HomeMy WebLinkAbout0045 COLLIE LANE - Health 4.5 Collie Lane
Cuiriinaquid
F== 335-078-003 Mir
l
Commonwealth Of Massachusetts
Executive Office Of Environmental Affairs
Department Of Environmental Protection
" ou
TITLE .5
Official Inspection Form Not For Voluntary Assessments
Subsurface Sewage Disposal System Form
Part A
Certification
Mr
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection: 6/30/2008 # ++
2-X,— COS
Name of Inspector(please print)Sean M.Jones.#SI4522
Company Name: S.M.Jones Title V Septic Inspection
Mailing Address: 74 Beldan Ln.
Centerville Ma.02632
Telephone Number: 774-248-4850 tov.
••
r—
r M
CERTIFICATION STATEMENT
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: -
X Passes
Conditionally Passes
Needs further evaluation by the Local Approving Authority
Fails
Inspectors,Signature Date:. (0134)00`
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:
****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.
Page 1
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
J
CERTIFICATION(corrrwmD)
Property.Address: 45 Collie Ln Cummaquid Ma '
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection:6/30/2008
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
X 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:N/A
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 is metal and over 20 years old*or the septic tank(whether metal or not)is structurally
Unsound,exhibits substantial infiltration or exfilttation or the 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 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
distribution box is leveled or replaced
ND explain:
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:
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(cowwum)
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection: 6/30/2068
C.Further Evaluation.is required by the Board of Health:N/A
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 310CMR 15.303(1)(b)that the
System functioning in a manner that protects the public health,safety and the environment:
_ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
Surface water supplyor 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 less than 100 feet but 50 feet or more from a
Private water supply well**.Method used to determine distance
** 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.
3.Other:
f
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(coNTINUED)
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection:6/30/2008
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool.
X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
X Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow
X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
of times pumped
X Any portion of the SAS,cesspool or privy is below high ground water elevation.
X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
X Any portion of cesspool or privy is within Zone 1 of a public well.
X Any portion of cesspool or privy is within 50 feet of a private water supply well.
X Any portion of 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 pp,provided that no other failure criteria
are triggered.A copy of the analysis must be attached to this form.]
X (Yes/No)The system fails.I have determined that one or more of the above 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:N/A -
To be considered a large system the system must serve 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 following:
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
_ 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 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
CM15.304.The system owner should contact the appropriate regional office of the Department.
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cumma quid Ma
Date of Inspection:6/30/2008
Check if the following have been done.You must indicate`des"or"no"as to each of the following
Yes No
X Pumping information was provided by the owner,occupant,or Board of Health
X Were any of system components pumped out in the.previous two weeks?
X_ _ Has the system received normal flows in the previous two week period?
X_ _Were as built plans of the system obtained and examined?(If they were not available note as N/A)
X_ Was the facility or dwelling inspected for signs of sewage back up?
X_ Was the site inspected for signs of break out?
X _ Were all system components,excluding SAS,located on site?
_X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition
of the baffles or tee,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum?
_X _ 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:
Yes No
X _ Existing information.For example,a plan at the Board of Health.
_X_ _ Determined in the field(if any of the failure criteria related to Part Cis at issue approximation of
distance
Is unacceptable)[310 CMR 15.302(3)(b)]
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection:6/30/2008
FLOW CONDITIONS
RESIDENTIAL
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): 33kZpd
Number of current residents: 2
Does residence have a garbage grinder(yes or no)_no
Is laundry on a separate sewage system(yes or no):_no [if yes separate report required]
Laundry system inspected(yes or no): n/a
Seasonal use:(yes or no)no
Water meter readings,if available(last 2 years usage(gpd):
Sump pump(yes or no): no
Last date of occupancy/use: current
COMMERCIAL/INDUSTRIAL:N/A
Type of establishment:
Design flow(based on 310 CMR 15.203): wd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):.
Water meter readings,if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping records
Source of information:
Was system pumped as part of the inspection(yes or no): no
If yes,volume pumped: gallons--How was this quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
X_Septic tank,distribution box,soil absorption system
Single cesspool
Overflow cesspool
Privy
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 the system owner)
Tight tank Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:_new s.a.s. 1997
Were sewerage odors detected when arriving at the site(yes or no): No
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection:6/30/2008
BUILDING SEWER(locate on site plan)
Depth below grade: 4`
Materials of construction: cast iron 40 PVC other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
Joints were in rood condition,no sign of leakage.
SEPTIC TANK: X (locate on site plan)
Depth below grade:_2.5`
Material of construction:_X_concrete metal fiberglass_polyethylene
other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
Dimensions: 8`6"XS`6"X4`10"= 1000 Gallons
Sludge depth: 5"
Distance from top of sludge to bottom of outlet tee or baffle: 3.5`
Scum thickness: 2"
Distance from top of scum to top of outlet tee or baffle:_5"
Distance from bottom of scum to bottom of outlet tee or baffle: 12"
How were dimensions determined:Opened covers and took measurements
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 intact.Tank was structurally sound and not leaking.Tank should be cleaned every 2 years.
Inlet cover is raised to grade.
GREASE TRAP: N/A (locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass_polyethylene
other(explain)
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
As related to outlet invert,evidence of leakage,etc.):
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection:6/30/2008
TIGHT or HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass_polyethylene
other(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/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: X_(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.):
D-box was level and in good condition.No solids carryover.Water level in box at bottom of outlet invert and no
signs of ever being higher.
PUMP CHAMBER: N/A (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection:6/30/2008
SOIL ABSORPTION SYSTEM(SAS):_X (locate on site plan,excavation not required)
If SAS not located explain why:
Type
X Leaching pits.Number:_I_
Leaching chambers,number:
X Leaching galleries,number:_8 infiltrators_
Leaching trenches,number,length:
leaching fields,number,dimensions:
overflow cesspool,number:
innovative/altemitave system Type/name of technology:
Comments(note condition of soil,signs of hydraulic,failure,level of ponding,condition of vegetation,etc.):
System consists of a leach pit that overflows to a d-box into a 15x24x2 gallery with 8 infiltrators Vegetation was
normal and soil was dry at time of inspection.
CESSPOOLS: N/A,(cesspools 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 or no):
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
PRIVY: N/A (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.):
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45..Collie Ln Cummaquid Ma
Date of Inspection:6/30/2008
SITE EXAM
Slope XX
Surface water XX
Check cellar .
Shallow wells
Estimated depth to ground water 5+_feet
Please indicate(check)methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
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)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Property sits elevated compared nearby pond.(Flax Pond)
i '
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 45 Collie Ln Cummaquid Ma
Owners Name:Richard Peterson
Owners Address:45 Collie Ln Cummaquid Ma
Date of Inspection:6/30/2008
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent referencelandmarks or
Benchmarks.Locate all wells within 100 feet.Locate where water supply enters the building
TANK
A-1=1T
P,ir
,A-2=1T rear of
B-2=2T house
D-BOX
A-3-54r a b
B-3=W
1
2
3
Town of Barnstable
�p IME Tp�
Regulatory Services
BARNSTABLE, Thomas F. Geiler,Director
p,E039. Public Health Division
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, by receiving this report the Town of Barnstable Health Division does not
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.
QASEPTICTisclaimer Private Septic Inspectiorts.DOC
i
F
Y
_ Rd
e
�9
K'
r
I
i _
TOWN OF BARNSTABLE
LOCATION ^AS COWK SEWAGE # G'
VILLAGE S)cnk M G 61 C C ASSESSOR'S MAP & LOT 3 3 S C-�U79- 03
INSTALLER'S NAME&PHONE NO.�c
SEPTIC TANK CAPACITY O CTG,
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS. f
BUILDER OR 9W
R. f
PERMIT DATE:"` '13 t COMPLIANCE DATE:
Separation Distance Between the: /
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility. l 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 an lands exist rr�
within 300 feet V leaching facility) Feet
Furnished by
1
A i
�'�y�
No. 74 Fee .,,,,
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpprfcation for -Migonl *potem Construction Vermtt
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System O Individual Components
Location Address or Lot No. 0 (S (j.)`\�C `,C%ja,, Owner's Name,Address and Tel.No.
Assessor's Map/Parcel G
Installer's Name,�_ ddress,and Tel.Nqq c esigner's Name,Address and Tel.No.
zi
Type of Bu ding:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank 000 6et L ex l Type of S.A.S. '-Lr i
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
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 Certifi-
cate of Compliance has been s ed b this B o ea .
p Signed, = ��,y A Date o.' `rK7
Application Approved by N4t4� Date 97
Application Disapproved for the following reasons
Permit No. Date Issued
L
3
No. 7- Fee C/
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZIppYication..for Migoml *potem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Addressor Lot No. LI (r`�`� �,( �, ( Owner's Name,;Address and Tel.No.
Assessor'sMap/Parcel ") J
Installer's Name,Address,and Tel.No. esigner's Name,Address and Tel.No.
AA Gam-S te•
Type of Bu ding:
Dwelling No.of Bedrooms _ Lot Size sq. ft. Garbage Grinder
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank 000 G Type of S.A.S. Z.
Description of Soil m)C ()C cS ki—e— t„rCh_JN_J
Nature of Repairs or Alterations(Answer when applicable)
' a
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 ti e sysfem in operation until a Certifi-
cate of Compliance has been ed by this BZ&TrR MeW.
h ` Sijned t Date CI
Application Approved by �E• ( ,- 4 Date
Application Disapproved for the following reasons
Permit No. 77 - L"- Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
'j
BARNSTABLE, MASSACHUSETTS
(Certificate of (tonmpliance
THIS IS TO CERTIFY,that the On-site ewage Disposal System Constructed( )Repaired Upgraded( )
Abandoned( )by v
at O G v nn has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construe on Permit No. dated
Installer !(,6� M�r't 1✓��C MTV�� Q Qe Designer Ali CQ Cit _
The issuance of this permit shall not be construed as a barantee that the system wil function as 4signed.
Date 'Q 7 Inspector K1_\
4.
No._ — > t Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
MigosW *pztem Construction Permit
Permission is hereby granted to Construct( )Repair(V )Upgrade( )Abando ( )
System located at S-' Co l � '� L (AAA,.��1 n•n AA C.,(�� 1
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: 1 7 Approved by ��
TOWN OF BARNSTABLE
LOCATION \ SEWAGE #'
VII LAGS� C 1,�ran G �)l C t ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY �Q kS
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS t
BUILDER OR O R y 0bc�.r�
PERMTTDATE:"WT
-3 COMPLIAN • 3 .�7
-- 2-COMPLIANCE DATE._ �1 I
Separation Distance Between the: /
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility. / O t 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 an lands exist l x
within 300 feet leaching facility U Feet
Furnished by
At Si 0
Alro R;t �7
13to �
a�v paox s� � ekts� P�
11
o � .
- - t
01
. ryl '1
S3'te_ Pian of Land in Cummaquid, MA Z
For David F.. Hobard 07
Being 'blot 7 as shown on a •plan' in
_'boo c1M, ,�485_
/.S7 Act-`�page`-9 .� _ +_i t off' t , C•oT 7
~ . .. . • = ,.
Ir I
o C i
- E1-evations are on NGVD
r,
Date Agent Barnstable board of Hearth -
Scale. `1 ..-40 Date 2-7 97 }�
- 'A1 l' Cape Engineering
49 Harbor Road
Hyannis;,. MA 02601 - Y; 4�a
H ' I
Y 1 ff4s 4p.`,
x,
!
E srivy.
s T 3e' "
i Septic design +_
�- -No--bedrooms
- 'Disposal .
' :Req. leaching 330 gpa
-Req.
tank 1500 gal . w�C ,
^
1��
_
Provided leaching
I5 '..x24 '=360x.74= 266 .4 - -._.- _
-
4 2 7.8 x 2=15 6 x--7 4 0.82 -
i . 3 gpd.
O
I 41 1
STk, \ '�
,
j..
7
Use'.8 high :capacity . Infiltrators
3 ' 4 each row `with 3 ' stone on sides
"
-
3. :.._ and middle as -shown.
:Exis rn �d d ypn e i 2rrelsswvY,
P
.e
__
Flax Pond (priv)
49,
! - 27 3 3
Elev. :"0 ,
j Profiles No o Scale
1 ti
i U p4z 4c.7.!/.W0 \\ L ue..• o e _
o0 O>D
.1 .- -- <: :;_:.—._, -._ _....- •. -may.... .' ._ - ._ ..... .-.,. . ..- , - __ '._.._..
F
Zi
i
- tc� . fit, �, _ 1 1 , �• r _....__. . _._... . .., — ;.
P i ca t i _ c.t U c+o�vc,cari
I I
ej
S G N
U ,
1 N
H.
MILNE -
No.321t0
F� �ECIMPEO
507
— — . . .,
tp 0 -
e
__�_- .._....� i___ -,...,_,._ .__ _ - _ -_. -- _.....-,-1. - -' -__ _ __'_ _..__»- ,j � ...`:, ... .--- .-. __-,.,.., .. _- ..__ ..-- _ r ___• . $.
' 1 �-.1 i I 1 1 i t i 1 1 ' .:_.._ ...._....._.y...- .,.._._,_a.y_..,.s..nt,mri_�.sa- _•u:.p.. v+:.J.sOx•Y e ...
F7F
LEGEND SYSTEM DESIGN: SYSTEM PROFILE ALL MARKED WITHCMAGNETI APE BE NOTES
COMPARABLE MEANS FOR FUTURE LOCATION.
(NOT TO SCALE) M IS
APPROXIMATE NGVD
1. DATU
99- EXISTING CONTOUR
GARBAGE DISPOSER IS NOT ALLOWED ACCESS COVERS TO WITHIN 6" OF FIN. GRADE CONCRETE COVER TO WITHIN 3" GRADE �a
PROP. 2 PEASTONE OR GEOTEXTILE 2. MUNICIPAL WATER IS EXISTING o°
X 99.1 EXIST. SPOT ELEV. FFLOOR EL. 50.2' FILTER FABRIC OVER STONE
DESIGN FLOW: 2 BEDROOMS ® 110 GPD = 220 GPD
_ � 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
99 PROPOSED CONTOUR 49•p MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 49.0 oute 64
USE A 220 GPD DESIGN FLOW 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS awe Locus
• PRECAST N-10 TO BE AASHO H-LQ
(98.4] PROPOSED SPOT EL. `" RISERS (TYP.) MORTAR ALL BLOCKS OR
2'0 4 OSCH40 PVC COMPONENTS T7\ PRECAST RISERS 5. PIPE JOINTS TO BE MADE WATERTIGHT.
rH1 SEPTIC TANK: 220 GPD (2) = 440
j ;. :•. ;.: PIPES LEVEL 1ST 2' (TYP.) _ o
Y FO-0
•. .
* ' '� ��°��° � °000 310 CMRrn15 OOON(�ETT�AI V)TO BE IN ACCORDANCE WITH o
TEST HOLE USE A 1500 GAL. SEPTIC TANK ,.: H 10
47.28 ,
SLOPE OF GROUND ' 10" 14" >°o°000°o / o
,;�• i; 1500 GAL H-10 46.78' ° ° e LEACHING: 47.03 TEE T� ®®® ®®®® °°°°
SEPTIC TANK o°o°UTILITY POLE SIDES: 2 (16.5 + 12.83) 2 (.74) = 86 GPD °°°°°°°°°°° ° °°°°° °°°°4' UQ. LEVEL ° 0 0 ° ° ° INV'S EL. 46.5' o ° o ®���®®®®®®® ° 0 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO
GAS BAFFLE .. °0°0°0°0°0°0° - 0000 o°o°ACME OR EQUAL ° °°0000�o�o� ; 000a ®�®® per®®® 000o BE USED FOR LOT LINE STAKING OR ANY OTHER
FIRE HYDRANT BOTTOM 16.5 x 12.83 (.74) = 156 GPD f 46.71' 4•' ° °,o°o°o°o° o°oo PURPOSE..
�qy
NOTE NO ALL SYMBOLS MAY APPEAR IN DRAWING 327 S.F. 242 GPD m O.:,.... • •o• o o 0 •• :! EL. 44.5
TOTAL: '°° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° •° ° °°` 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
O ° O ° 0 O ° ° O O ° O O O 0 ° ° O ° ° 0
0 0 0000000 0000000000000000000 0 0 0 0 0
° ° ° ° ° ° ° ° ° °°°°°°°°°°°° 3/4"-1-1/2" DOUBLE WASHED STONE DEPTH OF FLOW 4'� .°„°„°�°�°�°�°�°�°,•° °,.°�°,°
USE (1) 500 GAL. LEACHING CHAMBER (ACME OR EQUAL) TEE SIZES: 6" CRUSHED STONE OR MECHANICAL WI COMPONENTS NOT TO BETHOUT INSPECTION BY BOARRDD O OF LLED OR CONCEALED Rf. 6
WITHOUT HEALTH AND
PERMISSION OBTAINED FROM BOARD OF HEALTH.
WITH 4' STONE ALL AROUND INLET DEPTH = 10„ COMPACTION. (15.221 [21) 9
*THE INSTALLER SHALL VERIFY THE OUTLET DEPTH = 14"
LOCATIONS OF ALL UTILITIES AND ALL 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING
BUILDING SEWER OUTLETS AND LOCATION
(1-888-3 UNDERGROUND
AND VERIFYING THE
ELEVATIONS PRIOR TO INSTALLING ANY LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES
39.5' BOTTOM TH-1 PRIOR TO COMMENCEMENT OF WORK.
PORTION OF SEPTIC SYSTEM ( 2.5% SLOPE) ( 1 % SLOPE) ( 1 x SLOPE) NO GROUNDWATER FOUND 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE LOCUS MAP
MA REMOVED 5` BENEATH AND AROUND THE PROPOSED „ '
APPROVED DATE BOARD OF HEALTH FOUNDATION FACILITY
10' SEPTIC TANK 7' D' BOX 6' LEACHING LEACHING FACILITY. SCALE 1 =2000 ±
12. ANY PROPOSED INTERIOR PLUMBING TO BE DIRECTED ASSESSORS MAP 335 PARCEL 78-3
TO PROPOSED NEW SEPTIC SYSTEM.
13. CONTRACTOR-SHALL COORDINATE ANY RELOCATION, LOCUS IS WITHIN AP OVERLAY DISTRICT
DISCONNECTION 'OR RECONNECTION OF EXISTING AND/OR
PROPOSED UTILITIES WITH APPROPRIATE VENDOR(S).
14. EXISTING 3 BEDROOM SYSTEM INSTALLED ON FEB. 19,
1997 TO REMAIN.
ELEC. HANDBOX
TEL, CATV RISER
0
TEST HOLE LOGS
EDGE PAVE
oRNEwAY - - ENGINEER: DAVID FLAHERTY, R.S., SE2755
�g WITNESS: DONNA MIORANDI, R.S.
51 DATE: APRIL 16, 2008
PERC. RATE _ < 2 MIN/INCH
.� JOIST HELF CLASS I SOILS P# 12167
•�,
THIS AREA OR O
AD . GRADES ELEV. ELEV. ELEV. ELEV.
1�`L6 REQ. ��• �''9 .�''•� 0" 1 0" 2 ' p„ 3 49.5' p" 4 49.5'
COLLIE 4
LANE w W E w 50 '� q�ti\ .�•• A A A A
E E w / 4°' ° F % LS LS LS LS
\ ) ,/o /e�'� 1OYR 3/2 10YR 3/2. 10YR 3/2 yp 10YR 3/:2\\ \\ N / AWL) x TOP FNDN.� '� / B B - B B
L=$2.92 \ \ Sl 0 v ELEV.=49.2 PROP:
R=52.50 \\ \ (FULL FOUNDATION) DDI7ION LS LS LS LS
\\ \ p / / �.�� e,O' % 1 OYR 4/6
\\ \ EL. METER 0� I 24" 47.5 23" 47.5' 34" 46.7 30" 47.0'
TH-1 TH-2 � / /� EXISTING �'•
\ / DWELLING
FFLOOR
(SLAB) EL.=50.2' DECK �� �•
9 50 9 \ A \ TH-4 �. C C C C
�. 2
\\ gVFO p�� \\ 1r: ' • C..• / 111�/ ' °' �� /• PERC PERC
\
\ �Fw y\ �_ ..,•,•.h/�� 9 ;SST, ^� j•
\\ \\ H-3 '' ,;,j'��O i�w/ P NTINGS/ MS MS
ARDENS MS MS\\\ \\ FL E / \ // / $ i
\ 49 / EXISTING ! 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4
\ SYSTEM ; ; /•'
\ 48 / TO REMAIN
\ \
BENCHMARK 'LPG___ _(PER AS BUILT)-,,, �• �•
\ cb CL. CONC. STEP
\\ ,5a• ELEV. = 4s.5s' \�\�; %� 120" 39.5' 120" 39.5' 120 39.5' 120" 39.5'
N
\\\ (\ ...01001
' �37 NO GROUNDWATER ENCOUNTERED
SHED
�� / /.• LOT 7
7 0 1.57 ACRES±
oul
4304 TITLE 5 %EAN# I T E PLAN
GARAGE
\ SHED / 229.27 OF
\
0#303 45 COLLIE LANE
j29.24' (CUMMAQUID) BARNSTABLE, MA
ZONING SUMMARY
P�
ZONING DISTRICT: RF-2 DISTRICT � �#302 Pia /
PREPARED FOR
,OOp, oG�
MIN. LOT SIZE 43,560 S.F. �- -'' 30.27'
MIN. LOT FRONTAGE 20' ,.k#254 RICHARD
MIN. LOT WIDTH 150' - •'#253 30.25'
MIN. FRONT SETBACK 30
MIN. SIDE SETBACK 15' //��1,, •••'�•• '� 29.67' DATE: APRIL 24, 2008
MIN. REAR SETBACK 15' J""' 98
MAX. BUILDING HEIGHT 30' 29. 8'
#300
29.97'
0 10 20 30 40 50 FEET
Yf 299 299' FLAX OF4f
POND F,P Ass4 off 508-362-4541
a�``P�tNOF,VAs c °�a� IDAN EL cy� fax 508-362-9880
DANIELA, y A. �, I downcape.com
O I ,4098 r down cape engineering, Inc.
CIVIL No. ALA
�ss
416 R op O 4 civil engineers/0 �N��� tin v ° �.
land surveyors
Z� 0 9,59 Main Street ( R to 6A)
DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675
DICE #08-076
08-076 PETERSON.DWG (ODF)