HomeMy WebLinkAbout0012 SURREY LANE - Health ' 12 Surrey Lane
Barnstable P
A = 298 055
0
eo
a o
P
c
• 0 4 A °
P
. v
ta
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
RECEN PROTECTION
MA 2 3 2004
ABLE
TITLE 5 _,*_rr+u�PT.
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A +
CERTIFICATION
2g�3
Property Address: 12 Surrey Lane MAP .,
Barnstable. MA 02630 PARCEL.
Owner's Name: Tom Dui.
Owner's Address: LOT
Date of Inspection: March 4.2004
Name of Inspector: (Please Print) James M. Ford
Company Name: James M. Ford
Mailing Address: P.O. Box 49
Osterville,MA 02655-0049
Telephone Number: (508) 862-9400
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system:
✓ Passes
Conditionally Passes
Need Further Evaluation by the Local Approving Authority
Fails
Inspector's Signature: Date: March 11, 2004
The system inspector shall sub racopy of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving
authority.
Notes and Comments
****This report only describes conditions at the time of inspection and under the conditions of use at that
time. This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page I
Page 2 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 12 Surrey Lane
Barnstable, MA
Owner: Tom Duffy
Date of Inspection: March 4, 2004
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR-15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass"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.
Answer yes,no or not determined(Y,N,ND)in the 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.
ND explain:
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
obstruction is removed
distribution box is leveled or replaced
ND explain:
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 `
obstruction is removed
ND explain:
2
Page 3 of i l
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 12 Surrey Lane
Barnstable, AM
Owner: Tom Duffy
Date of Inspection: March 4, 2004
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
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 coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria are triggered. A copy of the analysis must.be attached to this form.
3. Other:
3
4 �
Page 4 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 12 Surrey Lane
Barnstable, MA
Owner: Tom Duffy
Date of Inspection: March 4, 2004
D. System Failure Criteria applicable to all systems:
You must indicate either"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 '/z day flow
✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped_.
✓ Any portion of the SAS,cesspool or privy;is below high ground water elevation.
✓ - Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
✓ Any portion of a cesspool or privy is within a Zone 1 of a public well.
_ ✓ Any portion of a cesspool or privy is 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 coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered. A copy of the,analysis must be attached to this form.]
No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large System:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd•
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
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.
4
r
Page 5 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 12 Surrey Lane
Barnstable, MA
Owner: Tom Duffy
Date of Inspection: March 4, 2004
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)
i 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:
Yes No
✓ Existing information. For example,a plan at the Board of Health.
✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance
is unacceptable)[310 CMR 15.302(3)(b)].
5
Page 6 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 12 Surrey Lane
Barnstable, AM
Owner: Tom Duffy
Date of Inspection: March 4, 2004
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: 0
Does residence have a garbage grinder(yes or no): No
Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required]
Laundry system inspected(yes or no): No
Seasonal use(yes or no): No
Water meter readings, if available(last 2 years usage(gpd)): Unavailable
Sump Pump(yes or no): No
Last date of occupancy: Unknown
COMMERCIAIA NDUSTRUL
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no)
Non-sanitary waste discharged to the Title 5 system (yes or no):
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of information: Pumped approximately S years ago-per owner
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped: gallons--How was quantity pumped determined?
Reason for pumping:
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)
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 11120180-per as built card
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of I 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 12 Surrey Lane
Barnstable, AM
Owner: Tom Duffy
Date of Inspection: March 4, 2004
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction: _cast iron _40 PVC other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK: ✓ (locate on site plan)
Depth below grade: 2"
Material of construction: ✓ concrete _metal _fiberglass _polyethylene
_other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions: 1000 gal.
Sludge depth: 2"
Distance from top of sludge to bottom of outlet tee or baffle: 30"
Scum thickness: 8"
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: 10"
How were dimensions determined: Measuring 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.):
Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage.
Recommend pumping.
GREASE TRAP: None (locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _fiberglass _polyethylene _other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
7
Page 8 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 12 Surrey Lane
Barnstable, MA
Owner: Tom Duffy
Date of Inspection: March 4, 2004
TIGHT or HOLDING TANK: None (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/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: Even
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.):
The D-box was level. No solids were present.
PUMP CHAMBER: None (locate on site plan)
J
Pumps in working order(yes or no):
Alarms in working order(yes or no)
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
8
Page 9 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 12 Surrey Lane
Barnstable, MA
Owner: Tom Duffy
Date of Inspection: March 4, 2004
SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required)
If SAS not located explain why:
Type
✓ leaching pits,number: 1 -6'x 6'(1000 QaL)
leaching chambers,number:
leaching galleries,number:
leaching trenches,number,length:
leaching fields,number,dimensions:
overflow cesspool,number:
Innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.):
The leach pit had 6"ofwater on the bottom. The scum line was at approx. 4. There did not appear to be any signs of failure.
A video camera was used to inspect the pit.
CESSPOOLS: None (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 or no):
Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
PRIVY: None (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.):
9
Page 10 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 12 Surrey Lane
Barnstable, MA
Owner: Tom Duffy J
Date of Inspection: _March 4. 2004
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building.
C_
O O
a � 3a Y3
a a8 So
3
S7 �°I
y �
10
Page 11 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 12 Surrey Lane
Barnstable, MA
Owner: Tom Duffy
Date of Inspection: March 4, 2004
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 30 +/- feet
Please indicate (check) all methods used to determine the high ground water elevation:
Obtained from system design plans on record- If checked, date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
✓ Checked with local Board of Health-explain: topographic and water contours maps
Checked with local excavators, installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Using a Barnstable topographic map and a water contours map, the maps were showing approximately 30'+/-to ground water
at this site. Commission Technical Bulletin, the high ground water adiustment for this site (A1 W 230, Zone C, 2104) was 2.4".
i
This report has been prepared and the system inspected and passed as of the date of inspection. This report is
not a warranty or guarantee that the system will function properly in the future. There have been no warranties
or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report.
11
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director ,
= senrts ABM •
MAS& Public Health Division
1639. ♦0
prEo .t� Thomas McKean,Director .,
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form .
Date: 0
Designer: Sha�Environmental Services, Inc. Installer: S C
Address: P.O. Box 627 Address: '� lei s •
East Falmouth, MA 02536
On 1k 0Co of SQ0k-%,C , was issued a permit to install a
'_(date) (installer)
septic system at %\&f based on a design drawn by
dress) r
Shay Environmental Services, Inc. dated 9:1 a9 I (�
(designer) =
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
II certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or "
certified as-built by designer to follow.
IH OF hf,4 �
CARMENE.
�GN
nstaller's Si ature) 0 :. SHAY
No. 1181
0
SAN R�Pa
(Designer's Signature) (Affix Des p Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
LOCATION SEWAGE P RMIT NO.
VILLAGE
oINSTALLER'S NAME ADDRESS ►
,,,-
9'UILDE R OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED /T1.20L_, ���
L
8�✓ lo
37
1
� . S lY
fj
a
�R'
No..........�1�.. J.. F�$..� ..............
THE COMMONWEALTH.OF MASSACHUSETTS
/off e`er BOAR® OF HEALTH
S�
. ...........OF......IaQlO..NVS-7..� 2a._�..�...................
Apptiration for Dilivoiia1 Works Towar.artion ramit
Application'is hereby made for a Permit to Construct (.)C) or Repair ( ) an Individual Sewage Disposal
System at: .
r�s / SS use �°'T':Z o................................�E. �(
-- - ......... ..
ner h � . Address
1-4 Installer Address
Type of Building Size Lot. ..: - ..p.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............//0......................gallons perms per day. Total daily flow..............Z � .Z.. ..............gallons.
WSeptic Tank—Liquid capacity/a -gallons Length On.6... Width.:-Ft.'?4!-_ Diameter................ Depth..s�..
Disposal Trench—No..................... Vidth.................... Total Length.....................Total leaching area....................sq. ft.
Seepage Pit No....../--........... Diameter-.,16Z.�r.. Depth below inlet...�✓i.,,=. Total leaching area....----C-;. -.sq. ft.
Z Other Distribution box (X) Dosing tank ( )
'-' Percolation Test Results Performed ................................................ Date...._,, " O
a i Test Pit No. 1..-C___.....minutes per inch Depth of Test Pit...../64.._ Depth to ground water________________________
Test Pit No. 2...G_ ..minutes per inch Depth of.Test Pit.....1 ��... Depth to ground water________ ___________
94 ....................................................................I-----•).......................•.......I I.....
Descri tion of Soil .---• . -----••.
d, - - � .
- - -- -- ----
�. ---------------------- -------------------------------------------------------------------------
W -------------------•-----------------------•---•---------------------•-••-------•---......----•------------------------------------------------------••----------•---•-•-•--•----------•------••••••---
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
--------------------•--•---•-----•-••---....----•-•--------•-•-•-••---......................_....... ----......-----•-------•---------•--•--._....--------------------------•---•-------=-----•••-•----•
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'_'ITLL 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 health.
igned--- •------------- --..--....----.....------•-----.....•-•.........--•---------.... ............D..................
Dat
Application Approved BY---tF' L% .(�f� --.... ...4 ^_4�. �0.
�--------------•------...------•-----........................-_.Date........._.._
Application Disapproved for the following reasons:...................... . II
•............................•----...........--•--...-----....---------•--------------.........--.----
Date
PermitNo......................................................... Issued.......................................................
Date
\ µ
No............ -•--•-
THE COMMONWEALTH OF MASSACHUSETTS
EOA'RD OF HEALTH
y ' -•--....0F........� .�'I ST"'�'��'�......�.-•--••-•---•
ApplirFation for Dispwi al Vorkii (fun .rur#iun Prratit
Application is hereby made for a Permit to Construct (_Aj or Repair ( ) an Individual Sewage Disposal
System at
.............. ........ ---------------- .......Z_.r..........................................................................
Location-address or Lot No.
......................
------....................................
_.................................
-••••••-----••---------•........................................--••••......•••••................
Ownar Address
W
Installer Address
U Type of Building z Size Lot.... 0-.Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Pk Other—Type of Building ............................ No. of persons............................ Showers ( — Cafeteria ( )
PI Other fixtures ......................... -•-••-
U.;,D:2�o ---------------•-----•----------._--...
W Design Flow........1.,I.0........................gallons per� per�Gay. Total daily flow............. --- '__ ._........._gallons.
WSeptic Tank—Liquid capacity/aQOgallons Length.4 .'-,6... Width._S*e.'�.e U. Diameter................ Depth._ '.-
x Disposal Trench—No...................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit.No.......1----------- Diameter./a_.,.z--_T--.. Depth below inlet.._ Total leaching area...s��_ _sq. ft.
Z Other Distribution box (X) I Dosing tank ( /)/
Percolation Test Results I Performed by..X.,el. ......................................................... Date._. '
Test Pit No. 1..!_.-__.rrunutes per inch Depth of Test .... Depth to ground water-_................
(s, Test,Pit No. 2.. `L_..manutes per inch Depth of Test Pit.__1�`�f.... Depth to ground water......____.........
P P ,
i' �
O Descr ion#of So'L .__. 1 .A 4r
pp . .
x -----•--•--....---•--------•------•-•----------•-------•-•----....._
V
W
UNature of Repairs or Alterations—Answer when applicable..............................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 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 health.
;S1 ed
Application Approved.By--•-•-•-............. ..........................
Application Disapproved for the following reasons:.........................
..........................•--•-------•........................---.Date......--------
..............................'---•---------------•-----•----------------------.....---.....-------•--•--•-------------------•-------••-------••----••-----•••--•-•••-•----------------••--......--••--
Date
PermitNo..................................................------- Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ((y[�f1 HEAL
ell
......... .....................OF.....................................................................................
Owrrfifiratr of TuanpliFanrr
S IS-TO CE�IFY That thedividual Sewage Dis sal S-stem constructed or Repaired
i' 33` Ii�r �
--,-----•/,I�• •• ------------------•-•---------•-------
/J (/may;_ (i �Pa
at .....................................•-•••--••-------•-----__•-•-- •------•---•--•---•----•-- . ....--••---•-----•--------•-------------•-----------•-----•--•.....-----•------
has been installed in accordance with the provisions of o, �; 2Vhe State Sanitary C9�e asjdes of%4 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.............. -.• ??I,'�P.................................... Inspector...----- ..........................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEALTH
7 2- ..........'....:....................OF............ .a .'t.................. 3a
No......................... FEE........................
Permissionbts"hereby granted---- -•••----•••••••• (f...... ecJ
to Const t ( ) or ep ( a�Individu�Y� a isesal y t � °l 1 -
�0 � �, �i
atNO.. '... stre ............•.—---•------ ..._... : .
as shown on the application for Disposal Works Construction Pevfi N L' �e
Board of Health
DATE...... ..........
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
,
` S.OtL TEST !NVPRT ELF � � :5 NOTEs=
i fir" .•:'. cc r > A i`` '
DATE OF 'SOIL TEST 1 " INVERT: AT ,IsU1L tNG,: . : ` - FT. LL , WORKMANSHIP; AND_ MATERIALS
" WITNESSED BY. ��' INLET SEPTIC; TAtiK r FT. ALL CONFORM. TO D.E.Q:E:' TITLE . .5
SH
PERCOLATION'.. RATE_ MIN../INCH OUTLET SEPTIC TANK �._'.. F AND THE TCN.N OF ,3 n.�;sr C.RULES
r r
T ` . - .
OBSERVAT10N HOLE t OBSERVATION- ° HOLE 2. INLE.T,:..DISTRI UTION r BOx _ FT AND REGULAa
R SUBSURFACE.
OUTL-ET DISTR1`SUTtON ` BOX =2-9 FT F , i ARY: SEWAGE #
ELEVATION = :. _ /-ELEVATION
a G #.
DISPOSAL - 0
fj — INLET "LEACH °NG: PIT. <j/ , T.
_ -- i,
BOTTOM LE4gHING: PIT , : c2 FT.
- -
R
NUrY�sE.,,, of B47 .
>ir f f ;-- GARBAGE DISPOSAL UNIT
TOTAL ESTIMATED FLOW CAL.r'BtY./DAY x BR.)....
'�=' '
( -� GAL-/DAY '. r
REQUIRED SEPTIC TANK CAPACITY :. . GAL. .
ACTUA. SIZE. OF S TIC TANK TO BE: INSTALLED.. . .. GAL i
LEACHING AREA REQUIREMENTS
c - .c S1DE WALL AREA 2. GAL./S.P.
•,t 6 t
BOTTC`I I AREA /:. a }( ,.
_ LEACHING CARACIT-Y { BOTTOM -i- S,DEWALL.).. . .. . . ._ . . . GAL. �.
r.:. RESERVES LEAC.HIN& CAPACITY t I:-
.. f CAL.. 1 f.
T O:.P OF I: f
FOUND: I
ELEV.=I CONCRETE 4 SCH. 40 I
i CLEAN SAND
GONERS PVC PIPc
�.
'MI PITCH �:. CONCRETE .
1 I/8�� PER.. ,FT
, COVER ,,,......., PSI" OF k' ;
�E S
.�- �1\
,{ ,. 2%inlN. PITCH ja���+ FMS ;:,'
_.
12 M \ - U
} f
RIE
RICHARa � .� � � JAMES € a,
O'tiEARN z
as '.►S. JAM''S �... �: No. 278.71 v ! >
2 LAYER OF. 1/8.- L/ WI
FLOW. .LINE iNE - �> i ,r'— allEARN ,, ; s
S. S
T E
` . , , :. . R WASHED
,TO �F - � y!� , i
D NE
4 CAST IRON 1_ F .a 3/4:- I 1/2 : _ �_ "1 1'''►'-:, ...�«'r 4
PIPE- MIN:` PITCH
WASHED- STONt
1/4 P`ER FT.
D i ST. —
E�O I?. n . ,} v a n BA`1N. PRECAST
OR LEQU VNG ..:
}�—f `__! .yl'l.,,;.- ��. - I �'-
W
W: -
GAL
S !'TIC _ 77.
Jim ( MASS .
I
a' s` !
TAN ARC NC. HLS Via:
,ti L a >F.
�......._ ....'f."
f
a�
c,. ..: .t....
19 TE
. ... . ,. .. . .. ... �,_ „ .... :.. of -�
s,:. ,.., .. . ..._
x
QEa�I�ij., MASS .
LEE; : G I�:OU- -t: - A.a:.:E N Dx =W R 9
1
t_
T'
EiIVAGE DlSPOS : ,, . -. �
E
NOT T
QAO �•c :
LE �.
,. -....:.. :.. . .. ..:.... :. :. .. _. .:- .. . ........ ...- •.- -' Y ,:erg...-_. .-� SI•i - Or..
..
t ;
_,.. SO[L TEST INVEt� ELrATIOS: NOTES _ x .
, . r }
a.
DATE' OF S01,L: TEST _ {NVERT ,-AT BUILD >:" ALL '" W It�dG, FT• ORKMANSHtP; AND MATERIALS
T INLET .SEPTt.0 T -f SHALL GONE WI,_ NESS,ED, BY tK FT. ORM TO: D-EA.E. TITLE 5
_, ts= .
?:. ,
OUTLET ._ SEPTIC TA K g: m 8 FT :. AND THE .,.TC , ..! OF, I?.ys igTar PERCOLATION RATES MIN./INCH RULES
' - : .. T '
,. AND REGULA CI - �. FOR ;;SUB
INLET :..D1S_T.RlB�1 cT. SURFQCE-
6SERVATION- HOLE- I OB E:RVA ,:I N r 16. BOx FT..
S T, O: _ , HOLE, . 2 4
":, `-
a r.;.-
L A .I,:TARY
OUTLET DISTRIB AL <: :OF SEYIIAGE
_ ,J, UTIO B;QX :f T,
ELEVATION . . . a ELEVATION- ., o
F:` PIT" / s
INL_T LEl`,CH'.:+vG . `.
_ ✓`?'u✓r BOTTOM LEACH{N:G PIT Ci
;. FT
_
t ,
�.S[GN CAL CULAT[ON
S
,r _NUMBER :U.F`: BEDROOMS
GAR3AGE DtSPOSAL UNIT.. iti c7c., . t
_ TOTAL ESTIMATED'. FLOW (.Z/ GAL.1BFcaDAY x 0 BR ).:., �'�'! GA
RE,QUlRE:B: SEPTIC ':TANK_ CAPACITY. . . • ` . •.. . . . �� GAL.
M r L TO .BE" INSTALLED... . /01� f' GAL. '
aEAC.HI.NGSIAREA OF
`SI:DE.� WALL; AREAZ2 GAL:IS:F
8'OTT :P�I :� ..
A:R E A " CA L.1 S.`F. , :...
LEACHING:., CA, -ACITY, ( BOTTOM 5 , ' GAL.
RESERVE �EACH'}N3 C/;PChTY GAL.
TOP OF
FOUND. ,
c} EV = G4 /� F /�J✓,:e/ .. CONCRETE 4 SCH. 40' .
/ CLEAN:. SAND
;.COVERS. . PVC PIPE ': —�
-
Ml PITCH —CONCRETE
I/8 PER. FT > COVER :
,,,.:.e.. `AH OF 41
'� ; CEP. 'tS' ',
e - t1 1 2.°o IN. PITCH ��VAGFM....
12 MAX. va�P s,r
�;
�: �� ,� RiCNARfl
JAW\ 14V 0-HEARN a
,� CHARD � `HFA :r
RI ` ,'.
_ �r , �h�
- — — c' O.
2 LAYER OF il8 t/,; .. • ., _ , , , FLOW ..
;.;::::., • <+� , �. � - �. O'HFARN
Nut b9{.
_c z ST
WASHED
4 CAST IRON — 3/4 -, 1 In 0
I, . q T WIT
PIPE - MtN.. PITCH - . •.x.,.,::. ._ _. W SHEDS ONE
W; n,
I/4
D I ST. t
.'_�-, PRECAST LE- >, a.
�'�- s ,
-`� to -
OX �,�_v
^ , .
r
tn�
{
J
_ _.
s �
MASS
Y
:. zs `n.
.. . ,:. -t
. ..• , ._ . .. . .. ,,, _, _ ANK Rid S :R
y
L 1� RTE �28 91 EVt N T S. { /.
?r
wlEST pElVN. MASS
TA
d .
TT
_.. _. .. .. ._ _.. �- •.-. ,. .. .. :. ,_,.c_ »+ .,_. -c_^2.. .-. .r. ,.. _. ... -,...- .. ,ice -4
L
-
_
a...T
r
� 3
Al
i
Iz
a t
t
U
' f<�l119 t :AfJfrjf� N)
y 1a �}•. •- 1,�1 al - i art f�f `;i ���C7 � �,�1( •�, ,i ,
f - T�:�JhJrts", �• � :
! ! !`
3o/f.
1 x �Z
} 1
'
61
.. .✓ 2 ,!
'Y h •.y
l
e
i
Jr t N OF
) M
F
RICHARD �?
JAME'S
RICrfARDv u O'HEARN
I�i JA 'Es 1 No. 27971 a,
O'HEARN op
No. 694
��tST`�'��✓ \SURv���A
LEGEND
EXISTING SPOT ELEVATIONS .O,A
EXISTING CONTOUR 0
FINISHED. SPOT ELEVATIONS 0.0
FINISHED C,0NT0UR -
PROPOSED PLOT PLAN
APPROVED:. BOARD OF • HEALTH- . r , MASS.
DATE AGENT _ 3
CERTIFY THAT THE PROPOSED R. ✓. O`HEARN, INC., RGS, Rs. :
BUILDING . SHOWN ON THIS PLAN 1348 ROUTE 134
CONFORMS TO THE ZONING LAWS
EAST DENNIS, MASS.
O I } ?fir,. -rrs! MASS.
DATE c_-_ SCALE:
y ..i 1� . - `•`_ JOB 140. 2-7 _ CLIENT: 5�-..
DATE /'REGISTE'RED LAND SURVEYOR OR. E3Y a '� SHEET f'' OF
_m.�. . .-> ;- - •ram , -- ._
c� v
TOWN OF BARNSTABLE
LOCATION SQ rcA_V_a,.e_ SEWAGE# --;Z6Z7C,
VILLAGE�j�i-� �,�� ASSESSOR' MAP&PARCEL
INSTALLERS NAME&PHONE NO.'
SEPTIC TANK CAPACITY 000
LEACHING FACILITY:(type)® /N�^L�PGI�/�size)
NO.OF BEDROOMS 3
OWNER
PERMIT DATE: 16 ®3- (O COMPLIANCE DATE:
Separation DistanceBetween 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
-33( -
�' i
TOWN OF BARNST_ABLE
LOCATION �OZ SUr /ate. SEWAGE #
VILLAGE CQ/J/Y1 AUL ASSESSOR'S MAP & LOT OLW-0.5�r
INSTALLER'S NAME&PHONE NO.
,SEPTIC TANK CAPACITY l
LEACHING FACILITY: (type) Pi T GX 6� (size) l��
10.OF BEDROOMS 3 /n1�n
BUILDER OR OWNER f O',h 1J�4PZ4
PERMPTDATE: 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 leachiII&I
acility) -77 //�� 1 Feet
Furnished by L�ls/�G ) r0/C
c
A GA U g,
s 3a Y3
3
3 377 '7°1
Y G
y sy �y
No. 7p Fee libo
THE COMMONWEALTH OF MASSAi,HUSETTS
Entered in computer:
PUBLIC HEALTH 61VISION - TOWN OF BARNSTABLE, MASSACHUSETTS es
ZIppricatiou for �Digpo5al 4p!5tem Cou.5tructiou Permit
Application for a Permit to Construct( ) Repair( ) Upgrade(� Abandon( ) ❑ Complete System Andividual Components
Location Address or Lot No. 2 s �c� d lL Owner's Name,Address,and Tel.No. �, bi 0J I ,r'Ylt I�
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. � $� �'��� Designer's Name,Address and Tel.No.
Type of Building: ��ll
Dwelling No.of Bedrooms 3 Lot Size V sq.ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures s�
Design Flow(mi req 'red) 7156 gpd Design flow provided '�� e gpd
Plan Date D� Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S. r
Description of Soil 1
5.eL b fU
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions f Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by t 's Bo d of He t .
Si ed Date i. 2lb
Application Approved,by Date
Application Disapproved by. Date
for the following reasons
1013116
Permit No. c��`' —' Date Issued
`s No. Fee Q o
THE`COMMONWEALTH OF MASSACH SE51T Entered in computer:
s
PUBLIC HEAL.yrh rVISION - TOWN OF BARNSTABLt, MASSACHUSETTS
ZIPPlicatiowfor Mi5po5at *p$tem,Con5fruction Permit
Application far-a Perniift01Construct( ) Repair(' Upgrade( Abandon( ) ❑ Complete System Individual Components
Location Address or Lot No. �'� '�(��r (,� Owner's Name,Address,and Tel.No. �}
Assessor's Map/Parcel
Installer's,.Name,Address,and Tel.No. � $ �_S $ I signer's Name,Address and Tel.No.
Ro P6 fx 165 , t i°) 65 C?2.03 e f.5 6A tv�I/ - n9Lu4j O, 53(,o
Type of Building:
Dwelling No.of Bedrooms Lot Size �OZ) sq. ft. Garbage Grinder ( )
Other Type of Building No.of Persons Sh3wers( ) Cafeteria( )
Other Fixtures .
Design Flow(min.required) 121796 gpd Design flow provided 3 , R gpd
Plan Date 01 Dip Number of sheets 1 Revision Date
Title L
Size of Septic Tank 9_4 4 . I(W} 60 Type of S.A.S. }
Description of Soil
'-� h ayl
Nature of Repairs or Alterations(Answer when applicable)
r
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in ;
,,iccordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until`a.Ce'ctificate of
Compliance has been issued by this Board of Health
Sig ed Date � � lIJ -
Application Approved by Date V
Application Disapproved by: Date
for the following reasons
Permit No. a 6 — Date Issued /0 3
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded
1(/ ( �)
Abandoned( ')by (� (t� p 0- ,
at Y , ~i l'� v X I jhas been constructed in accordance
with the provisions of Title.5 and the for Disposal System Construction Permit Nod�L.0o(o dated 40 A
Installer (i Designer
#bedrooms Approved design flow %�, gpd
The issuance of this permit shall not be c4pnstrued as a guarantee that the system will functio ras des•i ned.
�otr�Date Inspector
No. mac)6 '�! Fee ! 00
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
Migool *pgtemY CowAruction Permit
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade O Abandon ( )
System located at 1 ��1 • _ ( (I k'v,i
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title S and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the datef"this perm
Date ( C) to Approved by `� �—
Si,rrift,,�fetDoen,�'a` � �v..�ry
VENT PIPE (O Least 24 Inches tall) d i ilfA`191pP �irit` {
Schedule 40 PVC w/Charcoal Odor Fliter ki+sw t d 1
{
•NOTE ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. f
[house10' min. tram SECTION A AExisti Foundation to septic tank"9 _rox �r.r � e. PROFILE VIEII OF ADDITION TO LEACHING gYSTEM `t
TOP OF FOUNDATION = ELEV. 100.00 (Assumed) SePtk tank covers must .Ithln'to GRADE tr/Stebl Cowl"
within 8 in. of MOslned ° -
' Gredr am Septic Tank'- 96AD 3 HOLE'H-20 -Grade oNr D-9=-92-00 o..r SAS-91.00 3- of 1/8"11L 1/2• Washed Peast
DIS f gpx/ \'4r;PW
' to 1 1/2 - Washed Crushed Sto�BE
�►4ar, 12 t S u rre y Lnn
�t � l6Ss,r-•q.� +rater _.
S = 0.02 (CAPPED)NvECTION PORT TOO 12 EXIST. S�001 or Gitiotar3'MsFinan Ca Tap OF Syatw"-Ehm -84.7TALLED AND TO BE TRTHN s'OF I
E 93L PIPE n 1.000 GAL
FROM EXIST. FTLNItATmr a`�, SEPTIC TANK ts' S`O.ot•per toot • 0'Effectl,e D.ptn
0)CONCRETE FULL FasiDA c e H-10 "" 400 s h
46 aD a 0.8S (10 inches) 5 Units 2 625' = 30' �. ... ,. __...
SYSTEM PROFILE • 6 roof 3/4•-) 1/2• a M j O ro 3campoetad stow �nezoos lraews.a aw►maboe ww�r�o.aw.�eronY.u.o. s �
3>2s
Not to Scab ` o N • W 37.25'
GENERAL NOTES
3.5' 3.5' Effective Length
` �3• >e SOIL ABSORPTION SYSTEM (SAS) 1. Contractor is responsible for Digsafe notification, Verification of Utilities
6 roof 3le-1 1/2' a Effective vwth 6 and protection of all underground utilities and pipes.
CO"V ted stone a INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN 2. The septic tank and distri ution box shall be set
NOTE ALL COMPONENTS MUST HAVE RISERS lD "THIN 6- BELOW GRADE o n »
m level on 6 of 3/4 -1 1 2 stone.
oi?i (OR EQUIVALENT) Not to Scale 3. Backfill should be clean sand or gravel with no
Qvu ndwoter Obewwd -NONE OBSERVED NOTE: OVERALL HEIGHT OF INFILTRATOR IS Ir /EFFECTIVE FIGHT IS 10- stones over 3" in size.
P E R C 0 LATI O N TEST P 11452 4. y C system
ES Shay- Enviro to nmental ion during
installation
5. The contractor shall install this system in accordance
Date of Percolation Test: SEPTEMBER 26, 2006 with Title V of the Massachusetts state code, the approved plan
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. and Local Regulations.
Results Witnessed By. DON DESMARAIS (BARNSTABLE BOH) 6. If, during installation the contractor encounters any
EXCAVATOR: Shay Env. Svcs. Au OUTLET PIMI FA1x1 THE soil conditions or site conditions that are different
Percolation Rate: Less Than 3 MPI ® 84" asTRi6uTION Box auv.L eE from those shown on the soil I or in our design
SET LEv L FOR AT LEAST 2 FT, t2' CONCRETE COVER o9 g
Ell
installation must haft do immediate notification be
Test Hole Test Hole 3_ OUTLET' ;�.«. . Kitchen Bath Bath Bedroom made to Carmen E. Shay - Environmental Services, Inc.
No. 1 No. 2
GARAGE Dining 7. No vehicle or heavy machinery shall drive over the
DEPTH SOILS ELEV. DEPTH SOILS �V• OUTLET 1r reEr septic system unless noted as H-20 septic components.
0 92.00 0 92.00 = s• 8. Install Tuf-rite gas baffles or equals on all outlet tee ends.
I�,,,yLoa„ /�• orch Living Room 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
4" - SCH. 40 T 1.7s• Bedroom edroo »
o•-s" 10 A 3/2 96.50 0--s- 10 Ate,3 96 10. All solid piping, tees dt fittings shall be 4 diameter
6--2,C Flu 90. 0"-24" FILL 90.0q PLAN SECTION CROSS-SECTION Schedule 40 NSF PVC pipes with water tight joints.
=y ddy 11. Municipal Water is Connected to ALL OF The Residence and Abutting
10 yR 3/2 10 yR 3A 3 HOLE H-20 DISTRIBUTION BOX 3 BR HOUSE FLOOR SCHEMATIC Properties Within 150 Feet.
2e-30" As 89.50 24•-30- An 89.50
__ THE PROPERTY LINES ARE APPROXIMATE AND
Loamy LOOTy MA RA S�I COMPILED FROM THE SURVEY PLAN BY R.J. O'HEARNE INC. ENTITLED
DO _ - ___�40 FOOT _7� r V .L CERTIFIED PLOT PLAN OF LOT 33 SURREY LANE, BARNSTABLE, MA
Sand Said
,o rR s/6 `10s/6 `t -1 , _ RIGHT_ OF WAY) l DATED AUGUST 22, 1980
30'- 48 Be WOO Yr- 48_ Be 88'00SILT EDW i 0. '( AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
SILT LOAM f 3 ! �. __9g IT SHOULD THE SEPTIC BE USETEM INSTALLATION.
NO PURPOSE OTHER THAN
2.5 r 8/e
2 r e/rs i/ �' i �3 9� ���`` .\` 71.69, , ,- --------
96- Cr 84.00 48'- 84• Cr 85.00
�\ ,Meal. Meal. EXISTING LEACH PIT TO BE PUMPED OUT AND REMOVED
♦ ---100
Sand Sand
zs r 7/4 Zs T 7/4 �� � \`� �� \�� �i-- NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
C, eo. 84-- 16 Cr 78.991 FROM THE EXISTING LEACH PIT TO BE DISPOSED
E ��� O? .�," \ ��` OF AS PER BOARD OF HEALTH SPECIFICATIONS.
epth to Perc: $4" to 102"
Depth ► I `�9 �' �`,` THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY
D ' ' � J' � � �
Perc Rate= 3 MPI
Groundwater Not Observed I I `� �� j ASSESSORS MAP 298, PARCEL 055
No Observed ESHWT I LEGEND D
ADJUSTED H2O Elev. = None I LOT 33 �\ �\ I
PROJECT BENCH MARK I 22.500 Square Feet
TOP OF FOUNDATION 1 B%ISTING ; 104X1 DENOTES PROPOSED
I I GARAGE , SPOT GRADE
ELEV. = 100.00 (Assumed)t i I
2-i6-DUM. ACCESS MA S FIOL , , PATIO
r I i x 104.46 DENOTES EXISTING
SPOT GRADE
.. = o i �� i pL PROPERTY LINE
MET i 96P PROPOSED CONTOUR
B27STINC
.jOUITI ET3 I J .7 BBIIROOM \ I,;, - - - ---
ACCESS�FM 7W�T� HOUSE 97 EXISTING CONTOUR
THEa h WTR BU110N BOX AND LEMONG COIAPONENT LL I
• '' "'�-i-�-'^;"_ a SET DEEPER THAN 6 INCHES BUM F11QSHED 1 t!�r LtRe I I
' •; :'� :~ •;` : GRADE SHALL BE RAISED TO 1RTHN 6.OF ,► I 1 1,2 ( , DEEP TEST HOLE &
STEEL REINFORCED PRECAST CONCRETE FNISFIED GRADE = IIq I :, \ I
0 f 1 DECK , ' PERCOLATION TEST LOCATION
AM�-�"S�OR EW I ` t 6 FOOT STOCKADE FENCE
PLAN VIEW cr - TUftLI GAS-HNE- -.. 0 EXIST. i 1
3-2�REMOVABLE COVERS 0 1 (� ( 1000 f
-1 t
I^I o i 1 Septic bra-k j f ; REV.:. 10/17/06 Relocated SAS to Avoid Stripout and Lowered
Cq
- •..::. .. - -•. - 4• r-:. I H ' ` I ► M Grade over System
3• tn*L dearnce O 1 1 I
INLET B"Min.F 2- ruin.ar Inlet to outlet s. Is saEr i , p`
w men Liquid levrd OUTLET 1 t \� 1 D-Box ' " `�
5 -r Ji �_T i t I LOOT P LAN
' +� Queen. Z
Liquid "' �\ OF PROPOSED SEPTIC SYSTEM UPGRADE
x. s -:f.=-1 -:. T:' _4 -to• ! i i `0 �, j TEST HOLE
leh Leiw Pit PREPARED FOR
��-
r • ' ELEV.= 92 M R. J A M E S D A N C E LO
-SECTION ;CROSS SECTION END �{ -,; \
AT
TYPICAL 1000 GALLON SEPTIC TANK ` \ # 12 SURREY LANE
NOT TO .DALE \` ��'��, BARNSTABLE, MA
Design Calculations -s • '; _ ��\ -\N of q
Number of Bedrooms 3 Bedroom EXISTING P/�'S�P/ARED/��BfY: �T
I f EST HOLE 2 R1Il E1 1'
Garbage Grinder. No , I i , IJ
Leaching Capacity Required. 330 Gal./Day (MIN. PER TITLE V) ; /� ; 1 SLY.= 92.00 r', �\ ��� E. N GN TT SHA jam'
Septic Tank : - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL Septic Tank. J"� l
SOIL ABSORPTION AREA: Using percolation rate of Q min./inch ' f / i 1 '� \ 'J
NVIRONMENTAL SERVICES'
Bottom Area 0.74 gal/sq. ft. x 370 sq. ft = 273.8 gallons ► r I INC.
/ No 11
Sidewoll Area: 0.74 gal./sq. ft. x 78 sq. fL = 58 gallons / I' Vent f - / \`9� �� P.O. BOX 627
Providing: = 331.80 gallons , �� , pipe / EAST FALMOUTH, MA 02536
T , 4 1; 133.34 _1TAR\
Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, '
TEL/FAX 508-539-7966
TO BE USED WITH 3.5' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE j 0d \� t SCALE: 1"=20' DRAWN BY: CES DATE: SEPT. 29, 2006
ON THE ENDS. No STONE UNDER. PROJECT#SD971 FILENAME: SD971 PP.DWG SHEET 1 OF 1