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HomeMy WebLinkAbout0056 BACON LANE - Health 56 Bacon Lane Centerville A= 207-039 r SMEAD No.2-153LOR UPC 12SU amaad.com Made In USA '3 1�Uim M 11/DUCT I!E LA fS k i f f E II k 1 f �.�' V 1 No. go " '23o—' Fee �t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYitatiou for Disposal .pstem Coustruttiou permit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addr'If or Lot No. 5-6 Vxr(3r0 IA-� Owner's Name,Address,and Tel.No. �g,v&es��le Assessor's Map/Parcel © C13 q '02 J i (0ti Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 1A. ,9 QSIca% A 1es (m"J ri L n�c n, �► e r�lry lJ�e�d )C S Type of Building: Dwelling No.of Bedrooms 3 Lot Size 1 Cj} sq.ft. Garbage Grinder( ) Other Type of Building d p S t�E=c.9 i it-) No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) -3*30 gpd Design flow provided _ 3W ? T gpd Plan Date ? r 1 8—1 S Number of sheets �Z_ Revision Date Title Size of Septic Tank gF� Type of S.A.S. SOO !nce II&N C LIOMIOer Description of Soil Nature of Repairs or Alterations(Answer when applicable) (rj S}c,11 fv r W -D "w2X ckN6 �L 5-00 rI lleteS Ci.��..w Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boa Health. Signed — Datej Application Approved by 6 Date Application Disapproved by Date for the following reasons Permit No. G 1 ,5— Date Issued ^1 5 - � � �s- a�3 .f o No. a Fee t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:V PUBLIC HEALTH DIVISI 'N'- TOWN OF BARNSTABLE, MASSACHUSETTS Yes O y 01pplicatiowfor Misposar 6pstem (Construction Permit Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addres or Lot No. S(9 �C cO L� Owner's Name,Address,and Tel.No. 6-N�PJ�J�I7C Assessor's Map/Parcel a d _ o -cc,J, _ �,I IAQ N, Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tefl.No. `7�.�SlcP S 1 (C.9vi 1 n C t ,v N e rf Wc�d lc S Type of Building: Dwelling No.of Bedrooms ,3 Lot Size �''j (� 15 sq.ft. Garbage Grinder( ) Other Type of Building"L ,(crJ r�; vy�;�Norof.Peisons''S Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) -3'3 O gpd Design flow provided I P/f;, 7 gpd 1, Plan Date '1 —CS t( ' Number of sheets/ :�j ;' , Revision Date Title Size of Septic Tank xf gl 4 S y Type of S.A.S. S � Gu��ory �tonr�Op✓ - _ 't Description of Soil ' _ -"7 ! Nature of Repairs or Alterations(Answer when applicable) I w -D 13UY C job 2 SOO -' rx!< (1�..1 ( l..wh �P�s 5 rj�Ow,.s `j0 rq �01G•J 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 pro„ isions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boa•d of Health. Signed p �--q Date 6 —S —/ Application Approved by �(�,.�,�iC (�- V, Date - '5 Application Disapproved by Date for the following reasons Permit No. PC? 1 J— 2 Date Issued 15 t -----------------------------------------=------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by17)00,) 1 ., 3 cow A 1.nje at SO �1ZL.o.y L/O Ceos)4 P t v P Le has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No a 01 S-a63 dated _s Installer�-� �/,�-,,S�,C^- tk P'7/oKr eJ nt c Designer_lA)%^�,r r.i �., a L�e,✓�� C #bedrooms 3 Approved design flow Z '1 rj gpd The issuance of this permit shall not be construed as a guarantee that the system will ion as des' d. Date Q) S - S Inspector (� ------------------------------------------ ---------------------------------------------------------Fee------------------- No. O I '- 203 I V V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( V1101, Upgrade( ) Abandon( ) System located at 15 (Q es C -. 4 e and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 this permit. Date yJ� Approved by r - Town of Barnstable p 1HF 7p Regulaltory Services Richard V. S all, Interim Director yARNSTABLE, i KASS. • Public � ealth Division 1639• Thomas Mclean, Director .200 Main Street,Hyannis,MA 02601 Offee: 508-862-4644 Fax: 508-790-6304 Installer & Desi el- Certification Form Da e: 7 (S Sewage Permit# 20►. ��2, Assessor's Map\Farcel �� �` 3 De igner: ti^�srt, i Installer: Ad 3ress. _4 r.:1�,La- ,r sgP,, e (Ck n&{ Address: On -�'f,� Q �� n L was issued a permit to install a (date) (installer) septic system at F,Cuvt LvL,�C_ vi.k,`,vt 1 based on a design drawn by ��Gw-•T"6�, �.��-e-e Y?�, (acld• essr ) dated �< I g f f 5 (designer) 4 I certify that the septic system referenced above was installed substantially according to the design, which may include minor aj proved changes such as lateral relocation of the distribution box and/or septic tank. St p out (if required) Was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the -AS 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. trip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced abov •=was construc ,Q .�� with the terms of the IAA approval letters (if applicable) McENTEF '�� ; CIVIL i teller's gnature) �s�?oI At (Designer's Signature) ( (Affix Designer's Stamp Here) PLEASE RETURN TO BA:I NSTABLE PUIbLIC HEALTH DIVISION, CER'rEF1CATE I OF,, COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH 'rFffS FORM AND AS- BUILT CARD ARE RECEIVED BY THE B RNISTABLE PUBLIC H&U,TH DMSION, TRANKYOU. Q1.eptic\Designer Certification Form Rev 8-14-13.doc TOWN OF BARNSTABLE LOCATION CoN ST SEWAGE # VILLAGE ccAlrexyil-L C ASSESSOR'S MAP & LOT , C3Z INSTALLER'S NAME & PHONE NO. T- I� M a CoAt few o v SEPTIC TANK CAPACITY oom LEACHING FACILITY:(type) /O/ f (size) Ooa NO. OF BEDROOMS 2. PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,, - �, r . - S I / �` Yr , ., .,,. ® "z , `�� �.: . , ii .,� \ . ,� ,,.- _ �� V � ` . . � 1 TOWN OF BARNSTABLE •LOCATION j( aC-QA) `.,�J SEWAGE# o-O 1 '5-- 0L 6 3 VILLAGEC&, t'w 11K ASSESSOR'S MAP&PARCEL. INSTALLER'S NAME&PHONE NO. $le SEPTIC TANK CAPACITY LEACHING FACILITY:(type) size) 1?-.g( 2!r�- X ,7— NO.OF BEDROOMS 3 OWNER 4N+k1b1-1y PERMIT DATE: _ / ,� COMPLIANCE DATE: 8 '' Separation Distance Between the: A)ON e CJ— 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 9.� -cedar OuT- 37 ov`^13,s,- G1P-1Li o I r (� 2-ZG, Jr 1 QgCG,n Ane � D 31 p ' Torn of Lnstable �3 �oF1HME,� ��,,1 r# ti ti� Department of Regulatory Services x BARNSTABLE, i Public Health Division Date �•7� MASS, 9QjA 1639. ,�� 200 Main Street,Hyannis MA 02601 rfD MAt A tia,7 a P , •a Date Scheduled Z k Time Fee I'd. 0�jl it q Soil Suitability Assessment for.Sew ge Disposal Performed By: Witnessed By: —,per LOCATION &-GENERAL INFORMATION Location Address Owner's Name CA �� L(3�cv-�, c,� P7q�vti Address Assessor's Map/Parcel: ZO•7 _ Q 3 Engineer's Name NEW CONSTRUCTION REPAIR Telephone# 77-7 —cl . Land Use 6 Surface Stones /Jo/'- Distances from: Open Water Body fJ)1'6'- ft Possible Wet Area X) A- ft Drinking Water Well IJ ft LS 1 I Drainage Way _ft Property Line ft Other ft ' iSKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) I Fill i T _ I I /Q� Parent material(geologic) v` ` �� Depth to Bedrock Depth to Groundwater: Standing Water in Hole: t 3 a/\-k Weeping from Pit Face Estimated Seasonal High Groundwater (30I t DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: _in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment _ft. Index Well# Reading Date: Index Well level t Adj.factor Adj.Groundwater Level f PERCOLATION TEST Date Time Observation �� Hole# Time at 9" _ Depth of Pere 3z-1 S� _ Time at 6" Start Pre-soak Time @ _ Zy �A1� Time(9"-V) End Pre-soak Rate Min./Inch L Z Site Suitability Assessment: Site Passed 4ri_ Site Failed: Additional Testing.Needed(Y/N) _ Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted;within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. t Q:\SEPTIC\PERCFORM.DOC �ja- VS i DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Sdil Color Soil Other urface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Cc 116 _g iteT vl S� 2-53 C 1'-k-L Scar,.11 2,5S�C i — { DEEP OBSERVATION HOLE LOG Hole#Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouhiem. _ ons' e icy�o Gravel) -3� S Q 12 'I�a-13k tA— cx-" , 'S- to _ { T if DEEP OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. I - Consistcoo,3k_Qiavell J 1 i I DEEP OBSERVATION,HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soli Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i ons' py.2b Qmyeb i' I Flood_Insurance Rate May Above 500 year flood boundary No Yes—V Within 500 year boundary No Yes i Within 100 year flood boundary No Yes Death of Naturally O.ccurrin2 Pervious Material Does at least four feet of naturally occurring pervio4s�matenal exist in all areas observed throughout the atfea proposed for the soil absorption system? __ �_' 5 If not,what is the depth of naturally occurring pervious material? CerttEcat ion I certify on i� �`��� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . thIIe required trai ' expertise and experience described in 310 CMR 15.017. S`gnature _ Date Z� Qj\S.EPTIC�PERCFORM.DOC S : 12 3 9' DATE 1 �_J --- PROPERTY ADDRESS: S Bacon Lane C e n t e r v_i l 1 --02632 ----------------- On the above date, I Inspected the septic ,system at the above address. This system consists of the following: 1 . 1-1000 gallon septic tank. 2 . 1-Distribution box . 3 . 1-1000 gallon precast leaching pit ; packed in stone . Based on my Inspection, I certify the following conditions: 4 , This is a title five septic system. ( 78 Code ) 5 . The septic system is in proper working order at the presen time . 6. The leaching�as dry at time of inspection. SIG NATURE _. JG 12 ' d Company: Jose.Rh_P_ Macomber_& Son, Inc . 1� 4 Address:_ Box 66------------------- Mika D F C 2 3 1999 4 CentervilleL Ma__02632-0066 � � _--------- 4' Phone:...508 775_3338_______ ` 9 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY • CP. MACOMBER & SON, INC.anks•Cesspools•LeachfieldsPumped & InstalledTown Sewer Connections 66 Centerville. MA 02632-0066 775.3338 775.6412 i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENvIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500 TRUDY COX) Secretar. ARGEO PAUL CELLUCCI DAVID B. STRUH: Governor Commission SUBSURFACE SEWAGE DISPOSAL SYSTEM•WSPECTiON FORM PART A CERTIRCA'nON Property Address: 5 6 Bacon Lane Name of 0wnw David Anthony renterville 2632 Addressofownw: 10 Staee Road b�of i � �se It P.Macolgtne�e5vrille ,Mass . 02632 Name of kwpecw:(Please P I am a DEP Iffowed s Inspector to Section 16.340 of Title 6(310 CMR 16.000) C ,y Narne,; J . Macoer & on I nc . MaaingAddress: Box 66 Centerville ,Mass . 02632 Telephone Number: S n R_7]S_3'12 R 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: asses Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails y�L/ kspectors Signawre. Vs` Date: The System Inspect all su mit a copy of this inspection report to the Approving Authority(Board of Health or DEP)wlthin thirty(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 Department ohfxtvirohmsT bd 4rotection. The original should•ba sent touts system owner and copies sent to the buyer, if applicable, and the approving authority. . NOTES AND COMMENTS revised 9/2/98 Page IofII ��Printed on Recycled Paper i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(contirwed) Property Address: 56 Bacon Lane Centerville ,Mass . Owner: David Anthony Date of kwpection: 12/13/9 9 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described In 310 CMR 16.303 exist. Any failure criteria not evaluated are Indicated below. COMMENTS: NONE B. SYSTEM CONDITIONALLY PASSES: AJO 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. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination In all Instances. If "not determined",explain why not. The septic tank is metal,unless the owner or operator has provided the system Inspector with a copy of a Certificate of Compliance(attached)Indicating that the tank was Installed within twenty(20)years prior to the date of the Inspection;or the septic tank, whether or not metal,is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection If the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. Sewage backup or breakout or high static water level observed in the distribution box Is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass Inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box Is levelled or replaced AID - The system required pumphig-more than-fourtlmes a yeardue to broken or vbstivcted pipe(s). The system wKVVuss— inspection if(with approval of the Board of Health): - -- broken pipe(s)are replaced obstruction is removed revised 9/2/98 Page 2orii r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) PropertyAddre":56 Bacon Lane Centerville ,Mass/ . Owner: David Anthony Date of Irwpecti—:12/13/9 9 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: IJD Conditions exist which require further evaluation by the Board of Health in order to determine if the system Is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES W ACCORDANCE WITH 310 CUR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH YRM PRQgCT THE PUBLIC HEALTH.AND SAFETY AND.THE EMMONMENT1 AO Cesspool or privy is within 50 feet of surface water MCesspool 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 AND SAFETY AND THE ENVIRONMENT: &8 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 soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS Is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for collform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of immonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not vaGd).- 3) OTHERIVA 'lA j1J NN revised 9/2/98 Page 3or11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTiON FORM PART A CERTIFICATION(continued) Property Address: 56 Bacon Lane Centerville ,Mass . Owner: David Anthony Date of kaPecton: 12/13/9 9 D. SYSTEM FAILS: You must Indicate either"Yes" or"No' to each of the following: _Aj _ I have determined that one or more of the following failure conditions exist as described in 310 CMR 16.303. The basis for this determination is Identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure Yes No Backup of sewage Into 4eHollity-or-or"terncomponent do*%to an ovwiood*d orviagged-GAS-or-cosspool. 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 In4ho disytrii tion box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in Is less than 6' below Invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pips(s). Number of times pumped. Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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 I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. -/— Any potion 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for •coliform bacteria,volatile organio-compounds,ammonia nitrogen-and nitrate nitrogen. - E. LARGE SYSTEM FAILS: 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: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to pub health and safety and the environment because one or more of the following conditions exist: Yes No , the system is within 400 feet of a surface drinking water supply the system•is-within 200(eetof-e4FAK tertr••to•asurtaoedrkrkJwQ+iwtW--*upPly.....- -- -- - - - 4 the system is located In a nitrogen sensitive area(Interim Wellhead Protection Area:IWPA)or a mapped Zone If of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 16.304(2). Please consult the local regiona! office of the Department for further infognation. revised 9/2/98 Pagt4of11. 1 j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST I Property Address: 56 Bacon Lane Centerville ,mass . Owner: David Anthony °ate of Inspection: 12/13/9 9 Check if the following have been done:You must Indicate either"Yea"or"No" as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health. None of the system-compoaants.hsmaAm n paatped4aPatleast'two•aweeke aad-&waystem has4;wwq acetaiagesseasw 11ow rates during that period. Large volumes of water have not been Introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or Industrial waste flow. 4_1 _ The site was Inspected for signs of breakout. _ All system components,4luding the Soil Absorption System,have been located on the site. _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was Inspected for condition of baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge,depth of scum. The size and location of the Soil Absorption System orrthe site has been determined based on: _ Existing Information. For example, Plan at B.O.H. Determined in the field(if any of the failure criteria related to Part C is at Issue,approximation of distance is unacceptable) (15.302(3)(b)) The facility owner-(and.°crjpaats.Jf differaat fraawwner)awere prayidad with 1-formalt orian thaproper wainzaaaac. ^f SubSurface Disposal Systems. t I revised 9/2/98 Page 5of11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 56 Bacon Lane Centerville ,Mass . Ownw: David Anthony Date of Inspection: 12/13/9 9 FLOW CONDITIONS RESIDENTIAL: Design flow:�_g.p.d./bedro m. Number of bedrooms(siesi Number of bedrooms(actuaq� Total DESIGN flow 3i Number of current residents: Garbage grinder(yea or no): Laundry(separate system) ( s o 0 If yes,separate impection.required _ Laundry system Inspected 0or no) Seasonal use(yes or no).,N / /1 Water meter readings,If available(last two year's usage(gpd): /��� b•'� Sump Pump(yes or no): Z.0— Last date of occupancy: y�t1 COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: Alh ged l Based on 16.203) Basis of design flow Grease trap present: (yes or no) d Industrial Waste Holding Tank present:(yes or no)'�' Non-sanitary waste discharged to the Title 6 system:(y s or noa Water meter readings,if available: Last date of occupancy: A10 OTHER:(Describe) 1W Last date of occupancy: 1" GENERAL INFORMATION PUMPING RECORDS and source of information: 1995 & 1997 Maint pumping tank only. J.P.Macomber & Son Inc . System pumped as part of inspection:(yes or no)" If yes,volume pumped: �> gallons Reason for pumping: TYPE OF�SYSTEM 1--� Septic tank/distribution box/soil absorption system A)LI Single cesspool .40 Overflow cesspool Privy Shared system(yes or no) (if yes, attach previous inspection records,if any) I/A Technology ..Attach copy of up to date operation and maintenance contract OtW Tight Tank�J¢ Copy of DEP Approval Other ,Z/: r 1 APPROXIMATE�AcJE of all components,dat nstalled{(fknown)-and source of inf lion: -• -•- Sewage odors detected when arriving at the site:(yes or no) revised 9/2/98 Page 6ofIt SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(corr6rnied) Property Address: 56 Bacon Lane Centerville ,Mass . Owner: David Anthony Data of Inspection: 12/13/9 9 BUILDING SEWER: (Locate on site plan) Depth below grade:o�C7 Material of construction: !-cast iron�0 PVC_other(explain) Distance from private water supply well or suction line Diameter 41,I Comments: (condition of joints,venting;evidence of leakage,-etc.) - - - To ntA annpnr tight N o c�,i-da �e o t`Y n I CVNK? 112WPLitl (locate on site plan) Depth below grade:�b I! Material of construction:Zoncrete tXmetal�FiberglassA PolyethyleneK/ other(explain) If tank is instal,list age AIPY Js.age•confirmed by Certificate of Complianc (Yes/No) Dimensions: 4p ��d"�tJI � Ij>fj Sludge depth: l.4AL i Distance from top of sludge to bottom of outlet tee orbaffieAtti Scum thickness:. ` '/ Distance from top of scum to top of outlet tee or baffle's — Distance from bottom of scum to bott003.of o tie to or baffi How dimensions were determined: Comments: (recommendation for pumping,condition of Inlet and outlet tees or-baffles,depth of liquid level In relation to outlet Invert, structural-integrity, I evidence of leakage,etc.) Pmp g e p T i r tank P v P r g 9-1 3 p a r C Tin 1 pi- R n„t t e e Q -•P i n -i 1 arp T,i iji ri 1 avol at i-hg g11�Iat 1 iiYar•t I8 5 3 " - �' ie t;AA1; GREASE TRAP: (locate on site plan) Depth below grade:,a e Material of construction* concrete`&-metaWAFiberglass Vj Polyethylened4other(explain) Dimensions: NN Scum thickness: We Distance from top of scum to top of outlet tee or baffle:-Ay Distance from bottom of;yum to bottom of outlet tee or baffle:/1 Date of last pumping: Comments: (recommendation for pumping, condition of Inlet and outlet tees or baffles,depth of liquid level In relation to outlet Invert, structural Integrity, evidence of leakage,etc.) Grease trap is not present . revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART C SYSTEM INFORMATION(continued) PropertyAddre": 56 Bacon Lane Centerville,Mass . Owner: David Anthony DO"of Inspection: 12/13/9 9 TIGHT OR HOLDING TANK:.LOL(Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth below grade: Material of construction*AconcretmA mstaWi/Flberglasa /�i Polyethyiene4A/ other(explain) Dimensions: Capacity: Al* gallons Design flow: A1,4 gallons/day Alarm present Alarm level: .41A Alarm in working order:Yes/1/r!' No&* Date of previous pumping: AJ4— Comments: (condition of inlet tee,condition of alarm and float switches,etc.) 'light or holaing tanks are not present . DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet Invert:_/(] Comments: (note-if level and distribution is equal, evidenoe of solids carryover, evidence of leakage into or out of box, etc.) — — Distribution box has onp latpral =Nn_ PvidpnrP of nnlid-, rarry near NO Quide-Ac-;e—a-f 1ealEage int-e et, eut a€--rite box. PUMP CHAMBER/ (locate on site plan) .A Pumps in working order:(Yes or No) Alarms in working order(Yes or No4 Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.), Pump chamber ns not nrpGpnt _ revised 9/2/98 page liorii SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prop"Address:56 Bacon Lane Centerville ,Mass . Owner: David Anthony Dist°of Inspection: 12/13/9 9 SOIL ABSORPTION SYSTEM(SAS)Az (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: Type: t leaching pits, number: / leaching chambers,number: 0 leaching galleries,number: leaching trenches,number,length: leaching fields, number, dim si0n7 overflow cesspool,number: Alternative system: Name of Technology: -i� Comments: (note condition of soil, signs of hydraulic failure,level of ponding, damp soil,condition of vegetation, etc.) Loamy sand to clean pprkabl cand _No Qignc of hydraiilir e eac in i y r� CESSPOOLS:2fkAle (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 (cesspool must be pumped as part of inspection) o ('Pcann01 c 2re nGt; pr--acen ; . Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of.vegetation, etc.) Cesspools are not present PRIVY:A(X (locate on site plan) Materjals of constru on: W19 Dimensions: Depth of solids: Comments: (note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation;etc.) Privy is not present . revised 9/2/98 Page 9of11 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) , Property Address:56 Bacon Lane Centerville ,Mass . owner: David Anthony Data of Inspection: 1 2/13/9 9 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) I I I r r � A'* 7y�r revised 9/2/98 Page to ortt SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 56 Bacon Lane Centerville ,Mass . Owner: David Anthony Data of fib—: 12/13/9 9 NRCS Report name Soil Type_ Typical depth to groundwater M USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep _ SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater 4 Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed.Site(Abutting property, bservation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps hocked pumping records _�/Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) Used Water Contours Map . Gahrety & Miller Model 12/16/94 revised 9/2/98 Page 11of11 >•wrtnr+rrnlTs.-.rT'• es►risn•s.fen.s-�.nrntrtr>rr.�rw�r►i+nr.�.+nn nerm�a�+a'es�nl�+ TOWN OF Barnstable BOARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION I •••TT'IR•••::f—T.11►�.TTT4TtT.111'IT.'1�InI1rJRff7T'n79:T-4�T�tR.R7RR7/—'f'�R7��R�Ae�lA7R'� tA11 :T!••T•1'r'11—..1 -TYPE OR PRINT CI.EARLY- PROPERTY INSPECTED STREET ADDRES$ 56 Bacon Lane Centerville ,Mass . ASSESSORS MAP, BLOCK AND PARCEL # �- OWNER' s NAME David Anthony PART D - CERTIFICATION NAME OF INSPECTOR _ Joseph P.Macomber Jr . . COMPANY NAME J. P.Macomber & 3'6ri Inc . COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or City state LIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX (508 ) 790- 1578 R CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate, and omplete as of the time of -inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one: ZS Y stem PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con acted has found that the system fails to protect the public Health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . j Inspector Signature JA' Date ^� copy of this c rtification must be provided to the OWNER, the BUYERDn6 where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED, the owner or""o orator shall u d within one year of the date of the inspection, unless allowed ortrequiredhe m otherwise as provided in 3.10 CMR 16 . 305 . ' partd.doc zo o No... _`7� Fims... ....30.00 THE COMMONWEALTH OF MASSACHUSETTS APPROVED BOARD OF HEALTH Barnstable Conservation Department TOWN OF BARNSTABLE�Z' - _ 3 .16, 9-7 Appliration for Diripwial Wi or1w TiltuitrurfiWeprrmit Date Application is hereby made for a Permit to Construct ( ) or Repair 4X4 an Individual Sewage Disposal System at: ST E Bacon -i-to-e Centerville ------------------•.---- -•--•------•••---•----•-•-----••--------------....--•------...--•-------•----•-•----.....--------• Anthony Location-Address or Lot No. ......................_.......................................................................... ................................................•................................................. o,ener Address W J.P._Macomber Jr. Installer Address CQ UType of Building Size Lot............................Sq. feet t-. Dwelling X No. of Bedrooms----------------2----------------------._Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) aOther fixtures --------------------------------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length________________ Width................ Diameter_------------- Depth.............. x Disposal Trench— No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------._---------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed b ............................... Date....................................... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GT4 Test Pit No. 2................minutes per inch Depth of Test Pit-_._------.___-_--_- Depth to ground water........................ Od ----•----•-•--------------------------------------------------------------------------------------------•-•---••------•----•-•--------..............--.--••- 0 D c ' 'o of -----------------------•------------------------------------•------------------••-------.------•---------------- U -----------------------------------------------•-----------•-- ----•---•---•------•-----------------•-----------------------------------•---------------------------•----------------.......-----....... W V Nt re o RlWr Alterations,—Answer p licable_1-1000 c alloja..._tank.,_l_-distrilutinn as �on g piA - p st8ne.Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has 7bri issue4t�e and of health.Signed . 3/25/93.................................... .............��_---.--------------Application Approved By .. Dare Application Disapproved for the following reasons: ... --------------------...----------.......-......-------------------------- .................................. ....... ............................... ........ ..... . ....... .....--................. . ............. .............-- . --- ................................ Permit No. ...a ...��....�. �-.�----------..._ Issued ..........;%..` ... .o....'�. Dam 2- 0 0-3 F THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH TOWN OF BARNSTABLE 'T ` Apphration for Diripagal Wi orkii C owitru"i. -i-amit Application is hereby made for a Permit to Construct ( ) or Rcpair �(X)� an Individual Sewage Disposal System at: 'IT 56 Bacon Lane Centerville Anthony Location-Address or Lot No. ......................-.......................................................................... -•--•--•---••----•---•••••------------.....-••---------.......-----••------•-••----.........•-•--- W J.P.Macomber Jr.O"ncr Address Installer Address Type of Building Size Lot............................Sq. feet a Dwelling X No. of Bedrooms................P...._..........._._.j n---Expansion Attic ( ) 1- Garbage Grinder ( ) pi Other—Type of Building ---------------------------- No. of persons.__----__--__.._---_4-.--_ Showers ( ) — Cafeteria ( ) 04 Other fixtures -------••--• -------------•------------•---...--•-••----------•---------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width---------------- Diameter.- _--_....... Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------. -_--.-.- Diameter.................... Depth below inlet..................:. Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) 1-'' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... fzq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -------•..........................•-•-•---------------••------••--•-•-•......---•-------..................................................................... D t'ona�De Aii of oil__ aa� U --...•---•--•--•-•-•----•••-•••••-••••--------•--•--•--••-••••-••---•-•---•-•............•----- w U Nature o££Re a' or Alt ations—Anse er when applicab e._1- OQC_ 1S? l.-. box,l Tdbb rra.L�on leaching pit paced in stone. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ..-/ ,��, /.`"."'..*4�. - 3/25/93 . . ... ....................................... ......... ............................ Date ApplicationApproved By - ==-------G............. `'I' ......... ... .`..��.9.....:. _. .... ..--------�----............ ...................................... Daze li Application Disapproved for the following reasons: ....................................................................................................................................... .... ..................... . ...... ............................................................. . . .................................................. ........................................ e Permit No. ....... ........./ --------------------------- Issued ------- ''.,iW07 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 'ClPrtif rate of CZontyliance THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) J.P.Maco ber Yr. by -----------------------...........�._................... ... .......... ....... _....- - _............ - - 1-tall, at ------%...Bacon...Lane....Cen.te.rvil.le --------- ---------------------------- -- ............................. .. . ......................... .. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. l�, .e.. ff �l� dated ... ''"..1� � 57 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............1`.1.I...`�...��............... Inspector _.............�� ..-- ----- ....--------- ...--- ------ ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / ✓� /, TOWN OF BARNSTABLE lhiyviitt1 Workii Tomitrurtion rrbtit Permission is hereby granted J.P.Macomber Jr.---------- -------------------••-- to Construct ( ) or RepairXXX) an Individual Sewage Disposal System atNo.. Bacon Lane---Ce2ter`rz_7.je ................... ---------------------------------------------- .................................... Street/ as shown on the application for Disposal Works Construction Permit;N �-_�_--- Dated......__ '.. _..- p. 1 Board oHcalth r DATE .`J-- •---•--rf.. � --- --•--- ................ i FORM 36508 HOBBS&WARREN.INC..PUBLISHERS �K LEGEND N EXISTING CONTOUR EXISTING.LEACH_PITY x 100.98 EXISTING SPOT GRADE 1 j` W EXISTING WATER SERVICE Bumps River Rd EXISTING SEPTIC TANK G EXISTING GAS SERVICE d P'4 TOP OF TANK, EL.=40.08t OVERHEAD WIRES `�� i INV.=38.75f > F� TEST PIT a o — - — N 82'30' BENCHMARK oo�� W /3 TOP OF CONC. BOUND Church Rd 1�4-g I -- _--- EL.=39.11 Bacon Lane Hill Rd M BL 207-0 9 /- 38 — _' 3 — BREAKOUT 3� LOCUS "' --- — 39'79 LOCUS MAP �S• r- W --38— — -- _ ___ SHED +2 3 f /o x 41. 1,64 73 TP-2 {~ 40.06 NOT TO SCALE 39 7 - 2 ';P o 2S,`---._I' GENERAL NOTES: 75 x ? J��$*•"141,40 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. N 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS `mil :.,.• J ::' ~10 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 43,77 4 .25 42.61 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: r x• 43.47— �_� ^4 x 43.78 42.91 x GARDEN -310 CMR 15.405(1)(b): x 1) A 3' variance to max. cover for up to 6' of cover. ��- 43,46IRE PIT 2) A 2' variance, SAS to slob(cellar floor), for an 8' setbabk.. x 43,$(L — -4�4- Cellar floor is above EL.=38.0. EXISTING _ W 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ,HOUSE(#56) ^ - TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 0p DESIGN ENGINEER. T.O.F.=46.5f(back) a 44.90 00 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING --Ax rn 0 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 47.15 / 46,36 P) ENGINEER BEFORE CONSTRUCTION CONTINUES. �46— Z 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 46,08 R� 9'21' O 3 46.95 46, 5 Z 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 7S2 3D, Z 46.53 +46,54 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF A HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 91 W 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 4'' Q 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 46.43 x 13 "<' .1.' 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 7,59 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 46,89 N 122 41 x 47,5 ; x 47.31 47.77 DIRECTED BY THE APPROVING AUTHORITIES. ,8"1'2'40" w 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 47.00 46.93 edge of pove DRIVEWAY THE LOCATION N OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING menf REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS = 47,51 _ IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND p47,80 07 CON j REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). .( 1/ g 47,62 e .; '.� 47.86 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE LAN e — _ INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. .�j t 48,06 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A-PROPERTY LINE SURVEY. 4 4 sj,9 00.00 I 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC �P Cy o PETER T. Gam, SYSTEM COMPONENTS NOT SHOWN ON THE PLAN McENTEE PROPOSED SEPTIC SYSTEM UPGRADE PLAN CIVIL CENTERVILLE, MA Na. 351os 56 BACON LANE, /SZ �``� �`� '�_ Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632 ��FFSS/ONAL OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. ANTHONY, DAVID W & ELAINE M Engineering Works, Inc. 1"=20' P.T.M. 166-15 : 56 BACON LANE 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. +. CENTERVILLE, MA 02632 (508) 477-5313 7/18/15 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=37.6 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D—BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. �'— �5' OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE � INSTALL RISER & COVER iOVER EACH CHAMBER AND 6� � PROP, '�` •••. T.O.F.=46.5t(BACK) SET TO 3" OF F.G. TO--SERVE AS INSPECTION PORT ,�A,$ F.G. EL.=43.8t F.G. EL.=42.6t f F.G. EL.=42.Ot F.G. EL.=42.Of — 1 gg'6 'CC) / VENT MAINTAIN 2% SLOPE OVER S.A.S. 33. .►,. ' L = 36' L = s' ® S=1% (MIN.) ® S=1% (MIN.) 2" LAYER OF 1/8" TO 1/2" N , 4"SCH40 PVC 4"SCH40 PVC In DOUBLE WASHED STONE �21 s" „ 10 14,. e" ®eases® (OR APPROVED FILTER FABRIC) EXISTING 9aaaaN HOUSE(#56) EXISTING eases®;48" LIQUID —3/4"WASHED 2" DOUBLE LEVEL jQ F.=46.5t back ADD INV.=37.37 PROPOSED 4' 5.2' 4 G _ INV.=37.20 AS BAFFLE iNV.=38.75t D BOX EFFECTIVE WIDTH - 12.8' (VERIFY) 3 OUTLETS INV.=37.10 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED TOP CONC. ELEV.=38.2f BREAKOUT ELEv.=37.60 SEPTIC LAYOUT NOTES: INV. ELEV.=37.10 �Baaa®a®a®® 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & BOTTOM ELEV.=35.10 aaaaaaaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION, L:� 2 x 8.5' = 17.0' 4' 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 5' (MIN.) ABOVE G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=30.1 4 LEACHING SYSTEM SECTION OE3 ®®® ® ®®� 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE F- ®®®®® ® ®®®E3 37" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. w�" z �®®®E3 E3 E3 SEPTIC SYSTEM PROFILE � - 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT DATE: JUNE 29, 2015 (REF#14,737)' 20" DIA. COVER NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER McENTEE PE(SE#1542) f SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DAVID STANTON R.S. HEALTH AGENT 4" KNOCKOUT 4" KNOCKOUT 58" ELEV. TP- 1 DEPTH ELEy. TP-2 DEPTH DESIGN PERCOLATION RATE: <2 MIN/IN 42.0 q 0" 41.6 q 0" 0 DAILY FLOW: 330 GPD SANDY LOAM k SANDY LOAM 10YR 4/2 10YR 4/2 4" KNOCKOUT DESIGN FLOW: 330 GPD 41.3 B g" 40.9 B g" GARBAGE GRINDER: NO—not allowed with design SANDY LOAM I SANDY LOAM LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 39.3 10YR 5/6 32„ 39,1 10YR 5/6 30 500 GALLON CAPACITY, H-20 LOADING EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 32"/50" i N.T.S. PROPOSED D—BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES M-C SAND M-C SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN 2.5Y 6/6 2.5Y 6/6 56 BACON LANE, CENTERVILLE, MA SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. 30.5 138' -30.1 Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:. 471.2 S.F. I t38' Engineering Works Inc. ........................................................... N.T.S. P.T.M. 166-15 PERC RATE <2 MIN/IN`. "C" HORIZON ' —' DESIGN FLOW PROVIDED: 0.74 GPD SF 471.2 SF = 348.7 GPD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. / ( ) NO GROUNDWATER !ENCOUNTERED (508) 477-5313 7/18/15 P.T.M. 2 Of 2 ,