rt,-7 Number of sheets Revision Date Title 1 '- Size of Septic Tank 1000 Type of S.A.S. l}V h �`�P �,c, 1, h ✓! �%'`' "'�� `S Description of Soil ' S f 1 Sc I Lc 1 X /G t I Nature of Repairs or Alterations(Answer when applicable) c� P P 'a P j r Y �_.Date last inspected: -Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by t •is Boar Health. , g Si ned Date Application Appro d b Date 0 Application Disapproved by: Date ti for the following reasons Permit No. 7 Date Issued ! U �. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded Abandoned( )by I7-II�S f at 101 f l, f( 6 cam- has been constructed in in accordanceVVV }/ with the provisions of Title 5 and theL or Disposal System Construction Permit No. �?— `7"76 dated Installer iz I I i S /�C--c.%kC f Ccm Q- Designer S k -t,4 r /i, k, #bedrooms 3 Approved design flow 3,3 0 gp The issuance of this .e r it Il not be construed as a guarantee that the system wnf� tion as�deeJsigned. //4h kc IDate Inspectorfell Jd<�'! i W , ` - / vp v - ! f -----""�� V --- I ' No. �11�© / '� /��--------------- ------Fee /O 0 xTHE COMMONWEALTH OF MASSACHUSETTS T— PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwigpool 6p.5tem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 10 J r- _f r. S L n k w 6-,s^s J�i a/-e L.. j�.,s.>, g2 Am � � �✓ and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be com leted within-three years of the date of this pe Date /0h C)? Approved b ,'tra ik Town of Barnstable Regulatory Services i Thomas F. Geiler,Director BARNSTAMA NAM peg Public Health Division " Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form " Date: ( O Sewage Permit# P f qa Assessor's Map\Parcel oc 7 3 1 A007-ti7G Designer: �' 1(:t)Q01Se_r e�y3Q i►leg-crw�j Installer: (51/ls d rz)*,&� C_07157�, Address: J 35 q r n Y Address: P.0, rip)( 5 q V,0 6 W -713 Da67 On 10117167 CeVIT was issued a permit to install a (date) (installer) septic system at JQ 1 3 r-a,a q_s kahP. hiryi'Ahle-.based on a design drawn by - ��--(�A (address)ressd ) Xhi'v (A), W t IGo k . PI.S dated �5���� � ��, �®0 i (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. _ tN OF MgS. cy � ��`-�-✓1 � C�«l� � (Installer's Sign MAS ature) DU N No.619 IsT�a�c (Designer's Si gnature) (Affix Desi er pHere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/SeptidDesigner Certification Form 3-26-04.doc a TOWN OF BARNSTABLE LOCATION IO/ � CS.�i �;rn�kic��y� SEWAGEGC/7_ 4�0� VILLAGE 1%n$ o nk ASSESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. 01 dS ar&0WCf Qh-yz" c34W-603 7 SEPTIC TANK CAPACITY 0 LEACHING FACILITY:(type) Z416MifT02 (size) f/ 3, NO.OF BEDROOMS OWNER PERMIT DATE: 10117107 COMPLIANCE DATE: 1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY c s, i V oil m1 TOWN OF BARNSTABLE LOCATION ",,X SEWAGE.# VII;AGE `OA�S) i�- ASSESSOR'S MA_ P &LOT R4STALLER'S NAME&PHONE NO. 2T �S SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility If any wetlands exist within 300 feet of leaching facility) Feet Furnished by t�1 l a 4' Y COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTmzNT OF ENVIRONMENTAL PROTECTION a` CD TITLE 5 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS �Y SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 101 Braggs Lane,Barnstable,MA - 4199 Owner's Name: Warren C.Nunheimer and Loretta A.Nunheimer Z1 ` Owner's Address: 101 Braggs Lane,Barnstable,MA Date of Inspection:07/17/2007 Name of Inspector.Reid C.Ellis Company Name:Ellis Brothers Const.Co. Mailing Address:23 Enterprise Road Yarmouth Port,MA 02675 Telephone Number: 508-362-6237 �"• y. CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information retpdrted 5 below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I 6m a DER approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The systems Passes W c- onditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: —` 07 The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments . . **** conditions This report only describes conditions at the time of inspection and under the of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 101 Braggs Lane,Barnstable,MA Owner: Warren C.Nunheimer and Loretta A.Nunbeimer Date of Inspection:07/17/2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: WO 5-fI have not found any information which indicates that any of the failure criteria described in 310 CMR or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments- B. System Conditionally Passes: One or more system components as described the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacen ent or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* r the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is avai able. ND explain: Observation of sewage backup or break out or igh static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or unevei i distribution box.System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is ren oved distribution box i leveled or replaced ND explain: The system required pumping more than 4 tim s a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Heal ): broken pipe(s)are eplaced obstruction is rem ved ND explain: 2 Title 5 Inspection Form 6/15/2000 2 ' 1 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 101 Braggs Lane,Barnstable,MA Owner: Warren C.Nunheimer and Loretta A.Nubnheimer Date of Inspection: 07/17/2007 C. Further Evaluation is Required the Board of H� . �l .b Y Conditions exist which require further evaluation by th Board of Health in order to_determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will pr tect public health,.safety and the environment: _ Cesspool or privy is within 50 feet of a surface we ter _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Pu lic Water Supplier,if any)determines that the system is functioning in a manner that protects the pub is health,safety and environment: The system has a septic tank and soil absorption s stem(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water SUP ly. The system has a septic tank and SAS and the SA 5,is within a Zone l of a public water supply. _ The system has aseptic tank and SAS and the SA 3 is within 50 feet of private water supply well. The system has a septic tank and SAS and the SA 3 is less than.100 feet but 50 feet or more from a private water supply well**'.Method used to determin distance "This system passes if the well water analysis,perfoi med at DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than S ppm,provide_d that no other failure criteria are triggered.A copy of the analysis mi st be attached to this form. 3. Other: 3 . Title 5 Inspection Form 6/15/2000 Page 4 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION.(continued) Property Address: 101 Braggs Lane,Barnstable,MA Owner: Warren C.Nunheimer and Loretta A.Nunheimer Date of Inspection: 07/17/2007 D. System Failure Criteria applicable to all systems: You ust indicate"yes"or"no"to each of the following for all inspections: Ye No kup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ ischarge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged'SAS or cesspool S 'c liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or spool i uid depth in cesspool is less than 6"below invert or available volume is less than'/Z day flow _ equired pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number o es pumped y portion of the SAS,cesspool or privy is below high ground water elevation y portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface rsupply- portion of a cesspool or privy is within a Zone 1 of a public well. y portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.[This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must.be attached to this form.] —�(Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E._ Large Systems: s °' To be considered a large system the system must se e a facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the fo lowing: (The following criteria apply to large systems in additio i to the criteria above) yes no the system is within 400 feet of a surface g water supply the system is within 200 feet of a tributary to surface drinking water supply the system is located in a nitrogen sensitive a(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you-have answered"yes"to any question in Section I the system is considered a significant threat,or answered "yes"in Section D above the large system has failed The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. - 4 4 Title-5 Insnection Form 6/15/2000 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 101 Braggs Lane,West Yarmouth,MA Owner:Warren C.Nunheimer and Loretta A.Nunheimer Date of Inspection:07/17/2007 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: No Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period ? Have large volumes of water been introduced to the system recently or as part of this inspection? Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS, located on site? I Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Y j no — / Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] 5 Title 5 Inspection Form 6/15/2000 5 Page 6 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 101 Braggs Lane,Barnstable,MA Owner: Warren C.Nunheimer and Loretta A.Nunheimer Date of Inspection: 07/17/2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 Ct 15203(for example: 110 gpd x#of bedrooms): Number of current residents: / Does residence have a garbage grinder(yes or no) 0if r Is laundry on a separate sewage system(year no1� yes separate ins Laundry system inspected(ye r no . Peron required] Seasonal use:(yes or no) Water meter readings,if avail le(last 2 years usage(gpd)): ��� 0 'SUMP Pump es or no : Last date of occupancy:-�7- COMMERCIALANDUSTRIAL � Type of establishment: Design flow(based on 310 CMR 15203): d Basis of design flow(seats/persons/sgtl etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):— Non-sanitary waste discharged to the Title 5 system(y s or no):— Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: , �te �jj��i � 1' -/ �yr- �!.�� ��✓ Was system pumped as partmsp on(ye or n,If yes,volume pumped: ons--How was quantity pumped determined? Reason for pumping: TY OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool Overflow cesspool _ivy —Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ____Tight tank _Attach a copy of the DEP approval —Other(describe): ApproxiprAle a e of alkomponents,date installed if known)and sou,r, of informatio : r 5-� �yd�®j',OGt� We se d4 detected w en arri . the site(yes orno) Title 5 Inspection Form 6/15/2000 6 Page 7 of 11 OFFIC IAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT'S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION(continued) Property Address: 101 Braggs Lane,Barnstable,MA Owner: Warren C.Nunheimer and Loretta A.Nunheimer Date of Inspection: 07/17t2007 BUILDING SEWER(locate on site plan) Depth below grade: % Materials of construction:—cast iron 40 PVC other(explain): Distance from private water supply well or suction line: f Comment§kon condition of joints venting,evidence of leak etc.): 2PT C TANK ocate on site plan) Depth below grade Material of construction:_concrete fibe _other(explain) __metal— �s--Polyethylene /0If tank is metal list age: Is age confirmed by a Certificate of Compliance certificate) P (yes or no): (attach a copy of Dimensions: _ 3-k-��`- jp Sludge depth: �� Distance from top of sou �z dge to bottom of outlet tee or baffle: �' Scum thickness: Distance from top of scum to top of outlet tee or baffle: f� Distance from bottom of scum to bottom of outi tee or baffle: How were dimensions determined: Comments(on pumping recomme tions,inlet and outlet tee or baffle condition,structural integrity,li as ref ou et invert,evi e f 1 e,etc.): " liqu id levels ep GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:—concrete_metal fibergl s___polyethylene_other (explain): _ Dimensions: Scum thickness: Distance from top of scam to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or b e: Date of last pumping Comments(on pumping recommendations,inlet and outl tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Title 5 Inspection Form 6/15/2000 7 r Page 8 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFOR MATION(continued) Property Address: 101 Braggs Lane,Barnstable,MA Owner: Warren C.Nunbeimer and Loretta A.Nunheimern Date of inspection: 07/17/2007 TIGHT or HOLDING TANK: (tank must be p at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fibe glass_polyethylene other(explain): Dimensions: Capacity; allons Design Flow: allons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX:�Wif present must be opened)(locate on site plan) Depth of liquid level above outlet invert:x/0 Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of 1 e into or out of.b etc.)- PUMP CHAMBER: ovate on site n plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pump and appurtenances,etc.): 8 Title 5 Insoection Form 6/15/2000 8 Page 9 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 101 Braggs Lane,Barnstable,MA Owner:Warren C.Nunheimer and Loretta A.Nunheimer Date of Inspection:07/17/2007 SOIL ABSORPTION:SYSTEM(SAS)2j1 to on site plan,excavation not required) If SAS not located explain why: Tye ���TTT leaching pits,number: leaching chambers,number. leaching galleries,number: leaching trenches,number,length: leachin g fields number ' g ,dimensions: 4 overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of pondin dam soil co r g, p condition of vegetation, etc. . die l - CESSPOOLS: (cesspool must be pumped as pecti art f ins 'on p )(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer_ Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil;signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic fail e,level ofponding,condition of vegetation;etc.): . 9 Title 5 Inspection Form 6/15/2000 9 Page 10 of l I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 101 Braggs Lane,Barnstable,MA Owner: Warren C.Nunheimer and Loretta A.Nunheimer Date of Inspection: 07/17/2007 SKETCH OF SEWAGE DISPOSAL SYSTEM �� Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. l a t Of (�tAI&A A,�� A, 7z, 77 ` to q2 Title 5 Inspection.Form 6/15/2000 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: SITE EXAM Slope / Surface water ' Check cellar Shallow wells Estimated depth to ground watepdy feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design Observed site(abutting gn F reviewed: � g property/observation Note within 150 feet of SAS) C ecked with local Board of Health-explain: Necked with local excavators,installers. Accessed USGS database-explain; ( �c�en o ) 4;27 You must describe how you established the high ground water elevation: --2215 a � 1 ' 11 Title 5 Inspection Form 6/15/2000 11 373 l6' (; AT ION '( SEWAGE PERMIT NO- � ®/� ;. jC z . � VIftAGE %�/� INSTALLER'S NAME ADDRESS 34/ 4�S �64 ,/ii%/,o�l W- R U IB DE R OR OVYN R �r •'\)6A'Tjv PERMIT ISSUED r lt-N DATA COMPLIANCE ISSUED /� r ' � /a, II O��i�/ f 9 p.. + ��,� ' ��d a �� � I'. .. ll�� �� a o .� _.� �� -.. , •-�• �,. e � �(///�/�- No.. s .:s. 3 A Fps..........THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 W .............OF..... , '� . .�._, -------------- '�� Appliraftatt for Btsp>a ial Works Tonstrnrtinn Errant Application is hereby made for a Permit to Construct 0< or Repair ( ) an Individual Sewage Disposal System at: ............ �.' T ......... ►..................................... ......................�J�./._. .. :...............--...................--............. -..-/ Location-Address or Lq�No.. G�!3YG re a 41,V 77 2.•.�� .1� � �d: � 2, ... ® s:A//1m ✓ �`��...�A,Yr/�f9 ki ®v -�• r���gp 0 -A ddre InstallerAL re t d Type of Building Size Lot.....7 ..1 d .......Sq. feet Dwelling—No. of Bedrooms....................... ?................Expansion`X � Garbage Grindep-{-_) '4 Other—T e of Building ............... No. of persons......................_..... Showers — Cafeteria Q' Other fixtures ............................ . W Design Flow.......................-*5!5..........gallons per person per dray. Total daily flow.___.....___.......�-��?.................gallons. WSeptic Tank—Liquid capacity_/AaE2...gallons Length�_�-... Widthj...I&"- Diameter________________ Depth_--V------_. x Disposal Trench—No. .................... Width.................... Total Length...........__ Total.leaching area...P1l g 4:7..sq. ft. Seepage Pit No.......I------------- Diameter.....IC�....... Depth below inlet.... _._ Total leaching area_' fi q. ft. Z Other Distribution box (54 ) aPercolation Test Results( Performed by.. n!_..�°p?h 'fFP�r "............... Date...... ............... 4LTest Pit No. 1__4:Z,___minutes per inch Depth of Test Pi'f 03n......... Depth to ground water-__ Test Pit No. 2...1 _r�._minutes per inch Depth of Test Pit.....1A1y_.._.... Depth to ground water...'„-:4.....___. t� !E - .►..-_Cz- B"_.l.Utz a.Arl-t. �. 30"- �l...y_. Q".y. ...... ........ Description of Soil................................J.-m."te � '�k --•------------------------•------------------------------ W •••--------------------------------•---•-•-••-••-•-••--•--------.........-----------•.....--•••••----•--_••-••------------------••-•-----------------•---••--•---•-----••-••-•---------.....----.-•---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------•-------------------•------------------------------•------•----------------------------••-•--------....----------------------------------------•-----•------•--............................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TH TLE 5 of the State Sanitary Cod —The un ers' ned further agrees not to place the system in operation until a Certificate of Compliance has bee ued by the o rd of health. Si .. ..... -• ...........................r __ Date �Apption Approve BY A ��-5.... Date Application Disapproved for the following reasons---------------•---•-----•------------------------------•------•-------...----------------------•-•--•--..---•-- ..............................•----------•-•------------•-•--•----•------•-----••---•---••--•--•---...----------•--•--•-•----•--•----•---••••----•-------------•-••-............••--•-.....---•••-_..._ Date PermitNo......................................................... Issued_....................................................... Date 'i 2 Fss.............. . - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , pplirFa#ion for Disposal Werks Tonstrnrtinn Fermi# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: .........--• z... �.a' .....1-A.................................•------ -----_ �```� --------------...??............ or...................................................t Location-Address !i!Qd2E et�...°'� e�-.a:�?i�f77:? .: :....,L!C1Z:.�? :=i>r�c' ..._ �r`�s� :i�Jlc•: ..�l......lyd� jt �aar di!..... :P..fr ..ram... Owner_ s i Addre Installer I Address•� � . Type of Building Size Lot..._ ' z..` ........Sq. feet aDwelling—No. of Bedrooms............. .......�.. _......._.......ExpansionCtie•-(�, Garbage Grindc+r�,) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures .. WDesign Flow.........•............. ..........gallons per person per day. Total daily flow---..-------._---�1,5n.................gallons. WSeptic Tank—Liquid capacity.Zt.r,,;•...gallons Lengt�'.1;,'.l_. Width. 1 {�!!. Diameter________________ Depth_ I----.---. x Disposal Trench—No..................... Width.................... Total Length............. Total.leaching area...,�?.I:�'.___..sq. ft. Seepage Pit No....... .............Diameter...... ��....._. Depth below inlet....;:�......_.. Total leaching area.2..�Q",�q, ft. Z Other Distribution box '( Dtin tank„.. ) `'' Percolation Test Resul Performed by.. _ o. ?...... ... ....... ✓�_s_ � �: ......... .... Date..... t t `/aJ ----r--••------.... ,.,a -*Test Pit No. L a,__minutes per inch Depth of Test Pir...`):�'....... Depth to ground water---0---._•---_.__. f=, Test Pit No. 2.--- `'..minutes per inch Depth of Test Pit.... !:*l_"_._.. Depth to ground water-_.�_ -._..____ 11 1 n _II 11 c. I I -- - Description of Soil................................ ....__ -t.1={: t l_ - : t1= . .1 1_. '� 1�.L Il - L►J1 Fes: U ........-•-...•--•-•••-••••-••-••••••-•---••--••-••--•••••--•-•...: _.....k -•,.^1 A w. c r�k> W _ ......-----•-------•.........................•••-•-•••-••.. -•---------------------------•------- --••-••-•-•----------•-------•••••••••-•------•••-------•--•••-••-•••••---••-••-•-••-------•--••••••••••-•--••••-•••--•-•••-•••-••••••............•.._............ U Nature of Repairs or Alterations—Answer when applicable................................................................................................ --------------------------------•----------•--...-----------------------•--------------------•---•-----------------------------------...----------------------•---------------------------........•--••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code77— The unders'g ed further agrees not to place the system in operation until a Certificate of Compliance has been-i5_ued by the b` rd of health. `"' �" i.. 1 O 6.� Date b App cation Approve By• :-_-�.._......-„_;' =� V �t �+ �/ �`��`''.... Date Application Disapproved for the following reasons-----------------------------•---------------------------------•-----------------•-•-••-••••-•••••••••........._ ----------------------------•-------------------•------ -----.....-•----....--------------...--------...---•••••••---••--•-......--------••-••-•-•-••----......••••................................... Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....��_I e4J................OF...f-!'` ►- ................................................. . Trrtif irair of Taut rliaanrr THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired ( ) - _ S Installer "►..,, has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No............ .. dated_...______-...-.--___-__--...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNQrION SATISFACTORY. DATE................. ...1 ... .....----.. Inspector..----.-•-...........''� THE COMMONWEALTH OF MASSACHUSETTS -r BOARD OF ..HEALTH Disposal ]Perks Tnnstra inn ermi# Permission is hereby granted-w - n'�''�' .................................. to Construct ( orRepair ( ) an Individual Sewage Disposal System at No..... -=�...t-.2-• `-' .c -•l 'g--' Street as shown on the a li tion for Disposal Works Construction Permit PP P C �...! " Datedw- 'S � � /..Z'.. Board ealth of,;H _ DATE............... -...- ----------•------•--••-,- FORM 1255 A. M. ULKIN. INC., BOSTON `'x t No.....7.�_�7-__----- Fps...................._........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •�I� ._..........OF...........��1 ?5��d ............................ Applirativzt for Disliviial Works ( oustrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: � 1............4 . .-.....7 ........... 3 S L 6ar4-� ............................... y� Y a Locatio Address ,._.... , y—diU� or Lot No. ..............1 A �9..L ..�� .... ..... ..r/ .........../.`................................_....... ---•--•-•.....................I........--•- Ow r Address .........................t...�A...... .. .s s...................-- ............................................... Instal er Address QType of Building '2/ Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............................. .. .....Expansion Attic ( ) Garbage Grinder (�) 114 Other—Type of Building ............................ No. of persons....................._...... Showers ( ) — Cafeteria ( ) 04 Other fixtures ---•---------•------•------•---•••••-- W Design Flow......... t�...C)........................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.&W—gallons Length................ Width...._........... Diameter................. Depth.............. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.lddd.S._,00_Diameter.................... Depth below inlet.................... Total leaching area......3_.4..2-5q. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (Xq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__-_______--_______-_-_. 04 ..•-••••••-•---•--...-••••-------••••--•.....................•••••-...........................--••••......................................................... ODescription of Soil•---•- :'---------------•-s51A7 r-1.:_.._. ........--•--•----------•--------------------------------•------------------•--.................................. x % UvY ....t ------------------------------------------------ W -------------------------------------------------------------------------••--------....••....-••••-----•---•-•-----------------•--••••--------•---••--•-••••••-•......•-•-----------•---•••--......-•-- VNature of Repairs or Alterations—Answer when applicable..........................................:...................................................... ----------- -----------------••-•--•-•-•----•-•----••---•-•-•-----•••----•--•••----•..............••••--•---•••-------......-----•-•-••---•-••••-----•-••-------•----------•-------•••-•......--..--•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary"Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been I Missthe bo health. d'G%- 7�Signed---�-- ....- ............................ .... . ................................ Date Application Approved BY .............................cT Date Application Disapproved for the following reasons:................................................................................................................ ..--•-----------------------------•-•-------.....--------------•••-------------------•-••--•-------------- -•••••-••••-•--------•--••---•••-------•----------•-•--............•.•--• •............... Date PermitNo......................................................... Issued........................................................ Date j No.. Fnim............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD O6- HEALTH I ........ _ .......0�.......... ....... ... ............ ................................................. Application is hereby made for a Permit to Construct ( ) or Repair ( ) ,an Individual Sewage Disposal System at: Location Address yf ° or Lot No. ............... ,f .C...... .t::',. !P.°. IT, l'�� i Y.. ... �°�...... ......._......................---...--•--•_._......................... / O,wner .r Address .................. .-.. Installer ....... ................................. .......Address._.......----••-----•.w................... UType of Building Size Lot............................Sq. feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) `l Other—T e of Building ........ No., of persons........................... Showers — Cafeteria P. Other fixtures _--• --------- ................................................ Design Flow.......... .._.....gallons,per person per day. Total.daily flow.............................................gallons. P4 Septic Tank—Liquid capacity..'4,tta.gallons Length................ Width................ Diameter................ Depth................ xDisposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.-1 -/_-4__t5_:f�IDiameter............_------- Depth below inlet.................... Total leaching area..... Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1---.............nninutes per inch Depth of Test Pit.................... Depth to ground water-_:_:_----___---___--_-. Test Pit No. 2................minutes per,inch Depth of Test Pit.................... Depth to ground water------------------------ . t Descriptionof Soil =.................. ..... -- ----•-•-•---•------------------•-•--....----------------•----------•---- xn - V .......-•----------------------------------------•-------------•..._.-•---._._.___..=="•_ _ e:(iw.. r... W ,; -------------------------------------------------- --•-----•-------------------------------•----•--•--------•-••--------------••------------•-•-•---••---------------•-------•••--•------......._....--- U Nature of Repairs or Alterations-Answer when applicable.--------------------_______,----------------_.................................................. -----------------------------------------•-------...---------------------------------..........-------------••-•------------•---------------•------•----•------------------------•--------•----------•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article YI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued - the bo 9 health Ir Signed % :_ ,.� ' 'd ......................... -------------------------------- Date APPlicatiori[a pproved BY ...............-...................---- --------------------------- Date Application Disapproved for the following reasons:--------------------------------------------------------------------------•--------------------------•--•------- -•----•--._•-•---•---•----------•----••---••----•-_....-•----•------_...--•--------------•-------•---------------------------------------.--..------------------------------.....--------•-•----•-_..... Date PermitNo.......................................................... issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........:... ..................... OF....... ... . rrtifiratr Lit 19 tatirr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) y.................F • Installer at. � f -- has beI�irfstallen accfda ce wiftite'15 }�Xsrrns of AttCrle'! of The State Sanitary Code as described in the application for Disposal Works Construction'PermitJNo---___y4�__ ................... dated � .,.r_ __._.____.. r � r � THE.ISSUANCE OF THIS CERTIFICATE SHALL NOT ES CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNdTIO SATISFACTORY. DATE.......11.- = = Inspector " � .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A .............. rs9:........OF. f 3 ,r....: ..............No...... FEE........................ Permission is hereby granted:....... "�* 4 .� .cam_, -----------------•--..........--•-----------..................................„..------ to Construct ( or Repair ( ) an Individual Sewage Disposal System . atNo.............. n. --• =a x <V. •. ! J: t?� .........--•-•.........................••--..... ........... ..... rr'.- Street J as shown on the application for Disposal Works,Construction Perris No.. �:. >.. . Dated.__.__.z._..��: G ") Board of HealthDATE-----1.J------i:2._ j--•------------ . ................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS SOP OF FOUNDATION ___ 20 FT. MINIMUM FROM CELLAR OR CRAWL SPACE ' SOIL TEST P#11909 � _ -- --- ELEV. 10 FT. MINIMUM FROM SLAB c- T_ 14, 100.OQ_-\ � 10 FT. MINIMUM � .- CLEAN SAND DATE OF SOIL TEST _SAP 1007 (ASSUMED) �, i CONCRETE SOIL TEST DONE 8YWTR �IV�!N��RING INSPECTION PORT COVERS WITNESSED BY �IS 4" SCHEDULE 4G PVC PIPE � LOAM AND SEED - MIN. PITCH 1/8" PER FT. \ �` 2" LAYER OF OBSERVATION! HOLE 1 ELEV.= 81.7 1 t s" TO 2" -- --, - f / WASHED STONE � DEPTH '' HO IR ZIR z TEXTURE COLOR MOTT. OTHER-----] � 3,00 4" CAST IRON PIPE 1AX " 63.2 MAX. \ 00.25 SIN. NNONTREQUiRED� J _ ___ � 0-6 A LOAMY-SAND 10YR51 NO (OR EQUAL) MINIMUM �- - PITCH 1/4" PER FT � �_.� `1-_IJ_ � ! LOAMY--SAND 10YR7 4 4UX CA$!3LES TEE I ti I 39-120` C FINE/MEDIUM-SAND 2.5Y7/1 _ 59G COBBLES FLOW LINE 2 O1 Y6/6 -- ---- o" _ 1 __ ;,�. _ ` :,, -� _-- 2 5 _-_ _ ._ -__- BOULDER 0 BflTTEIkf �7.00- 77 MIN. --T - VE o o d T \-ELEV. - 61_0 I / . o &4 l2VE'�� , � 10 F = ADC GA = 17 J6" suMP '- E E',, 8p.pp_ i - --� ___I I , ELEV. _ _--- - NO WATER ENCOUNTERED AT ?20" __ ELEV. � _71.7__ ELEV. _� �_ BAFFLE ELEV W_-- DISTRIBUTION ELEV. ffi OBSERVATION HOLE Z ELEV.= LIQUID OUTLET -__- BOX --7kL- L 4� y/-H CAPAC/TYhVf7L7RATOPS N9W STONE z PERC OLATION RATE _< MIN./INCH AT _66'° _ INCHES DEPTH TEE 4 FEET 14 INCHES ',EXISTING) TO BE WAFER TESTED .17 __ 5 FEET 19 INCHES 1000 GALLON !F MORE THAN ONE OUTLET IN AN il' ,� 3e'h' 10 " TRENCH FCRN/A170N DEPTH HoRlz TEXTURE COLOR MOTT. OTHER 6 FEET 24 INCHES TO BE PLACED ON FIRM BASE) �p ONE N/A -- 0-7 A LOAMY-SAND 10YR5 2 NO 7 FEET 29 INCHES ( SOIL ABSORPTION 8 FEET 34 INCHES SEPTIC TANK - -_-- -- __ _ _ _ ___. 3/a" Tot t/2" CLEAN J - '-32" B LOAMY-SAND 10YR7 4 409� COBBLES SYSTEM (SAS) INDEX __ _____- �- _---_ ----_-- DOUBLE WASHED STONE ADJUST FRET of FINES 6c SILT � 32_124�` C RNE-SAND 2.5Y7/1 10% SILT JSGS PROBABLE WATER TABLE ELEV. = _-_--- o _ _ __ SEWAGE DISPOSAL SYSTEM PROFILE OBSERVED WATER TABLE ( / / ) ELEV. = ------ BOTTOM OF TEST HOLE ELEV. _ --_^ NO WATER ENCOUNTERED AT _120___ ELEV. � 72.2 -- NOTES: 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN'S RULES AND REGULATIONS FOR I THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF \ WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN / 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. <98, 79.0 DESIGN CALCULATIONS 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. NUMBER OF BEDROOMS 3 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH \ \ \--�"N ` w `�w ! GARBAGE DISPOSAL UNIT DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO \ \ /�j \ \ DRIVE \ \ \ I TOTAL ESTIMATED FLOW � � 5.6 OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. \\ \ ( 110 GAL/W/DAY X 3 BR.) _ Q_ GAL./DAY F 98.9 / \ 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, XCAVATION CONTRACTOR \ \ ) �rI( j REQUIRED SEPTIC TANK; ;_ =Ai .- _�Q_ GAL. IS TO CALL "DIG-SAFE" AT 1-888-344-7233 AT LEAST 72 HOURS 1 \ \ ! ! �� w �►� _mow I ACTUAL SIZE OF SEPTIC TANK (EXISTING)/ -1000_ GAL. PRIOR TO COMMENCING WORK ON SITE x g6\8 \ �' ! _ SOIL CLASSIFICATION _ I__ ! � "� - ��( � M 80.5 , DESIGN PERCOLATION RATE <_�_ MIN,/IN. 7. CONTRACTOR !S TO VERIFY GRAPES AND ELEVATIONS AS WELL AS 2 / �� EFFLUENT LOADING RATE OJT_ GAL./DAY/S.F SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION / '� !S TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER DECK R / / / / / / LFACHING AREA 474_33 SQ. FT. ,� ,� IMMEDIATELY. .\ 11X36 + 47X2X10/12� n l 82.9 ( ) ( 8. PARCEL. IS !N Loop TONE ___-- 7r:tA X RAZE) •AM GAL./DA' g. LOT 15 SHOWN ON .AS5cS50R5 MAP _1gS! _ AS PARCEL __' "1 I *74.33 X 0.74 ! 10. A_L UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND RESERVE LEACHING CAPACITY GAL,/DAY FOR A MINIMUM OF 5' AROUND SOIL ABSORPTION SYSTEM AND BE AN,24, 80.5 REPLACED WITH MATERIAL AS SPECIFIED IN 310 '_MR 15.255:(3). } / \ 10" , �1i 9� (BZ) I 11. THE INSTALLER IS TO GIVE THE ENGINEER A MINIMUM OF 48 HOURS 91.2 �� / / (2 WORKING DAYS) NOc CE FOR THE �NAL INSPECTION (NUMBER BELOW). (96I6 ! v GALLON S 81.4 12. EXISTING LEACH PIT I., TO BE PUMPED AND REMOVED. SOI! X98.9 / I STIC TANK TEST I � 95.8cw \ / (92.3 I D. $ i SOIL v ! g BO '� TEST 2 i ` A ! JJIVIA No 6111'. 85.3I Imo / , .4 APPROVED. BOARD OF HEALTH LOT 72 76, 1 32.8 f S,F. 81.4zi 83.3 / \ " r E AGENT I PROPOSED SEPTIC DESIGN I UNHEIMER REVOCABLE TV ROUTE 6A / -- i LOC 101 BRAGGS LN. , LOT 72 BARNS TABLE, MASS. S4�56' _S �,� 8LE V/ LA GEC I `O LOCUS_ I � 235 GREAT WESTERN ROAD ! ! i �,_- - i I 508- P. 0. BOX 713 <\, LOT 72 --__ 'r' LEGEND• ! ! SOUTH DENNIS, MASS. • ~ 76, 132.8 f S.F. '' EXISTING SPOT ELE`.'ATIONvOxO � � i 398-3922 02660 ! EXISTING CONTOUR ----00---- 1 __ r N AL SPOT ELEVATION f DA r� '+ 1 I FINAL CONTOUR- --4 I �J�f� ! 14, 200 SCALE �� � SOIL TEST LOCATION L + UTILITY POLE TOWN WATER -W W_ I S4Z j4' I REVISED � 15NO. i SCALE 1 - 100' CAS�4 CATCH BASIN 6590 00 r NE (,MEANT OUT 0 SITE LVERV!� W CESSPOOL C.P �j LOCATION MAP REVISED �5� HEET 1 OF 1 ' t': 58 1 P.40J I E590- i 1 a'w' 6-!90-SaS.DWG - 2007 SWEETSE'R ENG. y z a. v v v "' < ..M. .�:. ... :�A. .»s _. ..x ,'+.... ... .-... ,: '_�' ♦,.. ..'LE-..�I ,.. r :,. x.. :.. .._ ,-,. ,..-a... - .......... ....._£_Ldadcmas...6T-.,>w-.ai:',>•75�slCi..n:Yirrw wl. .. -EL TOP OF FOUNDATION l-'aNCRETE COvE H wj CONCRETE COvEFI� /`• 4 CAST IRON 2"MAX OR SCHEDULE 48 i 4" SCHEDULE 40 PVC • P.V.C. PIPE PIPE MIN LEACJHV ° PITCH 1/4••PER IF PITCH I/4�PER FT PITPREI AST —INVERT a EACHtNG e EL . INVERT PJ OR SEPTIC TANK - DIST. EOl►tY �1u INVERT EL.. 80X E �.. > z EL scow GAL INVERT i kWERT �• "a 4' TO t1/2ww EjWASHED STONf _. DIA PHOFI L E I. GROUND WATER TABLE I St- WAGE DISPOSAL SYSTEM j NO SC4L :. r I SOIL LOG WITNESSED BY DATE .�fi":r I'7 `fpt TIME 7v<t'� J7'lcoa � S BOARD OF HEALTH ! TEST HOLIE I TESTpe- E7V6/wr <wr0 ENUiNEER I . �411 ti. ELEv -' 1-'14 ELEV >Jw i DESIGN DATA .' t <:o,5 S&0,- �'! ( NUMBER OF BEDROOMS ErZ'. `. 47 u, - ssl+vd� / �7ps.c", A•�Q "7"'` TOTAL ESTIMATED FLOW GALLONS/DAY ,I:. ache SrF r wtrjw 4Z 44.In `rcr BOTTOM LEACHING AREA SQ.FT. /PIT SIDE LEACHING AREA ' SO FT/ PIT .' .�- '. • '� . 'tE�l3i tJ -zass �As�O GARBAGE DISPOSAL W °I AREA INCREASE) TOTAL LEACHING AREA SQ.FT e.-7 PERCOLATION RATE MIN / INCH { r44 �•S a LEACHING AREA PER PERCOLATION RATE SQ.FT. WATER ENCOUNTERED NUMBER OF LEACHING PITS <'-"jf wy:r-;' rtyp . .FAR'�'. �.s �S�'��-G- ��•. ..3: c:.. 3 APPROVED BOARD OF HEALTH DATE AGENT OR INSPECTOR - H OF W4s�, � s � V .HAO -. J 0.5 Sgyi1P°"''� JV, PET►TtONER over Ll E -14Z- . AA 1 t F�L' S�•� � l I e AA LoT 7 z a - w° E 2 `C F�'• \` � , / � TAT o � Q t �it�'1� ♦JF f "r- � 66 � A L f 9 ta- �..�. 3 f -44 M L c all L C 1 I I 1N, C . /t/U M,& OF EDWARD 9 A/D M - Ze V,,)7o;P 0 A/,S x e z✓ oA-1 /'-�t�A7` SG� G ✓E E. c� KELK. D.Y6100 O Z C'ZSTEp e • ����\S U fi•jO.t� r •�%7`;f Y7`;� 1