HomeMy WebLinkAbout0042 OAKMONT ROAD - Health 41 Oaknfont Road
Barnstable
A = 349 - 053
f �.
't
r5 — r►y 1�
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
NpUrAtion for I DBAY *pstrm �lConst rtion Permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System Individual Components
Location Address or Lot �, � ���� Owner's Name,Address,and Tel.No.
No. c
Assessor's Map/Parcel r Sco.(--k- (fas5wo-y%
Installer's Name,Amass,and Tel. P. ��� Designer's Name,Address,and Tel.No.
6—
Type of uild g:
Dwelling No.of Bedrooms N Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil T , 6
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenan f the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Enviro ental Code an o to place the system in operation until a Certificate of
Compliance has been issued by this Board of Heal _
Signed Date "5_6 _
Application Approved by Date Y 3v — 5
Application Disapproved by Date
for the following reasons
Permit No. OXOIC2 � ' Date Issued l —-3 O`
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Zipplit tion for I8 DBaY *pstem Construction Vertu
r
.Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete,System Individual Components
Location Address or Lot No. q z- 1 D Owner's Name,Address,and Tel.No.
Assessor's Ma /Parcel
P C_..
Installer's Name,Afd ss,and Tel.No. 30-0 S3 Designer's Name,Address,and Tel.No.
Type of Build g:
{�.
Dwelling No.of Bedrooms � ' r Lot Size sq.ft. Garbage Grinder,
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil _
Nature of Repairs or Alterations(Answer when.applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenan 'of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Enviro/mental Code an o to place the system in operation until a Certificate of
Compliance has been issued by this Board of Heal,
Signed Date j
r
Application Approved by / Date y — -j c, ' r !j
Application Disapproved by °Ax Date
for the following reasons
Permit No. o �"' Date Issued L(— 13 O
----------------------------------------- ---------------------------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of CDtt pliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( )
Abandoned( )by
at has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.a 61 s 1�.�— dated —3�
Installer p Designer
#bedrooms Approved design flow(� ,a gpd
The issuance of this p' r�m(it shall pet be construed as a guarantee that the system wi tion as designe '
Date "1 Inspector
-----------------------------------------------------------------
No. /
G 1 I Fee
THE COMMONWEALTH OF MASSACHUSETTS C/
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal 6pstrm e6ustrUction permit
Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( )
System located at
and as described in 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 t_�— q n ^ 7 Approved by r j
TOWN OF BARNSTABLE
LOCATION ®/-r SEWAGE#
Q
VILLAGE "" SSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) /v
NO.OF BEDROOMS
OWNER
PERMIT DATE: xCOMPLIANCE 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
ij�y.,
��.
�'�r"'�"o Yh
� A= � �
, �
� 1��6
� ®,a
Town of Barnstable Barnstable
.�. ; Regulatory Services Department
s�xrtsresi e t
�A, ' Public Health Division •
200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Richard V.Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL# 7014 1200 0001 0358 3889
April 30, 2015
Scott A. Crossman
42 Oakmont Road
Yarmouth Port, MA 02675
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 ..
The septic system located at 42 Oakmont Road, Barnstable,MA was last inspected on
4/10/2015,by Darrell Stone, a certified septic inspector for the State of Massachusetts.
• The inspection of the septic system showed that the system "Conditionally Passes"
under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: .
• The distribution bog is crumbling
You are ordered to do one of the following, within one (1)year) 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 HE BOARD OF HEALTH'
omas McKean, R. ., CHO
Agent of the Board of Health
Q:\SEPTIC\Conditionally Passes Ltr\42 Oakmont Rd Barn Apr 2015.doc
t
n ..
Parcel Detail x '` $
Q
Apps http--www.town,barn... Application Center Suggested Sites lm ort#d From IE 1 Parcel Lookup New Tab �Bin t Video;5 lncredible Tin...
99 P P . 9
j 1 i
r
t MASS.
l
�,ft 0 77
• Parcel Info � ;, �; ' �� �
Parcel ID 349-053 Developer Lot LOT 198 v ��
Location 42 OAKMONT ROAD Pri Frontage 160:
Sec Road Sec Frontage
village BARNSTABLE Fire District BARNSTABLE'
Town sewer exists at this address No Road Indes;1119 _
Asbuilt Septic Scan; r �:
Interactive Map
3490531 ��!P
a.
V Owner Info_ _
K ,
Co-
owner CROSSMAN,SCOTT A o ner
streets 42 OAKMONT ROAD Street2
city YARMOUTH PORT state MA zip 02675 Country
• Land Info a g
Acres 0.98 use Single Fam MDL 01 zoning RF-1 Nghbd 0106N
Topography Level Road Paved
Utilities Public Water,Gas,SepiIC location
Y.Construction Info "0,.11
year 1986 Roof Gable/Hi Est Cla board
Built Struct' p Wall p
.j,o.0�ir_i �.-.ROOF n..._JJr pi._�n -_..�L�....F�� e i._...,_.- __.._._................_:.:..�.__�___ .__...__...,...._...._._____.__-._.........._._......,....-.._ •__
. Start �I Parcel Detail-Google Ch. ~~ ® � 10:57 AM }
Computer name : HEALTH899JF User name : flvnni Operatinq Svstem : Windows NT (5.1)
Town of Barnstable
, A
• BAMSCABM
Regulatory Services Department,
Ufa►��"
Public Health Division
200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Richard Scali,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
Feb 6, 2007
Rev. 4/7/15
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
ONE (1) YEAR DEADLINE CRITERIA
❑ Static liquid level in the distribution box above outlet invert due to an overloaded or
clogged SAS or cesspool
❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation
o Any portion of the cesspool within a Zone 1 to a public well
❑ Any portion of a cesspool 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 y.
❑ Single Cesspool
❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation
of a driveway due to H-10 components, etc)
❑ Leaching pit with high liquid level, <12" below pit (per Town Code §360-9.1)
OTHER
d-boy
Repair deadline: V,0 Yr
Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System.Form-Not for Voluntary Assessments
42 Oakmont Rd Cummaquid, MA
Property Address
1-sue
Scott Crossman
Owner Owner's Name rX
information is Cummaquid, MA 02675 4-10-15
required for every
page. Cityrrown State Zip Code Date of Inspection s
�d
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When A. General Information
filling out forms
on the computer, I „ /0
use only the tab 1. Inspector: JIB
key to move your
cursor-do not Darrell Stone
use the return Name of Inspector
key.
Cape Cod Septic Inspection
Company Name Q
P.O. Box 1466
Company Address
Harwich MA 02645
Cityrrown State Zip Code
508-240-2500 S14995
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and maintenance of on site
sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 16.340 of
Title 5(310 CMR 15.000).The system:
❑ Pteed
® Conditionally Passes El Fails
er Evalu by he Loc oving Authority.
4-12-15
Inspector's Signatur 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 is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****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 t ture under
the same or different conditions of use.
4 ��I
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts � f
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
b 42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is required for every Cummaquid, MA 02675 4-10-15
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
❑ I have noffound any information which indicates that any of the failure criteria described
in 310 WA 1'5.303 or in 310 CMR 15.304 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. ' .
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):
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
r
�M 42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is Cumma uid, MA 02675 4-10-15
required for every q
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
B) System Conditionally Passes(cont.):
❑ Observation of sewage backup or break out or high static waterflevei in the distribution box due
to broken or obstructed pipe(s)or due to a broken, settled &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 d-box is crumbling and requires replacement
❑ 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):
f Q
C) Further Evaluation is Required by the Board of Health:
❑ Conditions exist which require further evaluation by the Board of Health in order to determine if
the system is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR
15.303(1)(b)that the system is not functioning in a manner which will protect public health,
safety and the environment:
❑ Cesspool or privy is within 50 feet of a surface water
❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 17
a
Commonwealth of Massachusetts r
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
42 Oakmont Rd Cummaquid MA
Property Address
Scott Crossman
Owner Owner's Name
information is Cumma uid
required for every q , MA 02675 4-10-15
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
2. System will fail unless the Board of Health (and Public Water Supplier, if any)
determines that the system is functioning in a manner that protects the public health,
safety and environment:
❑ The system has a septic tank and soil absorption 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.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or 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 '/Z day flow
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17
r -
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is Cumma uid MA 02675 4-10-15
required for every q
page. CityrFown State Zip Code Date of Inspection
B. Certification (cont.)
Yes No
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ 0 Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CM 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within 400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection
Area—IWPA)or a mapped Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,
or answered "yes" in Section D above the large system has failed. The owner or operator of any large
system considered a significant threat under Section E or failed under Section D shall upgrade the
system in accordance with 310 CMR 15.304. The system owner should contact the appropriate
regional office of the Department.
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17
Commonwealth of Massachusetts I
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
ti 42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is
required for every Cummaquid, MA 02675 4-10-15
page. Cityfrown State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
Yes No
❑ ® Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ .Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has
been determined'based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
D. System Information
Residential Flow Conditions:
Number of bedrooms(design): 3 Number of bedrooms (actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17
r
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is required for every Cummaquid, MA 02675 4-10-15
page. City(rown State Zip Code Date of Inspection
D. System Information
Description:
3 Bedroom residential dwelling
Number of current residents: 1
Does residence have a garbage grinder? ❑ Yes ® No
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 ears usage d 300 gpd
9 ( Y 9 (gP ))�
Detail:
2014- 112,000 gallons
2013 -107,000 gallons
Sump pump? ❑ Yes ® No
Last date of occupancy: _ D urrrent
Commerciallindustrial 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
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
42 Oakmont Rd Cummaquid MA
Property Address
Scott Crossman
Owner Owner's Name
information is required for every Cummaquid, MA 02675 4-10-15
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Last date of occupancy/use: Date
Other(describe below):
General Information
Pumping Records:
Source of information: Unknown
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped:
gallons
How was quantity pumped determined?
Reason for pumping:
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):
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
wti 42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is Cumma uid, MA 02675 4-10-15
required for every q
page. Cityrrown State Zip Code Date of Inspection
D. System Information (coot.)
Approximate age of all components, date installed (if known)and source of information:
1986 per BoH
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 37 +/
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.):
Apparent good condition
Septic Tank(locate on site plan):
Depth below grade: 32"feet
Material of construction:
® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions:
1000 gallon
911
Sludge depth: „
t5ins•3113 s < =:..Tile 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17
Commonwealth of Massachusetts
. Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
w„ 42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is ,uid
required for every Cumma q MA 02675 4-10-15
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
23"
Scum thickness
2"
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined? Sludge judge
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Normal liquid level No sign of leakage SCH 40 outlet tee
Recommended next pumping within 1.5 year
Recommended maintenance pumping every 2-3 years
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
t5ins-3113 Tide 5 Official Inspection Forth_Subsurface Sewage Disposal System-Page 10 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is Cummaquid, MA 02675 4-10-15
required for every
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
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
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
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is Cumma uid, MA 02675 4-10-15
required for every q
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
0"
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
Grade to box 41" One outlet
The d-box is crumbling and requires replacement
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.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 12 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 42 Oakmont Rd Cummaquid, MA
Property Address
Scott Crossman
Owner Owner's Name
information is Cumma uid MA 02675 4-10-15
required for every q
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Type:
® leaching pits number: 1
❑ leaching chambers number
❑ leaching galleries number:
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
1(10x8') pit with 4' stone
Grade to pit 144" Cover 70" Bottom 268"
91"of standing liquid at the time of inspection
No sign of hydraulic failure
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
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
42 Oakmont Rd Cummaquid MA
Property Address
Scott Crossman
Owner Owner's Name
information isequired for every Cumma uid, MA 02675 4-10-15
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
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.):
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
f ,
• Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
°M 42 Oakmont Rd Cummaquid MA
Property Address
Scott Crossman
Owner Owner's Name
informationis
required for every
Cummaquid,
MA 02675 4-10-15
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
where public water supply enters the building. Check one of the boxes below:
® hand-sketch in the area below
❑ drawing attached separately
p
A-
t
I
- y ly_
j 4 yZ�cj yo_
. g
6
t5ins•3/13 Title 5 Official Inspection Forme Subsurface Sewage Disposal System•Page 15 of 17
Commonwealth of Massachusetts -
1
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
wM , 42 Oakmont Rd Cummaquid MA
Property Address
Scott Crossman
Owner Owner's Name
information fn is every
Cummaquid,
required for eve MA 02675 4-10-15
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
® Check cellar
❑ Shallow wells
Estimated depth to high ground water: >4
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: 1986
Date
❑ Observed site(abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health-explain:
Plan on file
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Elevations from the design plan
Bottom of SAS ELV. 72.18
Bottom of Test hole ELV. 68.18 NWE per engineer note on plan
Separation >4'
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
"¢ 42 Oakmont Rd Cummaquid MA
Property Address
Scott Crossman
Owner Owner's Name
information is
required for every Cummaquid, MA 02675 4-10-15
page. CityrFown State Zip Code Date of Inspection
E. Report Completeness Checklist
® Inspection Summary: A, B, C, D, or E checked
® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed
® System Information—Estimated depth to high groundwater
® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file
f.x.
t5ins-3/13 Title S.OfBdal Insp
ection Form:Subsurface Sewage Disposal System-Page 17 of 17
ASSSOR'S NO. L4TPARCEL A
L0CAT10Ny2 kmi SEWAGE PERMIT NO.
V1 LLAGE
sy o%3�ks
INSTALLER'S NAME A ADDRESS
J
d U 1 L DE R OR OWNER
I
DATE PERMIT ISSUE _ 99
DATE COMPLIANCE ISSUED _
a
l
��
j _ `�� �� 1
- � � ,,
��
- �
�.
ASSESSORS MAP N0:
No..... ,,PARCEL NO.: s r�.........� `� ..._
Fs$- '
THE COMMONWEALTH OF MASSACHUSETTS
N BOARD OF HEALTH
1....0..E)1.1.............O F....f,_-�, 1�1-r`� � ............................
Appliration for lliopoii al Works Tonotnution Famit
epplication is hereby made for a Permit to Construct (�r Repair ( ) an Individual Sewage Disposal
System at:
.................Qi..)S n.Q.?... V".----•......U f......--- ..�dAvk���-------..... .._...1 - ...._.... -.............-•---.......
Location Address or Lot No.
----•-•--•_.... . .... ......-- -•.....
a � Owner �. '� -----Address
.......... � fi . •.............................. . ......--•-••..................•....... ...........................................
Inst Iler Address
d Type of Building Size Lot.y feet
Dwelling No. of Bedrooms......................3................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building No. of persons............................ Showers — Cafeteria
a' Other fixtures ----------------------------------
W Design Flow..........................SS_._._....gallons per person per day. Total daily flow.............. 2S.0._.........._....gallons.
WSeptic Tank—Liquid capacity AQPo--.gallons Length...L .. Width y._.-1_ '. Diameter____ __ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...........)......... Diameter............... Depth below inlet.`.'..-3p.._. Total leaching area.(6.9a......sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed by...........L tZk:I.C-a....... D... .................... Date__. )4__...Zi.
�.1 Test Pit No. 1......)........minutes per inch Depth of Test Pit....�.U.4...... Depth to ground water... o.r.... *4c-o-"'rsel;b
44 Test Pit No. 2........ .....minutes per inch Depth of Test Pit...UP.9........ Depth to ground water........................
x •-•-•-•--•-------------•-•-•----•••-••-•---••••--•-•-••-••--...•••-••..._.....----------•---•.....-.........................................................' n
0 Description of Soil....0." 3 T0.'`kaQ.1.1....t...a+. �$ �ba��`�.-n.-•��� zl�...�,.UG��_...
U ` ` 1.(��......rv._tt�w,y-- 5-1a>`► ..... ?--�..�z.cav G�.-----�....�._.... l_ ......................................................
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 TAITLE 5 of the State Sanitary C ooe—.The undersi ned furthSp agrees not to place the system in
operation until a nCertificate of Compliance has be ssuedT
b of h t
.^�C�fJ igned---- ...-•-- .. :.. `.... � .rim;_:
�9�
Application Approved BY - �` ----•---• .........................�.-�.
...... .....
Date
Application Disapproved for the following reasons:................... .....••-••--••--•---•--••••----••-•••••-•----------•••-••••......-•.Da.t e..............
---••....•••.................•-•--•--......•---------••--•-------••-•-••-•••--•----------•-----•---••----............................•-••-••---••-•-••---•------••--••---------•----••---••••......•---•-
Date
PermitNo......................................................... Issued........................................................
Date
-- -- - --- - - - - .. .. .�.....�. ------—._._.-------
a e
MFnz.........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................... ....................OF..........................._.......... ..................................................
.Apphration for Digpniitt1 Works Tonotrur#iun rrruti#
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at:
....:..........._........_...................................................................... ......................._......-•--•••--•••-•-•--...................--•----•---•......---•--•-•----
Location-Address or Lot No.
......................—.......................................................................... . ..........................................................................................._.....
Owner Address
W
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( i Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers
a —Type g -•---------•-•----•--------- P ( ) — Cafeteria ( )
dOther fixtures ------------------------------------------------------•------...--------•----------•--•- ...........................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length...............!.... Total leaching area....................sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet...........:........ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by...............................................................-........ Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit...........'........ Depth to ground water.......................
44 Test Pit No. 2................minutes per inch Depth of Test Pit..........i--------- Depth to ground water........................
P4 •------------•---------•-•------------------------------------------------------------------•---._..........................................................
ODescription of Soil.....................•-----•----------•------••-•---._.................................................................................................................
x
V ----•-.......•--••--------------•--•-•-------------.......----••---•••-•-•---•-------------•------------••--••----------._..._....---------•.•-••---•-•-------------------•-•--•-........-••---•--_-----
VW ----•--•---•---------------------------•-------•----•---•--•--..........--••----•----••-------'•••-------•--•••---•---=•-•••-------•-•------•--•••-----......:---------------.._....•-----...............
Nature of Repairs or Alterations—Answer when applicabl ......................:........................................................................
--------•-----------------------•--------------------------•-----------•-------------.......-•----•----1----....-------•--•----------....----------•---------...........----------•-----•---............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Eisposal System in accordance with
the provisions of TITIS 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
gjvA_1 Signed......................... .......)...... ---------------
•--- --- ----- -•-_- __ -------------
.at------••------
j
Application Approved By.......................................................... .:. ..........:.:... F ~.� 4
.----_----•
Date
Application Disapproved for the following reasons-------------•-----------------•----.....•--......-•--------------------------••----------••--•---------_------
.........................................................•••-----•-------•----...-=------•••••---------••......----------------------------••••-•------------•-----------...-•-••-----•-•-------••-••----
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
rr - :oJ.......f..........,...c
(9rdif iratr of fulautphaurr
THIS IS TO C IFY, That the Individual Sewage Disposal System constructed or Repaired
by...- ( )
S /
... .......-•..............................•--•--•... •--...-••----------____........_..--•----•--•-•---............_..------.....-•_... _.._..._
er
at.............W 1 ._._ _lf._.__"� �'r .-- - -------Installll,J.�.o-....._._1_-f!+..._�J. lQ
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cods desc ibed in the
application for Disposal Works Construction Permit No......... ......... dated.............._" .. ._15...........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUN TI N SATISFACTORY.
DATE................... ........ Inspector---- ...............................•----....--•-•-•----................
£�,9►�►.� �vS`� SV1PE'V'-"�-SeTHE COMMONWEALTH OF MASSACHUSETTS
S�p>t Pi`or D � I►`S4''11)A4OaOARD OF HEALTH
• o0
�'6 ...................OF..............------------------. 7
No.............•---........ 6 FEE.....
OT
�iopmal ur Tuns#.rur#iun ramit A 4 .1 {� j
Permission is hereby granted.................. . .••. --------•-•----•--------•-------------------------------------S7i�l<A_.....�e1�..+J...(�®�,1
to Construct 0( ) or Repair ( ) an Individual Sewage Disposal System a . -{acti1tly
at No......Lt4...Al-------641 !n_ti4_-d... -•-----��r-v_►� .4 t(�l'� �
Street �}
as shown on the application for Disposal Works Construction Permit No�6.'�.6__ Dated..... �-'
............`---...-----•--•--•.............-_ -= •-•--••-•-.:Q y.
DATE.......... -7
Boa a f Health
FORM 1255 A. M. SULKIN, INC., BOSTON
4
TOWN OF BARNSTABLE
OFFICE OF
aeaasT&sr>, :M AO�. BOARD OF HEALTH
I i60 �� 367 MAIN STREET
HYANNIS, MASS..o26Ot.
May 21, 1986
i
i
Mr. David A. Parrella
304 Oak Neck Road
Hyannis, MA. 02601
' I
Dear Mr. Parrella: 1
You are granted a variance from the Interim Groundwater Protection Regulation limiting
daily sewage flows to 330 gallons per acre in certain zones of contribution to public water
supply wells. The variance will allow the installation of an on-site sewage disposal system
on Lot 198, Oakmont Road, Barnstable, with the following conditions:
(1) The designing engineer must be on site and supervise construction of the septic
system and certify in writing to the Board'of Health that his design has been strictly
adhered to prior to the issuance of.a Certificate of Compliance.
(2) The system must be installed in strict accordance with the submitted plan.
(3) All regulations contained in Title 5, of the State Environmental Code, and the Town
of Barnstable Health Regulations not varied must be strictly adhered to. .
i
(4) The variance expires June 1, 1987.
I
This variance is granted, because the size of the lot is 42,780 square feet, only 780 square
r
feet short-of an-acre; -
r a
Ver ly yours,
R ert L. Childs, Chairman !
Ann Janwl jAugh
Gr er C.M. M. D.
BOARD OF HEALTH
TOWN,OF BARNSTABLE "
JMK/mm._. -
i
holmes and mcgrath, inc.
civil engineers and land surveyors
200 main street, room 201
falmouth, ma. 02540
548-3564 August 14, 1986
Board of Health
Town of Barnstable
367 Main Street
Hyannis, MA .02601
Gentlemen:
Re David .Parrella
Our Job'No: 86;197
On August 12, 1986, we observed the sewage disposal system
installed on Lot 198,. Oakmont Road, Cummiquid, .Massachusetts. We
found that the above mentioned system had been .installed in accordance
with our plan dated May 1, 1986.
If you have -Any questions regarding this .matter, please contact
US.
Very Truly yours,
.HOLMES .AND McGRATH, .INC.
Ro ert A. Bur ann
Vice President
MJB:lab
LOT 192 LOT 193
-o
-o
/0 O /02
o COMMONWEALTH
3
ss - +60-.00'
1
_ r \ —102 ;
0 -
0 ELECTRIC EASEMENT
/00
98
LOST 198 ss
�80
0,2 in 42, t SF— — I cro
O
O — \
4 LOT 199 0� - � � N ,
(� - °°
VACANT ,: LOT 197
I 11 ' r l VACANT
d A.x 10'. Oc
�O�\ \ Le Ching 9-t wi I n
s 4 10
,'of Stone All qak
.,'Around. I I /
\Reserve '� ® ')test ` 9� `- 94
9Q.\ j �hole)#I \ L
96 \ i x
\ je t 6
\ •�/� 1000 Gal. g
1 \\ Box eptic Tanll ig
x�—
� — i--
Tw Pated i
.�--�tur -Co
83 /44 � N
io2xo \02
J /\0 4
NOTES. _
���✓ _ _ �w
102
2"pine / 8�oak �\0A
1 . ZONING DISTRICT: RF 2 tel.box ater sere. elect. pad
2 . FLOOD HAZARD ZONE: C 100 — _ _ - - 22.46
3 . ASSESSORS NUMBER: 349-53- 198 s - - - ,L= 137.64 ..�_ \02
4 . HOUSE NUMBER: 108��R'14 Q� � � 8 oak
5 . THE -NORTH ARROW WAS DERIVED FROM RECORDED PLANS \\O �N -� (I (PRIVATE - 50' WID`I) ) Rp,gb
OR DEEDS . THE NORTH ARROW SHALL NOT BE USED TOAKM� 1
FOH ORIENTATION FOR SOLAR HEATING PURPOSES . l / / PLOT PLAN
/ OF PROPOSED SEWAGE DISPOSAL SYSTEM
6 . REFERENCE: PLAN BOOK 235 PAGE 149 o o �° PREPARED FOR
7. TOPOGRAPHIC INFORMATION COMPILED FROM AN ACTUAL \4 _
ON THE GROUND INSTRUMENT SURVEY. \ DAVID PARRELLA
8. BENCHMARK : TOP OF 4 ' x 4' CONCRETE ELECT. PAD. FOR LOT 198 ON OAKMONT ROAD
ELEV. = 103.97 ASSIGNED _ IN
CUMMIQUID BARNSTABLE , MASS .
SCALE: 1 "= 40 DATE: MAY 1 . 1986
holmes and mcgrath inc
�- civil engineers and land surveyors
j
c_ j3upGtv4ANN �
55
200 main street CIVIL
CI 1.
PPLICANT DATE falmouth, ma . 02540 o� �fGISTER��r
DRAWN: MJB CHECKED: /Z�
JOB NO 86197 DWG NO 38-4-23' SHEET i OF 2 S
f
} ti
i
• BASIS OF
� DESIGN E Finish grade above and adjacent to system shall slope a min.of 2% away from system . � SOIL TEST
DATE OF SOIL TEST BAN• 2 , 1986.
It
4 diam. cast iron or Schedule 40 PVC pipe (install with tight joints.) TEST TAKEN BY CRAIG SHORT
I. NUMBER OF BEDROOMS 3 (EQUIVALENT TO 330 G.PD. 20'minimum distance (building to edgeof leaching system ) RESULTS WITNESSED BY T. McKEON
M.
2. GARBAGE DISPOSAL UNITS: NO 10 PERCOLATION RATE II I min. disc. GROUNDWATER NOT ENCOUNTERED P��
3. LEACHING CAPACITY REQUIRED 330 G.PD. ' _ ��
4. SIDE AREA 465 SQ. FT., BOTTOM AREA 201.1 SQ. FT.
5. TOTAL AREA PROPOSED 666.1 SQUARE FEET
SOIL LOG
6. PROPOSED LEACHING CAPACITY 393.4 G. PD.7WATER SUPPLY: BARNSTABLE FIRE DISTRICT Eievt 04.20
Floor N° I N° 2
8. PRECAST, REINFORCED CONCRETE UNITS 12" MAX. COVER Depth Soils Elev. Depth Soils Elev.
0 86
FOR H - 10 AND H- 20 LOADING
ao Topsoil
°• 3.5
s= .06 51± 3 85.7 Some
•
Removable
NOTES• a° S= . 12 cover —§=.32 --� Removable Subsoil w
cover Clean backf ill
/
0 0 21ayer of(11'0e' Large Rock a s
_ I '-2' Dia.
I. NO CHANGE TO THIS SYSTEM SHALL BE MADE UNLESS _ ' "' CO r� ~ '� ° °° ° ° ° stone. „
R Q SEPTIC TANK N CO BOx `fi �� �'v p0 ° ' ° ° 48 82 I
rn 1000 GAL. m 0D w ai N v° ° ° °° ° ° °' C�"" Med. Sand
APPROVED IN WRITING BY HOLMES AND MCGRATH INC. a �� �� " 0D 92tffective e N
' e; > :�.• .�,=a•.; > '> r v Q0 a; Depth
w/Gravel
2. A COPY OF THESE PLANS SHALL BE KEPT ON SITE W 0 r >... p � and Fines
w W W ° °° ° ° ° r 164 72.3
Foundation 1c:
> > > > w Precast concrete °'oDURING CONSTRUCTION. Design by others 5 e �oec; LEACHING PITi$��3e; BottomElev.= 72.18 Bottom of
3. A COPY OF THESE PLANS SHALL BE FURNISHED TO Test Hole
CONTRACTOR INSTALLING THE SEWAGE DISPOSAL SYSTEM. 0 �4ftj7�4-8ft.diam-_44ft-
4. HEAVY CONSTRUCTION EQUIPMENT SHALL NOT TRAVEL N 4ft
)loIV2 washed stone 4
rn OF E all around precast pit providing an
OVER DISPOSAL SYSTEM DURING OR AFTER CONSTRUCTION. effective diameter of 16 ft.
_� Not to scale. H-20 LOADING
5. SEWAGE DISPOSAL SYSTEM SHALL BE CONSTRUCTED IN w
ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRON-
MENTAL CODE.
6. BEFORE BACKFILLING THE SYSTEM, THE CONTRACTOR
SHALL NOTIFY HOLMES AND MCGRATH , INC. OR THE: BOARD OF
HEALTH AGENT TO INSPECT THE SYSTEM AS CONSTRUCTED.
h
CONTRACTOR SHALL EXCAVATE FOUR FEET BELOW BOTTOM ,OF LEACHING
PIT AND SHALL HAVE THE EXCAVATION INSPECTED BY THE ENGINEER
PRIOR TO SETTING THE LEACHING PIT. THE FOUR FOOT HOLE SHALL BE
BACKFILLED PRIOR TO SETTING THE LEACHING PIT AT THE GRADE
SPECIFIED BY THE ENGINEER
All outlet pipes from the distribution box shall
Outlet beset level for at least 2ft.from the box.
8' - 6" Knockouts
I I NLET OUTLET N
II _�
All access Manhole covers for Septic Tank, ;.e;
\ j p Distribution Box and/or Leaching Pits set
INLET `'?: --�; ;; OUTLET — more than 12"below finished grade sholl be
' :� ,_-
�_/ raised towithin 12 of finished grade. Outlet
- Knockouts,
Metal frame & cover or concrete cover
— _ — over "T's"'where required. 2'-0" —
Concrete block masonry DAT E DESCRIPTION Drawn by Checked by
STEEL REINFORCED PRECAST CONCRETE = or -;
,— rete cover a - 0 2 •°
R E V I S 1 0 N S
� Brick masonry •Conc::cover'»4
+3 Removable covers 3 -� �+ �__� C=7 6: %, -:A INLET o t c
y 1112,E �, INLET -+- � Oufil a; e' et L T L� ®�T�1L �7�E�T
fNLET __..i,. $ 3�'min.clearance required- a ? 13" :-INLET"1"':' ° ;( l 1 OUTLET-•o- Knoc . is °i: ib Knockouts
;2 mm.inlettooutet 6 min. dam_ ,. 2mm L OF PROPOSED SEWAGE DISPOSAL SYSTEM
10"min. Liquid level-'' 14„ UTLET ?— �� —' �'- - PREPARED FOR
min. 6'min.
mtn. — _ —
Ea _ a e p a �: - — _ DAVID PARRELLA
- o �E — — e :p p� o 98 OAKMONT
W _ - $ FOR LOT I ROAD
o
TYPICAL IC DISTRIBUTION'► -_ I _o BOX
�' �� CUMMI UID BARNSTABLE MASS.
SCALE: I Scale : As shown Date: May
— J y I 1986
.. 1: 41 ° b holm es and mcgrath , inc.
civil engineers and land surveyors ; +
8'_6 I 4'- 10"
I 200main street ou
falmouth , ma.02540l lLss
TYPICAL 1000 GALLON SEPTIC TANK
SCALE: 3/8" I'-0" Drawn By MJB Checked By Ir q ,f3
JOB N2 86197 DWG.N2 38-4-23 SHEET 2 OF 2 CIVIL ENGINEER