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HomeMy WebLinkAbout0138 OAKMONT ROAD - Health 138 Oal(mont Rd/1Barnstable e.,,rVtC —10 o `r r l � . o u q: ti e li v bwNo. 1 (,/ ' Fee THE COMMONWEALTH OF MASSACHUSETTS 'Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Z(ppYiration for Nspo8al *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(Z Abandon( ) ❑Complete System ❑Individual Components Locajo�Q&ss� �'v f))-.b Owner's Name,Address,and Tel.No. Assessor✓✓'sMaap/Parcel cl — '50 e&fV. Installer's Name, ddress,and Tel.No. Designer's Name,Address,and Tel.No. y JokEi Type of Building: Dwelling No.of Bedrooms Lot Size M78 sq.8. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) 9ti er i i Design Flow(min.re uired) �t 1 gpd Design flow provided `I gpd Plan Date Number of sheets Revision Date Title Al Size of Septic Tank L� Type of S.A.S. Description of Soil 1HWE LAO Natur Repairs or Alterations(Answer when a licable) ^ at 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 Board of Heal i Si • Date � d Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Z g1, 13 Date Issued .�I�P1 A 4 [ b No. 0 1 ! _ Fee Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Ole 9 Yes PUBLIC HEALTH DIVISION - TOWN OF,,BARNSTABLE, MASSACHUSETTS ftplitation for Misposal 6pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade�( Abandon( ) []Complete System ❑Individual Components Location Address.o`i Lot No. �/ s, Owner's Name Address and Tel.No. Assessor's Map/Parcel- - j `� �%��• ; ,, Installer's Name,Address,and Tel.No. Designer's Name',Address,and Tel.No: � (�t�i�,.i � �;✓'rra�. 1���[ 'A � lr��w a�w�� � ���'��' .� t.,..��•� _ +y.4._'�..�i,�-��` Type of Building: i t•,� r Dwelling No.of Bedrooms Lot Size t'? t ) - q.fr. Garbage Grinder( ) Other Type of Building• `-y,); r _ No.of Persons a Showers( w) Cafeteria( ) -Other-Fixtures ( . t is,f y r- Design Flow(min.required) ° gpd Design flow provided ' 3� gpd Plan Date ,• - / �'�,.'-i'�� Number of sheets Revision Date h Title s 1-Y /-V Size of Septic Tank � Type of S.A.S. r r Description of Soil �'�+I.l+,d " Nature f Repairs or Alterations(Answer when applicable) � � `l? z Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in t accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of ,w Compliance has been issued by this Board of Health-*, Signe-d ; t/ Date /5 e Application Approved by (...I - Date 7 Jri t S Application Disapproved by, V 7 Date for the following reasons Permit No. 101— l)q s Date Issued ''rl it 5 f 1'1 ------------ - •- - -- - -- -- - -- --- - --- - - -- - -- -- - - - --------- `---•---------- - - -- - - - -- - - -THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance `~ t THIS IS TO CERTIFYyy,that the On site Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by �i ��1,. --at I ,Y?� i'k ) '11�} �{'� f has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NoZO dated I �. 7n19 Installer :FA"jj1j �r1A I TT;A^ 171-,, s� � Designer 01, 11` re-If _ r ' :_.;r e xr77, #bedrooms Approved design flow gpd The issuance of this 319C119 msit shallnot be construed as a guarantee that the system wi'^ll anction as'yes-i ed. Date Inspectors -- --- ---------. ---- - - -- - --- -------------- --- --------------- ----- - - - - - )n� -- - - No. ZQI t —Q�3 Fee%/RAJ. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( �') Upgrade( Abandon( ) System located at -T i) ,,`, 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. t Provided:Construction must be completed within three years of the date of this permit. -- Date ! l r I�� Approved by _ �� Town of Barnstable Regulatory Services t sn�s�nB�t, r Richard V.Scali Interim Director s6S9. Public Health Division , nnaib Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 CD Office: 508-862-4644 Fax: 509-790-6304 --------------------------------- Date: 3/21/2019 Sewage Permit# Assessor's Map\Parcel 349/059 Designer• J.M. O'Reilly&Associates, INC. Installer• PKM Contractors Address: P.O. Box 1773 Address: 313 Hokum Rock Road Brewster, MA 02631 East Dennis, MA 02641 On— I PKM Contractors was issued a permit to install a (dat (installer) septic-system at 138 Oakmont Road based on a design drawn by (address) J.M. O'Reilly&Associates, INC. dated 2/21/2019 (designer) �. nI 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 3 were found satisfactory. gI-certify that the system referenced above was conshyticf�d�4 a with the terms of the RA approval letters(if applicable) y,`'� �r ;7% JOPiN M. �n CIVIL jai s� (Installer's Signature) na NO.36200 .�z r4 kQ ( es' • s Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH TMS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. M THANK YOU. Q:1SepticlDesigner Certification Form Rev 8-14-13.doc 2 TOWN OF BA STABLE LOCATION , J� o Yr�I�r SEWAGE#�0`1 tl -VILLAGEmMQagUl ASSESSOR'S MAP&PARCEL _ . INSTALLERS NAME&PHONE NO. �1 `i �g 3$5-53 SEPTIC TANK CAPACITY 57 ��X1ST11�1Co� �11L LEACHING FACILITY:(type) AIM I ., (size) GC NO.OF BEDROOMS A. OWNER 14 PERMIT DATE:''15 ,QL I C4_ COMPLIANCE DATE: , }3/ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(Ifany wells exist .r on site or within 200 feet of.leaching facility) Feet Edge of Wetland and Leaching Facility(If any-wetlantls exist = i within 300 feet of leaching facility. Feet FURNISHED BY Q nip A-B : i 1 I L-OA wi e 1 Town of Barnstable P# �� °FTME►°j� c Department of Regulatory Services ' BARNSPABIA Public Health Division Date A ,639.n� 200 Main Street,Hyannis MA 02601 f l Date Scheduled Time (/ Fee Pd. / P� Soil Suitability Asse sment for Sewage Disposal Performed By Witnessed By: A rLOCATION&GENERAL INFORMATION x� +? Location Address Owner'sName Gethln 138 Oakmont Road Barnstable Address 138 Oakmont Dr,Yarmouthp rt Assessor'sMap/Parcel: 349/059 _ Engineer's Name Robert Reedy i '�t1�L 1Y1 L NEW CONSTRUCTION REPAIR X Telephone# 508-896-6601 � t ehr y1�,�I�rtx�ad yr Ida Land Use Slopes(%) Surface Stones (�O i Distances from: Open Water Body �'� ft Possible Wet Area ft Drinking Water Well ft ,Drainage Way ft Property Line 16 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes), _ 1 (eywl TO locah��►S t 1` Leg n cmerV SUndl-cq g14L�O�Iu�al dtQosi�4 ', Gtb�A�i011 -{1f� �B`�1�'6i`� J J Parent material(geologic) Depth to Bedrock PRcH><o� Depth to Groundwater: Standing Water in Hole: � Weeping from Pit Face .1060" Estimated Seasonal High Groundwater �oGuS ro ( ad ov' Above Q NOW. "� DETERMINATION FOR SEASONAL;HIGH WATER;TABLE 1 Method Used. ^� Depth Observed standing in obs.hole: in. Depth to soil mottles: . in. /b I A QI row Q fit' Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. E Index Well# Reading Date Index Well level Adj.factor Adj.Grou ndwater Level �(�lu L =30, P� Us�js A�1d TOW,\ _«tiG- , ' �� PEB__COLA_TION TEST i=5fl `Date �Z�l ( Time Y.- r Observation v Hole# Time at 9" Depth of Perc 1 Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch _ Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- *If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\iERUORM.DOC _DEEP OBSER�ATION HOLE LOG.! Hole#' 1 Depth from ;11— Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) O-Ly A FLS I0IRI/I time FS1— "ho -S4s cl F6L `lc. 54- bSt9 Ca F-Ms T EREs DEEP.OBSER_NATION HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other \ Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. A Consistent %Gravel A 0�� L5 [0-0 Z �J�►etA 1-35 F5L 7�m s w-iap CA DEEP>OBSERVATION HOLE LOG,'= Bole#._ Depth from Soil Horizon .'Soil Texture Soil Color Soil Other Surface(in.)- (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) b L slc, ,a -(0o (A FSL -7ti ca . L l" Pev-r-hcd, } DEEP OBSERVATION HOLE LOG -Hole# epth from Soil Horizon Soil Texture Soi D l Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) I , Flood Insurance Rate Mao: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Death of Naturally Occurrine Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? $ If not,what is the depth of naturally occurring pervf6us material? Certification I I certify that on !y .11o0t( Rdate)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. I Signature" Date�6`2 01,9 Q:\SEPTIC\PERCFORM.DOC r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION t TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION v Property Address: 138 Oakmont Road Cummaguid _` W° Owner's Name: Barbara& Walter Dolbier `= Owner's Address: U-1 Date of Inspection: 3/22/2006 Name of Inspector: (please print) Patrick T. Sullivan r-0 Company Name: Ready Rooter Mailing Address: P.O. Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 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 the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The System: _/Passes Conditionally Passes Needs Further Evaluation by the Local Authority Fails Inspector's Signature: Date: o . 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. Notes and Comments ****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. i Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 138 Oakmont Road Cummaguid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D C. System Passes: _ZI have not found any information which indicates that any of the failure criteria described in 310 CM 15.303 or in 310 CMR 15304 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"se ion need to be replaced or repaired.The system,upon completion of the replacement or repair,as approve y the Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in the for the followin statements. If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic taflc(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,ly 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. %F ND explain: l` 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 dys'tribution box. System will pass inspection if(with approval of Board of Health): ,.- broken pipes)are replaced obstructioVis removed distributions box is leveled or replaced 1 ND explain: The system required pumping more/bken,p, ipe(s) imes a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Boealth): are replaced ion is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 138 Oakmont Road Cummaquid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the B/ardof 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 determi sin accordance with 310 CMR 15.303 1 b that the ( )( ) system is not functioning in a manner which wi 'protect public health,safety and the environment.- -Cesspool or privy is within 50 feet of a sur ce water —Cesspool or privy is within 50 feet of a b dering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Sup �ier,if any)determines that the system is functioning in a manner that protects the public health,safetya d environment: r _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. f/ f The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. i The system has a septic tank and SAS and the SAS is iVithin 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 coliform bacteria and volatile organic compounds indicates thaVthe well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis,inust be attached to this form. i r l 3. Other: f Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 138 Oakmont Road Cummaquid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 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 _ _Z Static liquid level in the distribution box above outlet invert due to and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than %2 day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the 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 well. Any portion of a cesspool or privy is 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] �O(Yes/No)The system fails. I have determined that one or more of the above 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. E. Large Systems: To be considered a large system the system must serve a facility with a sign flow of 1000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criterrydabove) yes no /r f' the system is within 400 feet of a surface drinking water supply r the system is within 200 feet of a tributary to a surface drinking water supply 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 r' 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 rfnder Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contac fhe appropriate regional office of the Department. r f Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 138 Oakmont Road Cummaquid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 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 _ _Z 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? _xZ'- 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 than 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: Yes No 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(3)(b)) i Page 6 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 138 Oakmont Road Cummaguid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): ' b 6. Q D Number of current residents: D Does residence have a garbage grinder(yes or no): po Is laundry on a separate sewage system(yes or no):_Qp[if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes or no):t2g> Q r Q p p Water meter readings, if available(last 2 years usage(gpd)): Qoz),; Sump Pump(yes or no):Lc� Last date of occupancy: c COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): and Basis of design flow(seats/persons/sq. ft. etc.): i Grease trap present(yes or no):_ ,/ Industrial waste holding tank present(yes or :_ Non-sanitary waste discharged to the Title,5'system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:;;;�--,,,.. --; r r..z c c, rS?,�__ ,,�p,�4� _ r:►�0 3 a — �rJ� Was system pumped as part of the in pection(yes or no):-Qe-) If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _ZSeptic 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) Tight tank _Attach a copy of the DEP approval —Other(describe): Approximate age of all components, date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):IX-:) I Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 138 Oakmont Road Cummaquid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 BUILDING SEWER(locate on site plan) Depth below grade: j Materials of construction:_cast iron . 40 PVC_other(explain): Distance from private water supply well or suction line: Comments(on condition of joints, venting, evidence of leakage,etc.): SEPTIC TANK: (locate on site plan) Depth below grade: �)LJ 1`� Material of construction: /concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from the top of sludge to bottom of outlet tee or baffle: 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: e/" 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.): 877— (.—a is Cl h'✓C'O.A l t'u V��.. W wc�, G Ci�J'� . GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction:_concrete_metal_,fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tees./or baffle: Distance from bottom of scum to bottom of/6utlet tee or baffle: Date of last pumping: ;i Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of jl akage,etc.): r i` Page 8of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 138 Oakmont Road Cummaquid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 TIGHT or HOLDING TANK: (tank must be pumped at t' a of inspection)(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fibergl s_polyethylene_other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working or er(yes or no): Date of last pumping: Comments(condition of alarm and float witches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: err Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): I. _Z5 CAJ%4T'��!'—' ri�..a vim. v. C3 s�z� G�v i� l v� y-•� � V�,J 6 `1 �U `cam Lee PUMP CHAMBER: (locate on site plan) % Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances, etc.): I Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 138 Oakmont Road Cummaquid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type aching 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: Comments(note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation, etc.): n �'� Ck �ni��C`Z'cQ L` o S�` -Q L�y-�C ` >n.(a.r'c'h 3 ` �C-�o r o •�v C.r �.� L wIS 42" C l.m- CESSPOOLS: (cesspoR must be pumped as part o7* ection)(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 or no): Comments(note condition of soil,signs of draulic failure, level of ponding, condition of vegetation,etc.): PRIVY: (locate on site plan) f/ Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): t r Page 10 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 138 Oakmont Road Cummaquid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. (5 7�- 1 I Z0 k 6- O I �'y) Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 138 Oakmont Road Cummaquid Owner: Barbara&Walter Dolbier Date of Inspection: 3/22/2006 SITE EXAM Slope',-" Surface water Check cellar Shallow wells Estimated depth to groundwater '>-5—feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record—If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with the local Board of Health-explain: Checked with local excavators, installers-(attach documentation) _LAccessed USGS database-explain: You must describe how you established the high ground water elevation: CD 30 ( .� t '•',.fit V �./-� 1�,- Q©G THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A MI DATA -\ COMMONWEALTH OF MASSACHUSETTS l /� 4 �VT1(tiT TMT-vT I ITTr r. T'I A MCA TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOT,T N'T ARY SUBSURFACE SEWAGE DISPOSAL SYSTEM F O PART A CERTIFICATION Property Address: Owner's Name: o - -=---- _ Owner's Address: - F - .y_ ._ Date of Inspection: g , Name of Inspector: lea print) Company Name: Mailing Address: Telephone Number: CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewag_ ;... ._._... d -UU'-. ,, .v __ below is true,accurate and complete P o4 training and experience in the proper taro hots - ,c approved system inspector pursuant is Sect; fu ice_ :;i cf dduC J k i' sysZeal. Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails �p Inspector's Signature: rAffr� = The system inspector shall submit a copy of this inspection Teport to the Approv%-A a*1- -^ '= _ T' DEP)within 30 days of completing gpd or greater,the inspector and rt,e s DEP. The original shouid•be sent to the system owner and copies sent to the bu-ve_,-ff✓_ 'i_..- a r: •- a:ahoriry. Notes and Comments i ****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 r_nid=r the sane,.r diff_r_r_t conditions of use. Title 5 Inspection Form 6r15/2000 page 1 Page 2 of i l • OFFICIAL INSPECTION FORM-NOT FOR VULU14TAPY,,L 15SESI: SUBSURFACE SEWAGE Ag< _ -_ _ - - --, - PART CERTIFICATION (continued) j 1e t' Property Address: Owner: --- Date of Inspection: ,E P_a • Inspection Summary: Check A,B,C,D or E-/ALWAYS A. System Passes: I have not found any information which indicates that an, ftt,e � v ti.:tiu� 15.363 or in 310 CNIR 15.304 exist.A y.... ,ircr;u ��e :.�.._ art, L,,,.ea,cu below. Comments: B. System Conditionally Passes: One or more system components as described in the"Cone Z repaired.The system,upon completion of the replacement or re n�u&s approved by the Board of Health, will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not detenniriO-please explain. The septic tank is metal and over 20 ars old*or the septic tank(whether metal or not) is :ruL- unsound,exhibits substantial µ:" - existing tank is replaced wit"ie a c } 'A metal septic tank wili pats .nor _:.;. . r indicating that the tank is less th'=t_v year;ulci is avail a—WC. ND explain: Ob/de tion of wage backup or break out or high static water level in the distri) ution box due to.hrtak or . (s)or le to a br_ :art r - „ ard Health): broken pipe(s) obstruction is removed distribution box is leveled or repLaced tem required pumping more than.4 times a.yenr date to broken or cbtmctedpipe(s).T;,e system will if(with approval of the Board broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY A�CFCC1lfF'�,iT SUBSURFACE SEWAGE uISPOS.!iL S STE 111 PART A CERTIFICAT,tON(cunt-hied) a� v Property Address =_- ?n boot Owner: Date of Inspection: C. Further Evaluation is Required by the Board of Heatth: Z �'' Conditions exist which require further evaluation by the Board of Neal_`:�R .. -__ ,Pf---.,inQ °f r _ is failing to protect public health, safer;-Of u e 1. System will pass unless Board of Health system is not functioning in a manner we.-u _ Cesspool or privy is within S%feet of a s.:.,acn Cesspool or privy is within Sv met of /Public .System will fail unless the Board of Health( ter Suppliers if ally) determines that the system is functioning in a manner that protect The system has a - - --- y septic tank and soil snrptic..s r =a� a"- i^ _ur ;c `3't ^ ;!ln surface water.supply or tributary to a surf tirri The system has a septic tank and AS and the SAS is within,a Zone i of a public wait� The system has a septic tank d SAS and the SAS is wid,in 5o fee* _ The system has a septic tan' and SAS an S _, L1`.—, l u private water supply well**: uhn i i- ,_ ' _ _ *This system passes if the ell water analvsis pe bacteria and volatile organ the presence of am,moni� failure criteria are trigg ed.AJoty u.:c .:: 3. Other: r J • page 4of11 Np'I'FOR V �-�-V ASqF:Sc1vIENTS SPECTION FOhtI�'1— OFFICIAL Ili _ CE SEA` SUBSURFA �� -3FF=a CERTIFICATIO 3s pc.k Mod Property Address, owner: Date of inspection: D. System Failure Criteria appU"*i rcg- nsl(tw E :�fOi -1 - You_Must indicate"yes' or"n, t�= r c1-opged SAS Or cessroti:l� _ . to overloaded o Yes No �Prr(due ` Backup of sewage into facit,t,or rs�e V = - _ Discharge O r- � ^z � 7 �x��� clo Qed SAS or ga ••_:.':i,.�+;:n how abOVe 0 Lie! 4f _ E u,.., - --- level tb .b Static liquid „ {Pt�than`/z day f,vw cesspool { is less than O' depth in cec,r ,t Liquid p - _ - - w Required purn;�t - of times pumped V Any portion of the 5 _ 4- w{ .,. , Any portion of cessp�_ ' water supply-l , r np 1 of a ouolic ,` , _ F us cno(), Or Any portion o a c Y Any pOrt{Otl Of 3 ce55L 0�l:ir — - c Any portion Of a cesspo 6 _ supply well with no ace performed at a MEP e - indicates that - nitrogen and ffiit =E.-` __a. -~ :�__= «_ N- --= - are triggered. t - - - as -PP o Tat= "t � (Yes/No)The system 12 -- described Health to determine what will be necess—'to to f and to 15,( E_ Large Systems: t serve a facility To be considered a large sygpd- stem`-` e sy`tetn�= You must indicate either"yes or"n° (The following criteria apply to la<j - es tic 400 feet of a surface� k "mply the system is with , 200 feet of a trib" Y -- _ the system is thin area _JWPA')0,a _ the syste is located in a nit ogen SP,nc{tivz 3*e.'t = Zone I f a public water supply u'1' ;m,�f�ant threat,of an swered"yes"to anv nn�stion in Sec- u _ If you have -- S T :gyp 1a ae yes" in tion v abc. threat ur.d ' signifc ann „,u:_ -^er -- - 15.304 e system O'. - Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE I �'"` `; _." ,orb = _- _ .=_=?j PART B CHECKLIST Property Address: Oaf/fie 3f E Owner: Date of Inspection: _ s- Check if the following have been done.You must Yes No Pumping information was provided by the owner, occupant, or Board of Health G� Were any of the system components pumped out in the previous two weeps Has the system received normal flows in the previous IWO wte Pt; iUt � Have large volumes of water been introduced to u^e system ---- ly ora pti: --Co ti Were as built plans of the system obtained and exa_rni-ned? ff theV vjerP no* availa'le n^te IQ N/ Was the facility or dwelling inspected for signs of setivugc back up '. Was the site inspected for signs of break out? 1 _ Were all system components, excluding the SAS, located on sit-- Were the septic tank manholes snco v.>red, .ape - o the baffles or tees,material of constnuct?ori,-dimen-Si _._•, a r Was the facility owner(and occupants if uiffc.<ci L ._ - _ } °•� r r maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no Existing information. For example,a plan at the Board of Health. _ Determined in the field(if any of the failure c iteria related ro a t is unacceptable) [310 CMR 15.302(3)(b)] S Page 6 of 11 OFFICIAL INSPECTION FORM-N. SUBSURFACE SEWAGE DISi O PAR o C SYSTEM INFOR_ =a a-- a r�0 Property Address: 15$ ^—- Owner. !z I5 ' _. _ n re �t...... .• �._- `lx..r ate'C 0NN n- RESIDENTIAL Number of bedroonw;f ce iT: r DESIGN flow based ••-- :_ __ - Number of current i e:side.Ll. Does residence have 4 _=-:- :- _ ___ __.... ._ Is laundry on a sep -� - a- .-- ------ , -- - Laundry system to .-*._' Seasonal use: (yes or i Water meter read ' _ .` gat__ (J/ �eQ. // �j Sump PAP(yes or-;-;-.-!'.•_ e. : a = 7 / Last date of occupancy: CYO - _ C0MMERCIAULN-19LISTRL-4,I, Type of establishment: Design flow(based um 3 ....-._-_ Basis of design it"vri(sca:1i'Ni:r�='=z±r_1 Grease trap present Industrial waste holding,ask pr« - - Non-sanitary waste discs._gel Water meterreadinss; <�� Last date of occupant- z:_.u. OTHER(des ' e): GENERAL INFORti-IA.TION Pumping Records Source of informative: C 7 Was system pumped a.-pWh.0 If yes, volume pumpers - r.-- :_a?aons - - _ Reason for pumping: T PE OF SYSTEM Septic tank, button L�-,Y _ it bs-----`: ia- -- distr:_ - � .-- _Single cesspool _Overflow cesspool _Privy Shared system(yes or no)(if yes.attach rweViOns = cr•M _Innovative/Altcr ... ft; tests 4,t.,�„ _..__ r;r_r...v_... ..-usw �_•. „- --_ -- -- _ ---_-__ .,.. obtained from systen Tight tank _Attach a copy of the DEP app_Qai Other(describe): Approximate age of all components,date installed(i" _- - Were sewage odors detected when arriving at the site(yes or no): Page 7ofII OFFICIAL INSPECTION FORM-NOT FOR VOL TAT r I d SUBSURFACE SEW' - } J A_ - FT_Yo� SYSTEM INFC'iR r =_ --_ Property Address- /3R- - y� Owner: _ Date of Inspection: $ " BUILDING SEWER(locate on site plan)• Depth below grade: Materials of consiructio, 4aza. - Distance from private v.at4 rF - _-- -- --- - - Comments (on condition of-o • - - SEPTIC TANK: (locate on site plan) A{ Depth below grade: Material of consn-uction: concie1e «rfzi other(explain) �- If tank is metal list ace: is aye confY r ---- - - - J �•+ .. a..a.a.ii.i.u..`ui� UiupllWluz:(YCJ vu nw. (anac=^a ck -v o r: certificate) Dimensions: Sludge depth: /s Distance from top of si87' =_ :-, Scum thickness: Distance frorn top of:µ_,. t f Distance from bottom of sV,,r How were dimensto-s Comments(on pumpi as related to outlet invel L _ GREASE TRAP: _(locate on site plan) Depth below grade:— Material of construction: concrete mF.r.:l �1k, (explain): = _— --. - : - -- ---- Dimensions: - Scum thickness: Distance from top of sewn tv Distance r .-. from bozo;:;O;.-:,«:.. Date of last pumYi.,- Comments(on pum;:_n as related to outlet invert _vi,det_= Page 8 of 11 :--:�7-7 a OFFICIAL INSPECTIO'i-t'FOl-.- 7F SUBSURFACE SEWA'G--::-. P SYSTEM Pi-17'0 RavT A T I_0 Property Address: Owner: 151,5c- l; Date of Inspection: TIGHT or HOLDING TAN-1K._(tank must be pumped Depth below grade: Material of constru-c-tioni: t r. Dimensions: Capacity: .9,a Design Flow: Alarm present(yes or vinl- Alarm level: Date of last pumpuig: Comments(conditi-O., DISTRIBUTION BOX- (if present Tr, h_.,_,_.-,_^_; =_c __ it_;,; , Depth of liquid level alh—r- Comments(note if box is leakage into or out of c-): z PUMP CHAMBER- 'lo Pumps in working order --,z or no) Alarms in womlit- U,U, v L Comments(note co itlUit 01,pwpm f • Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLU-NTARY ASS-FSS a FN-rc SUBSURFACE i'r'r!VA PART . SYSTEM INFORM it fo :� a_ Property Address: -- =� =— - - - Owner: XIS®e. __is s v Date of Inspection- SOIL ABSORPTION SYSTEM (SAS)- if SAS not located explain why: Type leaching pits,number.- leaching chambers, number leaching galleries -- - y 1 achina g trenches.., ntl!_._ _leaching welds,numbers, lit •'ereir}n__ _overtlow cesspool,nuinbcr: Comments(note condition of so,r, c,o2s of'I etc.): _ - '� - :e CESSPOOLS: (cesspool must be pv-npt-d?s _-a2 Number and configuratio-:: Depth-top of liquid to Depth of solids layer: -T Depth of scum layer:--,- Dimensions of cesspool Materials of construction: Indication of grou._- ='a _ Comments(note condir er -, PRIVY: (locate on site plan Materials of construction: Dimensions: Depth of solids:_ Comments(note Cf lfi iw\, i vet vI E Gtiutt{4, GC1!!=!!"v!' -- o r • Page 10 of 11 OFFICIAL INSPECTION FORM-NOT ___-- SUBSURFACE SEWAGE TITS-P w ,� � v SYSTEM INFORr-,!A j IUIN(Znrrirn.—AP- Property Address: Owner: Date of inspection: SKETCH OF SEWAGE Hi-i'tJS.$E, s Provide a sketch ofth= - ,'.'a';.�.:..r.:'=::.�:;::;.;.i iztt.i�:;S.:i i��-'_, ..;- =:i •.-:�E3+�z;; :.....nr benchmarks.Locate all wells _ - .� - �.vCdcr whetc publtC Water Supply 821tE?5't b��+: ._;_ h , 1 �0 ' Page 10 of 11 r OFFICIAL INSPECTION FaO ={ - c=-__ - - - SUBSURFACE SEWAGE SYSTEM INFORL; I :� = __ Property Address: ? Date of Inspection: SKETCH OF SEWAGE, DISPOS.=x, 9_S Provide a sketc.,;-: _ 2 benchmarks. Locate a1' w.i s i vCaiC l+uci-a publtc water supply t�o �l O Page 11 of 11 OFFICIAL INSPECTION FORM - ,inn, SUBSURFACE SEWAGE T t3a S ; pit _ _ 5- SYSTEM INFO= Property Address a UI Date of inspections: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water�feet Please indicate(check)all methods used to dete:-Prt.i;_ Obtained from system iac Observed site(abu^n ---- Checked with loca n r .,:.,� ----- Checked with local ! Accessed USGS database-c%"Ply-<._- You must describe how you established the high - a- J _ �-_�- No....lt.. '... % - Fis......a .�. THE COMMONWEALTH OF_M_ASSACHUSETTS BOXRD OF HEALTH - -.Town.......................OF........Bar.n,st:ab.1.a..------------------------------.--..--.------.-. Appliration for Uiiipaa al Works Tonstrur#ioaa ramit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: `` 135 ........ kxn lab...ad........................................................ .........-,ot...20A---------------------------------------------•-----.--.-.---._------- a r t No . des - ���� '--------------------------------- -!(�qs �a:�8 �' .r ..................................... _ ------ (` 9wner Address W �✓ U ................................. ............••--••••-••---------•----..........-----•----.....•-•------•---•.................•••.. a ? Installer Address d Type of Building Size Lot_._48 ,40.0__._....Sq. feet U Dwelling—No. of Bedrooms.................3_..................._----Expansion Attic ( ) Garbage Grinder (X ) pa`, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -----•--------------------------------- - W Design Flow........... 5............................gallons per person per day. Total daily flow.......3-3.0.............................gallons. WSeptic Tank—Liquid capacity 1500-_gallons Length__10.'_-6_',Width... Diameter________________ Depths'-4".._.. x Disposal Trench—No. --__-.---_---_-- Width..* Total Length.................... Total leaching area....4Q3..........sq. ft. 3 Seepage Pit No.......... .......... Diameter-----14 -------- Depth below inlet...`5_..67........ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by---- -_&_W�i� .r.._I�1�............................. Date.....4/3.042................... Test Pit No. 1..........4......minutes per inch Depth of Test Pit__l_3_._.._.._..._ Depth to ground water_.J1QI1 Test Pit No. 2................minutes per inch Depth of Test Pit.-12.............. Depth to ground water..z1 t11 OF '> w' •--•-•---•-•-----•--••................•---•-------•----•---•-•----•---------•---------•---------•---................................... ---ROGER 'yp O Description of Soil.....PII—36"--Loam__&---Subsoil r_.-.3-6."-72"--Fine--silty_..s -------------------- ....PAUL x and clay, 72"-156" -fine-_sand;--•TP 2_-0-3�"---Loam--&--Subs°-- l-,---36",- 2"•--_---•---- w nnICHNIEWIcz . ��_ �� a:304 W .._.fine silty sand clay,--72-----144-----fine._sand-----------------------------••----•--•---•-- •�------- -------------- UNature of Repairs or Alterations—Answer when applicable._.......................... ---••--- --------••••-••••• -•-_._....._ .. Agreement: ✓ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System accordance with�� m w �� the provisions of l I THE 5 of the State Sanitary Code—The undersigned fur :er agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa- th. -•-- (' t-......Q Application Approved B ./�. Date Application Disapproved for the ollowing reasons--------------•--- -----------•-•••---•••--•-•-----•--•-----•-••-••......-•••-•---------••-••................. .....................--------- •...-•--•--•-•--------•••-----•••••--•--.......•---•--------------•••--•--------•----•---•--•-•--••••--------------•-------•-•--•-------••-.........---------......._.._. Date PermitNo..............•......................................... Issued........................................................ Date kL J TOWN OF BARNSTABLE D ATION �3 � o �� -Q SEWAGE # 'Pq VILLAGE G ASSESSOR'S MAP &-LOT a®EF &PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) _Q015 !4 3' NO.OF BEDROOMS 4/ S v BUILDER OR OWNER C,—x-Vk--cs� �_r--- PERMITDATE: ~'�F COMPLIANCE DATE: `'2 Z 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 J c � O I 1 l7 ` = i c ' � U L. C-CA IC-A- S E W A- G-E PERMIT NO. got `VILLAGE 00-11 l u of 6 u t !X t AZS 74-3 CC: INS=TA LLER'S NAM & ADDRESS- I f'UILDER OR OWNER .,� X of )A-t *—Co. o D-A-T"E PERMIT ISSUED D`A-TE C0MPLIANCE SSUED W V" 14 La uQ ©xkwt4 ��-w�.�cvheece� c2c=r,. i� E ' -f L0 AT10N- SEWAGE PERMIT NO. VILLAGE Cwomk4a7d :It S-T A L E.R'S N A'M E N A-D D R E-S,S lovil-ogs rove. &Ut.LDER OR' OWNER z DAT E FERMI.T" ISSUED` DA:T E COMPLIANCE: ISSUED- r , f No.. z .y. ..`Ivi�' • `'� - u Fims..... g............... THE COMMONWEALTH OFMASSACHUSETTS 5.� RU. OF, HEALTH •---..Town . ................OF.-'-'. .B.erns.'l:.ab1e---------------------------.-------------..._.... Xppftrdfioo•for Dhip real Work, 11mUurtion rumit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: ....-•-.Oakmont. Q 7.41.......................................... ... .._�......Lab..2AA..........•--- ---------••-. -•---------•-•----.... L.Ifation-AddressL s No. Owner Address W .. . Installer Address UType fBuildmg Size Lot----4_$_,�i11II.......Sq. feet oI}w l ng—No. of Bedrooms.............,__3..................._----Expansion Attic ( ) Garbage Grinder (X ) CLI ;Other—Type of Building .......................:'.. No. of persons............................ Showers ( ) — Cafeteria ( ) PaOther fixtures ----------------------........................................................................................... W Design Flow...........55............................gallons per person per day. Total daily flow........310............................gallons. G: Septic Tank—Liquid capacity.15 gallons Length._1®.'_......."`ti%idth_.. _°_--t4_ Diameter................ Depth5'_--4"..__. Disposal Trench—No..................... Width_......:,:.......... Total Length........._..........Total leaching area____ O3.........sq. ft. Seepage Pit No----------1-------- Diameter-____ Depth below inlet...5••67....... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by----- -&-,WE11�r,__Inc_.__________________ ------. Date....413918.....------•-•---.a Test Pit No. I........�____-.minutes per inch Depth of Test Pit 13............ Depth to ground water------ A (i Test Pit No. 2................minutes per inch Depth of Test Pit..1Z'•.--------- Depth to ground water_._. g OF . P4 ---••-----••..................-...................................................................................................... " n to O ....... oGtR G O Descrip tion of SoiL_._.TP#1 -36.___. _: ._subsoil,,:36-_---72_ Fine__silty_sand.................. ......PAUL x and clay, 72"-156" fine sand, TP#2 0 36" lown &_subsoil, 36`°_,_72 MICHNIEWICZ W --- fine silty sand $__clay, 72"a144" fine sand LVIL UNature of Repairs or Alterations—Answer when applicable------------------------------------------------------------ __- _.-•-__- Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with, the provisions of .T:LE 5 of the State Sanitary Code—The undersigned fur .er agrees not to place the system in operation until a Certincate of Complian�bQeeng-.4*ssuedd by the b r e th. .............. .._... _. rn ___ 1 .�..�.. Application Approved B to PP PP Yam"' -- -•-------- / ..__. Dafe Application Disapproved for the following reasons----------------•••-• ••••••••-•------•--••---•-••••---•-•-••-------------•----••--••--------•-••--------•_....: C Date PermitNo................--------•-----------..................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS `FOARD OF; HEALTH .............................I............OF..................................................................................... ' %fffifiratr of Tomptiaorr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY.......................................................................-............................................................................................................................ } o 'has been installed in accordance with the provisions of 'IT'LL. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._-____- p E1 6�/........ dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................... Inspector...................................................................................... s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •"'` ....................®F.- '` No......................... `-`"..................... FEE..-...........-----..... Permission is hereby granted................................. .......... to Construct ( ) or Repair ( , ) an Individual Sewage Disposal`System at No. Street -1' as shown on the application for Disposal Works Constru ion Dated........................................... ....................................................,.. . -----:---------------------•------------ DATE '� L.k, A.., Board of Health*: . .. ... ------------ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS .k. BARN5TA5LE, GENERAL NOTE5: 501L TE5T LOGS 5Y5TEM DE5IGN CALCULATIONS: MA A.)NEITHER DRIVEWAYS NOR PARKING AREAS ARE ALLOWED OVER SEPTIC SYSTEM TEST HOLE 1: EL=32.5t SEWAGE DESIGN FLOW UNLESS H-20 COMPONENTS ARE USED. DEPTH FROM SOIL SOIL 501L 501L OTHER 3 BEDROOM DWELLING @ f f0 GPD = 330 GPD SURFACE HORIZON TEXTURE COLOR MOTTLING LEACHING CAPACITY REQUIREDi B.)THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UN- (INCHES) (USDA) (MUNSELL) 3 BEDROOMS (MAX.) @ 1 10 GPD = 330 GPD REQUIRED LESS CONSTRUCTED AS SHOWN. ANY CHANGES SHALL BE APPROVED IN WRITING. 0_G A fine Loamy Sand i OYR 2 NONE SEPTIC TANK CAPACITY REQUIRED, 6 C.)CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING THE LOCATION OF ALL G-21 B fine 5anciv Loam I OYR G NONE DAILY FLOW= 330 GPD @ 200%= 660 GAL. REQUIRED UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. 21- 8 C I fine 5anctvm I YR6 NONE FIRM IN PLACE 8-15G C2 fine-Medium 5a t OYRQ4 I NONE PERC 84"•<2 MI fN SEPTIC TANK CAPACITY PROVIDEDi CONSTRUCTION NOTES: EXISTIN 1500 GALLON SEPTIC TANK TO REMAIN LEACHING CAPACITY PROVIDEDi TEST HOLE Z EL=33.8± ONE(1) 25.0 X 12.85 X 2.0'LEACHING CHAMBER CAN MACH: cv LOCU-9 DEPTH FROM SOIL SOIL SOIL SOIL OTHER Vt=[(25.0 X 12.83) + (25.0 X 2.0)2 + (12-53 X 2.0)21 X 0.74 GPD/5F=349.28 GPD 3 1.)ALL CONSTRUCTION SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, SURFACE HORIZON TEXTURE COLOR MOTTLING TITLE 5, AND THE REQUIREMENTS OF THE LOCAL BOARD OF HEALTH. (INCHES) (USDA) (MUNSELL) 13 GPD>330 GPD REQUIRED NOTE: A GARRBAGE DISPOSAL IS NOT PERMITTED WITH TH15 DESIGN. 2•)SEPTIC TANK(5), GREASE TRAP(S), DOSING CHAMBER(5)AND DISTRIBUTION 0-7 A fine Loamy Sand I OYR3 2 NONE 1 INSTALLi Oakmont Rd BOX(E5)SHALL BE SET ON A LEVEL 5TA13LE BASE WHICH HAS BEEN MECHANICALLY -35 5 fine Sandy Loam I OYR71G NONE 5-NE(I)-3 OUTLET DISTRIBUTION BOX(H-20 Rated) COMPACTED, OR ON A 6 INCH CRUSHED STONE BASE. 35-120 C I Fme Sandy Loam la 6 I NONE TWO(2) -500 GALLON LEACH CHAMBERS WITH 4'OF STONE ALL AROUND Althea Dr 3.)SEPTIC TANKS)SHALL MEET A5TM STANDARD C 1 127-93 AND SHALL HAVE AT LEAST THREE 20"DIAMETER MANHOLES. THE MINIMUM DEPTH FROM THE BOT- TOM OF THE SEPTIC TANK TO THE FLOW LINE SHALL BE 48". TEST HOLE 3: EL-32.3± �, 4.)SCHEDULE 40 PVC INLET AND OUTLET TEES SHALL EXTEND A MINIMUM OF 6" DEPTH FROM 1501L SOIL 501L 501L OTHER ABOVE THE FLOW LINE OF THE SEPTIC TANK AND SHALL BE INSTALLED ON THE SURFACE HORIZON TEXTURE COLOR MOTTLING (INCHES) (USDA) (MUNSELL) un PLAN BOOK 235 PAGE 149 CENTERLINE OF THE TANK DIRECTLY UNDER THE CLEANOUT MANHOLE. M 0-13 A fine Loamy Sand I 0YRX2 NONE cV DEED BOOK 29473 PAGE 85 5.) RA15E COVERS OF THE SEPTIC TANK AND DISTRIBUTION BOX WITH PRECAST 13-2G 15 fine 5ano rn I 6 NONE y ASSESSORS' MAP 349 PARCEL 59 CONCRETE WATER TIGHT RISERS OVER INLET AND OUTLET TEES TO WITHIN G"OF 26-60 C I fine 5anciv Loam I 0 R 6 NONE FIRM 1N PLACE O FINISH GRADE, OR AS APPROVED BY THE LOCAL BOARD OF HEALTH AGENT. [Cl 60-132 2 Loamy Sand I OYR6 4 NONE SEE SIEVE ANALYSIS) G.)PIPING SHALL CONSIST OF 4"SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL I PERCHED WATER A I O6" LEGEND BE LAID ON A MINIMUM CONTINUOUS GRADE OF NOT LE55 THAN I%. 0_ DATE OF TESTING: I/24/2019 7.) DISTRIBUTION LINES FOR SOIL ABSORPTION SYSTEM(A5 REQUIRED)SHALL BE PERCOLATION RATE: LE55 THAN 2 MINJINCH IN 'C2'LAYERS IN TH#I *TH#3. 32 EXISTING CONTOUR 4"DIAMETER SCHEDULE 40 PVC LAID AT 0.005 FT/Ff. LINE SHALL BE CAPPED WITNESSED BY: ROBERT REEDY, EIT, J.M. O'REILLY 4 ASSOCIATES, INC. -32 PROPOSED CONTOUR AT END OR AS NOTED. DON DE5MARAI5, BARN5TABLE HEALTH DEPARTMENT x 12.34 EXISTING SPOT GRADE 5.)OUTLET PIPES FROM DISTRIBUTION BOX SHALL REMAIN LEVEL FOR AT MAST PERCHED WATER ENCOUNTERED @ 106"IN TH#3, EL=23.5±. + 24x5 2'BEFORE PITCHING TO SOIL ABSORPTION SYSTEM. WATER TEST DISTRIBUTION USE A LOADING RATE OF 0.74 GPD/5F FOR SIZING OF 501L A550PFTION SYSTEM. PROPOSED SPOT GRADE BOX TO A55URE EVEN DISTRIBUTION. - W_ WATER SERVICE LINE 9.)DISTRIBUTION BOX SHALL HAVE A MINIMUM SUMP OF G"MEASURED BELOW -0- OVERHEAD UTILITY SERVICE THE OUTLET INVERT. -U UNDERGROUND UTILITY SERVICE 10.) BASE AGGREGATE FOR THE LEACHING FACILITY SHALL CONSIST OF 3/4"TO _G_ GAS SERVICE LINE 1-1/2"DOUBLE WASHED STONE FREE OF IRON, FINES AND DUST AND SHALL BE IS TEST HOLE/ BORING LOCATION INSTALLED BELOW THE CROWN OF THE DISTRIBUTION LINE TO THE BOTTOM OF THE 5T SEPTIC TANK 501L ABSORPTION SYSTEM. BASE AGGREGATE SHALL BE COVERED WITH A 2" ELOO p I DB DISTRIBUTION 13OX LAYER OF 1/8 TO 112 DOUBLE WASHED STONE FREE OF IRON, FINES AND DUST. I\ PLAN /�1N I I.)VENT SOIL ABSORPTION SYSTEM WHEN DISTRIBUTION LINES EXCEED 50 FEET; SAS SOIL ABSORPTION SYSTEM WHEN LOCATED EITHER IN WHOLE OR IN PART UNDER DRIVEWAYS, PARKING AREAS, NOT TO SCALE Reserve RESERVED FOR FUTURE TURNING AREAS OR OTHER IMPERVIOUS MATERIAL;OR WHEN PRESSURE DOSED. CXL UTILITY POLE 12.)SOIL ABSORPTION SYSTEM SHALL BE COVERED WITH A MINIMUM OF 9"OF LOT 204 ED CATCH BASIN CLEAN MEDIUM SAND(EXCLUDING TOPSOIL). 13.) FINISH GRADE SHALL BE A MAXIMUM OF 30 OYER THE TOP OF ALL SYSTEM Area= 48,000 SF+ FIRE HYDRANT COMPONENTS, INCLUDING THE SEPTIC TANK, DISTRIBUTION BOX, DOSING CHAMBER 1ST FLOOR 2ND FLOOR WELL AND SOIL ABSORPTION SYSTEM. SEPTIC TANKS SHALL HAVE A MINIMUM COVER 0 DRAINAGE MANHOLE OF 911. ■ CONCRETE BOUND, FOUND 14.) FROM THE DATE OF INSTALLATION OF THE 501L ABSORPTION SYSTEM UNTIL I TOP OF BANK RECEIPT OF A CERTIFICATE OF COMPLIANCE,THE PERIMETER OF THE 501L ABSORP- LIMIT OF WORK TION SYSTEM SHALL BE STAKED AND FLAGGED TO PREVENT THE USE OF SUCH -x-% Family AREA FOR ALL ACTIVITIES THAT MIGHT DAMAGE THE SYSTEM. FENCE 15.)THE BOARD OF HEALTH SHALL REQUIRE INSPECTION OF ALL CONSTRUCTION EDGE OF CLEARING BY AN AGENT OF THE 60ARD OF HEALTH (OR THE DESIGNER IF TH15 SYSTEM RE L _17-Bath QUIRES A VARIANCE)AND MAY REQUIRE SUCH PERSON TO CERTIFY IN WRITING - Bath Bath PINE TREE Hall Kitchen Hall Office THAT ALL WORK HAS BEEN COMPLETED IN ACCORDANCE WITH THE TERMS OF THE PERMIT AND APPROVED PLANS. 48 HOURS ADVANCE NOTICE 15 REQUESTED. Green- house Bed Hall OAK TREE I G.) SECTION OF EXISTING WATER LINE WITHIN I O'OF PROPOSED SEWER LINE Bath] L 5HALL BE CUT, SLEEVED WITH 4'50LID PVC AS SHOWN ON PLAN, AND SEALED Garage Living Bed AT BOTH ENDS. SEWER LINE SHALL BE SET AT LEAST 18 BELOW WATER LINE Bed AT WATER LINE CROSSING. , Dining Foyer 49.6 4 17.) EXISTING LEACH PIT TO BE REMOVED. ANY CONTAMINATED 501L WITHIN 5 OF THE PROP05ED SOIL AB50RPTION SYSTEM SHALL BE REMOVED AND REPLACED WITH CLEAN SAND. AREA TO BE COMPACTED TO MINIMIZE SETTLING, 15.)501L REMOVALi ALL'A','B'#'C PLAYER SOILS SHALL BE REMOVED FORA 4e,7. sp o�stMn3 3 8edr sulkh ad D15TANCE OF 5'FROM THE 501L ABSORPTION SYSTEM DOWN TO THE'C2' LAYER F'of Fouidatiop�L�weNin9 SOILS FOUND IN TEST HOLES#I �#3• AREA TO BE 15ACKFILLED WITH CLEAN SAND AND COMPACTED TO MINIMIZE SETTLING. 0.4 / i 48 '. / fE., 51.3 i' ° 51:4 �� . . . Paved.'. . .'. . . . . �.�. 51,6 PLAN VIEW . . drive „5 , 6 ' PLAN SCALE: I" = 10' g4 .SCALE I"=20' TH15 AREA 15 5ERVED .. . . .. . . . . 4 49.8 BY TOWN WATER. D-Box 5'SOIL REMOVAL,, . p� oneR [(ia .. St � � SEE NOTE I8 /51,2 ONE(1)COVER TO BE BUILT UP TO x ai,a /\. 5A5 i" WITHIN G"OF FINISHED GRADE w� . . . . ,, �4 / Mane Exi5tm3 1500 Gallon Septic Tank :- , a 39,2 �51,4 RE m f i mi' �_ TO MAIN So W x 42,7 _ 48 3 S V r 3u CD 46 r , x 34 ,7 44 34,6 r- \ c� 40 8a9e of �/ a x 37,3`. Utility! 40 Peds : ns 32s > t Existing water line TO BE SLEEVED 3,0 SEE NOTE 16 . . . / x32 4 @act P R Pence 33.1 \ 35,2' . . . Of 6 - ,.. erm 32, _. r q P`�9e of FLOW PROFILE: x 35.0 S" 2 ...:OIL . NOT TO SCALE C5 A,B. VqL x 32.8 Existm Leach Pit TO BE REMOVED TOTAL OF TWO(2): (1) DB, (1)SAS 2.9 9 8"DIAMETER CONCRETE COVERS SEE NOTE 17 RAISED TO WITHIN 6"OF FINISH 33•0 =TP3 �`� 032,3 t 0"Pine TOP OF FOUNDATION GRADE(OR AS NOTED) ,77 EL=52.7± (SEE NOTE#5) \ \ TO BE REMOVED °:•" Existm EL=50.5± Pro osed EL=33.0± Pro sed EL=33.0± BENCHMARK: \ �, PK Nail 3312 w• .^ INSTALL \ \ EL=33.2± (Assumed datum) �' 1e ; t.r a 4I"PVC - ;.` "., `' + INLET TEE 15"Proposed 48.5_ e T . n� fi (9° Mln-36"Max) Y �,t EXI5TING 31.7+ , O Michael Gethln 2" LAYER Of IV I/2"STONE d, Y port, MA 02G75 � I 9� � t ;� 138 Oakmont Road, armouth 9• - ��� 3/4"- 1-1/2"STONE O r `3 100 %; EXISTING date SITE EWA I P A 31 � INSPECTION NOTE: y - '�J'� D 33,9 � M 5 G E D 5 OS L SYSTEM D ES I G N EXISTING EXISTING ' ` 2'DROP \ s1) v . . 138 OAKMONT ROAD BARN5TABLE MA 31.50 29.00 PRIOR TO FINAL INSPECTION BY THE ENGINEER,SYSTEM " NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. USE TWO(2)SHOREY PRECAST Soo GALLON LEACH CHAMBERS S.s'± � J.M. O'REILLY �C ASSOCIATES., INC. \ \ Professional Engineering & Land Surveying Services Longest Run WITH 4'OF STONE AROUND \ O 20 40 60 --94 I G' (END VIEW) D5-3 SZ EL=23.5± PERCHED WATER IN TEST HOLE#3 LEACHING CHAMBER \ 1573 Main street - Route 6A D-BOX 25.0'x 12.83'x 2.0' \ SCALE i =20 P.O. Box 1773 H-20 \ (508)896-6601 Office Brewster, MA 02631 (508)896-8802 Fax \ DATE: SCALE: BY: I CHECK- JOB NUMBER: G:WAJobslGethm-8672 138 Oakmont Rd.Wwg\8E72.SSD5 PLAN.dwg 2/2 1/201 9 A5 Noted RFR JM0 JMO-8672 ."" .. . -�-��.- �� t;-. T -a�-t C71,�.� C:r►.` �G R hi\ »..,,. ..a,. ,�-._,... ... ,, w•. .•......,.... ,... , ..,� R F�!I S I O•...... .., .. .,. .. ._.,,........... . ..w . ,,....,. .,,_,� L74rF , TESTING +,'30 � -`�_ _ GAS. FIST. SOX DETAIL LEACHINGEA IL /T Y DE-TAIL: :�r, t ,a!x: T� S T' PIT DATA - - P ER'C'. TEST DATA :TA � SEPT/ � TA/�11�( DE°T"A �L.. , �wt�.._ -- ��o -- _ TEST By : t.vwi, wf,LLR zu` / - �'--- - - Os�TE OF TESTING, .--q� !_52- _ _ ?,J �',k' 'O COth'FORM TO TITLE 5 REOUIREMENTS. TO CONFORM TO TIT:E T. F T- F:, I A F, WITNESSED BY _ _ Cat 0 � TEST BY. i,-ok-a N4✓/ I-Lrr-R T_ C NO. OF 01/7LET`,S J ----- --------J --- ` - - - — cs lot.(.) -- ------ -— _ _.. WITNESSED BY -_ -`2'. '��1�7s�� i 7 y�}'"ii ., _.T."AA l�rf// /=II�%9rti = I_ 7 ; � r �' REMOVEABLE COVER _ 1� _ n L<�1�yM I L ,e,;1V1 I 12 - '-MANHOL.E BROUGHT TO .. ;;,• o;-•.o ,. FINISH GRADE. , _ Y _ 2��A,'rUNE LCa4MdF/LL I2 M/N., • ,•,, -- - -�- o 1. 3 CLEAR 3 CLE OUTLET PIPES, -- OU L E , ( � 5U 1t_ SUS 1� o DEPTH OF TEST s"M/N , ' _�. t ASREouIREo\ _ -- 6"MIN. 2 M I N q RATE 4 MIN/ i �1c __ to"M/N -- Oar - _ IN L E r TEE ---- -- ou LE r rEE _ ( BOX _ --- �ntjL GAL. jI s ' , • . 4£Jat - INLET AND OUTLET 4'O". MINIMUM OUTLET TEE DEPTH p �„ ! • SEf'Th' TA/IMP --`�- 111 I I . PRECAST OR BLCX.71' E L a=,7 I /4 AT L/Otf/D DEPTN OF 4" 1 ? 6'" { PRECA } -- 'C f (. >✓.C L IOU D DEP N /9 „ „ 5 / ICONCr L�� �r r t, • SEEPAGE`PIT }TEES TO BE GASr / T -- - — - -- - —. - 1 DEPTH OF TEST IRON, SCHED. 40 �� „ �; _ __ _ 71(l _. - _. PVC. OR CAST IN Z :�• �� - � ° C r !O` I � i �• � t � 29" ., j' .a _ ` ; '..�_...:L�..a :�►n�-_� � ' MIN. + t RATE, PLACE CONCRETE CONCRETE �•a 34 " B BOTTOM ON LEVEL STQBLEBASE J nit � CONSTRUCTION � I t• .• � + (WArERTIGNTI INLET TEE PRO VIOL D WHfR£ SLOPE FOUAVAT/ON w •.. ___.-_ - . - ____ -_ ' ___ • •' : • ":.° OF /NLET PIPE EXCEEDS 0.08 X/ OR i E �J� - -- - — -� c TANK TO BEAGLE TO 1!�/THSTAN[- BoTTOM OF TANK ON LEVEL STABLE RkSE H-10LOAD/NG UNLESSUNGER /N Q PUMPED SYSTEM. __- __._- �� ._ ___ - � - .______�j I�Y*4SMEG STONE - � ---- - PAVEMENT OR/N DRIVE. H-20 t i I I L OA D I NG UNDER PAVEMENT OR { I DRIVE. 1 TE'S FLAN VIE ��// A INVERT E� A TI Ns1 ; --_- TH•l5 PLA1'V IS fOR THE DESIGN AND CONS I RUC; iON OF THE SEWAGE ~- _ T • 01, 6 0/5P0SAL FACIL/ T Y CAIL Y SCALE i ' • - .` 4` }7.. 1NV A�' BUILDING •2a 2. ALL CON TRUCTI("'lV` METHODS 4ND MATERIALS SHALL CONFORM T;� ! 1•'� � �" /NV AT SEPTIC T�i,'�Kr`!N1 __��-1._ O4 �;�� �G,`� 4 3 _ MASS. DE-0-E. T i t L E 6 A .N D THE �J.R � � R ;�, . � '" 4,41 r��, s�c r' I '. L�F BOARCJ OF oE4�¢: _ i /NV. AT,SFT/C TA1Vlf(G�1T.' _._l.ti .__ . ._ _ #. >� , «�t ' HE_4 L TH REGUL A T ONS. �-- .,.__ •__�_� ... __ . , • F I �J ��.' �P��?•.. ','��t�� '�"'42-o rJ'C'_ _� / ..../ "7 3 !A.L.L 1 M P E< V t O V S Sc)I L co P'"LL 8 t- R tN)V r_7� 1.1 t -i �-1! 3 A 1 0 - r~� .+l D E e �,c Zr1.1P[. AV�t� � �3 t_� AGN�r� t' tT, Ah r� •E_ �S�Pt�c _ ---- --- t �, �'.���... -, '• i � tNt!,4T DiS%: B;�.X(;N,t 9 8.44 �•� ,, Ar-a cWL�,n,►.1 C.P,r_—A UL +:TQ•, ��LL 1 �, A,C-C- ,r��.�� 1R11Tr� , ' , ' ' ' 4" /NV ATQ/S BOX; -_9"T.�? y _... t � L E A CHI NG FACILITY' _ram_,,.._ _ -•-�- - =-,.•----- !, ��# � •"` t __.--- __.__----- _- .__- ___ _.______ .______.___._- ._ __.__. _ • fi�_r POTTQI�I rJFP1T 4 Wt}RSNORWEL�E +B{SS. 92.© BCS�'ON. R HALIFAX S. - T 3 8 Vf3F®RD, I°W9A5S. x.. tzGTr3N, mASS. o v g� '�A.O H,lIV-E ! / + ��� --`' ., --=�- ti} ; i HYANNIS. MASS MANSEIELD, !SASS. _ ! Ch,AF1'STOk R°1. DERRY, N.H. h) } e ! S Y f r D-: : ION FLOW 0 6 REOU/RED SE�'T/C TAME N _ _..,_. j O GAL ° - _ N to L:ETC TANK ,PROVIDED � - �'C3� GAL. � _. - t q o REOUIRED SIZE LEACHING FACILITY _ _ --_ � 7�. ENTERPRISE RC"�C! _ ��/� t a j -7155 �'luS.___5d,t fu 1ijC_RtAS1�• 1►,,-' -- s 775-7815 DIVISION OF R t".+p, 1 _ t �'±'" t sj BOSTON SURVEY CONSULTANTS INC. l �( • �,�'-'�" t,�F LEA(•`H,'.NL7 F "':'/i.l/"Y PROVIDED � r f�ft�'NFFRfNG SURVEYING + PLANNING G ' P 'I 'S �"PE OF SYSTEM l �� � 7 ; �t _ w 154.3� P X ` - - _ SEWAGE DISPOSAL. SYSTEM E ti DESIGN _ _. r z x .,,.- ,•. ----- -- --It's_,...,. �,. -..._„ __. �� _- -- - _ - _ . __ ___-__--------_. --- '� �...�'.`��" �'....�. , l`°'� �:r / — -.- - - o L US AN., { � ., .64 r, I' SCALE: AS SHOWN `s r ' fly TArt3L t_'? _.1_ = i `< P1 FEET U �'.",V°'tt..+/'7 � f^7 •..�'-- t`� t �� '` ? i ` ....W. �c..., y� ' jjt r, �.041. DATE.: /} L B tl' / 0 p� t i� i Gt�MP./QESIGN: )'.Ft\4. ,o A/ �q°�t8"so' �,�/ Imo,o/ CHECK: � r ` DA T Cd C3RAW f�l: �. ,•_,.` �v•'f•s r,k La,� �kl f� C i`Pr: t i �f �Y: .� }�.�.tiy....,`,., r,,,�,,�y,,'+",���f` FIELD: � c A , i FILE NO: DWG. NO: tp� JOB NO.��� I��z SHEET: 6 OF- I i