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HomeMy WebLinkAbout0034 CARLETON LANE - Health -34 Carletoalane Lot 7 190-229 Centerville 4� UPC 12534 No. 153 0R MASTINGS, UN No.._ Fee j0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ./ . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[ppYicatiou for ligpogal #.1)pgtem Cougtruction permit Application for a Permit to Construct( ) Repair( ) Upgrade(t. Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.3(( CArlc Tan /,4-*L Owner's Name,Address,and Tel.No. Assessor's Map/parcel / D — ::)a Installer's Name,AddAsUre?.+PINco Designer's Name,Address and Tel.No. 350' Main Street W. Yarmout l MA 02 t « CK 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(min.required) 33o gpd Design flow provided 3s0 gpd Plan Date yL) Number of sheets / Revision Date AIZA Title J I'lle ,?1A✓7 Size of Septic Tank /000 _Type of S.A.S. Description of Soil ��r �fg�,i. Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: . The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions 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`oflH lth. Sign �J CC Date Application Approved by \ Date Application Disapproved by: Date for the following reasons I Permit No. �l/r►�`—S Date Issued No.. u t 4 � a� Fee /O U l NTH C61 IMONWEALTH OF MASSACHUSETTS Entered in computer: ./ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIPPYtcatton,for Mtn o� ax 4p5ttm Con5trurtion Permit Application for a Permit to Construct O Repair(6.j' Upgrac.e(Lo4bandon( ) k0 Complete System [:]Individual Components Location Address or Lot No.3C( Lk- Owner's Name,Address,and Tel.No. Assessor's Map/parcel v d<3 Ile Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. r` Type of B,uilding: Dwelling No.of Bedrooms _%� Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow" (min.required) gpd Design flow provided gpd t VIA Plan Date � q { O_� Number of sheets / Revision Date Title Si f e �14 � Size of Septic Tank /000 _Type of S.A.S. Description of Soil r ,':)/-1 1 V Nature of Repairs or Alterations(Answer when applicable) t PC' /�/q/! ! 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 He Ith.C Sign 1 < ( ( Date Application Approved by (2 Date �>lj A t Application Disapproved by: Date for the following reasons Permit No. aUll_r—-5 .Z Date Issued_ .1 /a� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Comphance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ✓� Abandoned( )by A t /� at - ` CA r1P 4-0 A LZiti.2. CU ��.�has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. QW!' - Z dated 1 Installer C14-tc1' Designer ze-/I A/� #bedrooms 3 Approved design flow 330 . gpd The issuance of thl perpit shall not be construed as a guarantee that the system .i11'fuui c 'o a de ' ned. Date Inspector -------------------------------------------- No. .20us-- Fee /06> THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-WaNSTABLE, MASSACHUSETTS 'Wtgponli*p6tem Con.5tructton Permtt Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( v Abandon ( ) System located at 3,-1 rt,e and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Cfnstru tion must be completed within three years of the date oft is Date I a Approved by ��� �-5 - / y� N x a pr'r e k e w10 1`�rM n 5�p c�i4. . ' 2 TOWN OF BARNSTABLE LOCATION gJ C#�E�A) JAkr SEWAGE# VILLAGE �l�i � ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. P't43 ff9NCe 775— 2 V(CO SEPTIC TANK CAPACITY yl—ttl 10M S,41 S►T Jem qAt l/,.� (� t LEACHING FACILITY:(type)ld))Sa l / iJ (size) a 5 ie 3 �- NO.OF BEDROOMS BUILDER OR OWNERS ��� t PERMIT DATE: (1 I r} COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwa ater Table and Bottom of Leaching Facility �e� 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 CA Y )Co I 'pee-A qo 5�, 3 �. q �" C Town of Barnstable .°�W Regulatory Services Thomas F.Geiler,.Director • �xsres[.s, II Public Health Division . Thomas McKean,]Director -- "-- 200 Main Street,Hyanniis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: C��O Sewage Permit# 06 9A Assessor's Map\Par 1 /go �a`l Designer: i J G{( �Il�(� i� installer: 350 Main Street Address: P_� •�� �5 Address: t D' W. Yarmouto, MA 02673 vz�73 On /� C was issued a permit to install a (date) (installer) septic system at e A r lk-o✓A 1.4 Y,,2_ --based on a design drawn by (Faddress) 1, cQ I I l dated - (designer) r� 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. P���OF MASS? RoNALD JANIES ..(Installer's Signature) \ CADL!i-AC _11 _ o #fi 1060 0 . gNITAP� (Designer's Signa r ) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC Hls'ALTH 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. t Q: Health/Septic/Designer Certification Form 3=26-0,?doc Notice: This Form Is To Be Used For the Repair Of Failed , Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXENPTION FORM I, 1`�n� J• CJ aC ,hereby certify that the engineered plan signed by me dated concerning the property located at �1 CCtf\C'.�bf) L-On 'e— mats all of the following criteria: • Two soil evaluations excavated for detailed exammati_an(no hand augering)and two percolation tests shall be conducted. •. .This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • .There is no.increase-in flow and/or,change in use.pro-posed_;, • There are no variances requested or needed K • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation.[Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation +adjustment for high aw.3. 9 DIFFERENCE BETWEEN A and B -� SIGNED: DATE: 7 l OS NOTICE Based upon the above information,a repair permit will be issued for 3 bedrooms < r maximum No additional bedrooms are authorized in the future without engineered septic system plans- q VticVa==p doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh " Owner Owner's Name information is Centerville MA 02632 5/5/2015 -==' required for every — page. City/Town State Zip Code Date of Inspection r?7 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 filling out forms A. General Information .F�, � on the computer, �� v ) Cam' use only the tab 1. Inspector: key to move your cursor-do not Paul Martin use the return Name of Inspector key. Cape Cod Septic Services Company Name x 350 Main St Company Address W.Yarmouth MA 02673 Cityrrown State Zip Code 508-775-2825 S15016 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 5/6/2015 f�ispector's Signatu a Date The system inspector shall submit a tcopy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditi s of. e at that time.This inspection does not address how the system will perform lithe futu un e. the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5.Official Inspection Form Subsurface Sewage Disposal System Form-Not ibr Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is required for every Centerville MA_ 02632 5/5/2015 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/a/wgys complete all of Section D A) System Passes: ® 1 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 in working condition. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon conipletion 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 bE)IOw): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 r Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is Centerville MA 02632 5/5/2015 required for every _ page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ 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): C) Further Evaluation is Required by the Beard of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is-within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey G�eenhalgh Owner Owner's Name information is required for every Centerville MA_ 02632 5/5/2015 page. City/Town state: Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioninij 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 coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/day flow t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not-for Voluntary Assessments M 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is required for every Centerville MA 02632 5/5/2015 _ page. Citylrown State;_ Zip Code Date of Inspection B. Certification (coot.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the welll water analysis, performed at a DEP certified laboratory,for fecal colif'orm bacteria indicates absent and the presence of ammonia nitrogen an(i 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 moist be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the f,Jilure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"ye:"or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under SE;ction E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is Centerville MA 02632 5/5/2015 required for every _ page. Citylrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You mvist indicate"yes"or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the:system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition.of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information 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): 110x3= 330gpd t5ins•3/13 Tide 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is required for every Centerville MA 02632 5/5/2015 page. City/Town State Zip Code Date of Inspection D. System Information Description.- Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No 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 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 1,5.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Noi for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is required for every Centerville MA 02632 5/5/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: No Records Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, sail 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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owners Name information is required for every Centerville MA 02632 5/5/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2005 Per BOH records. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 32"feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: +10'feet Comments (on condition of joints, venting, evidence of leakage, etc.): Line checked with sewer camera and was founri to be clean, properly pitched with no sign of root intrusion. Septic Tank(locate on site plan): Depth below grade: 22"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 Dimensions: 1000Gal H-10 Sludge depth: 4-61 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official .Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is Centerville MA 02632 5/5/2015 required for every _ page. City/Town Stab) Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 2-3 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Estimated Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1000Ga1 H-10 tank in good condition. PVC tees in place and clean. Tank at normal level. Covers 12" below grade. Grease Trap(locate on site plan): Depth below grade: feet Material of construction.- El concrete ❑ metal ❑ fil.)erglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owners Name information is required for every Centerville MA 02632 5/5/2015 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain).- Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: - Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float,switches, etc.): v *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 P k Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments sa''t 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is required for every Centerville MA 02632 5/5/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Oil 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.): H-10 DB-3 with 1 line in and 2 lines out in good condition. Box is clean and solid with minimal solids carryover. No sign of overloading or hydraulic failure. Cover 6" below grade. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): 1000 Gal pump chamber in good condition. Pump and alarm in working order. Cover 4" below grade. *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 r i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M s•°'p 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is Centerville MA 02632 5/5/2015 required for every — page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2-500Gal ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: - Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 2-500 Gal drywells in a 13'x25'x2'trench. 12"of standing effluent in chambers at time of inspection. No sign of overloading or hydraulic failure. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth-top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is Centerville MA 02632 5/5/2015 required for every - page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydrauli(;failure, level of ponding, condition of vegetation, etc.): Privy (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.): t5ins-3/13 Title 5 Official Inspection form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is Centerville MA 02632 5/5/2015 required for every , _ page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is required for every Centerville MA 02632 5/5/2015 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: +10'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: 2005 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health explain: ❑ Checked with local excavators, instzlllers- (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test hole data per plan on file at BOH. Test hole to 10'with groundwater encountered. Bottom of leaching at 4'. 6'separation. Before filing this Inspection Report, please:gee Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 34 Carleton Ln. Property Address Casey Greenhalgh Owner Owner's Name information is Centerville MA 02632 5/5/2015 required for every _ page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION Crlf/�iE/y"u SEWAGE# VILLAGE ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO.Rt-Q CANCe 775-— Z freDo SEPTIC TANK CAPACITY Okffl j /'S�T' LEACHING FACILITY.(type)ld�i/ i�j/WA i (size) a s"x 13')f A! NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: _COMPLIANCE DATE: 61 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility t�el� a 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 ��� 60 a0'3�, 3�I�v LK b ' 7 60 s a No...... __... Fwic.....�f................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH lq( 4�- l�..Lfl7V. .... ..-..-.OF. Appliration -fur ilkqpwial Wurkii Tutuitrurtion j3hrulit Application is hereby made for a Permit to Construct (x0. /or Repair ( ) an Individual Sewage Disposal System at: ....CA - - ---­-----­41w- - -------------CYAVA.?5�K44 ..................................................................-------------- 7. ____. __'. Y____ QQ�•�_LocationAdftfe_S o___-_-___--•_-__--_-••___--•--__•-- ..___ ,__Qrwper •�_(______ _.____ �j Address •--•---- --��G-v4,=P�s1.. •__ Y �/✓-s'"'�----------•------ Aaaress-„ ::------•-••----------------- r' G] Type of Building Size Lot--l.�i-�_5S-Sq. feet Dwelling—No. of Bedrooms---------- --------------------------_._-_-Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persc=ns. -___--._--•__-_--.___-.-- Showers ( `) — Cafeteria ( ) 0.i Other fixtures ------------------------------ d W Design Flow------------51Q-----------------------gallons per person per clay. Total daily flow---------3.Q0----------------.-------gallons. WSeptic Tank—Liquid capacityb9ogallons♦ ewth________________ Width...._........ . Diameter._-.___.__.----- Depth_ ____-_...- - x Disposal Trench—No. _...I_____________ Widtli.-/-�L___.--___ Total Length__-_Z-4.__... Total leaching area-._yt_y_-__sq. it. Seepage Pit No.........--------------Diameter-------------------- Depth beloNj inlet -- ------ Total leaching area-_-____-.-_._--_so. It. z Other Distribution box (/A) Dosin tank ) d t-! y• • 7 7 ia Percolation Test Results Performed by,A&�t4/ t- --------------------- Date----.----------------_-----,-----_----. Test Pit No. 1----------------minutes per inch Depth of "hest Pit......... Depth to ground water-----7------.__.-..-. f� Test Pit No. 2____•_____-_ __minutes per inch Depth,of Test Pit.-----_----_•----.._ Depth to ground water------------------------ O /W-6Z.........L-r.4-z{�------------------------------------------------------------------------ Descriptionof Soil-------`-DNA-`------.. .............................................-------------------------------- --•-------------------------------------------------- U 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 Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be 's d by)1e board of lth. Sign / ----------------------- --G �� Applicatiori Approved By------ _--- e�+4 0 --t---7--7-- ae Application Disapproved for the following reasons-------------------------------• - •. --••-----•••-•--•-...._.....-•-•-------•---.............--- -----------------•-------•------•----------------------------------------------------------------------• ---------------------------------------------------------------------------------------------- // Date Permit No. �� /yI�sssued.. __f_..c- 7_ ....._.. /� �L. i Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,�'} �» .fir ,fir . .- ......OF........ 's t M �.... r--------------------- Applirtttion'-fur lhsvviittl lark;5 C omitrurtion Permit Application is hereby'made fora Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at Location•Address Lot No ....../-- --------- V pr - Address nstaller r �h. Address d Type`of Building A.' sF ' i' Size Lot...1_ t1_YSq. feet Dwelling—No. of,=Bedrooms.-..__ ._.: __:'______ ____________;$Espans>on�.Attic '(+r ) Garbage Grinder ( ) Other—Type T Buildin ________________ No. of of son? Showers ( , ) Cafeteria ( ) ti� a P :,g P e , a t a $ k 5 •, Otherfi ttzres --_.. •-•---•------- � -•-------------- ---- W Design Flow___-_. o-------- allons "er erson er kla Total<'dail flow___._.._ _gallons. g -- -g< P P P Y Y �� ------ -------- WSeptic Tank- Liq>iid capacity/090-gallons et)gth-------------_ Width-----........... Diameter --:, De) I1. _- -.-_ Disposal Trench .'�`No.,___. -_-_ Width__1 ___:1.__---__ Total Leno-th---1_,2-------- Total leaching area.:_. /.y__sq. ft. Seepage Pit No. _-._.____ Diameter !'.___:_._ Depth below -nlet Total leaching area_... ...... .....sq. ft. Other Distribution box Dosin ank w z ( ( ) '� Percolation Test Results Performed'bysyy+": Date____ ------- 1 Test Pit No 1 `.__-:.___minutes per"inch Depth; of Test Pit ------- Depth to ground water 7 __.._ Test Pit No. 2!...............minutesper inch Depth of 'Pest Fit_................. Depth to ground water __..._ . . ---------- -------------•........................................ ------- - O: Description of.Soil-'..... <'` !'---------------------------------------- ---- ----------------------------4---------------------------- - •---•-- < �------------•------------------ -- W - ----- - ----------- U Nature of Repairs or Alterations ;Answer when applicable ,:_ ..._._- --,_-. 4 ---------------- - .......................... • ------ -••----•••--------------------------- - ---- Agreement: -- = --- ---- Agreement: r' ' The undersigned agrees toy install the aforedescribed Individual:Sewage'jDisposal System in accordance with f` the 1 ovisions of Article \I'-o*f the State Sanitary. Code-The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be. ss by 'e board-of`-h lth. Signe . •. ----------------------- --- •- " D e Application Approved By--------- --- ----: �D � ate Application Disapproved for the following reasons:. -..;__ _.-.-: ____ .....:...:......... ..................... ___,__ -- Date ('� Permit No=............................--------.................... issued.......'�"-f1-i---- 7- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l ` ...... ........OF..... / 5. i +�, .............................. g�oat Trrlifirate d (91-Intnlittttrr THS TO CER! Yd.tindividual Sewage I isposal System constructed ( or Repaired ( ) by- at j r Installe x '' ..� � •--•-------•-•--------- has been installed in accordance with the provt ons of Art , I of The State.Sanitary Cod was ejc ib d i the application for Disposal Works Construction Permit No_____ _ _ ________ ___4�_ _-_. dated_..________-._____ ---_ _.__ . THE ISSUANCE OF THIS (CERTIFICATE SHALL NO'f BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 7 _____ Ins' ctor_._. .�'-P ............... 4a ..... --- t, THE COMMONWEALTH OF MASSACHUSETTS r ¢ BOARD OF HEALTH diR .......... .. ..OF...... , ,�'1. % :; ................... No. FEE_ � li �owitrurtiai rrmit �i� rr�ttl irk , . ,,.� . n .� Permission is hereby g�r�nted............ " - _ ---- •- - . .... to Constru ( or Repair ) an Individual Se a'e Disposal Sy m /+ at No..... - _.. " - /� C. .9r------- � • ------ t �. Street ^t as shown on the application for Disposal Works Construction Per its o.. :, ._ r rated---. _ ____................................. Board of Healt 0 DATE - -----=--------;----- --------- ------ f FORM 12552;HOBBS Lti*`-WARREN; LNC.' FSUBG'IS1i ERS' :x' M LOCATION SEWAGE PERMIT NO. J - 0 72 VILLAGE INSTALLER'S NAME & ADDRESS B U I'L D E R OR OWNER aje DATE PERMIT ISSUED DATE COMPLIANCE _ ISSUED ����� ,77 __ ;�,: � , � . e N �. _ r ® �, +� �aa ��� ' 1 s ��' . f f t,I• r v%, SOIL L O G t. C VUS'AeC� STO%.IE 9�J 5� r M t4 - DIST. 8 BOX s' l000 _ I�/Z' \�ASNEfl ST�1E "a . ' GAL. • IB cl SEPTIC 4`� PC�•, '$1,�. \t@EQ p1PE �ttic TANK87 -1 a,ov 20' MINIMUM FOUNDATION.. SCALE: I„_ 4,' ELEVATION SKETCH PERC. RATE. �.Dc�Zsr,..i SCALE 1" = 4' TEST BY:C.St.aR✓.Pi.�a TOWN INSPECTOR P�r.L BACKHOE OPERATOR : -�.✓c6s.�>8.�sor�r ✓.0 TEST .MADE ON _ �'?',L iZ, 977 /l �.'• —14��.— '��l tS"C 11J G rC-.1.�V�6.'r 1 Olv . Cam$ rc EV. t t �i�C�Cj/ CBr'aGTis� Ti+ *T 1�> ar' ��:�• � 'i - ��� x z3 � ��� � � � / �, ' , ,� .�ac.rsms'.D. 3��✓..vcro•.�c..�ar�c�Sv.c✓.�/ « _ L ,�� Q � / � ,. •cb� ✓o+ivt�!' /fa, s�?7 :.wr,Q Gongs-'ssaa...w•�S T , . i - +� (i�:� G's>7 .� / / �• 7"sM�°" 'a�afs�Ss ��'-tltsy�'C�..A- ��NJtt' o� �'�} 97 L' WISWEL y �Id,'„•e..h:a .. ,=.ri.++s:1 =",+•5 1: .�•zt•.r._.. . wr�.�._r:.«s+i!!h-�. �.. i4 34 101 sy, ,\ • \ R�: 95 N''• , F r. •• 1 3 Far, � .•� ��.._. _ _ _ cd 9Gx36. iz►� - - � _ log. - - L APPROVED BY,BOAR_D OF HEALTH DATE 19 _ P�SN 4F�tfq t ,FF RENWICK B. CHAPMAN ft. 27654,0 T. Fss/DNAI � ,, EtEVA , TION SCHEDULE . }.r PPOPOSED`" SITE PLAN 1.' INV. '.AT* F.OUNDATI.ON I : =q . 40 SEWAGE SYSTEM DESIGN -2.. 1NV. INTO- SEPTIC TANK 3, 1 NV. 'OUT OF`,SEPTIC TANK ' 4. -ENV. `INTO DISTRIBUTION BOX 1 . 0 19^ -5. INV. OUT OF DISTRIBUTION BOX -6, .,INV. fNTO .EN>tES = CAPE COD SURVEY CONSULTANTS' ROUTE 132 a • ,' £ND'�• OF LINES - a HYANNTS,MASS. r'` M 8. BOTTOM OF BED _ r M•bfl ALWAYS DIG SAFE PRIOR TO CONSTRUCTION--UTILITY LOCATIONS SHOWN INCOMPLETE. JOB N0, B05-08 NOT TO N/F NOTES Greenhalgh.dwg 0 SCALE HAZARD 15 ' 1. LOCUS IS A.M. 190, PARCEL 229. �Q BUOYANCY CALC'S-MONOLITHIC PUMP CHAMBER 2. ELEVATIONS SHOWN ARE ASSIGNED. 'J y� WEIGHT OF EMPTY CHAMBER AND 30" OF COVER 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED AUGUST 19, 1985. ;� x 20.5 CHAMBER= 4.15 TON (PER SHOREY) 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED) G� N •�iq oo CO C\J x 14.2 30" COVER= 2.5' X 5.42' X 8.25' X 0.055 TON/CU. FT. 6. COMPO5. NENTSPAL AASHTO H-10,IS AVAILABLE. OUNLESS TS INOTED' ARE ON TOWN WATER. GPR NE ryo rye. V 30" COVER=6.15 TON Q LP` TOTAL= 4.15 TON + 6.15 TON = 10.30 TON 7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". C-9 WEIGHT OF WATER--HIGH GROUNDWATER DOWN 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW (2.4 -1.4') X 5.42' X 8.25' X 0.0312 TON/CU. FT. D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. 8`6 WEIGHT WATER= 1.40 TON 9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED. 8 TANK AND 30' COVER ARE HEAVIER BY 8.9 TON. RTE. 28 COVERS: BUILD UP COVERS TO 6" BELOW GRADE--2 ON TANK, 1 ON D-BOX, 1 ON LEACHING �D 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. LOCATION MAP x 13.7 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, Cb INSPECTION SCHEDULE CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC. 18, CALL R.J. CADILLAC TO 12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING I 13,0 N/F INSPECT PRIOR TO BACKFILL. IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). TEST HOLE 1 p x 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN 1 '2 DASILVA LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. 1 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. DEPTH (inches) ELEV.(feet) � x 1 1 ,4 L0 7 APPROX. LOCATION FROM ° 12.1 'vs AS-BUILT INFORMATION NO GRADE CHANGES TEST HOLE DATE: June 29, 2005 Fill x 47 12.6 17 7 4 0 ± S . F. 28`36A�, ARE PROPOSED PERFORMED BY: Ron Cadillac, Soil Evaluator 1 a Ii.4 43 WITNESSED BY: 14" 10.9 f S.7' 10.12 PERC RATE: <2'-00"/inch (C layer) BENCH MARK--N.W. CORN. CONC. Top Rear Exist. Foundation SOIL SURVEY(1993): Pg-Pits,sand and gravel o ® BOTTOM STEP=10.00 ASSIGNED GEOLOGIC MAP(1986): Barnstable plain deposits 48" CC1 layer 2.5y 7/3 Invert 6.67 �� 11.0 Invert 6.05 12.815 \ P \ Exist. PVC med. coarse sand G Existing 2 DRY WELLS Use Gas Baffle Invert 9.72 P 10.4=Top Conc. 9 min. cover Proposed see detail 106" 3.3 10.1=Top Peastone N/F �� ExistingC2 layer 5y 5/8 2 . r\2 Invert 6.30 5 '1 10.4 1000 Col.)- P 116" coarse sand 2.4 FOELLER .6 Existing Septic Tank 1 ---------- � Sanitary 24" 1.1 917 9. 11,38 Tee 132" TH 1 101 9.5 �� r� 9. 1 5" 12,5 7.6 Invert 9.89 o_ Invert 9.60 ALARM & PUMP NOTES -1` " 5.2 Bottom t 101 ck 6 Stone Or compact Proposed i Proposed i 12.4 P 1. ALARM TO BE WIRED BY ELECTRICIAN ON� Oe C)� '� i-7'7 ►40'I i N F-6, -� EI.=2.4 SEPARATE CIRCUIT FROM PUMP. ' i i I I - I 6 NO L -1 m 0.0' USGS Adjustment 2. ELECTRICAL WORK TO BE INSPECTED BY G \ 10 < WIRING INSPECTOR. S�\N �� �3 2 �22 13' Zone D DW252-June 05 3. ALARM TO BE LOCATED IN HOUSE. y.\ O 13.6 E Z 4. PUMP TO BE CAPABLE OF PASSING \V E g6 Z DESIGN DATA Obser Water=2. 1-1/4" SOLIDS AND INSTALLED IN STRICT 3,6 14,0 BEDROOMS: 3 CONFORMANCE WITH MANUFACTURER'S GARBAGE GRINDER: No SPECIFICATIONS. LEACH AREA REQUIRED CAPACITY: 330 GPD 5. USE MEYER SRM4, 4/10 HP PUMP, OR lc. \\ i USE 2 DRY WELLS WITH APPROX. 4' OF STONE EQUIVALENT. 4 �14.98 EXISTING SEPTIC TANK: 1000 GAL. 6. TO PROVIDE FOR EASY AND SAFE ��'��1L'4 \ 13.7 BOTTOM LEACHING AREA: 325 SF ALL AROUND TO MAKE A 25 LONG BY 13 MAINTENANCE OF PUMP: \ �'12,3 [(25' X 13')] WIDE BY 2 DEEP LEACH AREA. -PROVIDEUNION/DISCONNECT IN 2" PVC �� -O \ 13.6 \ i SIDE LEACHING AREA: 152 SF LINE AT TOP PUMP CHAMBER SO PUMP �� 7 lr 13,5n CAN BE REMOVED FROM TOP OF TANK. \ 1'' 9�2 1-1 [2(13'+ 25') X 2' DEEP)] -RECOMMEND FLOAT(S) ON SEPARATE TREE 1,n \ Q \ 061 DESIGN CAPACITY: 352 GPD FROM PUMP TO ALLOW ADJUSTMENT W/O MOVING f1 PUMP. �\\ 1 k \\ \ \ 6 [(325 SF + 152 SF) X .74 GPD/SF] \ t` 2 LA \ PUMP CHAMBER STORAGE CAPACITY: 330 GAL. ��\ ��\ \ \ 1 .9 i DOSES PER DAY: > 4 MONOLITHIC 1000 GALLON \ 11.4 �11.37�i H-10 PUMP CHAMBER W/ WATERPROOFING 11 11 10 �11.17 DRILL 3/8" WEEP/VENT HOLE 1 1C Recommend Floats 16,7 Flo on separate tree EB Quick Disconnect/ � 'n nr� 5.90 larm 33" Union Invert On 27" Check Valve Off 23" P 1.4 6" STONE UNDER ;®�0 SITE PLAN Bottom i ® P,ic, FOR THIS PLAN IS A VALID COPY ONLY IF IT BEARS AN ORIGINAL RED STAMP AND SIGNATURE. CASEY GREENHALGH LEGEND BENCH MARK--TOP MAC. NAIL= 11.19 ASSIGNED SN of Mq s LOT 71 34 CARLETON LANE, CEN TER VI LLE, MA. � ,�0 M`Iss E TH 1 TEST HOLE LOCATION, NUMBER c°�+' O ALD 9c S° RO L 9 n JU LY 9 2005 SCALE. ��=20� V✓- WATER LINE MARKINGS JA ES o JA E- OVERHEAD ELECTRIC WIRES (IF SHOWN) C D0 C ( GAS LINE MARKINGS p� 0 357/9�� x 9.5 x 8.7 EXISTING & PROPOSED ELEVATIONS ('X' MARKS POINT) S 0TAP0 � �3LJ oe �6 EXISTING CONTOUR gNIrAR P °S�R��� RONALD J. CADILLAC, PLS, RS, P.C. PROPOSED CONTOUR ( C� 8 I � PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN 0 UTILITY POLE (IF SHOWN) P.O. BOX 258 [ElEXISTING DRAINAGE CATCH BASIN WEST YARMOUTH, MA 02673 X _ FENCE (IF SHOWN, NOT ALL SHOWN) (508) 775-9700 0 TREE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT APPROVAL DATE ©2005 BY R.J. CADILLAC PAGE 1 OF 1