HomeMy WebLinkAbout0104 SWALLOW HILL DRIVE - Health 104 Swallow H.M .Drive
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Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
Important:When filling out forms A. General Information
on the computer,
use only the tab 1. Inspector. I key to move your
cursor-do not Brian K. Tilton
use the return Name of Inspector
key.
The Building Inspector of Cape Cod
Company Name
PO Box 307
Company Address
I Eastham MA 02642
City/Town State Zip Code
508-255-9343 S14392
Telephone Number License Number
B. Certification
c w
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 ❑ Falls
t— ❑ 'Needs Further Evaluation by the Local Approving Authority
7/26/2010 ¢ w s
I c�or'sSignature Date r
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of:Health or DEP) within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP..The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time.This inspection does not address how the system will perform in the future under
the same or different conditions of use.
k
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disp al System•Page 1 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes:
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
All components are.in place and functioning as designed.
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
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 15
Commonwealth of Massachusetts
F Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
104 Swallow Hill Drive
Property Address w
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. City[Town State Zip Code Date of inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.):
❑ 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:
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 mannerwhich 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.
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15
I
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. Cityrrown State Zip Code Date of Inspection
i
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont.):
❑ 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 indicates absent and the presence of ammonia,nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be
attached to this form.
3. Other:
{
D) System Failure Criteria Applicable to All Systems:
You must indicate"Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® 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
El N, or clogged SAS or cesspool
El ® Liquid depth in cesspool is less than 6" below invert or available volume is,.less
than %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.
104 Swallow Hill Drive t5insp-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15
f
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
cG
,M 104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. Cityrrown State Zip Code Date of Inspection
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cont.):
Yes No
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no other failure criteria are triggered. A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails. I have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health_ to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ® 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
0 ® 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.
.104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15
I
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
o wM 104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes" or"no" as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or as part of
this inspection?
® ❑ Were as built plans of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ❑ Was the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
® ❑ Existing information. For example, a plan at the Board of Health.
® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
104 Swallow Hill Drive t5insp-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M
104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. Cityrrown State Zip Code Date of Inspection
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): 5 Number of bedrooms (actual): 4
DESIGN.flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):
Number of current residents:
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑, Yes ® No
Water meter readings, if available (last 2 years usage(gpd)):
Sump pump? ❑ Yes ® No
Last date of occupancy: 7/26/2010
current
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
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):
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15
Commonwealth of Massachusetts
W Title 5 official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
c�M 104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is
r equired for every Barnstable MA 02630 7/26/2010
page. City[Town State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
Source of information: Owner, last pumped 3 years ago.
Was system pumped as part of the inspection? ❑ Yes ® 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) 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:
1/17/2003
Were sewage odors detected when arriving at the site? ❑ Yes ® No
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Building Sewer(locate on site plan):
Depth below grade: 2.5
feet
Material of construction:
❑ cast iron ® 40 PVC ❑other(explain):
Distance from private water supply well or suction line: Town water
feet
Comments (on condition of joints, venting, evidence of leakage, etc.):
No evidence of leaks, back up or clogs. '
Septic Tank(locate on site plan):
2'
Depth below grade: feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
u years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
--------------------------------------------------------------------------------------------------------------------------
Dimensions: 5'8"x 10'6"x 5'8
10
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle
20
3
Scum thickness
Distance from top of scum to top of outlet tee.or baffle 511
Distance from bottom of scum to bottom of outlet tee or baffle
17"
How were dimensions determined? Accu-Sludge, Baffle Stick and
Tape measure
104 Swallow Hill Drive t5insp-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15
Commonwealth of Massachusetts
Title 5 official Inspection Form
o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
All tees in place and functioning as intended, system should be pumped at least every three years as
regular maintenance. Irrigation lines are located over inlet, outlet covers and D-box, use caution when
digging.
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.):
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):
104 Swallow Hill Drive t51nsp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15
I
•' Commonwealth of Massachusetts
W Tile 5 official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank(cont.)
Dimensions: N/A
Capacity: gallons
Design Flow: gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: - , Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date -
Comments(condition of alarm and float switches, etc.):
*Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
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.):
D-Box level, equal flow to each outlet, no evidence of leaks or solids carryover. Irrigation line directly
over top of cover.
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No
Alarms in working order: ❑ Yes ❑ No
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
Type:
❑ leaching pits number:
® leaching chambers number: 5
❑ 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.):
5 500 gal. leaching chambers with T of stone on sides and 2.5'on ends, lawn over top with 40 mil
poly liner at top of grade above system, no evidence of break out, back up or hydraulic failure, center
chamber excavated with no ponding or staining.
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. Cityrrown State Zip Code Date of Inspection
D. System Information (cont.)
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.):
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.):
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 15
Commonwealth of Massachusetts
' u Title 5 Official Inspection Fora
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
wM 104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. Cityrfown State Zip Code Date of Inspection
D. System Information (cont.)
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.
GARAGE/
OFFICE
DECK
.T1f(JT TO SCALE
W
DWELLINCn
Al=17:3"B1=40',
A2=23' B2=33'
A3=31' B3=2$'
01 20
A4=33' B4=36.5'
O
SLOPE
104 Swallow Hill Drive t5insp•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System form - Not for Voluntary Assessments
,. 104 Swallow Hill Drive
Property Address
John Lennon
Owner Owner's Name
information is required for every Barnstable MA 02630 7/26/2010
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
® Check Slope
® Surface water
® Check cellar
® Shallow wells
11' + no water encountered.
Estimated depth to high groundwater: 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: 11/22/2002
Date
® Observed site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health -explain:
❑ Checked with local excavators, installers-(attach documentation)
❑ Accessed USGS database-explain:
You'must describe how you established the high ground water elevation:
Design plans on file with BOH, hand augered through bottom of SAS,to depth of 11' from surface(7'
below bottom of SAS) no water encountered. Corrected to estimated high water table using Frimpter
method. '
104 Swallow Hill Drive t5insp•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15
HIGH GROUND-WATER LEVEL COMPUTATION
Date:
Site Location: , � S��I�D,tJ /r �"' _ !Permit:'
Owner: JL74A 0v-\ Phone:
Contractor: _em s[- -J j"►9 ai5 11 Phone:
Notes: Ld c ca-b v�
�'4 9 ' S���a�.� �s �`����41i ����� rrv►Nt gb� �l. S�
STEP 1 Measure depth to water table
to nearest 1/10 ft. fr1 I
(depth is in feet below land surface) Date: f � ! I
mm/d /yy feet below Is
STEP 2 Using Water-Level Range Zone and Index Well
Map locate site and determine: /� d 1 �2�
A) Appropriate index well
B) Water-level range zone /T
/13
STEP 3 Using monthly "Current Water Resources`
Conditions" determine Current depth to water
level for index well. `
mm/yy
STEP 4 Using Table of Potential Water Level. Rise for
index well (STEP 2A), current depth to water
level for index well (STEP 3), and water-level
zone (STEP 213) determine water-level a b, i
adjustment. 0
STEP 5
Estimate depth to high water by subtracting the i
water-level adjustment (STEP 4) from 0
measured depth to water level at site (STEP 1).
NOTE* Tables 1-9 "Flotential INater-Level Prise" are attached.as worksheets to this file.
monthly index well data:�www.capecodcommission.org/welIs.html
Cape Cod Commission: USGS Well Data-June 2010 Page 1 of 2
United States Geological Survey
Observation Wells
As a service to Cape officials, engineers and other interested parties,the Cape Cod Commission publishes
monthly groundwater data gathered by its Water Resources Office.
The water level measurements shown below are taken monthly from United States Geological Survey(USGS)
observation wells and compiled during the last week of each month. They are published as soon as possible
thereafter.
Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources
Office. These nine are employed as index wells to be used with Technical Bulletin 92-001: Estimation of
High Groundwater Levels for Construction and Land use Planning to predict high groundwater levels.
For your convenience, we've also provided a link to USGS national data. See the last column in the table and
the footnote below.
To see what's happening in real time at a separate well in Brewster, visit the USGS site USGS
414630070014901 MA-BMW 22 BREWSTER MA.
For further information about any of the data or links on this page, please contact Hydrologist Gabrielle Belfit
at the Commission offices (508-362-3828). '.
June 2010
USGS Site
Number****.
Water Record Record Departure from Average**
(lin Location Well No. ks to USGS
Level* High* Low* Monthly Overall.. ,
national water-
level database)
NOT NOT NOT
A1W AVAILABLE
230 AT THIS AT THIS AT THIS„AVAILABLE AVAILABLE
Barnstable 19.5 26.6 41,3956070164301
TIME TIME TIME
Barnstable 24W 21.3 20.6 28.6 2.4 3.1 414154070165001
Brewster BMW 21 8.1 6.9713.61 1.6 2.0 41.451.8070020301
Chatham CGW138 1 , - 22.9 r 20.9 26.61 0.2 0.9 414100070011101
Mashpee MIW 29 7.2 5.6 10.01 0.6. 11 1.2 413525070291904
Sandwich SDW 46.6 45.6 48.2 0.4 0.7 414418070241601
252
Sandwich SDW 46.3 45.8 55.1 3.1 3.7 414124070265901
Truro TSW 89 11.3 10.2 13.01 0.5 0.7 711420206070045901
http://www.capecodcommission.org/wells.htm 8/1/2010
Cape Cod Commission: USGS Well Data- June 2010 Page 2 of 2
LWelifleet] W 7W 9.4 IL7.3 12.8 0.4 1.0
d1415353069585401
BOLD New Monthly High
Pink background New Record High
* Measurements are in feet below land surface.
Measurements are in feet above mean sea level.
*x** USGS national water-level database provides historic data,hydrographs, and site
maps.
Go to Cape Cod Commission Water Resources Office"page
Go to Cape Cod Commission Home Page
http://www.capecodcommission.org/wells.htm 8/1/2010
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TEST HOLE LOGS
ENGINEER: AH OJALA, PE
42.0' w1rNEss:
DAVID STANTON LOCUS
DATE: OCT. 1, 2002 -I,
3' MAX. PERC. RATE < 5 MIN,/INCH
a
39.03' CLASS 1 SOILS P# 10341 z
In
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36.2' '
,E - - - - _ FILL
2401
Cl SILT LOAM LOCATION -MAP, NOT TO SCALE
.
53" 10YR 4/1 37.7' "
ASSESSORS MAP 336 PARCEL 70
5' COS
VARIANCES REQUESTED UNDER MAX.
6009 10YR 6/6 FEASIBLE COMPLIANCE 15.405:
la: REDUCTION IN SETBACK, SAS TO
C3 LOT LINE (10' TO 5')
FS lb: REDUCTION IN SETBACK, SAS TO
2.5Y 6 6 ,
31 .2' 66' FOUNDATION (20' TO 12 )
PERC
C4
COS
2.5Y 6/6
132" 1 31.2' ,
NO WATER 'ENCOUNTERED ".
n NOTES
PTIC DESIGN: (GARBAGE DISPOSER is - NOT ALLOWED ) 1 . DATUM IS . ASSUMED
SIGN FLOW: S BffDR00MS ( 110 rpn) _ 440 nor) r .. .. ... ._ .. __... .-,,.__..._
Town of Barnstable Geographic Information System July 25, 201C,
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DISCLAIM6tES:this map is for planning purposes only. It is not adequate for legal Map:336 Parcel:070 f I N
boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:LENNON,JOHN J&BARBARA M otal Assessed Value:$689800 Selected Parcel
1"=100'may not meet established map accuracy standards, The parcel lines on this map _ '
are only graphic representations of Assessor's tax parcels, They are not true property Co-Owner: Acreage:1.21 acres Abutters w E
boundaries and do not represent accurate relationships to physical features on the map Location: 104 SWALLOW HILL DRIVE
such as building locations. Buffer S
Aerial Photos Taken April 19,2008
Barnstable Assessing Search Results Page 1 of 2
Home:Departments:Assessors Division:Property Assessment Search Results
New Search �: .
: .New Interactive Maus»
Owner: 2010 Assessed Values:
LENNON,JOHN J&BARBARA
M
104 SWALLOW HILL DRIVE 2010 Appraised Value 2010 Assessed Value Past Comparisons
Map/Parcel/Parcel Extension Building Value: $318,000 $318,000 Year Total Assessed Value
336 /070/ Extra Features: $25,300 $25,300 2009-$935,000
Outbuildings: $0 $0 2008-$940,300
Mailing Address Land Value: $346,500 $346,500 2007-$945,200
LENNON,JOHN J&BARBARA 2006-$962,000
M
2010 Totals $689,800 $689,800
104 SWALLOW HILL DR
Residential Exemption Received=$92,000
BARNSTABLE,MA.02630
2010 REAL ESTATE Tax Information: Tax Rates:(per$1,000 of valuation)
Community Preservation Act Tax $139.3.5 Fire District Rates Town Residential
Barnstable FD-All Classes $2.43 $7.77
C.O.M.M.-All Classes $1.26 Town Commercial
Barnstable FD Tax(Residential) $1,676.21 Cotuit FD-All Classes $1.56 $6.87
Hyannis-Residential $1.82
Town Tax(Residential) $4,644.91 Hyannis-Commercial $2.88
W Barnstable-All Classes $2.28
Community Preservation Act 3%of Town Tax
Total: $6,460.47
Construction Details Property Sketch Legend
Building Property Sketch &ASBUILT Cards
Building value $318,000 Interior Floors Wide Pine
Style Colonial Interior Walls Plastered
Model Residential Heat Fuel Gas - —
Grade Average Plus Heat Type Hot Air
1
Stories 2 Sty w/FAT AC Type Central <'
Exterior Walls Wood Shingle Bedrooms 4 Bedrooms $ .
Roof Structure Gable/Hip Bathrooms 4 Full
Roof Cover Asph/F GIs/Cmp Living Area sq/ft 2,924
Replacement Cost $327,787 Year Built 1979 IA
Depreciation 3 Total Rooms 11 Rooms -
,PTfI:
Land Gross Area sq/ft 6.620
CODE 1010
Lot Size(Acres) 1.21
http://www.i.own.barnstable.ma.us/assessing/2010/displayparcell0map.asp?mappar=336070 8/1/2010
Barnstable Assessing Search Results Page 2 of 2
Appraised Value $346,500 As Built Cards: 1
Assessed Value $346,500 EL
M
View Interactive Maps >>
Sales History:
Owner: Sale Date Book/Page: Sale Price:
LENNON,JOHN J&BARBARA M Cci,18 2002 12:OOAM 15764/197 $675,000
CLEARY,ROBERT A Feb 14 2001 12:OOAM 13560/041 $0
OLEARY,ROBERT A&LISA M Oct 15 1995 12:00AM 9886/198 $1
OLEARY,ROBERT A&PATRICIA 2492/99 $0
Extra Building Features
Code Description Units/SQ ft Appraised Value Assessed Value
FPL FIREPLACE 2 $5,800 $5,800
BFA1 Bsmt Fin-Good 680 $19,500 $19,500
Property Sketch Legend
BAS First Floor.Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished)
BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished)
CAN Canopy FUS Second Story Living Area(Finished) UST. Utility Area(Unfinished)
FAT Attic;Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished)
FCP Carport GRN Greenhouse UUA Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished)
FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
http://www.town.barnstable.ma.us/assessing/2010/displayparcell0map.asp?mappar=336070 8/1/2010
TOWN OF,BARNSTABLE
LOCATION 104 SWALLOW HILL ROAD CUMMAQUaWAGE # 2002. 4B0
MAP3
VILLAGE CUMMAQUID �� b� ASSESSOR'S MAP 6z LOT
INSTALLERS NAME & PHONE NO.
ELLIS BROTHERS CONST. CO. 362'-6237,
.SEPTIC TANK CAPACITY '
LEACHING FACILITY:(type) 5-- $oo 64•c//A- arey(size) f J X y X r2
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER UP30
BUILDER OW6WNE 0 &4156"
t.,
DATE PERMIT ISSUED: 02
DATE COMPLIANCE ISSUED: 1a 3
VARIANCE GRANTED: Yes No
TOWN OF BARNSTABLE '
LOCATION SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT_...
':INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY d
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS
v BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
J g Y
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
I
1 y
LIN e
v
fi .
TOWN OF BARNSTABLE
LO6,TION 104 SWALLOW HILL ROAD , CUMMAQUaWArGE # 2002.=480
GUMMAQUID MAP3
pp
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
ELLIS BROTHERS CONST. CO. 362-6237
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) 56o64-C114P4&;e(size) I1
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 6PUCci
BUILDER O OWNE 6 FF(364" Lr,;_A1,A1p V
DATE PERMIT ISSUED: / /02
DATE COMPLIANCE ISSUED•
VARIANCE GRANTED: Yes No
r
"33'
r � 7
vo
1
LO CAT IONlG � SEWAGE PERMIT NO.
. lam
VILLAGE _
INSTA LLER'S NAME & ADDRESS
B U I'L D E R OR OWNER
o L e.a ict
DATE PERMIT ISSUED . Jf
' DATE COMPLIANCE. ISSUED '-/S` °��
�a •
U
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
OF..........)?
Appliration for 11ispoii al Works Toustrnrtiun "ami#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
.: -------
L c�?" �D.
Location-Add s •-----'or L�ot�.r.o.---•.............................•-^•---
Ow Address
wY------•----------------------- --••--•-•---------------------•-•---------..................� ...................-••••---
,� lZ'
7�0..
In taller41 Expansion Attic Address Garbage Grinder
Type of Building Size Lot...-_______;.. Sq. feet
v Dwelling—No. of Bedrooms................. p ( ) g (�)
aOther—Type of Building ............................ No. of persons......... .....__._.._... Showers (Z) — Cafeteria ( )
QOther fixtures ---------------- ------------------------------------------------------------- --------------------------------...................................
W Design Flow....../`a.............f__ ._ allons per person per day. Total daily flow......... .......................gallons.
WSeptic Tank 7L Liquid capacjtYdVjiM&gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench 1—No..................... Widt Total Length.__,--''- ..
Total leach' g area..................sq, ft.
Z Other,Distribution box ( Dosing to k ) -06 /�C/'rh - 3-3 -7 -
/� -- a v ti► T
� Percolation Test Results Performed by.. --- ..�........................K.r„___..._._____.___:. Date....J ..........
,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
�Zq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
O Description of Soil------..... ........ --(tee ------ _
--
U Nature of Repairs or Alterations—Answer w applicable . ------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of i I'L1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b en issuUbheboard of hea .
Sign --- ------- -- --- -!�_ -------------_---------•--- --------------------------------
Date
Application Approved BY .._.. Lt/LrG .--------- -- l---
���// Date
L
pplication Disapproved for the following reasons:-----••--------•------------------------------------•---------------------------•---------------.............----
.....-----•---•--......--•-------• ....-•---•------------------------------•---------------------------....--------------------------------------••-------------------------•--
Date b
y /
Permit No.-•-•--•-•-•----•-----------------------= Issued �--•------•----... f.
O Date
~y
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 9F HEALTH
"1-------.OF.......... ..............................
Appliration for llhipvii al Works Tnnitrnrtinn amit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
dkV
1�,C:Wr
�0� __' __ -_ �Oer Address
--- .. `• al -.............•---••••-•-•--•--- .......-••-----•----------••--•••-••-••---•• •••••--•--•- -•-•....--•-
� Installer Address r�ji�M
UType of Building Size Lot____ 4 4____ __*'__._Sq. feet
0-4 Dwelling—No. of Bedrooms.........____
...............................Expansio ttic ( ) Garbage Grinder (A(.)
p., Other-Type of Building ____________________________ No. of persons-------_,7................. Showers (Z) — Cafeteria ( )
Q' Other: ixtures ............................
W Design Flow_j___l� ________________ gallons per person per day. Total daily flow__.__._ ' _gallons.
R; Septic Tank rt-•I iquld capacit gallons Length................ Width................ Diameter ° . Depth__. .:.
Disposal Trenchf—No_ ____________________ Width___ .... __._._ Total Length.__S_ ........ Total leaching area___ _a4 r..sq. ft.'-
Seepage Pit No--------------------- Diameter..................._ Depth below inlet_______ __....... Total leach'?g area..................sq. ft.
Z Other,:Distribution box ( ) Dosing t l( ) � /d��
w R, r
Percolation Test Results Performed by.______ ___!'j.- _AA !k.....______..X..._______________ Date._._'"_ _ '_____.__..
Vest Pit No: 1________________minutes per inch Depth of Test Pit.................... Depth to ground water......... ...........
,.Test Pit No. .2................minutes per inch,..Depth of Test.Pit.______.____________ Depth to ground water........................
0 ---•-- � r -•----r-•- --•--- ._
O Description of Soil_...-----p....... ......• l -P. �� � -
___ __________
W ______________ _____________ _________ _________ ....................... .......... .....
U Nature of Repairs Aerations An Wer when a plicable , ^� _ ...........
•-------•-----............... . ---• .......... . ad
Agreement: Cl Z '0 y/0
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the prsions of TITLi: of,the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has en issue the board of he h.
Sign I.._.
Date
Application Approved By..-•- f _ l �,�;11Ctrlr6'..................... �r�"
Date
Application Disapproved for the following reasons Y......................................._____________............................................................
--•................•......._..---•--------------------------..._....•.•--------------.......----------------.::--•------•--••--•--•-•------••-------------•-•----------•---••--------•-----•----•-•-•-•-
Date
.• ;P6&ieNo.---••-•-•-•••-••••-•--•.._ Issued........................................
r .3 -•---•---•------ ------^-• '--•- --
Date -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
7�
.........2...
1............OF....... .. _.. '�! '
(
ItifirFate of Gam' ' �itturr
THIS 0 C R Y, Thatividual Sewage Disposal System constructed ( )'"or Repairedby' B_ . .. : ._.. - -- ----
In ller
has been installed in accordance ith the provisions of TIT Z j of Thei State Sanitary Code as describ d in the
application.for Disposal Works Construction Permit No......................................... da.ted_..0! "__?--- 7 .._. ,
THE ISSUANCE,, OF THIS CERTIFICATE'WALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE �I
SYSTEM VIAL FUNCTIOI TISFACTORT
DA / _ nspector °'•
......... ......• -.....••• _-••-
t
, :
THE COMMONWEALTH OF-MASSACHUSETTS
BOARD OF HEALT
.................
........OF.............W.. i..............
No._....L............... FEE.....................
...
t Mtn n n nno#r. in amit
Permission is hereby granted.:= d ---------------- _ ..__* ..„,
to Con c �" r Repair ) an Individ age =�sa`A7.
..:_..
Street
as shown on the application for Dispos :Works>Construction Perm No_________
•. ______*ofH4ea1`th
ted__..�. "
............ -----o
DATE7r. -
'
-- ? ----•------------------------------------------•---
FORM 1255 HOBBS & WARREN,'INC.. PUBLISHERS r -
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J 2 7, ��1N Of M l � "r
RICHARD �„ �/`t RICHA
1AMES 1 z }AMEs
O'HEARNQNE674�4
No, 27e71
�FG►STE��QO
LEGEND tia sayi5aa`a
SURD`'ems`
EXISTINr SPOT ELEVATIONS 0,0 j."
EX ISTIN�i CONTOUR- - -- 0 - - - -
FINISHED SPOT ELEVATIONS 0.0 .__
FINISHED CONTOUR 0 PROPOSED PLOT PLAN
APPROVED- BOARD OF HEALTH ' rVIASS.
C AGENTT_#�--
I CERTIFY. THAT THE PROPOSED R d ~OWEARIV, !NC, RL.,St R,S
. !BUIi:DING SHOWN ON THIS PLAN IDI MAIN ST. !RTE. 28 ,
CONEOR"AS 1'U THE: ZONING LAWS WEST DENNIS, MASS .
�DATE ; .c'_1� SCALE
1z.
4
7 G.t � Tr LAND SURF `�'C.n ' �;. EY E`' �_ H EE T OF
„-.,. ""T^' .,.......,. wus,e.•,o-......a•w...,..._....,,n... ..-,., ,, .. .-,. .:.......,.w,.w.�..�w.aw.,+.W,,.. ..w..•dwc.,,,A
Sv L. TEST DIVERT ELEWA i NONS NO`EO: ,
PATE OF SOIL TEST, ` INVERT AT BUILDING �e'S FT. ''ALL WORKMANSHIP AND MATERIALS
WITNESSED BY —Cl'/ INLET SEPTIC TANK 2g- ° FT. SHALL CONFORM TO D.E.Q.E. TITLE ,5
PERCOLATION RATE ---L MIN./INCH OUTLET SEPTIC TANK 97- 8 FT AND THE TOWN OF f-RULES
OBSERVATION HOLE 1 OBSERVATION HOLE 2
INLET DISTRIBUTION BOX T7• ° FT AND REGULATIONS FOR SUBSURFACE 1
LEVATION _ ELEVATION= OUTLET DISTRIBU110N BOX 1G: 8 FT. DISPOSAL OF SANITARY SEWAGE
E ' _ �'• - /
----Q INLET LEACHING PIT 24,0 FT, Zi Atc TOla3o� ! s✓sso< 4� o� ,,,� a
15'it-Y D. BOTTOM LEACHING PIT 90.o FT. �j�?StJ7r.�77 c.�T n�R.r-� � S,",el L
i9C'CO2lJlnr ptti
aG.. DESIGN CALCULATIONS s-
OIL fl 1
NUMBER OF BEDROOMS . 4
_ 78 . . . .
GARBAGE DISPOSAL UNIT... . . . . . . . . . . . NdN
TOTAL ESTIMATED FLOW ( L.2 GAL./GR./DAY x.::?_.8R.)... 44 0 GAL./DAY
Fz-- st. REQUIRED SEPTIC TANK CAPACITY. . .. . . . . . . . . . .. . . . . ... ? GAL.
144 • ` ACTUAL SIZE OF SEPTIC TANK TO BE INSTALLEIP,.. . /40 0 GA:I ,
LEACHING AREA REQUIREMENTS
SIDE WALL AREA LLGAL./S.F
BOTTOM AREA_/ GAL./S.F.
( ¢ GAL.
LEACHING CAPACITY ( BOTTOM � SJDEWALL ).. .... . . . .. .
r c-, r 'RESERVE LEACHING GAL.
o
TOP OF
'FOUND.
` LEV.=/�> SCH. 40
CONCRETE 4��
COVERS PVC PIPE CLEAN SAND
MI PIT:;H CONCRETE
IlB�� PER. FT. \ C VER
2% MIN. PITCH 1t+ of Hof Mee ;
i� 12 MAX.
Mrs
_ I 6 _ ti
FLOW LINE , �' g 2 { LAYER OF 1/8" 1/2� ono RJAWS ICHAPO s e�AME°
a
WASHED STONE O'HEARN o 0•HEAP.N cam»
E �C,d :-y No. 27871 O H J No. 694
CAST IRON 3/4 1 1/2"
MIN.. PITCH w
» ; "o WASH'E-D STONE O y SANItAri'>
PER FT. MIST. o >z n
n �- b PRECAST LEACHING
> SOX c�°- p BASIN OR EQUIV.
n w w
�` •a. iA_0 '
A
+c , O by LOT mil_ J�
O GAl_ AC ? i
SEPTIC
lb ,, R. 0. O HEARN,
191 MAIN ST: t R T t �.
r WEST DENNIS MASS.
PROFILE OF GROUND -WATER TABLE -Et-
EWA E DISPOSAL SYSTEM JOB NO. / 78 CLIENeO �,�,c� t
NOT TO SCALE
DATE SHEET z OF `- a
No. ?00a. � , Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ftplication for �Bigpooar *p5tem Construction Permit
Application for a Permit to Construct( )Repair( ))"Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.. I 0 Ll s f vy? e"; r r y- �� ' Owner's Name,Address and Tel.No.
Assessor's Map/Parcel Gw-� 11 &/I i l ytd
S &. 0�
Installer's Name,Add less,and Tel.No. Designer's Name,Address and Tel.No.
l�1�vSaDO�rJ' c�i,.�� pat„ •,_. G�yv! � 7j,
a 3ry� 3 /-
Type of Buil ing:
Dwelling No. of Bedrooms�� Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Y) ri v. d 9 a40 Number of sheets Revision Date
Title It
Size of Septic Tank 7 S o d Type of S.A.S. J _ 0 L psvh� �h y /3ra
Description of Soil &-r
Nature of Repairs or Alterations(Answer when applicable) S f S-el4L,
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Ti of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance h een iss y t ' Board�allh.
Date '
Application Approve by ozi 4-1 zuy Date
Application Disapproved for the ollowing reasons
Permit No. 2 0a::?-VLO Date Issued
„,. ,,,�, .... r �..,�_._�.. ,.,` :.'...�. .r.. ,G ` - � �% ,;„y�Ari i'"�tl+;iv+• 414.i...s••�i�c!'..�+=�'rlYr.rY-7'+Cr,.,it...a`^g4riik�<vC«r."'�*�pynTM�j�i-'„q.'+:.+'tih'�w�,M+/"+...:T�-....
��fV • r 4 ..
ow �0” Fee
V' Pam.'"".�'.�k�{� .g,e y
Y. THE COMMONWEALTH OF MASSACHUSETTS Entered in compu der: 1
Yes
A, -PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSTTTS
01pprtcation for ZigoM *pgtem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 1 U 41�S,4,1 J it"- 1i, 1?, 011 t' Owner's Name,Address and Tel./No..l &9 i/3 r rj L ^7,7 G h
Assessor's Map/Parcel / (I lZ 11?v
33G
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
Cc.� C 5/1-/
Type of Buil(fing:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date h &I/ a a .} Gc-;) Number of sheets Revision Date
Title �``"'�••.
Size of Septic Tank ) Soo Type of S.A.S. So c 65 �J L �yc 6, '7 C �"} s
d f 1°
Description of Soil S �' S'cr 1_a
Nature of Repairs or Alterations(Answer when applicable) S P S'r�J , C. /� Sl h
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title2-5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance harbeeeen issued-by
ss ed-by t a�Board o alth.
Sign Date �� �— UZ
Application Approved by Date /J ?�—o
Application Disapproved'for the ollowing reasons
Permit No. 2 0 Q- 00 Date Issued l l 26-v?
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
ry THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by t-1 l 1-S 6 c .S Cc» S i A
at 1 D W Sw l i oy /1 , l / O rVV--f �H ,�/l fir^5 as been constructed in accordance
with the provisions of Title 5 and the for Disposal System Constructioryfermit No. dated /� 102
Installer ri 1 i S QC0'r/'1'cS CC40. CO Designer J-i47n C5�- /-'kf�,,n i
The issuance of this permit shall not be construed as a guarantee that the sy i m will function 11;Jesi"" d. Is
Date 1 1'�� U 2� Inspector / �✓. �� -
No. 20y.?- \111ro Fee J y
THE COMMONWEALTH OF MASSACHUSETTS
5 PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS
Zigozar 6p6tem Cougtructiou Permit -
Permission is hereby granted to Construct( )Repair,( )Upgrade( )Abandon( )
System located at
[n,�tnSlS�i 1
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:Construction must be completed within three years of the date of th' pern!
Date: r / Approved by
TOWN OF BARNSTABLE
N 104 SWALLOW HILL ROAD CUMMAQUI WAGE # 20;02.�480
LOCATION
CUMMAQUID tt MAP3
VILLAGE ws. ct�� ASSESSOR'S MAP & LOT
INSTALLERS NAME & PHONE NO. ELLIS BROTHERS CONST. CO. 362-6237
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) 5oo 61�,CAIA M�y(size) 1 Ar y-I X 17,
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER U1300—
BUILDER O OWNE' &14156A" Ld AI)ryc>rJ
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DATE PERMIT ISSUED: / /02
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
~ OWNER AND INSTALLER INFORMATION.`"''
ADDRESS: 104 Sw*A(,LoQ-) I+, it P , MAP NO. PARCEL NO.
OWNER NAME: n' E pz--r* L 6 A Q (A VILLAGE: l` ,:,1 4M AA A C a j i .
INSTALLATION DATE: "i ! BY: VI/i) L'o
CE
TANK INFORMATION K
LOCATION OF TANK: 6Ak ( . 61 .. t °
CAPACITY 606 TYPE AGE FUEL/CHEMICAL �..»
5 TESTING CERTIFICATION C<] PASS C ] FA I L';f DATE A VG1 1
LEAK DETECTION Cl� CHECK IF N/A TYRE/BRAND
ZONE` OF'`CONTRIBUTION C ] YES . C ]' NO, DATE TO BE REMOVED t91
FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE .
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CONSERVATION C ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. CC ]C ]C. ]C ]' DATE
PLEASE PROVIDE. A 'SKETCH SHOWING,,THE TANK,, LOCATION ON THE` BACK -OF-THIS CARD `
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BUZZARDS BAY, MASSACHUSETTS 02532
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TOP FN N EL. 43.0' SYSTEM PROFILE TEST HOLE LOGS
D ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE)
ACCESS COVER (WATERTIGHT) TO ENGINEER:
AH OJALA, PE LOCUS
MINIMUM .75' OF COVER OVER PRECAST r WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 42 O' WITNESS: DAVID STANTON
}. DATE: OCT. 1, 2002
OUN PIPE LEVEL 2" DOUBLE WASHED PEASTONE
r ok Frost 2'
PR OSEo 1500 3' MAX. PERC. RATE - 5 MIN 71 Cti
G I.LON SEPTICJA
g,� � � I # 10341 �PE � �
• 39.03 CLASS SOILS P j
IP
TARS (H- 10 GA5 38.rJCI'
ti
38.2 C 3 0 0 0 0 0 0 0 ELEV.
6" CRUSHED STONE OR MECHANICAL 171171171171 0 moor]
. 4 ,
0
. COMPACTION. (15.221 [2]) MIN g 2' 0 0 0 0 0 � 36.2' ''
( 2 % SLOPE) X SLOPE)
0 0 0 0 0
DEPTH OF FLOW = 4 .5 1 �( y
TEE SIZES: 10 3/4" TO 1 1/2" DOUBLE WASHED STONE 24„ FILL & m
INLET DEPTH =
OUTLET DEPTH - 14" Cl LOCATION MAP NOT TO SCALE
SILT LOAM
FOUNDATION-- EXIST SEPTIC TANK 22' D' BOX 20' LEACHING 53" 10YR 4/1 37 7' ASSESSORS MAP 336 PARCEL 70
FACILITY
,k THE INSTALLER SHALL VERIFY THE C2
LOCATIONS OF ALL UTILITIES AND ALL 5' COS VARIANCES REQUESTED UNDER MAX.
1 BUILDING SEWER OUTLETS AND 6001 10YR 6/6 FEASIBLE COMPLIANCE 15,405:
ELEVATIONS PRIOR TO INSTALLING ANY 1a: REDUCTION IN SETBACK, SAS TO
PORTION OF SEPTIC SYSTEM. C3 LOT LINE (10' TO 5')
FS 1b: REDUCTION IN SETBACK, SAS TO
Cn
31 .2' 66
2.5Y 6/6 FOUNDATION (20' TO 12')
;
PERC
71.51
N C4
It COS
M 2.5Y 6/6
L0T ,7 132" 1 31.2'
NO WATER ENCOUNTERED
52,70o sFt - : - � � NOTES:
F ASSUMED
SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) 1 . DATUM IS ,
DL51GN FLOW: 5 BEDROOMS (. 110 GPD) = -GPD 2. MUNiCi?AL WI TER is EXI�,T!NG
' USE A 550 GPD DESIGN FLOW 3, MINIMUM PIPE PITCH TO BE 1/8" PER FOOT.
UNDERGROUND UTILITIES
COME INTO HOUSE HERE SEPTIC TANK: 550 GPD ( 2 ) = 1100 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H-, 10
r 12.47
32.as � 5. PIPE JOINTS TO BE MADE WATERTIGHT.
SHOELIE LINE + BENCHMARK USE A 1500 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS.
+ SHOWN APPROX. /
/ NAIL IN 24" MAPLE ELEVs 42.8' LEACHIN ENVIRONMENTAL CODE TITLE V.
' --.��G
_ 2(47.5 + 10.83) 2 (.74) = 172 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE
SIDES:
3 �1 DSHELL RIVEWAY �' BRIC c� r USED FOR LOT LINE STAKING.
/ �t3'6' WALK 4 DECK r'� BOTTOM: 47.5 x 10.83 (.74) = 380 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC.
TOTAL: 746 SY, 552 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT
INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED
i1 a 3 3 USE (5) 500 GAL. LEACHING CHAMBERS WITH 3
8 ATE LIN FROM BOARD OF HEALTH.
H0 A PR M --
OX.
EXISTING STONE AT SIDES AND 2.5 AT ENDS 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING LEACH PiT5
31. 7 �+ ' DWELLING
--
C AR 8 +41.7 {
s . 32.06 a +41.7 J� �' TF 43.0'
=1's�109 10 C AR � � +41.11\ \` N PROVIDE APPROXIMATELY 60' OF 40 oN_
/ MIL LINER AT 5' OFF LEACHING ND
TITLE 5 SITE PLAN
� i cS• T34 28 M PLE `� �f2 Q3 J , 42.32 FACILITY IN AREA SHOWN, TOP AT EL.
It 46 c3`O APP OX �� - BRICK WALK �V 39.0', BOTTOM AT EL. 35.0' 100.0 PROPOSED SPOT ELEVATION n OF
t3 .1g UG JTILI FCJ PIT REA + 58 / 41. 9 1500 104 SWALLOW HILL DRIVE
FLAG E �► GAL ST
32.$ AS g 41.89
1 + 100x0 EXISTING SPOT ELEVATION
�? IN THE TOWN OF:
_-----'"� m BUS B S£ y o� 10o PROPOSED CONTOUR ( CUMMAQUID ) B A R N S T A B L E
+ 1 5 743 CA V- e 100 EXISTING CONTOUR
1.93 nj EXI NG �100
HT V77 ��, 41.95.._. PREPARED FOR: gARBARA LENNON
.� SE--7 TANK F,, 5' REMOVAL OF UNSUITABLE SOIL
3 0 (REPLA WITH GAL. TANK 41.91 REQUIRED AROUND PERIMETER OF
ELEC H`NOBOX 5---- 1 LEACHING FACILITY, DOWN TO
SUITABLE SOIL LAYER (C2). 20 0 20 40 60
�3109 co
WITH CLEAN MED. SAND. BOARD OF HEALTH
M D) ENGINEER TOM INSPECT AND MA 1+' = 20' NOVEMBER 22, 2002
CERTIFY REMOVAL.
HALLOW HILL STONEWALL � a�/ APPROVED DATE SCALE: DATE:
DRIVE 43.67
H OF
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fox 508 382-9880 tIH Of I ,yA�F9 p,` ARNE I,.,ARNE �y OJAL4 N
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dawn cape engineering, inc. U awLA 0.30792
o No.26348 ' e ��•� � TE
CIVIL ENGINEERS �`� Nq►/SANa�S � AL G���
LAND SURVEYORS
_ - 02--319 •
'--319 939 vain -st, yarmouth, ma 02675 ARNE H. OJALA, P.E., P.L.S. DATE