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Home My WebLink About0043 CHAPPAQUIDDICK ROAD - Health 43 Cha a uicidic pp q Centerville A =►'170 = 026 S M E A D No.2-153LOR UPC 12534 smsad.com • Mada to USA 01A OFrrfSRPWC4M aee�us�Nn�sabaxru+E YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L,.-it does not give you permission to operate. ou rn st first obtain the necessary signatures on this fori-n at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st A., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: F i9 f9 lu Fill in lease: y r APPLICANT'S YOUR NAME/S: SINE YOU DRESS: �� c l pC>tCk i y OME AD �T Z TELEPHONE #r�yy ,r� Home Telephone Number % AN4tr EIN OR : T�3V�IO(�S E-MAIL: IEC,®[.L C�f� NAME OF CORPORATION: Lk NAME OF-NEW BUSINESS O OLCc t,C U TYPE OF BUSINESS V Z)C- IS THIS A HOME OCCUPATION. YES N k J _ 7CCC �'uLE' MAP PARCEL NUMBER /70 —�o��o (Assessing) . ADDRESS OF BUSINESS / When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. -MUST COMPLY WITH HOME OCCUPATION 1. BUILDING COMMISSIONER' OFFICE /nULES AND REGULATIONS. FAILURE TO This individual has been i or, of any requirements that pertain to this type of business. COMPLY MAY RESULT IN FINES. 7 � ut orized Eignatur ** / l/ � /C) COMMENTS: - C(j ( V C/� 2. BOARD OF HEALTH MUST-COMPLY WITH ALL This individual has been ' d e permit requirements that pertain to this type of business. HAZARDOUS MATERIALS RE�[1CATIONS Aut COMMENTS: 3. CONSUMER AFFAI [ ICENSING AU; RI . This individual h o licensing requirements that pertain to this type of business. COMMENTS: r Commonwealth of Massachusetts /70 (o Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chappaquddick Chi Property Address Murphy o-y Owner Owner's Name information is required for Centerville MA 02632 10-10-17 .tea every page. City/Town State Zip Code Date of Inspection teJ 01 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: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. D.A.BROWN INC Company Name P.O. BOX 145 Company Address CENTERVILLE MA 02632 'Ed00 City(rown State Zip Code 508-420-4534 S14297 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 '�!� C' 10-10-17 Inspector's SigAture Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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 conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 Goj9td US Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 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: Complete system is only 2 yrs and 4months old and is in excellent condition at this time. 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old"or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. City/Town 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 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 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 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown 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 functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal 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 '/2 day flow t5ins•3113 Title 5 Official Inspection Form: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 , 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) 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 well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 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 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. For large systems, you must indicate either"yes" 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 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. t5ins-3/13 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 �M 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must 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): 330 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: System consists of a 1500 gallon septic tank d-box and 2 500 gallon chambers Number of current residents: 1 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(last2 years usage(gpd)): Detail: minimum water usage Sump pump? ❑ Yes ❑ No Last date of occupancy: currently occupied Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: currently occupied. Date Other(describe below): General Information Pumping 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, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM , 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Entire system was installed in june of 2015 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1.5 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: 1500 gallon Sludge depth: light t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form e Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M , ' 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown State 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 trace 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? wooden pole Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was functioning properly at time of inspection. Pumping is recommended at least every 2-3 yrs for maintenance. system is 2 yrs and 4 months old and has seen little use. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form: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 M 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Citylrown 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.): `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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Citylrown 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 0" 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.): 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.): *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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 2 ❑ 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.): Chambers were dry at time of inspection with only damp soils in the bottom. 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 , 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic 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 4 . Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every page. Cityrrown 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 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 every 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: none encountered at perc test 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: 10-2017 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: design plan Before filing this Inspection Report, please see 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 43 Chappaquddick Property Address Murphy Owner Owner's Name information is required for Centerville MA 02632 10-10-17 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 Assessing As-Built Cards Page 1 of 2 a � � TOWN OF B`AMSTABLE LOCATION i-1'3 CA,JJfJc�a lc SEWAGE# UiS- 171 VILLAGE(,Cnati Pd�III ASSESSOR'S MAP&PARCEL 110-O l G INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY l 5 00 LEACHING FACILITY,(type) �11 1 r,,C (size) L28MI S'X7 NO.OF BEDROOMS OWNER Am 66 1 ,4 PERMIT DATE: 6 COMPLIANCE DATE: 6 f()— Separation Distance Between the: /V&^J C co, pe(c Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility Of 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 J A iv'2q,5 IN 36, -37 i -`+3 i L http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=170026&seq=1 10/10/2017 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 10 pfitatiou for Vsposal Opstem Construction permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No 1J�e �p� �� Owner's Name,Address,and Tel.No. y Assessor's Map/Parcel y' �y/U� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 0 s A 13taw 1 LcN ti �.- a WG de c Type of Building: Dwelling No.of Bedrooms ] Lot Size !<_00 0 sq.ft. Garbage Grinder( ) Other Type of Building r'2o5/ Afr o I No.of Persons / Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 2Y0t'7 gpd Plan Date /d b N Number of sheets "Wo Revision Date Title/ / I ,� Size of Septic Tank /s[70 Type of S.A.S. s� G GC/fbr✓ 417r � I o Description of Soil 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 rgp.n)ie ' Boa Health. 9 Date G Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued e No. Fee b ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS fiplication for Disposal 6pstem Construction Permit 'Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. A/ �` pay Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel /"4 v✓ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. s A 1 rc5w ro _ , Type of Building: Dwelling No.of Bedrooms Lot Size /F('OOsq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria(.y)°r Other Fixtures Design Flow(min.required) '3'3 y gpd Design flow provided y 7 gpd Plan Date &)b 3 V/N Number of sheets -"is— Revision Date Title / Size of Septic Tank /S"eVC) Type of S.A.S. Description of Soil 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 Board of Health. Date Application Approved by 'Date h Application Disapproved by Date v for the following reasons ---' Permit No. Date Issued ' ----------------------------------------------------------------------------------- ------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On---site Sewage Disposal system Constructed( ) Repaired(f,'<—Upgraded( ) Abandoned( )by l�, �at , has been constructed in accordance 0 - with the provisions of Title'5 and the for Disposal System Construction Permit No. (� S-I dated t / Installer, 1 2 N C Designer :�-7 n,J i esi ,o P ir N:--j r � lA)ebf k! C #bedrooms ] Approved design flow °3 gpd The issuance of this pe it Isha11 not be construed as a guarantee that the system will fund q'as design d. Date u I Inspector c it ---------- -------�-------- ---- ---------------------------------------------------------------------------------------------- No, / Fee '� THE COMMONWEALTH OF MASSACHUSETTS T IC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS OP Iv hereby granted to Disposal � stern Construction Permit p CPe fission is Construct( ) Re ai\\r( � Upgrade( ) Abandon � ( ) System located at H ' r L�>floor-, a O 9 f �1\C� % cow�r'oo � 1 1 � c0 I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. 1 , Provided:Constructi n m t be c mplete ithin three years of the date of this permit. P.Irt . A?(7 Date Approved by x 100.98 EXISTING SPOT GRADE IN s'ooey --101-- EXISTING CONTOUR Qifi14-OVERHEAD WIRES CHAPPAQUIDDICK ROAD k,uske el {;------- EXISTING GAS SERVICE -yl- EXISTING WATER SERVICE Pi" C' Pe poo 0 TEST PIT H'^ckley Pd Raep 9wddick.o 42.17 Tuckero°` 44.59 43.59 edge o/ pavement 0 BENCHMARK r LEGEND Nausel Lr, Ames w a LOCUS 9 romono.k o� m U 'IT" 5 S 55"5'20' E ' Po.demo,,Tway GS❑ i 102.00'LAMP 45.09 LOCUS MAP 41.79 NOT TO SCALE \ 44.02 x 43.38 .f•' x 45�5 o` LOT 4 o'..:! / w' �� MBL 170-026 15,080 ±SF i GENERAL NOTES: i Iv � 43.44 42.16 j 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL qTq ).�:;. �:':: qqq x x BOARD OF HEALTH AND THE DESIGN ENGINEER. I. 2.ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 41.57 OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE 44.89 I LOCAL RULES AND REGULATIONS. . x IEXISTING 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR n N TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE GARAGE OOSE(#43) T.O.F.=44.5f DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING j FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 3 \,l ENGINEER BEFORE CONSTRUCTION CONTINUES. 41.68 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. a x 415 4366 m 6. THE DESIGN ENGINEER'IS NOT RESPONSIBLE FOR THE FAILURE OF 45.26 DECK / m THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 11 a2.75 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. U7 2.09 N n 8'1 THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 34 4"' A2�I�'" v ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS /r' x 9.41 X I J 39.95k AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE It 11 40.76 DIRECTED BY THE APPROVING AUTHORITIES. BENCHMARK PVCP1 E. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING OUTSIDE CORNER CONSTRUCTION. OF CONCRETE PAD x , EL.=4366 qq Ed7 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND J SEPTIC 7!` �}� OF MgSSq REPLACE WITH CLEAN SAND-AS SPECIFIED IN 310 CMR 255(3). / 42.37 yry�( -' �- o PETER T.ANK 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE x x / Q:` ".�y�T--12 McENTEE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. f I 40.48CIVIL 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND EXISTING CESSPOOLS No. 35109 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. (APPROX/MATE LOCATIONS) �2 O 7h 2 x 3 .92 RfGI51 `lz� �Q 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC TO BE LOCATED, PUMPED, FILLED ( �Q )`1. "'N"FSSIONk SYSTEM COMPONENTS NOT SHOWN ON THE PLAN WITH SAND AND ABANDONED, OR P-1 REMOVED. 0 PROPOSED SEPTIC SYSTEM UPGRADE PLAN / x 40.49 d x yN 43 CHAPPAQUIDDICK ROAD, CENTERVILLE, MA l / 41.41 _ x x 38.81 \ t 39.45 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 102.31 OWNER OF RECORD Engineering by: SCALE DRAWN JOB.NO. MURPHY, JAMES 0 1"=20' P.T.M. 199-14 5 59'42'35" E JAMES 0 MURPHY TRUST CENTERVILLE, MA 02632 TRUST Engineering Works,Inc. .L4 3.5 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. %MURPHY, JAMES 0 & RITA TRS (508) 477-5313 10/23/14 P.T.M. 1 Of 2 TOWN OF BARNSTABLE LOCATION Lk`3 C11n o pc g L'I(J) `IC SEWAGE# aO VILLAGE( C jV we J� ASSESSOR'S MAP&PARCEL /-70 -07 6 INSTALLER'S NAME&PHONE NO. ,DoqA 7,'S(Owl 7Z N C SEPTIC TANK CAPACITY L-5--00 LEACHING FACILITY:.(type) SbocIG,I r"M(size) t2, `z,X2Ste_ NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: to 0— Separation Distance Between the: NU,V C a'- perC Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY� �`'C `�,(� A A ol au 36.7 r f�c is c o e i . yf r C Al out Zc r 2 oFTIM Town of Barnstable P#_ Department of Regulatory Services BAMSTABEA : Public Health Division Date �� `f )I q • � MAMMIi6J9 ' 200 Main Street,Hyannis MA 02601 p1 f0�.t A� Date Scheduled ,,� �t/� Tl v me • IPA _V Fee Pd. ` ' d O , Soil Suitability Assessment for Se a e Dis o l /(4c- j-ez �F- yam# sit Z Performed By: Witnessed By; LOCATION & GENERAL INFORMATION Locatipn Address e g 3roa •CJX led Owner's Name V—.Q,vl Lj Mvr-tO)L q L / Address Lf 3 G!,4�0o q Q V� ' Assessor's Map/Parcel: 170 0 Engineer's Name NEW CONSTRUCTION REPAIR KC 11 .. Telephone .�9-7 3 7--Y7 (/'Q Land Use " SJ✓�h�� 30 Slopes ?' P ( ) Surface Stones r-AQ/I Distances from: Open Water Body °J�ft possible Wet Area NG^e ft Drinking Water Well?LIT—ft ft Drainage Way_ /�� ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) t2 s WO Lw`t`7 fWk) AtI c �. Parent material(geologic) 'I� i a^ 4j'ip` Depth to Bedrock Depth to Groundwater. Standing Water in Hole: ��^� Weeping from Pit Fnce Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In. Depth to still mottles: Depth to weeping from side of obs.hole: Groundwater Adjustment__ft. Index Weil# Reading Date: IndexWelllevel,,a, Adj,thetor— Adj,CroundwaterLevel A Observation PERCOLATION TEST bate , Thne_ -�Hole# Time at 4" Depth of Perck 2 GI I t/vtJ Time at 6" Start Pre-soak Time @ ` ./ S t/It ism Time(9"•6") End Pre-soak Rate Min./Inch. �— Z Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)_ Original: Public Health Division Observation Hole Data To Be Completed on Back----••------ ***If percolation test is to be conducted within 100' of wetland,you must first notify the. f (� Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTIC\PERCFORM.DOC d" ►M. DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. t : consistency, Gravel) o I rZ,y�Z . 3 1M SattiJ . 2�5`C 6 L�a� DEEP OBSERVATION HOLE LOG Hole# Z Depth,from Soil Horizon Soil Texture Soil Color Soil Other 5uiface (USDA) (Ivlunsellj -Mottling 4(Structure,Stones,Boulders. Consistency,% av 3��32 6 L 1►�t Sotvtj 2� C t DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistency. o Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) .(Munsell) Mottling (Structure,Stones,Boulders. ns' F Flood Insurance Rate Man: Above 500 year flood boundary No— Yes ___ Within 500 year boundary No t/1 Yes,:_„r Within 100 year flood boundary No �— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the area proposed for the soil absorption system? zJ If not,what is the depth of naturally occurring pervious material? ...� Certification I certify that on 1A V%a (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required trami ,expertise and experience described in�10 CMR 15.017. Signature � — Date U Q:\.SEpTI0PERCFORM.DOC Town of Barnstable Regulatory Services 4 Richard V. Scali, Interim Director BARN U. Public Health Division rya ` Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Of ice; 5i 8-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date! v G G'- Sewage Permit# ;9 Assessor's Map\Parcel 4�O 2�• T— D igrae Installer: -A dres : Address: U 0 S' was issued a permit to install a (date) (installer) `�_ se tics stem at I ) bNC" � vtjaL tl i` k eased on a design drawn by 1 `cam�-e e `P_�, (a dress) vt, r ct WZt,(f.�, .� dated Z3 (designer) certify that the septic system referenced above was installed substantially according to e design, which may include minor approved changes such as lateral relocation of the istribution box and/or septic tank. Strip out (if required) was inspected and the soils Pre found satisfactory. certify that the septic system referenced above was installed with major changes (i.e. eater than 10' lateral relocation of the SAS or any vertical relocation of any component f 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 ver.e found satisfactory. _ certify that the system referenced above was constru `t aF 9 ,with the terms of he IAA approval letters (if applicable) PETLR T. . P/iCr IV i f.0 CIVIL :,: S,No.35109w j4' aller's Signature) `� �' IOlt- AL -t'd� d V v-V. _4z. gner's Signature) (Affix Designer's Stamp Here) Y. EA 'E RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CEWfIFICATE F C MYLIANCE WILL NOT BE ISSUED UNTIL BOTH TMS FORM AND AS Ha2i CARD A.RE RECEIVED BY TI1 BARNSTABLE PUBLIC IMAL TH DIVISION1 . T YOU Q Isepticbesigner Certification Form Rev 8-14-13.doc 1 - f x 100.98 EXISTING SPOT GRADE Stoney EXISTING CONTOUR N ---g f - OVERHEAD WIRES c`' CK ROAD A D EXISTING GAS SERVICE ® MuskO et CHAPPAQUIDDI W EXISTING WATER SERVICE pri oe rho ° moo � n TEST PIT IiinckieY /2d RoodPOquiddiek C, uc 44,59 43,59 _ 42.17 BENCHMARK �li� ° obgk �Tucker� < edge of pavement LEGEND Nouset Ln . �`'� � �• 4 Ames a LOCUS o Tomahawk 0< 44.89 ..: . U 41 S 95 *15'20" E Powderhorn ° LOCUS MAP 41,79 NOT TO SCALE x ;q x 45 LOT 4 ; MBL 140-266 �: `� 15,08o tsF 'i GENERAL NOTES: 42,16 3 I 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 4 14 44 4 x x `i BOARD OF HEALTH AND THE DESIGN ENGINEER. x 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS / 4L57 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 44.89 LOCAL RULES AND REGULATIONS. x EX/STING 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR GARAGE HOUSE(#43) TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE T.O.F.=44.5t DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 3 ENGINEER BEFORE CONSTRUCTION CONTINUES. a x 41.68 5, ALL ELEVATIONS BASED ON ASSUMED DATUM. 00 x 4�,57 BM o ' 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 45.26 43.66 DECK / 4 00 -�� THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF / M HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. / En42.75 N 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.2.09 N 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. /3,34 x 41, "/ 39.95 x 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 40. 6 PVC P'I+P E• DIRECTED BY THE APPROVING AUTHORITIES. • � BENCHMARK 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY \ f THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING OUTSIDE CORNER / \ fn G CONSTRUCTION. OF CONCRETE PAD O , x EL.=43.66 44.E7 I / 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS PROP. / pF M IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND SEPTIC !`.,� P�� gSSq� REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). TANK / 42,37 ':'t' ;� 1 o� PETER T. Gs 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE / x x 7 "Gj•��12 McENTEE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. / 40,48 /,rw0 O •Q-/ o CIVIL 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND EXISTING CESSPOOLS ' �QO�? F� No. 35109 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. (APPROXIMATE LOCATIONS) /'O ' 2 / O J , TO BE LOCATED, PUMPED, FILLED x 3 •92 �pFG1S1L(�� 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC WITH SAN /'Q�' `y �h F �� / yr <.;�,.:;.. FS SYSTEM COMPONENTS NOT SHOWN ON THE PLAN REMO ED.D AND ABANDONED, OR � � ��•�;.:,,:-: P-1 ' ? �� 231 (H PROPOSED SEPTIC SYSTEM UPGRADE PLAN / x 40,49 �'� 43 CHAPPAQUIDDICK ROAD, CENTERVILLE, MA / 41,41 x `� x N x 38.81 39.45 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 \� 102.31' \ OWNER OF RECORD Engineering by: SCALE DRAWN JOB. N0. 59*42'35'� E MURPHY, JAMES D En ineerin Works, Inc. 1"=20' P.T.M. 199-14 g x 43.5 JAMES D MURPHY TRUST 9 DATE CENTERVILLE, MA 02632 12 West Crossfield Road, Forestdole, MA 02644 CHECKED SHEET NO. %MURPHY, JAMES D & RITA TRS (508) 477-5313 10/23/14 P.T.M. 1 Of 2 NOTE: TO- PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, EL.=36.5 klfRAIGEIBACK OF HOUSE INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D—BOX OF THE PROPOSED S.A.S. INSTALL RISER & COVER PROPOSED S.A.S. i SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F=44.5t SET TO 3" OF F.G. TOr SERVE AS INSPECTION PORT DECK F.G. EL.=43.6f F.G. EL.=41.1 t F.G. EL.=40.0t F.G. EL.=39.5t t ff MAINTAIN 2% SLOPE OVER S.A.S. L = 33't N(max.) L = 8' ® S=1% (MIN.) : ® S=1% (MIN.) ® L= 5'MIN.)jo;" y 4"SCH40 PVC 4'SCH40 PVC LO 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" ' :� s" DOUBLE WASHED STONE a (OR APPROVED FILTER FABRIC)14"INV.=39.25 48" UQUID —3/4" ro t-1/2" DouBLE 0 LEVEL ADD PROPOSE WASHED STONE d=GAs DAPPLE INV.=38.50 INV.=38.33 1. INV.=39.00 3 —BO ETS / �` AM IsmINV.=36.00 FLt PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS N / / CONNECT TO EXISTING SUITABLE SEWER PIPE/S SURROUNDED WITH STONEiAS SHOW C-; H-10 RATED / Q� / I AT HOUSE, AT OR ABOVE, INV.=40.Ot(verify) TOP CONC. ELEV.=36.8t BREAKOUT ELEV.=36.50 / NOTES: INV. ELEV.=36.00 ®Boa® 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & 063000aaaaaB INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.=34.00 SEPTIC LAYOUT 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 4' 2 x 8.5' = 17.0' 4' y TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL 5' (MIN.) ABOVE G.W. IN INSTALL CMR t 5.2O1(2). LEACHING SYSTEM SECTION ®®®® ® ®®® 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=28.1 z t 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE ®®®®®® ® ®®® AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. � � ®®®®®® ® ®®®® 33" �t w 04 > ®�®®®® ® ®®®® SEPTIC SYSTEM PROFILE Ifz 102" DESIGN CRITERIA SOIL LOG DATE: SEPTEMBER 10; 2014 (REF 14,467) 4" KNOCKOUT NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER McENTEE PEtSE#1542) 20" DIA. COVER SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DONNA MIORANDI R.S. HEALTH AGENT ELEy. TP- 1 DEPTH ELEV. TP-2 DEPTH / DESIGN PERCOLATION RATE: <2 MIN/IN 4" KNOCKOUT _ 4" KNOCKOUT 58 DAILY FLOW: 330 GPD 39.1 A SANDY LOAM 0" 39.2 A SANDY LOAM 0" � DESIGN FLOW: 330 GPD 10YR 4/2 10YR 4/2 GARBAGE GRINDER: NO—not allowed with design 38 6 B 6 38 r B 61, 4" KNOCKOUT SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 10YR 5/4 10YR 5/4 .74 GPD/SF 36.1 C 36" 36.0 C 38" 500 GALLON CAPACITY, H-10 LOADING PERC CHAMBERS PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 36"/48" PROPOSED D—BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED USE 2-500 GALLON SURROUNDEDBY DOUBL.ELEACHING WASHEDCHAMBERS S ONE ON SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SIDES MED. SAND � MED. SAND 2.5Y 6/6 2.5Y 6/6 43 CHAPPAQUIDDICK ROAD, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. 4 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. I Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:............................ .. 471.2 S.F. / 132' N.T.S. P.T.M. 199-14 28.1 13'MIN/IN M 28:2 Engineering Works, Inc. PERC RATE N 'MIN IN. C" HORIZON 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 10/23/14 P.T.M. 2 Of 2