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HomeMy WebLinkAbout0022 CATS PAW WAY - Health 22 Cat's Paw Way 192-112 Centerville No. 4210 1/3 ORA AUX Pendaflexo 10% s •' t No. C.(clI Fee-4/ THE r JMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH r' vISION - TOWN OF BARNSTABLE, MASSACHUSETTS 9pplitation for Disposal *pstrm Construction Permit Application for a Permit to Construct(%) Repair(C)_LJpgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No..;_7 ' LJt4 rJ 10j44V &/0 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel/V L�—n/ 514 I ller's Nam ,Address,and Tel.No._ —y20 r f 3 ' Designer's Name,,Address,and Tel.No. rog'3�f�_3 3 f dlt l3, `pus sir-q r ,S.®h'5, /.vc. / 141411W �//�1^j TG✓1S fl'//I�' ,• S9G1G� 1G Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( Other Fixtures Design Flow(min.required) :530 gpd Design flow provided 352. gpd 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),n/S�f�l�/g�j^ /`!�` TD Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si Date Application Approved by Date 3m Zq+ Application Disapproved b Date for the following reasons Permit No. ;7-pl s? — 1�„6 Date Issued 3?17olff V a mom ' No. ZO 1 8 `1 6 " Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ./' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes - 010litation for Disposal 6pstem Construction permit ..Application for a Permit to Construct( Repair(4)-11pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 2 2 �(Q��f 12A6 cc%4 Owner's Name,Address;and Tel.No. ; Assessors Map/Parcel/W / Z In taller's Name,Address,and Tel.NOJn—V20-y73 g Designer's Name,Address,and Tel.No. S'©$-360-33 �OS'�'f ti !Jt I✓�?✓''�"U !?�J.l;,: r�'� ,S,GvI'S i,t/G� 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) gpd Design flow provided 3.5-2. j gpd Plan Date Number of sheets .1 Revision Date o <:>,_ tk Title . w Size of Septic Tank Type of S.A.S. ----r -- —--- _ . Description of Soil Nature of Repairs or Alterations(Answer when applicable) /� 7`f { CUj'G�//'/� 7O Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sig Date Jr,?" zo/ Application Approved by ._,_.�_ Date 'r 90 8 �a / o Application Disapproved by,/ p Date for the following reasons f Permit No. Date Issued -7--n --------------------------------- THE COMMONWEALTH OF MASSACHUSETTS -� "BARNSTABLE,MASSACHUSETTS . Certificate of Compliance THIS IS TO CERTIFY,-that the O` n site Sewage Disposal system Constructed( ) Repaired Upgraded Abandoned C )by t7 -e at-a� �,475 PA-Iew/ ezlfWG1 /Pl=E-tT✓=i'1/i i✓/�" has been constructed in accordance with the provisions ofTitle 5 and the for Disposal System Construction Permit No o A dated /% 7p/ Installer /Os ex-7,/ v-e 15,0/-ey-5 Designer ti l�/�I� 3 t Appro> ev�sign flow 20 gpd #bedrooms t t � The issuance of this permit shall not be e construed as a guarantee that the(Y S etem will ction as designed. Date �/ ,� 1 Inspcto � ���� ✓ -_- ----- ----------------------------------------------------- - - -- ----- -------- ------•--------------Fee------------ . .. No. 07� 166 100 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair Upgrade Abandon( ) System located at 2 2 r�1 S /tea�r/ ✓lx1 G1 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with r Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit Date Approved by �^ r rom: 07/12/2018 08:11 0642 P.001/001 Town of Barnstable all"'E'Or+ti0 Regulatory Services Richard V. Scali, Interim Director • tAR!�Anr�,c �e� Public Health Division fp► ► Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form q Date: 11 L '� Sewage Permit# _ A/%--/6&Assessor's MapTarcel I Z- 1( Z' Designer: MN�Z' '� 6 n y Installer: Address: E0 Address: �z�3) On was issued a permit to instal I a (date) ((installer) septic system at 2 Z 6,kr P S ,-w UJAI' based on a design drawn by (address) /�/1�?..r ems" dated S12-3li (de�igner) M,', .l� EWS G) o v 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. Strip out (if required) was inspected.and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the 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. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was construct e with the terms of the IAA approval letters (if applicable) q�1RR� t �, r Mat , (In taller's Signature) (Designer's Signature) (Affix Designer amp Here) PLEASE RETURN TO BALSTABLE 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. QASeptic\Designer Certification Form Rev 8-14-13.doc TOWN OF BARNSTABLE LOCATION a a CA 15.f aUJ c tJAY SEWAGE# VILLAGE C�,l/TL l?V1JLL' ASSESSOR'S MAP&PARCEL /9 2 - / 12 _ INSTALLER'S NAME&PHONE NO.:.. So �/ �� e7 I G SEPTIC TANK CAPACITY /d U O LEACHING FACILITY:(type) c2 ' 50 0 cAccMk-rs(size) /3 k 5 NO.OF BEDROOMS 3 OWNER Q O U G L A S' PE fnl ,IRA PERMIT DATE:5 '-5D- /a 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 k, •site or within 200 feet of leaching facility) Feet Edge of Wetland and beaching Facility(If any wetlands exist within 300 feet of leaching facility) nn Feet FURNISHED BY ����� J3_Ai/'e05 �cl , t Li / 6uo /-Il :�9' 13i 13 G 2 437 /33 �7 a d 7 'down of Barnstable P# Department of Regulatory Services • Public Health Division mate t ssa� / KAM 161 �e Z00 Main Street,Hyannis MA 02601 Date Scheduled ��/'' C� 'Time Fee Pd. l) � � ,foil Suitability Assessment for S age Disposal Performed By. witnessed By: LOCATION& GENERAL MORMCATION Location Address . ZZ PA vv Ownta's Name '�e�E I�� VO tI�Sl-/ts+ iG,�-r-- ti>✓�� nn�y Address - io L / e 6- Assessor's Map/P;ircel: l L/ ( Z I Engineer's Name NEW CONSTRU�-,PON REPAIR j Telephone Land Use �k4)�-: 1 Slopes(9h) d v v Surface Stones Distances from: Open Water Body} ft Possible Wee Area�ft Drinking Water Well ft Drainage Way y o ft Property Line w —ft Other ft SKETCH:(Street name,dimensiods'of lot.exact locations of test holes&pere tests.locate wetlands in proximity to holes) S . I ; ; d,,-I,,,,hs� 1 Depth to Bedrock Parent material(geologic Depth to Groundwater. ding Water in Hole:' I Weeping from Pit Face Estimated Seasonal iHigh Groundwater Dt TION FOR SEA.SO�' AL HIGH WATI4;R T"LE a• Method Used: !C1bpem4rvsrtandiMng,* � in. Depth to soil mottles: in, Depth n obs.hole i groundwater Adjustment Depth toiweeping from side of obs.hole: -777:' ; Adj.{aetOC,..._.r Adj.Groundwater level Index Well# Reading Date Index Well IevCl ...... j PERCOLATIbN T. . Date xl Observation I Time at 9" Hole# ,t -- - � _ �1� " TimeatG .- -- �. Depth of Pere J 'time(9"-6") Start Pre-soak Time.@ d _ ---- LEndPre-soak MinJlnch ; Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) OriginaL•,Public 1441th Division eted on Back Observation Hole Data To Be Compl -- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable c4#servation Division at least one (1)wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) tl AL hmti low—It ►� i1 � �.o b 12:�? 261 f DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) 34- 132,� Ci o Sfwv DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil .Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consittencv. Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. t Flood Insurance Rate May: Above 500 year flood boundar1 NoY YeX Within -- 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally,Occurrint3 Pervious Material Does at least four feet of naturally occurring pe ' aterial exist in all areas,observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring p rvious material? Certification f G� I certify that on v l (date)I have passed the soil evaluator examination approved by the Department nviro ental Protection and that the above analysis was performed by me consistent with the required`rai 'n expert'raeVe 'ence d ribed in 1 0 CMR 15.017� � AllE Signature Date Q:ISEPTICVERCFORM.DOC COMMONWEALTH OF MASSACHUSETT EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIR. DEPARTMENT OF ENVIRONMENTAL PROTECTION i w ti J U L 1 LOi�3 NS TOWN HEALTH DEPT.BARNSTABLE TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VG,LUN1 ARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 22 CATS PAW WAY BARNSTABLE, MA 02632 Owner's Name: HULL k Owner's Address: 22 CATS PAW WAY BARNSTABLE, MA 02632 Date of Inspection: 6/23/03 Name of Inspector: (please print) JOHN GRACI, INC. Company Name: SEPTIC INSPECTIONS Mailing Address: P.O. BOX 2119 TEATICKET, NIA. 02536 Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal system at this address an:. that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was perfor..Ied based on my training and experience in the proper function and maintenance of on site sewage disposal systems. : am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: X Passes _ Conditional) sses _ Needs Furt valuation by the Local Approving Authority Fails Inspector's Signature: Date: 6/23/03 The system inspector shall submit copy of this inspection report to the Approving At—hority(Board of Health or DEP)within 30 days of completing this inspect' n. If the system is a shared system or has a design .'low of 10,000 (,pd or greater, the inspector and the system owner shall submit the report to the appropriate regional offic;of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments SYSTEM PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY T%',10 YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. ****This report only describes conditions at the time of inspection aad under the:onditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 'I'il1" 5 Ilwl—rtinn Dorn, WI S 110 I I Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM PASSED TITLE V INSPECTION.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound;exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed ND explain: n/a Page 3 df 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a 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 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone l 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 n/a "This system passes if the well water analysis, performed at a DEP certified laboratory,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 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: n/a Page 4 6f 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ X Liquid depth in cesspool is less than 6"below invert or available volume is less than Y2 day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for 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 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.] NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes" or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply _ X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. I a Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 Check if the following have been done. You must indicate "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 Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period`? X Have large volumes of water been introduced to the system recently or as part of this inspection ? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up X _ Was the site inspected for signs of break out`? X _ Were all system components,excluding the SAS, located on site X _ 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 ? X _ 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: Yes no X _ Existing information.For example, a plan at the Board of Health. X _ 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(3)(b)] 5 Page 6'of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): YES _ _ Water meter readings, if available(last 2 years usage(gpd)):1� _- ®� Sump pump(yes or no): NO �®0 Last date of occupancy: n/ar COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined? n/a Reason for pumping: n/a 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) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 1977 BY OWNER Were sewage odors detected when arriving at the site(yes or no): NO 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_cast iron __40 PVC other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints, venting, evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 12" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is,age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: 1000 GALLONS'IJ Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 32" Scum thickness: 0" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 18" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches, etc.): n/a DISTRIBUTION BOX: X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): D-BOX WAS VIDEO INSPECTED AND APPEARS TO BE STRUCTURALLY SOUND. PUMP CHAMBER: _(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a i R Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type 1000 GAL 6' X 6' leaching pits, number: 1 n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,etc.): LEACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. SYSTEM SHOWS NO SIGNS OF FAILURE.PIT WAS EMPTY AT TIME OF INSPECTION. STAIN LINES INDICATE PIT HAS NEVER BEEN MORE THAN HALF FULL. BOTTOM IS AT 8'6". CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): n/a 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 CATS PAW WAY BARNSTABLE, MA 02632 Owner: HULL Date of Inspection: 6/23/03 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. u� t IA ,C a peel( ------------ C � � nC w Ao ISA �7� Lo � 57 in Page If 1 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 22 CATS PAW WAY BARNSTABLE,MA 02632 Owner: HULL Date of Inspection: 6/23/03 ERE .SITE EXAMSlopeSurface waterCheck cellar H DEPT.F BAkN6'1 ALE Shallow wells Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record- If checked, date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators installers- attach documentation NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER- 12+FT. tt Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: M\I PR i NJ \P P, BUSINESS LOCATION: 'L"L cr� E ,S qra NA MA MAILING ADDRESS: u c,A�'s p,a.,,/ .a.ra.l nylA 01P�? Mail To: cs6- �►'�2..-'1Z'2-"� Board of Health TELEPHONE NUMBER: 5 Town of Barnstable CONTACTPERSON: De-,v<�h P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: Does your fir store any of t toxic or hazardous materials listed below, either for sale or for you own use? ES This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site otherthan your mailing address: ff ADDRESS: TELEPHONE: 5 '! Z- - 1'2--Z�l LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's 2-3 \/ Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) I L Paint & varnish removers, deglossers Any other products with "poison" labels 1 L ✓ Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS No..................... Fins./....................... rs . THE COMMONWEALTH OF MASSACHUSETTS BOARD HEA r4!� .OF... ....... .......... .....- :......... . pphration -fur Uiapuiittl Works -Cn-13 ttitrurtinn Prrutit Application is hereby'made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal Syst,�yat _-•----------•----------- Lopca' Address or Lot Igo: v Own s Address W --------•-----f` ....... •...................... ........................... -....... -••-••' .......... ..... ..... Installer Address i UType of Building Size Lot_.��d�.: �o.S____Sq. feet Dwelling—No. of Bedrooms..______��..............................Expansion Attic ( ) Garbage Grinder ( ) aa4 Other—Type of Building ............................ No. of persons-..._------_-_______---__-__ Showers ( ) — Cafeteria ( ) PL4 Other fixtures ----------------------------------- W Design Flow----------- ........................gallons per person per day. Total daily flow------------73!q_Q....•..-........gallons. P; Septic Tank—Liquid capacity/_ __t1-0-f�Mns Length---------------- Width................ Diameter---------------- Depth...--__---._...: Disposal Trench—No..................... W�th_..._.___...__..__.. Tota gth..........._,_....-. To�eacl area.._._._.____..______sq. ft.Seepage Pit No..__ = v?'�-._.... ef..............:.... area_��-a.k-sq. ft. Z Other Distribution box ( Dosing tank ( ) �06• 77 Percolation Test Results Performed by------------------_ .................................................... Date----.----------•------------------------ ,aa Test Pit No. 1----------------ri-tinutes per inch Depth of Test Pit.............._..... Depth to ground water...---.--.--_.-.--.--_- r=, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water-------------------------- W =1 �o r f..` / - -- -------- ---- - O Description of Soil--- ..... _ G g$ 0-0 `�`�_ -� -__ __ _ J � �`�-'.�y`��.�4. � -- V l !-. _.• !..vf--------------------------------------- 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 \I 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 Vboar of healt Sign ----• ---. ateD ateApplication Approved By---= . . .------ ... - -----------------_ ---L?_:7:_ -_-.7--:7---------- Date Application Disapproved for the,following reasons:-------•---•-------------=--•---•-•-------•--•---•---•----.......-•-•-------------------------•---....--------- ............................................................... --------------------•--------------------•-----------....--•------------------------------•---------••-•-------•------------•----.----- Date PermitNo......................................................... Issued--------------------------------....................... Date m; d No......................... -, A Finc................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H EA H,/ Applirtttinn -for Diqun6ttl Works T tntrnrtion Vrrmit Application is hereb 'made for a Permit to Construct,, or Ile air an Individual Sewage PP Y ( ) P ( ) b Disposal System,at,: J Loca ioti•Address or Lot No. = -= Owner �f ,J Address Installer /r� r Address Type of Building Size'Lot... ....Sq. feet U Dwelling—No. of Bedrooms---------- _____ _________________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building -_- \To. of et Sons____________________________ Showers Cafeteria . Other fixtures ------- 'v--r t,--------•-••------------- Design Flow---.-------- .+ ________________________gallons per person per day. Total daily flow____________ ,`' !_. _._____.._.--.-..gallons. Disposal Trench 9 No..................... `�jPli_ns - LengthTotal engt l-dt---__.-______-. T�oota meacl • g area---Depth_=_....sq. ft. �`Septic Tank—Li uid ca pacity�.� �'' � �See a e Pit No.._._ ?� f Dr ie - - .__._. -�`T e -_S'-'tit' De fh6e1'w inlet--- tal'1 . In tre.t-" --- P g - P - ------------ g � - .�-- sq. ft. z Other Distribution box ( )/ Dosing tank ( ) ✓O •.tic h, - Z-h •- -77 Percolation Test Results Performed bY-------------------------------------------------------------------------- Date-----_- ----- Test Pit No. 1--------____•---minutes per inch Depth of 'Pest Pit--.------------------ Depth to ground water...-..--.___-------. ... f:, Test Pit No. 2................minutes per inch Depth of Test Pit_-_.-.-_______.__-_ Depth to ground water------------------------ — •---•K y----- ---- J------------------- - It r #- j •--•• ------- f D Description of Soil Q -- -- - - "-.4 V E ~-:' fa______________ _ w r, x --------------- ------------------------------- ---------------------------------------------------------....- --------------.-------------------------------------------------••--------------- 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 been'issued by t ,e board of health,. Sign .�� IJ ,U ."� ��.f'44 ` - r Dater Application A roved B e 4-44-0- 1 Date Application Disapproved for the following reasons:---•---•------•----------------------•---------------------------•••-•----------•-•-------- ------------------- -•--••--••-•--•___•----••-•-•---••-••-------•---....•• ------••--• ------------•••----•--•-•••---------•-------•-•---•-------------------------•------------_----•••-----------•••-------•--•-------- Date PermitNo......................................................... Issued....................................................... i Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH •f 0:1,rrtif irtttr of (11prrmplittnrr . THIS,1_S,T0 CERTIFY That t Individual Sewage Disposal System constructed or Re aired ,�t'�� -fit" g P by............Y ; r ----------------------------•-----------•--------------•-----•---�;-- •-••-- --••-•... �. 3 / •---------I It!it r 6 ----- ---•-- ---•- has been installed in accordance with the provisions of Arty 'h�I of The State Sanitary Code as descr"ibed inth'e; application for Disposal Works Construction Permit No...'...`............. . '. d-tted- `' "'� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT TIME' SYSTEM WILL FUNCTION SATISFACTORY. DATE_- • ------ .......... ,� ....... Inspector---- -t _ - THE COMMONWEALTH OF MASSACHUSETTS �--��•�°'� BOARD OF HEALTH - -? -"..OF .................... No......... Y........ .. Disvnlitt nrk� �nntrnrnnrrmit �.Permission is heyeliy granted ,✓''i-r.- .= �. !`.. ����--°r _ �.�.. to Conmstruct r Repair ( ) an dividual Sewage Disposal �y7 m Z, ff at as shown on the application for Disposal^Works Cons stet ' '" Construction Per No--- 7 •--------- Dated-----�-------------•---..._--------•--- _? 9 ------------ - - *----------------------_ V — / — 77 Board of Health ,d DATE...........................----••------------•---------------------------••--•- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS` �_� L�OtCAT10 - J� SEWAGE PERMIT NO. VILLAGE INSTA LLER'S N ME & '-,A D D R E S S . r Z B U I,L D E R OR WN ER DAT PERMIT ISSUED DATE COMPLIANCE ISSUED -� 1 d � h 1 C4 L0- - G � TA �! l� e, . Al L O`+" CEIZT+F{&L7 Pi_C:>'T- A. ' L d /a-i I U ice: —� - -------- -- - Jq/ -7 7 cGizTIr- T+4AT' TMC= FoUNllAT1or4 5tAo..vu t`��bti`i ►���'��c�ic_L t-iEtzi=G-1 C�=/1��i�LYS w f Ti-a TWG rji DG LI►-'C-- 4 -JC> S T1'�/�Ck ��(�UiiZ�NiCi.1TS �%►= T1-4c L ©-r Gr a C3 V-, 3 G• Pam• I z 7 �3 A 7CT C►Z �. ►.i Y� ��-�G -j wls QL-Aw IS t 1UT ��Sc� vim► nu v5 «tzv��>_� ��.ss. t `iUZvi?l{ Tc1� Cam►=�SciS �iF1CiJlt� APFI_iC/�.1�1T T6 oeTaZM0.4& CAPE V'.! o, LEGEND CENTERVILLE PROPOSED CONTOUR ® PROPOSED SPOT GRADE �U� ——98 —— EXISTING CONTOUR + 96.52 EXISTING SPOT GRADE 9 O W— EXISTING WATER SERVICE cF TEST PIT ��9p LOCUS F 22 CATS PAW WAY p D v + 60.9 BENCH MARK * LOCUS MAP TOP OF FOUND. 61.0 64.00 18 �4 LOCUS INFORMATION BARNSTABLE GIS DATU P-1`L T `� w PLAN REF: 236/127 ` TITLE REF: 17371/176 62.0 PARCEL ID: MAP 192 PAR. 112 FLOOD ZONE: PROPERTY NOT IN FLOOD ZONE N 13 23„ 61 q 1� SEPTIC SYSTEM C7 + 62.5 + 62.5 N `� REPAIR PLAN D LOCATED AT: --i �r 22 CATS PAW WAY (� LOT 63 �\\ --� 13.00' �- AREA=16,552t S.F. _ _ CEN TER VI LLE, M A It m 0 1 PREPARED FOR 11 0 m I EXIST. 1'000c DOUGLAS PEREIRA 6� —I I SEPTIC ANK MAY 23, 2018 -� z Z Z fT1 I oo � 0 n ( , - - - - - - .................-W - - - - - i C - I � L.P. C I ' O OF Al4ss9�y DA E C , D MEYER & SONS, INC. P.O. BOX 981 S82 59'48"E PLAN EAST SANDWICH, MA. 02537 141.88 PH: (508)360-3311 SCALE: 1 in = 20 ft FAX: (774)413-9468 0 20 40 meyerandsonstitle5©gmail.com 0 10 20 40 SHEET 1 OF 2 J 1894 ELEV. TOP DROP FND. N07E: PLACE MAGNETIC MARKING TAPE OVER ALL COVERS (Existing) BRING ALL COVERS TO WITHIN 3" OF FINISH GRADE FINISHED GRADE (61.0) = 64.0 F.G.EL: 62.5 F.G.EL: 62.2 F.G. EL: 61.3 R MAINTAIN 2% MIN SLOPE OVER LEACHING AREA F.G.EL 59.70 2" OF 3/8" DOUBLE WASHED 3/4" - 1-1/2" .• . STONE OR FILTER FABRIC ' '- DOUBLE WASHED STONE R. 6" " 4" SCH 40 PVC 10"1 14 61 U ® S= 1 ®®®®• O ®®®E3 !: TEE'S ARE TO BE INV.57.60 (MIN.) jjj ® 0 ®®®®®®®®®® :T 4" SCH 40 PVC 2' EFF. DEPTH ®®®®®®®®®®E3 INV.58.40 T IN 7.V. 0 5 5 4 2X8.5 4 PROPOSED DB-3 EFFECTIVE LENGTH = 25' EXISTING OUT1 ET BAFFLE . •.••« •. • .•. • •• . DISTRIBUTION BOX INV. 58.65 (1-120) INV. ELEV.= 57.0 EXISTING 1,000 GALLON SEPTIC TANK GAS BAFFLE TO BE INSTALLED ON �Fsf9 OUTLET TEE AS MANUFACTURED BY �`� �y BREAKOUT NOTES: TUF-TITE, ZABEL, OR EQUAL 1 D E G TOP CONC. ELEV.= 58.0 ELEV.= 58.0 1) CONTRACTOR SHALL VERIFY ALL EXISTING c PIPE INVERTS PRIOR TO CONSTRUCTION i 40 INV. ELEV.= 57.0 ®~ E3 \ ®®®® . 2) D-BOX SHALL BE SET LEVEL AND TRUE TO p ®®®®®®E GRADE ON A MECHANICALLY COMPACTED SIX RED/$�t��' ®®®®®®® " INCH CRUSHED STONE BASE. AS SPECIFIED IN $1NITA910 BOTTOM EL.= 55.0 ®®®®®®® 310 CMR 15.221(2) �� 4' 5 FT. 4' 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK WITH 1500 GALLON SEPTIC TANK IF FAILED, SEPARATION 5.20 FT. EFFECTIVE WIDTH = 13' DAMAGED OR UNDERSIZED. 4) INSTALL INLET & OUTLET TEES W/ SEPTIC SYSTEM PROFILE GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL: 49.80 _ SOIL ABSORPTION SYSTEM (SECTION) 5) PLACE SANITARY TEE IN D-BOX (500 GALLON H2O LEACH CHAMBER) GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL LOGS P#: 15669 DESIGN CRITERIA NO INCREASE IN FLOW ALLOWED (ZONE 11) BOARD of HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOM DESIGN 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS DATE: MAY 17, 2018 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SOIL EVALUATOR: DARREN MEYER, R.S., CSE #1614 SOIL TEXTURAL CLASS: CLASS I (0.74 GPD/SF) LOCAL RULES AND REGULATIONS. DESIGN PERCOLATION RATE: <2 MIN/IN 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR WITNESS: DON DESMARAIS, BARNSTABLE HEALTH DEPT. DAILY FLOW: 110 G.P.D. X 3 BR = 330 G.P.D. TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. Elev. TP-1 Depth Elev. TP-2 Depth 9 �_ GARBAGE GRINDER: NO (not designed for garbage grinder) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 60.80 0" 61.20 0. SEPTIC TANK: 330 gpd x 200% = 660 gpd, USE EXIST. 1,000 GAL. SEPTIC TANK ENGINEER BEFORE CONSTRUCTION CONTINUES. A LOAMY SAND A LOAMY SAND 10YR 3/2 10YR 3/2 LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. � 60.13 8" 60.53 $" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF B LOAMY SAND B LOAMY SAND USE TWO (2) 500 GALLON H2O PRECAST LEACH CHAMBERS W/ 4' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 10YR 6/6 1oYR 6/6 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 57.98 34" 58.38 34" STONE ON ENDS & 4' STONE ON SIDES: 25' L x 13' W x 2'D 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. C C S.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED BOTTOM AREA: 25 x 13= 325 SF TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE PERC TEST MEDIUM MEDIUM SIDE AREA (25 + 13) X 2 X 2 = 152 SF THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING • EL. 56.30 SAND SAND CONSTRUCTION. 2.5Y 6/4 2.5Y 6/4 TOTAL SQUARE FEET PROVIDED = 477 vs. 445.94 REQ'D 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. DESIGN FLOW PROVIDED: 0.74(477 S.F.) = 352 G.P.D. vs. 330 G.P.D. req'd .- 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 49.80 1 132" 50.20 132 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 14. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. PERC RATE <2 MIN/IN. ("C2" HORIZON) 22 CATS PAW WAY, CENTERVILLE, MA 15. ALL PIPING TO BE 4" SCH 40 m 1/8%FT (UNLESS SPECIFIED) NO GROUNDWATER OBSERVED Prepared for: Pereira Design and Site Plan by: SCALE DRAWN DATE • I, Darren M. Meyer. R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 MEYER&SONS,INC. N.T.S. DMM 05/23/18 to conduct soil evaluations and that the above analysis has been performed by me consistent with the PO BOX981 REV DATE requirements of 310 CMR 15.017. 1 further certify that 1 have passed the Soil Evol. Exam in October, 1999. EAST SANDWICH,MA 02537 CHECKED SHEET N0. 508-3622922 DMM 2 of 2