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0149 OLD JAIL LANE - Health
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Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. General Information C filling out forms on the computer, a 5 3,2— use only the tab 1. Inspector: key to move your cursor- not Nicholas Geneseo use the return ----- ---------- --- ----- -=------._.. key. Name of Inspector - _.._.__. _ _ Wind River Environmental tab ompany Name -- --------- ----.-._ 46 Lizotte Drive Suite 1000 Company Address :---------- _.-__. _.:___._..._.. ----- '� —,"- MA City/Town _. .. ._-:_.__---- 01752 State ---------- Zip Code 800-499-1682 Telephone Number _----.._---_----_____.-- License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address information reported below is true., accurate and complete as of the time of the inspection. The in was performed based on my training and experience in the proper function an and that the sewage disposal systems. 1 am a DEP a inspection Title 5{310 CMR 15.a m}. The system: d maintenance of on site pproved system inspector pursuant to Section 15.340 of Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by.the Local Approving Authority Inspectors Signature ' Date _....._........_........__._.__............._—_.:..._... _..._....__..._._.............._. The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies— buyer, if applicable, and the approving authority. sent to the "This`This report only describes conditions at the time of inspection and under at that time. This inspection does not address how the system will the same or different conditions of use. the conditions of use - perform in the future under. t5ins.00c-rev.6t16 Title`a official Inspection Fonn Subsurface Sewage Disposal System page of 17 ( /�B I C Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 149 Old Jail Lane Property Address Don Kethro Owner Owner's Name information is Barnstable MA 02630 8/3/17 required for every _ page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 31D CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System has 2 1500 gallon tanks running to the same distribution box and SAS, system is working properly. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. if"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. u ❑-Y ❑.'N ❑ ND (Explain below): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 149 Old Jail Lane Property Address Don Kethro _ Owner Owner's Name information is required for every Barnstable MA 02630 8/3/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if. pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution_box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑, ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced' - ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, . safety and the environment: i ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-•Page 3 of 17 Commonwealth of Massachusetts ` Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 149 Old Jail Lane Property Address Don Kethro Owner Owner's Name information is required for every Barnstable MA - 02630 8/3/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: I ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: '*This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: ° D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ E. Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth`& Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments.. 149 Old Jail Lane Property Address Don Kethro Owner Owner's Name information is Barnstable MA , 02630 8/3/17 required for every _ -- page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No El ® 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 within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 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 design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No El ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 149 Old Jail Lane Property Address Don Kethro Owner Owner's Name information is required for every Barnstable MA 02630 8/3/17 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two.weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the.facility owner(and occupants if different from owner) provided with information on the proper maintenance of Subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310,CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 149 Old Jail Lane i7M Property Address Don Kethro Owner Owner's Name information is required for every Barnstable MA 02630 8/3/17 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes E No Is laundry on a separate sewage system (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? , ❑ Yes ® No Water meter readings, if available last 2 ears usage 132 gpd 9 ( Y 9 (gPd))� Detail: 7/15-7/17 Sump pump? ❑ ,Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: — Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): - -- Grease trap present? ❑ Yes ❑ No Industrial waste holding tank:present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No . Water meter readings, if available: --- — — - t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 149 Old Jail Lane Property Address Don Kethro Owner Owner's Name information is Barnstable MA 02630 8/3/17 required for every - page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records:. Source of information: The home owner and Wind River Environmental are the sources of the information. Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 3000 _ gallons How was quantity pumped determined? The quantity was determined by the pump truck and it was measured. Reason for pumping: To check the structural integrity of the septic tank. Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system-by system operator under contract Tight tank. Attach a copy of the DEP approval. ® Other(describe): 1500 gallon tank 1 and 2 to box to SAS- t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 149 Old Jail Lane _ Property Address Don Kethro Owner Owner's Name information is Barnstable MA 02630 8/3/17 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1995/2005 Were sewage odors detected when arriving at the site? ❑ .Yes ❑ No Building Sewer(locate on site plan): Tank 1 -2.5'Tank 2- 1.5' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): - Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Piping 40 PVC clean with no leaks present Septic Tank(locate on site plan): Depth below grade: Tank 1 -2'Tank 2- 1' feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 2 - 1500 gallons Dimensions: Sludge depth: Tank 1 -3"Tank 2 - 1" t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,.N 149 Old Jail Lane Property Address Don Kethro Owner Owner's Name information is Barnstable 02630 8/3/17 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Tank 1 -30"Tank 2 -32" Scum thickness Tank 1 -2"Tank 2 -0" Distance from top of scum to top of outlet tee or baffle .. Tank 4 -6"Tank 2- n/a Distance from bottom of,scum to bottom of outlet tee or baffle Tank 1 -2"Tank 2-n/a How were dimensions determined? The dimensions were determined by sludge judge, rod, and ruler. Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank 1 has both tees in place with liquid level at the bottom of outlet, tank-appears sound with no leaks or cracks observed. Tank 2 has both tees in place and liquid level is normal, tank also appears in good conditon with no cracks or leaks observed. Recommend pumping annually and installing riser on tank 1. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: El concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): 'Dimensions: - Scum thickness Distance from top of scum to top of outlet tee or baffle -- - - Distance from bottom of scum to bottom of outlet tee or baffle -- Date of last pumping: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ^M 149 Old Jail Lane _ Property Address Don Kethro Owner Owner's Name information is Barnstable MA 02630 8/3/17 required for every -_-__ _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: — — Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: - Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No. Alarm level: Alarm in working order: ❑ Yes ❑ No .Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts ' W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 149 Old Jail Lane` Property Address Don Kethro Owner Owner's Name information is required for every Barnstable MA 02630 8/3/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): 0" Depth of liquid level above outlet invert -- -- — Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box is 4' below grade with 2 outlets taking equal flow and showing no crumbling or leakage. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M a 149 Old Jail Lane Property Address Don Kethro Owner Owner's Name , information is Barnstable MA 02630 8/3/17 required for every _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 ❑ 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.): Pit 1 has 4' of available space with no signs of hydraulic failure. Pit 2 has 3'of available space and no signs of failure. Normal vegetation, soil is dry and sandy. i Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration - — Depth-top of liquid to inlet invert ------ Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 149 Old Jail Lane Property Address Don Kethro Owner Owner's Name information is required for every Barnstable 'MA' 02630 8/3/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil,-signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan)`. Materials of construction: — — Dimensions — 4 Depth of solids Comments (note conditiomof soil, signs of hydraulic,failure, level of ponding, condition of vegetation, etc.): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 149 Old Jail Lane Property Address Don Kethro _ Owner Owner's Name information is required for every Barnstable MA 02630 8/3/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately I t5ins.doc-rev.6/16 Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts H W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 149 Old Jail Lane _ Property Address Don Kethro Owner Owner's Name information is Barnstable MA 02630 8/3/17 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water - ® Check cellar ® Shallow wells Estimated depth to high ground water: > 12' feet Please indicate all methods'used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 2005 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Design plan attached: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 149 Old Jail Lane _ Property Address Don Kethro Owner Owner's Name information is required for every Barnstable MA 02630. 8/3/17 page. City/Town State Zip Code Date of Inspection E. Report Completeness-Checklist E Inspection Summary:A, B, C, D, or E'checked E Inspection Summary D (System Failure Criteria Applicable to All Systems)completed E System Information— Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file f t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE -LOCATION d!a//,ra;I 'Law SEWAGE # VILLAGE �r sh-� /r ASSESSOR'S MAP &LOT a7 S'ZW-D IN5 TALLER'S NAME&PHONE NO. ( S AQ 4.toy, 2—,J SEPTIC TANK CAPACITY I rod LEACHING FACILITY: (type) ��Ck (size) zc t 5 f NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 10 !2 Feet Private Water Supply WeU 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 } At aO -0 A3 Yo.�i. " r�s . 3'7. 7 16 .0 33 3 �' I i TOWN OF BARNSTABLE t � SEWAGE # 95,- q�7 LOCATION C� Jg, n' 70 VILLAGE : (Ja rn Sh-bit ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. •�v= SEPTIC TANK CAPACITY LEACHING PACILaTY:(eype) (s' ) �a V NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:"` VARIANCE GRANTED: Yes i Fee-Z THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,. MASSACHUSETTS YeS APprication for ]t!6po!5'j &p5tem on tructton permit' Application for a Permirto Construct(V�Repair( )Upgrade( )Abandon( } ❑Complete System C1 Individual Components Location Address or Lot No. %L6 Old-QM L-yt. O�MName, dress and Tel.No- Assessor's Map/Parcel ,ja- 0 U,,.-�0 a t. 5 O1L12 .Sa -36.D S195y Installer's Name,Address, and Tel.No. S J it-j 2 F 'AQ1 i Designer's Name,Address and Tel.No, 304 L G>74 (�! `C2,,,itir mac ,Kn ZZe3 Z 1Z.C1 lft 6r'�1 Type of Building: Dwelling No.of Bedrooms Lot Size !- 93 sq.ft. Garbage Grinder(60) Other Type of Buildin L+.zt;o Showers( I ) Cafeteria No. of Persons Other Fixtures Design Flow 3 3 c gallons per day. Calculated daily:flow 11 o ' Plan Date Number of sheets ' Revision Date gallons. Title Size of Septic Tank Type of S.A.S. S; Description of Soil Q�✓I.� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-sitesewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo d of Health. Signe Q' Date Application Approved by Date Application Disapproved for the following reaso 7Z> Permit No. Date Issued --_ ---_ --------.. — _ ————— — — — — THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that.the On-site Sewage Disposal System Constructed(`")Repaired( )Upgraded{ ) Abandoned( )by c,;p. at 1 -A S ()i,l r has n construEted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated �� Installer �' Ate. s�I�,�.-��,ti-+.5 Designer IZ • '!) . o Na Al/,n The'issuance of this permits all n t be construed as a guarantee that the sy m w s designed. Date ���a ��� Inspector � 1 F i 1.02.60 . 1�i yaw E ? .CIF C r pr 1'02•90 , pROF' '.' A X INS �- t EI.5r l flsa �,T CHIN Ts ® 106 _ r Oni- o-tv :. . ZOO �AL 109� is �� .. o T�CNK �, �•� �1 'V. 14 ' PINE MEE 7' r '1 ALT ,op' i .. L_ i ✓ IJ II f 1` , � .� ,. .. !• :•' - .'—; ' _ rr f y 1,t i r` 7Tr y ,• is d:No. 3 w 1P Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for rkgogal *pgtem Cow5tructiom Veruait Application for a Permit to Construct(W-4 Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 7/ (old I"1 L4q, Owner's Name,Address and Tel.No. Assessor's Map/Parcel '.21 ©O Z).-00� �T Installer's Name,Address,and Tel.No. S J t yz S yo2ss Designer's Name,Address and Tel.No. P a• 3cm -7("3 2.Q: c4))I(eWA C`6tv-0de C�,ta.,�ac vvtA oze37- •3s- Ik}. 13`f _Vb azac,3 /&s-z, Type of Building: Dwelling No. of Bedrooms Lot Size /, 93 4` sq.ft. Garbage Grinder(60) Other Type of Buildin No.of Persons Showers( 0 ) Cafeteria( U) Other Fixtures Design Flow 3 3® gallons per day. Calculated daily flow >1® gallons. Plan Date Number of sheets Revision Date 4-5 -2-b o; Title Size of Septic Tank Type of S.A.S. ��c4i't Description of Soil e)A.A Nature of Repairs or Alterations(Answer when applicable) - P`VK Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued b this Board of Health. Signed.—, Q' Date Application Approved by Date Application Disapproved for the following reaso Permit No. "� Date Issued 04 No. /:�`�! ¢ t >en �. ,a, Fee { THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ¢ !�x s- k -k Yes PUBLIC HEALTH DIVISTN - TOWN OF BARNSTABLE., MASSACHUSETTS Application-,, pplication for Digogaf *p,5tem Con!5truction Permit Application for a Permit to Constrict(V )..Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. NJ AI T;I( 4, Owner's`N'a_mee,Address and Tel.No. s p� �-it#GIrO {�/'1 Ol A Jug�L r1. II Assessor's Map/Parcel a79 O 0�.-op €, sa 3601-4ysY Installer's Name,Address,and Tel.No. S `l1$ yu L Designer's Name,Address and Tel.No. f-o„ 3W -701 K.,J. of lfedm Type of Building: ! Dwelling No.of Bedrooms Lot Size /• 93 4 sq.ft. Garbage Grinder(n0) Other Type of Buildin (a640 No. of Persons Showers( I ) Cafeteria(0) Other Fixtures Design Flow 3 3 o gallons per day. Calculated daily flow I 1 U gallons. Plan Date Number of sheets Revision Date y-S -Zoo i Title Size of Septic Tank j 11 Type of S.A.S. cS Description of Soil; 9QC OV1 A V Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: ` The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. / Signe o�;+/% �' / I Date ` Application Approved by _ 0 .SAX `` _ Date Application Disapproved for the following reaso Z %] i Permit No. "� Date Issued INN 91 !2 J . --------------- ------------ -- -- ----- t, THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(4 )Repaired.( )Upgraded( ) Abandoned( )by - &Ae.j'.J_#. Nh�A�jj.(.N Ll �. at 1" 613 L- t has b n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No �ted Installer C'_Adda. „�.R �u`ln D+c1�•S Designer IZ- n Ne-w,n The issuance of this permits all n�°t be construed as a guarantee that the sy tem wilwilT7infesigned, Date �� �. Inspector No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligpo$ar *pgtem Con!5truction Permit Permission is hereby granted to Const c0e_ )Repair( )Upgrade( )Abandon( ) System located at I Met iOk& ZA,n tV0,0+ R and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Co,1r_tr � u t b empleted within three years of the date oft s e Date:_._ / ti D Approved by V Sep 01 05 07: 13p Richard 't` 508 394 1265 p. l FROM :CAPEWIDE FRX NO. :5084283928 Rug. 26 2005 12:30PM P2 Town of Barnstable Regulatory Set-vices t i Thomas F.Geller,Director "A°& Pub&.Health Diviston Thomas McKean,Director 200 Main Street,Nyanufs MA 02601 O iee:.508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form D te: Designer: �J. ® IkA/rl Installer: ►;e C--2t7& 6 e_j C,L C A dress: . _ 3 (ZU t 3 y Address: y �3ox 7 6 3 02 6s z oil �-/ Lori 4 40 was issued a � _ permit to install a (date) (installer) sevicsysternat 1 Y`I D Id SAL Goy,a based on a design dawn by (address /- ) �1• o%Marv! dated designer) `ri certify that-the septic system. referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component Of the septic sysu=)but in accordance with State&Local Regulations_ Plan revision or certified as-built by designer to follow. �yk OF lvr,4 staller's S tore) R IC H A R D ti01 JAMES .r U No.694 9FGISTF FAO (Designer i it re) (Affix D p ere PL ASE RE URN T O AIINRTABLE P Ur AT D SON. CE TI1FT o1F CO CE wIT.S. NpT BE isSUED UNT!<T. BOT$ SAS- B T e ARE RECEIVED A STABLE PUBLIC HEALTH DIVISW0r4. Y©l Q:H th/3epticAksiper Caffieation Form I ; Wao GA / Z /Z TOWN OF BARNSTABLE LOCATION SEWAGE VI!J. AGE ASSESSOR'S MAP & LOT a 8 INSTALLER'S NAME&PHONE NO. ( toe 4•co�, �-2� L SEPTIC TANK CAPACITY LEACHING FACILITY: (type) CAa-01%. (size) g K u f e� NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ✓'�� �2 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 Q-P obw�� �30 o �, - Q an�.� fu No. D f Fee co THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN.OF BARNSTABLE, M'ASSACHUSETTS Zi pplication for Mtgooal *poem Con6truction Permit Application for a Permit to Construct(tom Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. �!7/c� d/d j-q,t C Qyp, Owner's Name,Address and Tel.No. i�Mn33w+3tg .�'b -Di)n Ke 1 it.no Assessor's Map/Parcel !K 5 01 d C — � �' CCU vZ cO c7"�. 3 wrn a tra,�i i e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. c- �c�efi��7 i • �u 79 vw•a Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building J,'4, f 4v,^:%Y No. of Persons r/ Showers( ) Cafeteria( ) Other Fixtures Design.Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank l se)o 4 Type of S.A.S. G f_VtZtn Q,t S !o 10 0 Y'-- Description of Soil Nature of Repairs or Alterations(Answer when applicable) Or'ri f e `J'1�3 zi u -D e Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Sign d C- Date Application Approved by Date Application Disapproved for the following reasons Permit No. =_k�Q 0 2 Date Issued L 13`f / Fee Vv THE COMMONWEALTH OF MASSACHUSETTS Entered in computer; PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS es 01ppYicat on for 30i.5pogar Opgfeiu,(ton!5tructiou Permit f Application for a Permit to Construct(*I—)Repair( )Upgrade( )Abandon( ' ) O Complete System ❑Individual Components Location Address or Lot No. L�/e, Id r-µ,c c-oy-k Owner's Name,Address and Tel.No. Ke Assessor's Map/Parcel 1�(5 0!d )�4,C a 04— - Gbh Oaf 3var"S 1e Installer's Name,Address,",and Tel.No. p Designer's Name,Address and Tel.No. - r.c�: 6.v -7663 3,/� l Vl Iq ( Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) # Other Type of Building S,!2 le C4w,,1 V No. of Persons +! Showers( ) Cafeteria( ) Other Fixtures Design.Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Daie Title Size of Septic Tank Sc-:)o �Type of S.A.S. L PAcl„ Q t t o a v e�►�►� . Description of Soil Nature of Repairs or Alterations(Answer when applicable) Rc g6o c e `,'3 0 K -DJ<=. Date last inspected: M. _ Agreement: .. yThe undersigned agrees to ensure the construction and maintenance of the afore described cm-site`sewage disposal system in accordance with.tAe provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. s a0o> Signed 4 �.. Date ' -E k Application Approved'by Date O Application Disapproved for the following reasons ' Permit No. 3 7 Date Issued L M O _- - - ——————————————————————————————————————— st THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS x Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( Repaired ( )Upgraded( ) Abandoned( )by t�.a �e OnAtr er", be 5, L.`. c- at t'f 9 old SA;L has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer C-4 E'rt l-cr jzr.->c,). Designer A The issuance of this p rmit shall not be construed as a guarantee that t e syste w' n ion as.designed. Date r �l ll S Inspect r No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 3111igozar *pgtem Construction Permit Permission is hereby granted to Construct(64IRepair( )Upgrade( )Abandon( ) System located at c-f S n r_,� S-A"l L 4,;,-e Zn"A-)1Prj3l& M and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditiots, Provided:Construction ust be completed within three years of the da a of this pe Date: 41_. Approved b �_�tC, /�1UU4 11 :54AM LISSUN ANU VEAKA No . 449 e. Z �\ Ct,<MONWEALTH OF MASSACHUS-�:�TS EKECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMZNT OF ENVIRONMENTAL PROTECTION _ SOUTHEAST F2GIONAL OFFICE E0 RIVERSIDE DRIVE, LANEVILLE, MA 02 7 505-946-2100 1`y MITT ROMNEY a(�I%rya \ LLEN Ro I f RZFELD R KERRY HEALEYJ —._ I E T W.GOLLEDGE,Jr. Lieutenant Governoz /f i 11 I' 7 16 Commissioner -�` July 15, 2004 Ms. Lisa Strock, Conservation Administrator RE: BREWSTER—Subsurface Sewage Department of Natural Resources Disposal—Request fcr Title 5 Tecimical ' 2198 Main Street Assistance Brewster,Massachusetts 02631 Dear Ms. Strock: The Department of Environmental Protection is in receipt of your letter requesting the review of issues arising from the construction of a Dut>lCh Donuts restaurant at 15 Lower Road on property owned by the Luke Brewster Realty Trust. The Department has also received correspondence from David lvlichniewicz of Coastal Engineering Co., Inc. and has reviewed both letters and the documents submitted therewith, Based on the information provided in both letters and the documentation it appears that this property was permitted 'in 1986 under the 1978 version of Title 5 as a retail/delicatessen/apartment complex for a total daily flow of 1561 gallons per day (gpd), The leaching system was designed in excess of the permitted flow and showed a theoretical capacity of 1971 gpd, 310 CMR 15.352 states that"[nlo person shall increase the actual or design flow to any cesspool or to any other system above the existing approved capacity, unless the system is upgraded." For say system not designed in compliance with the current Title 5 (1995 Code), the Department defines "approved capacity" as the specific "Total Daily Flow" referenced on a Disposal Works Construction Permit (DWCP) issued under the 1978 Code�rdless if the system has a zheorgtic— capacity in excess of the referenced total daily flow. Accordingly, in this case any proposal to increase the total daily flow above 1561 gpd would require .a new sewage treatment and disposal system designed in full compliance with the 1995 Code. The Department's preliminary calculations of total daily flow show that the addition of the Dunkin Donuts increases the approved capacity of 1561 gpd by more than 400 gpd (based on 20 gpd per seat for the Dunkin Donuts) and thus triggers the need for a new system. More definitive calculations are required to determine if the design flow exceeds 2000 gpd, which would require pressure distribution for the soil absorption system(SAS). Pursuant to 310 CMR 15.223 (1) (b), a two compartment septic is required because the facility is not a single family dwelling and total daily flow for the entire facility is greater than 1000 gpd. With respect to your question about groundwater separation, 310 15.103(S) provides This informR4on M avausek in alterpate forenaa Coll Donald M.Gomes,ADA Coordinator rt 611.S56-1 057.TDD Service.1-000-29r 207. c: DEP op the World Wide Web: ht1pVAuww,mass.9ov/dop 40 Primed on Rocydad Paver Z0'd 209zz9280ST Hi-ldBH Ai9 SN6US b0:OT S00Z=9T—NnE 'U-EC, /. 1UU4 111y4AM ZIMN ANU VtAKA 2 • a list of appropriate methods for determining maximum groundwater elevations. Generally, the bepartment would prefer reliance on direct observation of the redoxirmorphic characteristics of the soil profile; however., site specific conditions may dictate that other methods -are more appropriate. In any event, the design of a new system must account for appropriate determination of the maximum groundwater elevation. If you have any questions or require further information, please contact me at (508)946- 2753. Very truly'yours, Bnan A.Dudley Bureau of Resource Protection BAD/ cc: Ms.Nancy Ice,Director Board of Health 2198 Main Street Brewster,Massachusetts 02631 W DavidAchniewiez Coastal Engineering Co.,Inc. 260 Cranberry Highway Orleans,Massachusetts 02653 PAbdudley\iechnical assista nnce\brewsmrconcom.doc 20'd 209FE9290ST Hi-lddH J i9 SNaUg b0:0T S00Z-9Z-Nnf Town of Truro �. Truro Town Hall • Post Of,fice Box 2030 Truro, Massachusetts 02666 Phone:(508)487-0524 Fax:(508)487-6983 September 4,2001 Mr. Brian Dudley DEP SERO 20 Riverside Dr. Lakeville,MA 02347 Dear Brian, I am writing to you on behalf of the Truro Board of Health to request written clarification regarding expansion of number of bedrooms in existing homes that have 1978 code Title 5 systems and which are located in nitrogen sensitive areas. Specifically,the Board of Health would We DEP's policy regarding the total number of allowable bedrooms in the following situations: `- 1) A septic permit issued under the 1978 code specifically says the system was designed and permitted for a 6 bedroom house and a 660 gpd design flow. Fewer than this number of bedrooms were actually built. The owner now wishes to construct up to 6 bedrooms. To allow him to do so will mean that the dwelling exceeds the 1995 code 440 gpd/acre design flow restriction(the lot is served by septic and private well). Can the owner construct up to 6 bedrooms without upgrading the septic system? Can the owner construct up to 6 bedrooms even when this means exceeding the 440 gpd/acre restriction of Title 5;or is the owner limited in his expansion to up to a total design flow of 440 gpd/acre(or proportionately Tess on smaller lots) ? 2) A septic permit issued under the 1979 code specifically references a 3 bedroom house,but the calculated design flow provided on the permit was 660 gpd. Three bedrooms were actually built. The owner now wishes to construct up to 6 bedrooms.As above, can the owner construct up to 6 bedrooms without upgrading the septic system? Can the owner construct this means the 440 acre restriction of Title 5;or up to 6 bedrooms eves when exceeding 8P� is the owner limited in his expansion to up to a total design flow of 440 gpd/acre(or proportionately less on smaller lots)? 3) A septic permit issued under the 1979 code says"See Plan"in the area of the permit that shows design flow and bedrooms. The engineered plan attached to the permit specifically references and designs for a 3 bedroom house,but the design flow provided on the plan was 660 gpd. Three bedrooms were actually built. The owner now wishes to construct up to 6 b0'd 209ZZ9280ST Hi-ld9H Jdj,SNdUg b0:0T S00Z-9T-Nnf 1 ' ' WUOl& CM tbg OWWf CODsftd up to 6 bedrooms without upgrading the septic system? Can the Owner COtfstMd up to 6 bedrooms even when this expansion means exceeding the . 440 gpd/acre restriction of Title 5;or is the owner limited in his expansion to up to a total design flow of 440 gpd/acre(or proportionately less on smaller lots) 7 4) A septic permit issued under the 1979 code says"See Pled'in the area of the permit that shows design flow and bedrooms. The engineered plan attached to the permit specifically references and designs for a 3 bedroom house,and the design flow on the engineered plan is 330 gpd. However,the plan shows enough stone surrounding the leaching pit that, if you calculated flow allotted to bottom and sidewall areas per the 1978 code, you could calculate that the pit as designed was capable of accepting a design flow of 660 gpd. Three bedrooms were actually built. The owner now wishes to construct up to 6 bedrooms. Can the owner construct up to 6 bedrooms without upgrading the septic system? Can the owner construct up to 6 bedrooms even though this means exceeding the 440 gpd/acre restriction of Title 5; or is the owner limited in his expansion to up to a total design flow of 440 gpd/acre (or proportionately less on smaller lots)? We appreciate your timely response to these questions so that we can properly and consistently enforce Title 5. Sincerely, Susan Rask Health Agent dcpdudIW9A-01 SO'd 209ZZ9MOSZ Hi-ld3H J,19 SNdU9 SO:OZ SOOZ-9Z-Nnf COMMONWEALTH OF MASSACHUSETTS i EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS a a DEPARTMENT OF ENVIRONMENTAL PROTECTION ' SOUTHEAST REGIONAL OFFICE 20 RIVERSIDE DRIVE, LAKEVILLE, MA 02347 JANE SWiF BOB DURAND Governor Secretary LAUREN A.LISS Commissioner October 12, 2001 Ms. Susan Rask, Health Agent RE: Technical Assistance-310 CMR 15.000, Board of Health Title 5 Town Hall P.O. Box 2030 Truro, Massachusetts 02666 Dear Ms.,Rask: The Department of Environmental Protection is in receipt of your letter of September 4, 2001 requesting clarification regarding the increase in the number of bedrooms for existing homes that are serviced by on-site sewage disposal systems permitted under the 1978 provisions of Title 5. 310 CMR 15.352 states that "[n]o person shall increase the actual or design flow to any cesspool or to any other system above the existing approved capacity, unless the system is upgraded." For any system not designed in compliance with the 1995 Code, the Department defines "approved capacity" as the specific design flow referenced on a Disposal Works Construction Permit (DWCP) issued under the 1978 Code regardless if the system has a theoretical capacity in excess of the referenced design flow. The examples that you cite in your letter provide an opportunity for further explanation of the Department's position. The first example describes a DWCP that specifically references a design for a six (6) bedroom house and a 660 gallons per day (gpd) design flow; however, the home was originally constructed with less than six bedrooms. In this instance, the approved capacity would be 660 gpd and the home could be expanded to six bedrooms without upgrading the existing system even if this would exceed any nitrogen loading limitations that may exist for the facility under the 1995 Code. Of course, the existing system would have to pass a complete inspection as specified under 310 CMR 15.302 and 15.303. If it failed such an inspection, the system would have to be upgraded to the maximum extent feasible in accordance with 310 CMR 15.404 (Maximum Feasible Compliance) of the 1995 Code up to maximum flow of 660 gpd. Assuming an upgrade were necessary, the Board of Health, under Maximum Feasible Compliance, would be required to give due,consideration to the feasibility of full compliance, use of an alternative system approved pursuant to 310 CMR 15.280 through 15.289, a shared system or connection to sewer. In nitrogen sensitive areas the Board of Health certainly would have the authority to require alternative systems for nitrogen reduction if the other three options were not feasible. This information is available In alternate format by calling our ADA Coordinator at(617)574-6572. DEP on the World wide web: MpYlwwmatate.ma.usidep 0 Printed on Recycled Paper 90'd 209E89280ST Hi_1d3H eliO SN�IIzlS S0:0T SOOE-9T—Nnf La'd -1Ui01 2 The second example differs from the first in that the DWCP specifically references a three (3) bedroom house,but the calculated design flow of the system, as shown on the permit, is 660 gpd. The approved capacity in this case would also be 660 gpd. Your letter states that three bedrooms were actually built. As in the first example, the approved capacity would be 660 gpd and the home could be expanded to six bedrooms without upgrading the existing system even if this,would exceed any nitrogen loading limitations that may exist for the facility under the 1995 Code. Of course, the existing system would have to pass a complete inspection as specified under 310 CMR 15.302 and 15.303. As described above, if the system failed such an inspection, it would have to be upgraded to the maximum extent feasible in accordance with 310 CMR 15.404 (Maximum Feasible Compliance) of the 1995 Code up to maximum flow of 660 gpd. Assuming an upgrade were necessary, the Board of Health, under Maximum Feasible Compliance, would be required to give due consideration to the feasibility of full compliance, use of an alternative system approved pursuant to 310 CMR. 15.280 through 15.289, a shared system or connection to sewer. In nitrogen sensitive areas the Board of Health certainly would have the authority to require alternative systems for nitrogen reduction if the other three options were not feasible. In the third instance, the DWCP has the notation "See Plan" in the area that shows number of bedrooms and design flow. The plan references a three (3) bedroom house, but specifically provides for a design flow of 660 gpd. The Department would view this situation as the same as the second example; however, the Board of Health should confirm that any plan attached to the DWCP is the same as was referenced on the permit_ The final example cited describes a DWCP with the notation "See Plan", but all design references are for a three (3) bedroom house and a 330 gpd design flow. However, the leaching system was overdesigned and calculating the capacity under the 1978 loading rates results in a theoretical capacity of 660 gpd. The Department considers the approved capacity in.this case to be 330 gpd. Any proposed increase in flow over 330 gpd would require that the system be upgraded in full compliance with the 1995 Code. The Department trusts that this letter provides adequate clarification. If you require further information or have additional questions, please contact me at (508)946-2753 or the letterhead address. Very truly yours, Brian A. Dudley Bureau of Resource Protection BAD/ cc: DEP/Boston Attn: Lealdon Langley Ronald White Steven Corr DEP/OGC/Boston Attn: Richard Lehan Deidre Desmond I� 210'd 209EE9280ST Hi-ldBH ,110 SN8US SOOT SOOZ-9T-Nnf r , TOWN OF BARNSTABLE 0 4t iy� LOCATION Ic1 c,� n . SEWAGE # ` 7 VI!.LAGE , OaTf156blf- ASSESSOR'S MAP & LOT INSTALLER'S NAME 6z PHONE NO.Oalvu.5 5e,n.}r`i 7F SEPTIC TANK CAPACITY / ~- � �� /7� LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER �`�n Lonir�c �d�1 DATE PERMIT ISSUED: -�-� '•� DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No I �s i F ASSESSORS MAP NO THE COMMONwBWLA& MA44n RllaFe BOAR® OF HEALTH ----�-1 v..............OF......... /4l tV S'T...�4 2.0 .............. Applirtttiun for Disposal Works Toustrurtion Frrmit Application is hereby made for a Permit to Construct ( L.�-or Repair ( ) an Individual Sewage Disposal System at: f Location-Address or Lot No. Kathleen M. & Donald G. Kethro P.O. Box 545. West Barnstable _ .............. - ... ---------•••......•.... --•-------•---..... Owner Address W (DaLuze s Excavating Service 4(666 Queen Anne Road. Harwich Installer _ Address Type of Building K Size Lot.l 93.......C.......Sq. feet U Dwelling—No. of Bedrooms...........�................ .Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............... No. of ersons................._......_... Showers — Cafeteria a YP g ------------- P ( ) ( ) P4Other fixtures ------------------- ..........--•-..�.}. ................................................................ W Design Flow...........1�4 .......................gallons per pe een per day. Total daily flow.........,......-.r..Sd............_..gallons. f� Septic Tank—Liquid capacity.l✓r4Qgallons Length. �... Width...._G_ Diameter................ Depth.... W Disposal Trench—No. Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..---------Z'....... Diameter....... ........ Depth below inlet....... ..... Total leaching area...... G Z..sq. ft. Z Other Distribution box Dosing taj* ( ) `" Percolation Test Result ,t Performed by........ G_.1_ l�l......... ................... Date....-9�L�Q ._..... aTest Pit No. I................minutes per inch Depth of Test Pit....../1......... Depth to ground water.........."._...____. i LL, Test Pit No. 2................minutes per inch Depth. of Test Pit..... ....... Depth Depth to ground water........................ p P .: _�..�_.... ....rr __..-...... �...... �+ x Descn Description of Soil Q.' / .._.i ....._�ll ------.... . V `�l D o l /.I CF s z.... rl- � T<P...........F..lI G3. ri�.�,--------•---------.. Wl1 � `ice---- --��------. o.U�r�Fas)----------•------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -•--------------------------------------------------------------------------------------------•---------------------------------------......-----------------------------------------------•--•--•-•••-- Agreement: The undersigned agrees to install the..aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi 1Z 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operICZ Certi� e of Compliance has be t boa f ealth. C. � Signed--- .. ... ------ ------ -----�--•--• .............................. ..1-.�._/.��..../.._VB__--- Applroved BY . ----•--- i :.... . .-•-•-- Date Application Disapproved for the following reasons:................................ ---•••----•-•------••-•-....--•--•-••---•-••-•.....................•----...... ....................•-----•........._......•----•-••----•.......-----•-••-•-•---.........---•----•---.....__.....------......-----•-•--•--•-.-•--•-••--------•------••------•--•------------•-•••-•------ D_ate Permit No......... ..................... Issued Date 4 � y Fxs..................---f1Gs THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r, �t'l.e-/ >.-:. OF...... e � e�_... .....'i4-r3-e ............................. Appfiration for Disposal Works Tonstrn.rtion runtit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: e J/ ................... ..........................---•-----------------. ........... ..............................---.... ...._............_....._ Location-Address or Lot No. ......................_.......................................................................... ..........•...................................................................................... W Owner Address a ........................ ........ Installer Address _ F U Type of Building Size Lot. _.......... .. ...... ....Sq. feet Dwelling—No. of Bedrooms........... ..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ........................................ ;d----------------------------------------------------------------- --------------------------------- W Design Flow............................................gallons per per-son per day. Total daily flow..............._.-�........�.............._gallons. WSeptic Tank—Liquid capacity_✓�ET?ftallons Length_!..__ ._. Width...' ?._..... Diameter................ Depth..... ..._.` x Disposal Trench—No..................... Width.J.___............ Total Length.................... Total leaching area.._......._....._._.sq. ft. Seepage Pit No........... ....... Diameter___-.:_ _..... Depth below inlet........5�........ Total leaching area._.._ '.....sq. ft. z Other Distribution box O Dosing,tat�llc Percolation Test Results Performed by...f :'�:... t !' ........L................ ................... Date........i! .............. •� : Test Pit No. 1......._...`:_....minutes per inch Depth of Test Pit......ZZ......... Depth to ground water__ _____________________ tZ Test Pit No. 2.......:._'..mmutes per inch Depth of Test Pit-----/_l.._...... Depth to ground water........................ -----------------•-_•-- j Description of Soil ...... -- -� ,. co -----e �- / ... ----- W -•----•----------'�f=-• ..............................f ..�e . 1 }. • �' ri.r r 7 } UNature of Repairs or Alterations—Answer when applicable.........................................:...................................................... -----------------------------------------------•------------------------------------......------•-•-•-•-----------•-------•••------------•-••------••--------•.......-•--------•-•-•........----•------• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operakYiorn?Apprroved Certi of Compliance has b c sue he board of health. Signed -- . . ••-•---- �! ------------------•------------- -----------------------•-------- AppliBy- .........=........................ ..----------- .............................. Application Disapproved for the following reasons:--------------------------------`'--•---------------•--------------------•-- Date ...........-•.........................................................•--....--------------•-------------•---•••.....--••----•--.....-----------......------•---------••••-----••--•----•--•------•..--- '. -le . aPermit No..........Z Iv.�----•--• Issued............................................. .. -• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................I.........OF............................................. Trrtif iratr of Tontpfianrr THIS IS TO��TI Y That e div�al Sewage Disposal System constructed ( ) or Repairedby ( ) has been installed in accordance with the provisions of TI �� f T S ate Sanitary Cod as des r' ed i 1� — application for Disposal Works Construction Permit No...._...ra/.....`p. .t�.e.._� dated........ ....� ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... ..... ................... Inspect -A :_..5 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -,� j �................`OF...... ............................................................. 1 fry NO........... FEE........................ i �ronnf knt� rri Permission is herebygranted _"r ............... '�� V-7 " U ..................................... to Construct for Re it � n t}di�iFlu 1 Se to s sal S at No........................' .• '��/� � ( ) r Streets�1��, l/Z as shown on the application for Disposal `'��orks Construction Permit No. .......... ..................�................ -----_..--- y ........................................ Bo d of Health DATE ... ----- ---- -------= FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS , � a ENVIROT "CH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 . Sandwich, MA 02563 (508)888-6460 - 1-800-339-6460 FAX(508) 888-6446 CLIENT: Don Kethro LOCATION: Lot 2 ADDRESS: P.O. Box 545 Old Jailhouse Rd. W. Barnstable, MA 02668 W. Barnstable, MA SAMPLE DATE: 1-6-95 COLLECTED BY: R. McCallum/ Pilgrim Well DATE RECEIVED: 1-6-95 TIME: 10:35AM SAMPLE ID: PW-6 JOB TYPE: New Well WELL DEPTH: 901/72, static RESULTS OF ANALYSIS: Parameters Units Recommended Result Limit Coliform bacteria/100mi (MF Method) 0 0 pH pH units 6.0-8.5 5.81 Conductance umhos/cm 500 125 Sodium mg/L 28.0 12.3 Nitrate-N mg/L 10.0 0.82 Iron mg/L 0.3 LT 0.05 Manganese mg/L 0.05 0.006 Hardness mg/L as CaCO3 500 32.6 Sulfate mg/L 250 LT 1.0 Potassium mg/L 20.0 0.73 Alkalinity mg/L 200 12.4 Chloride mg/L 250 20.2 Turbidity NTU 5.0 0.29 Color APC units 15.0 LT 1.0 Volatile Organic Compounds EPA Method 601/602 See attached report. None detected COMMENTS: Low pH indicates high corrosive characteristics. Yes No WATER IS SUITABLE FOR DRINKING PURPOSES F PARP24ETERS TESTED. XYX Date 1"137,S Ro ald J. EWri IT = Less Than Laboratory Director - 1-13-95 11 20 AM ;GROli,dDWAT�R ANFLYTICAL ENVIROTECH 508 759 4475;# 2/ 4 GROUNDWATER ANALYTICAL EPA METHODS 601 and 602 Volatile Organics (GC/PID/ELCD) Field ID: PW6 Lab ID: 9682-01 Batch ID: VG2-0527-W Project: Kethro/Lot 2 Sampled: 01-06-95 Client: Envirotech Received: 01-06-95 Cont/Prsv: 40mL VOA Vial/HC1 Cool Analyzed: 01-11-95 Matrix: Aqueous PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) BRL 5 Dichlorodifluoromethane BRL 5 Chloromethane BRL 5 Vinyl Chloride BRL 5 Bromomethane BRL 5 Chloroethane BRL 1 Trichlorofluoromethane BRL 1 1,1-Dichloroethene BRL I Methylene Chloride BRL 1 trans-1,2-Dichloroethene BRL 1 1,1-Dichloroethane 1 cis-1,2-Dichloroethene * BRL 1 Chloroform BRL 1 1,1,1-Trichloroethane BRL 1 Carbon Tetrachloride BRL 1 Benzene BRL 1 1,2-Dichloroethane BRL 1 Trichloroethene BRL 1 1,2-Dichloropropane BRL 1 Bromodichloromethane BRL 5 2-Chloroethyl Vinyl Ether BRL 1 cis-1,3-Dichloropropene BRL 1 Toluene BRL 1 trans-1,3-Dichloropropene BRL 1 111,2-Trichloroethane BRL 1 Tetrachloroethene BRL 1 Dibromochloromethane BRL 1 Chlorobenzene BRL 1 Ethylbenzene 1 meta-and para-Xylene * BRLBRL 1 ortho-Xylene * BRL I - Bromoform BRL 1 1111212-Tetrachloroethane 1 1,3-Dichlorobenzene BRL 1 1,4-Dichlorobenzene BRL 1 1,2-Dichlorobenzene QC SURROGATE COMPOUND SPIKED MEASURED RECOVERY QC LIMITS a,a,a-Trifluorotoluene 30 30 99 % 87 - 113 % 1,2-Dichloroethane-d4 30 31 102 % 83 - 117 BRL Below Reporting Limit. * Non-target compound. Method References: Method 601 - Purgeable Halocarbons and Method 602 - Purgeable Aromatics, 40 C.F.R. 136, Appendix A (1986). No. -- -� I U 60A 00(� Fee--��I� �dcl/ BOARD OF HEALTH TOWN OF BARNSTABLE Application-*r Vell Con0ructionPermit S � '17"aV 4 . Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: ��3-�------------- ocation — Address Assessors Ma and Parcel P «N_ L- `-M`2v----------- Owner ------------------------------------------------------------------------ Address � 07 Installer — Driller Address Type o�jw�elli --------------------------------------------------------- Other - Type of Building-------------------------------- No. of Persons------------------------------- e P--� — --- u �Cc - - - - --— --- Type of Well------------------------=----- --=--------------------- �- - - Capacity---------------------- ------ Al Purpose of Well-----------��- _Yf �_' l - - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well.in operation until a Cer ' c of Complianc bttp issued by the Board of Health. Signed — -- - - - --- -- - -- date Application Approved By ---- - ---—--- —-- -— A -;z,- _ date Application Disapproved for the following reasons:--------------------- -- - :r ---------------------------------- -------------------------------------------------------------------------------------- date oe Permit No. -------�-----------__---__----------- ---------- Issued.-�"`=��--------�~-----------«- - date ! BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS TO RTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by----------- ---- - � - ----------------------------------------------------------------------------------- -- nstaller ��. has been installed in accordance with the provisions of the Town of Barnstable Board of,Health Private Well Protection Regulation as described in the application for Well Construction Permit No. ,_-Dated-------------------� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE.THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE- --- ---— - — -— -- Inspector---------------------------------------------------------------------- t , �''u'�!a•�'t.'�'t�� � '+f� '"''t�`s�1"Ly''�'.�'�y"46`."yiY�51i"J�I �"b'„aY>M'y*rJ� r'YS-���7`"(°�t`��+�t�'.yt�r`rt+�'�`R�,'I�'Jb'7t:y':C1rt+*0'�+1!•'�r�ty�'y�'Y,.�-.;fs::,.. No.--- —� Fee------ BOARD OF HEALTH Y Wi T-OWN OF BARNSTAB#LE Application_*rlVe[Y.Congtruct ion Permit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: �-0 01-0 =J�1�- -�°�'��- - - - �" '"�� -'"-411>0 -------------- ocatton — Address Assessors Map and Parcel C5N Act- �1�-\- -\e v ----- - - -------------------------------------------------------------------------------------- Owner Address p� r -`_' -L----l."---�-!l`+-n'--------- a- t ----------, �- Installer;—,Driller Address Type ot2l_welfi il -------------------------------------------------------- Other - Type of Building----------------------------------- No. of Persons-----------------------------— --- tt �<( e� P Capacity Type of Well---------------------- -- - ---- --------------------------------------------- � - --- — ----------- Purpose of Well----------s�----��-'j+� - ---- � Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Cer ' ac of Complian een issued by the Board of Health. , Signed" - --- date-- — —— Application Approved By - -- --- -- — —-- -— / '' date Application Disapproved for the following reasons:------------------------------------------------------------------------------------ - K . ------------—--------—_---_—____-- -----_--__—_—_---------_--_-'--___—_____—_-__—L__ -------—---—------—_—------_--------___—_____________ date ! it No. --- '' _'_�__--=' — - Issued, Itl -------------date------- --- - -----i----------- Perm 7--- BOARD OF HEALTH TOWN OF BARNSTABLE C ertif icate ®f (Compliance THIS IS TO C RTIFY, That the Indiv4@ual Well Constructed ( ), Altered ( ), or Repaired ( ) bY------------ `---- ---------------- - ------ --------------------------------- -- ------------------- -------------------------- -- �.,, Installer ---- -- .,. at- � - - ----- - �—�° - --------------------- . ------------------ has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. "- � -----Dated tp^ � THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL' SYSTEM WILL FUNCTION SATISFACTORY. DATE-,--- ---— — ------ --- -- Inspector---------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Vell Con$truct ion Permit No. --- ------ ------ Fee------------------ Permission is hereby granted- =- �� fli +' G� to Construct (1/), ter ( ), o�pair ( ) an`Individual Wel No. __Z_ r___9:-------'t' - -.0 -------------------------------- street as shown on the application for a Well Construction Permit ,o. No. - ---- - ---;-1—--- - Dated- /__ --- — -; — - ______ -!e-_--__-__-__.--_...._....._-...__ Board of Health DATE---- — ---- --- 4 -SANIrARY ALL COVERS M. U1vl[Ts:S*HA'l L; BE B OU' GH T ITCH TREE T W IN 6�IN -10 ,FT M/N. TO CHE-5 Or: RAD N194,�G 'K ,- T4 r2l �,,,OFFOUNV CONCREhE &L= 1075 8E,-L V11 4 SCH ,40 PW r -R pyPE'':;w- cidVE 1/8# PER�POOj I�0,6. AW L oms Lf FLP`v',4 N bil ON" q6 y�' k L06MTl,0A1r ffAP T IRON -OP Al, EQUAL ),PIPE MIN. d , LEGEND EVSANG SPOT EtEV4770N 00x0 P/TCH PER F r CONTOUR �00 nNAL SPOT ELEVA 770M OU 7LE T TEE PROPOSET LIQUID DEP TH TEE ,DEP TH 1500 6AZ DIST. SOIL 7E`ST LOCATON BELow a6W LINE B0,Y TOM WATER. 4 FT 14 INCHES SEPTIC 5 FT 19 INCHES 6 FT 24 INCHES 7 FT 29 INCHES 8 FT 34 INCHES PROF,ILT OF NO TES: SEX,4c1__yA7 DISPOSAL SYSTEff IS.717JVC PRE6AYST 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM To D.E.P. 777LE 5 AND mr,Tom OF BAAwsr.4BLr RULES AND REGULA PONS FOR THE EA CYH S SUBSURFAdE-DISPOSAL OF SEWAGE. MOT TO SC.4-1-F .177 2. ALL CO,WPS 6 TO SAM fA TY UNI TS _14iALL BE BROUGH 7- TO W THiN 6 INCHES O� FINISH GRADE .1 EVS17NG,AND f-7NAL GRADES SHALL REMAINE ESSEN 77ALL Y THE SAME EXCEPT AS IN&CA7ED EXISTINO LEWChr PITS AffV DISTRIBUTIOW BOX 4. WO DETERMINA770N HAS BEEN MADE.IBY THIS OFF7CE AS TO COWPLtANCE KAW LOC.4TZ0 15V TH-P FIELO BY TIfIS OPPICE WTH TOON ZOIVING REGULARONS. O*NER /APPLICANT SqAIL OBTAIN SUCH DEIERMINA 77ON FROM IRE APPROPRIA 7E7 Abfmom ry. 5 THIS PLAN IS,VAUD IF IT IS STAMPED AND SIGNED IN RED. THIS OFF7CE ASSUMES NO RESPONSIBILITY FOR INFORMAT70N CONTAINED ON COPIES per 12108194 WfICH 00 NOT HAW ORIGINAL STAMPS AND S16NAWRES. PLAN ADDITION ARY SYS7EM SHALL BE CAPABLE OF 6. ALL COMPO*WTS OF THE SANIT PESICAr CWLCULATIOAS wTHsIANDING H-10 LOADING UNLESS THEY ARE UNDER OR WTHIN 10 NUMBER OF BEDROOMS .................................... 5 FEET OF,DRIWS OR PARKING. H-20 LOADING SHALL BE USED UNDER OR GARBAGE DISPOSAL UNIT ................................ NO NO Oimw m FEET OF DRIvEs OR PARKING AREAS. TOTAL ES77MA7ED FLOW 7. CON IRA C 7OR IS RESPONSIBLE FOR WRInCA 77ON OF ALL L OCA 77ONS A NO 110 GAL-1, 73R.IDA Y x 6 BR. 550 GAL.11DA Y 110 ELEVATIONS, INCLUDING EVS77NG U77U77ES, PRIOR TO CONS7RUC77aV IF' AlffOISCREPANCfES ARE FOUND, THIS OMCE _5HALL BENO77nED PE='4lRrD i 1�1 GAL�_ =07 IMMEDiA TFL Y ACTUAL SIZE OF SEP77C TANK.,........................ GAL. 1500' 8. ALL,UNSVITABLE MA7FRIAL SHALL BE.REMOWD UNDER,AND FOR 5 FT. LEACHING AREA PROVIDED PER 12108194 AROUND LEACHING F*AauTy AND-BE REPLACED WTH CLEAN GRANULAR SIDEWA 6 LL + BO TrOM PLAN SAND PER SE-CRON 15 255(3) OF 774E ST4 TT ENWRONMENTAL CODE, RIZE 5 -TOM) 402.2 S.F S. XXISPIAW SrXTEJf 0FSl0%,F,0 FOR 5 BTPROOhr ff011Sr LEA6;ilW&. 6i i j�6 L*L 8** ...... 855 GAL. FITAr VO "W40E BISPOS.4L ON 9,1151.94 - IR1081,94 RESERVE LEACHING CAPACITY.......................... 855 GAL. fO 5-OtITLET V-BOA- Sff.4.LL &Wff ONE OUTLAPT 60ArVFRTE,0 TO I" .1wmT, 16WIFT PIPE T40 'BE -9 ljvcHFs &I.Al IffICHER THEREFORE, THE SYS7EM PER PERMIT ISSUED ON 1118195 TZMAr 06rTZETS AiVO FAr4ZL BS AfORT4REO fAr PL40E. AND COMPLIANCE ISSUED ON 2102195 IS NOT EXCEEDED PERMIT No. 94-41 TOTAL PROPOSED FLOW 660.,,GAL PER DAY WTH AR77ST S7ZJDIO TOTAL LEACHING CAPACITY A 5 INSTA LL ED 855 GAL. 73.30 'N 220. 06' \N 'N, N 10T 2 93 A c -i INN NN \NN NNq \\N 1� N N 'IN \N N 83.60 N `NN -qt 161------- 86 %\ N N NN N W N N '0.90 10 _ j"� "\ \ N\ .I 1�11. \ go -- NN NI, N 97-00 N', N "—N NN 94 NN', NNN 97.50 ---------------1 .60 102 N NN N' N_ NN �N NN. 1,W4 1020 14jo -------- OVAL PROPOSED 550 51 Y. 18**x 'go" LOT I A ARTIST srujolo TA sTING A wl 314 B-4 Tff EXI, LECHING -A , N .71 -5� ,b ITS, ts 2 4, 4' .'6 70 106 4 104 L _74b > OU a 1--f68.29 J , BOX J. T I-o6 J_j 10 . r)60 'rAN A -T B. PIAIF IREt EL JD8 lo.5 IN, 14 A J: A V 92 cL A j r jj(,�.q -7701V, A F 5T:' A, A '27 10 1,6A :A q, 4 Z, r 4F �;v A 1061 v, 441 -7 r N, `96 7 jo� w, q, _7 6� -67"68 N J, L 6890 �4 51 "j, ee APF 57T �AA -77=,= '2"; =77 7 7 JfAlv S AS #pap* �w' 4: Y'll J�A 0 , -W . TERED . 0 R 5 SARTA", %A OF, j RD mb4 PROPESSIO' mi 3D r1ft. x.� OES c 134' P O'HEARN _�u S5� �R0 m qO�27871 EARN P 2 N 'T 78 A4RCELL 002 , 0. 694- - :02660 R SA, PL"-- "A U, I �i,� A R, , D M, DATE ELE VA A 0 :m N N' N "N N N I N N' N IN I N`NNI N IN rg ! _ 4 sue- . .00 "o LL 00 N , l�4ox { � • �„� � �� {' ., __._ � �..��, �I..i Za c..�rim � � . C ..._ _,_�__w_ _ ___ r_ !�","��. .__. _ ____.� _ SGAl1�r:, �'Zrl+^"4' APPROVED BY DRAWN BY L "r 4-ASt tell t 1 aAir+sprt �,4u 5 ; VD j ► „ Op�I - Vft I t4 sZs�9x r�,�g y` L)L-A - fit '" ��n��5. Mj� � W,. Spa I aY o I- it.. .... E }� �-- _ ��,�+ �4.1••'�t't`; "„(-8�2 .�Cruft et� i . . _ ._ � _ _. Q .is�' �-' X 1 5W t Nam► ... f 01 00 �\ -'-•� ---'--"•� s - - _. .t=^...! .1��r 1 c� .-.. / Ale li c{ s=3 GO ?x 1R CP 0 4 ;4 '_ ii i9 IIN I _ea�x el' . -5�!,o r d . 4r(4 W o x 40for 1 p 17 TA l , 1/ a , A Pi4t�I Cfr:BY ORA��iti �Y" , t l.._- 01 ' / i I P24VfdFt..i Koff'r vi pop 0 tj F-POPJ S ED la 110 q) � . �•-�--�`fiy,,/ / / � / � w� 10 47, RICHAPO O'HFAR� O'HEAR'N ' 0. 2 d71 / \ SCALE: APPROVED BY DRAWN By DATE: Ex f S?-- I DRAWING NUMBED ,/ L�/ELL 17 r Fe-i .. - t •1 t - Y .y°t T.hdd A •y 1A. 4 • '13. A.Lt - - — — 84 / Z 5 P2OvI4F0 + g: Lor or g- 1y - i �� •'/�'. '..l — opo s Q� Gtj z ICU, I JI =L/A/ `=0T PR 05ErJ / / 5- 13F0F00Ao7,- / if < _ / 000, to 11-100, \ / / 0 2 \\ tE J ' / / _ _ \O i i \ /010, +� O'H AR N y J/ �c wi ix - �_ �T r-- SCALE. 1--3v APPROVED BY a C DATE: "�'�' •� 8 , E x I s-r- > o of Y _ w -20 FT MIN. TOP OF FOUND - ------ - ---------- --- EL. _ / - io FT MIN. �'j' j CONCRETE COVERS 4'' SCH 40 PVC - - —CLEAN SAND cv_ ' PIPE- MIN. PITCH -CONCRETE 1/8" PER FT COVER 4" CAST IRON 12 MAX _ - 2" LAYER OF e P PIPE - MIN. PITCF' - - - -__ 1/8"- 1/2" WASHED i/4" PER FT. - STONE 4 q , e. a c \ c \ FLOW LINE 20 a rE 6 - 10 t'. EL MIN. �`� EL EL - 1, 4-O ELEL = DI ST EL.= LOCATION MAP BOX c ° ' 3/4"- 1 1/2" --- - - ? �.'o / w a Q WASHED STONE cA �� LL_ o o`n vo W G o GAL PRECAST LEACHING _ SEPTIC BASIN OR EQUIV. TANK - _s.o' , s PROFILE OF BOTTOM OF TEST HOLE Oil USM SEWAGE DISPOSAL SYSTEM GROUND WATER TABLE( EL./ / ) _ NOT TO SCALE DESIGN CALCULATIONS SOIL TEST NUMBER OF BEDROOMS . . . . . .. . . . . . DATE OF SOIL TEST GARBAGE DISPOSAL UNIT.. . WITNESSED BY TOTAL ESTIMATED FLOW -- --- ( GAL /BR /DAY x BR ) 5-50 GAL /DAY PERCOLATION RATE _ MIN./ INCH REQUIRED 31:PTIC TANK CAPACITY. _ 8 = GAL OBSERVATION HOLE I OBSERVATION HOLE 2 ACTUAL SIZF' OF SEPTIC TANK. _ ! 5'� �� GAL. ELEVATION = i ' ELEVATION _ LEACHING AREA REQUIREMENTS SIDEWALL AREA 2„:3 GAL./S.F. f TO,oSG, z BOTTOM AREA /• O GAL./S.F. _ SugSOr� I SUCH 50/� LEACHING CAPACITY ( BOTTOM + SIDEWALL) GAL. (3.14x 4x 4x l-O t 3./4x Sx'(ex Z.S X 2 (so. 3x1 + /50. 8 if e.S)_w 2 _ RESERVE LEACHING CAPACITY ............._ .. � GAL. /_ SArvC (BovcvE,�zs ' NOTES vVA T F_.,, T E R I. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM SO! L TEST i/Vfa S D 13y TO D.E.Q.E. TITLE 5 AND THE TOWN OF 3AR' 1 ST/2&' 00lN/v CAME RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL OF SANITARY SEWAGE 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE. 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY 201, ^� ` " r I2 MIN. FRONT SETBACK 30 ro r3F THE SAME. MIN. REAR SETBACK " Vag/r G0 (3 4. NO DETERMINATION HAS BEEN MADE BY THIS OFFICE AS TO MIN. SIDE SETBACK � s Y Q�J/LO/NG COMPLIANCE WITH TOWN ZONING REGULATIONS. OWNER/APPLICANT /NSPEcro, IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. APPROVED : BOARD OF HEALTH E. ,9C.L EXIST/NG W.EC� /��iD S/�n/1TARY SYST��' LOC.h' T/GNS WERE OQTAin'E� F'RO//I DATE AGENT TOWN RECORDS OR FR OAi/ /!^✓FORMA7_10A/ PROJECT LOCATION ,C3Y 14?L36rU7-T0RS �- CON r-R,gCTOR S/V/91. _ VER/FY .94L LOCH T1o�fs 1. CT - , O/ G � 9/ _ ,�,;' 19ND EtE VAT/ON S PR/OR TO S'Ti4RT OF A �'�'�/•`/�T� �� /_ �`�'`' C0A1 7—RJCT/0Al. /F ANY L) CREF'FiNCIES 'gSSES=O'F' /ti�I�P 273 LOT r A/2E F'O 0A/U 11 7-HI S OFF/ C E SHAD SJi APPLICANT KF THR�J LEGEND SCALE: DR BY: DATE EXISTING SPOT ELEVATIONS OOx0 - -- - - - 00 - - - - - L JOB N0 _ APPD. BY REV EXISTING CONTOUR RiC:Hr RD ¢ S FINAL SPOT ELEVATIONS ' s ' FINAL CONTOUR 00 OHE A l R. tI O,HE,4R/V //VC. DRAWING ��-- �ITE PLAN SOIL TEST LOCATION RE6. LAND SURVEYORS- REG. SAN/TAR/ANS NO c / 35 ROUTE 134 — UN/T 2 I SOUTH OENN/S , MA SS. OF —..n