HomeMy WebLinkAbout0138 HARRIS MEADOW LANE - Health i38 Harris Meadow Lane",
Barnstable
A
— 280 043
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TOWN OF BARNSTABLE �L
LC'. P►"r7ON SEWAGE # 2UW22- Ya 3
VILL., GE ASSESSOR'S MAP & LOTD,190 Y q—;
INSTALLER'S NAME&PHONE NO. C�1R l �� ) Ca
SEPTIC TANK CAPACITY
u� (° � {� M) (size)LEACHING FACILITY: (type
` NO. OF BEDROOMS
BUILDER OR OWNER t
PERMITDATE: -V o 2 COMPLIANCE DATE:
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
a&8U ou ay J
� Y
�J
y
f : DATE: 12/14/99 'r
PROPERTY ADDRESS:1, sis___MeadaLc_Lane
02630
On the above date, I Inspected the septic system at the above address.
This system consists of the following:
RECEIVED
1 . 1-1500 gallon septic tank.
2 . 1-Distribution box. DEC 1 6 1999
3 . 2-1000 gallon precast leaching pits .
4. 4-4 ' xBas§clon ymypinspectlon, �tceriTy the following condltlons TOWN OFBARNSTABLE
5. This is a title five septic system. ( 78 Code ) HEALTH DEPT.
6. The septic system is in proper working order
at the present time .
7 . The galleys are dry ; Leaching pits have waste water
too within 30" of of the invert pipe .
SIGNATURE:)
N a m e: -------
Company: Jose.2h_P. Macomber & Son, Inc.
Address:_ Box-66 ___________
__CentervilleL Ma__02632-0066
Phone:---508-775-3338
------------
THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
:61E P. MACOMBER & SON, INC.
anks-Cesspool:-Leachfields
Pumped & Installed
Town Sewer Connections
66 Centerville, MA 02632-0066
775.3338 775.6412
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
ONE WINTER STREET, BOSTON MA 02108 (617)292-5500
TRUDY COXE
Secretary
ARGEO PAUL CELLUCCI DAV1D B. STRUH:
Governor Commissioner
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION
Ba7ar A�ess:135 Harris-- . Meadow Lane Namaotowna,Timoth Lindberg
rnstable ,Mass . 02630 Addressofowrw: 23 runswic c Garden
Data of Inspection: 12/14/9 9 London W 8 4 A W
Naaae of Inspector:(Piease Print) I n Q ep h p M nr o m b e r J r .
I am a DEP approved system inspector punumu t to Section 15.340 of Tide 6(310 CMR 15.000)
Company Name: J PP.Macomber & Son Inc .
MairavAddress: Box fife C:PntPryJ11P ,MaGG _ 02632
Telepfwne Number: 5()g 7 7 5 3 3 g 8
CERTIFICATION STATEMENT
I certify that 1 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 Inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
Passes
Conditionally Passes
_ Needs Further Evaluation By the Local Approving Authority
Fails }
4upectoes Signature: L/ Dab: �'ll
The System Inspecto shall submit a copy of this Inspection report to the Approving Authority(Board of Health or DEP)within thirty(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 Department of Env(ronmertta)Protection. The original should U.sent toots
system owner•and copies sent to the buyer,if applicable, and the approving authority.
NOTES AND COMMENTS
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revised 9/2/98 Page Iof11
C�Printed on Recycled Paper
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(eontirsUed)
Property Address: 135 Harris - Meadow Lane Barnstable ,Mass , .
Owner: Timothy Lindberg
Date of kuP—f-: 12/14/9 9
INSPECTION SUMMARY: Check A, B, C, ar A
A. SYSTEM PASSES:
I have not found any information which indicates that any of the failure conditions described in 310 CMR 16.303 exist. Any failure
.criteria not evaluated are indicated below.
COMMENTS:
B. SYSTEM CONDMONALLY PASSES:
A0 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.
Indicate yes,no,or not determined(Y,N,or NO). Describe basis of determination in all instances. If"not determined",explain why not.
The septic tank is metal,unless the owner or operator has provided the system Inspector with a copy of a Certificate of
Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the Inspection;or
the septic tank, whether or not metal,Is cracked,structurally unsound,shows substantial infiltration or exfUtration, or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as
approved by the Board of Health.
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)
or due to a broken, settled or uneven distribution box. The system will pass Inspection if(with approval of the Board of
Health).
broken pipe(s)are replaced
obstruction is removed
distribution box is levelled or replaced
- The system required pumphlMore than-four-times ayeardue to broken or obstructed pipe(s). The system with ass-
inspection if(with approval of the Board of Health): - --
broken pipe(s)are replaced
obstruction is removed
revised 9/2/98 Page 2ofIt
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address:135 Harris- _ Meadow-- Lane Barnstable ,Mass .
Owner: Timothy Lindberg
Date of ImPecbml 2/14/9 9
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 the
public health,safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CUR 15.303(1)(b)THAT THE SYSTEM
IS NOT FUNCTIONING IN A MANNER WHICHWI LPRQ=THE PUBLIC HEALTH.AND SAFETY AND.THE ENIVIBONMEMs
AO Cesspool or privy is within 50 feet of surface water
Zb 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 AND 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 supply or
tributary to a surface water supply.
�Q The system has a septic tank and soil absorption system and the SAS Is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 60 feet of a private water supply well.
The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a
private water supply well,unless a well water analysis 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. Method used to determine distance�_(approximation not valid).-
3) �OTHER ,I n
/V19
104
revised 9/2/98 Page 3of11
SUBSURFACE SEWAGE DISPOSAL SYSTEMA INSPECTION FORMA
PART A
CERTIACATiON(continued)
Property Address: 135 Harris_ Meadow Lane Barnstable ,Mass .
owner: Timothy Lindberg
Date of Inspection: 12/14/9 9
D. SYSTEM FAILS:
You,,m"ust indicate either"Yes" or "No" to each of the following:
I have determined that one or more of the following failure conditions exist as described In 310 CMR 15.303. The basis for this
determination is Identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure.
Yes No�
Backup of•sewage inw4eciNty-o►•9"tent cor►►ponent•dnetto an overloaded orcbggedB,A&orcesspod.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or dogged SAS or
cesspool.
Static liquid level I the distribution box ab ve outlet Invert due to an overloaded or clogged SAS or cesspool.
> o2tari dq Xrs -.,- N!OPW s
Liquid depth in eeeepoel is less than 6" below Invert or available volume is less than 1/2 day flow.
Required pumping more 04n 4 times to the last yew No due to clogged or obstructed pipe($).
Number of times pumped 6
Any portion of the Soil Absorption System,cesspool or privy Is below the high groundwater elevation.
Any portion of a 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 I of a public well..
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any potion 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for
•►coliform bacteria,volatile organio-compounds, ammonia nitrogen-and nitrate nitrogen.
E. LARGE SYSTEM FAILS:
You must indicate either"Yes" or"No" to each of the following:
The following criteria apply to large systems In addition to the criteria above:
The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public
health and safety and the environment because one or more of the following conditions exist:
Yes No
J� the system is within 400 feet of a surface drinking water supply
!/J the system•ts-within 200 4etof+tributarY4".*u apply•••• - --•• - _ ._
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)
The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 16.304(2). Please consult the local regional
office of the Department for further infognation.
revised 9/2/98 Page 4of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM �-
PART C
SYSTEM INFORMATION(continued)
Property Address: 135 Harris . Meadow Lane Barnstable ,Mass
owner: Timothy Lindberg
Dace of trupection:12/14/9 9
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Include ties to at least two permanent reference landmarks or benchmarks
locate all wells within 100' (Locate where public water supply comes Into house)
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.. .hi
revised 9/2/98 Page 10 of11
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I
j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 135 Harrisr.27.1. Meadow Lane Barnstable ,Mass .
Owner: Timothy Lindberg
Date of Inspa`tio`: 12/14/9 9
Check if the following have been done:You must indicate either"Yes"or"No" as to each of the following:
Yes No ,
Pumping information was provided by the owner,occupant,or Board of Health.
None of the systemson4weents.havaimen h"Amwaquceiviagrwsataal Aow
rates during that period. Large volumes of water have not been Introduced into the system recently or as part of this
inspection.
As built plans have been obtained'and examined. Note if they are not available with N/A.
_ The facility or dwelling was inspected for signs of sewage back-up.
The system does not receive non-sanitary or industrial waste flow.
_ The site was Inspected for signs of breakout.
_ All system components,�s eluding the Soil Absorption System,have been located on the site.
_ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles
or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.
The size and location of the Soil Absorption System orrthe site has been determined based on:.-
Existing information. For example, Plan at B.O.H.
_ Determined in the field(if any of the failure criteria related to Pant C Is at issue,approximation of distance is unacceptable)
(15.302(3)(b))
_ The facilityowner. nn,.nnant, th nnar mainfanaae&.(and..�.�.Jf diffareat from.o�uaerl.rlecere.prayided.wiih infouaatioa�n ��� f
Subsurface Disposal Systems.
1
i
I
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revised 9/2/98 Page 5of11
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 135 Harris.. Meadow Lane Barnstable ,Mass.
Owr": Timothy Lindberg
Date of inspection: 12/14/9 9
FLOW CONDITIONS
RESIDENTIAL:
Design flow:_4,2_g.p.d./bedro m.
Number of bedrooms(desi Number of bedrooms(actual):
Total DESIGN flow
Number of current residentsO
Garbage grinder(yes or no):"
Laundry(separate system)- (( as or '&g :_; If yes,separatalmpaction.required _
Laundry system inspected (lYa I or no)
Seasonal use(yes or no): !L q� / 'J/• •'
Water meter readings,If available(last two years usage(gpd): d4�a
Sump Pump(yes or no):� f 9 / ,
Last.dats of occupancy:
COMMERCIAL/INDUSTRIAL:
Type of establishment:
Design flow: Zlz# aad ( Based on 16.203)
Basis of design flow
Grease trap present: (yes or no)
Industrial Waste Holding Tank present:(yes or now-14
Non-sanitary waste discharged to the Title 5 system:( as or no1��
Water meter readings,if available: .f/� -
Last date of occupancy:Alh
OTHER:(Describe) 101
Last date of occupancy: f'
GENERAL INFORMATION
PUMPING RECORDS and soQurce of information:
System pumped as part of Inspection:(yes or no)40
If yes,volume pumped: allons
Reason for pumping:
OF SYSTEM
Septic tank/distribution box/soil absorption system
0 Single cesspool
Overflow cesspool
Privy
Shared system(yes or no) (if yes, attach previous inspection records,if any)
I/A Technology etc.Attach copy of up to date operation and maintenance contract
Tight Tank Copy of DEP Approval
Other Nl
APPROXIMATE AGE of all components, date installediif known)-and source of4aformation:
Sewage odors detected when arriving at the site: (yes or no)
revised 9/2/98 Page 6of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(wed)
Property Address: 135 Harris Meadow. Lane Barnstable ,Mass.
Owner: Timothy Lindberg
Date of Inspection: 12/14/9 9
BUILDING SEWER:
(Locate on site plan)
Depth below grade:
Material of constructionw cast iron Z40 PVC�other(explain)
ad
Distance from yrivate water supply well or suction line
Diameter V_
Comments:(condition of joints,venting,evidenceofleakaseretc.) - - —
Joints appear tight No evidence of leakage
SEPTIC TANK-Zffd,4 fi'A
(locate on site plan)
Depth below grade:L
Material of construction:�oncretelAmetaW,4 Fiberglass V Polyethylene�other(explain)
1j4
If tank is Instal,list age.�Zj. 1s.age•confirmed by Certificate ofCompliance A14 (Yes/No)
Dimensions: 1Q 6 .fAb
Sludge depth:_ /AA
Distance from top of sludge to bottom of outlet tee or tmffle:A"; -
Scum thickness: �-
Distance from top of scum to top of outlet tee or baffle:�i
Distance from bottom of scum to bottom of outlet t e or baffle: Zkzel
How dimensions were determined:
Comments:
(recommendation for pumping,condition of inlet and outlet tees or-baffles,depth of liquid level in relation to outlet invert,structur"tegrity,
evidence of leakage,etc.) Pump septic tank every 2-3 year-•: Tnl e R
nutl Pt tPPC are in nl arc TTi gjij ri 1 alral at the—O.11tlst inuQPt is flit"
' 17 sound and show
sake
GREASE TRAP: e
(locate on site plan)
Depth below grade:
Material of constructionWO concretaa,#metal4J4 Fiberglass 40 PolyethylensAP other(explain)
,dA
Dimensions: 41d
Scum thickness: A14
Distance from top of scum to top of outlet tee or baffle:-d1d
Distance from bottom of scum to bottom of outlet tee or baffler
Date of last pumping:
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet Invert,structural integrity,
evidence of leakage,etc.)
Grease trap is not present ,
revised 9/2/98 Page 7of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM }
PART C
SYSTEM INFORMATION(continued)
Prop"address: 135 Harris:.-,-. Meadow. Lane Barnstable ,Mass .
Owner: Timothy Lindberg
Data of trnspection: 12/14/9 9
TIGHT OR HOLDING TANKt,&(,(Tank must be pumped prior to, or at time of, inspection)
(locate on site plan)
Depth below grade: 'U4
Material of construction:l(±concrete,/i metal/WFiberglass eolyethylenefZ.4other(explain)
,//*
Dimensions: V14
Capacity: J?d gallons
Design flow: gallons/day
Alarm present
Alarm level: Alarm in working order:Y88,64 Nc41A
Date of previous pumping:
-
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
light or hoiding tanks are not present .
DISTRIBUTION BOX:Z
(locate on site plan)
Depth of liquid level above outlet Invert:_►
Comments:
(note-if level and distribution is equal, evidence of soiids carryover, evidence of leakage into or out of box, etc.) -—
Distribution box has two laterals .No evidence of solids carry
oyPr _No evidPnre of lack gp intn nr niit of tha hnx _
PUMP CHAMBER:_&40e
(locate on site plan)
Pumps in working order:(Yes or No) N/f
Alarms in working order(Yes or No)_(e
Comments:
(note condition of pump chamber,condition of pumps and appurtenances,etc.)
-Pump chamber is not present .
revised 9/2/98 Page 8of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(coe finned)
P.op"Addir"s; 135 Harris_ , Meadow Lane Barnstable ,Mass.
Owner: Timothy Lindberg
Data of 4upecbon:12/14/9 9
SOIL ABSORPTION SYSTEM(SAS):
—/
(locate on site plan,if possible;excavation not required,location may be approximated by non-Intrusive methods)
If not located,explain:
Type: ^^ II
leaching pits, number: -
leaching chambers,number:_�t2'uy
leaching galleries,number:_
leaching trenches,number,length:
leaching fields,number,dimensi ns
overflow cesspool,number:
Alternative System: JJ
Name of Technology:
Comments:
(note condition of soil, signs of hydraulic failure,level of ponding, damp soil, condition of vegetation, etc.)
Loamy sand to medium Aand -N6 signs hydral,lir fail „rp nr ppndi nng
Soils »a drW Va—gatntion i �crmal.
CESSPOOLS:
(locate on site plan)
Number and configuration: n
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool: n/A
Materials of construction: JZ4
Indication of groundwater:
inflow(cesspool must be pumped as part of Inspection)
esspoo s are not present `
Comments:
(note condition of soil, signs of hydraulic failure,level of.pending,condition of,vegetation, etc.)
Cesspools are not presen
PRIVY:A-hVe
(locate on site plan)
Materjals of construction: Dimensions:
Depth of solids:4j#
Comments:
(note condition of soil,signs of hydraulic failure,level of pending, condition of vegetaton;etc.)
Privy is not present -
revised 9/2/98 Page 9of11
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C •
SYSTEM INFORMATION(continued)
Property Address: 135 Harris :.,. Meadow Lane Barnstable ,Mass .
owner: Timothy Lindberg
Date of Inspection: 1 2/14/9 9
NRCS Report name
Soil Type_
Typical depth to groundwater
USGS Date website visited
Observation Wells checked
Groundwater depth: Shallow Moderate Deep
SITE EXAM Slope
Surface water
Check Cellar
Shallow wells
Estimated Depth to Groundwater Feet
Please indicate all the methods used to determine High Groundwater Elevation:
�btained from Design Plans on record
Y Observed.Site(Abutting property, bservation hole,basement sump etc.)
_LZDetermined from local conditions
Checked with local Board of health
Checked FEMA Maps
Checked pumping records
_ZChecked local excavators,installers
Used USGS Data
Describe how you established the High Groundwater Elevation. (Must be completed)
Used water contours map .
Gahret & Miller Model
12/16/. 94
revised 9/2/98 Page 11of11
>R.snTw —..tT7r.TT� +nrwn•risen/�Tn+�rR>f.�rr.7e•►n�n1�... f.erw7i 1�nn�f wT �,�-,�-:..T..r••t
TOWN OF Barnstable BOARD OF HEALTH
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I
•••Tt•1-T••.••.•.—T.flf.•'.�TT 1t T.1.1'R.'fYI TIR]RTfTT.Tf:r'{'I r11RT�7fw1R�T�RS� f7 tllq •.+'11T'T'•�.•�..A
-TYPE OR PRINT CLEARLY-
PROPERTY INSPECTED
STREET ADDRESS 135 Harris,_ . Meadow Lane Barnstable ,Mass . '
ASSESSORS MAP, BLOCK AND PARCEL #
OWNER' s NAME Timothy Lihdbera
PART D - CERTIFICATION
NAME OF INSPECTOR Joseph P.Macomber Jr . .
COMPANY NAME J.P.Macomber & S41h' ' Inc .
COMPANY ADDRESS Box 66 Centerville ,Mass . 02632
Street Town or City State LIP
COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508 1 790 - 1578
w
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at
this address and that the information reported is true , accurate, and
omplete as of the time of .inspection . The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent
with my training and experience in the proper function and maintenance of on-
site sewage disposal systems .
Check one :
V System PASSED :
The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or the environment as defined in 310 CMR 15 . 303 , Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section of
this form.
System FAILED*
The inspection w}liclt I have con cted has found that the system fails to
protect the jiublic health and the environment in accordance with Title
5 , 310 CMR 15 . 303, and as specifically noted on PART C - FAILURE
CRITERIA of this inspection form .
f 1
Inspector Signature Date
ecopy of this certification must be provided to the OWNER, the BUYER
On
where applicable ) and the BOARD OF HEAL1'Il.
* If the inspection FAILED, the owner or•#'operator shall u d
within one year of the date of the inspection, unless allowed ort required
he m
otherwise as provided in 3.10 CMR 16 . 305 .
IL
partd.doc
No. 2009 — 9 d! Fee 6 00 —
{ ✓
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
01ppriration for 30i!6pool *pgtem Con!arurtion Permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) laomplete System ❑Individual Components
Location Address or Lot No. ? Owner's Name,Address and Tel.No.
Assessor's Map/Parcel gUr� it e - V 'by
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Car LAM l�Ue� �'. �1ac�N�f p��� ��r�,�.►�
Type of Building:
Dwelling No.of Bedrooms (a Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow fo-7 3 s gallons per day. Calculated daily flow bG gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank /.5VV 6,r�Il en t Type of S.A.S. o-,
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) DESIGNING ENGINEER MUSI INSTALLATION eTm►�Me ....ER�tr i.,�..r., . RVIS�
1N WRITING
THE SYSTEM WAS INSTALLED ED 1N ^.._.CT
Date last inspected:
ACCORDANCE TO PLAN.
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 i� by P and ealth. P
Signed Date
Application Approved by Date o 11
Application Disapproved fo a following reasons
Permit No. ,2 OU,�—y z 3 Date Issued
---------------------------------------
No. U U — 9 d 3 3 .H r Fee !U�U —
f ' M � Entered in computer: ✓_�
THE COMMONWEALTH OF MASSACHUSETTS Yes
L� r PUBLIC HEALTH DIVISION - TOWN.OF BARNSTABLE, MASSACHUSETTS
2pprication for. Miopogar *ps�tem Conztruction Permit '
Application for a Permit to Construct('. )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components
Location Address or Lot No. '/ - tt Owner's Name,+Ad/dress and Tel.No.
Assessor's Map/Parcel �U��� e St P �p y, J- A/.,f 1
Installer's Name,Address,and Tel.No. `• Designer's Name,Address and Tel.No.
fi D
Type of Building: G.}
Dwelling No.of Bedrooms ;Lot Size sq.ft. Garbage Grinder( )
Other Type of Building �XNo.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 6 3, gallons per day. Calculated daily flow (o hGT gallons.
'-. Plan Date Number of sheets Revision Date `
Title
Size of Septic Tank /590 r1 r.1/4A c { Type of S.A.S.
s
Description of Soil
i
Natur'.e"of Repairs or Alterations(Answer'when applicable) i
Date last inspected: f
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 isss ee'd by t is arm 4Health. p
Signed /�/ /� Date
Application Approved by Date " 2 o)u
Application Disapproved fo he following reasons
Permit No. ,hu—l- 3 Date Issued 01a u�
l ) THE COMMONWEALTH OF MASSACHUSETTS
or BARNSTABLE, MASSACHUSETTS
g b �
Certificate of (Compliance
THIS IS TO C FY, that the On-site Sewage Disposal System Constructed Q< Repaired ( )Upgraded( )
Abandoned( )by
at �' W►0 A f has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 2Uv�� dated � b v o
Installer Designer
The issuance of(thi permit shall not be construed as a guarantee that the s to willJfunction designed.
Date (° I.101 Inspector
---------------------------------------
No. d Uo2-to Fee vU i
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Oigozal *patent Construction Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at p A y , .rn s rn w
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 thi
Date:- ° co)d 2 Approved by7- 3411j_ ce��
r �
TOWN OF BARNSTABLE rc_
LOCATION C �e5 S- CA 0 w h � SEWAGE #
VILLAGE :s ��s. ASSESSOR'S MAP & LOTS
INSTALLER'S NAME&PHONE NO. CA �`� �� 198
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type @ � ca�� �` p (size) 3
NO.OF BEDROOMS
BUILDER OR 0 R
PERMTTDATE: 29 0 COMPLIANCE DATE:
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
Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility) i
Furnished by
Ij
o u a� J
Weller & AssociatesGo
Bayberry Square -- Suite 4C .� \
1645 Falmouth Rd. -- P.O.Box 417
Centerville, MA 02632-0417
Date: August 19, 2003
Barnstable Health Department
Barnstable Town Hall
367 Main Street
Hyannis, MA 02601
Re: Stephen J. Nill, 138 Harris Meadow Ln.,West Barnstable—Assessors Map 280
Parcel 43
Dear Health Dept.:
Please be advised that we have inspected the soil removal and replacement, along
with the installation of the septic system, at the above referenced property, and find that it
was done in substantial compliance with the approved plan. If you have any questions,
please do not hesitate to contact us.
Very truly yours ,FA`��A OF MAS19.
o DANIEL E. �N
g� BRAMAN �+
CIVIL co
Daniel E. Bra n, go. 32686C
s
S/ONAL ECG\
Fax: (508)775-0754 Phone(508)775-0735
Oct-09-01 12i58 BARNSTABLE HEALTH DEPT 5087906304 P.02
C
CcS o� DATE:
FEE:
NAW
1y39. ♦ o REC. BY
of Barnstable SCHED. DAT
\,O ��P��� Board of Health
367 Main Street;.Hyannis MA 02601
Office: 508-862-4644 Susan G.Rask,R.S.
FAX: 508-790-6304 Sumner Kaufman,M.S.P.H.
Ralph A.Murphy,M-D.
l'�Q REQUEST FORM
LOCATION p li^vris Mead�u Ug We;+ Armis 61 e,Properly Address: 13 B MA
Assessor's Map anParcel Number: Z�� �'3_ Size of Lot: & 3 g 67 Ap g'r.
Wetlands Within 300 Ft. Yes Business Name:
No Subdivision Name:
APPLI.CANT'SNAME:Denfle 11empson Phone 1506' 36'2 . 2"ap
Did the owner of the property authorize you to represcift him or her? Yes No
PROPERTY OWNER'S[NAME CONTACT PERSON
Name: aephen J. N 1l ` Name: t2,en-s!& oV un --nimp Son
Address: 7-m& evT • Address:
comb 9a ?" o-A.l Sdi CAM 12WAOja s M A
Phone: 61 1• TP64- 5023 Phone: 617 — 5'76 — 2191
VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach ifmore space needed)
NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System ❑
Cheeklisr(to be completed by ofce staff person receiving variance request application)
_ Four(4)copies of the completed variance request form
Four(4)copies of engineered plan submitted(e.g.septic system plans)
_ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
_ Signed letter stating that the property owner authorized you to represent himther for this request
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only)
_ Full menu submitted(for grease trap variance requests only)
_ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same
owner/leasee only],outside dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems
[only if no expansion to the building proposed])
_ Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVFD Susan G.Rask,R.S-,Chairman
• NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL Ralph A.Murphy,M.D.
r
Q:/WP/VARIREQ �Q
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POST&RAL
r
t
DprM��
TEST HOLE LdG
r DATE: MAY 17, 1994 P-8228
I SOIL EVALUATOR: C. -JOLLY, PE
N d� _ WITNESS: ED BARRY
Girt1�S' BUC PERC RATE: 4 MIN. / IN.
23.6 Oir .23.5 Orr
\\ FILL LOAN i SUBSOIL
22.1 18" 22.5. 12"
S� �O LOAN i SUBSOIL CLAY/SILT
'v
Sy- 0 20.6 36.,
CP CLAY/SILT
' II 1 L 16.5 84"
+in�GC1EY COARSE SAM
4M `A 15.0 102,;
14.6 toe" _
NiDIUN - FINE PINE,SAND/SILT
SAND '
v {^ WATER FOUND @ WATER FOUND 8
EL. 10.1 EL. 11.5
10.1 162" 11.5 144"
LOCATION MAP
MAXIMUM HIGH GROUNDWATER V EL. 12.1
DESIGN DATA
DAILY FLOW: (6) BDRMS. x 110 GPD 660 GPD
SEPTIC TANK: 660 GPD x 200% = 1320 GPD
USE: 1500 GALLON PRECAST' SEPTIC TANK'
LEACHING FACILITY:
USE: (5) 5' x 9.5' 500 GAL. PRECAST DRYWELLS
LINED w/4' OF DOUBLE WASHED STONE
CAPACITY:
SIDEWALL: 127 x 2 x 0.74 = 189.0
BOTTOM: 13 x 50.5 x 0.74 = 485.8
TOTAL: 673.8 GPD
SEE REVERSE SIDE FOR PLAN VIEW
IN-A OF
1N OF .. q` ....DANIEL E. �'yG
pef `i"T � q� o ava �
�' y C7 N..32686C y
STEVEN N �
O C
RUM y 07g ,,
1.�, ASS/ONAI E�
�} �gNPOQ` gr '�0.0`
vi d.2c�,o f
l C7
�a7 -77 -117 ALL PIPE TO BE 4" DIA. .SCH 40 PVC.
PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION
o O 1 BOX
w N l�lE7. RAISE ALL APPLICABLE MANHOLE COVERS TO WITRIN ,c
6" OF FINISH GRADE.
Co SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A
s v®s GARBAGE DISPOSAL.
p
I j' 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED
ON A 6" LAYER OF STONE.
- - 'Zzzz:-� 6. INSTALL GAS BAFFLE_ IN OUTLET TEE. 211 LAYER OF
FUND DOUBLE
TOUR.
ALL
---------------------
TOP OF FOUND.
@ ELEV.23.8 +��.
19'CQ I�.00 18.75 \IS ��+ pcs�-�-or( e- EL-- to. lo.
�- 18.55
• ---- M to
SEPTIC SYSTEM PROFILE
.,�,...,.. MAxIM�Ir( u•�x1rl�tiJaj�R• �. IZ.I
SITE SEWAGE PLAN GENERAL NOTES
FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION
138 HARRIS MEADOW IN. , "lid BARNSTABLE, MA OF ALL UTILITIES, ABOVE AND UNDERGROUND, PRIOR
ON OR CONSTRUCTION.
ASSESSORS MAP 280 PARCEL 43 TO ANY ExcAVAT I
2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH
PREPARED FOR 310 CMR 15. 00: TITLE V.
3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE
STEPHEN J. NILL DETERMINATION.
1 4. ALL DISTURBED AREAS TO LOAMF.D AND SEEDED.
- 4
DATE: AUGUST 21, 2001 . SCALE : 111 0
5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY
REQUIRED INSPECTIONS.
WELLER & ASSOCIATES 6. REMOVE ALL IMPERVIOUS MATERIAL FOR A 5' RADIUS
1645 FALMOUTH RD. SUITE 4 C P.O. BOX 417 AROUND THE LEACHING FACILITY AND REPLACE WITH
CLEAN MEDIUM SAND.
CENTERVILLE, MA 02632
TEL: (508) 775-0735 FAX: (508) 775-0754 . APPROVED BY: _
A _ 1 / / o? �a
ovTbOol�
pax -
BuKK P 7S aC
z
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E
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sop rr� �2oof
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-
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i
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/ 199(5
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0,8
LAN
.\ lot _ . GAn/ims/ A,eEA
EXETNO
Go�T } >P�SItJ � P RAL
,3T.... 5o.Ga La.IWS,
TEST HOLE LOG
I DATE: MAY 17, 1994 P-8228 Yr
t I SOIL EVALUATOR: C. JOLLY, PEA
WITNESS: ED BARRY
Get PERC RATE: 4 MIN. / IN.
23.6 0" 23.5 0'• F• A
- n't
t'ILL LOAM i SUBSOIL. �
22.1 18" 22.5 12" -
s
S c•./[.} � �-T� LOAM i SUBSOIL CLAY/SILT _ '{
20.6 36"
•9C (n CLAY/SILTi '
� A ID
�
COARSE SA� �h 15.0 102"
14.6 - 108"
NYDIUN - FINE PINY SAND/SILT #"
SAND
WATER FOIMh P WATER POUND 0
F,1., 10.1 EL. 11.5
to t 162" 11.5 144"
LOCATION MAP
MAXIMUM HIGH GROUNDWATER @ EL. 12 .'1
F-
DAILY��"��� DESIGN DA FLOW: (6) BDRMS. x 110 GPD s 660 GPD
NOV 1 9 2001 SEPTIC TANK: 660 GPD x 2008 1320 GPD
1 udvN uF BARNSTABLE USE: 1500 GALLON PRECAST SEPTIC TANK
HEALTH DEPT. LEACHING FACILITY:
USE: (5) 5' x 8.5' 500 GAL. PRECAST DRYWSLLS
LINED w/4' OF DOUBLE WASHED STONE
CAPACITY:
SIDEWALL: 127 x 2 x 0.74 = 188.0
BOTTOM: 13 x 50.5 x 0.74 = 485.8
TOTAL: 673.8 GPD
SEE REVERSE SIDE FOR PLAN VIEW TEST HOLE LOG
DATE: NOd, ,/G Zcw/
D.MASoti/ ,es
SOIL EVALUATOR:
,
WITNESS: A h/s&AClI� �y�T
PERC RATE:
O DAMEL f. 9ryG a /q S.
L. Z3•S O it
ORAMAN d J L
w a26s /o YQ03 � r7/OapeG 3
ss�oNAt E�G�� y3. /ors ��� i9 9 32' 10YR s� Zo.e
A�
CD ( 6Z. io ya.s/y /B.3 . ` 8 3
c . � . Ci .sc -
77P • !�JK � vv o.
p
., /y3 /S/ `
NOTES: 1. ALL PIPE TO BE 4" DIA. SCH 40 PVC. / W r"- �3 � � �.5 As �� S/A/d� 9.7
2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION •� Zli�8G 1 S
('.5BOX. 8.0 ZoY •�
3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN
6" OF FINISH GRADE. $19a;6.,,o ON Ups f 'owveA, '44AX/Ao1dif
4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A qieo vy,0 ��76Q .�/SE /S Z•O PTO
j' GARBAGE DISPOSAL.
jf 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED
ON A 6" LAYER OF STONE,
6. INSTALL GAS BAFFLE IN OUTLET TEE.
2" LAYER OP 3/6" PEASTONE OVER
%"-l%V DOUBLE MSNED STONE
..................
ALL AROUND
TOP OF FOUND.
@ ZLZV.23.6, 'rdF a 69.. / , Z•
Z 1F3, 9djTaH4. EL-•AG, 5'
S
SEPTIC SYSTEM PROFILE
.,�,.. �auM�l�l GSax,lr��•�.. �/, S
SITE SEWAGE PLAN GENERAL NOTES
FOR 1. CONTRACTOR TO BE REEPONNIBU FM Tta LOCATION
138 HARRIS MEADOW LN. , WEST BARNSTABLE, MA OF ALL UTILITIES, ABOVE AND UNDO, MOM
ASSESSORS MAP 280 PARCEL 43 TO ANY EXCAVATION OR CONSTRUCTION.
2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE RITE
PREPARED FOR 310 CMR 15. 00: TITLE V.
STEPHEN J. NILL 3. DETR1MIS PLAN S E NATIONNOT TO B8 USED FOR PROPERT: LINE
DATE : AUGUST 21, 2001 SCALE : 111 = 401 4. ALL DISTURBED AREAS TO LOAMID AND SEWED.
niov, iq, Zc�i
5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY
REQUIRED INSPECTIONS.
WELLER & ASSOCIATES 6. REMOVE ALL IMPERVIOUS MATERIAL FOR A 5' RADIUS
1645 FAIMOUTH RD. SUITE 4C P.O. BOX 417 AROUND THE LEACHING FACILITY AND REPLACE WITH
CLEAN MEDIUM SAND. To Gc.
CENTERVILLE , MA 02632
TEL: (508) 775-0735 FAX: (508) 775-0754 APPROVED BY:
y
M�
,.. -
/ A^
,
Cam'/ J
T/=� IJ �J`
r.
Elow
Aj
IZV
:
Y.
•
1
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151
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10
a ,
.. � 'I�I�DO r •- , y, ZI��Q``o __� '` � � ;gr3^rJ�Cn� �0+ •4
,
x
l
_ _
I
• -T8 El. Zo 2; � '_� � �_ex�rr�
� POST&RAL
I
ct-} PAS I,
{
f
TESTI- HOLE LOG
I D r4 DATE: 'MAY 17, 1994 P-8228
SOIL EVALUATOR: C. JOLLY, PE
WITNESS: ED BARRY
PERC RATE, 4 MIN.' / IN.
23.6 0" 23.5 0"
�'_�• L PILL LOAN i SUBSOIL
22.1 18" 22.5 12"
\> 'v LOAM c svasolL cIa►Y/slzT
'e Yy o 20.6 36"'
L F(S t CLAY/SILT
+` 1 16.5 84"
alk LA 15.0 COARS SAIm SO2"
�G 14.6 108"
MEDIUM FINE rlxY sANO/GILT
SAND
WATER FOUND p NATER FOUND Y
El.. 10.1 EL. 11.15
10.1 162" 11.5 144"
LOCATION MAP
MAXIMUM HIGH . GROUNDWATER @ EL. 12 . 1
DESIGN DATA
DAILY FLOW: (6) BDRMS. x 110 GPD 660 GPD
SEPTIC TANK: 660 GPD x 200% 1320 GPD
USE: 1500 GALLON PRECAST SEPTIC TANK
LEACHING FACILITY:
USE: (5) 5' x 8.5' 500 GAL. PRECAST DRYWELLS
LINED w/4' OF DOUBLE WASHED STONE
CAPACITY:
SIDEWALL: 127 x 2 x 0.74 188.0
BOTTOM: 13 x 50.5 x 0.74 = 485.8
i, TOTAL: 673.8 GPD
SEE REVERSE SIDE FOR PLAN VIEW
Py CFF ,�
ti
D ANI FL E.
OF 'Csf ZO BRAMAN � G�
CIVIL
yG L2 No.32686C y
tTEVEN r
alto
is
qq' 'Ss/Om ECG
q'GFFSSIO�p Q e s
d"tcl o.l 1
NOTES:
1. ALL PIPE TO BE 4" DIA. 'SCH 40 PVC. }
2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION
BOX.
3. RAISE ALL.APPLICABLE MANHOLE COVERS TO WITHIN
6" OF FINISH GRADE.
4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A
GARBAGE DISPOSAL.
5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED
Ii ON,A 6" LAYER OF STONE.
+ I! 6. <INSTALL GAS BAFFLE IN OUTLET TEE.
- I 2" LAYLR Or 3/8" PZASTONE OVER- -
w-14" DOUBLZ WAS= STONE
.................... ALL AROUND
TOP OF FOUND.
e ELEV. 216, Tom . is's
19.670 IR75
4
SEPTIC SYSTEM PROFILE
I
SITE SEWAGE PLAN GENERAL NOTES
FOR 1. CONTRACTOR TO BE RE8PONSIBLI FOR TBE LOCATION
138 HARRIS MEADOW LN. , WEST BARNSTABLE , MA OF ALL UTILITIES, 'ABOVE AND UNDO, PRIOR
ASSESSORS MAP 280 PARCEL 43 TO ANY EXCAVATION OR CONSTRUCTION.
2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH
PREPARED FOR 310 CMR 15. 00: TITLE V.
3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE
STEPHEN.- J. NILL DETERMIHATION;
DATE : AUGUST 21 , 2001 SCALE : 111 = 40' 4. ALL: DISTURBED AREAS TO LOAMZD AND SEEDED.
5. CONTRACTOR TO PROVIDE 24 HOUR NOTICY FOR ANY
REQUIRED INSPECTIONS.
.WELLER & ASSOCIATES 6. REMOVE ALL IMPERVIOUS MATERIAL FOR A 5' RADIUS
1'64 5 FALMOUTH RD.,- SUITE 4 C P.O. BOX 417 CLEAN AROUND MEDI M SAND.a FACILITY AND REPLAL.3 WITH
CENTERVILLE, MA 02632
TEL: (508') 775-0735 VAX: (508) 77.5-0754 APPROVED BY: _ _
/ I
Eow I qq
PA
I
/
\ \
+
UA
201
LANE
-Tgt�A L= r=L L. 20.Z ' �... \ �_EXESTN6
1�� Eo SItJ � FENCE\ I RAL
1
TEST HOLE LOG
DATE: MAY 17, 1994 P-8228
SOIL EVALUATOR: C. JOLLY, PE
�� � ' ►`�� WITNESS: ED BARRY
PERC RATE: 4 MIN. / IN.
LO-O- FILL LOAM i SUBSOIL
22.1 18" 22.5 12"
s�•.i1.} \ ,v LOIN c SUBSOIL CLAY/SILT
e J t s 20.6 36"
' vc
• (; CLAY/SILT
1 J
VA 15.0
COARSE SAM
14.6 108"
N3wIUN - FINE rim SARD/SILT
�P SAND
J
WATER FOVMI P WATER rOUND I
rt.. 10.1 EL. 11.5
10A 162" 11.5 144"
LOCATION MAP
MAXIMUM HIGH GROUNDWATER @ EL. 12 . 1
DESIGN DATA
DAILY FLOW: (6) BDRMS. x 110 GPD = 660 GPD
NOV 1 9 2001 SEPTIC TANK: 660 GPD x 200% = 1320 GPD
USE: 1500 GALLON PRECAST SEPTIC TANK
TOWN OF BAR'NSTABLE LEACHING FACILITY:
HEALTH DEPT. USE: (5) 5' x 8.5' 500 GAL. PRECAST DRrWZLLS
LINED w/4' OF DOUBLE WASHED STONE
CAPACITY:
SIDEWALL: 127 x 2 x 0.74 = 188.0
BOTTOM: 13 x 50.5 x 0.74 = 485.8
TOTAL: 673.8 GPD
SEE REVERSE SIDE FOR PLAN VIEW TEST HOLE LOG
DATE: MOP ,/G Zc'cl/
SOIL EVALUATOR: .yASo.✓, ,e5
WITNESS: ✓
PERC RATE:
� �H OF
DANIEL E. �yG d~ 23•S Z3.s
RRAMAN O� CIVtI i9 S.4. A SrG
yPCs /3
/oydeG ;
�S10NAI /fyx G/-?/ 3Z' /oy'¢s/ Zo•8
CAA
` , , 6Z. Cz rR see /8.3 (P3' Ct ,te. . 8 3
NOTES: 7'° /y3♦ ig
010 e1. ALL PIPE TO BE 4" DIA. SCH 40 PVC. � 4L bb�� r2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION /� ���� �3 �r��� !y /w 3 f�� 9 f
BOX. �gG .o ZoY
3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN
6" OF FINISH GRADE. ,8/90r6,0 044-,5 Jco.QNVe--9 MAX/A1l1y
4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A 4,Po v y,p wi976 ,P_/SE /S Z'-C=l o
GARBAGE DISPOSAL.
I;
5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED
ON A 6" LAYER OF STONE.
6. INSTALL GAS BAFFLE IN OUTLET TEE.
2" LAYER or 3/e" PEASTONE OVER
DOUBLE MASEID STONE
ALL AROUND
TOP OF FOUND.
e ELEV.
s 19.Z7 i�.ot �g 9Z 18,�s o SM1TO" a Eu-•��, s
S �
SEPTIC SYSTEM PROFILE
SITE SEWAGE PLAN GENERAL NOTES
FOR i. COtMOMOR TO BE RE810081BU Y= MM IAC01011
138 HARRIS MEADOW LN. , WEST BARNSTABLE, MA OF ALL UTILITIES, ADM AND UND PRIOR
ASSESSORS MAP 280, PARCEL 43 TO ANY EXCAVATION OR OONSTRUITION.
2. SEPTIC SYSTEM TO BE INSTALLID IN CONPLIANCE WITS
PREPARED FOR 310 CMR 15. 00: TITLE V.
STEPHEN J. NILL 3 DEIS PLAN IS TERMINATIONN� TO BE USED FOR PROPERTY LINE
DATE: AUGUST 21 , 2001 SCALE : 111 = 401 4. ALL DISTURBED AREAS TO LQUOD AND SEIDID.
niovr i9, Zcx+i
5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY
REQUIRED INSPECTIONS.
WELLER & ASSOCIATES 6. REMOVE ALL IMPERVIOUS MATERIAL FOR A 5' RADIUS
1645 FAIMOUTH RD. SUITE 4C P.O. BOX 417 AROUND THE LEACHING FACILITY AND REPLACE WITH
CLEAN MID IUM SAND. .QF�t�vE Ta CG. �o•y
CENTERVILLE , MA 02632
TEL: (508)775-0735 FAX: (508) 775-0754 APPROVED BY: _ _ _
- wE-r�.1 v rZ 94::7
EM
\ I
2
ram \ \ ! \
UA
151
LAN 1,
1 MIA,
-ret-Az
l� �T 0ASItJ P RAL
TEST HOLE LOG
DATE: MAY 17, 1994 P-8228
SOIL EVALUATOR: C. JOLLY, PE
r MIN.WITNESS: ED B
PERC RATE: 4 MIN. / IN.
23.6 0" 23.5 0"
LOL-J- FILL LOAN i 3UBSOIL
22.1 18" 22.5 12"
LOAN i SUBSOIL CLAY/SILT
ac J
. v
CLAY/SILT
�►�y,� �� �_ 16.5 84"
um COARSs s
i,A 15.0 102"
�^ 14.6 - 108"
MEDIUM - FINE FINE SAND/SILT
SAND
MATFR FOI/NIt A WATER FOUND i
Fl- 10.1 CL. 11.5
10 1 162" 11.5 144"
LOCATION MAP
MAXIMUM HIGH GROUNDWATER @ EL. 12 . 1
'���'vr ' (QED DESIGN DATA
,.r
DAILY FLOW: (6) BDRMS. x 110 GPD = 660 GPD
NOV 1 9 2001 SEPTIC TANK: 660 GPD x 200% = 1320 GPD
USE: 1500 GALLON PRECAST SEPTIC TANK
TOWN OF BAR'NSTABLE LEACHING FACILITY:
HEALTH DEPT.
USE: (5) 5' x 8.5' 500 GAL. PRECAST DRYiiBLLS
LINED w/4' OF DOUBLE WASHED STONE
CAPACITY:
SIDEWALL: 127 x 2 x 0.74 = 188.0
BOTTOM: 13 x 50.5 x 0.74 = 485.8
TOTAL: 673.8 GPD
SEE REVERSE SIDE FOR PLAN VIEW TEST HOLE LOG
DATE: NO// ./G Zae-/
SOIL EVALUATOR: G..yA.So ti% ,es
WITNESS: Ate✓
PERC RATE: Z.63 A.01A1/i.,/<ri3'--
�A `SN OF�y
DAMILE. G v r 23.5 Q
IRA li QL, d $SG -
V CI26 0 ' r9 S/0 yQ 0I� r7/O G 3
�� W ZAP-4 S.G.
%AL EN6 yt �9 9 32" oy`-/0 Zo•6
OZ. 8 3
• c . � . sc •
NOTES: 1. ALL PIPE TO BE 4" DIA. SCH 40 PVC. /`��' w%►�"-61 (f3 10 �NE /"� C3 stlaw� /•7
2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION •� /1h�d ��
BOX. �16 Z G/ 8.0 eo% 1.5x ('s
3. RAISB ALL APPLICABLE MANHOLE COVERS TO WITHIN
6" OF FINISH GRADE. g/�7s�,0 oi�/ use � 42.11eAeVe-4 MAX.,l"oir
4. 98PTIC SYSTEM IS NOT DBSIGNBD FOR THE USE OF A �oV,yo AJ416,e ,Q/.SE /5 Z•O�'$
j` GARBAGE DISPOSAL.
Ii
5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED
ON A 6" LAYER OF STONE.
6. INSTALL GAS BAFFLE IN OUTLET TEE. 2" LAYER of 3/8" PEASTONL OVER
41"-114" DOUBLE MSHED STONE
.............. ALL AROVIQD
TOP OF FOUND.
@ ELEV.23.61 Tom
9 9
S
SEPTIC SYSTEM PROFILE
SITE SEWAGE PLAN GENERAL NOTES
FOR 1. CONTF=OR TO BE RESPONSIM FM TU LOCH 109
138 HARRIS MEADOW LN. , WEST BARNSTABLE, MA OF ALL UTILITIES, ADM AND UND>fibN M, PRIM
ASSESSORS MAP 280 PARCEL 43 TO ANY EXCAVATION OR CONSTRUCTION.
2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH
PREPARED FOR 310 CMR 15. 00: TITLE V.
3. TIS DDETEERPLNATI NOT TO BE USED FOR PROPERTY LINE
STEPHEN J. NILL
DATE: AUGUST 21 , 2001 SCALE : 111 = 4 01 4. ALL DISTURBED AREAS TO LOAIQD AND SEEDED.
NOV. /92 Z�o� 5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY
REQUIRED INSPECTIONS.
I WELLER & ASSOCIATES 6. REMOVE ALL IMPERVIOUS MATERIAL FOR A S' RADIUS
4
1645 FAIMOUTH RD. SUITE 4 C P.O. BOX 417 ND THE LEACHING FACILITY AND REPLACE 1RTH
� CLEAN MEDIUM SAND.
CENTERVILLE, MA 02632
TEL: (508)775-0735 FAX: (508) 775-0754 APPROVED BY: _
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lot
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�-Fc-A eA�SItJ 4I '
\ I FENGE
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A-2PCX'-.
TEST.���aL��
TEST HOLE LOG
DATE: MAY 17, 1994 P-8228
SOIL EVALUATOR: C. JOLLY, PE
��AA ��
WITNESS: ED BARRY
6A"8L;C r ,N-'' PERC RATE: 4 MIN. / IN.
` LQ-J- FILL LOAN a SUBSOIL.
22.1 18" 22.5 12"
LOAN i SUBSOIL CLAY/SILT
ice J t 1 20.6 36"
_ v
C �• �� CLAY/SILT
L J
�,�►,Y, �: 16.5 04"
COARSE SAM
row l ���.__ - �rJ vh 15.0 102"
14.6 - 108"
?OLDIUM - FINE FINE SAND/SILT
,(P• SAND
WATER FOUNfI A WATER FOUND e
F1.. 10.1 EL. 11.5
10.1 162" 11.5 144"
LOCATION MAP
MAXIMUM HIGH GROUNDWATER @ EL. 12 . 1
_. DESIGN DATA
NOV 1 9 2001 DAILY FLOW: (6) BDRMS. x 110 GPD = 660 GPD
SEPTIC TANK: 660 GPD x 200% = 1320 GPD
TOWN OF TH NST BLE USE: 1500 GALLON PRECAST SEPTIC TANK
EPT
LEACHING FACILITY:
USE: (5) 5' x 8.5' 500 GAL. PRECAST DRYWZLLS
LINED w/4' OF DOUBLE WASHED STONE
CAPACITY:
SIDEWALL: 127 x 2 x 0.74 = 188.0
BOTTOM: 13 x 50.5 x 0.74 = 485.8
TOTAL: 673.8 GPD
SEE REVERSE SIDE FOR PLAN VIEW TEST HOLE LOG
DATE: /VOJ ./G Zaa/
SOIL EVALUATOR: D..tiASoti/, ,es
WITNESS: AA/-
PERC RATE:
r1r+i�SH OF
SG. 23.5 o A 1G. 23.5
DRAM AN
o C1Vi► r
3260
MAI EMG�� y3. r/ /9 9 32� /0pe s/ Zo•8
CD
Cio.v s/� /8.3 43' vcAohq 8 3
SG .
N77P 3• %`�JK�� ii.<i /Sl C en at.
, 1
NOTES. bL ybam�•
1. ALL PIPE TO BE 4" DIA. SCH 40 PVC. / w��^ �3 0 11 A e� -ram J9's
2. PIPE TO BE LAID LEVEL FOR 2' OUT OF DISTRIBUTION .0
BOX. /eG z G� 8.o ZoY 1.Sy `
3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN
6" OF FINISH GRADE. $fj1.T�.L� Oir/ u jv / A'. eVe--9 A419Xlydy
4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A S .O
GARBAGE DISPOSAL.
!, 5. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED
ON A 6" LAYER OF STONE.
6. INSTALL GAS BAFFLE.IN OUTLET TEE.
2" LAYER OF 3/e" PEASTONE OVER
i"-14" DOUBLE MASKED STONE
ALL AROUND
TOP OF FOUND.
@ ZLEV.23.& LufaffKaLLA Tom
S
SEPTIC SYSTEM PROFILE
SITE SEWAGE PLAN GENERAL NOTES
FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR M LOGTION
138 HARRIS MEADOW LN. , WEST BARNSTABLE , MA OF ALL UTILITIES, ABOVE ACID UIDERMOAm, PRIOR
ASSESSORS MAP 280 PARCEL 43 TO ANY EXCAVATION OR CONSTRUCTION.
2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH
PREPARED FOR 310 CMR 15. 00: TITLE V.
3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LIKE
STEPHEN J. NILL DETERMINATION.
DATE: AUGUST 21 , 2001 SCALE : 1" = 401 4. ALL DISTURBED AREAS TO LOAD AND SEEDED.
5. CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY
REQUIRED INSPECTIONS.
WELLER & ASSOCIATES 6. REHM ALL IMPERVIOUS MATERIAL FOR A 5' RADIUS
164 5 FALMOUTH RD. SUITE 4 C P.O. BOX 417 AROUND THE LEACHING FACILITY AND REPLACE RITE
CLEAN MEDIUM SAND.
CENTERVILLE , MA 02632
TEL: (508) 775-0735 FAX:. (508) 775-0754 APPROVED BY: _ _ _