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0443 MARSTONS LANE - Health
i 8r 4b Marsinns'LaRe A= 348 —033 Barnstable 1 ;a TOWN OF BARNSTABLE t LOCATION 9 93 M4r-SI- 1S 4 qv,--e SEWAGE#�s9,001 L j VILL GE ASSESSOR'S MAP&PARCEL3gp—o33 INST�LEP &PHONE NO. Cry►y SEPTIC TANK CAPACITY %O®b 6A . XX,57iljP S®'?- 3&a "37 LEACHING FACILITY:(type) 5'ao C J404 t 66t S (size) 1'3'X oZ j�K;�i" rj"�aer�L�NF� NO.OF BEDROOMS OWNER ---i / PERMIT DATE: 7/ 17/90 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 f1/IA�5�a�s' ,�,./� ��Y3 �. . fl `�' �_ � � ! S�� f�'2- 1`� • � y � ' � �1' 3 ' iS. � � �' w - �' a�� r � r � '. O 13- 1 '� �3.� � �'3 ' ��� �l � " 2.�? I t Town of Barnstable Inspectional Services Department r + Y ` HA ASS M r Public Health Division 6J9 �� 59. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 1739 June 12, 2020 :9 KOTOMSKI, EDNA E TR 194 OLD MAIN ROAD NORTH FALMOUTH,- MA 02556 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 443 Marstons Lane, Barnstable, MA was inspected on 05/29/2020 by Michael Sears, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: C Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH <��:!i�U' an, ., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\443 Marstons Lane Barnstable.doc Town of Barnstable y ; IMM : Inspectional Services Department rfD MA'S A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX, 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and.Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the'SAS, cesspool; or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone I to a public well ❑ A portion of the cesspool is'located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally.passed systems" (broken cover, relocation of a pipe, relocation VLeaching of a driveway due to H-10 components, etc) facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc i I> � Commonwealth of Massachusetts - - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c-. ,., 443 Marsto_ns Ln V Property Address --- -- -- -- Mathew W Blake Owner Owner's Name information is ma u Cumid �/ Ma. 02675 5-29-20 required for every _.� page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information on the computer, Sears use only the tab Michael ael S _.-_...__ key to move your Name of Inspector cursor-do not Jim the ins_pecto_r_man use the return key. Company Name _P 0 Box 784 rae Company Address West Yarmouth _ Ma. 02673__ _ City/Town — State Zip Code reuan 508-364-4398 _ S114430 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); I have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes ,-IH OF/117,ySU����i 2. ❑ Conditionally Passes P•'' '••sc'', .9 . °.' MICHAEL yN 3. ❑ Needs Further Evaluation by the Local Approving Authority "o; SEARS No,SI14430 y= 4. ® Fails A IN SPt�G````�. —�N '� -- --- 5-29-20 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 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 II' Commonwealth of Massachusetts Title 5 Official Inspection Form I' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 443 Marstons Ln u� Property Address Mathew W Blake Owner Owner's Name information is Cummaguid Ma. 02675 5-29-20 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are 'indicated below. Comments: 2) 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. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form IR Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is required for every Cummaguid Ma. 02675 5-29-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 r I c °y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 443 Marstons Ln u� Property Address Mathew W Blake Owner Owner's Name information is Cummaquid Ma. 02675 5-29-20. required for every . page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or I El ® 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 15insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 113 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments !% 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is required for every Cummaquid Ma. 02675 5-29-20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® ❑ Static liquid level in the distribution box above outlet invert due to.an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® El criteria system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,.therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well 15insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is required for every Cummaquid Ma. 02675 5-29-20 — page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? El ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form �- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments v!% 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is Cummaguid Ma. 02675 5-29-20 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Description: 0 Number of current residents: Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): NA Detail: Sump pump? - ❑ Yes ® No NA Last date of occupancy: Date i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form '- Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 443 Marstons Ln v Property Address Mathew W Blake Owner Owner's Name information is Cummaquid Ma. 02675 5-29-20 required for every State Zip Code Date of Inspection page City/Town D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc,): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present?. ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: NA Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: M l5insp.doc•rev.7/26/2016 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ............. , ./ 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is Cummaguid Ma. 02675 5-29-20 required for every State Zip Code Date of Inspection page. City/Town D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1984 #84-310 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 23" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from(private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 r c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1, 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is required for every Cummaquid Ma. 02675 5-29-20 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 13" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 1000 gal If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 1000gal Dimensions: 4" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 24" 2" Scum thickness 8„ Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 12" sludge Budge tape How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1000 gal tank both in and out cocers at 13" below grade Inlet tee, outlet baffle t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form .' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is Cummaquid Ma. 02675 5-29-20 required for every page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ve!% 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is Cummaquid Ma. 02675 5-29-20 required for every State Zip Code Date of Inspection page. City/Town D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): 2" Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): liquid level in box about outlet pipe, box is 16x16 with 1 outlet pipe D box is 20" below grade t5insp.doc•rev.7/26/2018 Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is Cummaquid Ma. 02675 5-29-20 required for every State Zip Code Date of Inspection page. CitylTown D. System 'Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: 1000 gal ® leaching pits number: ❑ Leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 443 Marstons Ln mot,, Property Address Mathew W Blake Owner Owner's Name information is Cumma uid Ma. 02675 5-29-20 required for every Q page. City/Town State Zip Code Date of Inspection I D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS is a 1000 gal pit and is full up into the inlet pipe, SAS is 30" below grade i SAS is failed 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I s action Form:Subsurface Sewage Disposal System-Page 14 of 18 t5insp.doc-rev.7/26@016 Title 5 Official In p 9 P Y I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is Cummaquid Ma. 02675 5-29-20 required for every State Zip Code Date of Inspection page. City/Town D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments{note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i I t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal system-Page 15 of 18 cf� Commonwealth of Massachusetts Title 5 Official Inspection Form tll Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '~ 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is required for every Cummaquid Ma. 02675 5-29-20 -- — �-- -- page, City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately Aear OL'A 00 Al �q/ n � rS0tn y pis �� g t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 c Commonwealth of Massachusetts 1p Title 5 Official Inspection Form I. Sewage Disposal al System Form - Not for Voluntary Assessments Subsurface Se Y Subsurfa g p 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is Ma. 02675 5-29-20 City/Town required for every Ctyrrown id State Zip Code Date of Inspection page. D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: System failed needs perk test Before filing this Inspection Report, please see Report Completeness Checklist on next page. Title 5 Official Inspection Form:Subsurface Sewage Disposal system•Page 17 of 18 t5insp.doc•rev.7/26/2018 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u- 443 Marstons Ln Property Address Mathew W Blake Owner Owner's Name information is Cummaguid Ma. 02675 5-29-20 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1,.2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included I i i t5insp.doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 s ` No. pZd �I � + 1), Fee /0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS fipfieation for Bisposal 6pstem Construrtion Permit Application for a Permit to Construct( ) Repair(Vl/upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. l0 0" 7 Owner's Name,Address,and Tel.No. �11a/;74 � & Assessor's Map/Parcel — 0 b Installer's Name Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size� c;? 4>�q.ft. Garbage Grinder( 11X7 Other Type of Building I>sZ. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re//quired)� 3� gpd Design flow provided 3 Z . gpd Plan Date lO_/r0_cplo Number of sheets Revision Date Title Size of Septic Tank Ova Type of S.Ais. �./�p Description of Soil Nature of Repairs or Alterations(Answer when applicable) � /✓ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this B o Signe - a Date Application Approved by Date ? ✓ Application Disapproved by Date for the following reasons Permit No.r (� Date Issued - --- �VxT (h� H 11 /�_`!�!!11 Y ��4 .. �. ��e.'A..+✓u'�i7i!r�,Y w +sy�y^ No. Fee r THE COMMONWEALTH OF MASSACHUSETTS Entered in e I omputer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y Zipplication for Misposal 6pstem Cons tCUttlon 30Prmit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) '❑Complete System ❑Individual Components Location Address or Lot No. /vf 27 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �''' Installer's Name,Address,and Tel.No. Desi ner's Name Address'and Tel.No. ,5"�; g . ,x; `" ` -;Y-T. ro19n Type of Building: (/ � ,3 - V Dwelling No.of Bedrooms , Lot Size_ � �. lsq.ft. Garbage Grinder(,og0l�� Other Type of Building y 7 '{p > ,¢� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) / 3^v gpd Design flow provided 3 5 2 _ gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S. S. Description of Soil y. c. Nature of Repairs or Alterations(Answer when applicable) 2 /,7hA Date last inspected: z Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo -d ACO^�-of Health. �_/ Signed Date Application Approved by A6,444i Date 7 i Application Disapproved by ~Date for the following reasons Permit No.�` Loao 3 (7777 Date Issued :�7 `.� THE COMMONWEALTH OF MASSACHUSETTS F{ BARNSTABLE,MASSACHUSETTS ' Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(V) Upgraded( ) Abandoned( )by �✓G. at 41}S I has been constructed in accordance with the provisions of Title 5 and the for Disposal System nstruction Permit No7E dated 7�! Installer C""eil'%/ s (�j/Lx� .. Ge>�,i� 9" . Designer lic%P�''• S.d #bedrooms Approved dign_flow gpd The issuance of this permit all not construed as a guarantee that the syste will functio e i e . Date Inspector -- ------------------------------ ---Y -- ------------------ - -------------- - ----- -- ----------- No. .�) o�0 — Fee a� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposar Opstem Construction Permit s> Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at S S t_ ate+ and as described/n the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5'and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date (7 Approved by A If 203 SET.UCKET:ROAD-.P.O.80X'713 $OUTH.:[?ENPJ&S IASSACiiE➢SETTS 92660 T?EL:(508)385-690Q,; EMAIL.meetiere goag6lc6r FAX. 0, 385�-6991: LAND SURVEYING-ENGINEERING-TiTLE.5 SEPTIC SYSTEMS` SEPTIC�DESIGN PROPOSAL PAGE:2 PROPk TV INFORMATION AND FLOflR PL SKETCH. Please fi11 oiit his form, ncludime the floor p1m sketch,and-ret=to usVifh tyre sigzred p oposai<arFd retainer. This inforwation is necessary'to properly prepare yowr Septic System 1?es�gn �f Cori areplaaniitg ai►addition,ate require a set of puns including a foundation plan - Total;0 of Roouxs 1 . Year Round-Rome Seasonal Home _Ovi rer.4cciipre t' Rental: 3: : Ber rooms Faun ily RoomMen :Living Room: _ Dining Room Batfirao ns. ?�.WasherlI?rver X. Dishwasher' Gaibage Disposal K. Gas..Ser�zi ; >C-—Town.water In-ground Electric Wires?'!- Nam' in=Ground Oil Tank* Je5 tn=ground 5pri kterx 5 Iu` otinii Gas Pipes* *'Please note an§ketch:where°located 3veetser EnginQesir g assumes no r:rsgansibzi t}=if m.; r n l components are. daiaged Burin;Sail Testnngs,Irspections,Locations of and/or Installation of New Septic.System: Cellar: FuII Partial(Crawl) Slab VVelis : Maur 3se. _- Irrigation Only (please:prmtide location of al[wells) PLEASE CISE THE SPAGI BELOW AND`THE.BACK OF T`HI.S SHEET TO FROYII3E IIS KITH A-lt4?ITCB SKETCH:(?F . THE TiX)SIIi�iG FLOQR:FI.APi(AIL FL�DOI . Also include a>y items i3iat should tw ayoided TIP FEASIB7JE,_i e:shrills; trees,patios;electric itnLeys:tan efc 4 . ice.` :} 3 of tyat �j .i �/ r •4 .� 1 tt i fz l is e :EXAMPLE - - Town of.Barnstable Inspectional Services . i�tvsrnei.g, Public Health Division �� Thomas McKean, Director lFat�r►+° 200 Main Street,Hyannis,MA 02601 r� Office: 508-8624644 Fax: 508-790-6304 C� Installer& Designer Certification Form Date: Za20 Sewage Permit# Assessor's Map\Parcel 3`15' 3 3 Designer: -Y7�r"� �'��',"rr��''� Installer: 601's hro-jh` s �'c�il iJt Address: Am< 71; Address: a 3 kF o}erhjr, S-e- //2, r^ On 7117 10 was issued a permit to install a (date) (installer) septic system at 4143 tyl-qr`5�k� � `�i`�`� based on a design drawn by (address) ��ar?j�� �G✓-�i�c,.✓c, dated r9 '/ --(designer) y I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral:relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed 'ia ce with the to rms of the I1A approval letters (if applicable) �H OF 14gSSq�y 1 S TANYA Gs o DAIG NEAULT U (Installer 11 s Si nature) I 1095 .p o �GISTER� SANITAR�P� .. .. .. .. .. .. .. .. .. (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. \AtoAdeptMEALTRASEWER conne6SEPTiMesigner Certification Form Rev 8-14-13.DOC 'r �,Lodtc-AWT10 r3 SEWA E. PERMIT NO. � 4 - 3 t0 VILLAGE I,UTA ll R NAME ADDRESS ..� ML�D E R OR OWN N DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 20 P C--, 6 ' is ��K in4C�ao PIT t 3 -Too i ' 4 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 5.,.4...............OF............. ... . 4�.... = ..__................... AvOration for Uispuiia1 Works Toustrur#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ! � .. ................ .................•---.......•--_... c..••-----•--•---•••-•----••--•--•----_..... -•......-•---•-•----•-•-........._................--••--•--•-•-----• - -... Location• Address Lot No. 41 ....®�!1.A.� S�.4.�-1.s 3U,... � rz5t� W Address .................................................... .............................. Installer Address A �3 d Type of Building Size Lot----.--`-1-.-A---------------Sq. feet Dwelling—No. of Bedrooms.............3..........._.....__......Expansion Attic ( ) Garbage Grinder (A� cl, Other—Type of Building ________.___•--.-__-____-- No. of persons____________________________ Showers ( ) — Cafeteria -) P4 Other fixtures -------------------------------- . W Design Flow............0 0......................gallons per person per day. Total daily flow.__..._.........33.0.............gallons. WSeptic Tank—Liquid capacltyLGQP_gallons Length.__.,__..._ Width..._-------- Diameter................ Depth_._q-.__..._. x . Disposal Trench—No. ........ ..... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..-------L.......... Diameter........10__.-__- Depth below inlet....... --------- Total leaching area....Ue��..sq. ft. Z Other Distribution box ( ✓f Dosing tank ( ) � ate.------. _s Z....Percolation Test Results Performed by..__ ca.?___-- ._.__. s�_:_._. gg. ?�. as Test Pit No. 1u"�a-Z._-_minutes per inch Depth of Test PitM1�.89 Depth to ground water.... (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------e+jQ0.0=0M a --••------------------------------------••-•----------------------............--•-----••-•--•-...._.......................................................... O Description of Soil....._..........CeL'n� N IF o N�-_-----_--_--N b rj -------------•---•---------------------------.....---------------------- ��s i�!�c �z : `-----.....c-.._z�fr._...---...f (_7........ .&e0A.6 e,w.....� .4�_u�iv4: 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 TITL LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in opera 'o Certificate of Compliance has bee ued by oar lth,, -----•-------••----•................ APP ation Approved BY-- �. e�-_- - _ _•-- -_ Lr �.... ----------------------------------•------. ----- Date Application Disapproved for the following reasons:---•---•------------------------------------•-----------------•-•----------------------------------------------• •--------------------•------......_...........---------------......_..........---•----•-•...•----------.._ ------------------ Date PermitNo......................................................... Issued-........................................................ Date--------------------------- Finc.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... ...................OF Appliration for Disposal Works Toustrurtiott Vrrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ................................................................................................ .................................................................................................. Location-Address or Lot No. ........................................................................................I" .. .............A----------------------------------------------------------------------------------- Address .......................... ...... ...... 14 ........ ......................................................... Installer Address Type of Building Size Lot.............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic, Garbage Grinder �_l 04 Other—Type of Building ............................ No. of persons_______.____....____.___.___ Showers Cafeteria P4 Other fixtures ...................... 7*-----------------*---------------*..........*----------------------------*--------------------*---------------------------- Design Fl .......gallons per person per day. Total daily flow............................................gallons. . ow................ ... ................I 1:4 Septic Tank—Liquid capacity............gallons Length________________ Width______._.___.___ Diameter__._.___.______. Depth....__________.. Disposal Trench—No. .............. Width_...__.________. . Total Length_._._____._.___.___. Total,leaching area....................sq. f t. Seepage Pit No________________;._._ Diameter._._._..____...____. Depth below inlet______....._..___._. Total leaching area..................sq. ft. Z Other Distribution box Dosing'tank Percolation Test Results Performed.by................................T2 ..................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_._.______.______._..... Test Pit No. 2................minutes per inch Depth of Test Pit._________________._ Depth to ground water.______.._..______.._.._ P4 ............................................................................................................................................................ 0 Description of Soil....---------------- ------ ---------------------------------------------------------------------------------------------------- ..........AevAjncp'A�4ii....... .......... ......... ........ ........... ....... .................. . -----------------------------*-------------------------- U Nature of Repairs or Alterations Answer when applicable____k__1_1e....... --- --- .... .............6............. ------- ...K ... ................................... ................................................................. ....7Z2 .......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in opera o Certificate of Compliance has beeVued by th oard_,90jealth. N App ation Approved By_ .........._. . 3�D..r ...g . ............... ..... .............Date ............ Application Disapproved for the following reasons:.........................................................................................z.................... .......................................................................................................................................................................................................... Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................0 F..................................................................................... (Irrtifiratr of Tompliamr THIS IS TO C R FY,Zhat the Ind Wt Sewage D osal System cons uctedu or Repaired by..................... ---- ----- foor.�'..-_ e 4---- . .............................................. Installer at......................... .............................................................. ............. ......±... ..... .. ....... has been installed in accordance with the provisions of TITIE, j 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 .............. ...........................OF........ SOW No... ...................................................................... FEE.Se............... Disposal Works T trurt- u 11r it .. Permission is hereby granted......... ...... .... .... .......T, . ......................... to Construct �or�Repair an Individual Sewage Distfo'sal System atNo. .............. ......... .......................in; ...... ......I.................................................... Street as shown on the application for Disposal Works Construction Tfit No.Z................. Dated..............................*............ ,Be 11-01, r 00, ......Z�..L.—e.. DATE.............Y—Jt-ls.......................................... 10011'Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON 6 n . •a.-.s+t .. SECTION - SEWAGE I, II SEPTIC TANK - ."D" BOX - LEACH ..?„of ' o , ( •�i �`� tiYASHLO STONE ,)l r IN OUT IN OUT lDL7 �""__" IN • {- - - - I r, 4.Ctk N �i� �p �;, * ! rf -r�3t•7a,,' a7�� f +:vT,. \&� �•- ,f r�Sr LOT Z � TAkk t ELEV ELLV E LfV ELEV. Lp ELFV. ELEV. �� �F1 .1_' f 1 ♦ Y' r I l f +! 1.h�JM*1T O O 1 •-' V �• A am r Q I WASHUE,5 r( NE TEST HOLE LOGd✓e. i TEST BY U) ZL _ A `/.�G� ?�✓S '1 f� {�,y i \ ,�r�' �� �, �n�pt�-.,` �1 �151 wlfiN'Ess TEST DATE w DESIGN - BEDROOM 1 /' „!'•'t+ � ' T.H. 1 T.H. # 2 (-- 1- r( s� 0, e ELEV. • - -,t��»v- ELF V �4 C,. f(�3 rrlt• �lA.t�i7 .I 1_0br+, .y - I PERC RATE MIN IN - _ j r +'•.` ,f.0 ri L l - SuBSc�t- tl FLOW RATE aAL,,,UAv 1 - - - 44 SEPTIC TANK 44.0 I(5= - UL REO`D SEPTIC TANK SIZE r , } ov .r LEACH FACILITY ► E f SIDE WALL �ir�0) cw ._ (�:,al p ? fBOTTOM I TOTAL USE _ .`>14 _ -- .__ LEACHING '471. .....WATER ENCOUNTERED w /, ��,� � • � 1NH NOTES: (UNLESS OTHERWISE NOTED)If fa 0 14 y !i 1,DATUM (MSL) +TAKEN FROcM..-id u _ .t_s..---.--._.QUADRANGLE MAP i 2 MUNICI PAL WATER____,__1 -.._..•.._............. - J. PIPE PITCH: V+"PER FOOT 4 DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO-H 10-44, - H.20.44 WHERE VEHICLE LOADS ARE ANTICIPATED. �F} ate+ + f_-N`V': 5 RAIN GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. � 1I tk- I Fi PIPE JOINTS SHALL BE MADE WATER TIGHT `l+�t j �! fFOTE THIS SITE PLAN WAS NOT PREPARED FROM AN SITE PLAN I THIS DESIGN DOES NOT PROVIDE FOR THE INSTALLATION OF �, • INSTRUMENT SURVEY. UNDER NO CIRCUMSTANCES { ,� g GARBAGE GRINDERS 1ia� '�• ,-T 4 ARE DISTANCES, BEARINGS,OR FEATURES SHOWN LOCUS. �_� t.� .��_-_ G � - d ALL UNSUITABLE MATERIAL WITHIN 10 FEET IN ALL DIRECTIONS FROM l4A �" / }4` +�' ' "',t t *. O SE USED TO ESTABLISH PROPERTY LINES. - Jf`��1�= THE LEACHING FACILITY SHALL BE REMOVED AND REPLACED WITH ". .i' �" IN.IIZ `_4t t4f" CLEAN MEDIUM SAND. P�/ REG.PROFESSIONAL ENGINE 9 CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH COMM.OF MASS. J I I (ZI � REF' — _ _ STATE ENVIRONMENTAL CODE TITLE 5 //( 1 �] E: rra PREPARED FOR: _Cn �T��_ � '.?ow 4 iNt James H. Bowman P.E. ) wc.ortv..a ©P S.T. f I CIVIL ENGINEER E C�1^ Z4k �, �p ti l � � —_v., BOARD OF HEALrH I ! LAND SURVEYOR • t. `� 4o' 4-114?I64 k t1i.. CONTOURS (EXISTING) I-----•---- - J� MA Box 1525,Orleans,Mess. 1 SCALE—. (PROPOSED)-0'-0-0-'O_ APPROVED DATE - �� DATE • :1 V {;t P f7IJNC1 ti t Ly V M#3ktlMttFh wR ,i1 OR Is,AJV _ I _ ! CRAWL SPACE" r -+ P T 100.00 -, j '4, ;:T_ sJ!•N4 M jjk P1 N!A.0 ! ! a AEi 3 1� '""' �►1'�° 1 V M i ,....—,_.a.._._, . ..{ twit^ ;— L.EI1�1+ ` - f ' .. - -. SEE r:•!J7{.3 tkrfi>dw� �, i CONC.Rf_TF 1 -INSP, .. POI .• ( >mw....at.t..._. ......._..•..._,.._ __ TES - _,_ COVERS _ � � r _ a ... SOIL �� e� 4" SCHEDULE C PVC r PE ; r» t AND SEED OBSERVATION 98.E' �:i - I . P#TC H ? t " f�ER T. _., { e �' M ..AYEf a GLE 1 ELEV - , f _c— u e _ - r `... C _ : t / r �ii°'t C'» s T fik,IC 1 . n t"Tt i ..Y ` J1 --� -- 9&8 MAX. `, VEND 23 _ _ _ NO nEvl R 0 EQUAL) MINIMS M -t-Y .• ��5 5y / ,. TcI 3j4,, PER FT. { \ _ens �» 1EE ' NO WA! _, AT ELEV, FLOW LINE �-' _ .____ .~ __•' ___.._ 1 »�a _._._ L HOLE 2 MIN i .__ .! - r p- m _ OBSERVATION . { - -. ..F .,_._ __ ......... F,... I j k ELEV. $7.2;5 t - JVEL i o� Li (� CO L�7 CJ i i C3 i °��° JE?TN DRi,Z T� " ___.._. �(O�t�R NI4 I t�-OTHER t ELEV +_ Z - ADn GAS C S.$7 -�8«' UMP tNEV. - _. _ o of I0 6' T l Lr SA.Ni ?'�YE?"3,%l y !h!G �?Ot??r _ .� BAFFLE i �LE`� - $ _ S O J// -1 0 0 C3 0 0 01 C7 � 0 C� o �1ro ( a ! 4"O O i,(, q ;O: n.__1 2" LVAMI C`1V t2.5'!7/4_ , DISTRIBUTION , - _ ____. �_.._t t ,rV. V% a 7 L3 G C7 � 0 _m 0 71 0.,` � t L_._ �� �_._ __LE L : /p��`J��1Z� /►� j p g' _A* ..__ NO W. ENCOUNTEPED 6. Li:y CiJ —...__O UT- ET YVI♦ _J O ( O O a...1»,�t —�-`i� � 913.� y' 'r t• („` F- _ �i V T 2 500 GALLON GALLEYS 'WTH 4 4 !N„H TO BE WATER '•ESTER � µ ' 5 PE7 ,y INCH S / � IF MORE THAN ONE OUTLET r�JNt !,N :AN E • EE- 24 !Nc ' �Q00► ALI..Vf! _ `s.ATrON WELL N A..__ t /� r FEE- 29 INCttE (TO BE PL ACED ON FIRM BASE? ;'`., _ _ 3' X 2'- X_ -.T ''` ry __ 5.45 ZONE is E I��.� A�. U I S ; E 34 INCHES SEPTIC, TANK r � �+�p - 3/4" TO ' 7 2" CLEAN S L ABSGRP nUN, 7 iaGcx: 3 DOUBLE WASHED STONE FREE OF FINES & 31 T S� - S� I� SA t)SGS P*IiOFABtE WA TI. r f:. . ELL'.. pad ,' )�t " ���EWAGE DISPOSAL YSTEM PROFILE ^*ISERVV_D WATER T Bt to ; ELEV. � � ( �S �4G' �xir M __Q q S_ N. { AL.,QA, 5C2. v Oy,� S. KMA,NSNiP ANED mA-ERiALS :SHALL CONFORM TO T,LE 5C AND TOE vY" Fit-; .L: AND RE'S LA.T:ONS FOR THE SUF :r'`PO' A,L. �r SEWAGE. 2 Al. `; :til4jTARY UN!TS SHALL BE BROUGHT TO w: ED GRADE. nx`m ... r.r.. .w J. h.t _ ,.. Jh°. ._.xh±"4 JJ�JT '. »"ABLE O +V i.GF -._._. ), 10 _ —lv`2.4E -,'0 ... } a n --:.` ,,,.,• ,_'..'"•"'"""`...`..i _ r r,,l __ 4: ANY MASONAR, :J D ;,.," '.,t VA f 1� 1Gt e Ei.B MADE Bf C'R"'f�R Y.- ^a y( _ Z 98.=? .. .. ',,L7 {..�I �'�� )�E•aAT }•+-�^t�F �d4 /,S.J �s� EA�.lT .-._. ....._ .,__ t30h TES PiOP T.) lC-O ! rk4, )NG 'WORK V}`4}`q SITS ELEVATIONS S. 19a.8 --T -1 RACTOR ,S 'trd VERIFY GRADES AND ELEVATIONS ,AS WELL A ( - = a�. �1 c;;JNlr?t 'GNS RRi#� TO C�t+ t�G FORK s0ti3 SITE. ANY ti+$I� � .. T EGK i� $ JG J _ _ ;3% O BF BR'O:UG"T TO, 7W AT'TNTION' OF -HE DE9GN ENGINEER 98.8 IMMEU#A I Ly, 99,1 b, A 'CEL IS IN FLOOD ZONE, �__X t3 t 7 LC T IS SHOWN ON RSSESSCRS MAP _ AS ?ARCEa_ 33 �10 E'XiSTIN�: ° IS TU BE PUMPEL) AND LACK lLL'_ i OF r , •�dE ?NSTA.i ER +S TO GIVE THE El36!NEER A MINIMUM Of 4$ HGURS EXIST NG DWEI L.t.NG .;c. RC8!N '2 +NC3 KiNC DAYS) NOTICE F ' FINAL ihSPECT�Jf� (NUMBER BELOW). WILLI1�M!"" 400 I o Nd. 31:341 a r �� d'�o ISTF a 99.E s� /�f4C LAWS a APPR ODD: OF �»,;VA . F -s i � �• .«as...verN«.wramrao++ra*..wmw.+a<rlsWaw,....wr,ar .xmx•...anema: .r.re...-.wm.v..,..,.,vs.euarw.rw.[=.a.,a'„.,,».u«xua,..y . e PRI OPO SERA Ut IN i K p d7ryy� ,} C _ +° j t ` 54ji,23 .4�.�`_' S.l . .r....a.„,«.A � ,d 4F A E 4 CUM-MAQU M. 2 OAKMONT ETUCKET ROAD BOX 74 LEGEND: i 3F35�"E� OG SOGTH NNIS, MASS. 02560 { i EX',`,' ,POT ELEVATION 00,,0 .? LOCUS _» _ EXISTING CONTOUR ----00--___ �' _ � �, gyp F►tvAL SPOT ELEVATION h `? ��11 78'�` BOUT€ a ^DATE ,_UNE ' 9, .202d I I JCALI FINAL L - s Tn,tiY4 t, L SO!; TEST LOCATION ro DAIGNEAULT NO` i UTI_ITY acxE -�- � ,�� , j R. ` 8371 00 TOWN WATER —W'•. V6' No. 7095 -- CATCH BASIN t®, _ GAS LINE -_.__�_ � - _ T E�`�` CLEAN t?U T ______u•_--- -- _ •�°�� -n ,?J� i �S- C ✓�V�r"E_.R'�i W j L Ci 4 r 10j N V A.` 1 REV v CESSPOOL 0 ONO ! Cl. 158\PRO✓�8J77-q �8.371-SAS.OWG 02020 SWEETSER ENGtNEEP''NG I