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Commonwealth of Massachusetts 3310 oqt .
Title 5 Official Inspection Form ;
Subsurface Sewage Disposal System Form-Not for Voluntary Assessmentsco
'
79 Stoney Point Rd Map 336 Parcel 91 "'•'
Property Address
George& Eleanor McMahon r-
Owner Owner's Name
information is Barnstable �`
required for every ✓ MA 02631 01/26/2019 00
page. City/Town State Zip Code Date of Inspection r�°I
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 fortes A. Inspector Information
-
on the computer,
use only the tab Mathieu Rebello
key to move your Name of Inspector
cursor-do not Rebello Septic Inspections
use the return Company Name
key.
30 Norse Rd
Company Address
South Dennis MA 02660
Cityfrown State Zip Code
,ow 774-722-0271 SI-14140
Telephone Number License Number
B. Certification
I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5
(310 CMR 16.000); 1 have personally inspected the sewage disposal system at the property address
listed above; the information reported below is true, accurate and complete as of the time of my
inspection; and the inspection was performed based on my training and experience in the proper function
and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined
that the system:
1. ® Passes
2. ❑ Conditionally Passes
3. ❑ Needs Further Evaluation by the Local Approving Authority
4. ❑ Fails
01/26/19
Inspector's 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 form should be sent to the system owner and copies sent to
the buyer„if applicable, and the approving authority.
Please note: 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.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 1 of 18
Commonwealth of Massachusetts
p Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George & Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Citylrown State Zip Code Date of Inspection
C. Inspection Summary
Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6.
1) 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:
2) 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):
t5insp.doc•rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18
Commonwealth of Massachusetts
uh
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George &Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Cityfrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
2) System Conditionally Passes(cont.):
❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if
pumps/alarms are repaired.
❑ 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):
3) 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.
a. 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:
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George& Eleanor McMahon
Owner Owner's Name
information is Barnstable MA 02631 01/26/2019
required for every
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cost.)
❑ 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
b. 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.
c. Other:
4) 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
ElDischarge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18
c Commonwealth of Massachusetts
1 Title 5 Official Inspection Form
M1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George&Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. CitylTown State Zip Code Date of Inspection
C. Inspection Summary (cost.)
4) System Failure Criteria Applicable to All Systems: (cont.)
Yes No
❑ ® 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 1/2 day flow
❑ ® Required pumping more than 4 times in the last year NOT due to clogged or
obstructed pipe(s). Number of times pumped:
❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply
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 2000 gpd-
10,000 gpd.
❑ ® 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.
5) 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 CA.
Yes No
the system is within 400 feet of a surface drinking water supply
❑ ❑ PP Y � Y
❑ ❑ 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
t5insp.doc•rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George&Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Cityrrown State Zip Code Date of Inspection
C. Inspection Summary (cont.)
If you have answered"yes"to any question in Section C.5 the system is considered a significant
threat, or answered"yes"to any question in Section CA above the large system has failed. The
owner or operator of any large system considered a significant threat under Section C.5 or failed
under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner
should contact the appropriate regional office of the Department.
6. You must indicate"yes"or"no"for each of the following for all inspections:
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)]
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91 '
Property Address
George&Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. City/Town State Zip Code Date of Inspection
D. System Information
1. 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
Description:
1500 gallon septic tank, distribution box, 3 flow diffusors
Number of current residents: 2
Does residence have a garbage grinder? ❑ Yes ® No
Does residence have a water treatment unit? ❑ Yes ® No
If yes, discharges to:
Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No
information in this report.)
Laundry system inspected? ❑ Yes ❑ No
Seasonaluse? ❑ Yes ® No
Water meter readings, if available last 2 ears usage 152 gpd
9 ( Y 9 (gpd)):
Detail:
2018-60,000 gallons 2017-51,000 gallons
Sump pump? ❑ Yes ® No
Last date of occupancy: current
Date
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18
c Commonwealth of Massachusetts
iM Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 1 79 Stoney Point Rd Map 336 Parcel 91
Property Address
George & Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Cityfrown State Zip Code Date of Inspection
D. System Information (coat.)
2. Commercial/Industrial Flow Conditions:
Type of Establishment: N/A
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
Water treatment unit present? ❑ Yes ❑ No
If yes, discharges to:
Industrial waste holding tank present? ❑ Yes ❑ 'No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe below):
4
3. Pumping Records:
Source of information: pumped 6 months ago 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:
t5insp.doc-rev.M62018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
�.UIP. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George&Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Cityfrown State Zip Code Date of Inspection
D. System Information (cont.)
4. 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):
Approximate age of all components, date installed (if known)and source of information:
installed 01/2000 per BOH
Were sewage odors detected when arriving at the site? Y g g ❑ es ® No
5. Building Sewer(locate on site plan):
'
Depth below grade: 1
feet
Material of construction:
❑ cast iron ®40 PVC ❑other(explain):
>10'+
Distance from private water supply well or suction line: feet
Comments(on condition of joints, venting, evidence of leakage, etc.):
joints tight,proper venting, no evidence of leakage.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
r
George& Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank(locate on site plan):
Depth below grade: 611.
feet
Material of construction:
® concrete ❑ metal .❑fiberglass ❑ polyethylene ❑other(explain)
H-10
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1500g tank
Sludge depth: 0-111
Distance from top of sludge to bottom of outlet tee or baffle
30"
Scum thickness .
0°
Distance from top of scum to top of outlet tee or baffle
8"
Distance from bottom of scum to bottom of outlet tee or baffle
14"
How were dimensions determined? tape measure and stick
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
recommened pumping at least once every 3 years.Tee's in place working properly. No evidence of
leaking from tank. Liquid levels are at proper operating levels at 48"at outlet invert.
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Farm.Subsurface Sewage Disposal System-Page 10 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George& Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
7. Grease Trap(locate on site plan):
Depth below grade: N/A
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
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade: N/A
Material of construction:
❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
i Ca act
p y gallons
Design Flow:
gallons per day
-
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
M 79 Stoney Point Rd Map 336 Parcel 91
Property Address
George& Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
8. Tight or Holding Tank(cont.)
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.):
�I
"Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
9. Distribution Box(if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert
0°
Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any
evidence of leakage into or out of box, etc.):
box is level-1 inlet, 3 outlets. No evidence of soild carryover or high stains. D69 Box is strucurally
sound, has speed levelers.
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George& Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
10. 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.):
N/A
*If pumps or alarms are not in working order, system is a conditional pass.
11. Soil Absorption System (SAS)(locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
❑ leaching chambers number:
® leaching galleries number: 3-12x35x2
❑ leaching trenches number, length:
❑ leaching fields number, dimensions:
❑ overflow cesspool number:
❑ innovative/alternative system
Type/name of technology:
t5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18
Commonwealth of Massachusetts
UTitle 5 official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George& Eleanor McMahon
Owner Owner's Name
information is Barnstable MA 02631 01/26/2019
required for every
page. Cityrrown State Zip Code Date of inspection
D. System Information (cont.)
11. Soil Absorption System (SAS) (cont.)
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of
vegetation, etc.):
soil and stone dry and clean. Sidewalls inspected with.no signs of hyrdaulic failure or unusual
vegetation. 0"of ponding found at bottom of SAS
12. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan):
Number and configuration N/A
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
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Fora
1 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George& Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
13. Privy(locate on site plan):
Materials of construction: N/A
Dimensions
Depth of solids
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
t5insp.doc•rev.7/26/2018 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18
f
OP cc *
V U k 3 TOWN OF BA.RNSTABLE fv O
L '�C ATION 's I_11k1,V l-7' ,/ SEWAGE #;?eeff
VILLAG Z;YCZ—� ASSESSOR'S MAP & 1,017904"d?/
SDB
INSTALLER'S NAME&PHONE NO. - '
SEPTIC TANK CAPACITY
/ZX3S—x z
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: ��' `'` � �f�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-210 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist ,
within 300 feet of le g�facilily�) Feet
Furnished bynI i� /��,T
Al-
"D- a
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Commonwealth of Massachusetts
� Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
19c;0 1�
Property Address
George&Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page, City/Town State Zip Code Date of Inspection
D. System Information (cont.)
14. 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
it
i
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18
f
Commonwealth of Massachusetts :
r Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George& Eleanor McMahon
Owner Owner's Name
information is Barnstable MA 02631 01/26/2019
required for every -
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
15. Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to high ground water: 8.
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: 08/28/1998
Date
❑ Observed site(abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health-explain:
file
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
per design test hole 06/30/1998 groundwater encountered at 8.5' EL=96.0.Bottom SAS EL=91.5 Well
AIW247 .3 adjust Seperation Math(96+.3=96.3-91.5= 5.1 to bottom SAS to adjusted water.
Before filing this Inspection Report, please see Report Completeness Checklist on next page.
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form-Not for Voluntary Assessments
,Pr
79 Stoney Point Rd Map 336 Parcel 91
Property Address
George&Eleanor McMahon
Owner Owner's Name
information is required for every Barnstable MA 02631 01/26/2019
page. Cityfrown State Zip Code Date of Inspection
E. Report Completeness Checklist
Complete all applicable sections of this form inclusive of:
® A. Inspector Information: Complete all fields in this section.
® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked
® C. Inspection Summary:
1, 2, 3, or 5 completed as appropriate
4(Failure Criteria)and 6(Checklist)completed
® D. System Information:
For 8: Tight/Holding Tank—Pumping contract attached
For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached
For 15: Explanation of estimated depth to high groundwater included
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 18 of 18
` -
-
TOWN OF BARNSTABLE
_ -�/
LOCATION Zf SEWAGE #
�� S
i .�
VILLAGE ASSESSOR'S MAP & LOT9.'9�v" f
INSTALLER'S NAME&PHONE NO. �g3
SEPTIC TANK CAPACITYf/%/ S
LEACHING FACILITY. (type) /2X3S'-.r p
(size)-
NO. OF BEDROOMS
BUILDER OR OWNER �i]fr�� /o, at/OyC /TC�fjjybi(�
PERMrrDATE: COMPLIANCE DATE: 0
7.1
Separation 15�stance Between the'..
Maximum Adjusted Groundwater:Tab16to the Bottom of Leaching Facility' Feet
Private Water Supply Well and.LeachingFacility
ty (If any wells eztst
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
. within 300 feet of IeAdiiog facility) Feet
Furnished by -
-
t1-3 z
L2 3- J 5
E 2 . �C
V 3 TOWN OF BARNSTABLE 10/�a/05
I.°�I"A'flON Z� SEWAGE #.OW 5e
VILLAGE i4iP/�I� C�+ ASSESSOR'S MAP & LOT '
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS f
BUILDER OR OWNERL/�r?,SE /.ri� it
PERMITDATE: 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
I on site or within 2I0 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of,leachi g facility)� � • Feet
Furnished by
Iry
33
1-4F-F 31
r- 6 '4
L <3�.
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Z(ppYfcation for W5po.5al *pgtem Construction Permit
Application for a Permit to nstruct( )Repair( )Upgrade( )Abandon( ) O Complete System ❑Individual Components
Location Address or Lot N . I Owner's Name,Address and Tel.No.
L0T*3 1%�>j pari.ir f.i). ¢ 01'MtA-i 0A-
Assessor'sMap/Prarrcel Cur►�t>1 A3,\J1t6 C�� r (00
'ssNar ,,Address and Tel.No 150 Designer's Name,Address and Tel.No.;;er
�"\ Z4j6-A16tq-ULT Z-S-
-i f D(a ) �10 29S Po w qo .4enri 4
Type of Building: -t,
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( M
Other Type of Building No. of Persons 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 n Type of S.A.S.
Description of Soil K. 1' d14>✓1L�1� �L' l
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected: r
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 J)tNWat.
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued z '"' ���
r
/� r
r
Fee
�rpr THE C lmmt6b'WEALTH OF MASSACHUSETTS Entered in computer: �s
'PUBLIC HEALTH DIVISION - TOWN bF BARNSTABLES MASSACHUSETTS
P, 01pprication for Mi5pogar *pMem-Construction Permit
Application.for a Permit to Cons ct( )Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components
Location Address or Lot N . Owner's Name,Address and Tel.No.
OT Assessor's Ma � l el G'vrwM aV 11_�
e's N Address and Tel ANo. Designer's Name,Address and Tel.No.
--Ir'� ^� �f`�'i � G "Tl3-/�►�J+4 -R��J�IV 1r(�IJt.T �2-S• :.
r_ N VA 6 Zb 1 sD ra ) -90- zT @ f� Po eou 4o t;_4enrf ►�►�-
Type of Building:
Dwelling No.of Bedrooms 'Lot Size sq ft. Garbage Grinder
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 44440 gallons per day. Calculated daily,flow. gallons.
Plan Date jNumber of sheets 1 Revision Date7.7
F
Title �� #` N
Size of Septic TankType of S.A.S.
Description of Soil 1Z0 ff-CL_ `.,TD 0-T7-r+CHf►l .
Nature of Repairs or Alterations(Answer when applicable)
E �
Dare last inspected: r �
Agreement:
I The undersigned agrees to ensure the construction and maintenance of tl!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 ftof
Ta r ,.
..,..,._
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
--Pe t No.— --------- w.;..
rmi ��'�'`� Date Issued————— '- —
_THE COMMONWEALTH OF MASSACHUSETTS
B#RNSTABLE, MASSACHUSETTS
:e Certificate_of Compliance
i 3 THIS IS T,O ZY that e On- ' e k a e !orl System Constructed(�)Repaired( )Upgraded( )
r ) Abandoned(' )by (U
r ,
at, '_/ r has been constructed in accordance
with the rov' ,i9nrso�Titl 5 vloifepsa ste CPnstruction Permit '" � � datedInstallerp F'"V"1 N( Designer
The issu ce of this peritm shall not be construed as a guarantee that the s ill function as dys�g-ned.
Date "� `. �1 <3Z Inspector
Y
No.Zeloo
`�'� Fee
THE COMIIA¢ONWEALTH OF MASSACHUSETTS
E PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
Mi5po5af *pgtem Conotruction Permit _
Permission is hereby granted to Construct Repair( ad;,, )Abandon )
System located at
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:Cons cti must be completed within three years of the date of this permit.
fro
Date: Approve ..y'
�.,
q-) n �
pF IHE Tp� DATE:
A
FEE:
* EIMMSrABLE. +
�$ 6119. 't Town of Barnstable REC. BY
4F \�
a� 166F® Board of Health
78 367 Main Street, Hyannis MA 02601
6 1998
rayv,
Office. p508-790-626�5gFBgqNSrq Susan G.Rask,R.S.
FAX: 508.790-6304(TpOEPZ B� Sumner Kaufman,M.S.P.H.
Ralph A.Murphy,M.D.
8 L VARIANCE REQUEST FORM
LOCATION
Property Address: L o+ S+c)o e\, PUt y)+ Rk CA rt(y-
Assessor's Map and Parcel Number: Cal— Size of Lot:
Wetlands Within 300 Ft. Yes Subdivision Name: J
No
Business Name:
APPLICANT CONTACT PERSON
Name: P.1eGtnRy -k qE ",e e (y'tct mr, Name: g��@ far Nli. Mt-i.k-mA.
Address: amMain �+ Y(ad`M)i , &Address: [n. �1ij SC) •yq.,I-ry)oq�
Phone: Phone: �oF 3qg 666q [� S-6F 11( 79C�
FAX: 5()0, i-3 S n q j FAX: I S ,1 j q F?!
VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed)
See r'L�41 %fn.e —,
tJT �s2t31-I y 17e�.1'I/Y�ci' fJ�Rt,:F_ 1
Checklist(to be completed by office staff-person receiving variance request application)
Four(4)copies of plan submitted(including septic system plans and/or restaurant floor plans)
Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting
date at applicant's expense(for Title V and/or local sewage regulation variances only)
Full menu submitted(for grease trap variances only)
Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/leasee only],outside
dining variance renewals[same owner/lessee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed])
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G.Rask,R.S.,Chairman
NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL Ralph A.Murphy,M.D.
Q:/WP/VARIREQ
�y
*THE To�o TOWN OF BARNSTABLE
m OFFICE OF
BARISTAEL BOARD OF HEALTH
HAS&
o MpY 367 MAIN STREET
HYANNIS, MASS.02601
March 2, 1998
Eleanor McMahon
232 Main Street
South Yarmouth, MA 02664
RE: Lot 3 Stoney Point Road, Cummaquid
Dear Ms. McMahon:!
Your disposal works construction permit #95-652 is extended six (6) months.. This
extension will allow you to install an onsite sewage disposal system at Lot 3 Stoney Point
Road, Cummaquid, Massachusetts with the following conditions:
(1) Soil evaluation must be conducted in the area of the proposed relocated SAS
system.
(2) The engineered septic system plan shall be revised to show all wetlands located
within 300 feet of the proposed onsite sewage disposal system. The engineer will
attempt to move the leaching facility to the required 100 feet setback, if possible.
(2) The extension is granted until September 30, 1998. Therefor, the septic system
shall be installed before September 30, 1998.
The existing permit was scheduled to expire on March 24, 1998. This extension is granted
because the applicant stated she was recently informed by the Conservation Department
that an area on this property was designated as wetland. It will be several weeks or
months before the applicant will be able to resolve this issue with the Conservation
Commission.
Sincerely yours,
Susan G. Rash-R.S.
Chairperson
Board of Health
Town of Barnstable
mcmahon
PART XII: VARIANCE REQUEST PROCEDURE //
ADOPTED 11/1/83, REVISED OWN OF WNSTABLEVE 1/1/94
e OFFICE OF
',E •�ai�rur,
BOARD OF HEALTH A " ,
""I& 367 MAIN STREET
HYANNIS,MASS.02601
VARIANCR REOLMBT PtOCBbtME
The Board of Health, of the Town of Barne3ibl o►f MchaptereA111 / of the accordance
GeneralMiLaws and
of
under the authority granted by section ublic meeting of the
Massachusetts, adopted the following rules and regulations after a p
Board of Health on December 9, 1993.
(1) All requests for variances from the Board of Health or State Regulations will be
submitted fifteen (15) calendar days prior to the scheduled Board meeting. The
variance hearing may be held at a later date if the Board has scheduled eight (9)
1 hearings prior to submission of the request.
(2) The variance request shall be made on a form prescribed by the Board of health►
(3) Plans clearly showing the details of the request must be attached. plane for oneite
ssional
or
sewage disposal systems or s all new Pared and construction tendsd by shallrof be a submitted a least
Registered sanitarian f
fifteen (15) days prior to the scheduled Board Meeting.
(4) Any applicant who submits revisions to plans, grauire under ed ng ehall abeaph I a ed by ithe
than two (2) days prior to the scheduled Bo
Health Department to postpone the variance hearing to a later date.
(5) No request for variances from 310 ClIR
► t /of sanitery State
seaegeirnorentAl
from
code, Minimum Requirements for the subsurfaceDisposal
any other Board of Health Regulation listed under section VIIII oneite Sewage
Disposal Regulations, shall be heard for a new sewage disposal system, nor for an
enlargement to an existngsystem
haswhich
notifiedincreases
all abutters by certifiede mail
ddiattohis
nal
flows except after the applicant
own expense at least ten (l0) days before the Board of Health meeting at which the
variance request will be on the agenda.
ed
(6) A non-refundable filing fee of $65.00 is required• No sewage disposal illbey temrequir unless
for
filing a variance request upgrading existing oneite g
the upgrading involves approval of a building permit.
This regulation is to take effect on the date of publication of this notice.
Brian R. Grady, R.B., irman
usan G. R e , R.8
i
eeph C. snow, M.D.
OARD O! HEALTH
TOWN O! BARNSTABLE
310 CMR 10.99
Form 9 DEQE File No.
;s' OF tHE T� (To be provided by DEQE)
Commonwealth s City-Town
of Massachusetts $" NASL 9 Applicant
a Op 1639.
Enforcement Order
Massachusetts Wetlands Protection Act, G.L. c. 131 , §40
TOWN OF BARNSTABLE ORDINANCES, ARTICLE XXVII
From Barnstable Conservation Commission Issuing Authority
To George and Elenor McMahon Jr. , 232 Old Main Street, South Yarmouth, MA 02664
Date of Issuance geb IL, 1998
Property lotrparcel number, address map 336 parcel 091, dev. lot #3 Stoney Pt. Rd. , Cummiquid
Extent and type of activity: Filling of a wetland for driveway access
Clearing in a buffer zone for driveway access.
The Barnstable Conservation Commission has determined that the activity described
above is in violation of the Wetlands Protection Act. G.L. c. 131 , §40. and the Regulations promulgated pur-
suant thereto 310 CMR 10.00. because:
XX Said activity has beeniis being conducted without a valid Order of Conditions.
Said activity has beeniis being conducted in violation of an Order of Conditions issued to
, dated
File number , Condition number(s)
El Other(specify)
The Barnstable Conservation Commission hereby orders the following:
� The property owner, his agents, permittees and all others shall immediately cease and desist from further
activity affecting the wetland portion of this property.
YL-X Wetland alterations resulting from said activity shall be corrected and the site returned to its original con-
dition.
9-1
Effective 11/10/89
C1 Completed application forms and plans as required by the Act and Regulations shall be filed with the --
Barnstable Conservation Commission on or before (date),
and no further work shall be performed until a public hearing has been held and an Order of Conditions
has been issued to regulate said work. Application forms are available at: the Commission Office,
367 Main Street, Hyannis.
The property owner shall take every reasonable step to prevent further violations of the act.
)I Other(specify) Property owner shall remove all fill (sand) rocks and debris placed in
the wetland, by Feb 16, 1998. Property owner shall submit a landscape sketch plan
showing replacementcrfany trees or shrubs that were removed for driveway access
by Feb 16, 1998. Plantings shall take place by May 15, 1998. Any future clearing,
mowing, or building within 100' of wetland (Conservation jurisdiction) shall
require a Notice of Intent filing.
Failure to comply with this Order may constitute grounds for legal action. Town
of Barnstable Ordinance, Article ggvII provides:
Any person who violates any provision of this ordinance, regulations thereunder, or
permits issued thereunder, shall be punished by a. fine. of.not more than three
hundred dollars ($300.00) . Each day or..portion thereof�.during. which a violation
continues shall constitute. a separate. offense, and' each, provision of the ordinance,
regulations or permit violated shall_'constitute a separate offense.
Questions regarding this Enforcement Order should be directed to: Darcy Ross 790-6245
Issued by Barnstable Conservation Commission
Signature(s)
Notary Public
(Signature of delivery person
or certified mail number)
Note: This Enforcement Order is not appealable to DEP. Any appeal must be
directed to the Superior Court.
This Enforcement Order will be discussed at the Town of Barnstable
Conservation Commission Hearing held on rob _iggg
after 6:30pm. You are welcome to attend.
9-2
e
NAME Of OFF-RiD
.ER YA/R ��
TOWN 0�--�' ADDRESSr�OF F DER c t ¢
BARNSTABLE CITY,STATE,ZIP 0 Q a
p3� 1 MVIMB REGISTRATION NUMBER
OFFENSE
NAN\1l'ABI.E. 'E.(]/�/ ' LU
d
-
LU
i634'
TIME AND DATE OF TIO TION pF VIOLATION W
NOTICE OF �� n P M)ON Z Z 19 {0 .# 5b'1 , ✓
VIOLATION
SIGNATU ING PERSON EN ING DEPT. / BADGE NOLU
�N
OFT
EREBY ACKNOWL GE RECEIPT OF CITATION X a
ORDINANCE ; Unable to abtam Sic at f'offender.
Z THE;NONCRIMINAL FINE FOR THIS OFFENSE IS t/QO dO W
Date mailed w
OR YOU HAVE THE FOLLOWIN ALTERNATIVES WITH REGARD TO:DISPOSITION OF TWS.MATTER EITHER OPITON(1)OR OPTION(2)WILL OPERATE AS A FINAL a
DISPOSITION WITH NO RESULTING CRIMINAL RECORD.
w
REGULATION
p)You may elect to pay the above fine;either by appearing in person between 8.36A.M.and 4:01)P.M,Monday,through Friday,legal holidays excepted, w
before:The Barnstable Town Clerk,367 Main Street,Hyannis,MA 02601,or by mailing a check,money order.or postal note to.Barnstable Clerk, a
P.O.Box 2430 Hyannis,MA 02601,WITHIN TWENTY-ONE(2ou desire to contest this matter in a noncriminalpp1)DAYS Oroc edinOgF'yyTHE DATE OF THIS NOTICE;
FIRSTIf BARNSTABLEDIVISION,COUR COMPOUND,MAIN STREETeBARNSTABLEou MAO2630, tt21DmakiNocrminalHearings auest to nd encosea copy of this citaSTRICT COURT tion
for a hearing.
(3)If you fail to pay the.above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay.any fine determined at the
hearing to be due,criminal complaint may be issued against you:
❑.I HEREBY ELECT the firstoption above;confess to the offense charged,and enclose payment in the amount of S
Signature
232 Main St
So. Yarmouth, Ma.
02664 . BARNSTAB!E CC`: '.":
Feb. 12, 1998
The Town of Barnstable
Conservation Division
367 Main St.
Hyannis, Ma. 02601
Dear Ms. Ross, '
I'm writing in response to your letter of Feb 2, 1998 informing us of the
wetland violations on our lot on Stoney Point Rd. in Cummaquid. The day
after receiving your phone message we stopped by the office to talk to you .
about our situation. At the time there was no one available to talk to, so later
in the day I called back and had a conversation with Rob Gatewood. This
letter is mainly to reiterate what was discussed during the course of our
conversation. It is very important to us that you understand that we wouldn't
and didn't knowingly violate the wetland zoning laws. As I discussed with
Rob, there are several reasons why we thought we had no reason to be
concerned about the area in question. First of all, you may or may not
remember a few years ago when Mr. John Libbey, who sold us our property,
raised quite a ruckus in the neighborhood when he cleared, apparently too
indiscriminately, a portion of the unbuildable lot adjacent to ours and an area
on our lot as well. As it turned out, he violated wetland zoning laws and as a
result had to go through a long, expensive process with many of the town
departments. Needless to say, this made us aware of the consequences of
violating the laws, certainly not something we would choose to have to
experience.! During that time, when my husband and I were at our lot one
weekend poking around, making plans, doing a little clearing, we ran into a
gentleman who was on the conservation board. We had a long and
interesting conversation with him about many of the challenges facing him as
a member of the board- of trying to achieve the balance of practicing sound
conservation methods while. having as minimal as possible impact upon the
rights and needs of private property owners. During the course of that
conversation, we indicated to him where we planned to build our house and
his response was that we were all set over in our area. This was a casual
conversation, and I don't hold him accountable because his reason for being
there wasn't to address our personal issues, but this conversation was one
incident of many that led us to believe there were no "official" wetlands on
our property.
The next reason is the nature of the area in question itself. There is of
course an area, the one you are concerned about, at the front of our property
that is low lying and often contains varying degrees of water. It has a pipe
that leads from it and goes under the road to provide drainage of the area.
This led us to believe that somewhere along the line, someone decided that it
was better that water wasn't in this area, and made an effort to provide a way
for it to escape. Because no one is there to tend it, it frequently gets clogged
and needs to be cleared, which we felt a little bad about since we don't live
there yet and aren't able to maintain it properly. We do make an effort, from
time to time, when we stop by for other reasons, to clear the drain a bit to
allow the water to drain as it was designed to do. This is another reason why
I guess we didn't percieve this as wetland, since it seemed that it's purpose as
a low lying area was to recieve runoff from the surrounding area and then
drain it away. Both these reasons contributed to our perception that we
weren't subject to the process of approval. It truly never occurred to us.
On the plus side, and the rest of this letter pertains to the nature of our
inadvertent violation, is that what we have done has had little impact on the
area in question. As I explained to Rob that day, who was gracious enough
to listen to my concerns, for as long as we have known of this lot, both before
and after purchasing it, the area that we are using to access our lot has been
used as a little parking area. At least during our 3 year history with the
property, the area has been relatively flat, and free enough of vegetation to
park cars there. We did remove the remains of the stone wall, and place them
near the edge of the low lying area, clear away some sumac further in to gain
access to the rest of the lot, and level out the area somewhat further in, again
to gain access to the lot, and that is the extent of what was neccessary to
achieve what you see there today. It didn't make any sense to disturb the low
lying area mi any way, and beyond that is a stand of trees that are quite
unique, and enjoyed by local wildlife. On the practical side, we are on a very
tight budget, and this was by and away the simplest and least invasive entry
to the property. I don't bring this up to defend our actions- we realize that if
that area is wetlands, then we are in violation of the bylaws by altering terrain
within 100' of a wetland. We just want to allay your concerns that we had to
fill in any of the wetland itself to do what you see there.
Although we haven't kept track of time, this area has been as you saw
it early in Feb for close to two years, and that is why your letter came as such
a shock to us. We have a septic permit that is due to expire on March 24,
1998, and were in the process of having the various departments sign off on
our project the day we stopped in to talk to you about the letter. We've been
through the Old Kings Highway process - in short we are finally ready to roll
on this project and are anxious to get this issue squared away by pulling
together the notice of intent as quickly as we can. After talking to Rob that
day, I put in a request for an extension of our septic permit, that would allow
us an extra year, and take considerable pressure off us. That meeting is Feb
25, and we won't know until then if we have the extension or not.
I also need to respond to your request that a sketch of replanted
vegetation be sent to your office by Feb 17. In no way is it my intent to
appear uncooperative, however, as I explained above, there truly was very
little vegetation in the area in question to begin with, and I can say with a fair
amount of confidence that by May 15, which is the date you request that the
replanting take place by, nature will have done our job for us.
In any case, we will be at the meeting Feb 18 so we can introduce
ourselves in person, and will certainly be in further touch as we go through
the process of the notice of intent. Thank you.
Sincerely,
y
Feb 7, 1998
We have a septic permit that is scheduled to expire on March
24, 1998. We were about to have the septic system installed in the
near future. On Feb 5 we had a message on our answering machine
from the conservation department regarding an area on our property
that they have designated as wetland. We were totally taken by
surprise by this designation as it had never been brought to our
attention in the three years that we've owned the property in spite of
the town having many occasions to take note of our situation. I bring
this up as explanation as to why this issue is unresolved at this late
stage. It was only brought to our attention yesterday for the first time.
Although this "wetland" area doesn't affect our septic design, as it's
100 feet away, it does have a great impact on access to our lot, and
therein lies the problem.
We are anxious to get this resolved, but the conservation
process is likely to take us beyond the expiration date for our septic
permit. That is what brings us to the neccesity of asking for an
extension of our permit. We request an exension on our permit due to
these unexpected mitigating circumstances. Thankyou .
t„AM IssasSo>PARCEAp TEST HOLE LOGS P* NOTES:
A HORIZON t169 L VERTICAL DATUM: ASSVNdD FROM WAD(NCVD+/-)
_ CURRENT ZONING:RF i leWn
SAND 6ao rNCINZER:THOMAS MCLELLAN.P.E. 2.MUNICAPAL WATER I_AVAILABLE.
o BUILDING SETBACKS: - /s WITNESS EDWARD BARRY _ S.SCHEDULE 40-!PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM.
B MORISON DATE: 6-20-96
F:_w S: 1S R:,_ - �, JaIaD A ALL PRECAST UNITS.TO CONFORM WITH AASHTO A-f0 d A-20
y - LOCT76 _ IOYR 5/6 4" PERCOLATION RATE: c 2 MIN/fN LOADING SPECIFICATIONS.
C FLOOD ZONE: C a HORIZON S.PIPE PITCH- 1/4, PER FOOT,(UNLESS NOTED OTHERWISE).
YMEDI M SAND N TX-2 �A TA-3 Ha a FIRST 21 or PIPE OUT of D-BOX TO BE SET LEVEL./` 'z'
A RONSON y1w A HORIZON SLEV T.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOYODATE THE
SANDY LOAN LOAMY SAND
b n! SfLrr CLAY LOAM jr- tOYR 4/E toTA J/E SOZ USE Or A GARBAGE DISPOSAL.
ppUs6 c3 NOR/ZON B HORIZON B NDRIZON 8.ALL CONSTRUCTION DETAILS ARE TO HE IN CONFORMANCE WITH THE
ter MEDIUM SAND 4aT asoAtN Q�AM 46J of
SAND
STATE OF MASS.ENVIRONMENTAL CODE(TITLE FIVE)AND LOCAL
LOCATION YAP HEALTH REGULATIONS.
LOT 2(43,560 SF) I NO CBOUND►dtt ZNCOVMTt/tts Cr HORIZON Cl HORIZON
$1LTY C'tJY tour MED-FINS SAND 8.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR
BENCHMARK Ar PE NAIL 26Y 6 E �a 7 SAND S NDY TO CONSTRUCTION.
ZLEYAfION-6" cz HORIZON LOAD!SAMDY
MEDIUM SAND tOT etD 1O•gED SLY.
ER OVER ALL SdPTlC SYSTEM COMPONENTS NOT TO
6! SAY 6/6 NJ
tDT ca xORrzox a6x C2 HOAIzm tf.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW.
60 t DLi CLAY LOAM i E/Lff CLAY LOAM D
6t
Z28.TT USCS CiaWNDWATEA ADNSTMZNT:
WELL'Aft-24T, ZONA-A AWUSTMZNT:a0
1 I
! ; SEPTIC SYSTEM DESIGN
FLOW ESTIMATE:
a. E ar -4-BEDROOMS AT HO GAL/DAY/BEDROOM-K CAL/DAY
i
I It SEPTIC TANK:
r I I 40 CAL/DAY E 2 DAYS-AQQ CAL
i I USE ISOO GALLON SEPTIC TANK
LEACHING AREA: Ont w
.6 I PROPOSED D - �TH� ',/ USE 6 FLOWDIFFUSORS WITH!OF STONE AROUND
/ `� PAOPA4ZD i
IDES AMe._a AT ENDS f5!z 12 z T DEEP) 4 BEDROOM t4
0MEE ` o'
f,L SIDE AREA• (54+iZ)2 S f-132 (SO)- 79 GAL/DAY
BOTTOM AREA 6f m iP.646 SF (60)-389 GAL/DAY ET 24'
rx
roraL CAPACITY-_YA&cIt/DAr PROPOSED DWELLING
TOWN Or BARNSTABLE DESIGN CALCULATIONS:
e.� �4' rM-4 `''\� ► �� BOTTOM AREA(6S D 13')-715 SF(76)-536 CAL/DIY
SEPTIC SYSTEM SECTION rPEASTDNE
. vERs WITHIN tr Or rn
rlNlsxZD v-A-E
s/!-f 1/2'
_ `ONl/NJPICrl COVtR
e ` - ___, ' TOP OF FOUNDATION To Dt►IrHIN s•of CAADE) WASHED STONE
T t�
' f7-8 `ID tit , - J 1500 CAL ELEV. D-BOX
A ELEV. 488E •w A71
U SEPTIC TANK s885 (6'OF ELdV. S� �4, ELEV.
Z--
a (6'Or STONE UNDER OR ELEV. STONE �—64'
at MECHANICALLY COMPACTED) UNDER) 4BJ USE 6 rLOIDIPFUSORS WITH O OF STONE
6O' CAS BAFFLE AROUND SIDES ANDS AT ENDS
TEE SIZES: Ar CVTLEr YEN ELEV. (64's/P a.f DEEP)(H-20)
INLET.6'UP.13'DOWN
I OUTLET:r UP,14•DOWN AD✓USrED GROUNDWATER ELEV,42J
SITE AND SEWAGE PLAN
APPROVED BY: DATE.,
KEY:
G EXISTING coxroUR: ——-- LOCATION.•
PROPOSED CONTOUR '''' LOT 2 STONEY POINT ROM
&Am OP rAr AND EXISTING SPOT ELEVATION: 25b
PROPOSED SPOT ELEVATION:25 CUMXAQIIID,MA
TEST HOLE:
UTILITY POL�4 PREPARED FOR
rENca LINE: ® REEF REALTY
HYDRANT.b DENT - a LIJN dNGfNZERlNC SCALE: f DArI: 8 2O 86
RETAINING WALL•azma AREST M LE .LL
E4 SCHOOL sr"sr P.O.DOE 468
96-f1b(DZOFPf) TREE:p ►EST DZNNIS,MASSACHUSETTS OEMREFERENCE: PLAN 800K 3D PAGE 70
DM/ PHONE t FAZ:(606)SOO-'YfO THOMAS MOLELLAN,P.E. ✓OHN Z.DEMAREST✓R_P.LS.
�3
r
Fria. I b.n....
THE COMMONWEALTH.OF MASSACHUSETTS_
BOARD OF, HEALTH
TOWN OF BARNSTABLE
Appliratiall for. �11 i!ip1 ial H111flui (911inli#rurtion .plermi#
Application is hereby trade for a Permit to (_onstruct '(v ) .or Repair ( ) an Individual Sewage Disposal
System at: l
Z.4ln ---�slnt-----R-��. . Ci„ttcntCl'� 1. ..r..l.,.fJ !....:..
�- o..
Tr nn-.\ddress
�,1 Or Lot
C✓,I1J.�t� .A...: J• ---• I�IC-►�-CA C .......... ..:. i;L;z--�1�-gin ......... (? r `:�M ski l ..4a.....
Owner ( t ddress
• — M
W - Y ....J.:.t t''-�
a
............... -..... ----.. P...v.._.P�4 1 ...�......t, ...................
• tnstallef Address
d Type of Building '�j Size Lot............................Sq. feet
U Dwelling— No. of Be( roonts......-.�1.. ..l..Xpansion, Attic (--) Garbage Grinder (-)
QL4 Other—Type of Building ...:... . .... . ........ No. of persons.-.......................... Showers. ( ) Cafeteria ( )
04 Other fixtures ......... .--- ---- .................
d
W
Design Flow--... ..---:- .......gallons per pers n per day. Total daily flow.. .........gallons.
WSeptic Tank--1_1yuid Capacity_..-- .gallons Length ..... -: Width .... DiatnetE ..... Depth................
x
Disposal Trench No. ...... ..... Width .... total Length..................... Total leu :ing area sq. ft.
Seepage Pit Na........ ..... .. Diameter Dearth below inlet.. .............. Total 1:.�.'t,ng area..................sq. ft.
z Other Distrihution box ( ) Dosing tank ( )
Percolation 'Pest Results Performed by........ ........ ......... ...: --- ..................... Date..... .... :..::
Test Pit No. I................ininutes per inch Depth of Test Pit.:..... .......:.. Depth to ground water....... ..:...'..::.
Test Pit No. 2................nunutes per itich Depth of Test Pit....... .......... Depth to ground water........................
f� .---- _------------- ..-•--•-......----- ••-•• •-•--•.............. .....................:---'
O Description of Soil ...._.... • ........... :..... ... . ....... :. .........
U .. ............................. ..... .. . ... ................................. :. .........
W .................... .....' . .................................................... ----- . . -•-... .... ......._....
VNature of Repairs or Alterations -Answer when applicable.... l ...: PGC. ....{J�Ct6lS -•-:--••••• ...............--•••-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syszern in accordance .with
the provisions of TITI.E 5 of the State Environmental Code—The undersigned furtht..,agrees not to place die
systern in operation until a Certificate of Compliance has.been issued by the board of heal.zh.
Signed ...... ...... �«
Application Approved By . ` -• -11....... ..... .a .. ...... a... ...�f S
Application Disapproved for the fallowing rea.ron,r: ..... ..: ...... ....... ......
}ka
..... . .. .. ......... . .
tom«
Permit No.J. K..... — C Issued ......... , y.. ..-"......:...
�s - ^ ` S
J...-ry
K
THE COMMONWEALTH OF MASSACHUSETTS -
BOARD OF HEALTH
TOWN OF BARNSTABLE w
Cn1?x#ifictt#e of C�omlittncE
TI-IIS IS 7'0 CERTII That the Individual Sewage Disposal.System constructed.l;t. ) or Repaired
V. ( )
' .
....
by _.:. ,... In tal�cr
at ..L.ot.-3.. . ) .�ne�.. Pc),n1': c,u v 4ry _ u.e.vl . .............
has been installed in accordance with the provisions of TITIkE 5 f-The State Environso<entaI Code as described in
the application for Disposal Works Construction Permit No. — I Fled
s. .. G y. .
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT;BE CONSTRUED AS A I-PUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATEInspector ............................ ....................................................
-- —
--— - ——-'—- #. ', ------------------.--- — -'--- ---------- --
.THE COMMONWEALTH OF MASSACHUSETTS (S.
BOARD OF HEALTH x
TOWN OF BARNSTABLE
3 (D 5 v` FEE.....lcs ca........
t �J ..
i nl tt ilnrk� Tnxii#rnt#inn Permit {.
Permissionis hereby granted..................................................-------•--........................................:.........................................
to Construct ( ) or Repair ( ) an Individual-Sewage a Disposal System
at No...J,..A . 3.- �. .Uri�� .. oi1n.�-------- t.t --. n .. .............. .............................
.. ........ � {' hAJ(aca•C:Y�Lf!0 Street �...�........
as shown on the application for IIisposal Works Construction Permit ..........................................
f
.........................................................................................................
Board of ft_•sl1h
DATE................................................................................
snnm 9e50it 14OR99&WARREN.INC..PUBLISHERS
~ TLST 1101A, I.OG
DATE:CY!eu'`� 'Z5,191.;, P-gl7
Co'L TEST BY: r-- KE-L-LE-Y
WITNESS: 1%• G 1 F oR J
"? e-bc l PERC RATE: <2
I oo
1�1 4�a
r i� A �A h
�*21
ML1r SAW
p I4g, t 96
LrA- �'
Q 0 1 51 o jzo 51,o ke
lkN r�ar'1
U 5p pLf, tL:71 e r %7-L-
132 4i,5 � 138
I/ -----���5•]=ram `D�� 30
i
- - I &c) DESIGN DATA
� — - DAILY FLOW:C4)WZF6 x110 p5'
— SEPTIC TANK GpO x
USE:I ':AW- PVE ITS T T
/ 1 LEACHING FACILITY:
USE:(4)4,'4
58 CAPACITY:
SS SIDEWALL: X�.2�x Z�Jz4G0,to
5� BOTTOM: 8x 1•0 *0.0C>
TOTAL: Cv20.Co 4p
i
r -
PIPE TO BE _AID 2"LAY,:],OF 3I8"PEASTONE
I` LEVEL FOR 2' OU.OF OVER 3/4"-1 II2" WASHED
DISTRIBUTION BOX STONE ALL AROUND
TOP OF FOUND.
\ 10" 14"
ALL POPE TO BE 4"DIA.SCH 40 PVC 49
" RAISE ALL APPLICABLE MANHOLE -'��>✓ IMIo�COVERS TO TO WITHIN 6" OF FINISH j a 1 j A?ZcAO,Q T-r'
j GRADE 1 r � ,
THIS SYSTEM IS NOT DESIGNED FOR
THE USE OF A GARBAGE DISPOSAL W w
SEWAGE SYSTEM PROFILE
SCALE: 1"=10'
J,�p`tiN OF dlgsf�
BOAMAN ctiG� GENERAL NOTES
o VVIL 1. CONTRACTOR TO BE RESPONSIBLE FOR THE
u No.32686C�O w LOCATION OF ALL UTILITIES,ABOVE AND
SITE—SEWAGE PLAN �� FGISTFti �� UNDER GROUND,PRIOR TO ANY CONSTRUCTION
FOR FSS/G L`-N� OR EXCAVATION.
3_ 7_cls- 2. INSTALLATION OF SEPTIC SYSTEM TO BE IN
COMPLIANCE WITH 310 CMR 15.00:TITLE V.
PREPARED FOR - -- . .-
)�F'4., 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY
G Hrl �\pt?�t"Q1 .r" +,� LINE DETERMINATION.
SCALE: I�- �}pl DATE: MA>ZCA
' JV
WELLER&ASSOCIATES ``fir yea
P.0.BOX 119 YARMOUTHPORT,MA.02675
(508)362-8131 APPROVED BY
kr. Ediward ia. Kelley
Ounp.
Dear Mr. Kelley:
You are ,r
anted a variance on belhalf ur cli, Ckarles W. i ties, to Install
septic leaching flov,,, cliffusors 81 fe tom a w ands, in lieu of the required
ICDO feet, oil Lot 23), Stoney Poi oad, liar -ble, (Curnmaquid), vrith the
follow-ingy condttiorls:
(1) The system must be ins-, ecl in ax: ....ance witb. -the submitted plan and
must Tn.aet all of th a is o' Itle 5, of the State Environmental
2) The cesigning 11Z. g stere(", .8,anitari i must iv present on site to supervise
construction. Pri to the issuaric of a Certificate of Compliance the de-
signing 'RIegistere "anitarian rrw certify in tiwrtting to the Board that his
desion has been str y a('herea
Q Yo "UGr comply wit i "'Irder of Conditions frorn the Co.uservation
C MiWon.
This va once expires, Ap 1 1, 1986.
VC! -ru ours,
R Bert L. Childs, Chairman
B BOARD OF HEALTH
TOWIN OIF BARNSICABIL
cc.: 1"..`.opservatlon
LOCATION PIN" /rl D NO.
VILLAGE 6�a l Al rN,ka t i� DATE /O
APPLICANT V� LF �. �i C FEE /S. UD
ADDRESS �jTyN /- 2-
/K/�ll dr/J TELEPHONE NO2K 3/ (Non-refundable)
•ENGINEER Z�,JiV,1,C pc:-Fz c/ _TEL✓F
DATE SCHEDULED_ -- 03 p� C
(Ap is s signat)rre)
.................................................................................
SOIL LOG
1•SUB-DIVISION NAME n�... �/= �i?�c�- Ci D/3 V DATE Dl� Z� /�jo�/ TIME
EXPANSION AREA: YES f/NO !{� ENGINEER i.
I.TOWN WATER✓PRIVATE WELL 72•A- G//<fo2D BOARD OF HEALTH
zC Liz EXCAVATOR
SKETCH: (Street name,etc.,dimensions of lot, exact location of test holes and
percolation tests, locate wetlands in proximity to test holes)
NOTES:
Alv& 4 "7 Err r
30
LDS 7 /i9xi J`>Lvo 8Ati9xs-4—
�, , m rH z /S / . 7"a'57 A'lo["3 43
�'� ,472e-/vb T AcC.ErP7*8G6-
ZOT 3
PERCOLATION RATE: C 2 / /,V//,Vcy
TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION:
2 z Ozz
li0<►'I fL� 2 G+�•rl ¢
Sv8-So>L L
3
3 is
4 I , 4 �
5 ------------
�!
J,
8 Wi n-1 8 9�.r
10 /Zt�" 10
11 Gi..irs S•A�� ;.
12 12
13 j3C u wer�rn. .;'
13 _
14 _ 14
i 15 15
16 16
SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD BLEACHING PITS
LEACHING TRENCHES ✓
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PE C T T APPLICATION
ORIGINAL: C011PLFTFD IN ENTIRETY RY P. E. AND RETURNED TO BOARD OF HEALTH
COPY: RF.TAI::ED BY APPLICANT
LOCUS z z y
(SCRIBNER'S ERROR ROU 0
N E 6 P I
SUBD1 vl ON --------
DENOTES THl
212 S COURSE AS 215.54, LOCATION MAP
,54' )
o
I � �f J �,,, w C,✓r
Qb
oQ
01
98'
n'
AO
I
7 ✓ n
1
ro
( rllte
LQT S,
50,419 SQ. ET.
! 1
1
{{i
f
7]
SID * 1CA-) j U F S
t ,
PROPOSED SITE PLAN IN CUMMAQUID,
BARNSTABLE, MASSACHUSETTS
AS PREPARED FOR i
GEORGE & ELEANOR AICHAHON
SCALE 1" = 20' 'ANUARY 20, 1998 � c-- �.
a
0 10 20 40 60 80 , r/�'/9 -;
SWEETSER ENGINEERING , t r }
235 GREAT WESTERN ROAD f
P.O. BOX 713
SOUTH DENNIS, MASS.
02660 7 -
(508) 398-3922 ' 48.82'
65.82 f
FAX (508) 398-3063 40 — o o
t
_
SOIL TES
TOP OF F%MAT" 20 FT. MINIMUM FROM CELLAR DATE OF SOIL TEST (c.
,I I,-
7
10 FT. MINIMUM 10 FT. 104" FROM OR GMIIIL SPACE SOIL Im DONE it
TE CLLAN SAND VIM=
e SCHEDULE 40 "'vc PIPE LOAM AND SEED OBSERVATION HOLE 1 ELEV-w OBSERVATION HOLE 2 ELEV-w
M" PITCH I/go Pa FT. r L.0 (LR OF PERCOLATION RATE — MK/VCH AT __ INCHES PERCOLATION RATE — MIK/ViCh AT INCH"
1/6' X, 1/2* -bp-lw_kw mTURr —COLOR - MO TT.- 07mut ]g7lml _HORIZ TOMRC— CUM MO 07NER
lo 4TOK tw)�akwt
4' CAST IRON PIPE NllTp 0-1 i07 y
m0l; 4z-
(OR Egft) M*,4MUW f�f Niol- WO&VI ru)Lc i-
PITCH 1/4 PER FT. Of I- r-of,
I CU. FT
3 CONCRETE s I LT,
Ft.
-LOW LINE ANOW L
ion— Li-uo4 o vijj!!y at
-TMIN. ca 0 0 I=
1 S6b
ELEV,
ELEV. ELEW.
Iq 0
DISTRIBUTION
41
(TO K PLACED ON Fft-USE) TO BE WATER BOX TESTED
0ut )I�T por- vwrf TRENCH FORMA
If MGM THAN ONE OUTLET 1500 GALLON
WATER FA=N700 AT ELEV. WATER ENCOUNTERED AT UV.
f-99 (TO 09 PLACED ON Fft MU) SOIL ABSORPTION ONE
FEET SEPTIC TANK a z i v/1"..0 i i:) I c-S�
3/4' TO 1 1/2 SYSTEM (SAS) WOEX -
'v y
WASHUI ST" ANUST _EGEND: DESIGN CALCULATIONS cvju
BOTTOM OF TEST "Ov•4xv. - E)USTIOG SPOT CLEVA71ON OOsO NUMBER OF BEDROOMS
SEWAGE DISPOSAL SYSTEM PROFILE USGS ADJUS70 TER TAPL, alV. - Damo CONTOUR ----00---- GARBAGE DISPOSAL UNIT
NOT TO 5GAIX 4" FINAL SPOT ELEVATION TOTAL ESTIMATED FLOW
OBSERVED WATER TAW (r/ my. - FINAL CONTOUR— ( 110 /8&/_IDAY X . BR.) GAL/DAY
SOIL TEST LOCATION REQUIRED SEPTIC TANK CAPA07Y CAI
U71UTY POLE -0- ACTUAL SZE OF SEPTIC TANK
)/5 TOWN WATER ONOW SOIL CLASSIFICATION
CATCH BASIN lit DESIGN PERCOLATION RATE
GAS LINEa EFIFLUENT LOADW RATE Y/V
, LSADW AREA
LEACHING CAPACITY (AREA X RATE) GAL./DAY
RESERVE L4AQ"Q CAPACITY GAL./DAY
c
NOTES:
. WOPKMANSW AND MA RM TO D.E.P.tem c_wu)v-i m 1 ALL TIT 7= OND.LE 5 AND THE TOVM OF RULES AND
�3 QPN�'�4YLO YA hA ST2)NVS, REGULATIONS FOR THE SUBSURFACE DWOM Of SEWAQ&
2. ALL COVERS TO SANITARY UNITS 9j" K 8R000HT TO
Cjo " Ll:s VAT" go OF FINISHED OWE
42 c- SA LIT- t,()Iq p- *3 3. ALL COMPOWM OF THE SAIATARY SYSTU Su#4LL 8E CAJOAMU 4"
WITHISTANONG M-10 LOA" UNU:33 rNEY ARE Uk= (01 V40
10 r? if DAIVES OR #~ 0j"& 4-me 4""4 S1 It
14" Zio V IV'** 10 f*l at Auto cm **A%" mKo"
*** *aoftmw ."'% 4& V No 0" TO 0" VVA 4h
dW 400 04 KAM
A- N 0 0 0: 'AS &"-Y 'ADE AS TO 001*LIA01
nCEDED OP ZOMM NE"A1400 *#W 4P_ftj4W I
w
f V41 1^0
ft" To (AWNIUK" woft ON SITE
rs 7. CONTRACTOR 13 TO VEIVY GRADES AND ExsAloa AS W_j�, As
STE ODWT04 PRIOR TO 0 , CCWMDKM VM ON = I I
& PARCEL .5 IN FLOOD ZONE
O. LOT 1; 5MWN ON A53LUM MAP AS PARCEL
(0#41'6�. (cow�4r*j Vt�6AAAvwAt3, -Tnc
)kIL4r, T)101 'TO'tt CH&A*C kOLL
3e QEl4+TT_10 -it" pre_qk6co _slclyl�M.4
))j)nAM4 5() L b0T'�, i-6)vo we-ILC IE!- fi-s &-
1,1 Am QNk-e_ol 0, vs r*vvrN I
i�k:Evlcvs Tt,�4�,4
Ohl
ZNS-T)4( tje-�e, 7Z) use F te 7
APPROVED: BOARD OF. HEALTH
v 0
DATE AGENT
61, PROPOSED SEPTIC DESIGN
i rf N L T�lu L F(A
4i;
1,46
1,?r OT-v5 oviv 6& A� PROZCT LOGATIOW
VL
MT'0vO ENVIRONMENTAL CONSULTANTS
26 COMPASS LANE. DENNIS, MA 02638
(508) 385-2425
ANY
DATE. lit
7, _71
ry
I F i 0CATIrN MAP OF
Town of Barnstable P#
Department of Health,Safety,and Environmental Services
Its Public Health Division Date
367 Main Street,I lyannis MA 02601
i eAxnerASM B
t6 ` riine Fete Pd. zo O
revrnut� Date Scheduled C; _�D _ �QL>�
Soil Suitability Assessment for Sewage Disposal.
� Witnessed By: Aigeg RlPerformedBy: ! �
43.04- .
l~U A ON � GON RA; I a TxA r.
Location Address Owner's Name Mcmg hpy/7
{Ut � s� U1 _'r Address
Assessor's Map/Parcel: Engineers Name TCiiYI�fGt IJ�IgghllGLf�( �`�.
NEW CONSTRUCTIONREPAIR Telephone It
Land Use Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot;exact locations of test holes&perc tests,locate wetlands in proximity to holes)
S �S aly�
N s °�
,e
�i&/7-
Parent material(geologic) Depth to Bedrock
Depth to Groundwater: Standing Water in I tole: Weeping from Pit Face_ Sk �'
Estimated Seasonal High Groundwater
�41T.� .i '✓ i.f'¢,L'J}*;yXA
�
......::.:...U sed.::.,:r...:::......,....::...... ... ..... ....... ... ... :..:.. ..; ... ... .:.. ..... ....., ....... ., ....... ..........::.
Method :
Depth Observed standing in obs.hole: oO\0-11. in. Depth to soil mottles:
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# -Reading Date: Index Well level„_.___ Adj.factor Adj.Groundwater Level
P +l�R.COI(��17C ON rf�+'S� Ju+e: T�tt
_.....::::;:.:.........................................:.............:.........
........................................ ...................._..........................................:::;.....
_.
Observation ��
Hole# Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time® ime(9"-6") _
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant
A+
;: >;>>«::;. E> FSE1ATIq�t HT�I;LOG Tool #
.
511 Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes.
%
L014ry' ►c�Y� 312- Boon
�'=6Z'` z1
o�4m 2.S~ /
l2uG So r►+S off'
yl 5ui IP'FSuE� 2- lOZ e2 SICT L04M I p e 6 3 cuA2Ss �u r, ►" 1�
::
DEEP OB8ERVMiUN SOLE LOG Hale#
Depth from Soil Horizon Soil texture Soil Color Soil Other
51 Surface(in.) (IISDA) (Munsell) Mottling (Structure,Stones,Boulderes.
e. ° 1
D_Yl 56-�jr)Y L104M 200T�>
-<J'�rdDly t_,014M
Y6011A)b )noses, 1-et�rxc
CZ slta-�o ► A .� v>✓ev cv�►tcr
102 —136 G MGi�l.s wI 16
SlL'r CL6Y �o
Cc�nP7?T
BEJE ' —
\ ' I�V L Depth from Soii Horizon Soil Texture Soii Color Soii Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
® iGravel)
tt
�-Z I 13 +bY tir✓i 00" sra�►� ^mi►�c
24
- 1 C 51 LT C.0 i4rV1 , '� 2ockS, touvT
r 16- fsy 3 meb,sm�1-J-)
C ItTq��'y ,(5
�?EEP OBSERVATION (IEE LAG Hole
«.:
Depth from Soii Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
o
Flood Insurance Rate Man:
Above 500 year flood boundary No Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No_ Yes
Deiith of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
ik3
Certification
'y I certify that on OV 3 (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required Ming,1pentse and experience described in 310 CMR 15.017.
Signature `� Date
} f'h
BENNETT & O'REILLY, INC,
84 Underpass Road
P 0 Box 1667
Brewster, MV 02631. , Sheet 1 of 2
PROJECT McMahon / stony Point Road �Sq�,�PLE-i�UF18ER_ #1
DATE December 7 , 1999 PROJECT McMahon / Stony Point Road
SIEVE ANALYSIS SA14PLED BY Tanya Daineault
DATA AND C014PUTATION SHEET
WEIGHT OF SAtiPLE
204 . 5 gin TESTED BY David J . Walsh, E. I .T.
.
JOB NUMBER
Sieve 0 enin s Weight Gumulative roject
Milli- Sieve Retained Percent Percent Manual
Inches meters Mesh in Grams Retained Finer Specifications
2 .0 10 21 . 1 10 .3 89 . 7
1 . 0 8 11 . 3 ( 32 ._4 ) 5. 5 ( 15 . 8 ) 84 .2
0 . 5 35 21 .4 ( 53 .8 ) 10 .4 ( 26 .2..) .73 .8
0.25 60 39 . 7 ( 93 . 5 ) 19 .4 ( 45 .6 ) 54 .4
0. 15 100 68 .4 ( 161 .9 ) 33 .4 ( 79 .0 ) 21 .0
0.075 200 14 . 2 ( 176 . 1 ) 6.9 ( 85 .9 ) 14 . 1
PAN 25 .8 ( 201 .9 ) 12 .6 ( 98 .5 ) -
Passed Mesh Sieve
TOTAL
REMARKS: 1 .2W weight loss OK
U.S. STANDARD SIEVE"NUMBER
Ml MWIi�i ioi iiiiiiCi ii=iiiiliiismlmiiilllmlmiii llmmmiiiiilmmmiiiillmom
I NONE
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BENNETT & O'REILLY, INC.
64 Underpass Road
P 0 Box 1667
Brewster, MA ' 02631. ,
"Sheet i of 2
PROJECT McMahon / Stony Point Road 2 �
DATE December 7 , 1999 . PROJECT McMahon/Stony Point. Road
SIEVE ANALYSIS SA14PLED SY Tanya Da ineaul t
DATA AND COMPUTATION SHEET
IJEIGHT OF SAMPLE 226 .4
TESTED BY David J . Walsh, E. T .T.
JOB NUMBER
Sieve 0 enin s iWeight Cumulative Project
Milli- Sieve Retained Percent Percent Manual
Inches meters Mesh in Grams Retained Finer Specifications
'r
2 .0 10 35_ 6 15 . 7 84 . 3
1.0 18 17 . 5 ( 53 . 1 ) 7 .7 ( 23 . 4 ) 76 .6
s 0 .5 35 34 .2 ( 87 .3 ) 15 . 1 ( 38 . 5 ) 61 . 5
0.25 60 48 . 5( 135 .8.) 21 .4 ( 59 .9 ) 40 . 1
0. 15 100 47 , T( 183 . 1 ) 20 .8 ( 80 . 7 ) 19 . 3
0.075 200 38 . 5( 221 .6 ) 17 .0 ( 97 . 7 ) 2 .3
PAN 4 . 1( 225 .7 ) 1 . 8 ( 99 . 5 ) -
Passed Mesh Sieve
TOTAL.
RF3r pM: 0.3.0 weight loss less than 2% OK
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