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HomeMy WebLinkAbout0579 OLD JAIL LANE - Health * e'1 9 , 579 Old Jail Lane Barnstable 276 055 1�7 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments w OLD 579 M O JAIL LN • Property Address PROC Owner Owner's Name / information is required for BARNSTABLE I/ MA 02630 6-8-16 every page. City/Town State Zip Code Date of Inspection .1 Inspection results must be submitted on this form. Inspection forms may not be altered in any: way. Please see completeness checklist at the end of the form. Important:When filling out A. General Information C'# '' forms on.the J Fc computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. D.A.BROWN INC Company Name P.O. BOX 145 Company Address CENTERVILLE MA 02632 Mm City/Town State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 6-8-16 Inspector's ignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future Under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 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: . ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: PROPERTY HAS 2 SYSTEMS ONE IN THE FRONT AND ONE IN THE BACK. BOTH SYSTEMS MET OR EXCEEDED ALL MINIMUM PASSING REQUIREMENTS AT TIME OF INSPECTION. THIS REPORT CAN NOT PREDICT THE FUTURE PERFORMANCE UNDER THE SAME OR INCREASED USE. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static 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: ❑ 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *"This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: l D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments GM , 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® 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. .r, E) Large Systems: To be considered a large system the system must serve a facility with a design flow of:,10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 4 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. City/Town State Zip Code Date of Inspection D. System Information Description: SYSTEM ONE IN THE FRONT HAS A 1000 GALLON TANK D-BOX AND 2 500 GALLON CHAMBERS AND SYSTEM 2 IN THE BACK YARD HAS A 1000 GALLON TANK D-BOX AND A LEACH PIT Number of current residents: 3 Doe residence s have a garbage grinder? Yes No 9 9 9 ❑ Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available.(last 2 years usage (gpd)): Detail: 2014----------—298 2015------------307GPD Sump pump? ❑ Yes ❑ No Last date of occupancy: currently occupied Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: CURRENTLY OCCUPIED Date Other(describe below): General Information Pumping Records: Source of information: FRONT 09 BACK 07 PER OWNER Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: MAINTENANCE 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): 2 SYSTEMS t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments G1M ,•�'° 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed if known and source of information: PP 9 P ( ) FRONT 2006 BACK1994 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 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.): Septic Tank(locate on site plan): Depth below grade: FRONT NEAR GRADE BACK 1.5FT Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: BOTH 1000 GALLON Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 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 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 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.): RECOMMEND PUMPING BOTH TANKS AT TIME OF TRANSFER AND THEN EVERY 2-3 YRS THERE AFTER FOR MAINTENANCE DEPENDING ON USE. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts w d Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments M 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" BOTH D-BOXES 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.): BOTH BOXES WERE IN WORKING ORDER AT TIME OF INSPECTION. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ® leaching chambers number: 2 ❑ 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.): FRONT SYSTEM THE CHAMBERS HAD ABOUT 1 FT OF LIQUID WITH NO SIGNS OF STAINING OR FAILURE. BACK LEACH PIT LIQUID LEVEL WAS AT 3 FT WITH STAINING AT THAT LEVEL BACK PIT DID HAVE SOME SCUM FLOATING ON TOP OF WATER PROBABLY FROM NEEDING TANK PUMPED FOR MAINTENANCE. 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 17 r Commonwealth of Massachusetts w v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts u . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M , 579 OLD JAIL LN Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. Citylrown 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: GREATER THAN 5 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: ATTACHED 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: ATTACHED DESIGN PLAN FOR FRONT SYSTEM. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 579 OLD JAIL LN. Property Address PROC Owner Owner's Name information is required for BARNSTABLE MA 02630 6-8-16 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE y LOCATION 57 0/4 SiN ( k'-t SEWAGE# WOC- C) VILLAGE. ASSESSOR'S MAP&PARCEL ")7C- S 5 INSTALLERS NAME&PHONE NO. 5c W SF PI1 C SO "T75 -- 1✓ SEPTIC TANK CAPACITY I bu 0 j LEACHING FACILITY:(type) Z litAl iG I I (size) i 3 x �-- NO. OF BEDROOMS 3 N`� 12vc; OWNER li��ll�� �- �yvyl'k (� PERMIT DATE: i COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY k C3 mod . i� i 3• � � L � S aIm � yea w Q e CS W 9b ...: . VC 040 4A cr '� W a N � o ma 0 \ aF TOWN OF BARNSTABLE LOCATION C. SEWAGE # VILLAGE ASSESSOR'S MAP & LOT J. CRAIG MEDEIROS5��► , sr%Q INSTALLER'S NAME & PHONE NO. '78NLINDEN ST. SEPTIC TANK CAPACITY—,-, u Hy IS, MA 02601 7-75 D LEACHING FACILITY:(t )/ao,��6'' + $L�G� YPe t (size) ivy NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATE BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:����r''LJ i VARIANCE GRANTED: Yes No t/ ' • �` w DATE V TEST: D R 12. 2006 SOIL TEST LOG SOIL EVALUATOR: DAVID AVID D.D. COUGHANOWR, R.S. WITNESSED BY: DONALD DESMARAIS. HEALTH DE NO TEST PIT I PAARENOTUNDWATER MAATER AL:EPROGLACIRALD OUTWASH ELEVATION = 101.00 +- PERC AT 70 in - 2 MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 101.00 0-3 0 LOAM 10 YR 3/2 NONE FRIABLE 3-4 E LOAMY SAND 10 YR 5/2 NONE FRIABLE 4-8 A LOAMY SAND 10--YR 4/4 -NONE FRIABLE 8-36 B LOAMY SAND 10 YR 5/6 NONE LOOSE . 98.00 91.00 36-120 1 C MEDIUM SAND 10 YR 6/3 1 NONE ILOOSE NO NDWATE TEST PIT 2 PAARENOTU MATERIAL: PROGLACIRALD OUTWASH ELEVATION = 99.25 +- 2 MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 99.25 0-3 O LOAM 10 YR 2/2 NONE FRIABLE 0 3-5 E LOAMY SAND 10 YR 5/2 NONE FRIABLE 5-8 :A LOAMY SAND 10 YR 4/4 NONE FRIABLE . 8-32 B LOAMY SAND 10 YR 5/6 NONE LOOSE 96.58. .. 32-126 C MEDIUM SAND 10 YR 6/4 NONE LOOSE 88.58 NOTES, 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/6 INCH PER FOOT MINIMUM. 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE ..EXCAVATING FOR SYSTEM *, 53 EXISTING LEACH FIT TO CBE � UMPED COLLAPSED. AND F ILL_D O REMOVED 61 ALL STONE' TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE Z) LINES EXITING D-BOX TO RUN LEVEL FOR .2`0" BEFORE PITCHING DOWN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW. FLOW FIXTURES AND APPLIANCES. A,.ND BIANNUAL PUMPING OF THE SEPTIC TANK 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE'VEHICLF-S OVER SEPTIC SYSTEM. 4 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL .STABLE BASE THAT' 'HAS BEEN MECHANICALLY COMPACTED AND ON- TO WHICH SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE�.UNEVEN SETTLING 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM -REPAIR AND CHECKED FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. DESIGN CALCULATIONS DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DISTRIBUTION 'BOX: USE 3 OUTLET' D-BOX. SOIL ABSORBTION SYSTEM: A 24 f t x 12.5 ft x 2 Ft LEACHING GALLERY CAN LEACH Abot = (.24 x 12.5 ) = 300 sf Asdw = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf Atot = '446 sf Vt 0.74 x 446 = 330.04 GPD USE A 24 ft x 12.5 ft x 2 f t GALLERY. Vt = 330.04 GPD > 330 GPD REQUIRED LEA CHING G4 L L ER Y SNOT TO CALE USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-10 LOADING) CONSTRUCTION DETAIL 500 GALLON DRYWELL DIMENSIONS AND DETAIL DRYWELL UNIT. STON USE H-10 UNIT INSTALL ONE INSPECTION RISER TO WITHIN SIX 2 4.0 f t_ INCHES OF FINAL GRADE AND INDICATE LOCATION m�� I ON AS-BUILT PLAN Lq Lq m N �1 17 N _ z,,_ mm�� O In a �O000000 3.5 3�t�, B.5 f t B� 3.5 fal ���Op�OaOo 2 4.0 ftt• CROSS SECTION VIEW g2VEL E 1-2 in PEAS►01� 0 28 24 in /4 u-, TO' 25 EFFECTIVE, `In DEPTH '1&-, GRA 'INSTALLER MAY ELECT O.'SUSSTITUTE AN 46 in n 58 1 1 Zs n•O i � AFPROVED GEOTF-XPILE A RIC IN PLACE OF TIH 2 Pn. PEASTONE 150 1n LAYER SPECIFIED. GROUNDWATER ADJUSTMENT (� PLAN I A EXISTING GROUNDWATER LEVEL t SEWAGE DISPOSAL SYSTEM I N BASED .ON TOWN OF BARNSTABLE -TO SERVE EXISTING DWELLING GIS DEPARTMENT RECORDS. INDICATED GW 28.00 MICHAEL & CYNTHIA PROC INDEX WELL A1W-247 579 OLD JAIL LANE BARNSTABLE, MA ZONE C READING DATE NOVEMBER, 2006 READING 23.3 ECO-TECH ENVIRONMENT A- ADJUSTMENT 3.5 ADJUSTED GW 31.50 43 TRIANGLE CIRCLE SANDKICH 'MA 02563 ETE-2515 TDECEMBER 16: 20061 12/ FL O W PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS EXPRESSED IN DECIMAL FEET NOT FEET AND INCHES. TOP OF FOUNDATION RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE EL = 112.85+- ONE INSPECTION RISER FOR N L-EACHING GALLERY 99.40 l �, z D-BOX 3 FL 3- DROP MAX FLOW I:INE TEE 96.40 10" _ GA' PRECAST 48" S_ F-'. B A h LE DRYWELL #' 6 in - BOTTOM OF Mk 103.00+- sTDN BEACHING SOIL ABSORPTION EXISTING 95.r'8 SYSTEM EXISTING �° BASE GALLERY EXISTING 95.95 EXISTING r e I 95.65 (END VIEW) 93.65 5.00 ft 1000 GALLIO��I � SEE DETAIL ON REVERSE EXISTING SEPTIC TANK 24.6 F+- - o) 5 Ft 12.5 ft b) 12 FL ADJUSTED P 31.50 SEASONAL HIGH GROUNDWATER 350.15 � SHED - N a •! J W >(n (--� _ 4 BIS rx%VG ° m i / C cn m -m m !n EOP�285N m / m CJl CD _O fll — J1 �ti O(nMF->M(nm `'T ti --jTEmzmox Pry /i ® /��0 rnOm�OZ�7c� z CONTOURS NOTE " EXISTING = - - - - - - 50 EXISTING SEPTIC SYSTEM ON FINAL 50 SOUTHEAST SIDE OF DWELLING �i91 SERVES; A ONE BEDROOM ADDITION AND, IS TO REMAIN IN PLACE. THE \`. LEACH PIT ON THE NORTHEAST SIDE IS. TO BE REPLACED AS SHOWN ,AND WILL SERVE THE LOT 2 '`�` OTHER ;THREE BEDROOMS. AREA = 1.73 ac +- ` BENCH MARK TOP OF CONC BOUND 98 ��tq. ��• ELEVATION = 90.75 T 96 BARNSTABLE GIS DATUM 100 24 f f.-x 12.5 FL x 2 FE, 102\ LEACHING GALLERY 104 rz\ f� 94 106 108 Nk ti I w p � OW T , a 4 [E -A._, EX STING SEPTIC S STEM -TO REM IN t 90 I SHED �. 104 102 SGy RDVND 110 108 106 1 ' Se PIZ +� OF uhvfu 112 PLAN V . G VU I" S SCALE: 1 to = 30 Ft G/STE¢�4 r fic L a 30 0 30 60 b1-T V- t 0 10 20 30 Dec. SFr 16, s, 00�r . # HYANNIS. MA ROUTE 6A SEPTIC SYSTEM ON O`O 3T SIDE OF DWELLING ONE BEDROOM ADDITION J REMAIN IN PLACE. THE T ON THE NORTHEAST 0 BE REPLACED AS ID WILL SERVE THE LOCUS TREE BEDROOMS' ROUTE 6 - MIDCAPE HIGHWAY BENCH MARK T TOP A CONC BOUND LOCUS M f�P � ELEVATION = 90.'�5 96 BARNSTABLE GIS DATUM v NOT TO SCALE 24 FE x 125 FL x 2 FL LEACHING GALLERY 4� 94 LEGEND EXISTING rp_z 4.61 f t �� 1000 GALLON El 90 20-�� SEPTIC TANK 88 86 D-BOX ❑ `� ® . � .' � _� � TEST PIT EXISTING O � _��►� LEACH PIT 212.g0 Et UTILITY POLE NRUMBTER ER REFERS TO IAMEEE IN LETTER DENOTES INCHES.REFERS �8-P • ; V� 3I O-OAK M-MAPLE P-PINE �0 I . GP Q I rJ S3 f a fit. .`[yla_ 88• \ f `�q:61, 9g s-� .t . rT F N l Q f N I IN o IN I Q LOT=2 r- I I cjiS Tee SEWAGE ©ISPOSAL SYSTEM PLAN` SHED s, -TO SERVE EXISTING DWELLING i EST�' ` ` MICHAEL SAND�CYIVTHIA" PRQC .: ®W►'a1.=RS O RECORD 100 96 94 S7S OLD JAIL LANE �H o€ 1JS5�� t- � � �' y BARNSTABLE. MA DAVID G� �s1 9cti �®N � PROPERTY ADDRESS D. 0 c DAVID G�� ASSESSORS MAP 2 7 6 PARCEL 5 5 COUGHANOWR D. -4 43 TRIANGLE CIRCLE No. 1093 U COUGHANOWR SANDWICH MA 02563 PLAN 800K 342 PAGE 86 C10ENSE a 508 364-0694 DATE. DECEMBER 16. 2006 � SgAIITAR�P� OTC EVALUP JOB #ETE-2515 PAGE I OF 2 VERSION: THIS PLAN IS BASED ON AN 'INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM nl DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING iDece'WIlj2i 7006 PLACEMENT ADDITIONS.SHOU DCONSSULT WWITHA POOLS-OWNER MASSAACHUSETTS REGISTERED D SURVEYOR. . Town of Barnstable Regulatory.Services Thomas Fw Geiler,_Director BARNSrABi.E M&M 2639. �. Public Health Division.. Thomas McKean,Director 200 Maim:Street,Hyannis,MA.02601. Office: 508-8624644. Fax: 508-790-6304 Installer,&DesiWer Certification Form Date: l= Sewage Permit# 3O Assessor's MaplParcel � n Designer:g Eco-Tech installer: Wm E Robinson Sr Septic Address: 43 Triangle Circle Address: PO Box 1089 Sandwich Centerville On Z5� 61 Wm .E Robinson Sr Sept' as.issued a permit to install a ( ate)' te) . _ (installer). septic systemat 579 Old .Jail Ln, Barnstable .. based on a design drawn by l (address) Ea-Tech . dated (designer) I cei y 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 cer ify 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. N OF 414 9 O DAV1D � D. (Installer's Signature) COUGHANOWR No. 1093 l` ..... ��C'�STER�O SgNtTAWPN . (Designer's Signature) (Affix Designers Stamp Here) PLEASE ..RETURN. 'T® . BARt`tSTABLE PUBLIC HEALTH DIVISION... OF. COMPLIANCE WII,I;.NOT..BE ISSUED UNTIL BOTH THIS FORM AND 3-BUILT CARD ARE RECEIVED BY THE BARINSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc a 1P Department of Regulatory Services 5 • eAtwaree „ASS.� ' Public Health Division 200 Main Street,, Date Hyannis MA 02601 rF0 AAA< Date Scheduledr C. O'Zr, '1 R {:. Tuneki I�__ Fee Pd. 1,0L CS Soil Suitability Assessment or Sewn • Performed By: J ft y 1.D �� a CO(1 G q +�df Z i {� �e �Z.�p®.S'�l Witnessed By:0omgQ 0e5 sjq[oyl S ON LOCATION& GENERAL INFORMATION Location Address '• 57 00-INN: L_1l tj 1 Owner's_ Naine'�Ie(19 �yh jlcl prof - FR t`)57'A�g�f F S?9 Assessor's Map/Parcel: 2,76!�5 i Address om ,Engineer's Name gq-rhs4,qb IV, 01 �- NEW CONSTRUCTION REPAIR ✓ - _ __ _.w _ _ �J}vi p. 'i CcauG E{ -►�pr✓I'� Telephone# Land Use Slopes(90) 0 '" •:_ . . :. .4t.!, Surface Stones Distances from Water Body 10©fi Yft Possible Wet ___ _• (��'1-I- Area O_ t/__Ift Drinking Water Well •prainage Way ?�_ F ft -Property Line V k i D--- —_ft Other ft SKETCH:(street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands�n proximity to holes- - 01 `--�--204.611 FE / l 212.90 F-f ` GROUNDWATER ADJUSTMENT EXISTING G,ROUNDNA=T ER--LE VEL BASED ON TOWN OF BARNSTABLE t L 0 l GIS DEPARTMENT RECORDS. INDICATED GW 28.00 1. , INDEX WELL A1W-247 ZONE C READING DATE NOVEMBER. 20 READING 23.3 06 ADJUSTMENT 3.5 ADJUSTED GW 31.50 Parent material(geologic) �tC Cj f CCU f C 5� Depth to Bedrock 10 hc� Depth to Groundwater. Standing Water in Hole: ©� Weeping from pit Face dl�Gj Estimated Seasonal High Oroundwater�. ` Gj tJ'D U' e Method Used: OETEWNATION FOR SEASONAL HIGH WATER.TABLE Depth Observed standing in obs.hole: Depth to weeping from side of obs.hole: In, Depth to soil mottles: �� Index Well# Reading Date: ln, Groundwater Adjustmentin. Index Well level ' &Adi,factor ,a4 Adj.Oroundwater Level ,, Observation PERCOLtATION TEST ]Dgtg112 I2-166 x, e Il A M Hole# ( � Time at 9" Depth of Pero i Time at 6" ' tt-31 Start Pre-soak Time C@ 11-Z© 'rime 0'.6") Z W_ h n End Pre-soak .'-3 Rate MinJInch �7 Site Suitability Assessment: Site Passed-.. �y Site Failed: ;a ---T_ Additional Testing Needed(Y/N) _ Original Public Health Division Observation Hole Data To Be Completed on Back--f-{---_-_ ***If percolation test is to be conducted within 100'of wetland,you must f>rsst is®t f/t➢fle Barnstable Conservation Division at least one(1) week prior to beginning:' ' Q:1SEPfICWERCFORM.DOC .•��.10 f i �i_ DATE OF TEST: DECEMBER 12. 20 6 i S 0 I L- TEST LOG SOIL EVALUATOR: DAVID—D-COUGHANOV WITNESSED BY: DONALD DESMARAIS, f, TEST PIT I PARENOTUNDWATE MATERIAL: PROGLACIRALD OUTWASH ? f ELEVATION = 101.00 +- PERC AT 70 in - 2 MIN/INCH IN C SOILS DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 101.00 4 0-3 O LOAM 10 YR 3/2, 'NONE FRIABLE 3-4 E LOAMY SAND 10 YR 5/2 NONE FRIABLE ` ! 4-6 A LOAMY SAND 10 YR 4/4 NONE FRIABLE 8-36 B LOAMY SAND 10 YR 5/6 NONE LOOSE + 98.00 36-120 C MEDIUM SAND 10 YR 6/3 NONE LOOSE 91.00 NO GROUNDWATER ENCOUNTERED TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH ELEVATION = 99.25 +- 2 MIN/INCH IN C SOILS DEPTH SOIL- USDA SOIL SOIL COLOR SOIL OTHER f (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 99.25 0-3 O LOAM .10 -YR .2/2— NONE - FRIABLE - 3-5 E LOAMY SAND 10 YR 5/2 NONE . .FRIABLE 5-6 A - LOAMY-SAND 107,YR 4/4 NONE FRIABLE B-32 B LOAMY 'SAND 10-YR 5/6 NONE LOOSE 96.58 , 88.58 __32-126 C MEDIUM SAND 10 YR 6%4 . NONE__" LOOSE - I DEEP OBSERVATION HOLE LOG Hole# - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consist ncy ravel) Flood Insurance Rate Map: Above 500 year flood boundary No= Yes __ Within 500 year boundary Nov, Yes Within 100 year flood boundary No `! Yes , e Depth of Natural ervious Material Does at least fou curring pervious material exist in all-areas observed throughout the area proposed soiOWM&ar o stem,? 11e-5 ' If not,what is epth oNatural urring pervious material? " COUGHANOWR `� Certification I certify that on �k � )I have passed the soil evaluator examination approved by tim. Department artment of En �ntav ction and that the above analysis was performed by me consistcni :,with . the required training,a and experience described i-n-310 CMR 15.017. Signature �• Y�7 L7(% Date �PG �Z� Z006 � TOWN OF BARNSTABLE LOCATION 'S a/:� a i`I �1��r/E— SEWAGE# 2-a06430 VILLAGE ASSESSOR'S MAP&PARCEL 97(- - SS INSTALLERS NAME&PHONE NO. 1264iPJoj J 56pit L So g 77 S-r77 f SEPTIC TANK CAPACITY 1000 o LEACHING FACILITY:(type) � 2U WQ (size) , V z y f 2— NO. OF BEDROOMS 3 J OWNER AIA4 I + k,P ► Piz 6G PERMIT DATE: 1 7.f 1 E 16 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY �� r �� . . a j. . - �-t7z t ® O 6 n i i Y e y,. TOWN OF BARNSTABLE LOCATION �� Q�� �-oV I �D✓1f SEWAGE # / �. -27 i VILLAGE /�.Ja� �'► s��ile, ASSESSOR'S MAP & LOT'p J. CRAIG MEDElROv INSTALLER'S NAME & PHONE NO. 78 LINDEN ST. HYAXN.1S, MA. 7 02601 -7 oTk SEPTIC TANK CAPACITY. / U 0 / LEACHING FACILITY:(t ) i o i 0: - r YPe dine) 1 NO. OF BEDROOMS f PRIVATE WELL OR UBLIC WATER OR OWNER. 1`Gij C'.`T�ry^C DATE PERMIT ISSUED:_��J �� DAT.E: : COMPLIAN.CE ISSUED. i VARIANCE GRANTED: Yes N l o: mCO3� *d 00 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes RpphCation for Migozat *p!5tem Cow5truction Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. d-1 I ors_ Owner's Name,Address,and Tel.No. . 3 6 2—9 2 0 9 579 Old Jail Ln, Barnstable Mike Proc Assessor'sMap/Parcel PO Box 543, Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4 .. Wm E Robinson Sr Septic Eco-Tech PO Box 1089 Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to the plans of Eco-Tech. 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 o ealt gned Date o `"� ­r Application Approved b Date Application Disapproved by:. Date for the following reasons Permit No. l9 -3 0 Date Issued W Lb No. Fl (,iC/l4J4 lYijk�N A i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for �hgponl 6p!5tem Con!5truction Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. �� ® Owner's Name,Address,and Tel.No. 3 6 2—9 2 0 9 579 Old Jail Ln Barnstable Mike Proc Assessor'sMap/Parcel PO BO,X 5�3, Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Des igi eK Na rAdd ess and Tel.No. 3 6 4—0 8 9 4 Wm E Robinson Sr Septic Eco—Tech PO Box 1089 Centerville 43 Triangle Cir, Sandwich Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 leach system to the plans of co-Tech. 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 oLllealt igned Date / — �`J� / Application Approved Date Application Disapproved by: / Date for the following reasons ' - 'r,»A..•"� — 1� -4" 'v'r :3 L.. Permit No. a006 Date Issued f W THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE, MASSACHUSETTS Proc ,� Certificate of Compliance f THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( X) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic at 579 Old Jail Lane, Barnstable has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. C7 ^ s �� dated ���Cg A, lD Installer 0� 1-6\9C4_\ Designer �� #bedrooms Approved design f�w s gpd The issuance of this permit shall not bf cons gttrued as a uarantef that the system will fun t'on as des ed. Date p /}l J .�/ Inspector �g No. no C-) � r S� Fee 10 0,00 Proc THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwigoat &pgtem Cow6truction permit Permission is hereby granted to Construct ( ) Repair ( X) Upgrade ( ) Abandon ( ) System located at 579 Old Jail Lane, Barnstable 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 condidons. Provided: Constructio must be completed within three years of the dat�f this pe it. Date / Approved b L- TOWN OF BARNSTABLE LOCATION .5-:: 4!�qyy j -t�V �D�� SEWAGE a 77 VILLAGE / a4 �"f��/�' ASSESSOR'S MAP & LOT21 —OS:5�' J. C RAIG MEDEIRC)S.1y.,0:1 tzaz79 -7 INSTALLER'S NAME & PHONE NO. 78 LINDEN ST. H3��Is, MA 02601 -7'7 —0 /' $•� SEPTIC TANK CAPACITY D P9 u LEACHING FACILITY:(t ) size) NO. OF BEDROOMS _PRIVATE WELL OR UBLI ��WAT�ER B OR OWNER DATE PERMIT ISSUED: �4:34�? DATE COMPLIANCE ISSUED:02 VARIANCE GRANTED: Yes Nqk - I ,.� �. _-� ,• �'-r `L � � �� 4 � J �i �\ �\ � \ �, ���\ �� �� ` ��� 7 No...T!----•- �� Fas..........ki o.... O THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ,NvIjuration for Diirivoottl lVork,i Tonotrnr#ion Fauld Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ••--•S`7 S............................. -----------------.Cofer. Location-Address or Lot No. .... p= 'a-•G----•-••----••---•-------•-•---- ••---•••-••••------•----••--------------•---•-•-•---------------•.....--------------------•------- Owner Address •--• --- Installer Address dType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria Q' Other fixtures ............................... ..Q ---------------•----•---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_.......___gallons Length_............. Width---------------- Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter----------.......... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water_____------._______-_._. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ --------------------------------------------------------------------------------•--------------.------------------------------------------------------------- 0 Description of Soil.................................................................................------------------------------•--------------------------------------•---------------• x V --------------•---.-_-_---------------.... --------------- --------------- •------ ..........----------------------------------------- ...................................... ---------------------- -•----•-- -- U Nature of Repairs or A ter do s—Answe whe applicable------_ --.-- Agreement: The and€.,rsigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed'... . .: Dare Application Approved By ------------ ".... .... ......!. ---------- ....... rf..c..C ..`/ Application Disapproved for the following reasons: ............ . ............. ..... .......................... ....................... . ........ .......................... . ................ ........ ........ ........... . ...-----------------------.-------------------------------- --------------------------------------- Permit No. ...... .. ..-. .... •�/ 7...1 — .... Issued .............. — f e Dace a. No.JLt.._,�77 c; Fizs...........l..00 �J 7 THE COMMONWEALTH OF MASSACHUSETTS �x BOARD OF HEALTH r� TOWN OF BARNSTABLE l �1 , Allp iratiuit for Diinpo'!ittl Works Tougtrnrtiun rrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: t Location-Address or Lot No. ..�1. c am,= ........Z�.�e G----------------•---------•---. ....................................................... Owner Address !"-..............-................... ..... ........ b-----------------------.------------.-.-.---- Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures -----------------------------------------------------------•-•------------------------- ---------•-----•---------------•--•--•--------............_.. W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacity.-.-----___-gallons Length................ Width-.-_--.--__--- Diameter.---..-._--__.__ Depth................ x Disposal Trench—No. ..........::........ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter...........--------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water------._-_--_•_-•-_--.-. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ----•----•.....................•---------•-•-----••----•-----•---••-•-••-------------..._..---------......................................................... 0 Description of Soil........................................................................................................................................................................ x U -----•-•-•--....•-------•-•-•---•-------------•-•-•---•••---••--------------•-••-•------•-----------•---•--•-•-••---------••---•------------••--•--------•--•-------------------••---•--•-•--•-•----.... W U Nature of Repairs or Alterations---Answer when applicable--------_0_44. , " ..........1s yB t/ V Ur Agreement: �--v------<� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed .................... ....V ..\ ................... \(^\\ ................Date..........:...... App 1 1 L li ati n A roved B / r Dare Application Disapproved for the following rearons: . . ............................ ............................. . .. ........................ ...... ........................ ..... .. ..................... ................... ......-. Date Permit No. Ll._�. .7.. ...................... Issued ..-----------------------. Date ----------------------------------------------------------------- --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE k"Ller#ifira e of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ...............C.. - - ------� a�.�c�9------------------------- ------------------ --------.----------------------------------------------------------------------------------- �� It„tue� _ at .......... ... ......... ....---7J�.------.— ------- ------ w-------------------- - n�'sr-------------------------------- has been installed in accordance with the provisio`rI's of TITI.E 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ------------------------------------------------ dated ---------.-------------------------------- . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..,�` . ...r—+�. .'..../..� ..................................... Inspector ...._....C= F 'G THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 TOWN OF BARNSTABLE / 11isposal Tunlitrurtiun Wrmit Permission is hereby granted-------- _... '= 'Q ¢: ------------------------- ------------------------------------------------- to Construct ( ) or Repair ( an .ndividual Sewage Disposal System at No. :�j._?..?" �'' ( A-__ n� .Individual �s j� --•--------------------------------------------------- Street G _ as shown on the application for Disposal Works Construction PerynitNo.-[-l{ Dated...--::.................................. Board of FIeaith / DATE .._.. ----- ............ 7......-....... FORM 36508 HOBBS R WARREN.INC..PUBLISHERS LO CATION EWIA 6 RC31T NO. VILLAGE INSTA LLER'S NAME i ADDRESS CRAIG MEDEIROS ruc 2nto I A2 Cotpgrati®n Street OR - -O W N E Hya-n%,.-PRcass 775-0 28 DATE PERMIT ISSUED �/'r ' DAT E COMPLIANCE ISSUED � � LA No..... bo Fss......rb................ THE COMMONWEALTH OF MASSACHUSETTy "r BOARD OF HEALTH ...... _.------ .. ......0 F..-.. A�? 13GG ...... Appliration for Bispniittl arks C�nnitrnrtinn rumit Application is hereby made for a Permit to Construct (L,,j or Repair ( ) an Individual Sewage Disposal System at: (�. aGo ��tr�... cr Bum-�vsTc GoT '�Z ............. ....._....... - ----- Z .... - Location Address or Lot No. .. .0 e l3D X 9a 8 6�I,!riviye 5 �-!<)S S .... .................................... ---- .. ............ . ..... .... Owner Address W Installer Address d Type of Building Size Lot... .? .3:.�_.`�.----....Sq. feet - - Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures -------------------------------- - - W Design Flow................. 3r ........... per person per day. Total daily flow____.__..3 c............_............gallons. WSeptic Tank—Liquid capacity./o®®..gallons Length-8 A..... Width.:!!���/'___ Diameter________________ Depth.:5-., ...... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._-_____------_--_- Diameter.....e�Z. Depth below inlet...- Total leaching area_Zg4-7..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed u��C--------------- Date..-.__W_Z4---- Z aTest Pit No. 1...G.z-----minutes per inch Depth of Test Pit... :.___.. Depth to ground water________________________ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----_................... •---•--------------------------------•--....--•-••---------•--------.................--------------.....-----------.........----...........__......------••-- O Description of Soil.....6"'4z"'•-.W00 4>4e --•- Sug Svc......----- Z�.=� .. Al - `5.,9..v... V W .................771........ -!C' .. ........ ........-n/�5...........-•--------••-------------------------•--•---------------•---•------•-••-------....----•-......-----........--•---•---•------•---- Ztl U Nature of Repairs or Alterations-An when applicable_� .�.......................................................................... x --------------------------------------------------------------------------------------------------------------------------------------•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of ealth. Signed_r _ -•---......---...'L...✓_------•.... ................................ Dge Application Approved By......... %_ S°-2 ---- Date Application Disapproved for the following reasons:----•---------•-----•------••--•----•------------------------•--•---------------.........---•--•----------...... ..........-•--••----•----•-••---------------•--------------•---•-----...--------------........--------------•----....--••--•-----•-•------------...----------------•----------------------------•------- Date PermitNo......................................................... Issued....................................................... Date l THE COMMONWEALTH OF MASSACHUSET-eS BOARD OF HEALTH ---------�in/-�l/-------------OF.... i47 n...STi4l C Appliration for Bhipoiiai Workii Toutitrnrtiun ramit Application is hereby made for a Permit to Construct (/) or Repair ( ) an Individual Sewage Disposal System at: z!�✓s72!tr . ......... lo7- Z > .....-------'----------------------'--------'---....------.........----------.........---......... Location-Address or Lot No. c Box 90 /�,�. .v/s M4 55 oz6e� _.....- - ..----•-......•--••------•----•---••-------- -••-•-.......-•-•--•--••- .----------------------- Owner Address � -----•---•------- ------- .-.............'7 ............a Installer Address `c d Type of Building Size Lot.7-61 `0'5-c/_.......Sq. feet 4- Dwelling—No. of Bedrooms.............`3---_--_--_-_-....._--Expansion Attic ( ) Garbage Grinder ( ) a e of Building a Other—T yp,, g ............................ No. of persons............................ Showers ( ) Cafeteria ( ) d Other fixtures Design Flow...... ...-5� ...gallons per person per day. Total daily flow............................................330 gallons. WW .Width----- ' s11�-�8 Septic Tank—,L>quid:capacity/e7oo:_gallons Length 8�6" ¢-��. ..-- Diameter................ Depth x Disposal Trench—No. .................... Width.................... Total Length.................... 'total.leaching area...................:sq. ft. Seepage Pit No..______�.__._.__. Diameter:._.!?*_-..... Depth below inlet-._` ....... Total leaching area z Z�7Ssq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by._� ....! !�..... ...�� � ................�Date.�?2!�...�zj__� �.. 1.4 Test Pit No. 1__ _Z__....minutes per inch Depth of Test Pit.. ....... Depth to ground water........................ 04 Test Pit No. 2................minutes per inch Depth of Test Pit........:------..... Depth to ground water........................ a' -----------------------------------------------------------------------------------•. ----•-•--- D Description of Soil....a"- -Z"�• 1/✓ovaGOs}� Sug-Soy c. ¢Z"- /4-�" �iwG- S im ..................................................... •-••••...•-•.......•--••--••••••-•-.......................... U Wi7Jy Sv•`ic Fw� -----•-••- ...........................................--••••••••-•••-•-•-......-•••••......•------ w --------------------------- ------- - ---�-- "� -------•-...d'..'n p `/ UNature of Repairs or Alterations—Answer when applicable._.............................................................................................. ----------------------------------------------------------------------••••••••••---••••-•-•-........•--•-•-••-•••---••--•••-•---•------••--•••••----•••••-••...........--•-•--•-••••••••-•....'•--.-••-- Agreement: The undersigned agrees to install the afore"described Individual Sewage Disposal System in accordance with the provisions of TITI 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of�lth. Signed-!' �`. _r _.. `"' '_---------•-- nate Application Approved By.............. ..... '°' ".......... ....+•. i Date Application Disapproved for the following reasons:'_.......................................................................................................... .............................•-•-•------......----'------------------•-••--------....._..-_._...---------•••••••-•-•--•••-•••---•-•-...•-•-••--•••--•-••-••-•••---••••••••--••••--•--------••-••---•--- Date PermitNo................................................ - - Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH liv ni o F......4 AI-57-9&G E" .......i- ...... ........................................................ Tur ifiratr of Tontplianrr THIS IS TO CERTIFY, Thgt the Individual Sewage Disposal System constructed (-<or Repaired 1 nstaller, at.. ' ------------ -------------...o .- :..---------•-. -------......................................................................... has been installed in accordance with esions of TI F 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....____Y�............_- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL.,FUN�CTION SATISFACTORY. DATE.....................: . .. / /J Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF..................................................._......................................:�--•-•- FEE.. Disp aga1 lforh ��a�a #rnr#irrn anti Permission is"hereby granted.................. '- r- -----------------------•----........------------•-----......---........---.......-----'. to Construct ( "Repair ( ) an Indlvidu ewa a Disposal System atNo.-•--- --•••- .... ..... .....1.-*� +"".. `• '* - ---------•-•••................ 77 Street as shown on the,application for Disposal Works Construction P No.................... Dated.......................................... ................................................ DATE. and of Health FORM 1258. A. M. SULKIN, INC., BOSTON R f� o � ti"�co•�c YB P a �9s' '�� �G �'• �o� �,� o `er � �,e �' -- Z i z,5� Iq OIL SSA 9�0 P/L-p° i/ I ti Bq'� LoT"` \ �• � \ � Df� -3 ra ; a Z0T v zo v W �• 73 Ac�e�s �- N wv wh7n ,(S NoT 1 1 ' Z s8.96 PcATlory ��,e.�sr.9B MAs s. SCARF . .! Gam. . . . . . DATE P� AN R FVRETICE . ?/VG. . .�o7- Z . . . . . N OFAfq�f 5�.6 wM. P.A! . .�L. QfG . J4 L . . . . ao EOWA /�G, 8� (03 EL .r NO.26100 v, . . . . . . . . a�SURVE CERTIFY THAT THE . .. ..... . . . .. . .. ...... . . . ...... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS 51-I0WN HEREC�J AND THAT IT CONFORMS TO THE SETBACK HEOUIREMENTS OF THE TOWN OF . . . . WHEN cON9TRUCTED. DATE �`1/6'd C. R2oG- PL?JTion�Gr.>Z REGISTERED LAND SURVEYOR L. . 9�.0c,. '. .�, . TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 4' CAST IRON 12"MAX. OR SCHEDULE 402 MAX. P.V.C. PIPE 4°SCHEDULE 40 P.V.C.(ONLY) PITCH 1/4"PER.FT PIPE - MIN. LEACH PITCH 1/4 PER.FT. PIT PRECAST a LEACHING EL..... . . . ... INVERT INVERT e , PIT OR SEPTIC TANK DIST. w EQUIV. EL., . .. . . . . . EL......... ' ; >_ o INVERT BOX o; EL.......... ,. loon . . .. GAL. INVERT INVERT %:• !i<1 0iL u: , EL........ 80 80 uw o 0 3/WASOH ED 2, o EL........ w STONE ,♦ /3 ---►1+-6'DIA. :!id No is PROF1 LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- 3Z4 z SOIL LOG WITNESSED BY : DATE AP�'L .�z�� ¢. TIME. .��'30 /�,, JvL�iv .T�IcoB i 2-S BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ,��LG�y . . ENGINEER ELEV. .d¢30. . . . ELEV. .. . . . . . . . . WooD�� DESIGN DATA ¢Zl NUMBER OF BEDROOMS 3 . ez,go,80 TOTAL ESTIMATED FLOW . .330 . GALLONS/DAY FiN�* Sao BOTTOM LEACHING AREA SQ.FT. /PIT/ ,3.1 C.P,D, w1 7-)V SIDE LEACHING AREA . .��9-G�' . . . SQ.FT./ .sor,� Pities GARBAGE DISPOSAL (50 % AREA INCREASE) TOTAL LEACHING AREA Z8?r 7- . SQ.FT PERCOLATION RATE LSs Ti`�,9n. ��,� MIN/INCH ,44" GrC.7Z.3o LEACHING AREA PER PERCOLATION RATE '`�3jz. SQ.FT/C;V,D, ^!�. .WATER ENCOUNTERED NUMBER OF LEACHING PITS . .. . . �. . .. . . APPROVED . . . . . . BOARD OF HEALTH DATE AGENT OR INSPECTOR 9 OF d1q i Z oe EDWAR T o N . . . . . . . . . . LEY q u' v, 527 OLD 2stoo h �Q/STE��O ►STE �O (gy0SUflVEA% SANRIE PETITIONER P2o C , -ram q1,9 1g g =ass 014 39,S4g/G Cv 7Ur titi' a eq•� J Z 3 /s° e Lor PW 73 .9G,e6'"S N 45 ,ypT AUMLA'BLI� } 1 Z 38.96 ST.g C-,q t/,9y �Ou �9SSuy�D 7.Y97-r��y WCgTJON . .l3�.etisr�8 Miss. cad EG�. . . . . . PATE -4 ZZ i9 P! AN REFFRE?�CE . . ?^!�. . . 40r 8 z. . . . . �N OF f -S/�r6 wM D/V . Cj/G , S4 Z- ED g w ELLEY ^'i . . . . . . . . . . No.26100 H alST 'an su wvE� I CERTIFY THAT THE . .. ..... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE 9ETPACK PEOUIREMENTS OF THE TOWN OF PATE . . . . . . . . . . . . . /y/tea C. R2oc - PG77>/O.vGs� REGISTERED LAND SURYEYOR ' i r sN�7- z of Z sNE�Ts TOP OF FOUNDATIOr, CONCRETE COVER CONCRETE COVERS 'e 4"CAST .1RON II2"MAX. • ' OR SCHEDULE 40 � 12"MAX. P.V.C. PIPE 4"SCHEDULE 40 P.VC.(ONLY) PITCH PIPE R.FT PIPE - MIN. LEACH PITCH I/4 PER.FT. PIT PRECAST 0 0INVERT a LEACHING l EL..... . . . ... INVERT INVERT p a W 6.1 PIT OR SEPTIC TANK DIST. EQUIV. ° INVERT EL.. . . . . . . . . BOX EL......... ' >_ ; o; EL.......... .. loon .. . . GAL. INVERT INVERT %;• o. �. EL........ go o 0 3/WASONED 2 o EL........ ,,. Z. w STONE /_3 -- 4 6'DIA. —►� N•�t • , , �Z' DI A.--*I�'�a.Tt PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- 3Z4 z SOIL LOG WITNESSED BY DATE lrpeic iz iyds� TIME. .//. ,30 n -71AW ,T,4co8 y 2.S. BOARD OF HEALTH TEST HOLE I TEST HOLE 2. .E ZG� ENGINEER ELEV. .e¢So. . . . ELEV. .. . . . . . . . . WooD�+!'ry DESIGN DATA Sug-Sole. 4z NUMBER OF BEDROOMS J7 . tZ.Bo.Bo TOTAL ESTIMATED FLOW 3 . . . . GALLONS/DAY �NE* S�ivo BOTTOM LEACHING AREA SQ.FT. /PIT/`s- C.RD, wIr � SIDE LEACHING AREA . .�69rG`r. SQ.FT./ PITlg_?F,3 C.?D, So ncY" /'/NB:S GARBAGE DISPOSAL (50 % AREA INCREASE) TOTAL LEACHING AREA SQ.FT PERCOLATION RATE MIN/INCH eZ.7Z.3o LEACHING AREA PER PERCOLATION RATE 433Z SQ,FT/G',V,D, N.o. .WATER ENCOUNTERED NUMBER OF LEACHING PITS !��T. �'/!77` . . APPROVED . . . . . . BOARD OF HEALTH �'� T• .STONE ow A2L :5 DATE . AGENT OR INSPECTOR 14 Of Y4 EDW y o S �T Z X 4 y El OLD c.2s Do Z o TE A.2.t/STABLG� /J.<I sS. �G�ST�A�o s� p� NRIIP% PETITIONER Apo HYANNIS. MA ROUTE 6A o --CONTOURS NOTE - = o a EXISTING - - - - - - - 50 EXISTIN,6 SEPTIC SYSTEM ON O`O ,7 �o FINAL 50 SOUTHEIAST SIDE OF DWELLING �i91/ r O(n \ SERVES` A ONE BEDROOM ADDITION omw I \ AND IS ITO REMAIN IN PLACE. THE �Ju + m I LEACH SIT ON THE NORTHEAST oor ' \� SIDE IS, TO BE REPLACED AS ``� N m(n(n m "' ( SHOWN .AND WILL SERVE THE LOCUS e LO I \ � OTHER 'THREE BEDROOMS. ROUTE 6 - MrocAPE HIGHWAY m e I AREA O1. 2 +- \ � BENCH MARK 7 z WTOP OF\` z2 BOUND ❑J< ( gs3> ELEVATION C 9075 W Q 3 I 98 \`t `'�� BARNSTABLE GIS DATUM LOCUS MAP (on I �•`6 �e�° N NOT TO SCALE c m W _)Qp I 102 teems ��" 24 FL x125FE x2 F£ I " ZO m m o�� I \ LEACHING GALLERY W I 104 12-0 �0 w 94 • , LEGEND EXIS TING J Z uj W 1rrz ` 204.61 F=_� —� 1000 GALLON 106 � 90' SEPTIC TANK J 'Qi _ W Z U 3 W > O L I . \ 0-0 88 86 D-BOX ti W>3 U _j J I 108 O `� TEST PIT �0 �� J N W z e c X Q Z I 110 EXISTING O >Q V Q W W W tiG _� LEACH PIT.. O m E II �c��1 / _ - F— W m ❑ � 112� uO W 1 o _ I 212.90 Ft UTILITY POLE I �� -0 P TREE CD VI -NUMBER REFERS TO DIAMETER IN INCHES V_ LETTER DENOTES-TYPE. 7B-P W�I Z 0.� O-OAK M-MAPLE P-PINE O 1� I— X TO , v V o �v WW LL 0 , � �� O oL m � u�- I _ Z0= -1 QP I co� W W I U I (�� Q�1 �(p G,lATEq LINE I 2�5� z z _ (n O I J J (�(11 y - - 88 \`f �p 61=6yg fE OU z rr� I k�W �~ + i W e 0 x o J w FO w J ~ z um ((D I WW aw CD z lu N (n= I I 0 (n 3 z I I I 0 N J CO O J +m OD I ui e Iu w m p N �,I o o I LOT 2 WU m W m l I N I AREA = 1.73 e= EX STIN SE TIC � S STEM -TO REM IN I 23a96 Ft. z W J Z I ® � �� SEWAGE DISPOSAL SYSTEM PLAN h z SHED \ -TO SERVE EXISTING DWELLING � � O o o <m j ~ I � J 90 EST. MICHAEL AND CYNTHIA PROC 0 J cn � U I �_� OWNERS OF RECORD i m W 9 swGMO D 110 108 6 104 102 100 98 94 92 �� 1995 579 OLD JAIL LANE �s G;) V POOL G I"OF �� BARNSTABLE. MA Cn:0j Lno���A' ASS9CyG ljll����H Or MASs9c �ON PROPERTY ADDRESS N11! PLAN o� D pVID �� ���� DAVID ��� 3 TRIANGLE CIRCLE ASSESSORS MAP 2 7 6 PARCEL 5 5 O COUGHANOWR o D. � ANDWICH MA 02563 PLAN BOOK 342 PAGE 86 NO. 1093 COUGHANOWR � 06 364-OE394 DATE: DECEMBER 16. 2006? F w SCALE: 1 in = 30 Ff- O w w w 30 0 30 60 �SGISTis sO �ICENSEO �� JOB #ETE-2515 PAGE 1 OF 2 VERSION: f} 0 18 20 3 q I kP I4 E U THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING iD / PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER "aJe �� VtL, OC SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. SOIL TEST "LOG DATE OF TES`TO DECEMBER 12. 2006 DESIGN C� KLCULATION�S SOIL EVALUATOR: DAVID D. COUGHANOWR, R.S. WITNESSED BY: DONALD DESMARAIS, HEALTH DEPT. DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD NO GROUNDWATER ENCOUNTERED TEST PIT I PARENT MATERIAL: PROGLACIAL OUTWASH SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC AT 70 in - 2 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL ELEVATION = 101.00 +- CONDITION. IF NOT, INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) DISTRIBUTION BOX: USE 3 OUTLET D-BOX. DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: A 24 Ft x 12.5 Ft x 2 Ft LEACHING GALLERY CAN LEACH (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Abot = ( 24 x 12.5 ) = 300 sF 101.00 Asdw = ( 24 + 24 + 12"5 + 12"5 ) x 2 = 146 sF 0-3 O LOAM 10 YR 3/2 NONE FRIABLE Atot = 446 sF Vt 0.74 x 446 = 330.04 GPD 3-4 E LOAMY SAND 10 YR 5/2 NONE FRIABLE USE A 24 Ft x 12.5 Ft x 2 Ft GALLERY. Vt = 330.04 GPD > 330 GPD REQUIRED 4-8 A LOAMY SAND 10 YR 4/4 NONE FRIABLE 8-36 B LOAMY SAND 10 YR 5/6 NONE LOOSE 96.00 36-120 C MEDIUM SAND 10 YR 6/3 NONE LOOSE 91.00 LEA CHING GA L L ER Y SCCAT TO LE TEST PIT 2 PARENT O OU MATERIAL:D WATER E P R O G L A C IRA LD O U T W A S H USE SHOREY PRECAST 500 GALLON LEACHING DRYWELL (H-10 LOADING) ELEVATION = 99.25 +- 2 MIN/INCH IN C SOILS - - -- CONSTRUCTION DETAIL 500 GALLON DRYWELL DIMENSIONS AND DETAIL DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER �DRYWELL UNIT STON USE H-10 UNIT (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING INSTALL ONE INSPECTION 99.25 RISER TO WITHIN SIX 24.0 f t7 INCHES OF FINAL GRADE 0-3 O LOAM 10 YR 2/2 NONE FRIABLE m AND INDICATE LOCATION m ON AS-BUILT PLAN m 3-5 E LOAMY SAND 10 YR 5/2 NONE FRIABLE 5-8 A LOAMY SAND 10 YR 4/4 NONE FRIABLE Lq 4 N �� N goo 33 8-32 B LOAMY SAND 10 YR 5/6 NONE LOOSE m4 In 96.58 . t8.5 f t 8.5 ft .5 Ft88.5s 32-126 C MEDIUM SAND 10 YR 6/4 NONE LOOSE 24.0 Ft ���oa 102 1� CROSS SECTION VIEW NOTES g2r 2 to PEASTONE 0 1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN 2824 toEFFECTIVE 3/4 to TO 26 2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM. DEPTH 1-112 to GRAVEL In 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS INSTALLER MAY ELECT OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15) TO ROVED X =46 5B rn 46 In APPROVED GEOTETILE FABRIC 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES . PLACE OF THE In. PEA STONE BEFORE EXCAVATING FOR SYSTEM. 150 in LAYER SPECIFIED. 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED OR REMOVED 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE Z) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING DOWN 8) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES GROUNDWATER ADJUSTMENT SEWAGE DISPOSAL SYSTEM PLAN AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK EXISTING GROUNDWATER LEVEL 9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING'. DO NOT. , BASED ON TOWN OF BARNSTABLE -TO SERVE EXISTING DWELLING PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. J "' "' GIS DEPARTMENT RECORDS. 10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STA"RT,INO,�tWORK. INDICATED GW 2B.00 MICHAEL & CYNTHIA PROC r INDEX WELL A1W-247 579 OLD JAIL LANE BARNSTABLE. MA 11) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE-ON to LEVEL ZONE C ,STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AMD_ON�'�TO WHICH READING DATE NOVEMBER. 2006 ECO-TECH ENVIRONMENTAL `SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE-`'UNE.VEN SETTLING READING 23.3 r ADJUSTMENT 3.5 12) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED ADJUSTED GW 31.50 43 TRIANGLE CIRCLE SANDWICH MA 02563 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH.-GAS BAFFLE. ETE-2515 I DECEMBER 16, 20061 1 212