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0400 COMMERCE ROAD - Health
'400.Corri l erce Drive ,x ti , Bai�1 .table { P 3&1`b C15?, i c � o ° o TOWN OF BARNSTABLE LOCATION 400 C omvna rc G Rol SEWAGE# 001 a • 3-V WILLAGE` ar>n5J<xS C. ASSESSOR'S MAP&PARCEL�31$ • Tel INSTALLER'S NAME&PHONE NO. 2 4�2 FXCA V Sl7'7. 065 3 SEPTIC TANK CAPACITY 1,150 q,_J LEACHING FACILITY:(type) ('z) SSOO Aal c)-waM5(size) 13 x ZS x 2 NO.OF BEDROOMS 3 OWNER LOV/SG ,Spoht" PERMIT DATE: 2 .9• Z COMPLIANCE DATE: • o7I' / Z Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY AZ' 36, 42 A3- �y A 4 Ail- 3G"q o o p � e. n.�. o S L „. zM - .. . - 1q' ' .r .,1 w.�. „�. !i"+. ., ,. ty x >~'P- _^ �." p.. -. •''1 l No Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 160/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplicationlor 33iooga14&p.5tem Conkructton Fermat Application for a Permit to Construct( ) Repair(�ade Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 00C OM MeCCO, W Owner's Name,Address,and Tel.No. <j v 52-7 —22+ Assessor's Map/Parcel taller's Nam ,Address,and Tel.No. 5 O 8 v 1-4 7 `—v 653 Designer's Name, ddress and T 1.No. (S)b a )36 z'LIJ'q-7T� I Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min(.required) 3 3 b - gpd Design flow provided gpd Plan Date oil Number of sheets 1 Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) chino re�ir 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. Signe Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. =4_0 3 5 Date Issued V. 4. Fee _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF-: BARNS ,4BLE, MASSACHUSETTS Yes �= :: ZIppricatiow"for aigpo.5ar *pMem° tSIT;gtruction Permit ; Application for a Permit to Construct( ) Repair( 1ade(�andon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. dOCUm fYlel'(� Owner's Name,Address,and Tel.No. 5 U - 5z 7 -22 0 -BO(n5ACLbLe- 4)U15C Gpo6r Assessor's Map/Parcel 31 ?- 0 pR Q /} 11-7 -D t-b 5+ 5Q' f-n fit M A 0 19 7,} —IRt 11 's Name,Address,and Tel.No. "6 V U+ ��"✓65 3 Designer's Name,,Address and el.No. 3 Cq 2-- T5 �d kCQva+iO Dl� � �°i-� JH T�nb r- �( { 4' � �1 1, 5.�. Q� Qlivv t( Type of Building: - Dwelling No.of Bedrooms r Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided gpd Plan Date O� I Number of sheets ( Revision Date _Title Size of Septic Tank 1 Tyke of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Le-DGh1na CqP air Date last inspected: Agreement: i 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. Signe- Date Application Approved by Date 4aI 01 Application Disapproved by: Date for the following reasons Permit No. 1 --C/C2 J. -- Date Issued c-!o 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 B+ �x r rl va f I t n at ``t vn 0 (11 r n (o B0C SJCI b�,has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No. - 3 -5 -� 5 dated Installer EkL(�\�ja-4 (on Designer >-n a, (O #bedrooms\ -3 Approved design flow —33 J _ gpd The issuance of this permit shall of be construed as a guarantee that the syste will funa io •as d'e-si, ned: Date �- �� Inspector t - --- ------ - ---- No.c=.Jt�,V Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH'DIVISION - BARNSTABLE, MASSACHUSETTS &5po5al *pgtem Construction Permit Permission is hereby granted to CEot.rui�l ( ) Repair ( � Upgrade ( ) Abandon ( ) System located at Ll ()�) (�'��,( �0 2 s n Si r h t and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be co pleted within three years of the date oCthiserm:Date Approved �� FROM :down cape engineering inc .t FAX NO. :15083629880 Feb. 22 2012 09:07AM P1 ^'(,r nK h C94 ss_r;.�'i�:tis ! �� 7 ` T44Fh�1 ly 7. 1 .'.h4Ud5TAK1.J S '�OQD 1Q��ns>�Strres:r., frdy��vamnv, nv�f_�4D'9.aN�Dll '. ';02-86'J-464,1 Fmc; 303 79O-ri:30 i' J �� nnTr ([:�3i;V1li(a�»ti{uua h<' r Dnu bald >_3,� �� d ND�u6e: ;�9u'.b�aa P JE°c2�iL��4# 4) �� uv�''1 1 asj,,\1P2e _.. �J n W� e- e �.QQ.�Y)' I➢�Se'7(eQ�Q:)�': • � r � �X,4��Q� � 0 u; Oil _�/� �1;2.. 13� � ��� .. was i„(ui:d a PN,rT dt to JD--, dl a 5et�tiC sy^Le:I►i flt_ L-o NL Nc L�,F Ck- fJ�$�� hasiad OTI U d(S.j�;).dT itwn by dated I rri4F that I(- septic SySte:m T-efert:ne(,t� -9110 e Was .r.nsralli;il SuhsLt{>1tie1l.y accorriin.� to _ — file clr:si.pn, wluc:h msy iuc,I,Tlde niinur t;.Vpr.oved clzair_Ipx, such an latt:ro.l-J-elocaliuu of't)i(: di (Tib-uflon hcrx:sn.d(or sc,,pfi.c tank.. I rertily th.1t file srptic systc:,M zefertnC0.1. above -Was ia-,tallud with n claangus (I.e. ASyj-tira.L ohf'u►y;;teeter har1.U' T✓)ocatiuil.itthe coynl�(rI(c.E}t of the ;;eptic systulu) but in �u;i_,'JrcJaum with St4t(: 1 T.nc:i1):e7lL{diuLs_ I'ltin rC:Visinn. ur certified as-b-n i_lt by di;sip er to lhllu W. ,� s9 _ ARNE H, (.(17sU{llcr-!-, Sig11q-lrYe) OJAI..A �^.y CIVIL No.30792 ➢ES1�,'Itri', 5' i.tulr,) Do,^,E<is FlCir) r _ i�.ATeiq,j1A.)fi+,....FvBLP RTfALTfJ( DIVA _ ?FT.FA. ,' E... OF r - °.'".)INi Iv4A`1_ �I''o,S+'� i�i:ilU�!:i.D 11I � 'LCO�A'U `�'BI-15 1:.��DT4'�.11...AN.' J�}.�J$4fU.���� l`�f9.�.PD ... _.. 1REQ.,TVFls A$�' d IE�P�;:f�TBiV'31 A�3LE Ir Q1'G F,' TEAL1'LA:D�'6?lf 0i'l.. Y U,, t _ , r'i-�a,urlSrniiilRr!�ranr;r('.ei�l{icai.urti Fn:�n 3-�fi-Q4.dac. r To' vfi o f BarustaWe # ORErtir a 1Departm6xt of Regulatory Services 200 Main Street,Hyanuis MA 02601 Date"Scheduled_ � / I rr'� Time_ ]Cep >[�d• Foil Suitability Assessnzienttt f6r Sewage Disposal Perfonned Ey; 'P�� . 1Yilnessed t3y,:• ]LO Cr'TION & GE N ERAL IND[+ORIVIATION. Location Address (J o �%nn U M M Owner's Name �� V_ c2_ Address Q..-rVvJ/��p 111 r4/ Assessor's Map/Parcel; 'e li/J` a Engineer's Naltle 0I r^ L� NEW CONSTRUCTION 111 REPAIR Telephone If C�Of J � Land Use, 1 _-a�—��slopes(3b) Surface SLunes Distance's froth: Open Water Body fl Possible WE[Area4/�fd Drinking Water Well Dralhage Way rt Prope4- Inc ft. Olher ft l i S'KJLTC]HIe (Street i Rine.dim sions of lot,exact locations of Ie"L Bole 8c pert tests,locate wetiends'in proxinuly to holes) LLJ CN cc 9 v- a N F ca ca C'.1 WL el Parent material(geologic) Dcplh'LU Redroclt, Depth to Groundwater: Standing Water in Flole; ,Aq , Weeplhg Ihml Pit pflon Estimated seasonal High Oioundwater. IAJOr' DE,T ERM I-NATION FOR S)LASO AL HIGH WA7l'HR TAB LIE Method Used: Depth Observed standing in obs.hole: In. Depl111U sgil ItlUtl158; T T, ,_;IIL` Depth to weeping from side of obs.hole: Ill, droulldwuter.Adjuslhtent�m Index.Well t# Reading Date: Index Well'levol Adel,Aletov AcJ,(71'oundwatet'Uvel ]PE RICO]C AT IOZ'41 TES Q' =7676 Observation Holc It Thm ut 4" Depth of Pcrc ty Q p Tlu'le at 6" Ldy.` Slatt Prc-soak Time @ JI bV J/1�✓ Time(9"-6") ~ , End Prc-soak Rate Min,/Inch L Z .r Site Sullabilily Assessment: Site Passed_v-,," Site,-Failed: Additional Tesling Necded(Y/N) t. Original; Public Heal[h Division Observation Hole Data To Be Completed on Back----Le 3 "*if vcrcolatioa test is to be coliducted.wiLhila 100' of wee and, you must first Uotiiy 0Re Barnstable Conservation Divlsloll at least 011C (J) week prior to begiuRdug. QASEPTIC\PLRCFORM.DOC ID110EP.OBS]F 7- ?['ION elf®�' y _- Depth front Soil Horizon E LOG ]Dole#'_ Surflee(in) Soil Texture Sail Color (USDA)_. Soil, Other W—1^L (Mansell) Mottlin g (Structure,Stones;Boulders, S L /may n 2� Con istency, a' ra el Depth from Soil Horizon rION HOLE, LOG Role # Z Surface(in.) Soil Texture Soil Color (USDA) Soil (Mansell) MaulingOther (Structuree,Stones, Boulders, Co sis enc % ® ® �Z AS /G Y2 2/ Cravel DE SE Depth from Soil Horizon �'®Q�r ][�®]� brace(in.)._ Soil Texture Soil Color. (USDA) Soil Other (Munsgll) Mottling (Structure,Stones,boulders. - ' - - — ------------- ]l ICE]1D 013SIT VAl7C.>O �� , Depth fi-am Soil O]LE LOG. Horizon Soil Texture Soil Hole# ' S"�a0e(In.) Soil Color Sa (USDA) Other (Munsell) Mgltling (Structura,Stones; Boulders, ConsWency a� ,6 t Or1y_e11 y/ �k F6 qod Insauu'ance](Pane Map. yQf Abave 500 year.flood boundary No Yes Within 500 year boundary No _ ' Yes ��Jidtin I n0 yesr flood boundary No� 'Yes 10) >"R lL mfEtattn Ily Oecllrir>ng Pgk'vl�aterlal Does at least four feet of naturally occurring pervious material exist in all areas observed thl'oughout the area proposed for the soil absorption system? If not, What is the depth of naturally occurring )ervious matol'ii 1 �I? �'�fitJl)�9�a�POn G • 1 certify that on . (date)I have assed the soil evalu De P ator examination approved b the partment of Environmental.Protection and that the above analy.,is,was performed by me consistent with Ole required training, expertise and experience described in �10 CAdR 15.017, Signnturn A Datb Q!15,C?P rrC\PERCrORM.DOC Town of Barnstable Barnstable �; ¢�oFz►�ram,o _ -ADA Regulatory Services Department �WaN "" i639�, Public Health''Division �0 m 200 Main Street, Hyannis MA 62601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 70081830000205009892 11/05/2010 Louise Spohr 127 Derby Street Apt#3 ( pM Salem, MA 01970 O u F ORDER TO COMPLY WITH.STATE ENVIRONMENTAL CODE, TITLE'S 1�vct d- The septic system located at 400 Commerce ,Barnstable MA was last inspected on October 21, 2010, by Troy Williams, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed,thai the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 1'5:00) due to the following: Backup of sewage into facility-or system component due to overloaded or clogged SAS or cesspool. Y Liquid depth in cesspool,is°less than 6"below,invert or'available volume is less than %2 day flow You are ordered to repair or'replace the septic system within,Sixty(60) days from the date you receive this notification: Failure to repair/replace the septic system within the deadline period will result in future enforcement action. x PER ORDER OF TH BOARD OF HEALTH , cKean R.S., CHO Agent of the Board of Health Commonwealth of Massachusetts Title 5 Official Inspection Fo' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 400 Commerce Road, Barnstable _ _ Property Address ---- - Estate of Carol Spohr c/o Louise Spohr Owner Owner's Name - -- information is required for every 127 Derby Street Apt. 3, Salem __ . MA 01970 . page. City/I own — October 21, 2010 State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms«may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information filling out forms , on the computer, • l� use only the tab LJ key to move your 1 Inspector: cursor-do not Troy Williams use the return y V' key. Name of Inspector Troy Williams Septic Inspections rab Company Name --1_---------- - 19 Hummel Drive Company Address _ — — — "� South Dennis _MA City/Town — -- --- — .— _ _02660 State(508) 385-1300 S1682 Zip Code Telephone Number -.--- License Number B. Certification y ' 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 mai site ntenance of on si sewage disposal systems. I am a DEP approved system inspector pursuant to Title 5 (310 CMR 15.000). The system: Section a of on si 40 of ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority . :. t Inspector's Signatur ^yet October 21, 2010 r= Date The system inspector shall'submit a copy of this inspection report to the Approvi g Authors (Bor°d of Health or DEP)within 30 days of completing this inspection. If the system is a hared syM?, 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. 41 '*"*This report only describes conditions at the time of inspection and under the conditions Iof 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. F tIJ l5ins•09/08 1 Title 5 Official In specfion Form Subsurface Sewage Dispo.al System'Page 1 of 17f < r Commonwealth of Massachusetts Title 5 Official Inspy cti®n F A Subsurface Sewage Disposal System Form - Not for VoluntaryAsses 7 y Assessments 400 Commerce Road, Barnstable Estate_of Carol S ohr c/o_Louise Spohr Owner Owner's Name — information is — — required for every 127 Derby Street Apt. 3 Salem _ MA 01970 . page. cityfrown State ZipCode October 21, 2010 - Date of Inspection B. Certification (cost.) - 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: it 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 th the Board of Health, will pass. e replacement or repair, as approved by ; Check the box for"yes", "no"or"not determined" (Y, N, ND)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 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. 0 Y ❑ N ❑ ND (Explain below): ` N/A ------------ t5ins•o9/oS $. e , Title 5 Official Inspection Form.Subsurface Sewage pi§posal System•Pege 2 of 17 °" f' ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 400 Commerce Road, Barnstable Property Address -------- ------- ---- — - Estate of Carol Spohr c/o Louise Spohr_ Owner Owner's Name information is 127 Derby Street A required for every _/�_ pt. 3, Salem ___ MA _ 01970 October 21, 2010 page. Cityfrown State Zip Code Date of Inspection B. Certification (coot.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): N/A The system requiredpumping----- —_-----___----_-- —_ ---__ - II❑ y q 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): a N/A C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health 6 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 tI t5iris•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 1 €;, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 400 Commerce Road, Barnstable Property Address -- ---- ------- ---- Estate of Carol Spohr c/o Louise Spohr _ Owner Owner's Name information is required for every _127 Derby_ ree Stt Apt. 3, Salem MA 01970 _October 21, 2010 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont:) 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 syster9 (SAS) er9d 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. J ❑ 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 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: N/A / 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 cesspoolb- ® bischarge or ponding of effluent to the surface of the ground or,surface waters 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 Liquid depth in cesspool is less than 6" below invert or available volume is less ® than '/z day flow 15ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 400 Commerce Road, Barnstable ' Property Address -- ----- - Estate Carol of _C S Owner pohr c/o Louise Spohr Owner's Name information is required for every 127 Derby Street Apt. 3, Salem. MA 01970 _ page. Cityfrown October 21, 2010 -- — State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more.than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: N/A ❑ ® 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. ❑ ® 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- 10,000gpd. ® ❑ 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 fo questions in Section D. llowing, in addition to the Yes No h ❑ ❑ 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 11 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 u pgrade they system in accordance with 310 CMR 15.304. The system owner should contact the appropriate. : fr regional office of the Department. t5ins•08/08 Tula 5 Official Inspection Form:Subsurface Sewage Disposal System j Page 5 of 17 a 6 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary,Assessments 400 Commerce Road, Barnstable _ -- Property Address — Estate of Caro_I Spohr c/o Louise S ohr Owner Owner's Name -- -- information is required for every 127 Derby Street Apt. 3, Salem MA 01970 _October 21, 2010 page. City/Town 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 ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? i ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back-up? ® ❑ Was the site inspected for signs of break out? r ® ❑ Were all system components, excluding 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)] D. System Information' - Residential Flow Conditions: , Number of bedrooms (design): - Number of bedrooms (actual) 2 { DESIGN flow based on 316 CMR 15.203(for example: 110 gpd x#of bedrooms): 220gpd -- • t5ins•09/08 Title 5 Official fnspectlon Form:Subsurface Sewage Disposal System•Page 8 0117 f {.. KKirkr, e kY: tYp r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 400 Commerce Road, Barnstable Property Address Estate of Carol Spohr c/o Louise Spohr Owner Owner's Name information is required for every 127 Derby Street Apt. 3, Salem MA 01970 October 21, 2010 _ page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [If yes separate inspection re uired ] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): R 09=5,000 gals. Detail: 10=9,000 gals. Sump pump?. ❑ 'Yes ® No Last date of occupancy: 3 yrs ago with some use after Commercial/Industrial Flow Conditions: Type of Establishment: $_ � ;N/A Design flow(based on 310 CMR 15.203}: N/A Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A 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: N/A M t51ns•09108 Title 5 Official Inspection Form.Subsurface Sewage Disposal System;Page 7 of 17 t Commonwealth of Massachusetts = LW Title 5 Official Inspection For A Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 400 Commerce Road, Barnstable Property Address Estate of Carol S ohr c/o Louise Spohr, Owner Owner's Name — — information is required for every 127 Derby Street Apt. 3 Salem MA 01970 October 21, 2010 page. City/Town State Zip Code Date of Inspection D. System Information (cont) Last date of occupancy/use; N/A Date Other(describe below): N/A General Information Pumping Records: Source of information: Last pumped approx. 1 month-.ago per info from owner. it appears pit only,___ Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: N/A gallons --- —_ How was quantity pumped determined? N/A ' Reason for pumping: N/A Type of System: Septic tank, distribution box,_soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ 'Privy, v. ❑ 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. t ❑ Other(describe): t5ins-09/081€ Title 5 OHiclal Inspection Form Subsurface Sewage Disposal System Wage 8 of 17 t w , 1 �b { x � • - 'dub.,, t ,..a s 6< 5;,. 1:rS*< 1.4y Commonwealth of Massachusetts' Title 5 Official Inspection' Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments" r 400 Commerce Road, Barnstable Property Address -- ----- - Estate of Carol Spohr c/o-Louise Spohr Owner Owner's Name — --- -- — — information is required for every 127 Derby Street Apt. 3, Salem MA 01970 _ ---- __ October 21, 2010 _ page. City/Town _State Zip Code Date of Inspection D. System Information (cont.j Approximate age of all components, date installed(if known) and.source of information: Tank& leach pit were installed in 1984. Were sewage odors detected when arriving at the site? ❑ Yes ® No . Building Sewer(locate on site plan): Depth below grade: 1811+ feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): " R Flushed lines and found clear at the time of inspection." Septic Tank(locate on site plan): Depth below grade: 1' _ feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) under edge of drivewa and is not H-20 grade. If tank is metal, list age: _ years _ Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 5'X 9'X 6' 1000 gallon Sludge depth: 4 t5ins°09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System c Page 9 of 17 Commonwealth of Massachusetts , Title 5 Official Inspection form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments '- 400 Commerce Road, Barnstable Property Address -- - - Estate of Carol Spohr c/o Louise Spohr Owner Owner's Name - information is required for every 127 Derby P •Street Apt. 3, Salem MA 01970 October 21, 2010 - page. Cityrrown State Zip Code Date of Inspection D. System Information(cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 2' 8" • Scum thickness none Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 14"_ How were dimensions determined? Probe/measured 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 baffle and outlet tee were present. No evidence of leakage or damage was found at the time of inspection. Tank was not in need of pumpLing at this time. Grease Trap(locate on site plan): ' N/A Depth below grade: r feet Material of construction: ❑ concrete ❑ metal ❑fiberglass . ❑ polyethylene ❑ other(explain): N/A Dimensions: 7 _ Scum thickness N/A N/A Distance from top of scum to top of outlet tee or baffle ---- -- Distance from bottom of scum to bottom of outlet tee or baffle NIA Date of last pumping: NIA Date r5ins 09l08 Title 5 Official inspection Form Subsurface Sewage Disposal System Page 10 of 7 } ri, Commonwealth of Massachusetts Title 5 Official Inspection For Subsurface Sewage Disposal System Form - Not for VoluntaryAss ments 400 Commerce Road, Barnstable Property Address - Estate of Carol S ohr c/o Louise Spohr Owner Owner's Name _ - information is — required for every 127 Derby Street Apt. 3 Salem MA 01970 page. CitylTown — _ October 21, 201 l) State, ZpCode 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.)-. N/A Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction.- El concrete El metal ❑fiberglass, ❑ polyethylene ❑ other(explain): Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons perT day — Alarm present: El Yes ❑ No Alarm level: N/A -- Alarm in working order: ❑ Yes ❑ No Date of last pumping: N/A Date -- — Comments (condition of alarm and float switches, etc.): N/A _ *Attach copy of current pumping contract (required). Is copy attached? . ❑ Yes ❑ No ;A l5ins•09/08 f Title 5 Official Inspection Form Subsurface.Sewage Disposal System Page 11 of t 7¢ '` Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 400 Commerce Road, Barnstable Property Address ------ Estate of Carol Spohr c/o Louise Spohr Owner Owner's Name - -information is 127 Derby Street A t 3, Salem _ _MA 01970 October 21, 2010 required for every y �• _ page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be*opened)(locate on site plan): Depth of liquid level above outlet invert - 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-): No d-box on asbuilt Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber,condition of pumps and appurtenances, etc.): . N/A Soil Absorption System (SAS)(locate on site plan,excavation not required).- If SAS not located, explain why: x r t5ins•09l08 - Title 5 Official Inspection Form:Subsurface S e Disposal <<swag.. posal System Page 12 of�7 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 400 Commerce Road, Barnstable Property Address ----^- n---- , Estate of Carol Spohr c/o Louise S op hr Owner Owner's Name — --- — —information is 127 Derby Street A t 3 Salem MA 01970 October 21, 2010 required for every � —�__� _ _ _ page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) Type: ® 1_ -6'X6'with 2' of leaching pits '� number. stone ❑ leaching chambers number: ❑ leaching galleries ' number: — ❑ leaching trenches number, length: - ❑ leaching fields number, dimensions: ❑ 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.): Soil was sandy. Leach pit was found with little water present due to vacancy and pumping. Walls were found stained up to and into risers. This is evidence of pit being full and in hydraulic failure when home was occupied in the past. Leaching does not have a minimum 1/2. day flow available at this time. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration, N/A Depth-top of liquid to inlet invert. Depth of solids layer, _N/A Depth of scum layer. N/A - Dimensions of cesspool N/A _ Materials of construction N/A Indication of groundwater inflow ❑ Yes ❑ No 15ins'09108 Title 5 Official Inspectlon Form:Subsurface Sewage Disposal Sys terp Page 13 of 17 j W3 ' Commonwealth of Massachusetts p Title 5 Official Inspection Subsurface Sewage Disposal System Form - Not for Voluntaryry�se Assessments 400 Co_mmerce_Road, Barnstable Property Address - Estate of Carol S ohr c/o Louise Spohr Owner Owner's Name information is -- _ required for every 127 Derby Street Apt. 3 Salem MA page. City/Town te Zi01970 October 21, 2010 Stap Code__ Date of Inspection D. System Information (c Comments (note condition of soil, signs of hydraulic failure, level of ponding condition of vegetation, etc.): g i n, N/A Privy (locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments (note condition of soil, signs of hydraulic failure, level of etc.): ponding, condition of vegetation, N/A tSins•09/08 Title 5 Official Inspection For Subsurface Sewe a DIsposal Syste Page 1Q417 to y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 400 Commerce Road, Barnstable Property Address Estate of Carol Spohr c/o Louise Spohr Owner Owner's Name information is required for every 127 Derby Street Apt. 3, Salem _ _ MA 01970 October 21, 2010 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: handsketch in the area below ❑ drawing attached separately r row 47, y I � O ❑ � i i 2 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System a Page 15 of 17 Commonwealth of Massachusetts- Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 400 Commerce(toad, Barnstable Property Address --- --- — — Estate of Carol Spohr c/o Louise Spohr___ Owner Owner's Name information is 127 Derb S A required for every _/ treet pt. 3, Salem MA __ 01970 _October 21, 2010, page. City/Town State ZipCode Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells I Estimated depth to high ground water: IT feet + — — feet Please indicate all methods used to determine the hi h ro g g .und water elevation: ❑ 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: 4 w. v ❑ Checked with local excavators, installers -(attach documentation) ® Accessed USGS database explain: SDW 252 Zone A_47.3' 1.4' a_diustment You must describe how you established the high ground water elevation: USGS groundwater map for Barnstable showed groundwater to be approx. 25.1' below.grade. Groundwater adjustment was 1.4' at the time of inspection. Bottom of leaching at 9.0'was found'not to be located in the high groundwater level at the time of inspection. 1 Before filing this Inspection Report, please see Report Completeness Checklist on next page. - [Sins•09/08 Title 5 Official Inspection Form Subsurlece Sewage Disposal system Page 18 of 7 a� 'm 3 4 k• e 9 e ;F; So-s P , is Commonwealth of Massachusetts v Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form - Not for Voluntary Assessments µ.w 400 Commerce Road, Barnstable Property Address —_ --- Estate of Carol Spohr c/o Louise Spohr _ Owner Owner's Name information is required for every 127 Derby Street A� pt. 3, Salem MA 01970 October•21, 2010 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 r Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Pape 17 of 17 K /T Assessor's map and lot number . .... ..�'16.... Jr.... ..... .. .. FTHE Sewage Permit number �... Z/ O �Qy� rod a House number. ................ ..... 3JHd�9eTAXLE, 2 M L ppp�1639. .E�M a. TOWN OF "" AIDNSTADLE J. 111MIRU INS ECTON APPLICATION FOR PERMIT TO .............Construct a ara e ......................................... TYPE OF CONSTRUCTION ............. R.P.(L rAM.Q.............................. ./z 3/8 4.........................19..8 TO THE INSPECTOR OF `BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 4'00 Commerce Road Barnstable , 1�7a. 026 0 ........................ ......................................................................... ......... ........... ProposedUse .............Garage............................................................................. .............................................. Zoning District R F 1 _,,,..,..,,Fite`District Barnstable ............................................................. ................. ........................................................... Name of Owner John Spohr ,,,,,,,,,,,,,,,,Address Same ............................................. .. ................................................................... Name of Builder ..•.Stanley ....... .......P.et.er..........Address ...... an�t .. .... ..... none Name of Architect .............................................::...................Address ..........................:......................................................... Number of Rooms ..................................................................Foundation ......CQnCrete blOcILS . .................................................................. VC shin.lesExierior ......... .....................................................Roofing .........A.s h.al..t........................................................ concret2 ............Interior ........... Floors ................................................... Heating ................................... .......................................Plumbing ............... ........... ................. ................ Fireplace ..................................................................................Approximate Cost ............ Q�/.1l.Y.Q.Q... ..:.......................:.... Definitive Plan Approved by Planning Board ---------------____-----------19---_---. Area ...... .. .... . . ............... OU Diagram of Lot and Building with Dimensions Fee .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I: r 4 r f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS" I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . 000346 Construction Supervisor's License 0 LOCA ��N SEWAGE PERMIT NO. 40® e V'I L L A G E ASSESSORS MAP N0: 318 m PR I win. I N S T A LLER'S NAME A ADDRESS 6 U I L D E IfvvgER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �' i ran v �Itr _ /7S Dr r �! _ --- a I ' i 1�i� Ate, I • ...] N - Y � G - "'ADC/--- "a '9 �pr57 (y. ' ' I ceL - J 3i Ct3scr { 1 l CV 1 I _ Nurc�,aia f U On ..... --�, _ -- z _ , pow z o r s,. r t , t , . t , y • a r r ) •� " 00T - - W,,/ .. .0 QZQ C/) 0 00 0,. i 00 �O (tit Ncw n auw �C-T7i rG 4�— _ —_ �l— EM - /07 /0-7 /+ wl JJ I - I , ,CGuscr t - C OoR ro�jED/lova ' V � I o g - 3� L ;fir:o rc-- Q REVISIONS: OD ---- 31H - s r _ DATE. � . rs%irr.G FCvR PGAr/ u. �" SCALE. SHEET. NO. .. .. .. • , r 1 ......:..,..,,_...... ..___.. t • CE 16 i .«a...�+.,..,,»,..•..,. V........--'e*-.'�- ..tom.., . h ALL SYSTEM COMPONENTS SHALL BE SYSTEM PROFILE MARKED WITH MAGNETIC TAPE OR Barnstable Harbor MIN. 20" DIAM WATERTIGHT COMPARABLE MEANS FOR FUTURE LOCATION. ACCESS COVERS TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) (OR C.I. COVERS TO GRADE WHERE UNDER DRIVEWAY) 2" PEASTONE OR GEOTEXTILE WATERTIGHT C.I. COVERS TO GRADE \ TOP FOUND. EL. 38.5' FILTER FABRIC OVER STONE MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM o� BLOCKS OR PRECAST RISERS 4"SCH40 PVC 36.3' 4"OSCH40 PVC MORTAR ALL H-20 PIPES LEVEL 1 ST 2' 4' COMPONENTS °` (TYP.) INV'S EL. 34.4' 4' ENDS SIDES 35.4' a 10" 14" a vo�o@ao�o@a° ° y TEE EXISTING TEE o 0 0 0 0 SEPTIC TANK 34.9 ®®�® ®®® ®®® -�®®® ,00000000 $ p lc u u u > o 0 0 o O O O 0 0 0 0 0 0 0 0 0 0 >00000000 (RE-USE**) GAS BAFFLE o 0.0000000000 0c 6" SUMP O >00000000 0 0 0 0 0 00000000 O 0 0 0 0 0 0 o c o 0 0 0 ®®®®®®® 2=0 o 0 0 0 0 000000000000 0° 12"MIN. INT. DIM. N °0°0°0 a®®a®®®®®®® ®®a®®oaa®�® : 0 oufe ocus 0 0 0 0 0 0 0 0 , . 6 7. 34.89' 34.72' 0D_o�0�0 32.4 e i;. �/ o 1/4 T-1/2" DOUBLE WASHED STONE 4' MIN. LH-20 500 GAL. LEACHING CHAMBER BY ACME PRECAST OR EQUAL. m (2) UNITS REQUIRED ALL AROUND PRECAST STRUCTURES 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.0' X 12.83' COMPACTION. (15.221 .(2]) o - - ( 1 % SLOPE) ( 2 % SLOPE) FOUNDATION EXISTING SEPTIC TANK 1 D' BOX 15' LEACHING LOCUS MAP FACILITY 27.4' BOTTOM TH-1 NOT TO SCALE NO GROUNDWATER FOUND ASSESSORS MAP 318 PARCEL 52 TEST HOLE LOGS ENGINEER: ARNE H. OJALA, PE, SE WITNESS: DON DESMARAIS, RS *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING DATE: 2/7/12 ANY PORTION OF SEPTIC SYSTEM PERC. RATE _ < 2 MIN/INCH CLASS 1 SOILS p# 13539 **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE 1 ELEV. z ELEV. 3 ELEV.7.9 Q 37.9'ELEV. WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE 0" � 37:4' p�� � 37.4' 0'� � 37.9' p" 37.9 CONDITIONS IF NOT SUITABLE /A A SEPTIC DESIGN: (GARBAGE nlsposER IS NOT Al I n1AlFn ) SL /SL DESIGN 'FLOW: -3 BEDROOMS' ( 110 GPD) 330 GPD 12" 10YR 2/1 _2" 10YR 2/1 USE A 330 GPD DESIGN FLOW B B FILL FILL SEPTIC TANK: 330 GPD ( 2 ) = 660 �SL �SL RE-USE EXISTING SEPTIC TANK** 10YR 5/4 10YR 5/4 LEACHING: 48" 33.4' 60" 32.4' 54" 33.4' 50" 33.7' SIDES: 2(25 + 12.83) 2 (.74) = 112- BOTTOM: 25 x 12.83 (.74) = 237 C C C C TOTAL: 472 S.F. 349 GPD PERC PERC USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR MCS MCS MCS MCS EQUAL) WITH 4' STONE ALL AROUND (H-20 LOADING) . 2.5Y 7/4 2.5Y 7/4 2.5Y 7/4 2.5Y 7/4 120" 27.4' 120" 27.4' 120" 27.9' 120" 127.9' NO GROUNDWATER ENCOUNTERED NO GROUNDWATER ENCOUNTERED 23�0, VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR BY HEALTH INSPECTOR PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED BY THE BOARD OF HEALTH REVISED DURING A PUBLIC HEARING HELD ON AUG. 4, 2009 2) FAILED SYSTEMS ONLY : SEPTIC SYSTEM COMPONENT TO NOTES FOUNDATION SETBACK, IF AN IMPERVIOUS LINER IS DESIGNED AND INSTALLED (10' OR GREATER ALLOWED). 1. DATUM IS APPROX. NGVD 2. MUNICIPAL WATER IS EXISTING 3. MINIMUM PIPE PITCH TO BE 1/8-.PER FOOT. 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS O TO BE AASHO H-2Q O ^� 5. PIPE JOINTS TO BE MADE WATERTIGHT. y 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 310 GMR 15.000 (TITLE 5.) PARCEL 52 Z 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO 0.82 AC. _ BE USED FOR LOT LINE STAKING OR. ANY OTTER PURPOSE. 30.60 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED O / WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED FROM BOARD OF HEALTH. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES 32.95 #5 PRIOR TO COMMENCEMENT OF WORK. • 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED 0 34.09 LEACHING FACILITY. 12. EXISTING LEACHING FACILITY SHALL BE PUMPED AND iREMOVED. 0 5. \ PROVIDE APPROX. 51' OF 40 MIL LINER AT 5' OFF SAS IN AREA SHOWN. TOP AT EL. 35.4', I PROP. VENT WITH CHARCOAL FILTER AND x 3 7.16 BOTTOM AT EL. 31.4't. INSTALLATION BUGSCREEN (FINAL PLACEMENT BY CONTRACTOR 37 9 SUPERVISED BY DESIGN ENGINEER. i WITH HOMEOWNER CONSULTATION) 36.30 36. 8 i X x .48 7. ' 8 6 6.7 .7 � TH 4 7.6 #4 3 5 �� .56 7. 8.22 5' REMOVAL OF UNSUITABLE SOIL REQUIRED 40 37.04 AROUND PERIMETER OF LEACHING FACILITY, DOWN TO 8 17 105 SUITABLE SOIL LAYER. REPLACE WITH CLEAN MED. SAND, TO MEET 74 SPECIFICATIONS OF 310 CMR 15.255(3) 2 4Z7 x)87 .7. 6 38. \ ,P. 9 / 7.O 38.46 Q; EXISTING 1000 GAL. LEACH PIT (PUMP AND REMOVE). x 3 .827 8 59 7.27 0 / EXIST. DWELL. \ TOP FNDN. EL. � 7. 38.5' / BENCHMARK: USE BOTTOM BRICK 9.16 x 8 ?� STEP AT ELEV. 38.2' #3 / 8�_ / EXIST. 1>00 GAL. ST % / 3 .7 RETAIN 4 7•G637.27 . 2 .05 6.97 /• x3 .8 �\ .13 0.84 / __+c 9.2 \ .65 .10/ i#2 / 0 37�f 4 xl�9. 9 7.87 / w 2.02 \ >� W 2 30. 8� 38.08 H' � 40.48 x 5. 34.7 O I 130.3 � O x 29 \ !#10.51 30.53 �\ �40.71 41.13 21. O � 33.67 �.48 x47.13 3 .39 / W 0.95 / \ w �28.81 39 � .28 \ / x 34.39 / �y\ h / -40' R.O.W. AND UTILITY EASEMENT .39 28.89 (DOCUMENT # 304,446) 40.64 x 4 .28 O ' \ �G 26. I`O�AN. 441 x 28 �� <v /�JV x .34Cj O %2 2 92 Jl � x 34.70 O / *_x 25.39 x 22. 116 3 / x 34.48 8 / x 20.91 x/14.04TITLE 5 SITE PLAN #2A/• / OF x 16.05 400 COMMERCE ROAD x 16.60 BARNSTABLE off 508-362-4541 PREPARED FOR I fax 508-362-9880 downcape.com © B&B EXCAVATION/SP HR down cape engineering, inc. I"of MAss �4j���M��S� O civil engineers �� DANIELA. ti� DANIEL land surveyors OJAI A N A. FEBRUARY 7, 2012 OJALA 939 Main Street ( R to 6A) No.455U2 0 o.40 r YARMOUTHPORT MA 02675 �o-�Fc ® � I'`F 014- Scale: 1"= 20' TES/ ®-� 0 10 20 30 40 50 FEET DCE# 12-016 DATE DANIEL A. OJALA,; P.E., P.L.S.