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HomeMy WebLinkAbout0085 BIRCHILL ROAD - Health 85 BIRCHILL ROAD Centerville A= 189-064 I i II, /// S MEAD* KEEPING YOU ORGANIZED No. 12&M 2-1531.OR P094mSUIIER® woEaus� GETORGANMATO ADM c� Commonwealth of Massachusetts' Title 5/ Official Inspection Form 1 Subsurface Sewage Disposal System Form --Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street, Centerville ✓ MA 02632 March 9, 2021 ' 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. Please see completeness checklist at the end of the form. Important:When A. Inspector Information v� l Saar(filling out forms on the computer, use only the tab Troy Williams key to move your Name of Inspector cursor-do not Troy Williams Septic Inspections use the return Company Name key. 19 Hummel Drive ,Q Company Address South Dennis MA 02660 City/Town State Zip Code (508) 385 - 1300 S1682 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further-Evaluation by the Local Approving Authority 4. ❑ Fails March 9, 2021 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 R Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is 64 Childs Street, Centerville MA �02632 March 9, 2021 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4"and 6. 1) System.Passes: ® l 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: System meets minimum standards set by Massachusetts DEP at the time of inspection only.This inspection is not a guarantee or warranty on the future working conditions of leaching, pipes, components or the future structural-integrity of said components and only represents conditions found at the time of inspection only. 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 J r Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is 64 Childs Street, Centerville MA 02632 March 9, 2021 required for every page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.), 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): r ❑ broken pipe(s) are replaced ❑ Y '❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑"Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed. ❑ Y ❑ N ❑ ND (Explain below): i 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is 64 Childs Street, Centerville MA 02632 March 9, 2021 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: - ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal h presence of ammonia nitrogen and nitrate nitro coliform bacteria indicates absent and the en is equal p 9 9 to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 r Commonwealth of Massachusetts Title 5 Official Inspection form ^ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189- P -64 Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street, Centerville MA 02632 March 9, 2021 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid'level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is 64 Childs Street, Centerville MA 02632 March 9, 2021 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? 4 ® ❑ 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. ® El approximation in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 • q Commonwealth of Massachusetts ,,,;4 Title 5 Official Inspection Form I s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189• P -64 ,V Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street, Centerville MA 02632 March 9, 2021 page.. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: N/A Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage 20=58,000 gals. 9 ( Y 9 (gpd)): 19=62,000 gals. Detail: Sump pump? ❑ Yes ® No Last date of occupancy: October 2020 Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form �0 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street, Centerville MA 02632 March 9, 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.)' 2. Commercial/Industrial Flow Conditions: N/A Type of Establishment: Design flow (based on 310 CMR 15.203): N/A Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: N/A Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No N/A Water meter readings, if available: N/A Last date of occupancy/use: Date Other(describe below): N/A 3. Pumping Records: Source of information: No pumping info available. Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: G t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form .I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street, Centerville MA 02632 March 9, 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: Tank, d-box and leaching were installed on 4/19/19 per compliance. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 18"feet Material of construction: C ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Lines were found clear at the time of inspection. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments e;u 85 Birchill Road, Centerville M - 189 P-64 Property Address Jacqueline Dager Owner Owner's Name information is 64 Childs Street, Centerville MA 02632 March 9, 2021 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 1' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No 6'X10.5'X6' 1500 gallon Dimensions: 0" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 3' none Scum thickness Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? probe/measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pvc inlet and outlet tees were found present and in working order. No evidence of leakage or damage was found. Tank was not in need of pumping at this time. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 c . � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 `J Property Address Jacqueline Dager Owner Owner's Name information is 64 Childs Street, Centerville MA 02632 March 9, 2021 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: N/Afeet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle N/A Distance from bottom of scum to bottom of outlet tee or baffle N/A Date of last pumping: N/A 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.): N/A 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: N/A Capacity: N/A gallons Design Flow: N/A gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 c Commonwealth of Massachusetts 91.2 _ Title 5 Official Inspection Form 1e Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 0 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street, Centerville MA 02632 March 9, 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: N/A . Alarm in working order: ❑ Yes ❑ No Date of last pumping: N/ADate Comments (condition of alarm and float switches, etc.): N/A *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert level 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 was found level and in working order. No evidence of solid carry-over or backup in the past was found at the time of inspection. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 c � Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments F 85 Birchill Road, Centerville M - 189 P -64 V Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street, Centerville MA 02632 March 9 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* r Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): N/A If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type. ` ❑ leaching pits number: ® leaching chambers number: 2 -500 gallonwith 4' stone ❑ leaching galleries number: 25'X 12.8'X 2' ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18— Commonwealth of Massachusetts Title 5 Official, Inspection Form Ia Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager " Owner Owner's Name information is 64 Childs Street, Centerville MA 02632 March 9, 2021 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.), Soil was sandy.'Chambers were dry and clean at the time of inspection. Checked stone and found dry and clean. No evidence of hydraulic failure or problems in the past were found at the time of inspection. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): N/A Number and configuration N/A Depth top of liquid to inlet invert Depth of solids layer - N/A N/A Depth of scum layer N/A Dimensions of cesspool N/A 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.): N/A t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 14 of 18 r - - Commonwealth of,Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments u� 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name — information is required for every 64 Childs Street, Centerville MA 02632 March 9, 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: N/A — Dimensions N/A Depth of solids N/A Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A 4 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts, , Title 5 Official Inspection Form �10 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P-64 Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street Centerville _ MA 02632 March 9 2021 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one.of the boxes below: _ ® hand-sketch in the area below ❑ drawing attached separately - � a 3 - Q 0 - e -r 2 . ,., , a z a� .s`► 3 = 1 7, H 5 t5insp.doc•rev.7/26/2018 F Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I o Subsurface Sewage Disposal System Form -Not for Voluntary Assessment's 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's Name information is required for every 64 Childs Street, Centerville MA 02632 March 9, 2021 page. Citylrown , State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ❑ Surface water f ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 15.0'+ . 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: 2019 ' 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: MIW 29 Zone D 8.5' 4.7' adjustment You must describe how you established the high ground water elevation: Test hole recorded on plan showed no water found at 10.0'. Groundwater adjustment at the time of inspection was 147. Bottom of leaching at 4.0'was found not to be located in the high groundwater . elevation at the time of inspection. System installed to plan. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts r p Title 5 Official Inspection Form .iI Subsurface Sewage Disposal System Form,- Not for Voluntary Assessments 85 Birchill Road, Centerville M - 189 P -64 Property Address Jacqueline Dager Owner Owner's.Name information is 64 Childs Street, Centerville MA 02632 March 9, 2021 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed , ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 r No. � Fee 166 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for Disposal *pstrm (Construction Permit Application for a Permit to Construct.( ) Repair(�pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address%Lot No. 9T gc tc�►1�� , Owner's Name,Address,and Tel.No. Ge ,1-eri; le Atw c�tar Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. A-t3 r©�,O:j—,.. Type of Building: Dwelling No.of Bedrooms "3 Lot Size %9,4100 sq.ft. Garbage Grinder( ) Other Type of Building /YS/U nJ%-(01 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 Q gpd Design flow provided 3 y$,'7 gpd Plan Date Sj W_l S Number of sheets Revision Date Title �" \- Size of Septic Tank i 5_00 \ — 1O Type of S.A.S. if-2 0 'TOO !ap) C kyV Gf_Y Description of Soil Nature of Repairs or Alterations(Answer when applicable) YG 1' G Al tc�1 i 0 l Teo Gro llAto �-o✓J C,.J 2 :�M® 1,C kt oe%s ti- 7-ra C XA C.nn\WX?n 1AJ t�, H ' 5 F0 nj Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 1.,2—} r— f/ Application Approved by Date Application Disapproved by Date for the following reasons Permit No. . 1 7 Date Issued - - --------------- -------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipphration for Disposal *pstetn Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. gS rc�1'��) R Owner's Name,Address,and Tel.No. �twc ,rcC Assessor's Map/Parcel ` Installer's`Name,,Address,and Tel.No. 4 Designer's Name,Address,and Tel. Tel.No. C�5\C.% A, iV(C�v3,,J 1_)c_ 150j-Y 20-Ys V fcJ tip /�N O /� Type of Building: Dwelling No.of Bedrooms Lot Size //,062 ___sq.ft. Garbage Grinder( ) Other Type of Building /Y 9 f d FN 4-t r ) No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) :1 : gpd Design flow provided 3 gpd Plan Date - Cl-1 Number of sheets Revision Date Title 14 Size of Septic Tank 15700 �A - \0 Type of S.A.S. C) 15(-)p CJ C �r.M�h�% Description of Soil Nature of Repairs or Alterations(Answer when applicable) -7_) r. 1� aew r 0 1 SC)o :1.0„) won C,C.t 1 ,.� - Z G) r 14 Cdkn N 'n bra t 14 y t 4 n ,.►t� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed � Date /2 - 3� Application Approved by �1-7-' p 1 _ Date 12 Application Disapproved by V Date for the following reasons Permit No." dol�� �� Date Issued --------------------------- ----------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS . BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by j at At, has been constructed in accordance v with the provisions of Title 5 and the for Disposal System Construction Permit No.c'7616 r 5-ly dated l; Installer'[�J,,1rr, A �i � � � Designer #bedrooms -_+, Approved design flow gpd The issuance of this permit shall not a consyued as a guarantee that the syste w�ftmc �esiged. Date .,�._..-��®;,. -- ��� ! Ca Inspector ------------------------------------------_----------------------------------------------------------------------------_-------- - -- y No, 1' O - --- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair(,Ifl� Upgrade( ) Abandon( ) System located at _�,���,�1 ;? �NN1�dIJ,�I 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 leted within three years of the date of this permit. Date - U Approved b —T Pp Y 1 Town of:Barnstable P# Department of Regulatory Services. titttrtsrwsrE, Public Health Division Date _ 0 8 � q, MABS 1 `t)A i639. ��� 200 Main Street,Hyannis MA 02601 h"wy rFn►,a+" Ra / �:_ ` h 3: Date Scheduled T� Time Fee Pd. 1*�d � �.> 1 C* n�/ Soil :Suitability assessment for Se Disposal Performed By: Pet` V•`,C a ,o 5 E 7, Witnessed By: LOCATION& GENERAL INFORMATION Location Address$/ /e Owner's Name ]�, �W� Address Or Assessor's Map/Parcel t�`� - DG� Engineer's Name.�H°f\ Wmk5 c t INEWCONSTRUCTION REPAIR Telephone#'` �Z��1'- Land Use �Zes''rlt rtf,a i Slopes(%) z-7 Surface Stones',v0 rVe- Distances from: Open Water Body 7 , ft Possible Wet Area.eft ,Drinking Water Well 1 _ ft Drainage Way ft Property.Line ft Other ff SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate,wetlands fn proximity to holes) <z-4,1-1 1 L L a A J (Z-v— k Parent material(geologic) ✓�� Depth to Bedrock Depth to Groundwater. Standing Water in Hole: /jdll- Weeping from Pit Flice Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER'TABLE Method Used: . to Depth Observed standing in obs.hole: __ ___ in, Depth td sal)mottles: in. Depth to weeping fmm side,of obs.hole: in, Groundwater Adjustment - t. Index Well# Reading'Date: Index Well level, m Adi.factor.,..,...., Adj.Groundwater PERCOLATION TEST Date- Tittle Observation Hole# L!•e .-O Time at V Ae Depth of Perc l F Time at 6" n p Gs' N` � Start Pre-soak Time @ cJq M�'" Time(9"-6") End Pre-soak 5,- v-e 4-A4 lyS('r � � I RateMindhich, Site Suitability Assessment: Site Passed ��. Site Failed: Additional Testing Needed(YIN) 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. QA1S EPTICiPERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# 1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) (Mansell) Mottling '(Structure;Stones;Boulders,. on i ten ravel 27 L t, A Loco r rz At 6—TZ Jl/�l DEEP OBSERVATION HOLE LOG Hole# Depth frorn Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,.Boulders. Consistency.% ravel L� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil.Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C6sistericy.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,. onsi ten ra Flood Insurance Rate Man: Above:5(10 year flood boundary No Yes _ Within 5.00 year boundary No � Yes Within 100 year.flood boundary No--!K, Yes, Depth of Naturally Occ urrint=_Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system If not,what is the depth of naturally occurring pervious material? Certification . I certify that on It (C44 (date) ep I hav assed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required tra " g,expertise and experience described in 10 CMR 15.017. 1 � Signature Date'', Q:\S,EPTIC�PERCFORM.DOC r COASTAL engineering co. July 20, 2018 Peter McEntee Engineering Works, Inc. 12 W. Crossfield Rd Forestdale, MA 02644 RE:Grain Size Analysis—Sieve Test(Alternative to Perc Test) SS Birchill Road,Centerville,MA Dear Peter, F Below are the results of the particle size analysis from the sample submitted for the above referenced property.The analysis was performed in accordance with the.procedures outlined in ASTM D6913:Standard Test Methods for Particle-Size Distribution(Gradation)of Soils Using Sieve Analysis. Sand Silt Clay Portion Passing#10 97.9% 1.4% 0.7% Sieve USDA Soil Textural Classification: Sand MA 310 CMR 25.243 Soil Classification CLASS I Based upon the DEP's Title S.Alternative to Percolation Testing Policy forSystem Upgrades, the following effluent loading rates-apply: Uncompacted Soil: 0.74 gpd/sf Compacted Soil: 0:15 gpd/sf Should you require additional information or need further testing services, please do not hesitate to contact our office. Sincerely, Chris McEntee, EIT Orleans,I Sandwich I Nantucket _; y. .e ; x, CLIENT: Peter McEntee SAMPLE NUMBER: 1 DATE: 7/20/2018 PROJECT NUMBER: N/A TIME: 8:30 AM MUNSELL COLOR: 10YR 4/4 DRY WEIGHT OF SAMPLE (grams): 199.5 SOURCE OF SAMPLE: Test Pit SAMPLED ANALYSIS PAN WEIGHT(grams): 170.0 BY: PTM BY:. CPM Cumulative Cumulative Project Sieve Openings U.S. Weight Weight Percent percent. Percent Manual Sieve Retained Retained Retained Retained Passing Specifications Inches Millimeters Mesh (grams) (grams) ASTM D6913 2.52 64.000 0.0 0.0 0.00 0.00 100.00 0.19 4.750 4 24.6 24.6 12.33 12.33 87.67 0.08 2.000 10 18.0 42.6 9.02 21.35 78;65 0.02 0.425 40 87.3 129.9 43.76 65.11 34.89 0.00 0.075 200 65.4 195.3 32.78 97.89 2.11 0.00 0.000 Pan 3.3 198.6 1.65 99.55 0.00 Passed Mesh Sieve TOTAL 198.6 100It { 90 E 80 70 --0 Sample...1 60 64mm 'i SO #4 .' f I # i t c 40 i { I y} f yyt f j 4 _ T#10 .§ 30 � a ! + # i � l } ## 1 # t ` 1 Ifl , s -#40 LA 20 .10 t ' ' a # 0 �- 100.00 10.00 1.00 0.10 0.01 Particle Diameter(mm) CBS GRAVEL SAND SILT OR CLAY CRS MEDIUM FINE .- �. . i. Orleans I Sandwich I Nantucket �: E 'own of Barnstable �Elt1E Pp� _ 'yT Regulatory St';i'vice's uaKvsrast E,`: Richard V.:Scali, In tcrini Directpr \� Public Health Division �O\i63 9• �8 ArFD�g0.�ri' Thom Itil'cKean, Director 200 fain Street,Hyannis,MA 02601 0 cc: 508-562-4649 Fax: 508-1W61104 Installer.& Desikner Certification l orm Date: . ,ZZIV1 SewagrePermit# o2�j Assessor's;Map\Patcel C. .Designer* nJ� t�jctyi,cs ln..e' Installer: _ tc51.� lcrtiC— Address: j Z 'W, Cis I'd P :add ess: `( � C —���r r j7dCLG Ly Cyr.UW-j Ilk U 3. of P� �2z�cs� C: a, issued a pettnit to instal;t a (date) (in.staTier-) s,eptic system at 0 a E`�"1 l� �� �'Gi� e hasccl on a desiil dt a«In by (address) I=rt i�l L3c'ri✓ly .t1Jcs. 'b—Y I chafed oj (designer) -. T certil�, that the septic system referenced above:was installed substantially aecordii g to the design, which may include rninor approved changes.such as lateral relocation of the. distribution box and/or septic tank. Strip out (if required) was Insp.ected and the snits were found satisfactory, I certify that the septic system referenced above was installed with major changes (i.C. greaterahan 10' lateral relocation of the SAS or any verticcal relocation of any component[: of the septic system) but in accordance with state & Local Reputations. Plain revision Ur' certified as-btailt by designer to folTo,v. Strip Out(if required) was inspected and the soils were found satisfactory. t certify that the system referenced above was constructed III_' with the tenris of the.T;A approval letters(if.pplicable) F c� PE MaEjN�Eg r� u (InS1a1 er's Signature) CtWt �'F4t5SERc�' Ygnrs Simature;' ) (Affix Designe PLEASE RETURN TO BARNSTABLE.PUBLiC HEALTH DIVISION. CERTIFICATE, OF COMPLIANCE WILL NOT BE .ISSUED UNTIL BOT14 THIS ;FORM AND..AS- BUILT CART) ARE RECE:I.V MUM Y.Tt1t IJAK-Nb FABLE PUBLIC HEALTH DIVISION. THANK You. Se}eict r incr Certificatian Ferri Rev 3•r}-0.doc Engineers note This certi;ication is limited to an as bv.lt inseectidn of silszc n components as installed prior to oackii'i.The engineer did not super'se construction of ice system The in,taller assurnes respo nsia6ty Tar ail rnatensls,workrransnip,backfMing to specified grades with proper ccrrpactio,n.:d*etting risers covers as sho n on the design plan. TOWN OF BARNSTABLE LOCATION T211A`j� RI ) SEWAGE# 90t8- 7� VILLAGE C-' J�e(O t\t ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO D A ►6C0,0 N x �sM-0041ULIJ SEPTIC TANK CAPACITY ► S \n- 1 O LEACHING FACILITY:(type) �,� 1 a.0 (size) J 2.gj)(2 S X 2 NO.OF BEDROOMS rS OWNER Atx C PERMIT DATE: 2 r 3-I COMPLIANCE DATE: Separation Distance Between the: /VOi✓e P�CC�/� '�� Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Q�- PP(C 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 c (nWA L d J U C� ate, —99——EXISTING CONTOUR Powderho,, Wo boa N x 100.98 EXISTING SPOT GRADE y IN EXISTING WATER SERVICE c?`� G EXISTING GAS SERVICE Stone Dee wood H.W.—OVERHEAD WIRES cir 3 TEST PIT d' e.ron.I � BENCHMARK LEGEND LOCUS Route 28 LOCUS MAP NOT TO SCALE M ILL ROAD a CH 1 96.42 97.61E31 . 99.13 95.07 / 69' m 2S SO.. Iti 93.74 02 Y� x 98,7 �9.39 8/99.23 1 CB 0 9,56 t<<1 / t 100.16 91.89 /jo//j// / 98.84/P x 100.45 D C� 99.70 99.9 00.09 99.82 x 100.29 89.15/ /l00 35 /x 99.06 PORCH GARAGE 95,27\ \ \ + 100.12 INSTAA�L EXISTING CLEAMpUT zm HOUSE (#85) SEWER 'G 0 (j) T.O.F.=100.471 INV•' 2 • m SUN / ROOM 9.87 �" / // N (SONOTUBE 99. 4 / / 8.91 BH ^N 9,13 ��."': ., VENT DISCUSS PLACEMENT ��� _' / • � ' ,' O WITH HOMEOWNER :: PS .59 86 O V 4v EXISTING CESSPOOLS \\ • O \ TP-1 PROP. -fix 97.66 • �� (APPROXIMATE) / SEPTIC N CONTRACTOER SHALL LOCATE, PUMP, TANK N FILL WITH SAND & ABANDON S -9� -� �&P-2 �7 9 -3- _ ' �s���, • BM • • roil fence \ STRIPOUT BOUNDARY gyp.. 96,79—� split SEE NOTE 11—SHEET 2 F / x 95.61 BENCHMARK _ — NAIL SET /STUMP EL.=96.70 - LOT 17 19,400±SF OF Mgss9� o� PETER T. yG� PARCEL ID: 189-064 MCENTEE CIVIL N PROPOSED SEPTIC SYSTEM UPGRADE PLAN No. 35109 ,S1 85 BIRCHILL ROAD, CENTERVILLE, MA Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 OWNER OF RECORD Engineering by: SCALE ORAWN JOB. NO. 6 ATWATER, SYBIL D Engineering Works, Inc. 1"=20' P.T.M. 189-18 85 BIRCHILL ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 1 8/20/18 1 P.T.M. 1 Of 2 r 6 r NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=94.00 INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F=100.7t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=100.1 t F.G. EL.=99.8t F.G. EL.=99.4t F.G. EL.=99.3t VENT MAINTAIN 2% SLOPE OVER S.A.S. L = 64' T LONGEST 3(max.) L = 13' ® S=1% (MIN.) ® S=1% (MIN.) ® L= 5,MIN.) 4"SCH40 PVC 4"SCH40 PVC ( 2" LAYER OF 1 8" TO 1 2" 6. 4'SCH40 PVC / DOUBLE WASHED STONE to"I 6 a;4W ® (OR APPROVED FILTER FABRIC) 14"INV.=96.25 48" UQUID ss �-3/4- TO 1-1/2' DOUBLE LEVELWASHED STONE ADD INV.=95.07 PROPOSED 4 4'GAS aAFFLED BOX INV.=94.90 ECTIV = 12.8' INV.=96.00 3 OUTLETS INV.=93.50 PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN CONNECT TO EXISTING SUITABLE SEWER PIPE/S AT HOUSE, AT OR ABOVE, INV.=97.25t verif H-20 RATED 3" LAYER OF 1/8" TO 1/2° DOUBLE WASHED STONE TOP CONC. ELEV.=94.6t (OR APPROVED FILTER FABRIC) NOTES: BREAKOUT ELEV.=94.00 INV. ELEV.=93.50 Ma aaaa seas 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & aaaaaaaa1®aaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.=91.50 ow 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 1 2 x 8.5' = 17.0'TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 2!!I\ SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. EFFECTIVE SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=87.3 = 3/4" TO 1-1/2" DOUBLE 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE EST. HIGH GROUNDWATER, EL.=74t WASHED STONE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. I SEPTIC SYSTEM PROFILE GENERAL NOTES: PORCH 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF E STATE ENVIRONMENTALANY APPLICA OCALRULES AND REGULATIONS,OEDXCEPTLASVREQU, ANDES ED BE OW:BLE HOUSE (#SS) GARAGE -310 CMR 15.405(1)(b): T.0.F.=100.47t 1) A 3' variance to the 3' maximum cover requirement, for up to 6' of max. cover. S.A.S. shall be H-20 and vented. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE _ DESIGN-ENGINEER. `- SUN -''35.0' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ROOM 32 O� ENGINEER BEFORE CONSTRUCTION CONTINUES. 2` /N, 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. �j 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF !.4 a'' A THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF IVY HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. T 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS _PROP. S.A.S. AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. r- -25'---^' ' SEPTIC LAYOUT 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. SOIL LOG 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND DATE: JULY 19 2018 R REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). SOIL EVALUATOR: PETER MCENTEE 15,702)1542) 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE WITNESS: UATOR:DONAL DESMARAIS R.S.HEALTH AGENT INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. EL,Ey, TP- I DEPTH EL.Ev. TP-2 DEPTH 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 97.0 0" 96.8 0" FILL FILL 94.7 A A 27" 94.3 30" SANDY LOAM SANDY LOAM I, 94.0 B 10YR 4/2 36„ 93.8 B 10YR 4/2 36" DESIGN CRITERIA SANDY LOAM SANDY LOAM 10YR 5/8 10YR 5/8 NUMBER OF BEDROOMS: 3 BEDROOMS 91.0 C 72" 90.5 C 76" SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN COARSE SAND COARSE SAND DAILY FLOW: 330 GPD 2.5Y 6/4 2.5Y 6/4 DESIGN FLOW: 330 GPD (SAMPLED) GARBAGE GRINDER: NO-not allowed with design 86.5 126" 86.3 126" LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF CLASS I PER SIEVE ANALYSIS .74 GPD/SF PERC RATE <2 MIN/IN. "C" HORIZON PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY NO GROUNDWATER ENCOUNTERED PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 85 BIRCHILL ROAD, CENTERVILLE, MA 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. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 189-18 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 8/20/18 P.T.M. 2 of 2