HomeMy WebLinkAbout0116 OAKMONT ROAD - Health 74`OAKMONT ROAD,BA STABLE
A'=MO 057
COMMONWEALTH OF MASSACOUSETTS
L y EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
UFI'ARTNIFNT OF ENVIRONMENTAL PROTFC WN
ONT: XVINTFR SrRrr.T. 130STON. NIA 02109 6I_ 292•c{00
W111104F %%FI.[) !9 �^ TRUDY =O 'F
Gnvcrnnr 350 MAIN STREET
WEST YARMOUTH,MA 98
ARCFn PAI n.CI1I.11C(1 s` 508-775-2800 ,av1D 13 n1s
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR
PART A $ d
CERTIFICATION
�
MAP 349 PAR 057 /n
PROPERTY ADDRESS: -W OAKMONT ROAD,CUMMAQUID ADDRESS OF OWNER:
DATE OF INSPECTION: OCTOBER 2,1998 CARY,DONALD
NAME OF INSPECTOR: JAMES D.SEARS
I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000)
COMPANY NAME: A&B Canco
MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673
TELEPHONE NUMBER: (508)775-2800
CERTIFICATION STATEMENT
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 inspection. The inspection was performed based on my training and experience in the proper
function and maintenance of on-site sewage disposal systems. The system:
X PASSES
CONDITIONALLY PASSES
NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY
FAILS
INSPECTORS SIGNATURE: DATE: OCTOBER 5, 1998
The system Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this
inspection. If the system is.a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall
submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the
system owner and copies sent to the buyer,if applicable and the approving authority.
INSPECTION SUMMARY: Check A, B, C, or D:
A] SYSTEM PASSES:
X I have not found any information which indicates that the system violates any of the failure criteria as defined in
310 CMR 15.303. Any failure criteria not evaluated are indicated below.
COMMENTS: SITE OVER ALL PASSES, INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM
AT THE TIME OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM.
B SYSTEM CONDITIONALLY PASSES:
NIA 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 b the Board of Health,will
pass.
Indicate yes,no,or not determined(Y,N,or NO). Describe basis of determination in all instances. If"not determined",
explain why not)
The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of
_ a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)
years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally
unsound,shows substantial infiltration or exfiltration,or tank is failure is imminent. The system will pass
inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board
of Health.
Page 1 of 10
(revised 04/25/97)
DEP on the World Wide Web:http://www.magnet.state.ma.un/d
• r
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(CONTINUED)
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: CARY,DONALD
Date of Inspection: OCTOBER 2,1998
B]SYSTEM CONDITIONALLY PASSES(continued)
Sewage backup or breakout or high static water level observed in the distribution box is due to
broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. The system will
pass inspection if(with approval of the Board of Health). Describe observations:
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
The system required pumping more than four times a year due to broken or obstructed
pipe(s). The system will pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
C]FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
N/A Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect the public health,safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS
NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND
SAFETY AND THE ENVIRONMENT:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER
SUPPLIER, IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A
MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
The system has a septic tank and soil absorption system(SAS)and the SAS is within
100 feet to a surface water supply or tributary to a surface water supply.
The system has a septic tank and soil absorption system and the SAS is within a Zone
1 of a public water supply well.
The system has a septic tank and soil absorption system and the SAS is within 50 feet
of a private water supply well.
The system has a septic tank and soil absorption system and the SAS is less than 100
feet but 50 feet or more from a private water supply well,unless a well water analysis for
coliform bacteria and volatile organic compounds indicates that the well is free from
pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen and
nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance
(approximation not valid).
3) OTHER
(revised 04/25/97)
Page 2 of 10
a
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: CARY, DONALD
Date of Inspection: OCTOBER 2,1998
D]SYSTEM FAILS:
You must indicate either"Yes"or"No"as to each of the following:
N/A I have determined that the system violates one or more of the following failure criteria as defined in
310 CMR 15.303.The basis for this determination is identified below. The Board of Health should be
contacted to determine what will be necessary to correct the failure.
Yes No
Backup of sewage into facility or system component due to an overloaded or clogged
SAS or cesspool.
Discharge or ponding of effluent to the surface of the ground or surface waters due to an over-
loaded 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 Yz day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s)
Number of times pumped
Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater
elevation.
Any portion of a cesspool or privy is within 100 feet of surface water supply or tributary to a
surface water supply.
Any portion of a cesspool or privy is within a Zone I of a public well.
Any portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private
water supply well with no acceptable water quality analysis. If the well has been analyzed to be
acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,
ammonia nitrogen and nitrate nitrogen.
E)LARGE SYSTEM FAILS:
You must indicate either"Yes"or"No"as to each of the following:
The following criteria apply to large systems in addition to the criteria above:
N/A The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a
significant threat to public health and safety and the environment because one or more of the following
conditions exist:
Yes No
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
mapped Zone II of a public water supply well)
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater
treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department
for further information.
(revised 04/25/97)
Page 3 of 10
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: CARY,DONALD
Date of Inspection: OCTOBER 2,1998
Check if the following have been done: You must indicate either"Yes"or"No"as to each of the following:
Yes No
X Pumping information was provided by the owner,occupant,or Board of Health.
X None of the system components have been pumped for at least two weeks and the system
has been receiving normal flow rates during that period. Large volumes of water have not been
introduced into the system recently or as part of this inspection.
X As built plans have been obtained and examined. Note if they are not available with N/A.
X The facility or dwelling was inspected for signs of sewage back-up.
X The system does not receive non-sanitary or industrial waste flow.
X The site was inspected for signs of breakout.
X All system components,including the Soil Absorption System,have been located on the site.
X The septic tank manholes were uncovered,opened,and the interior of the septic tank was
inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid
depth of sludge,depth of scum.
The size and location of the Soil Absorption System on the site has been determined based on:
X The facility owner(and occupants,if different from owner)were provided with information on
the proper maintenance of Sub-Surface Disposal System..
X Existing information.Ex. Plan at B.O.H.
X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation
of distance is unacceptable)[15.302(3)(b)]
,(revised 04/25/97)
Page 4 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
.SYSTEM INFORMATION
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: CARY,DONALD
Date of Inspection: OCTOBER 2,1998
FLOW CONDITIONS
RESIDENTIAL:
Design flow: 220 g.p.d./bedroom for S.A.S.
Number of bedrooms: 2
Number of current residents: 2
Garbage grinder(yes or no): YE
S p'
Laundry connected to system(yes or no): YES
Seasonal use(yes or no) NO
Water meter readings,if available(last two(2)year usage(gpd): 1997 21,000/1998 20,000
Sump Pump(yes or no): NO
COMMERCIAL/INDUSTRIAL:
Type of establishment:
Design flow: gallons/day
Grease trap present:(yes or no):
Industrial Waste Holding Tank present:(yes or no)
Non-sanitary waste discharged to the Title 5 system:(yes or no)
Water meter readings,if available:
Last date of occupancy:
OTHER:(Describe)
Last date of occupancy: -
GENERAL INFORMATION
PUMPING RECORDS and source of information:
PUMPED OCTOBER 2, 1998
System pumped as part of inspection:(yes or no) YES
If yes, volume pumped: 1,500 gallons
Reason for pumping DUE FOR PUMPING, PUMPED AFTER INSPECTION
TYPE OF SYSTEM
X Septic tank/distribution box/soil absorption system ti
Single cesspool
Overflow cesspool
Privy
Shared system(yes or no)(if yes, attach previous inspection records, if any)
I/A Technology etc. Copy of up to date contract?
Other
APPROXIMATE AGE of all components,date installed(if known)and source of information:
1982 PERMIT#82-799
Sewage odors detected when arriving at the site:(yes or no) NO
(revised 04/25/97)
Page 5 of 10
5
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: . CARY,DONALD
Date of Inspection: OCTOBER 2, 1998
BUILDING SEWER: N/A
(Locate on site plan)
x
Depth below grade:
Material of construction cast iron 40 PVC, other(explain)
Distance from private water supply well or suction line
Diameter
Comments:(condition of joints,venting,evidence of leakage,etc.)
SEPTIC TANK:X
(Locate on site plan)
Depth below grade: 24"
Material of construction X concrete metal Fiberglass Polyethylene other(explain)
If tank is metal,list age Is age confirmed by Certificate of Compliance` (Yes/No)
Dimensions: 1,500 GALLON PRE CAST
Sludge depth: 3"
Distance from top of sludge to bottom of outlet tee or baffle:" 28"
Scum thickness: 0"
Distance from top of scum to top of outlet tee or baffle: 7"
Distance from bottom of scum to bottom of outlet tee or baffle: 17"
How dimensions were determined AS BUILT AND TAPE
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,
structural integrity,evidence of leakage,etc.)
TANK AT WORKING LEVEL,INLET TEE,OUTLET TEE, INLET COVER 4"BELOW GRADE,OUTLET COVER
24"BELOW GRADE.
GREASE TRAP: N/A
(locate on site plan) ;
Depth below grade: x• }
Material of construction concrete _ metal _ Fiberglass Polyethylene other(explain)
Dimensions: r
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:
Comments:
(recommendation for pumping,condition of inlet and outlet tees or baffles,depth of Iiquid'level in relation to outlet invert,
structural integrity,evidence of leakage,etc.)
(revised 04/25/97)
Page 6 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: CARY,DONALD
Date of Inspection: OCTOBER 2,1998
TIGHT OR HOLDING TANK: N/A ` (Tank must be pumped prior to,or at time,of inspection)
(Locate on site plan)
Depth below grade:
Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain)
Dimensions:
Capacity:
Design flow: gallons/day
Alarm level: Alarm in working order _ Yes; _ No
Date of previous pumping:
Comments:
(condition of inlet tee,condition of alarm and float switches,etc.)
DISTRIBUTION BOX:X_
(locate on site plan)
Depth of liquid level above outlet invert: 0
Comments:
(note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,)
D-BOX IS 9"X 15",36"BELOW GRADE,ONE LINE,ONE LINE OUT.BOX IS NEW,CLEAN AND LEVEL.
PUMP CHAMBER: N/A
(locate on site plan)
Pumps in working order:(Yes or No)
Alarms in working order(Yes or No)
Comments:
(note condition of pump chamber,condition of pumps and appurtenances,etc.)
(revised 04/25/97)
Page 7 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: CARY, DONALD
Date of Inspection: OCTOBER 2, 1998
SOIL ABSORPTION SYSTEM(SAS):X
(locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods)
If not determined to be present,explain:
Type:
leaching pits, number: 1
leaching chambers,number:
leaching galleries,number:
leaching trenches,number,length:
leaching fields,number,dimensions:
overflow cesspool,number,
alternative system:
Name of Technology:
Comments:
(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.)
ONE 1,000 GALLON PRE CAST, PIT AND COVER 30"BELOW GRADE.ONE FOOT WATER IN PIT,NO HIGH
WATER MARK,WALLS CLEAN.
CESSPOOLS: N/A
(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(cesspool must be pumped as part of inspection)
Comments::
(note condition of soil,signs of hydraulic failure, ,level of ponding,condition of vegetation,etc.)
PRIVY: N/A
(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.)
(revised 04/25/97)
Page 8 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: CARY,DONALD
Date of Inspection: OCTOBER 2, 1998
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100(locate where public water supply comes.into house)
Al
A
3
O
O
(revised 04/25/97)
Page 9 of 10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 116 OAKMONT ROAD,CUMMAQUID
Owner: CARY,DONALD
Date of Inspection: OCTOBER 2, 1998
Depth to no groundwater 15 feet
Please indicate all the methods used to determine High Groundwater Elevation:
X Obtained fro Design Plans on record
Observation of Site(Abutting property,observation hole,basement sump etc.)
Determine it from local conditions
Check with local Board of health
Check FEMA Maps
Check pumping records
Check local excavators,installers
Use USGS Data
Describe in your own words how you established the High Groundwater Elevation.(Must be completed)
NOTE: LOT HIGH,NO WATER PROBLEM.TEST HOLE ON PLAN 1981.
r
(revised 04/25/97)
Page 10 of 10
TOWN OF BARNSTABLE �" O
LOCATION ,4WM4,vr-ecl! SEWAGE #
VILLAGE �"�'''�'�a f ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILrfY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER 0-Ztie 0239 C&4r I.)I57—e.,i �o! S',11e,�.,{,,
PERMTTDATE: %10Y COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility p� 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 JJ
within 300 feet of leaching facility) 41/'9 Feet.
Furnished by
C l
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W
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� - 3h
0
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ASSESSOAN.- NO•
PARCEL NO• F.R$....�f
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
Appliratio i for Btspoa al Workii Tomitrur#ion Vamit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at
7 �44,to-v 7— la¢!� r
............. .................. .......---•-•-----.....------------.'-----------••--------- ' .................................................. ........................................
Loc ion r/ry�L+s a ^ ® A /or I-
..........
6�l � Q�=-1-:1-•. .-..•....-...-... N�.. q_ r(.e(ss�^� :vC �h� �� /\"�
a ' ............................................-•
Installer Address
Type of Building Size Lot_____ _7571...Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder
'04 4 Other—Type of Building ............... No. of persons__......_._..........._ Showers — Cafeteria
a' Other fixtures ............................
W Design Flow........................�1. _---- --gallons per person pert day. Total daly . .........Diameter................ Depth.6V----.
x Disposal Trench—No............(........ Width........t(_...... Total Length.......T.Y..... Total leaching area.... ft.
Seepage Pit No..................... Diameter...._--------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( Dosing t ( )
Percolation Test Results Performed b .__ _._ ="'L................. G��.s Date.___ - _._...____.... __.
,4 Test Pit No. I................minutes per inch Depth of Test Pit___-� .._��._ Depth to ground water.....? _.
04 Test Pit No. 2.-:L—...minutes per inch Depth of.Test Pit---..__.....�...... Depth to ground water.7------------------
Q+' . -
O Description of Soil....... _.. �? .. -® _._
x - -------------------------------------------------.......................................
--------
V --------------------------------------------------------------------------------------------------- ®leS1OI�I1`J�?_ENGINEER MUST SUPI= V1S --------
W INSTALLATION AAi5 lffgRT�T-IIv"li 'T"o........
-------- ------------ --------------------------------------------------x ----------------------------------------------------- - - - -- - THE SYST�IV1 W�►�"1R1S1°RL,.i:�t�-LP.F-STR� --------
U Nature of Repairs or Alterations—Answer when applicable.-----------__
�COORL ANCET-0-FL:ALd;---------------------------------------
-------------------------------------------------------------------------------------------------------------------- --------------------------------..................................................
Agreement:
The undersigned agrees to install the aforedescrib d Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environ ent ode—The undersigne further agrees not o plac the
system in operation until a Certificate of Compli e a been issued b the boar health.
Signed - ---- -- ---- -------------- -------------- --------------------- ---------------------- -- ----- ..------... .....
4 re Gj
Application Approved BY - - ------ -------- -------- ---- --- ------ - ------- ----------------------- /.----���
te
Application Disapproved for the following reasons: ...................................... ---..--........-- .......-----.....--- -----------. --- -- ---- ---
------------------------------------------------- ---------------------------------------------------------------------------------------------- ----- ----- ------------------------ -- --------------------------------------
Da
Permit No. p�"�-���. l ��" j
�J ... ..................... Issued -------......--..-...---Dace------------------- . ltr".......
==� TOWN OF BARNSTABLE
LOCATION w 7X �'�x �^�`��"� SEWAGE #
VILLAGE Cu"''"'"`L ``�- 4��t- ASSESSOR'S MAP & LOT 3 y9 Ss
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER �' 0 l,ve —2 -2 CPear 421S'7 gem
PERMIT DATE: /%`�/f COMPLIANCE DATE: Z�
Separation Distance Between the: `
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet,
Edge of Wetland and Leaching Facility(If any wetlands exist l
within 300 feet of leaching facility) Feet
Furnished bywe
GC
i
i
F , �
No.----•-••---------------- ps....`.... ..:
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Di-sposal Work Ounstrnrtiun ramit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at
� _. C qto
v _
e Loca on-r d r s -•---•-----'r Lot-- ---------------------1
! . ------------ h!_ _ '_7`Q� '� : . {�, ct-----
4 `..........._.
y s 4C Gi �P 'ress 5��!{ r1�
Installer Address
Type of Building Size Lot.Y6.� _:.Sq. feet
.-� Dwelling—No. of Bedrooms....................... ................Expansion Attic ( ) Garbage Grinder O,�v
aP4 Other—Type of Building No. of persons............................ Showers
YP g ---------------------------- P ( )..— Cafeteria ( )
Otherfixtures .......•-••••......--••--------- ---------------------•••••• •.....
/t c�
W _ Design Flow____________________________________________gallons per person perk day,. Total daily�flow____._.__.._..__.____.__•;��-....._gallons.
Disposal Trench—No. __.__.r_.!.__.__ Width___....__L(___..__ Total Length------�_4� Diameter________________ Depth__�_�1��
x Septic Tank—Liquid capacity_�l_._._.gallons Length..lr' __. Width__�t.0 Total leaching area.... ft.
3 Seepage Pit No--------------------- Diameter-.._____-_-_-__•---- Depth below inlet..._............... Total leaching area..................sq. ft.
Z Other Distribution box ( Dosing tank ( )
'-' Percolation Test Results Performed by...., ' ` "�'`� �`
--------------
Date _ V
Test Pit No. i________________minutes per inch Depth of Test Pit-----✓ --- Depth to ground water-----;7...............
Li, Test Pit No. 2_ 4f L'___minutes per inch Depth of Test Pit-----j"��`..... Depth to ground water..%"__
P /--a............................ ......................................................................................................................
0 Description of Soil........ •`�`f' '-�' '` ......................_? f `R' --7
U •-•••••••••••••-••••-•••••-•••-•-•-•-•••-•••-•-••••...•--•-----•--•••-•-•-•-••--•-••••••••-•••••-••••••••-•----•••......-•••----•-••......------
W
x •--•-•----------------------------•-•-----------•••-----••-•---•---•••--------------••••••••------•----•--•••--------•------------•••--•-----•-••---••••-•-••••------•••----•--••-••-•-•-•......••......
U Nature of Repairs or Alterations—Answer when applicable______________________________________•-_-____-___-•--_-_--__--___-______---_----•----------__.
--------------------------------•------------------------...------•-------------------------••----------••---------------------------------------------------------------------------....•--•-••••-••••.
Agreement:
The undersigned agrees to install the aforedescrib d Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environ ent Code—The undersigned further agrees not place the
system in operation until a Certificate of Compli n e s been issued b4 the boar• f health.
Signed ... ... ..... ........... ............... .............. ................ .. '... l
yR to V
Application Approved BY .........G%... . ------------------ ---- ----------. ---.
Daw
Application Disapproved for the following reasons- -------------------------.........----........----- --------.....------------.--- --------...--------- .--------------------
-------------------- -------------------------------------------------------------------------------------------
Dat
Permit No. 9---jil " ".. r ......................... Issued ----------- 6..... ' a �
_ Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Tintifirate of
Tomplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (' /,-)-or Repaired ( )
by................ ---.......... ---- -----........--------------------........................--......----.- -----------------------------------------------------............ ........................
Install r p•""•`
at ..............��..�.... � - ....- .......�. ... '.
- ` -.. .... - -------------------------------......---------------------------
has been installed in accordance with the provisions of TITLE of 1-e State Env"ronmental C de 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.
q"
DATE-------------------- .." �.:. Inspector -................................... �
...................r- ---------J----------------------
THE COMMONWEALTH.,OF MASSACHUSETTS
k
BOARD OF HEALTH
No......................... �j TOWN OF BARNSTABLE
��-✓ FEE.......................
Permission( is hereby granted�--•--•••-••••-•••...........-••-•-••--•-•-••---•P•••••-••••..••-••••••••••-••••••-••-----•---••••.......•-••••............••..............
to Construct j$ )r Re air an Individual Sewage Disposal stem
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as shown on the application for Disposal (Works Construction Perm. N .. .... Dateej_......___�'�/1�...,
.........
/. �� Board of Meal
DATE........................./ / -------••••--
FORM 36508 HOBBS Q WARREN.INC.,PUBLISHERS
12-15-1998 02:19PM FROM SWEETSER ENGINEERING TO 7906304 P.01
S'W££fiS'£R ENGINEERING
P.O. BOX 713—SOUTH DENNIS • MASSACHUSETTS 02660
TEL(508)398-3922 FAX(506)398-3063
LAND SURVEYING - ENGINEERING - TITLE 5 SEPTIC SYSTEMS
December 11, 1998
Mr. Jerry Dunning
Barnstable Health Department
732 Main Street
Hyannis, MA 02601
Re: Lot 200 Oakmont Road,Cummaquid
Dear Mr. Dunning,
On this date 1 made an on-site inspection of the overdig for removal of unsuitable material v1d
installation of the septic system at the above refmnced site and found the system to be installed --
in substantial compliance with the Mass Code,Title 5 and the approved pion dated July 13. 1998.
If you have any questions,please call"
Very truly yours,
Theodore A. Dumas,R.S.
TOTAL P.01 �r
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- SOIL TEST
TOP OF FOUNDATION _ 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST T 4 ig
ELEV = 10 FT. MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE CLEAN SAND SOIL TEST DONE BY SWEETSER ENGINEERING
WITNESSED BY -T yvNa s^1<
CCOVE�RS� LOAM AND SEED OBSERVATION HOLE 1 ELEV.= OBSERVATION HOLE 2 ELEV-m
4" SCHEDULE 40 PVC PIPE MIN. PITCH 1/8" PER FT. 2" LAYER OF PERCOLATION RATE - MIN./INCH PERCOLATION RAZE MIN./INCH`
1/8" TO 1/Z" DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MO TT. OTHIER
!• WASHED STONE VENT "'` �?►Ji7�f o '
4' CAST IRON PIPE NOT REQUIRED r u//} 34 Al P`1
(OR EQUAL) MINIMUM 3/1
f s
PITCH 1/4" PER FT.
? 1 CU. FT. OF
� CONCRETE
ANCHOR . l3�'
FLOW LINE J o► f 3AI4 D y r,4MT + v Dc.R_, yK
ELEV. _ t0" T6Nr
MIN. rop, �pilM =r'Y �:�c.�� •�J4, ,��. � �t�ctr..f Dili{
2 " O O p
-- - � - r � O ELEV. _
ELEV. _ _ GAS 6" SU ELEV. _ _._ r� t_ft t i f 1"f r7 t UA41
ELEV_ /r:N,
BAFFLE _ ;ta7t L.f YA'
DISTRIBUTION
E, F HIGH CAPACITY INFILTRATORS WIl}i I f� F "�A; �/Z �y, r- ,v �;�k�►� ;
U ID OUTLETBOX STONE IN AN Vl
4 ET 14 INCHES (TO BE PLACED ON FIRM BASE) TO BE WATER TESTED z
5 ET 19 INCHZONE
S 15 0 0 GALLON IF MORE THAN ONE OUTLET TRENCH FORMATION J�f ;
6REETT 224 It 9 INCHES (TO BE PLACED oN FIRM BASE) S 01 L A B S 0 R P TI 0 NWE
LL '" �; jwAT1=R ENcOUNTERED AT ELEV. = w'r WATER ENCOUNTERED AT ELEV.8ET 34 INCHES S�EP TI C TANK 3/4' TO 1 1/2' INDEX
`
_ WASHED STONE SYSTEM (SAS) ADJUST
-- LEGEND. DESIGN CALCULATIONS
i ! M !P DFI E USGS PROBABLE WATER TABLE ELEV. = EXISTING SPOT ELEVATION 00,�0 NUMBER OF BEDROOMS
SEWAGE D I S�O S A L $Y5 TE 4 I +� OBSERVED WATER TABLE ( / / ) ELEV. = EXISTING CONTOUR ----00---- GARBAGE DISPOSAL UNIT _ NO
NOT TO S ,ALE yP BOTTOM OF TEST HOLE ELEV. _ _- FINAL SPOT ELEVATION11? TOTAL ESTIMATED FLOW
.;; '� FINAL CONTOUR-
REQUIRED GAL/$R./DAY X _, BR.) _ GAL/DAY
i ;' � ( , (, ` j+d. ► I r�,. v��(/� - f SOIL TEST LOCATION REWIRED SEPTIC TANK CAPACITY GAL
U7IUTY POLE 4 ACTUAL SIZE OF SEPTIC TANK , GAL
TOWN WATER �W SOIL CLASSIFICATION
CATCH BASIN DESIGN PERCOLATION RATE � ._ MIN./1N.
GAS LINE ""J EFFLUENT LOADING RATE 0,74 GAL/C AY^F.
Fri
CLEAN OUT C. LEACHING AREA SQ. FT.
1 ` ! CESSPOOL C.P. Q r "
LEA( It CAPACITY (AREA X RATE) GAL/DAY
RESERVE LEACHING CAPACITY GAL/DAY
NOTES:
} ' 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER AND 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P.
f I FOR A MINIMUM OF 5' AROUND SOH. ABSORPTION SYSTEM AND BE TITLE 5 AND THE TOWN OF 23 A A t,,J.5 d b Le RULES AND
REPLACED WWTM MATERIAL AS SPECIFIED IN 310 CMR 15.255:(3). REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
` 1 ! 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
1 1 YNTHIN 6' OF FINISHED GRADE.
° 1 3. ALL COMPONENTS OF THE SANITARY SYSTEM MALL BE CAPANI OF
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITW
\ t 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS.
4. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL
`> BE MORTARED IN PLACE.
{ \ 5. NO DETERMINATION HAS BM MADE AS TO COMPLIANCE WITH
E DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO
{ 1 I \ V1S
S'T SUWRTINO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AU'1NORiTY.
ING ENGINEEC� W M g�RIG� 6. UTILITIES
S TO CALLS"D-SAFE ARE APPROXIMATE LEA CO2 HOURS
DESI� TION P►NS 1N5v�0 PRIOR TO COMMENCING WORK ON SITE.
" 1145'T ?EM Wp{,AN• 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS
THE 0,,'D 'PTO SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION
Wr IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENG NEER
9 S. PARCEL IS IN FLOOD ZONE _
( \ ' 9. LOT IS SHOWN ON ASSESSORS MAP _344 AS PARCEL ff5
lei
t
j�• � .. �.. �/; t � i it � � ' � �.R � i ,^ `ii...n�-��µt..(+
T A `: APPROVED: BOARD OF HEALTH
11 Ai
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DATE AGENT
PROPOSED SEPTIC DESIGN
t
FOR
P
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PROJECT LOCATION t 07 ZOc.,
Ll
SWEETSER ENGINEERING
235 GREAT WESTERN ROAD
,•* — 508—
3983922 SOUTH DENNIS, MASS.P. 0. BOX 713
— 02660
,
DATE SCALE _
REVISED JOB NO.
g _
z —
y LOCATION MAP REwsED SHEET / OF /
01998 SWEETSER ENGINEERING