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0015 ICE HOUSE LANE - Health
5.ice House,Lane Barnstable P A = 258 047002 o :s s , a o z . n c v- r a + r v " I 1 .. .. � � � � � ' � :. .. ..}rt _ " • - � it A 1 n y � a t : A � � r 1 TOWN OF BARNSTABLE LgCATIONa &v SEWAGE # 4:23 VILLAGE��/".�l>� ASSESSOR'S MAP & LOT7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY NO.OF BEDROOMS BUILDER OR OWNER ZZ7,gA V PERMTTDATE: 3 V COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If.any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet 5 Furnished by A7a- 3�' ._ 3 � o 7--TA LOW 4y`�° ' v ,No. 260 3 © 1� Fee J \ THE COMMONWEALTH OF MASSACHUSETTS Entered in comput Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Mie;pooar *pgtem Con5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 115 106 HOUS-6 L AfE' Owner's Name,Address and Tel.No. 5 o$—3 7 S—0 0 S Z .�.�n Assessor's Map/Parcel ov 8 §1 l��► �.JrQ -- 1 J lG �l y 7 R.t L N rA a L t Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ,Ube 6 . Cur Ca• ,fir,c� PEMA12E 'r-MCLEt.LAN EN�sIN66RIN(y CS(4 R6.30x q63 W£51° DEaN)l 398-1710 Type of Building: , Dwelling No.of Bedrooms Lot Size q 3,66 sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow IN fl gallons per day. Calculated daily flow gallons. Plan Date Z-"q -6.3 Number of sheets 6N E Revision Date Title 511-t? 4M9 RWA66.hL4N Size of Septic Tank' 150O &A l Type of S.A.S. 7 )j4ri LT%ean4 Description of Soil 5E6 nLON Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been isned by this Board of Health. Signe Date ' Application Approved b Date Application Disapproved for the following reasons Permit No. Date Issued 3 S f`d k A JN l A Fee t THE COMMONWEALTH OF MASSACHUSETTS Entered in compute Yes r' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS n� �:yt 01ppricatfou for Mtgogar *pgtem Cott.5truction �errrtit; Application for a Permit to Construct( )Repair( )Upgrade( )Abandon ( ) ❑Complete System ❑Individual Components Location Address or Lot No. 15 r 1-c E H u -f' l A � f ���,r0Wd64r`p4ame,Address and Tel.No. L 0$— 3 7 5 —©Q�`Z 13kLNS�n3c 1. �{N Assessor's Map/Parcel = t " t � 5-trB� a 25`a y7-2 cfz t4o�St�.`vcto it Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Kobe_( k 8 . Or CD. ,"Str� PEMA12CST- MCLClA Ar- CslaC,'r LJt�Dkt( n Rv xl P•0.30), � 63 WtSr PENivl j 398_ 1710 Type of Building: t l Dwelling No.of Bedrooms Lt Lot Size q FZ,6 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f Design Flow g Der, v. Calculated y� q y allons er 8a, Gxlculated da l• flow gallons. Plan Date Z"q ' 6 3 Number of sheets'"ON E�&V -j Revision Date Title S F An � .. Size of Septic Tank`" *Rod-6"AL 61 11� Type of S.A.S. 7 lkl ri Description of Soil SEE rul<u't A y Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i sued by this Board of Health. Signe i ck Date Application Approved b Date 'Application Disapproved for the following reasons Permit No. Date Issued .3 5 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 at I5 -I�Cr f-Aou 5 C It),r ,y. has been constructedin accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2ZG 3-0 7 3 dated -A 10-3 Installer Designer The issuance of tl�s permit shall not be construed as a guarantee that the syste l�f• fion �gned. 'r Date !' 1 1 i 1 03 Inspector f ' No, Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS 1=i!6pogar *p5tem Itott.5tructiou Permit Permission is hereby granted to Construct(Repair( )Upgrade( )Abandon( ) System located at /5 -� j��1✓ -�+^e� a��s -ab�a ' 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 ust be completed within three years of the date of this permit. �� _N A _ Date:_ - Approved ! A TOWN OF BARNSTABLE LOCATIONL� , �� / SEWAG,�S E # D3 VILLAGE ASSESSOR'S MAP & LOTS INSTALLER'S NAME&PHONE N0. SEPTIC TANK CAPACITY LEACHING FACILITY: (type),--A- /Tya 7�dS �?` (size) /�x S�1 X 7 NO.OF BEDROOMS j BUILDER OR O R PERMIT DATE: 3 COMPLIANCE DATE: q �r 63 Separation Distance.Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well.and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility.(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 0,d 01� P . , 1 Town of Barnstable P# (d L�d y � Services ,P °• Department of Regulatory Servi / v 3 aARNSPAO = Public Health .Division Date MAM .6Jo• .m o►Mt► 200 Main Street,Hyannis MA 02601 I Time U I^^ Fee Pd. 1Dd Date Scheduled d soil suitability Assessment for sewage Disposal Performed By. THOMAs /Y1Gl.Et.-0) Witnessed By: .P. q II°S IaP ! I t; r r } $ i .• 'I�' r Ye Owner's l� ijl� luta WasOwner's Name �,-LociiionAddress � vje Address 15 1OF HOU$$ L^Vc Assessor's Map/Parcel: a S p -O y7— 00 2 Engineer's Name 71�0/►')�0f NEW CONSTRUCTION REPAIR Telephone# SOS " 3� g �? Slopes(%) 5 " 2-0 Surface Stones /lJl� Land Use Distances from: Open Water Body /`U� ft Possible WetArea /___,4 ft Drinking Water Well �—ft ft Other ft Drainage Way ft P,ioperty Line 3�_ -- �Ocationj ,e dimensions of lot,exact of test holes&perc tests,locate wetlands in proximity to holes) SKETCH:(street nam , Ha L,oN4 b f� �cl , +7H Depth to Bedrock > 12► Parent material(geologic) 0()r U/,A S ti Depth to Groundwater: Standing Water in Hole: Z y� Weeping from Pit Face Estimated Seasonal High Groundwater _ NO I'll wo x u"9 U:��14�i!��GI.'Na!151�'r!.IAI!I J k• a&. ' .of - Method Used: k " ' in. Depth to soil mottles: Olt* in. Depth Observed standing in obs.hole: s�26 , in. Groundwater Adjustment— Depth ft a to weeping from side of obs.hole: Ad' factor 5•1 �Adj.Groundwater Level Index Well#Atw ti'17 Reading Date BAN Index Well level ZS� J WIF 1 i i Observation Time at9" O Hole# Depth of Pere 5 ' Time at6" �fi1N3d sb Start Pre-soak Time 0 Time(9"-6') 7 m t/-, 15 S — End Pre-soak 5 m 1p) Rate MinAnch G IN 1 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) ,,.•La:�u—tkh Nvisinn Observation Hole Data To Be Completed on Back-- ' CIF" g*4'.IFIM .. ..,i,•;�,�� a�lrf•v,,, ;.�;� yfi� i,' S`. �` •�;.` �I j� *t. I:N� .,, �� i a N• �tti _ ,'��rAB I�,�L1I•fugi ��'�PI•I� t4 1I,'6 I t�. '..5 '� � ;�. ^Y,i �� j d ..+ :. � �li�f fi�fl�!iiI��Yluiitl�l ,. �a r 2. x�, x ' Soil Other Depth from Soil Horizon Soil Texture Soil or Moulin Structure,Stones,Boulders. Surface(in.) (USDA) (Munsel. ConsistenZ%Gravel 36 Q L S 10 tit L ro In/ s Q D" `i ( w17H s►L7 ��I Z.5'1 6 156" G z, UNc .5� Z s� 7 °° I:•t•:I i � I , I �, � � ° ��•�, 7 A'�t ��!!��7�;;ki ,i,` F I,� � ;�� is�I p} �I� j i'�; I�''''n!(�I ;�• u i TFI I 'I,I�°(. ,h �I ,' sual ,�'9"ni� M. Soil Other Depth from Soil Horizon I Soil Texture Soil Color Moulin Structure,Stones,Boulders. Surface(in.) (USDA) (Munsell) g Consistency,%Gravel t , na - "r ��/ 7 'rlif n�.' 11 i it, :yj'vsi y"uF N .ji ':,.I �! ,t`t,,t �n �rhMi�1.�,I.¢��I�il�d � � itrif!LI�R.n.4 � ��M p16�.&f 641� �:"� •I m �u�'' � 50/1 ,N j Other - I)epth from Soil Horizon Soil Texture Soil Color Munsell Mottling Structure,Stones,Boulders. Surface(in.) (USDA) ( ) Consisten %Gravel 1 , % .J d I16' �k dt r li. I(Ii A�u l '' ' �'aI''f�' 9t ,d#J�afn UINY YL�1, ', ` I I i ' � I •1 r 6 h Ix nP t £alp �u ' err Soil Other w Depth from Soil Horizon Soil Texture Soil Color Mottling Structure,Stones,Boulders. Surface(in.) (USDA) (Munsell) Consistenc %Gravel Flood Insurance Rate Map: - Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I passed the soil evaluator examination approved by the I certifythat on N o� 14 (date) have P Department of Environmental Protection and that the.above analysis was performed by me consistent with the required training,expertise and ex enence de ribed in 310 CMR 15.017. IVkVM _ CAPE COD BAY A' ASSESSORS MAP: 258 TEST HOLE LOGS P#1o,4o4 NOTES: PARCEL, 47-2 1.VERTICAL DATUM: ASSUMED FROM QUAD(NGVD+/-) CURRENT ZONING:RF-2 ENGINEER:THOMAS MCLELLAN.P.E. 2.MUNICAPAL WATER IS AVAILABLE. R.S.,:gi BUILDING SETBACKS WITNESS: DAVID STANTON, 3.SCHEDULE 40-4"PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. I O A F: 30'_S: 15, R. 15' DATE: 1-30-03 4.ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10&H-20 PERCOLATION RATE:<2 MIN/IN._AT 9d' LOADING SPECIFICATIONS. RO(11.A.64 FLOOD ZONE: C TH-f/ TH-2 5.PIPE PITCH- 1/4" PER FOOT,(UNLESS NOTED OTHERWISE). l 34,0 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. i u BLEV 7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE 24" FILL 324 USE OF A GARBAGE DISPOSAL. Z.G. � 0/A HOR120M 8.ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE LOAKY$$AND LOCATION MAP r� g3' 1oYR s/2 31,0 c STATE OF MASS.ENVIRONMENTAL CODE(TITLE FIVE)AND LOCAL B HORIZON HEALTH REGULATIONS. LOTS (43,669 SF) QbaG. 8.6 9�"�, forR 5/8 D 9.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR EDGE OF LAWN- ` l,6F' E �. 6? CI HORIZON O TO CONSTRUCTION. P@ Goo ` N SILT LOAM WrrH f0.GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO �' I EXCEED 3.0. 2,5Y 6/4 zss sE� if.ALL UNSUITABLE SOIL(SILT LOAM,APPROX.90"DEEP)WITHIN 5'OF OLD TEST HOLE(512s' C 2 HORIZON 23b PROPOSED LEACH AREA IS TO BE REMOVED AND REPLACED WITH ED KELLEY♦J RRY NNING FINE SAND 0-Qr:WOOD LOAM R SUB SOIL 34 1 ab 156• EEY 7/4 2fo CLEAN MEDIUM SAND. 4B'-144'MED-FINE SAND . A 12.EXISTING SEPTIC SYSTEM(1000 CAL S.T d LEACH PIT)IS TO BE PUMPED (NO GROUND WATER ENCOUNTERED) ` `� USCS GROUND WATER ADJUSTMENT: AND REMOVED. 38� BENCHMARK AT ! WOOD O.7 WEN247,1 0ZO'NEEL BADJU4TMENT 6F ELEVATION AT Va 250 36, E SEPTIC SYSTEM DESIGN b0 46,4 7.5 54 48 58 5E i),` �. UTILITIES FLOW ESTIMATE: 62 460 SB �68`68^ `h7 - 5 `py BEDROOMS AT 110 CAL/DAY/BEDROOM=440 GAL/DAY CABLE DISH % -4- T 24 E 66,6 1 •®\` g� �.� �• SEPTIC TANK: 1z / 0 _ O _ ExrsrlNc c a• � 4 0 KCAL/DAY x 2 DAYS -880 CAL OS � a P A 4 c 0 .. DWELLING ) �i R° c T S USE 1500 GALLON SEPTIC TANK ( D r zh PROPOSED AD 4 BEDRO°M) W S LEACHING 0 o G AREA \`2` � C 7 £ 1 OF S 4 / EDGE LAWN R / D6CX �1•� USE 7 INFILTRATORS(STANDARD CHAMBERS) :i `•�♦ `` WITH 4.OF STONE AROUND SIDES AND 2'AT ENDS 1 ' �1 � •,� u ® `c ``` (49.75 s It'.7",DEEP) PROPOSED ADDITION .®I � �ryi;, `C ` SIDE AREA: (60.75)Z x 7/12=71 (.74)=533_GAL/DAY BOTTOM AREA 49.75 x ll=547 SF (74)=405 CAL/DAY CAPACITY=450 GAL/DAY S1 R"S SEPTIC SYSTEM SECTION '4 2"PEASTO. NE COVERS WITHIN lE'OF PINISHE.GRADE $ 4•-1 Ile 0 36.17&38.8 / / LONE INSPECTION COVER TOP OF FOUNDATION f0 BE WIrBrN 6'of cRAnE) WASHED STONE 3'MAX. IC COVER ELEV.34.6 $4.5 � ELEV. `` 34.75 1500 GAL REMOVE EXISTING D-BOX 34.26 a 33.6 SEPTIC TANK AND ELEV. <—> ELEV. LEMH PIT erg\ SEPTIC TANK 34.43 (6"OF ELEV. (SEE NOTE f2) �� . `,_gs96S2 SSA - (6"OF STONE UNDER OR ELEV. STONE 2�49AS .�� `-88 ELEV. MECHANICALLY COMPACTED) UNDER) 5 IO (EXISTING=35.4) TEE SIZES: GAS BAFFLE - 34.18 7 INFILTRATORS((STANDARD CHAMBERS) e 442 INLET:6"UP,13"DOWN AT OUTLET TEE ELEV. WITH 4.OF STONL'AROUND SIDES AND 13 2'AT ENDS(4925 x IT x 7 DEEP) ``�`• `52 6o OUTLET:6"UP,14"DOWN 40 NIL POLY LINER ` -Sg 54 ADJUSTED GROUND WATER ELEV.28.6 � TOP OF LINER ELEV,34,6 , BOTTOM LINER ELEV,31.6 �� ` �10 64 . KE Y: (50's$'DEEP) C.1''.6Z SITE AND SEWAGE PLAN EXISTING CONTOUR: ——-- g2 �¢ APPROVED BY: DATE: PROPOSED CONTOUR: ••••••••• �60' LOCATI „ EXISTING SPOT ELEVATION: 25.5 f 25 PROPOSED SPOT ELEVATION: ICE HOUSE LANE TEST HOLE:-$� BARNSTABLE UTILITY POLE:-0- FENCE LINE: PREPARED FOR, HYDRANT. RETAINING WALL: DM CLEARY CONSTRUCTION W ® TREE: DEMAREST-M,LELLAN ENGINEERING.2,SCHOOL STREET P.O.BOX 443 SCALE: i"=30' DATE: 2-4-03 DM q 02-59_ WEST DENNIS.MASSACHUSETTS OE670 REFERENCE: PLAN BOOK 457,PACE 60 PHONE @ FAX:(606)398-7710 THOMAS MGLELLAN,P.E. ✓OHN Z.DEMAREST JR.,P.L.S. I r.w „ 117 TROY WILLIAMS SEPTIC INSPECTIONS Certified De artment of Environmental Protection by MA p 508 38 -5 1300 19 Hummel Drive South Dennis, MA 02660 COPY _ -- 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 ' DAVID B.STRUHS Governor c* r Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Gz 6 2 S /tloa," S71. � PART A ' CERTIFICATION Property Address: i✓S 1 C� NOu S t h . Name of Owner. / S� Address of Owner: J „. L" c(r c S j E u r Date of Fns A W�l(r wr.. �: 1 cl✓cSf pection: `//�t /9 Name of Inspector:(Please Print) Troy Williams UI c/ S�-y 6�ou K LT. am a DEP approved system inspector pursuant to Section 15.340 of T-rtte 5(310 CMR 15.000)Cor v G y 7 TrPanY Name: Trod Yrlliams Se tin c Inspections ; MaKng Address: 19 Hummer Drive, So. Dennis, MA 02660 ' Telephone Number: (508) 385-1300 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: a y Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authorityf _ Fails t/ q Inspector's Signature: Date: The System Inspector 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 Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable, and the approving authority. NOTES AND COMMENTS 8 Although system meets the minimum requirements set forth by the Massachusetts Depart Environmental Protection,certification is not to be construed as a guarantee of future In`1g condition of system, piping or components. This inspection represents the conditions of the syste Ythe Dat Inspection noted above } MAY 6 1999 N i • Towruo�eu� 40 ,` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART A CERTIFICATION (continued) Property Address: Owner: 15 Ice House Lane, Barnstable; MA Date of Inspection: Jean Childress Estate April 21, 1999 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: 1 have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria not evaluated are indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health, will pass. 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 exfiltration, 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. t Sewage backup or breakout or high static water level observed in the i d stribution box is due to broken or obstruc ted i e s z or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Health). _ Board of ( ) broken pipe(s)are replaced" _ obstruction is removed r distribution box is levelled or replaced The system required pumping more than four times a year due to'broken-or obstructed pipe(s). The-system will pass ` inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed • e 'evi..sed 9/2/98 P, • 1 ++rir r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 15 Ice House Lane,Barnstable,MA ti Owner: Jean Childress Estate Date of Inspection: April 21, 1999 C. FURTHER EVALUATION IS REQUIRED BY-THE BOARD OF HEALTH: 111t14 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 WrM 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER, FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND FTHE YENVIRO ENVIRONES NMENT- - THE SYSTEM IS The system has a septic-tank and soil absorption,system(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and 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 50 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 Y , `r.evised. 9/?�'0:. rdRe 3orii ; SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 15 Ice House Lane,Barnstable,MA Property Address: Jean Childress Estate Owner: April 21, 1999 Date of Inspection: D. SYSTEM FAILS: You must indicate either 'Yes" or "No" to each of the following: 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 into facility or system component due-to an overloaded or clogged SAS or cesspool. " Discharge 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'1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_ Any portion of the Soil Absorption System, cesspool or privy is below the high groundwa ter ele vation' 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 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for" coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E_ LARGE SYSTEM FAILS: N/ • " You must indicate either "Yes" or "No" to each of the following: r The following criteria apply to large systems in addition to the criteria above: c . 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 v the system is within 400 feet of a surface drinking water supply r. the system is within 200 feet of a tributary to a surface drinking water supply Y 'the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area=(WPA)"or a ma pped 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 15.304(2) 'Please consult the`loca[ regional, k office of,the Department for further information. 9/2/98 ;; SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 15 Ice House Lane,Barnstable,MA Owner: Jean Childress Estate Date of 41spection: April 2.1, 1999 a. Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No No _ �C Pumping _ ping information was provided by the owner, occupant, or Board of Health:' Q►C _ None of the system components have been pumped-forest least two we �K eks and-the I' system has been receiving normal flow rates during that period. Large volumes of water haven of 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. Y _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. c. _ All system components, excluding the Soil_Absorption System, have been located on the site. _V _ The septic tank.manholee.wo4uncovered, 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 on the site has been determined based on: V _ Existing information. For example, Plan at B.O.H. V _ Determined in the field(if any of the failure criteria related to Part C isnat issue,a (15.302(3)(b)] pproximation of distance is unacceptable) The facility owner (and occupants,if different from owner) were provided with inf SubSurface Disposal Systems. ormation' m on the.properainteitaaceof w k:i revised •9/2%98 PegrsorI I • a 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: 15 Ice House Lane,Barnstable,MA Date of Inspection: Jean Childress Estate April 21, 1999 > FLOW CONDITIONSRESIDENTIAL: . Design flow: 1/O g,p,d./bedroom. Number of bedrooms(clesign):3 Number of bedrooms a( clue) ) 3 Total DESIGN now_3— Number of current residents: Garbage grinder(yes or no): h/6 Laundry(separate system) (yes or no):/Va; If yes, separate inspection required Laundry system inspected (yes or no) Seasonal use(yes or no):/Vo. c Water meter readings,if available(last two year's usage(gpd): / =oZy�pyo c,a.,/) oh 98�tr� 3/�Do Sump Pump (yes or no): A/o C. Last date of occupancy:—V�_c C.L— / P4°vN f� COMMERCIAL/INDUSTRIAL: /V119 r Type of establishment: ' Design flow:_ gpd ( Based on 15.203) Basis of design flow Grease trap present:(yes o,no)_ Industrial Waste Holding Tank present:(yes or no)_ Non-sanitary waste discharged to the Title 5 system:(yes or no) Water meter readings,if available: Last date of occupancy: OTHER:(Describe) x. - Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: / < System pumped as art of inspection: (yes or no) N/O If yes, volume pumped: gallons w Reason for pumping: TYPE OF SYSTEM X _V Septic tank/distribution box/soil absorption system A` 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 a ;' APPROXIMATE AGE of all components, date installed Fif known) and source of information: .l Sewage odor detected when arriving at the site: (yes or no) N6 ♦ A. ' a n vIS. C; .. <; .. <. v Puge 6 of I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prop"Address:owner: 15 Ice House Lane,Barnstable,MA Date of Inspection: Jean Childress Estate April 21, 1999 BUILDING SEWER: (Locate on site plan) 4. Depth below grade: r Material of construction:_cast iron_1/40 PVC_other(explain) Distance from private water supply well or suction line ./Y Diameter - T #. Comments:(condition of joints, venting, evidence of leakage,etc.) Ali f-, 4, .o SEPTIC TANK- (locate on site plan) z. Depth below grader µ. r: S c-r Material of construction:Zconcrete_metal_Fiberglass _Polyethylene_other(explain) ' If tank is metal,list age Wage confirmed by Certificate of Compliance (Yes/No) Dimensions:- SAX 5 �k /ooQ 5 c� ka Sludge depth: 3`• Distance from top of sludge to bottom of outlet tee or baffle:a2 "//>> t Scum thickness: 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: How dimensions were determined: Comments: ' (recommendation for pumpin condition of inlet and outlet tees or baffles,depth of liquid level In relation to o at invert,structural4ntegrity, evidence of leakage,etc.) tl L r •F 0,•. oA t ti L r 0 Y GCS- V ti O /Lw c►.�7�Yu.( 0. o n W J✓ ( (?•�. lL GREASE TRAP (locate on site plan) Depth below grade_ Material of construction:_concrete_metal_Fiberglass ._Polyethylene—other(explain) i Dimensions: Scum thickness: Distance from top of scum to top of outlet tee,or baffle: r , Distance from bottom of scum to bottom of outlet tee,orbaffle: Date of last pumping: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in r evidence of leakaga, etc ) elation to outlet invert, structural integrity, . <; es F • revised - 9/2/98 ragr,orll SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prop",�Ate` 15 Ice House Lane,Barnstable,MA Date of Inspection: Jean Childress Estate April 21, 1999 TIGHT OR HOLDING TANK:/4//-Ij (Tank must be pumped prior to, or`at.time of, inspection) (locate on site plan) , Depth below grade:_ Material of construction:_concrete_metal_Fiberglass_Polyethylene_othe ex fain ) 1 Dimensions: -- .._... ..._....._. Capacity gallons Design flow: gallons/day " Alarm present _ Alarm level: Alarm in working order:Yes_ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches,etc.) l , DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: J L j Comments: (note.if level and distribution is equal, evidence of solids carryover,evidence of leakage into or out of box; etc.) r � r..ro,r )tip H c oY1t� r ------------ PUMP CHAMBER: (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) M revised 9/?;c,c: Page aorii SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Owner:Prop"A ss 15 Ice House Lane,Barnstable, MA Date of Inspection: Jean Childress Estate April 21, 1999 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: leaching pits, number:,Q_H,c y X C f.., 'P;}' w; �-(� y�s�i,h� - • 1 leaching chambers,number:_' leaching galleries,number:_ " leaching trenches,number,length: leaching fields, number,dimensions: overflow cesspool,number: Alternative system: Name of Technology: Comments: (note condition of soil,s' ns of hydraulipp failure,level of ponding, damp soil, condition of vegetation, a .) a ✓.gal •a w�.•� i h ph , CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: ' Depth of solids layer, Depth of scum layer: Dimensions of cesspool: Materiels of construction: - Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Materials of construction: Depth of solids: Dimensions: 4 Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) ",, , sed 9/2/98 I"V, Qof I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: Owner: 15 Ice House Lane,Barnstable,MA Date of Inspection: Jean Childress Estate April 21, 1999 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) Lc, '4 I 3 y6. l000 Op a. 5v' .. ✓ct r e _ a revised 9/2/98 Page 10of II - ' r - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM` PART C SYSTEM INFORMATION(corttirx,,d) Prop"A�`�s' 15 Ice House Lane,Barnstable, MA Date of 4upection: Jean Childress Estate April 21, 1999 NRCS Report name Soil Type_ ` Typical depth to groundwater USGS Date website visited 14 IIr+ 2,-/? a23• `f Observation Wells checked '"LoNi_ (3 3. 2 Groundwater depth: Sh I ow Moderate I/ Deep SITE EXAM Slope Surface water ` Check Cellar Shallow wells Estimated D /epth to Groundwater N G w L Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site lAbutting property,observation hole, basement sump etc.),` V Determined from local conditions Checked with local Board of health _____Checked FEMA Maps Checked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) } ✓'�4L ��' � �� �L' e� /—�.., ,/I jive (. �o-r of 2/98 rdg, II „ Permit Number: Date: 9 Completed by: t/n/, HIGH GROUNDWATER LEVEL COMPUTATION Site Location:_ 1-5 171by 5(4- Lt-,. Lot No. Owner: Address: Contractor: Address: Notes: STEP 1 Measure depth to water table tonearest 1/10 It. .............................................................................. Date t month/day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well.................................................... OBWater-level range zone ...................................................... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to •- water level for index well ........................... month/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth " to water level for index well (STEP 3), { and water-level zone (STEP 26) determine water-level adjustment ... ....................:. ............................................................... STEP 5 Estimate depth to high water by subtracting the water• ;g level adjustment (STEP 4) ,, I from measured depth to water level at site (STEP 1► ...........:........:.......................:..:.......................:...:. �1 W 1" TOWN OF BARNSTABLElife Hpl)SC5 LA N6 A I j'-,CATION SEWAGE # VILLAGE_ ASSESSOR'S MAP & LOT eoa INSTALLER'S NAME & PHONE NO., SEP11C.TANK CAPACITY_ J 060 LEACHING FACILITY:(type) �i T (size)_ OO L NO, OF BEDROOMS Z. PRIVATE WELL OR PUBLIC WATERZjFA BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ✓ i i u s- e o � J THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T.wN.......I....OF.........B 2N-ST C3L............................... Appliratioo for UWpoottl 3horkii Tontitrurfuan ramit Application is hereby made for a Permit to Construct (L j or Repair ( ) an Individual Sewage Disposal System at: /S' .S"cM0usE 44'VC ---lzoc.�.. Z/9 --8i9-r ?i913G - - ..l'o.T ¢ . ............. ...................... --.. .... ............. Location-Address or Lot No. ../tea u 2 ,9��ZGr .�E=79�T .. ST.......... [� !?-ti- TG��r -..... -E-,Pkvner - �l .PC g ay ?y Ad, Installer SJ Address Type of Building Size Lot..:,�: -.....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria Other fixtures ............................ W Design Flow..............._�°_3...............__..gallons per person per day. Total daily flow.._......._..330..............._..gallons. WSeptic Tank—Liquid capacity 1!�--gallons Length__8�6_'__:. Width..�1G`.._ Diameter________________ Depth...s-B i x Disposal Trench—No. .................... Width..._...._ .._.___.. Total Length.._........._....... Total leaching area....................sq. ft. 3 Seepage Pit No.......__._. °....... Diameter......_i¢...... Depth below inlet....24<:E..... Total leaching area... ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by , GG D ate._ __._ __ aj Test Pit No. 1...G..z-_---minutes per inch Depth of Test Pit.... --- Depth to ground water...._...-........................ Test Pit No. 2---L..L.._minutes per inch Depth of Test Pit---- .I..... Depth to ground water........ ........... f1+' •----------------------------------------------------------------------••-------•--- --•- .--•......................................................... O Description of Soil........ - -8"�.. IIVOaOLesiY7 ....--�-5�'!3-SoiL------------4v�-..=--��.......--•---iv. Fitt ' V ...........'!��-----------•--.._..--•-•----•-----------------------------------------------------------•--.._..........-------•-------------•-•--.........-•-------•-----------•------------------- W •----------------------------------------------------------------------------------------------------------------------------------------------------------------------•---------------------•--•-....-- UNature of Repairs or Alterations—Answer when applicable .......................................................:..:e. .................................. -•------•-------------------•-........-•--•-----•----------•-•------......-----------...........-----------------------------------...------••-•-----------------•-------------------------..._._...---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI,L 5 of the State Sanitary Code—.The undersign# further agrees not to place the system in operation until a Certificate of Compliance has Aen issued the oard p O Signed - .. .:... -----------•--------- ... ... . . Date Application Approved By............... ------- ------ .......... Date Application Disapproved for the following reasons:.............................................................................................................. --••-•---•------------------•--•------........_...---•---•--•------•--........---------...-•--•-.........-----•--...........-------------------------------------------------------------------•-...---- Date Permit No...... :._ - _ -'--- •-Z�-------•.............. Issued........................................................ Date ----------------------------------------------------------- FzB THE COMMONWEALTH OF MASSACHUSETTS ti BOARD OF HEALTH T!!` ^ ---------..OF..........Bffl2N.S7A- aL '� ............................ , ppliration for Disposal Works Tonstrixrtion Vrrmit Application is hereby made for a Permit to Construct (G j or Repair ( ) an Individual Sewage Disposal System at: 61 I2a�iT�s �! 9197 6_7,-93G LoT _ ................__......_.-•-•-.....Coca ion-.Address.....................--•--•--._... _........_........................--••---'or Lot N......................................... .` ..../............„ G2 .....• E ..••.27 c sT....-.... . ..... 7Jf/1 Z :----....... ........... J W � .44C!aa.- Installer Address 00P99Q Type of Building Size Lot__ SZ'��. .......S . feet Dwelling—No. of Bedrooms..............3.........._._...._._......Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building No. of persons............................ Showers Gb YP g ...-----•----•.............• P ( ) — Cafeteria ( ) aIOther fixtures -----------------------------------------•----------......-----•-------•-••--•---•-•--•-•----•------.........-•-------..............•--•••-•--••...... d Design Flow................-'r-' ...................gallons per person per day. Total daily flow..............330._._.__.__.__.._.gallons. Septic Tank—Liquid capacity. o•gallons Length._B�A"____ Width... _�G _ Diameter________________ Depth___y....._.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No............. ...... Diameter.......X1........ Depth below inlet.....!4.4..... Total leaching area_._:�.?sq. ft, Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by...... �^!A/Z/�___ c�• .��Z! G /_ 4 IIFge Date... aTest Pit No. 1.._L...7-_-.minutes per inch Depth of Test Pit.... ... Depth to ground water......"........... 44 Test Pit No. 2...:15...L...minutes per inch Depth of Test Pit..... Depth to ground water....... ........... a ---•-•--•--••---------------•----.....----...........---•--...--••-----------------._......................---••--••--•.....-•-----••-•-•...............---- O •• ¢8" W000La Scsg-Soil •4& 144 .M6-P F.v&- Description of Soil .. ' /?'':2...... .� * v ,S� --.-•--------------------------------------•-•-------.-----•-------------------•------------•--------------------- ---------------•---------.------------------ W ........-•-•----------------•-•...........••-•.....--•--•-••-•-----•----•-•-••-•-•••-•-.....•••--...-•--.......-•---••----••-•••---•-•--•.................:_:.....•••••••-•...-••-••-••-•-......•--•-••. UNature of Repairs or Alterations—Answer when applicable.........................................................:..................................... ...----•-•-•------------------------•------•-----•--•----•-•---.............---........---•--------.....................-------------•-------•-•-•--.......------................•-•--------•-••_.-••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITL1 5 of the State Sanitary Code—.The unders' ned further agrees not to place the system in operation until a Certificate of Compliance has ?issueby t e b o h.Signed - -- --- --- - ------------------------------•--•---•--- Date Application Approved By................ ......---_..... n:`� --------- Date Application Disapproved for the following reasons:..........................................................................................................--- ..-•..........................:.•--•---•-••-•--------..............-------•------..............--•--......--•-------•-.........-----•-----••---•--•-•---------•-•----•--.........--•-----.............._ Date Permit No......'.a.......2).'D- - • -- "issued....................................................... Date r� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I3•�izNrA L .. fIrrfifuttte of fIyomphana THIS S TO CERTIFY, That the Individual Sewage Disposal System constructed (44 or Repaired ( ) by..................a . T ................................................:..........................•-•--......--•--.......................-...._ Installer at... (tea.. ..� ........: d�•• = a .-----------••...............................•--••...............---......... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... ........ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........... �. ....:...��.........------...------. Inspector........................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH WN.......OF......................................................... - ................... -� �is�ostt� forks �onstr�ttion �rrmit Permission is hereby granted.........._ rf........... . ... to Construct (1/f or Repair ( ) an ndividual Sewage isposal System atNo.............. c..:...-- A--.......: -------------•-------•-•-•--•-------•----•---••-•---•--•---•-•-•-•----....................... Street as shown on the application for Disposal Works Construction Permit No..0.:.3I.)l. Dated.......................................... ...............•------------••--......------------.......---....----•---....•-•---•••-•-•---........--•- Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON L TOP OF FOUNDATION �t CONCRETE COVER CONCRETE COVERS + • O D � zzc ' 0 4' CAST IRON •, 12 MAX. 12"MAX. SCHEDULE 40 4 SCHEDULE 40 PVC.(ONLY) P- / P.V.C. PIPE PIPE - MIN. LEACH \ _ ° PITCH 1/4"PER.FT PITCH 1/4"PER.FT PIT PRECAST LEACHING \ �I o INVERT a ` EL..37:�4.. INVERT INVERT e•`:" PIT OR i SEPTIC TANK z DIST. w ,;; EQUIV. EL. :¢. . . BOX. EL37.0 8• ' : •>_ \ \ /000 37RS9 GAL. INVERT INVERT 3�ww 0: •:., ,r .. 3/4 TO Il/2 -c \ -� ` �� �: WASHED 4 •, . w STONE �o \ 7.3 o D PROFILE OF -GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG _ WITNESSED BY : v or, ATf �/��'/z / DATE .. . . Y .f. . .... TIME. ./. .=. . . . . . . . . . . . � . BOARD OF HEALTH � �(S TEST HOLE I TEST HOLE 2 �?�1�1/i9'n� E- ?G�� ENGINEER � ELEV. . .B � ?�. o. . . ELEV. . •. . . . . � � ) � • �'-ac 0 w00�� a� � / DESIGN DATA -`ea \ ! �z 378d 28 2'a NUMBER OF BEDROOMS '�. . . . . . . . . . �' a �•ao /! -'s2. . �G TOTAL ESTIMATED FLOW . . .`�30 GALLONS/DAY �_��� G/N� ENE BOTTOM LEACHING AREA SQ.FT. /PIT/C P,D, .SIDE LEACHING AREA . . . /. . . . SQ.FT./ PIT/2,?4- 8 G./?D, GARBAGE DISPOSAL . .N�"��� (50% AREA INCREASE) TOTAL LEACHING AREA . . .?. . . . . . SQ.FT �''��'-- / ,iZ�T `� _� ~= —�\ 3G_ �Z.ZjRep PERCOLATION RATE L DS 71�/au?L✓v MIN/INCH Q�' - ;` �" _\� s - —�\ \ 3,, LEACHING AREA PER PERCOLATION RATE s3t9`7 SQ.FT./C,RD..... . .WATER ENCOUNTERED ��►,.� NUMBER OF LEACHING PITS .6 � ./�iT W/71'1: Lo % w ` APPROVED . . . . . .�. . . . . 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R-30 (2)IS/•". 2XIOPLOW JO5�r16"o C,oYw ®� ❑� m - •a , - Y [�y� 4 . .LLLWlVOA5 fODE 91/2"LYE'S —Ann 91/2"1115 • °fr - Psi i , • �� _� _ ' - 6lPALE GT0.Y�6EEIWMlGPLMJ agog s Y agog rWWeasnru MrrLooR ,_ a ¢ A - . o' z ^ HdlUAIxTI B"iMKX�� _ .56 T%BFlobk R.19 MidAlION • b •t - Q 111 i. ., Pp1TJ CGlCRFR • -"' -.i e " . .... ,_, r� O , "t y CROSS SECTION A a' IT • • ,w2RaX - � 1X pPXfFB . , ' COLL/R BE6r aB"O.C; `/ • ' rq t V J ZBoa AWINf,'MNIfKW1L .. .. •..�' . _ � � 11PESNWLES OVtRI/Z CGA ' ♦ - R"JO 2Xq CEILNL ' ' "'..:x.. - ,_ + - • SLHIfVBIf 11AR.AIXTJ YMi6r16"OL, � RritYXq __- .. i • _ 6n[Kr16"O.C. Wilt I .{: VrTVOVr fO DE_ 2xar "65 • wolemle _ 16"OC. ..1V4'S-SEE fR/MFY PEAK - _ a Y s A H , . '•. ' NNIEC&EN!SVUIGLES n •• ' ^ _ • OYfR I/2".CDXPL - R .- 2X6PREi9ljiffXm— '• • .. -.1 . '^ 1 P%`!Al'�fkP fEVDFCX. FReSMIVA07w. J/2XIO Y/KR r16"OC. VAI1.VI . 6F.LOYBI6E.L9EAL / ' �INAI.ISSl1E • PC HDC6N E E 1/22/03 FgWA1WJ 1'9"XB" R-M �XB/LOWJ0515 - - - : w IYAILAfRJ Ib"o.L 2Xa WALL W/FRESSLLY _` ^ a'.PG1H9 M1iA19)WffOMPLAIE . - 2/4/03 - CGiftfE6Lq - • 3/3/03 POO 16"X9" l--CC♦.CQEIEP601LG SEE QlUA M P N SCALE UNLE55 NOM9 _ Otf•EKWISE CROSS SECTION B 1/4" 1E 4 PAa # N ASSESSORS MAP: 258 rCAPECOD - PARCEL: 47_z TEST HOLE LOGS P# 10,404 , NOTES* - PARCEL: 1. VERTICAL DATUM: ASSUMED FROM QUAD (NGVD +/-) CURRENT ZONING:'RF-2 ENGINEER: THOMAS McLELLAN, P.E. 2. MUNICAPAL WATER IS AVAILABLE. WITNESS: DAVID STANTON, R.S. BUILDING.SETBACKS: 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC.SYSTEM. F: 30' S 15' R: 15, DATE: 1-30-03 _ 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 & H-20 PERCOLATION RATE: < 2 MIN/IN, AT 90 LOADING SPECIFICATIONS. FLOOD ZONE: C 5. PIPE PITCH 114"TH-1 TH-2 6. RST 2' OF PIPE OUT PER FOOT, (UNLESS NOTED OTHERWISE). 34.0 OF D-BOX TO BE SET LEVEL. ELEV 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE 24- FILL ---- 32.0 USE OF A GARBAGE DISPOSAL. o/A Y SA D 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE LOAa�Y sAND LOCATION MAP so 36" fOYR 4/2 31.o STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL B HORIZON, HEALTH REGULATIONS. LOT 6 (43,669 SF) �� 28. s `�' `�, LOAMY SAND � foYR 5/8 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR / y O so" zs.o TO CONSTRUCTION. EDGE OF LAWN / ' / `� � Cf HORIZON ♦ 2� FINE SAND WITH 10. GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO \ 9 , SILT LOAM EXCEED 3.0'. 5-4-88 3z` ` \ � ' , �\ 90" 2•6Y 6/4 26.5 11. ALL UNSUITABLE SOIL (SILT LOAM, APPROX. 90" DEEP WITHIN 5' OF OLD TEST HOLE \ \ ` 126" C 2 HORIZON 235 ( } so uM� FINE SAND PROPOSED LEACH AREA IS TO BE REMOVED AND REPLACED WITH ED KELLEY & JERRY DUNNING ',6 \ % I CLEAN MEDIUM SAND. 0-48": WOOD LOAM & SUB SOIL 34 ` 156» 2.5Y 7/4 21A 48»-144" MED-FINE SAND \ '� ` ` 12. EXISTING SEPTIC SYSTEM (1000 GAL S.T & LEACH PIT) IS TO BE PUMPED (NO GROUND WATER ENCOUNTERED) USCS\ „� i BENCHMARK AT WELL A1W GROUND,WATER ZONE B, ADJUSTMENT 5.1' AND REMOVED. 36\ a WOOD STAKE 30. 42 40- 7 ELEVATION = 30.0 MOTTLING AT 1(�8", ELEV.= 25.0 38` \ \ SEPTIC SYSTEM DESIGN � ` 27. 5 54 5046�44\ i k 48 \ \ \ / i \ ` \ ` ` ` ` ` 58 ` 52 \ \ \g8� \ ` \ \ \ \ UTILITIES FLOW ESTIMATE: sz\ ` 56\`\� \88 - \- \ BEDROOMS AT 110 GAL/DAY/BEDROOM = 440 GAL/DAY 66 64 60 \ \ \ \ ` \ \ ` g�` ` EXISTING� 1d \ GAg A ..DRIVE ` \ CABLE DISH . f2' 68 `� \ SEPTIC TANK: 0\\ ` \\ \ \\ \` ` ` `\ ` ` \ 's°� f \ 440 GAL/DAY x 2 DAYS = 880 GAL EXISTING ppS N DWELLING gO Tip \ , \ \ USE 1500 GALLON SEPTIC TANK (PROPOSED PADDI 2�. 4 BEDROOM) 00 LEACHING AREA: 72 `\; ;; \\`\;\\ \\\\\ ;\ `` \ ` \ ` `�c� ' ppO /��R'��� : \ ; \` \` EDGE OF LAWN + USE 7 INFILTRATORS (STANDARD CHAMBERS) DECK WITH 4 OF STONE AROUND SIDES AND 2 AT ENDS \ \ \ \ \ \ \ \ \` • \ �� -1 ''`. \ PROPOSED ADDITION (49.745 x 11 x 7 DEEP) SIDE AREA. (60.75)2 x 7/12 = 71 (.74) = 53 GAL/DAY 2 F � BOTTOM AREA: 49.75 x 11 = 547 SF (.74) � 405 GAL/DAY `\ TLA� CAPACITY =450 GAL/DAY SEPTIC SYSTEM SECTION \ \\ \ \ \ 2 PEASTONE COVERS WITHIN 12» OF FINISHED GRADE " 3 4 - 1 1 2" 36.17 & 38.8 (ONE INSPECTION COVER / / • ` ` \ ` ` \ ` ` \ ` \ ` TO BE WITHIN 6» OF GRADE) WASHED STONE \ \ \ \ \ TOP OF FOUNDATION 3 MAX. COVER ELEV. 34.6 34.5 ELEV. -. \ 34.75 1500 ID-!OX _ 33.6 REMOVE EXISTING ` ` ` \ ` ` ELEV. GAL 34.26 E� <� ELEV. SEPTIC TANK AND \ ` ` ` \ ` 34.436LEACH PIT . . ` \ \ \ \ \ \ \ \ , , _30� SEPTIC TANK OF ELEV. 2'-4' 2'-4' (SEE NOTE 12) \ ` ` ` ` ` ` \ \ \ \ ` ` \ \ , 1 `sz 35.0 (6 OF STONE UNDER OR ELEV. STONE 49.75' ` \ •` \ ` ` `` \`\`\`\`\` \ \\\ ,` , _'S83634 ELEV. MECHANICALLY COMPACTED) UNDER) 5 \40 (EXISTING = 35.4) TEE SIZES: GAS BAFFLE 34.18 7 INFILTRATORS (STANDARD CHAMBERS) '44 2 INLET: 6" UP, 13" DOWN AT OUTLET TEE ELEV. WITH 4' OF STON , AROUND SIDES AND , 46 , 2 AT ENDS (49.25 x 11 x 7 DEEP) \ 52,50 OUTLET: 6 UP, 14" DOWN 40 MIL POLY LINER \\ `\ \ \ 56 54 ADJUSTED GROUND WATER ELEV.= 28.6 � TOP OF LINER ELEV.= 34B \ \` \ \ \ o�58 BOTTOM LINER ELEV.= 31.6 \ \ 6 (50' x 3' DEEP) `. , 66 g4 s2 SITE AND SEWAGE PLAN KEY: \ 70 68 EXISTING CONTOUR: - 5�. 72 APPROVED BY: DATE: PROPOSED CONTOUR: ............................ 160. L 0CA TION.' EXISTING SPOT ELEVATION: 25.5j PROPOSED SPOT ELEVATION: 25 15 ICE HOUSE LANE TEST HOLE: lip-�- b�. - J�' t UTILITY POLE: -0- ' spa. BARNST ABLE, MA � i�� Drfk°b-RtST 3t"i. FENCE LINE: �. t� . � _ i .��, � �' �� 4 .� PREPARED FOR. HYDRANT: RETAINING WALL: CLEARY CONSTRUCTION .. TREE: DEMAREST-McLELLAN ENGINEERING SCALE: 1" = 30' DATE: 2-4-03 24 SCHOOL STREET P.O. BOX 463 Y� DM # 02w59 WEST DENNIS, MAssAcxusETTs 02670 THOMAS McL LAN, P.E. JOHN Z. DEMAREST J REFERENCE: PLAN` BOOK 457, PAGE 60 PHONE & FAX : (508) 398-7710 R., P.L.S. REVISED: 3-3-03