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HomeMy WebLinkAbout0160 CAP'N CROSBY ROAD - Health 160 CAPT CROSBY RD. CENTERVILLE A = 193214 l/ll'' top— UPC 12534 ' , "o.2-153LO ,NAYTIN08.UN:, No. 200K—_© / c ' Fee / U— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0[ppfication for 30ioponr bpztem Construction Permit Application for a Permit to Construct( . )Repair Upgrade( )Abandon( ) O Complete System >Individual Components Location Address or Lot No. 140 Cfl P^) (ft?.DSBY RC), Owner's Name,Address and Tel.No. Assessor'sMap/Pazcel C Sco �� ���� t �� A�,Tt'Et�� -tom' �q SA M E Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(AA- Other Type of Building /JnrW_ No.of Persons Showers( ✓rCafeteria( rl' Other Fixtures L4�hs A"M P-Y s t ok-1 l spun►Ogy Design Flow_ "O gallons per day. Calculated daily flow 331 r gallons. Plan Date 1 O S Number of sheets I Revision Date Title �ca4�4ec� m�,'C &12rn CPO. Size of Septic Tank c, ,i,c�T. kbCn C3 "�P � Type S.A.S. o'Z- :SI10 �;t ChaAoc� tj Description of Soil `t�Q Jm ►�\c•A-,, UIL4 o ST00JE7 Nature of Repairs or Alterations(Answer when applicable) r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with.the provisi ns of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been ued b this Board lth. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. 2 0o,�_—o Date Issued "3—.$ No: 2 — � / Fee A) 5 D y� " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t� - Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Mood *pgtem Conotruction Permit Application for a Permit to Construct Re ai r )Upgrade Abandon ❑Complete System dividual Components Location Address or Lot No. it,() Cfl PN Ct?pS�3Y iZ j�,; Owner's Name,Address and Tel.No. Assessor's Map/Parcel ' o PA E Installer's Name,Address,and Tel.No. ' Designer's Name,Address and Tel.No. ice- obe�k�j 'p c SAC. S+��Y GNU•.So CS. =JJ C. Cs>t-10 —S 3\ 3G -�g Cab Type of Building: Dwelling No.of Bedrooms Lot Size c;9, , to sq. ft. Garbage Grinder(l�k Other Type of Building /JMW No.of Persons _23 Showers( Cafeteria( ✓)' T Lpwi; acZ`' t�c�rc�t nl S�iJk l �n►taQ Other Fixtures e s Design Flow 3 3 Q gallons per day. Calculated daily flow 3�, • -gallons. ly ~ Plan Date 1 = 5 I O S Number of sheets t Revision Date Title Size of Septic Tank li� C,T. k600 C\a\ 'k-L)k' Type of S.A.S. 3Z - Sao oak C'_hcarn�S Description of Soil @- 40 'ice. eg-, t Nature of Repairs or Alterations(Answer when applicable) = Q1` A-0 13\CQfl. 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 provis ons of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i .ueednnbfynthis Board o&H/ealth. �` Signed Grp{l.�' �� (� Date D Application Approved by /� '��' (FS- Date r°S� Application Disapproved for the following reasons Permit No. 00.S - U�� Date Issued 'Jam-0 S THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance - THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( ) Repaired ( )Upgraded�4/ ) Abandoned( )by aQA I._J�c­ n ri at itoo O 'Cru KWa, UrP-M1 I as been constructed in accordance with the provisifo�ns o. Title 5 and a for Disposal Syste Construction Permit No.2 00 5- (�y�dated _a Installer ,t�J �I�i��a Designer�L. The issuance of this permit s�,all\noc:tybe construed s°a guarantee that the em�211iunl-_tjAas deli ned. Date t_ i r 1 Inspector v No. 2 UU 5 O t o Fee 100 r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS 'Wi5po5al *pztem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade )Abandon( ) System located at /t n -� 1 o . LvShL , u n l 111 l v and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of a ermit/. Date: -3 -U.-5— Approved by� ��f Ul�. V --y -TOWN OF BARNSTABLE t �' LO-CATION, 1420 �N/yi t f A�CCdS SEWAGE # ya VILLAGE Ke ESSOR'S MAP & LOT 1� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1060 � �N LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: _�-U� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist .Within 300 feet of leaching facility) Feet Furnished by fl(0 Town of Barnstable t"E'°"y Regulatory Services Thomas F. Geiler,Director BARNSTABLE, r �0� Public Health Division AlFD 39. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: 9�;Zp' �S Designer: Shay Environmental Services Inc. Installer: a Address: P.O. Box 627 Address: East Falmouth, MA 02536 Ona �� ��_ was issued a permit to install a (date) (installer) septic system at G &>'. ��nSP� , CeC'r�(Ne based on a design drawn by (address) Shay Environmental Services, Inc. dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Scpy�N OF*S. S CARMENLN nstalf' •' 'gnature) o E. 0 SHAY No. '1181 � a cis e l SgNIT Rk (Designer's Signature) 7 (Affix De i tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form _`--� COMMON WEALTH. OF MASSACI.-IUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS_ - DEPARTMENT OF 'NVIRONME PAID PROTECTION ��`I 18 ONE WINTER STREET, BOSTON MA 02108 (617) 292-5500/� C \� q, R111W C:OXE, 350 MAIN STREET „- p � Se retnry ARGEO PAUL CELLUCCI WEST YARMOUTH, MA = _ DAVID B STRUHS Governor 508-775-2800 m ® Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION MAP 193 PAR 214 PROPERTY ADDRESS: 160 CAPTAIN CROSBY ROAD, CENTERVILLE ADDRESS OF OWNER: DATE OF INSPECTION: JULY 20, 2000 ROBERT TOTTEN NAME OF INSPECTOR : JAMES D. SEARS I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 9310 CMR 15.000) COMPANY NAME: A&B Canco MAILING ADDRESS: 350 Main Street,West Yarmouth,MA 02673 TELEPHONE NUMBER: (508)775-2800 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: X PASSES CONDITIONALLY PASSES NEEDS FURTHER EVALUATION BY THE LOCAL APPROVING AUTHORITY FAILS INSPECTORS SIGNATURE: DATE: JULY 20,2000 The system Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 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 of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. NOTES AND COMMENTS: SITE OVER ALL PASSES,INSPECTION OF SYSTEM IS BASED ON CONDITION OF SYSTEM AT THE TIME . OF THE INSPECTION.THERE IS NO GUARANTEE ON THE LIFE OF THE SYSTEM. revised 9/2/98 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIVICATION (continued) Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20,2000 INSPECTION SUMMARY: Check A, B, C, orD: A] SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B SYSTEM CONDITIONALLY PASSES: N/A 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 is failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming 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 pa pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2/98 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20,2000 C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: N/A 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 IN ACCORDANCE WITH 310 CMR 15.303 (1)(b)THT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE 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 soil absorption system and the SAS is within a Zone 1 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen and is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER revised 9/2/98 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20,2000 D]SYSTEM FAILS: N/A You must indicate either"Yes"or"No" to each of the following: 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 facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an over- loaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than'h 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 Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of 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 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: N/A You must indicate either"Yes"or"No"as 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 public 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 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 mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(2). Please consult the local regional office of the Department for further information. revised 9/2/98 4 • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20,2000 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. 'X None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,including the Soil Absorption System,have been located on the site. X 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 on the site Has been determined based on: X Existing information.Ex. Plan at B.O.H. X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)[I5.302(3)(b)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. revised 9/2/98 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20,2000 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 g.p.d./bedroom for S.A.S. Number of bedrooms(design) 3 Number of bedrooms(actual): 3 Total DESIGN flow Number of current residents: 1 Garbage grinder(yes or no): NO Laundry(separate system) (yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): YES Seasonal use(yes or no) NO Water meter readings,if available(last two(2)year usage(gpd): Sump Pump(yes or no): NO Last date of occupancy: N/A COM M ERCIAUINDUSTRIAL: Type of establishment: Design flow: Gpd(Based on 16.203) Basis of design flow Grease trap present:(yes or no): Industrial Waste Holding Tank present:(yes or no) Non-sanitary waste discharged to the Title 5 system:(yes or no) Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: N/A System pumped as part of inspection:(yes or no) NO If yes,volume pumped: gallons Reason for pumping TYPE OF SYSTEM X 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract. Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed (if known)and source of information: 1980 Sewage odors detected when arriving at the site:(yes or no) NO I revised 9/2/98 6 SUBSURFACE SEWAGE DISPOSA L L SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20,2000 BUILDING SEWER: N/A (Locate on site plan) Depth below grade: Material of construction _ cast iron _ 40 PVC _ other(explain) Distance from private water supply well or suction line Diameter Comments:(condition of joints,venting,evidence of leakage,etc.) SEPTIC TANK: X (Locate on site plan) Depth below grade: 12" Material of construction X concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) If tank is metal,list age Is age confirmed by Certificate of Compliance (Yes/No) Dimensions: 1,000 GALLON PRE CAST Sludge depth: 1" Distance from top of sludge to bottom of outlet tee or baffle: 29" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 11" Distance from bottom of scum to bottom of outlet tee or baffle: 18" How dimensions were determined ASBUILT AND TAPE 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.) MAIN TANK AT WORKING LEVEL,OUTLET BAFFLE.NO SIGNS OF OVER LOADING. GREASE TRAP: N/A (locate on site plan) Depth below grade: Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene _ other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (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.) revised 9/2/98 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20,2000 TIGHT OR HOLDING TANK: N/A (Tank must be pumped prior to,or at time,of inspection) (Locate on site plan) Depth below grade: Material of construction _ concrete _ metal _ Fiberglass _ Polyethylene - other(explain) Dimensions: Capacity: Gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order Yes; No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX: X (locate on site plan) Depth of liquid level above outlet invert: 0 Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc,) D-BOX IS 9"X15",2'BELOW GRADE.ONE LINE IN,ONE LINE OUT. PUMP CHAMBER: N/A (locate on site plan) Pumps in working order:(Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) revised 9/2/98 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20, 2000 SOIL ABSORPTION SYSTEM (SAS): X (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not located, explain: Type: Leaching pits,number: 1 Leaching chambers,number: Leaching galleries,number: Leaching trenches,number,length: Leaching fields,number,dimensions: Overflow cesspool,number, Alternative system: Name of Technology: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) ONE(1)1,000 GALLON PRE CAST PIT. PIT T BELOW GRADE.COVER 10"BELOW GRADE,2'WATER IN PIT.NO HIGH STAIN LINE. CESSPOOLS: N/A (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) Comments:: (note condition of soil,signs of hydraulic failure,,level of ponding,condition of vegetation,etc.) PRIVY: N/A (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) revised 9/2/98 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20, 2000 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100'(locate where public water supply comes into house) 0 A, 13 b i C� i (,w s�� revised 9/2/98 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 160 CAPTAIN CROSBY ROAD, CENTERVILLE Owner: TOTTEN, ROBERT Date of Inspection: JULY 20, 2000 NRCS Report name Soil Type Typical depth to groundwater USGS Date website visited Observation Wells checked Ground water depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to groundwater 24.8 Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site(Abutting property,observation hole,basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators,installers X Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(Must be completed) USGS WELL DATA MARCH 2O00 USGS WELL AIW 247 ZONE B revised 9/2/98 11 No. -1 Fee 11 THE O ONWEALTH OF MASSACHUSETTS �� Entered in computer: � Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS._ Application for �Digogal *pgtem Cougtrucffor-Verut t---- Application for a Permit to Construct( )Repair(_Upgrade( )Abandon( ) ❑Complete System +fIndividual Components Locatio Address or Lot No. Owner's Name,Address and Tel.No. `6 Z���T elf&Q jt- /Z o ('�,�T cRa SBY R f.vr �6 7,�£ti �i °B�.PI h6�,CZ A15' Assessor's Map/Parcel I G d ✓1 Installer's Name,Address,and Tell.No. Designer's Name,Address and Tel.No. Sod ��S �Poa Type of Building: Dwelling. No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /f3 Q x 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 Certifi- cate of Compliance has been issued by this Board of Heal Signed 6 Date 7 Application Approved by Date r) Application Disapproved for the following reasons Permit No. Date Issued ----- ------_------- —— -- -- =---------- TOWN OF BARNSTABLE LOCATION SEWAGE # D ^ ! VILLAGE ASSESSOR'S MAP & LOT I. C�'� INSTALLER'S NAME & PHONE'NO. A & B CANCO 775-6264 - 1 SEPTIC TANK CAPACITY t/L✓j £ i LEACHING FACILITYAtype) (size) i NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER j BUILDER OR OWNER 10 A-�' ' DATE PERMIT ISSUED: I DATE COMPLIANCE ISSUED: f VARIANCE GRANTED: Yes No { o "} i / IT No. - Fee � L/ 4��YTHE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS , Tipprication for Migpogaf *pztem Construction Vermit;- ' Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System V Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. e� oarce i �3" c�aSAY Pt'ver /6a f4d, f'�Pa�� Ass s r a -7e®777 v ° g e Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. (0.4NC0 me;Iv s Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) .fJ t 1/ /1�� r 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 Certifi- cate of Compliance has been issued by this Board of Health. Signed Date Application Approved by- / ,Date O Application Disapproved fo t f owing reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS A Certificate of Compliance --- THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (X)Upgraded( ) Abandoned( )by .fa _� e� asp, �, ,�� at 02 4 k has been constructed in accordance with the provisions of Tie and the for isposa Sys em Construction ermit No. ated Installer Designer vt"' 76e1 The issu of s permit shall no a cons ued as a guarantee that the sy t m ill function as--Vr ,9V de igne ��1 ° Date Inspector �Ol U i �Y --------------------------- ------ No. Feed THE COMMONWEALTH OF MASSACHUSETTS U PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwigoal &p.5tem Construction Permit Permission is hereby granted to Construct( )Re=4�� Upgrade( )Abandon( ) System located at t ., nor- /.�'1 c 4f I- �� and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Cons tru tion m t be completed within three years of the date of thi e t. Date: y Approved by TOWN OF BARNSTABLE LOCATION l e o oxor o ros aj - X' SEWAGE # 00 C L VILAGE £ � f ASSESSORS MAP & LOT �J INSTALLER'S NAME & PHONE NO. A & B CANCO 775-6264 SEPTIC TANK CAPACITY £i°C/�C £ ,Ef3 - . LEACHING FACILITYAtype) (sue) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 7-0 71 � 'DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: 7 _f VARIANCE GRANTED: Yes No �3d 1 o a y' I No...._......� 1.. Fms..... .� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � ( Town - Barnstable O F.....:.................................... pfiration for Dt_qpnsal Works Tongtrurttnn thrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: Lot # 67 Captain Crosby Road Centerville, MA 02632 ........- _...._.__......• .........-.y--------•............................•--- -----------..-----------.................................................... Location Address or Lot No. Suffolk Real Trust P o Box 308 Centerville MA .... __................ - ....... •-••---• ---•----.......... ......-•------...� .. Owner Address ......Kevin...H ckey_---.•••--•---_ 72__Carriage _Lane Barnstable ....................•-•-......-•-•--•.... ---------------------- Installer - ..... -q: Address Type of Building Size Lot.-22 32.6.._......S feet U three Dwelling—No. of Bedrooms............................................Expansion Attic (Io) Garbage Grinder (10) per, Other—Type of Building r-Wneh_............ No. of persons.....tWo............... Showers (2 ) — Cafeteria (10) aOther fixtures --------------------------------------------••--------••-•---------•--•-••••---------------••-•-------------•--•--------------....---•----..._...---• d W Design Flow............110.......................gallons per person per day. Total daily flow........33D...........................gallons. WSeptic Tank—Liquid*capacity.1.000gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length............ _._... Total leaching area............_..J.t`_sq. ft. �Q_...._ Depth below inlet_._.....Gr.-_-..... Total leaching area.._.1'...L.1/....s ft. � Seepage Pit No.................... Diameter........__ p g q. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......Ronald Gifford ............... Date......1-10-79 aTest Pit No. 1.........2.....minutes per inch Depth of Test Pit-__U........... Depth to ground water----SlQn.e........ Test Pit No. 2.........2....minutes per inch Depth of Test Pit.._14�.._..._.. Depth to ground water----none-....... Description of Soil............. ......0!--3_' ._ loam and subsoil * 3 '-14' fine sand W -•--------------------------•----------------------------••----------------•-•--•-•---------------------------------------•---••----------------------------------•--------------------------------•---- U Nature of Repairs or Alterations—Answer when applicable..........................................................:.................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi.;.�. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sign &__ed11___/1L-_. 3--3 0-7..-- - DateApplication Approved By.._.._... . l�!1.. ............... y-�� - 7 Date Application Disapproved for the following reasons: -------------------------------------------------.................................. •...............................•--•------------------------------------•--------------•---------------•'---•-•------•--------------------•----•-^---•-•---••-------........---... ---••--------- Date 11 Permit No........----•--••---------------•--------••-•-•--•---•-.. Issued---•6--...4, ._...{/ .Q ..................... Date o g7 No.-......... .. .: Fzs.........�_rM............._ THE COMMONWEALTH OF�'M�ASSACHUSETTS BOARD OF HEALTH `° .-.Town---......OF...----•---Barnstable.... AplilutttiOn for Disp.aii ai Works Tomitrnrtion Vamit . Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: Lot # 67 Cp�ptain Crosby Road Centerville, MA 02632` ........... - - •-•- .................... .........-••...•••.............. .......• ..._......__....... x Location-Address or Lot No. ..........-•---SuffRglty........................................... .P.o. Box 308 Centerville] MA-•--- - - ...... ...... •... Owner Address Ceuin.-Hick"MY 2__ xxis .. . neBarnstable --------- -----•--------------- ----- ---•• •---- . Installer Address UType of Building Size Lot---22_,32fi--------Sq. feet �-, Dwelling—No. of Bedrooms.......... hree...................Expansion Attic (no) Garbage Grinder (no) aOther—Type of Building ranch............ No. of persons...._t_wc1'.............. Showers (2 ) — Cafeteria (no) d Other fixtures -----------------------••------_...------------••-•--------------•---•-------•-----------------------------•••-------------------------------------- • W Design Flow.............E-1.Q---_.__..__-_--_-___--gallons per person per day. Total daily flow.........3313..........................gallons. WSeptic Tank—Liquid*capacity.-1.OD1Q'allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—/No..................... Width.................... Total Length.................... Total leaching area_..........__.__.. sq. ft. Seepage Pit No_____________________ Diameter....._...14..... Depth below inlet........ ___...... Total leaching area. .G-fs._ .gq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by........Ronald...GiffOX—d.......................... Date.......1-1.Qn79............. Test Pit No. I..........2....minutes per inch Depth of Test Pit----13!......... Depth to ground water-- ri©ri2........ f=, Test Pit No. 2..........2...minutes per inch Depth of Test Pit....1W...........Depth to ground water.::—'none_.._... a' •--------------------------_ . - --------------------------..........-----.......... ..----------•-•---........••••._....-••-•---•.••••. ----....•-••.---... O Description of Soil..............&X X......D-'•---3-----•loam...arid...subsoil---------------------•---•--........---•---------•-•-•--•---..._..._.. Vx •. •-----------3--=--,1�'....£ ne---sand------------- --------------------------- w I UNature of Repairs or Alterations—Answer when applicable_________________-�_..______._..._.....____.._......_....._............__......._..........._.. ................:-•-;.............................................................................................--------------•..........•-•--•---------- Agreement: The undersigned,agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I TIE, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signe ,c. vaLL 3-30-79 ...._ ------. •...................... Date Application Approved BY ....... -•------ • * Date Application Disapproved for the following reasons:-------•---------------- - -- -----------...--------------------------•---_----- •----......•.....- ••------••••..............•••----••••-----•-•---.-••---------...-•--.....••------............-----•........---- ....................... Date Permit No............ Issued. .......................................- P _................................ Date t THE COMMONWEALTH OF MASSACHUSETTS _ HEALTH BOARD OF HE . l .........TQIM..........:.........OF..........B.arns.t.zible.......................................... Trrtif irate n$ (llamtWittiarr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( X) or Repaired ( ) Y - e�r�r�.. sc] �1r..... ----------=---------•---•-------•-----------.......-----------------------.....------------------------. Installer; at-------LGt--#.-b7---G apta-in---Crosby---RGad-----Cent-eru i l l e......................................................................... has been installed in accordance with the provisions of TI 5 of The State Sanitary Code as described in the ate application for Disposal Works Construction Permit No----,-✓' __._.------ dd___.._ .�*•�___:_� .y............... PP P �------f - �'�- _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE 'CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN7C �! SATISFACTORY.[ Z DA°I'E..•••..........�J .... Inspector........................ v.. ......................-•------------•--- THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH �! Town OF..........Barnstable -.........j ......................................... ..------. No._._.._.....�t�....... . FEE....2 r ..:"'... Rapa sal Workii Tunstrnrtilan frrnfit Permission is hereby granted...............Keyi.n...Hick. ey .. ..... .............. . .•.......-------•--------------------•--•--------..........-----............-••--••...... to Construct ( X) or Re air ( , } an Individual Sewage,Dis osal System at No.................... ._..-...............................................................6 Cn �rosby Road Centerville ----------------------------------------------------------------••-••......-- Street as shown on the application for Disposal Works Construction Pedrxrli No_ __________ ____ Dated.......{..'�.`.��_............... .................................... ..._......`.� r00 .._ �.Y_ __-4 t4 J .. {{ Board of He DATE........... .2 �,;•-----•-•---••----•-•--•----•--•---_........ FORM 1255 HOBBS & WARREN, INC.,,PUBLISHERS - - 4 - <. L.O-C AT Il S W A G E PERMIT NO. VILLAGE INSTALLER'S NAME & ADDRESS 8 U I L D E R OR OWNER s g , al "' . DATE PERMIT ISSUED � ��,� DATE COMPLIANCE ISSUED Lp67 -. 3 � V&MST)wo'LLl' 2-1$ DIAM. ACCESS MANHOLES d w I I •. '+1 i. ,p .,�l.... .•...L.�.t.4!!t, yam. u�3 v � '+.'+ Ily » VENT PIPE -s-j• :hey r ' *NOTE: ALL PIP ARE T 4 VE (m Least 24 Inches talQ to .^ o 10 min. from ES 0 BE SCHEDULE 40 P.V.G. Schedule 4d PVC w Charcooi Odor F r SECTION A A ExistingFoundation I d ate house to septic tank . - � a � --^9•�- �� } f s , 0171 Septic tank covers must be D-BOX cover must be PROFILE VIEW OF LEACHING SYSTEM w�. ! TOP OF FOUNDATION = ELEV. 100.00 (Assumed) TO finished grade WITH STEEL MANHOLE COVERS to GRADE WITH STEEL MANHOLE COVER INLET � QU ET Gnpx rrexr^,f d•' 160 carp" crothy Ina i Grade over Septic Tank- 97.00 Grade over D-Box 97.00 �-�---Cra d r e over SAS ELEV- 97.00 A\ X✓/. /s•to f f/s• e'edud C,..f d aeon. 'of f/e - f/8• ♦a►A.d Pewtm THE ACCESS COVERS FOR THE SEPTIC TANK, + �c,r INSPECTION cover moat be 1• ;cp S.. '�. � .�, DISTRIBUTION BOX AND LEACHING COMPONENT �� xVa>&s?°w�t»C �d � `t ;• ^T•T?;-'^ SET DEEPER THAN 6 INCHES BELOW FINISHED ;° I'+ ' r 0.02 3 HOLE H-10 within 6 in. of finished grade r ?" ' r,'.;; .5 .. m Ill DIST. BOX 3' Maximum Cover Top of SAS-Elev,x92.75 CRADE SHALL BE RAISED TO WITHIN 6 OF 0 16 EXIST. S-0,01 or Greater S- 0.010` per toot STEEL REINFORCED P FINISHED GRADE f° - _ t 5="�✓r '!•`r �` n P ED RECAST CONCRETE Ex3SLP 1,000 GAL. + 5 C3 C3 C3 o n d INSTALL TUF-TITE GAS BAFFLES OR EQUALS <.,,.h;rchth _ PLAN VIEW -.. o tic .FROM EXIST, FOUNDATION SEPTIC TANK , C7 O. L"1 O z. - 15U1:, --.••...,.. .,. • t<.ectt �•., rn d o 20' Effective Depth II oa Bae1. rn N o 0 3-24' REMOVABLE COVERS vsa�t s i tea. CONCRETE FULL fOUNGATrON� > II H-10 '? c`j C3 0 2 Units Q 8.5' a p �', s} x 3f :+ytI , L,-_�9' , : 0_.;�Fand Nt h1"!rp:6 Cirrnpa ey p C a rtls lrEa g °� s In.at 3 a`-1 1 2' a II a 3.5=- a 5 3.5' 0 4 I 4 ;. r: SYSTEM PROFILE / / compacted stone - 12' rn 25' 3 min. clearance ' GENERAL NOTES EFFective Length 13' iNUT' - - Not t0 Scale - e � Effective Vldth � - INLET $ min - Y min. Inlet to outleI-L c � L�u�d levelOUTLET 1. Contractor is responsible for Digsafe notification 3i SOIL ABSORPTION SYSTEM fSAS7 - tom,n,7` and protection of all underground -utilities and pipes. 6 rn.of 3/a^-t 1/2` o 500 - C H 10 LEACHING UNITS / WIGGINS PRECAST 2, The septic"tank and distri utian box shall be set compacted stone m E I' 4'-0' min, level On 6 of 3/4 -1 1�2 Stone. NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE Bottom of Test Hale 1 Elev.= 83.00 Not to Scale b , od an«. Liquid depth 3. Bockfill should be clean sand or grovel with no -_- _-------- stones over 3" in size. w Obs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED I t: 4. This system is subject to inspection during installation ;r., J by Carmen E. Shay - Environmental Services, Inc. a• -10' 5. The contractor shall install this system in accordance CROSS SECTION END-SECTION with Title V of the Massachusetts state code, the approved plan and Local Regulations. 6. If, during installation the contractor encounters any j TYPICAL 1000 GALLON 'SEPTIC TANK soil conditions or site conditions that are different NOT TO SCALE from those shown on the soil log or in our design installation must halt & immediate notification be ; O made to Carmen E. Shay - Environmental Services, Inc. i O PERCOLATION p T 7. No vehicle or heavy machinery shall drive over the r. f E 1 l C 0 LA 1 I O N TEST septic system unless noted as H-20 septic components. i J 8. Install Tuf-Tite gas baffles or equals on all outlet tee ends. Date of Percolation Test: JANUARY 10, 1979 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. NOTE: CONTRACTOR TO NOTIFY DIGSAFE AND i� 207'46 Test Performed By, PAUL MURRAY GRORGE LOW & ASSOC. 10. All solid piping, tees & fittings shall be 4" diameter i P. I I - Results Witnessed By, Barnstable BOH CONTRACTOR TO VERIFY LOCATION OF ALL UTILITIES i I 1 � ` Schedule 40 NSF PVC .pipes with water tight joints. / $'7Q �'" Excavator: UNKNOWN PRIOR TO EXCAVATION. y 1 1 1. SITE and Surrounding Properties are Connected 1 i Percolation Rate: Less Than 2 min./inch ® 36" BELOW GRADE. g p ; to Municipal Water. I I �/ N� OF 96 ----__ Il 1 �\ fr -Test Hole 1 �0 C3O� ,,YENT PIPE 1 I 102 I N 1� !, ti I DEPTH SOILS ELEV.i NOTE: <pp F \G ,•,h-Ls ,1 11 1�\ ��` �\\ /�� 0 97.00 THE PROPERTY LINES ARE APPROXIMATE AND Loamy San COMPILED FROM THE PLAN BY GEARGE LOW AND CO. YARMOUTHPO rj 5 t ;1 Il N CROSBY ROAD, R • f s l CHING • ; .I i v I a aj' EA ENTITLED CERTIFIED PLOT PLAN OF LOT 67 CAP SBY fig• �,b 12'1•: , � : ., i � Failed``. . I � ` _ - -_ � ; y,• \ _ _ -10p o'-s" A 96.50I CENTERVILLE, MA" DATED MARCH 29, 1979 dJ '� t•'I:`:'.:.' ' ��� leach Plt-k � AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN�. 1 . � i Loamy Sand I ' o D-BOX L w �t i' s'-3s" 94.00IT SHOULD BE USED FOR NO PURPOSE OTHER THAN I THE SEPTIC SYSTEM INSTALLATION. ----- TEST HOLE #1 11 � �� e F O ELEV.= 97,00 1 ��� i FINE i Sand 9 I EXIST. 1000 gal 1 �1y �� _ � i NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE Septic Tank 1� I so"-168" c, e3.00 FROM THE EXISTING SEPTIC SYSTEM TO BE DISPOSED OF AS PER BOARD OF HEALTH SPECIFICATIONS. �\ \` GARAGE 111 �� EXISTING LEACH PIT TO BE PUMPED DRY & 1 EXISTING FILLED WITH CLEAN FILL MATERIAL, 3 BEDROOM _ HOUSE #f 60 "- ASSESSORS MAP - 193 PARCEL - 214 \ \ DECK _ ZONING - RESIDENTIAL \ _ 96 Perc 1 FLOOD 70NE C, - # Depth to Perc: 42" to 60" Perc Rate=<2 min./inch inch PROJECT BENCH MARK - &6 '� / Groundwater Not Observed C. FOUNDATION - -_ .,._ THERE ARE WETLANDS I T - -- :_ .._ _ _ AT I i OP 0 FOUNDATL.,Iv � � _ � ., __ LOCATED WITHIN a _2oa RADL_s BOTTOM OF TEST HC-E Elev. 168 _ OF THE PROPERTY AND ARE AS SHOWN ,ELEV. - 100.00 (Assumed) � `"--__ `_,_� ��- ��` 4 ADJUSTED N20 Elev:,`- No Adjustment Required. i _ 84--_ �• _____ --_ - - ___-- 92 - I -- 90 (I ` - ALL OUTLET PIPES FROM THE ._ `\ --_`.--- '---- •,\~� DISTRIBUTION BOX SHALL BE LEGEND 82 , ,,.----- .� -`�" `-88 SET LEVEL FOR AT LEAST 2 FT. '-'12• -' CONCRETE COVER - f per+ �O V '�•' 3 - V OUTLET u'r.,ti 5...e. r. 2 i r , 80-- _�, � �---`-_'--_---`___-_ `�`�_- '-_�__ t_ xNoacouTs .: 88X0 DENOTES PROPOSED •--------•--- __ 5!. / '1 { 12• INLET-------- f ouTLFT 3 - - N/F CHARLES & JOAN STANLEY r1 DENOTES EXISTING _ SPOT GRADE 78_ ---------- ---- LOT ¢#67 '`-82...._ � . �� x 104.46 ING SCH. 40 Te -_ -_ `� -` „s• SPOT GRADE 76 22,326 Square Feet _80 PLAN - ------- -� AN SECTION CROSS SECTION --____ f J � PL PROPERTY LINE `-78 3 HOLE DISTRIBUTION BOX H-10 LOADING PROPOSED CONTOUR NOT TO SCALE LOT ##68 7�_"___ "'-----.,..--.__,_ ~~`'~-76 � _ 97- - - - - -97 EXISTING CONTOUR DEEP TEST' HOLE & I - '-_- -- _ _ Design Calculations PERCOLATION TEST LOCATION _. ~1` `` Number of•Bedrooms: 3 Equivalent to 330 Gal. Da 7Q�y� ~72 q / y (330 Gal./Day Min. per Title V) FENCE I Garbage Grinder: No 0 g -- - Leaching Capacity Proposed; 330 Gal./Day Minimum Min, Per Title V) 6 70 Septic Tank - 2 x 330 Gal,/Day = 660 USE EXIST. 1,000 GAL, Septic Tank. - PRIVATE DRINKING WATER WELL I SOIL ABSORPTION AREA: Using percolation rate of <!;2 min./inch Bottom Area: 0.74 al s ft. x 300s ft. 222.00 REVISIONS 1 66----___ _ ����, Siottomdewall Area: 0.74 gt. x 148 . . 22.00 gallons _ gal./sq. q gallons -�^ Providing: 331.50 gallons 6 v _ 8 N0. DATE: DEFINITION Use; (2) PRECAST 500-C UNITS, HAVING A 2' EFFEI TIVE DEPTH, TO BE USED VITH 3.5' OF WASHED STONE ON THE SI ES AND I 66 4' OF WASHED STONE ON THE ENDS. ` I i I of W PREPARED F0PROPOSED ; o I SUBSURFACE SEWAGE DISPOSAL SYSTEM LOT #70 r OF ARTH U R 8c MARY SCOTT I 1 60 CAPN CROSBY LANE - - � � - # 160 CAPN CROSBY LADE CENTERVILLE, MA � POND PREPARED BY: i 0 20 40 50 CENTERVILLE, MA 02632 a4-A �•a�a I a; I n C.A R1�'IE'N E. ,,S HA Y , EYVIRONMENTAL SERVICES INC. o P.O. BOX 627 rlSTE.�'. �f• tea EAST FALMOUTH MA 02536 ITtR r TEL FAX 508--539-7966 \ e , SCALE: = " LE 1 20 DRAWN BY. CES DATE. JAN: 31 2005 PROJECT 5 - - - D 6 7 FILENAME:8 6 SD 87PP DWG SHEET E 1 OF 1