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HomeMy WebLinkAbout0350 BRAGG'S LANE - Health 350 Bragg"s L a� Barnstable A=298— 109 TOWN OF BARNSTABLIE —LQCATION 15n , 4 s✓ SEWAGE# `2Q f'f VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY j"f rev S L LEACHING FACILITY.(type) 2 tOnQ21 Aot es (size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: ✓VO^'C eAl 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:2;&�F;k VQ 3 s� `trot-ssS i3F. r - 22 No. _.... Fee ✓ THE COMMONWEALTHIOF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftphtation for Disposal Opstem Cortstruttion permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location A_d.�ress or Lot No. 3 50 ruyyy �^^� Owner's Name,Address,and Tel.No. 'Gr/,Vykilol r Assessor'sMap/Parcel act fgC>rf rlr/l Installerr''s Name,Address,and Tel.No. Designer's Name,Address;and Tel.No. DA Type of Building: Dwelling No.of Bedrooms 3 j Lot Size e/`3� __sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 73 30 gpd Design flow provided 3i/S, 7 gpd Plan Date 7•—/O--/9 Number of sheets 2— Revision Date Title Size of Septic Tank Type of S.A.S. SOy Description of Soil Nature of Repairs or Alterations(Answer when applicable) dry f-i l� 2 ,r/eW 5'00 �ib�� -�� ��crNOP✓j 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 this Board of Health. Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued s No._1.Y/ 611 -- Fee THE COMMONWMETWOF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN.OF BARNSTABLE, MASSACHUSETTS Zipplication for Misp6l,_ pstrin Construction 3pPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 SCg Owner's Name,Address,and Tel.No. /"�SbG10r1G t „r Assessor's Map/Parcel r/r' Installer's Name,Address,and Tel.No. _ t} Designer's Name,Address,and Tel.No. l�,q,13f3u1.J�n�C �'j. �" y �,✓ �err/•N G�i/�� Type of Building: Dwelling No.of Bedrooms 3 Lot Size 4/'?�.S(,� sq.ft. Garbage Grinder( ) T Other Type of Building No.No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided '3M 7 gpd Plan Date 7-/��- 1� P Number of sheets Z Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil f Nature of Repairs or Alterations(Answer when applicable) Grp/c�� 2 ` ALr w Jg w a/./� !may-.Zo 6�4.�j, (rig f�t GJ� sf6�P a Sf r 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 this Board of Health. Si Date Application Approved by Date j Application Disapproved by ;} Date t for the following reasons Permit No.�� b Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS 'w 4 Certificate of Compliance THIS IS TO CERTIFY;that the On-site Sewage Disposal system Constructed( ) Repaired( (ip Upgraded( ) Abandoned( )by ID A 1� A i_ at - Z(a e 4 S 1—N 1 o1.1 Qe�r b V7 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Now dated `1 l Installer ,�,►��t,�„f ,� �.rr' Designer ° y t S #bedrooms Approved desi4 flow .c, Z gpd The issuance of this pe hit/shal�ljnn000tt be construed as a gua antee that the syste will'° ctio signed Dater"W��/�f G Inspector,#'.,, ` ., -----------"-------------------------------------------------------------------------------------------------------------------------- No. t- ~, 0- Fee , THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Vsposal 6pstem onBtrUction J)Prmit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at S / w= and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction ust be completed within three years of the date of this p rm it. "`-"�-- Date � � l Approved by Town of Barnstable Regulatory Services BCE,� Richard V. Scali, Interim Director BARNSTa •: Public Health Division 9QoA '6gy `�� rED, to Thomas McKean,Director 200 Main Street,Hyannis,VIA 02601 Office: 5N48 i2,464?. Fax: 50',�-790-6304 Insta.lter & Desi ner Certification Form. Date: 71 36) ti- Se1va a Permit#XR 02 w_ Assessor's MapTarcel DesiQaer: = _VV,,.ye .-0 aA x s 1�<� Installer: 1).A A[IdreSs: Id P,:—,{ Address: P 13 A G z6 en$1 UP, K A a26 Z Un ?�(�—(� �` �r'LC Ixas issued- permit to install a (date.) (installer) septic syste.rn at �-a �j � based on a design drawn by j� {address) t�T�'21��r'1 I'UfS;I L-S K dated [ l�1 � d/ I certify that the septic system referenced above was installed substantially accordin`; to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip Out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major cbanges (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 Reaulations. Plan revision or certified as-built by designer to fallow. Strip out(ifregttii-ed) was inspected and:the soils were found satisfactory. I certify that the system referenced above was constructed in wit'n the terft> of the I`3A approval totters(if applicable) McE�TEE Lnstaller's Signature) CIVIL t4o.35109 GIST (Designer's Signature) (Affix Designe ere)T' PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVIISION. CERTIFfCATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE.RECEIVED BY THE BARNSTABLE PUBLIC I�I✓ALTII DI�`I.SION. THA1K I'OU. Q:'.Septk;i oSi,-nerCertification Form Rev 3-14-13.do:: Engineers note:This certification is limited to an as-butt inscection of system components as installed prior to backfili.The engineer ddd not supervise construction of the.system.The ins;_ller assumes responsibikty`or all materials,workmanship,backfii i to specified grades with proper compaction and setting isers,'ccvers as shown on the design plan. _ . r TOWN OF BARNSTABLE f OCATION 3,5'0 ��®-b�`�-� ��''� SEWAGE# ZOp'a"q(. VILLAGE ASSESSOR'S MAP&PARCEL �l8 ��g INSTALLER'S NAME&PHONE NO. a v td,c i �f, e-IL? qU Zi? SEPTIC TANK CAPACITY /(I £e<s• f, LEACHING FACILITY:(type) Ace 1%cu`t� �• I¢' jsize) 3 X ZO NO.OF BEDROOMS OWNER rvk Yu— PERMIT DATE: COMPLIANCE DATE: f I- S — ZOOS Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ,vu /U 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 L,aching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY � I C �/ISe.) (�C,C f331 93 ;P5.0 d 3T 44.c> I tit .t�{.� �2 9g•� y9.o s'' to aF� Town of Barnstable P# Department of Regulatory Services ' Public Health Division EA HASS. ' Date �A 1619. 200 Main Street,Hyannis MA 02601 Date Scheduled tl Time Fee Pd. Soil Suitability Assessment for Sewage Di sal Performed By: HiCW6 eiffie8k1 LIT, CSE' Witnessed By: 7A 1. LOCATION& GENERAL INFORMATION (J Location Address 356 g rA s L q rt_e ( ;�� pp c0�, ( �T Z t� Owner's Name Le /e,�c.,(.�✓�.rz� C7l ,NQ„ f/151-At Q 1 e Address Assessor's Map/Parcel: a C(1 �!©Ci Engineer's Name NEW CONSTRUCTION REPAIR Telephone# �C�F'429 10 Land Use gt i tie- Fa(A i f fQSfJed7b4( Slo es % P ( ) Z—5 Surface Stones Distances from: Open Water Body 7/Va ft Possible Wet Area >/U 0 ft Drinking Water Well P« ft Drainage Way > ft Property Line 7/O ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) See.. a t4aeHed PIQ�n Parent material(geologic) 64v,&sh Depth to Bedrock 71'� 15 Depth to Groundwater. Standing Water in Hole: 13 Y bgs Weeping from Pit Face `� �0'is c� Estimated Seasonal High Groundwater '7 I y b5 S DETERNIINATION.FOR SEASONAL HIGH WATER TABLE Method Used: sired Woseruaktcn Depth Observed standing in obs.hole: 7 13`� in, Depth to soil mottles: (3�� In, Depth to weeping from side of obs.hole: 7 ►3 q in, Groundwater Adjustment — ft. Index Well# — Reading Date: — Index Well level Adi,faetor�. .Adj.Gr0uJidwater bevel__ PERCOLATION TEST bate 10-31-06-06 Time /11-60A11 Observation Hole# 1 Time at 9" „m,e n u Depth of Pero Time at 6" Start Pre-soak Time @ I D:/5 Ad Time(9"-6") End Pre-soak )0%2 7 A H - Rate Min./Inch 2 Site Suitability Assessment: Site Passed�_ Site Failed: Additional Testing Needed(Y/N)—;A/ Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTICVERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# I Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency, ravel 0(311 - 16 MS C-2 V S Z.SY bfl — ua� Soto rs ou DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% ravel - b-3(o LS 0`fir 3A . — kee C66�5 3b' !, 2.5 ��/I - at�.te.s 6-13y C-2, 'FS 2.5`� b�� W C0111 • � g b" DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc.y.%Gravel) .# DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' n I Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No L/ Yes Within 100 year flood boundary No L/ Yes— Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not,what is the depth of naturally occurring pervious material? Certification I certify that on ��" 7" 9 9 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise a experience described in 310 CMR 15.017. Signature Date rd' 0 o . Q:\SEFnCCPERCFORM.DOC �. No. �t.��1 r r Fee �® THE COMMONWEALTH OF MASSACHUSETTS. Entered in computer: Vol- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Migpogar *pgtem congtruction 'Permit Application for a Permit to Construct O Repair( 4/Upgrade O Abandon O ❑Complete System ❑Individual Components Location Address or Lot No. 35Q A 5 LAB. Owner's Name,Address,and Tel.No. Y'Zf�ln�wnl G iee_-,q ti g o �� Faf�w�ri><201 Assessor's Map/Parcel Installer's Name,Address,and Tel.No.C'A f e AW44 CAI ref�5e) Designer's Name,Address and Tel.No. Ot ph Q•c7."3ay- ��3 �SS'J ��eH berm '1,1-ywy i Cc�.tre p�� 44YJ 505-213—®3-7-1 Type of Building: Dwelling No.of Bedrooms Lot Size L4 3 r S63 sq. ft. Garbage Grinder ( ) Other Type of Building C-0-11 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min. •eq 'red) 73 30 gpd Design flow provided 3 I(o .3 gpd Plan Date 1 I ?.®6$ Number of sheets !? Revision Date Title Size of Septic Tank 110®,0 Type of S.A.S. 3 Description of Soil D hliN e, G.it f F'4&—'?(n;t Nature of Repairs or Alterations(Answer when applicable) 1' 'fib �e...> D—V-by_ To 3 kc -3( 4 C 340 1 L Date last inspected: *24ol 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 this B oAyof Health. igned Date I/— 2AO� Application Approved Date 0 Application Disapproved by: Date for the following reasons Permit No. -�' — 7(9. Date Issued 7 : —7 a .:. .�.. :+--.�.'.^.<�..a,...,.,,..^'6Ye. Ya'.�...w+v^=:.ti.;,e,.'vw":.v-•..-- "• 5- vp-".�...n..w,,;;:,;.',,.;:,.,,�,-;.,,zx ar.-p�V"` «7",,:.�,�:/ ....y,.,.. „r e • .�,,,•r r. Fee v r Entered in computer: f* THE COMMONWEALTH OF MASSACHU te►.., S $,,. I Yes a x-r. PUBLIC HEALTH DIVISIONS TOWN OF BARNSTABLE; MASSACHUSETTS ZIpplicatfon for lke; ogal * gtem Conotructiott Permit 'tApplication for a Permit to Construct O Repair(4/Upgrade O Abandon O ❑ Complete System ❑Individual Components s Location Address or Lot No. *35 0 &A S L" Owner's Name,Address,and Tel.No.'R t cl A,J fA`J-T •�3 Q. L/p fah F•4lyw�r�f 2riv9� Assessor's Map/Parcel A,:( 1 Q Installer's Name,Address,and Tel.N6 f A feA i$@ Designer's Name,Address and Tel.No. �% o- ?,�• -7to3 �5�� C'/fin lei/7 l�ywy 1...,11 a ✓1/I yj 50'3 "2 73-03-71 G-145T W G!eNa.rr /►'i of Type of Building: Dwelling No.of Bedrooms 17 Lot Size (4 31 J�3+ sq.ft. Garbage Grinder ( ) Other Type of Building S i e e, No.of Persons Showers( ) .Cafeteria( ) Other Fixtures Design Flow(min required) gpd Design flow provided 3 4> • �9 gpd Plan Date LO 0 Number of sheets Revision Date Title Size of Septic Tank 1000 "t% �� Type of S.A.S.3 S—)di a.k-s s Description of Soil ,,ADO 01'A"h Nature of Repairs or Alterations(Answer when applicable) T. 3 kG 3(., 44c ' Date last inspected: 2001 Agreement: : The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system iri 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 this Boa d of Health. 1 igned / Date < Application Approved y Date Application Disapproved by: Date for the following reasons Permit No. . "' �� Date Issued D Q t . 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 (244W3•e (ayA_�e Of S c-5 �. l at ! C has been constructed in accordance l with the provisions of Title 5 and the for Disposal System Construction Permit No.�� y 6 0 dated /I /fy/� Installer=) g (,mil ,p f I Designer �. L. P,G►,►sec , #bedrooms Approved design#lo. ) FU7:�/_v �� tLJ�—gpd The issuance oft isper/init sha91 notbe'construed as a guarantee that the system will n'cti� 'designedDate ( � I C InspectorV(l! f/W/l_ ------y-------------------------------------- No.C"i C J� Fee �G THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS - - �-- - =igpool *pgtem Construction J)ermit Permission is hereby granted to Construct ( ) Repair(/ ) Upgrade ( ) Abandon.( ) System located at 3SU 1 ��<< c.Ja+..._. yN'A-1 r and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit Date �, L� �O '" ,Approved by 1 C 1 I { e I , ! It Regrsult��y;Services l l I t i TP0Mas , �' Geilcr,, Director';I � F , Public He ,Ith 'I?ivi 4 i E ; side ' I �" ; ► T;homas 1VtcfCean, Iirector' i � Maier Street,liyanpls,?11�A,UZ�OIl j Office: ,50i-M62.464'14 { i { Fax; 50$;7y a 0 630�t I i ;Installer& Uesl e } �C+:rt� I , I Ante: II •j4(� Ci is t I j r � ' C r r.l ! Deny rtct: l �y)ct�nc.ecrn �✓llc. - - 1 �" _ .a. liastaller: C� ,�� ode. L to ( r i ress V I r� iF s y ��.>,, �� Adi ; i i I � II 3� it WWr Q.d►t.s', .,.. (RI f)1_�, }. i I I 1� I l 'I '//�yay,.� jl On - ' '- �SL�, _was tsstied a'petmt tairtstall a 1 i' dato) I(tnsta9lei I I (I { W it j? septic sy:tC!'Il�dt �';yC� � Cic�cK' !,� I`C_ia,��, i ' i ; I --- . ! based on.a dust' l drawn b i �aCidrdss)W I� ! ,k � y i 11 ; , f { _._ �_, '► iri c�tr .'4r);C: I. d�1.Ld tiovelnl.�e.r 'iw {destgxter) ...1. I _ I s ! , s 1 I Z certtlfy that ;tkic septic system refe:rgnced; above was installed!substantially according`t 1 ' tl destt I FP ges such As lateral relocation of tlt F , which may irtclu.de ittor approved d,'stril utic n boil; and/or a i I, septic It1c. r j l certl'fy tbEit tkte septic: systerin irefereneed abby was installe i with Irriajor changes (i'.c greatler than 10;' lateral relocation of the.SAS or any verti a reYoc'ation of any coMponent ' o'the�sep�ic systrax) but i aocoxdsutce withtate,& I,acalReulattons. Plan revislQnuor Cu rtifi_6d.a built bVdesighi r to fellow 1 i I ` ; ! 1 1 - t (In � or s 5igria u' ! 1 � i 11 , 1 I' I i (Designer's A fi g ! ,�. �t$rie 'S am Hire) li PLEASE ry T I! BL I Y 1 {i Ql nor I L p N. CB I C E !? , �' DUIL c vEi� � . �MY . I j I { - ;r I Q 13ea1thlS,pt'ic/l esi ea C;enifirariori Form . i i d L9 40 24Z :BOG: (,. ..j � j �MIZI33NIT)N30 fl! Wd 2T : 90 g90c-51�-A6N L0-_CATION 4o�r- SEWAGE PERMIT NO. �q4�s La�► � 7� 7 Wit LAG E ww I N S T A LLER'S NAME & ADDRESS k rC BUILDER 0 OWNER o 4l O/P DATE PERMIT. ISSUED � L .77 DATE . COMPLIANCE ISSUED � - Q� t 4 �,, .� i �� p 1 i i Z i J �` x �.. �I J& Fimic.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD,. : HEALT ..�0............. _4.*.4A.......OF.......... ........... . . .... ... ...... ................................. Apphration for Rspaaal Works Towitrurtion ramit Application is hereby made for a Permit to Construct Repair an Individual Sewage Disposal System at: 4 ............... Q2.1......D�,....(.k _%......klow&4....... .................V.--deAt..It-, ------------------------------------------ Lof *on-A S.71.1r..r No 4 or ..Zo f j_ ......................DACa 4........... k...... ......40AW.U—t . OwnerRR Address...... A.0 ................ -------------------------------------------------------------------------------------------------- Installer Address Type of Buildi Size Lot_A/3jS."<—__.Sq. feet Dwelling7No. of Bedrooms-- Expansion Attic ( ) Garbage Grinder (040) Other—Type of Building fNo. of persons............................ Showers Cafeteria Bedrooms___... fixtures -----------------------------------------------------------------------------------------I............................................................. Design Flow ........... .. ....... /allons per person per day. Total daily flow..........:3..J A..................gallons. Septic Tank T Liquid capacit'y 41,....gallons Length................ Width.._____._._._... Diameter................ Depth_...._.......... Disposal Trench—No--------------------- Width ......... Total Length....._.............. Total leaching area....................sq. ft. Seepage Pit No......I............ Diameter..... Depth belo mlej.... .......... Total leaching area..2.0./....sq. f t. Dosing /-'c-'�- e Z Other Distribution box 77 0 ' - -77 Percolation Test Results Per-formed by----- `"..... �a ........ .................... Test Pit No. I................minutes 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.__.................___. 04 ....A!-------------"...- . . ...... ........... 0 Description of Soil--"....UVIL :2- tF ,%. ....... ........................................... ------ ...................... ................. ... .. ...L.A. ..... .......................................................................................................... ----------------------------------------------------------------------------------------------------------------------------.......................................................................... 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 TL I'=4 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i ued by e boar,4 of health. 2- 77 ........... I........................... Signed. .... . A4-M-4.4.igne X Date —--- --------------- ............... ---- ------------- --------- p Application. Approved B........ Date Application Disap roved r the following reasons:.................................Z ................................... ... .............. ....... Tl"�--- -----------------------------------Date"*-'*Permit itermit No......................................................... Issued....................................................... Date r 1 71) • Fims............... ......... w THE COMMONWEALTH OF MASSACHUSETTS BOARD QE I-IEALT ..............:V.. `1.. ....0F........ � . Appliration for Dispao al Works Tnnstrnrtion ramit Application is hereby made for a Permit to Construct ( 'ror Repair ( ) an Individual Sewage Disposal System at „ 0. Wa .... ►dL.. Y .:A .. S tN o /-_.. 3 ........... - •/ :G �----______- ... owner ................ !j Address . ....: ! . ...........................•--._...--•---........---..........--•-^---......i..'.�..............�........._. p Installer Address Type of Buildin +ioa, Size Lot__'fC :4R ._Sq. feet U Dwelling No. of Bedrooms ___Ex anion Attic�•�-+ g � --- p ( ) Garbage Grinder (0(4 a Other—Type of Buildinge)d : Q�a++t�1Vo. of persons____________________________ Showers ( ) — Cafeteria ( ) Other fixtures -----"----------- = W Design Flow.:_.._._...� .._...._ _ allons per person per day. Total daily flow________ '_...............gallons. WSeptic Tank Liquid capacity Length................ Width------_......... Diameter................ Depth................ x Disposal Trench—'NO...*................. Width_ ....... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No. ;.......... Diameter..... Depth belo -inle _.. .......... Total leachin area,. m_ _/....sq. ft. Z Other Distribution bob` ( ) a Dosing o (,Percolation Test Results` Performed by. _ __._ � -"T3a`t -------------------------------------- Test Pit No. 1..................minutes per inch Depth of Test Pit..................... Depth to ground water........................ frq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil ,.._... .!'..•'t�' V - - ----------- ---------------------------------------------------------------------------------------------- W U Nature of Repairs or Ejterations—Answer`when applicable._____:_. ......_........................................... ................................... Agreement"; The undersigned agrees to install the aforedescribed. Individual Sewage`Disposal System in accordance with , the provisions of TITIZ- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation.until a Certificate-d Compliance has been issued by , e board of health ' �. Signed ---_ . t-- -----. .� ►._.. " " a Date Application Approved, BY---- == t:." $ .._ ..----•------- --------- .......�`_-----` Date ; Application Disapproved for the following reasons-..................................---•--------------------••-------------•-•-----'=------• ---------••••-_.... ---- ----------•--•--....------._......-----••-•-----....----s- -------------------------------------------------------------•- Date Permit No.....................--.................................... Issued ... - Date THE COMMONWEALTH -OF MASSACHUSETTS BOARD OF -:HEALTH . f THIS IS TO CER FY, Tha�&Individual Sewage Disposal System constructed ( or Repaired ( ) by s -- Installer at. .... -----•-------------------------------•-------------- has been installed in accordance" vitli tl provisions of T T,. ,:5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__ '�'_,___ .1h_______________ dated _. '._« %`' THE,.ISSUANCE OFTHIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM•'WILL FUNCTION SATISFACTORY. . - DATE--•-•-. ...........................�• Inspector........ .-• -----•----•-----••• ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......'OF...:... .. .....:........ ......" `"' ._...._......... No....................►.:... FEE.... %V00al Ivor ii panfit Permission is hereby granted.........C14 c to Constru or Repaid ( ) an Ind v al Sewage sposal System at No.----�'1'..... . . .. . .4- 4..... s._. #,L �"` ` ► .:.. Street as shown on the application for Disposal Works Construction Pe"it No'-- ated______ _" __�.�--.-•_.. ......... __ i..................... d Board of Health DATE---- >�_-e--I. .°_. ..� :.:._. FORM 1255 HOBBS & WARREN. INC;`RUBLISHERS Commonwealth of Massachusetts W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ^M 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name I,'�9t5eA information is required for Barnstable MA 02630 06/19/2008 10 f tN to$ every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. 'Impor tant: When filling out A. General Information forms on the computer, use 1. Inspector: only the tab key to move your Brad J. White cursor-do not Name of Inspector use the return key. Bluewater Company Name 350 Main Street Company Address West Yarmouth MA 02673 ° City/Town State Zip Code (508)775-2800 Telephone Number License Number B. Certification _ I-certify that.] have personally inspected the sewage disposal system at this address and that the information reported 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 am a DEP approved system inspector pursuant to Section 1.5.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes © Fails ❑ Needs Further Evaluation by the Local Approving Authority to I(-i 0 I 11 vi 06/19/2008 Inspe orrem nature Date The sysinspector 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. *:**This report only describes conditions at the time of inspection,and under the conditions 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. -5 Er ATTA-C J-J ' t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 I -" -' Barnstable 'Town of Barnstable Oft �6a0 RegulatoryServices Department saaxssE 4 Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO July 15, 2008 Greene Family Trust 350 Bragg's Lane Barnstable, MA 02630 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 350 Bragg's Lane, Barnstable, MA was last inspected on June 19, 2008 by Brad J. White, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Conditionally Passed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: The distribution box was severely corroded and needs to be replaced. You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF T BOARD OF HEALTH Thomas McKean, R,S., CHO Agent of the Board of Health CERTIFIED MAIL#7006 2150 0002 1041 7538 Q:\SEPTIC\R ters Septic Inspection Failures\350 Bragg's Lane.doc er.meaner,Greener. June 19, , 2008 Attny Patricia Mello 766 Falmouth Rd A-9 Mashpee Ma 02649 To whom it may concern, I am writing this letter regarding the property at 350 Braggs Lane in Ba`rnstable,MA. I recently performed a Title V Inspection at this property on 6/19/2008 .` Upon inspection the following conditions were observed. The distribution box was severly corroded and needs to be replaced. I did observe the following with the leaching pit though, and I found that the leaching pit had 13" from pipe to water. iThe home has been vacant since February of this year. There were heavy solids carryover in the leaching pit, and evidence of high stain within a 1/2 inch of the pipe. There was evidence of solids above the invert .of the pipe. The system at the time of inspection did meet the pass criteria but I did want to make these issues visible. Should you have any questions regarding this letter or the Title V Inspection report please feel free to contact me at (617) 30.1-3107 . Brad J. White Bluewater Septic l�o4 Co?,-I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 350 Braggs Lane Property Address Greene Family Trust. Owner Owner's Name information is Barnstable MA 02630 06/19/2008 required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important: A. General Information When filling out forms on the computer,use 1: Inspector: only the tab key to move your Brad J. White cursor-do not Name of Inspector t use the return ke Bluewater . . Y . Company Name 350 Main Street Company Address West Yarmouth MA 02673 City/Town State Zip Code (508)775-2800 Telephone Number License Number J B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported 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 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310-CMR 15.000).The system: ❑ Passes �✓❑�Conditionally Passe ❑ Fails El Needs Further Evaluation by the Local Approving Authority Ar,kc"-eo 1,� e'I?' �, __._._..... . 06/19/2008 Inspectors Si re Date The syste 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 DER The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions 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. t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page.1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 350 Braggs Lane Property Address Greene Family Trust . Owner Owner's Name information is Barnstable MA 02630 06/19/2008 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D. A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 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 in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement 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 lis,metal and over 20 years old*or 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 as 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 available. ND Explain: ❑✓ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed t5insp.doc•03/08 Title 5 Official Inspection Form:,Subsurface Sewage Disposal System-Page 2 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is required for Barnstable MA 02630 06/19/2008 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): -� distribution box is leveled or replaced ND Explain: Box is corroded and needs to be replaced. Please see attached letter. ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced . ❑ obstruction is removed ND Explain: C) Further-Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the 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 protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ 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 Public water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a`private water supply well. t5i6sp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 i Commonwealth of Massachusetts Title 5. Official Inspection Form Subsurface Sewage Disposal System Forme Not for Voluntary Assessments ;M 350 Braggs Lane Property Address Greene Family Trust Owner Owners Name information is Barnstable MA 02630 06/19/2008 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health(cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: .* performed at a DEP certified laboratory,This system asses if the well water analysis, p ry, for coliforrn Y p bacteria indicates absent 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. 3. Other: i D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or ❑ / clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters ❑ 1 due to an overloaded or clogged SAS or cesspool ❑ ®/ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or.cesspool ElLiquid depth in cesspool is less than 6"below invert or available volume is less le than '/2 day flow �/ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply.or tributary to a surface water supply. t5insp.doc^03/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 i Commonwealth of Massachusetts 4 . Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form-Nof for Voluntary Assessments 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is required for Barnstable MA 02630 06/19/2008 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems(cont.): . Yes No ❑ Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Any 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 101 000g pd. ❑ 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: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a.surface drinking water supply El ❑ the system is located in a nitrogen.sensitive area (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 E 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 CM 15.304. The system owner should contact the appropriate regional office of the Department. t5insp:doc-03/08 Title.5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5of 15 i Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments M 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is required for Barnstable MA 02630 06/19/2008 every page. Cityrrown State Zip Code Date of Inspection, C. Checklist Check if the following have been done. You must indicate"yes or°no"'as to each of the following.. Yes No ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ S21"' Were any of the system components pumped out in the previous two weeks? ❑ S Has the system received normal flows in the previous two week period? ❑ N/' Have large volumes of water been introduced to the system recently or as part of this inspection? M ❑ 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.breakout? -Ica Were ii�i�►(�- [� ❑ Were all system components, exekmRng the SAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the 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: [' ❑ 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(5)] t5insp.doc,-03/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System^Page 6 of 15 i I i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information required for ormation is Barnstable 'MA 02630 06/19/2008 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual)- 3 --- . DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms) �- 581 Gpd —410. 0 Number of current residents: Does residence have a garbage grinder? ® Yes No Is laundry on a separate sewage system? [if yes separate inspection required] Cl Yes No Laundry system inspected? ® Yes ® No Seasonal use? ® Yes. No Water meter readings, if available(last 2 years usage(gpd)): ISI 6 4 0 13j C pr) Sump pump? [3 Yes v No Last date of occupancy: FebruaryDate CommercialAndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 1.5.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ® Yes ® No Industrial waste holding tank present? ® Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ® Yes ® No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): t5insp.cioc•03/OH Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 I Commonwealth of Massachusetts Title-5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is required for Barnstable MA 02630 06/19/2008 every page. Cityrrown State Zip Code Date of Inspection D. System Information(cont.) General Information Pumping Records: Unknown Source of information: Was system pumped as part of the inspection? ® Yes No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: pd' Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ (NA 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)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. Other(describe): Approximate age of all components, date installed (if known)and source of information: --i System.was installed November 1977 per design plans of system Were sewage odors detected when arriving at the.site? ® Yes No { t5insp.doc•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 I _ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments LAN 350 Braggs Lane - Property Address Greene Family Trust Owner Owner's Name information is required for Barnstable MA 02630 06/19/2008 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: 30"feet Material of construction: ❑ cast iron ❑✓ 40 PVC ❑ other(explain): N/A Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Building sewer is in good condition. No evidence of leakage. Used camera to check piping. Septic Tank(locate on site plan): . 0 16" Depth below grade: feet Material of construction: ❑✓ concrete ❑ metal ❑fiberglass ❑ polyethylene El.other(explain) If tank is metal, list age. years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ® Yes ® No ------------------------------------------ ------------------------------------ -- -- --- Dimensions: ' 8'x 4'-10"x 5' (1,000 gallons) 1011 Sludge depth: a. Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness . 711 Distance from top of scum to top'of outlet tee or baffle 711 Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Measured t5insp.doc•03/08 Title 5 Official.Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts F W Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is Barnstable required for MA 02630 06/19/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Inlet and outlet baffles are in good condition.No evidence of leakage in or out. Liquid level is normal. Recommend pumping of septic tank for maintenance purposes. Grease.Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle r Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped,at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): t5insp.doc-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 I I Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form Not for Voluntary Assessments wM 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is Barnstable required for MA 02630 06/19/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ® Yes ® No Alarm level: Alarm in working order: ® Yes ® No Date of last pumping: pate Comments(condition of alarm and float switches, etc.): .*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ® No Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box is corroded. Box needs to be replaced, heavy root infiltration. Distribution box is ` !32"below grade and has only one outlet leaving it. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ® No Alarms in working order: ® Yes ® No t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 350.Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is required for Barnstable MA 02630 06/19/2008 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition,of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not requited): If SAS not located, explain why: Type: leaching pits number: 1 @ 6'x 6' ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: 4 ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Vegetation is normal. Leaching pit has 13"from pipe to water. Evidence of high stain within 1/2" �a of pipe. Evidence of solids carryover. Pit is 34" below grade. F`� t5insp.doc•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 i i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments wM 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is Barnstable required for MA 02630 06/19/2008 every page. Cityfrown State _ Zip Code Date of Inspection D. System Information (cont.) Cesspools(cesspool must be pumped as part of inspection) (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 ® 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 failure, level of ponding, condition of vegetation, etc.): � I t5insp.doc•03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 13 of15 1 Commonwealth of Massachusetts N W Title 5 Official Inspection . Form Subsurface Sewage Disposal System.Form-Not for Voluntary Assessments 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is required for Barnstable MA 02630 06/19/2008 every page. Cityrrown State Zip Code Date of Inspection Do System Information (cont.) Sketch Of Sewage Disposa System: Provide a sketch of the sewage disposal system including ties to at least two permanent r erence landmarks or benchmarks.Locate all wells within 100 feet. Locate where public wa er rupply enters the building. `V 3150 �iGa4 - A 2 3 LI A4 A3- W A4 41" i3 a- 20, 22.° G3 - Z(` t5insp.doc-03/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 15 Commonwealth of Massachusetts. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ,M 350 Braggs Lane Property Address Greene Family Trust Owner Owner's Name information is Barnstable required for MA 02630 06/19/2008 every page. Cltyrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ✓❑ Check cellar ✓❑ Shallow wells Estimated depth to high ground water: -�° 17 feet Please indicate all methods used to determine the high ground water elevation: El Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑. Checked with local Board of Health -explain: ❑,- Checked with local excavators, installers- (attach documentation) L� Accessed USGS database-explain: Well Al W 247/Zone C/Level 23.2/Adjustment 3.3 x 12"=39.6" You must describe how you established the high ground water elevation: Used a lazer level to shoot elevations across the street to the slope off.Top of the leaching pit is 34" below grade. The bottom of the leaching pit is 106" below grade.Add the required usgs adjustment of 39.6" brings the total to 145:6". No groundwater @ 17"or 204". Leaves an additional 54.4"of seperation. I t5ins .doc-03108 p Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 15 I L _... i i 1.---- ' , — , I I I I � i i 71 - -. - ! I I I I } _J-- i. - -'i- ' 1 I _�.._.__ a •-_. i _- __ "--j--_.. , I I , ----I- ff 1 ..._. - -- _ - - , I , _ ou �i 1. i3ArT1GF:�`3 - L `��ai"ASKS Ld ram# __-__ ___, _�__�_ I -_-� __�_ ► _I._�__ r � I-I- III -_+__I -� -� 1 � � _,__�___�--- �- 4,tr Town of Barnstable Regulatory Services BARNSrABM Thomas F. Geiler,Director 9 MASS. g 039. Public Health Division ArED Mp'l a Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 REGARDING SEPTIC INSPECTIONS BY PRIVATE CONTRACTORS DISCLAIMER This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original or copy of the report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observations and interpretations contained within this ' report. In addition, b receiving this report the Town of Barnstable Health Division does not Y 9 P automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would be listed on the "Disposal Works Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. \SEPT1CADisclaimer Private Se ections.DiX tic]ns Q P P � `: �/✓eT Ee- E ✓.47-/OAAS 7 /000 �n le opt/et e/aV. c�ia'tri bciti oh ,.�boX � 7 z� .. 3�y '! `I� e% �8�.'� ,y .�'1 ''4• la yl- _"_ su6rS0I i /aasch Pit /ihBd;..;wJy�, !r7� of cuasHed S4tor�:e.� �,•.l, � ,�.• 1 . � , �J5 �� bo'!j'op" Of pif" - ra�o 60 • rf �.. .�� a r - 1 ., ,.ice 71. - � •^- y• i ,s' 7 r '�x � �• h o:� �.i.�.t a. �t' a rr c o / o e - ,fQor 7 .<a Y}� -a ��`7 '... , _{ r aye d \ j � `1• � pp. � t d ,• � �':. � ct/7 taOX • 0 � r • � � /Pi Q C �jv e • e ', f u. 1 4•�t S � �f .Wayd lieA'Ifl- 7 • �' �L.� P/ 7t V p .p p - ; r, �r ,.y, � �, as � .t rs+ • / � T. � r r ... 0 0.414 � +' 1�`7+ 1 yyy��.. 1 r�. a+ ,• 1 � � i � as - �j.'a�aI`.,t k�y y �4 `- + l" V Jr�. .2 . 'r?, r4 • . . �"`-:L f'aTg tt 1. 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CO a i - , V ... / Jn��"�,.J trL.•, pj Yam.,�... , .r r t S: i 4 � v:4 d t w—Aw goo p x J e r 4 / B NOW- 4 4} ///'' 0'-J Q.�/! /i�.a� "4 £7F rao AUNT,+ p �7 K► �i—y _ .: . !7' may /.7i� - AM r .31t"+' �'JC�GZ�"7;$iOl'7 — O!/7�'�d.f' G'��✓. 8(0 5/yc4'���'` t�: i4 co y F, ti w v 0 /) A/ F L G7 G✓ 33 0 /�da y. i� G H 'f4._:T a 12/ �.1 fa Wry a/, e% ,X f (fig, 11119 -'� /0 0 0 cr /. 9 's disy`rr'bo s6., 5" k 2 S sv�- i illt LEGEND N o „ • ; x 100.98 EXIST11'k, SPOT GRADE g -100-- EXISTING CONTOUR Qrd EXISTINIO CONTOUR 0/H/W= OVERHEAD WIRES o� PETER T. y� f EXISTING WATER SERVICE a a o o McENTEE v� W t o° CIVIL y �,yp,��0 \ya TEST PIT o A No. 35109 a �SiE��� �� ���///,,,��{``` / O\� / $ BENCHMARK °o Locus L ��] YYL F \ / B/DH/z � 298-108 f ROUTE 6 - MID CAPE HWY. CS 00 I ,e e� o\� , BENCHMARK-2 LOCUS MAP K / NAIL IN OAK TREE NOT TO SCALE / EL.=83.86 gAG � B -tI x 84,37 GENERAL NOTES: GS BM/NAIL838 K 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL. CONFORM TO THE-REQUIREMENTS x 82.26 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE CB/D /� ' LOCAL RULES AND REGULATIONS. �` 84.27\ 81.79 X N 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR / 85.24 'ram♦ TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �♦ DESIGN ENGINEER. 00 / ♦ QO♦�i3�. x 81.86 W -IO� G2S O `'�♦ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ♦ :.o ♦ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO' THE DESIGN ii Ilk. ♦• '.: ♦ 40' Pp ENGINEER BEFORE CONSTRUCTION CONTINUES. R s1.72 m 5. ALL ELEVATIONS BASED ON DATUM USED ON PLAN FOR PROPOSED ` ' - - . . EXISTING x � � SEPTIC SYSTEM UPGRADE BY JC ENGINEERING, INC., DATED 11/3/08. :DRIVEWAY,- 84.00 HOUSE(#350) 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF O S 0150'44" E T.O.F.=90.7f 86.11x e 4,o4 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 2.55 8 \ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 86.07 7. WATER SUPPLIED BY TOWN WATER SERVICE. NCLOSE \ \\ x 85•63 ` 8• THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. LOT 21 % g g STC , , , - 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS Z 90,69 ORCH 87.70 \ \ x / x \� \ �- � AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 43,563 f SF 89.73 89.31 �\ \ \ \ \ o� d' TP-t \ \ \ � �6- � DIRECTED BY THE APPROVING AUTHORITIES. \ \ 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY `L 9.80 - THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. � E38.88 1 1. WHERE REQUIRED, CONTRACTOR SHALL, REMOVE ALL UNSUITABLE SOILS o ^ BENCHMARK-1 OFF x IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND p CORNER OF STOOP _ _ - REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). C14^y 89,91 EL.=90.69 SHED '�� 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE _ +90.'94• INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. o.o0 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND sME-D� ' ' EXISTING S.A.S. IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. _ TO- BE ABANDONED OR REMAIN, IF �� AL T12'50" E �' LOWED, FOR ADDITIONAL CAPACITY. PARCEL ID: 298-109 27 1 - PROPOSED SEPTIC SYSTEM UPGRADE PLAN N 8S0 EXISTING SEPTIC TANK 350 BRAGGS LANE, BARNSTABLE, MA IN V.(OU T)=84.6± 298-111 Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, 'MA 02632 OWNR OF RECORD Engineering by: SCALE DRAWN JOB. NO. CHRISTOPHER FIELD Engineering Works, Inc. 1"=30' P.T.M. 203-19 350. BRAGGS LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. I. BARNSTABLE, MA 02630 (508) 477-5313 7/10/19 P.T.M. 1 Of 2 ii f ) NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE-SHALL NOT BE < EL:82.5 SEPTIC TANK •-' FOR A DISTANCE OF 15' AROUND THE >> PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET AND SET TO 6" OF FINISH GRADE. PROPOSED D-BOX PROPOSED S.A.S., r PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" Kn INSTALL WATERTIGHT RISER & OF FINISH GRADE FOR INSPECTION PURPOSES 2 41.5' i� ,o ` T.O.F.=90.7f COVER SET TO 6" OF GRADE 29.9 F.G. EL.=84.3t ¢�5•s; �` y0o s. F.G. EL.=87.0t F.G. EL.=86.5t F.G. EL.=84.0t r 6�a'`' ` `nF` % MAINTAIN 2% GRADE (MIN.) OVER S.A.S. R0� PO EXISTING 28.4' L = n' L = s' HOUSE(#350) =1% (MIN.) ® S=1% (MIN.) PVC 4"SCH40 PVC T.O.F.=90.7f F77T@4-SSCH41 aB p aB 14" 6' 9BBB a 66 BB6a Bea EXISTING 48" LIQUID LEVEL 4' 4.8' 4' GARAGE NCLOSE ADD INV.=82.22 1pROPOSED IN 3' s�Ae=ss.a4t ORCH GAS BAFFLE INV.=84.6t � EFFECTIVE WIDTH = 12.8' (EXISTING) INSTALL INV.=82.00 ! EXISTING SEPTIC TANK INLET TEE 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-10 RATED TOP BREAKOUT EELEV.882.0 SEPTIC LAYOUT NOTES: INV. ELEV.=82.00 E300Baas Baas 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=80.00 0 ease BaaaB INVERTS, PRIOR TO INSTALLATION. 4' 2 X 8.5'=17.0' 4' 4' MIN. OF NATURALLY OCCURRING 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE EFFECTIVE LENGTH = 25.0' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. ABOVE GROUNDWATER LEACHING SYSTEM SECTION ®® ® ®� 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OF TP-2, EL.=74.8 - I-P(EMME3 ®®®® ® ®®®® 33" 4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON 3/4" TO 1-1/2" DOUBLE W THE OUTLET TEE. WASHED STONE N z 3" LAYER OF 1/8" TO 1/2" SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE (OR APPROVED FILTER FABRIC) 1 O2" DESIGN CRITERIA SOIL LOG - 4" KNOCKOUT - DATE: OCTOBER 30, 2008 (REF#12,406) 20" DIA. COVER NUMBER OF BEDROOMS: 3 SOIL EVALUATOR: PETER McENTEE PE(SE#1542) SOIL TEXTURAL CLASS: CLASS I WITNESS: DONNA MIORANDI R.S. HEALTH AGENT 4" KNOCKOUT 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 0 (0.74 GPD/SF LOADING RATE) 87.2 0" 86.0 0 DAILY FLOW: 330 GPD 86.9 A FILL 4" 85.7 A FILL 4„ 4" KNOCKOUT DESIGN FLOW: 330 GPD LOAMY SAND LOAMY SAND GARBAGE GRINDER: NO 86.7 10YR 3/1 6" 85.5 10YR 3/1 6" 500 GALLON CAPACITY, H-10 LOADING LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF NOTE: B B TEST HOLE ELEVATION L10MR 5/6 L110YIR 5/6D CHAMBERS 74 GPD/SF REPRESENTS EXISTING EXISTING SEPTIC TANK: 1000 GALLON CAPACITY GRADE AT TIME OF THE 84 2 C1 36' 83 0 C1 36 N.T.S. PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS SOIL EVALUATION. PERC PROPOSED SEPTIC SYSTEM UPGRADE PLAN. USE 2-500 GALLON LEACHING CHAMBERS IN SERIES MED. SAND 42/54" MED. SAND SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 2.5Y 6/1 2.5Y 6/1 350 BRAGGS LANE, BARNSTABLE, . MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. 79.2 96" 78.0 96" Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. C2 VERY C2 VERY Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:..............................................................471.2 S.F. 2.5Y 6/i'1 2.5Y 6/1 FINE SAND .FINE SAND Engineering Works, Inc. NTS. P.T.M. 203-19 DESIGN FLOW PROVIDED: 0.74 SF.2 GPD SF 471 = 348.7 GPD 76.0 134" 74.8 134" 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. / ( ) NO GROUNDWATER, PERC RATE<2 MIN. INCH (508) 477-5313 7/10/19 P.T.M. 2 of 2 r - PROVIDE PRECAST CONCRETE 4"SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER INFILTRATION= 87,3' - 85,5' GENERAL NOTES T.O.F. EL.= 90.7 ± EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-BOX= 86.5 ± SLOPE @ 2% MIN. 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS COVER TO WITHIN 6"OF F.G. OVER INSPECTION PORT WITH SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY INLET AND OUTLET COVERS. REMOVABLE COVER OVER RISER TO ACCESS BOX TO WITHIN 6"OF APPLICABLE LOCAL RULES. FINISH GRADE WITHIN 6"OF FINISHED GRADE F.G. (ONE PER TRENCH) 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE FND. EL.- 88.0'± FINISHED GRADE OVER TANK EL. = 87.0'± 5"DIA. OUTLET(S) _._._. __. .____- _ .___ _.._-._. _..-.__-_ _--__-_ __ ---------_----_.___ _- --- @ --- ____ ____ __ .._ ----.__- DESIGN ENGINEER. i-- - - 84.43'T1 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL --� MIN. 83.43'(T2) SYSTEM UNLESS OTHERWISE NOTED. 9" EXISTING 4" PROPOSED 4" 36"MAX. 36"MAX. TOP OF SAS/B.O. = 82.43'(T3) 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN ELEVATION " PVC SEWER PIPE SEWER PIPE /_ � � 84.43'(T1); 83.43'(T2); 82.43'(T3)FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. ___ . ____ UNLESS A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE 6" 3" 3" DROP MAX 3„ 9" j PROVIDE WATERTIGHT TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 2" DROP MIN MIN.SLOPE @1% _ JOINTS (TYP.) /I 10 _ � 4"PVC IN FROM TYF 16"TYP 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. - * SEPTIC TANK 4" PVC OUT TO 0.90' IE [EMIE ( ) 10.75"TYP 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 14 $4. A- • LEACHING FACILITY + 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS 12"STEP NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED CONTRACTOR CONTRACTOR SHALL 12" 184.00'(T1) �83.10'(T1) 82.10'(T2) 81.10'(T3) 2.875'(34.5") 5.75' 1 WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. " VERIFY CONDITION OF `OUTLET TEE 84.37 MIN. 84.20 83.00'(T2) (TYP.) 2 STEP SHALL VERIFY SIZE 48 0 (TYP) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 93.00' ESTABLISH ON A NAIL SET AND CONDITION OF EXISTING TEES 22"ZABEL FILTER - +�6"CRUSHED STONE 82.00'(T3) (TYP.) 5'MIN. 20.125' IN A TREE AS SHOWN ON PLAN. EXISTING SEPTIC AND REPLACE AS MODEL#A1801-4x22 OVER MECHANICALLY TANK NECESSARY COMPACTED BASE 0.0'(TYP FOR ALL TRENCHES) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE 5 OUTLET DISTRIBUTION BOX AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 74.83 AND ENGINEER. BASE. FIRST TWO FEET OF OUTLET BIODIFFUSER PROFILE BIODIFFUSER END VIEW 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. ) WATERTIGHT. c f CROSS SECTION VIEW "T1"=TRENCH 1 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING SEPTIC[�'�' e� d �( DISTRIBUTION p OX DETAIL "T2"=TRENCH 2 12 - ARC 36HC ( 3616 B D) BIODIFFUSERS REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR 1- CPROFILE ® 73"=TRENCH 3 APPROPRIATE AUTHORITY. TO ANY WORK& NOTIFY ENC _ER IF '- :,IT, NOT TO SCALE NOT TO SCALE NOT TO SCALE - "- - - - - --_ - 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED N. TEST PIT DATA UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING, OR AS INDICATED ON PLAN. SWING TIE MEASUREMENTS *' � • � � '� �«� 1, - � � PERC#: 12406 hh Q Q 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. DESCRIPTION HC PC U + � . � � INSPECTOR: Donna Z. Miorandi, R.S. EVALUATOR: Michael Pimentel, E.I.T. 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE BIODIFFUSER CORNER(1) 25.8' 16.2' October 31, 2008 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE DATE: ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER BIODIFFUSER CORNER(2) 24.5' 35.5' • o TEST PIT#: 1 UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). W. E. BIODIFFUSER CORNER(3) 43.8' 44.0' = ELEV TOP= 87.20' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. BIODIFFUSER CORNER(4) 44.5' 30.6' 0 • . ELEV WATER= < 76.03' e ► 0 16. PROPOSED PROJECT IS LOCATED WITHIN: W ' PERC RATE _ <2 MIN./IN. C� ASSESSORS MAP 298 LOTS 109 d i DEPTH OF PERC= 36"-54" FEMA FLOOD ZONE C ON PANEL# 250001 0005 C UP 602/19 * • � TEXTURAL CLASS: 1 a, C„) /� e ✓ OWNER OF RECORD: RICHARD E. GREENE, TRUSTEE `L IN(\ 1 ADDRESS: C/O LAW OFFICE OF PATRICIA J. MELLO O .p,'L' LOCUS 0" Fill 87 20 766 FALMOUTH ROAD, UNIT A9 m ° O 0 „ 4" 86.87' MASHPEE, MA 02649 Z SIN g y6� / A Loamy Sand S. 6„J / �` ' i Z (+ 10YR 3/1 86 70' 17. DEED REFERENCE: BOOK 20469, PAGE 170 o , Loamy Sand �,�"° • • • B 10YR 5/6 18. PLAN REFERENCE: PLAN BOOK 311, PAGE 11 / B/DH "" Tree Roots -Pt o 36" 84.20' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 05 \ • h Perc 54" 82.70' 20. PROPERTY LINE INFORMATION IS APPROXIMATE ONLY. THIS PLAN IS TO BE USED ONLY FOR Medium Sand SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF �P // • ► C-1 2.5Y 6/1 THIS PLAN OTHER THAN ITS INTENDED PUPOSE. GG;S 0\31) 5� ���A /� / \ MAP 298 , (Some Cobbles) �` PARCEL 108 / P Very Fine Sand C-2 2.5Y 6/1 (Variegated EDGe OF PAVEMENT �� Colors @ 96") ---" P C"Ir T / / EXISTING 100 GALLON SEPTIC LOCUS PLAN 134" 76.03' CB/D_- T EDGE SIDEWA I / TANK TO BE UTILIZED AS PART OF SCALE: 1" 1000' No Mottling,Weeping or B/D THIS DESIGN Standing Encountered g0/ PROPOSED DISTRIBUTION BOX TEST PIT DATA / DESIGN DATA PERC#: 12406 �����D �' o / / ( / INSPECTOR: Donna Z. Miorandi, R.S. �^ O' d NUMBER OF BEDROOMS(DESIGN) 3CO i DESIGN FLOW GAUDAY/BEDROOM EVALUATOR: Michael Pimentel, E.I.T. 1, BIT. DRIVE PROPOSED TOTAL 12 ARC 36HC BIODIFFUSERS 110 October 31, 2008 �G (4 BIODIFFUSERS EACH TRENCH) DATE: x 50 EXISTING SPOT GRADES #350 /� TOTAL DESIGN FLOW 330 GAUDAY TEST PIT#: 2 - - 50 - - EXISTING CONTOUR EXISTING HC \ DESIGN FLOW X 200 % = 660 GAUDAY ELEV TOP= 86.00' j ® PROPOSED SPOT GRADES 3-BEDROOM USE EXISTING 1,000 GALLON SEPTIC TANK S01 5044E DWELLING ELEV WATER= < 74.83' ° 2) � PROPOSED INSPECTION PORT WITH i 50 PROPOSED CONTOUR 2.55 MAP 298 TOF = 90.7'± C) Q \ \ ACCESS BOX TO GRADE (TYP OF 3) PERC RATE_ -- ----- EXISTING OVERHEAD UTILITIES PARCEL 109 231' r> DEPTH OF PERC= �,p �-0 1y o:° INSTALL 12 - ARC 36HC (#3616BD) BIODIFFUSERS -- --W W EXISTING WATER LINE 43,563 S.F. ± (� ENCLOSED �� TEXTURAL CLASS: 1 PORCH \ (1) r?� 0 3) 0 8' SYSTEM CAPACITY ! � TEST PIT LOCATION � �� " Q & TP 1 0 TRENCH 3 0 Fill 86.00 Q ►- ,o O O O PROPOSED 1500 GALLON SEPTIC TANK Ix 0 87.2'#Sr 0 �25 (TOTAL L.F.OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD 4„ 85.6T J J �� �-8 (60.0')(7.8 SF/LF)(0.74 GAUSQ.FT.)= 346.3 GAL. LEACHING/DAY A Loamy Sand PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE LIJ '= 0 Benchmark �9 \ __1TRENCH 2 6 Loamy Sand 85.50 U 13 PROPOSED DISTRIBUTION BOX LJJ - O o _ Nail in Tree \ TOTALS: B 10YR 5/6 _.__. U o Elev. =93.00' - A rox. M.S.L. \ � 36" Tree Roots g3.00' PROPOSED ARC 36HC(#3616BD)BIODIFFUSER Q co o / \ \ 'EXISTING LEACHING PIT TO TOTAL NUMBER OF BIODIFFUSERS: 12 a PROPOSED ARC 36HC(#3616BD)COUPLING '0 cv, i BE PUMPED AND FILLED TOTAL NUMBER OF COUPLINGS: 0 if d' _j WITH CLEAN COARSE SAND TOTAL LEACHING AREA: 468.0 SQ.FT. C-1 Medium Sand TOTAL LEACHING CAPACITY: 346.3 GAL./DAY 2.5Y 6/1 (Some Cobbles) REV. DATE BY APP'D. DESCRIPTION - - - - PROPOSED SEPTIC SYSTEM UPGRADE NOTE: 96" 78.00' E jH of �c PREPARED FOR: EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE Very Fine Sand JOHN L. a CAPEWIDE ENTERPRISES DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C-2 2.5Y 6/1 o CHURCHILL N87°12'50"E TRENCH 1 JR. -- 279.97' MAP 298 "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO (Variegated cM�7 LOCATED AT 41 ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST Colors @ 96") MODIFIED JULY 23, 2008). TRANSMITTAL NUMBER=W000052. is 350 BRAGG'S LANE MAP 298 PARCEL 110 134" 74.83' � BARNSTABLE, MA PARCEL 111 No Mottling,Weeping or Standing Encountered BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: NOVEMBER 3,2008 0 10 20 40 80 FEET PREPARED BY: JC ENGINEERING, INC. NOTE: 2854 CRANBERRY HIGHWAY 1. 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