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0102 CLIFTON LANE - Health
102 Clifton Lane Centerville A= 247 - 010 i EM EA6 UPC IM snmmWL=m 9 Made 1n UM i No. O Fee — " THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: O� es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Y I9ppl1LAtIDtt for MlSp08aY *pBtPIIt (COnBtCULtlOU VPrtUlt Application for a Permit to Construct(4) -Repair(G)—Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. J ��j�r-�V/ 0Ll•- Owner's Name,Address,and Tel.No. C�lfl�/�ro0,/4 0f� gr//� ;c7rOT11 41/�64klll Assessor's Map/Parcel 2 7 *'6r6 ®1 5,41Ale Installer's Name,Address,and Tel.No. Y7,s—. Designer's Name,Address,and Tel.No. y2'Z 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) gpd Design flow provided 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)ri217-W1 /J20 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 s Board of Health. �� /`�% ,� �)" eL- �✓ Date Application Approved by )t* Date Application Disapproved by Date for the following reasons Permit No. Date Issued ------------------------- ------------------- No. 1`J J Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS , Application' for ]Dl-Osar 6pstetn Construction Permit Application for a Permit to Construct(4'—Repair(G)—Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /02 C`/jC:�j-pN Z e4 Owner's Name,Address,and Tel.No. C�hfer i' -eq j� 6,//€ Po �C6,oAf'I Assessor's Map/Parcel .� 7 (��r�/� /X 1,010 7 Installer's Name,Address,and Tel.No. j p8— G�7�SZ Designer's Name,Address,and Tel.No.5-oa- Jas�i�/i a-�j3�r�'a,s p L?ar�^•e�-r �1..e.tJ-ej^ 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 f Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date ",N, Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 'Z`J:Iroll /J-Do e5wl awT!G 2 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. - �gamn rJ/ a / �/ /J` / Date Application Approved by /,. Date Application Disapproved by _ M Date w for the following reasons Permit No. / , ;' Date Issued ^ ------------- -------------- ----------------------------- -----------------------------=----------- - - -- - - -• F< t , j THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(4 -- Repaired(4-4— Upgraded( ) Abandoned( )by / Jq�,.1oLj Duo /J it'J!�l�O s at /027 // roe 4Aof en has been consVucted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. � dated I Installer fa. ,o S4 Gtl �.� t�i�r� 5' Designer #bedrooms 5 Approved design flow "� (� gpd The issuance of this permit shalnot be co/nssttrruued as a guarantee that the system will(functio designed. Date (',// f�/�" / Inspector, l - - -- -------------------------- - - -- No. Fee----- ----•-------=-_. _ .. U r v THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS , ]Disposal *Pstem (Construction Permit Permission is hereby granted to Construct Repair(Ga•——Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construct i nmu t be completed within three years of the date of this permit. �J� /e Date di o q roved A f t.J PP b Y / -✓ I • APPLICANT: ADDRESS: 101 C.LI FTD" L10 • 4 DESIGN FLOW: 3?j( gpd REVIEWED BY: DATE: N/A OK NO Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] X Locus Provided 310 CMR 15.2204 t Plan proper scale? (1"=40' for plot plans, 1"=20'or fewer for components) [310 CMR 15.220(4)] X Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required 310 CMR 15.412(4)] Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] �( Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas [310 CMR 15.220(4)(e)] x System Calculations [310 CMR 15.220(4)(f)] daily flow X . septic tank capacity (required andprovided) X soil absorption system (required andprovided) X whether system designed for garbage grindei X North arrow [310 CMR 15.220(4)( )] Existing and ro osed contours [310 CMR 15.220(4)( )] X Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] X Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] X Percolation test results match loading rate?-[310 CMR 15.2421 X , Certification statement by Soil Evaluator 310 CMR 15.220(4) A X Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR X 15.220(4)(n)] Location of every water supply,public and private, [310 CMR 15.220(4)(k)] X Address 119 2 Ulf Tow L� Sheet ] of l within 400 feet of the proposed system location in the case of surface water supplies and gr4yel packed public water supply X within 250 feet of the eo osed system location in the case X within 150 feet of the proposed system location in the case of private water supply wells X Location of.alI surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] Water lines`and dth6F=subsurface ufilities located [310 CMR 15.220 4 m) (if water line cross see 310 CMR 15.211(1) 1 ) Profile of system showing invert elevations of all system components and the bottom of the SAS 310 CMR 15.220(4)(o)] X Stamp of designer 310 CMR 15.220 1 and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) 310 CMR 15.220(3)] X Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2)or as X approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test hole adequate to demonstrate four feet of suitable material? 310 CMR 15.103(4) ' x Test Holes adequate to confum adequate groundwater separation? [310 CMR 15.103(3)] x Benchmark within 50-75'of system [310 CMR 15.220(4)( )] Materials specifications'noted? [various sections of 310 CMR 15.000] System components not> 36" deep(unless Local Upgrade Approval or LUA,requested)f310 CMR 15.405(l(b Address I b 2 C u-r-7U iJ W. Sheet 2 of 7 t ' • r 610. rt Size OK? -[310 CMR 15.223(1)] Inlet tee located ten inches below flow line 310 CMR 15.227(6)] Outlet tee 14" or 14" +5"per foot for increase ft depth [310 CMR 15.227(6) X Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and Outlet tees (no less than liquid depth) 310 CMR 15.227(2)) - Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for X upgrades under LUA [310 CMS 15.405(1)(k)] Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1)and 310 CMR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (b 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1"000gpd, two fors stems>1000 gpd 310 CMR 15.228(2)] X All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done 310 CMR 15.221(8)] H-20 Where. appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211 f ! Required when other than single-family dwelling or flow>1000 d [310 CMR 15.223(1)(b)] X First compartment 200%daily flow; Second compartment 100% daily flow 310 CMR 15.224(2) and (3)] "U"pipe through or over baffle, outlet of each compartment with as baffle or approved filter [310 CMR 15.224(4)] _ I Address. I V 2 CL/F-RA LN . Sheet 3 of 7 LocatedReast ten feet from any water line? [310 CMR 15.222(2) Disposal piping at least 18"below water line (when water and sewer cross, see 310 CMR 15.21 l(1)[1]) X Cleanouts required/provided ? 310 CMR 15.222(8)] Thrust blocks specified in force mains?310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] X Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) 310 CMR 15.251(9)and 310 CMR 15.252(2)(c)] �( Si honproblem/ leachfield below pump chamber) X Endca s or vent manifoldspecified? Size and orientation of discharge holes specified?(not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed)ID - :$ IN-7-4 Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided?(when pressure sewer to d-box or steep pitch of gravity sewer) [310 k CMR 15.323(3)(a)] Riser if deeper than 9" [310 CMR 15.232(3)(f)] Inside minimum dimension 12" 310 CMR 15.232(2)(b)] Minimum sum 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd); waterproof manhole if>2000gpd (310 CMR 15.232(3)(d)] Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] x Proper setbacks [310 CMR 15.211 (same as septic tanks)] Watertight 20-in minium access manhole at least 20"MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep,with piping, disconnects accessible) Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and (8)] Stable Compacted Base [310 CMR 15.221(2)] Buoyancy calculations needed ?Provided? [310 CMR 15.221(8)] Address �t�Z 6111 P1-O�,J LN . Sheet 4 of 7 Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR Y 15.240(1)] Required separation togroundwater? 310 CMR 15.212)] A gre ate's ecified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >36"deep) [310 CMR 15.241] X Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] . Breakout requirements met?(No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] x Each structure with one inspection manhole(if>2000 gpd must be tograde) 310 CMR 15.253(2)] Aggregate I'minimum-4' maximum. 310 CMR 15.253(1) ] 2'sidewall credit maximum [310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 s . ft. [310 CMR 15.253(6)] Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] 100 feet-maximum length 310 CMR 15.251 1) a Minimum separation 2x effective depth or width whichever eater(3x if reserve between trenches) [310 CMR 251 1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] minimum 2 distribution lines 310 CMR 15.252(2)(a)] Maximum separation between lines 6' 310 CM RI5.252(2)(d Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6"minimum, 12" maximum. [310 CMR 15.252(2)( )] Separation between-beds 10' minimum. [310 CMR 15.252(2)(f)] Bottom area used in calculations only 310 CMR 15.252(2)(i)] A Address lU"` ��f� "� �`�� '-Sheet 5 of 7 i 7 Pressure Dosed System ? Provided y o ided pump and pipingb cal culations s a lation s re u'gyred 310 CMR 15:220 4 r Pressure dosing required on all systems>2000gpd or alternative systems unden medial approval [310 CMR 15.254(2) and UA Remedial Use Approvals] x If used in gravelless system - make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year(systems<2000 gpd)or quarterly (>2000 d good to note on lan 310 CMR 15.254(2)(d)] /\ Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.25 5(3)? X Impervious barrier and/or retaining wall ? Guidance Document] Impervious barrier installation must be supervised by designer[310 CMR 15.255(2)(b)] x Retaining wall must be designed by Registered Professional Engineer[310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? 310 CMR 15.255(2) Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] Al At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] )( Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge to scour soil interface UM Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? X Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance a reement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has a22licant submitted a copy of a maintenance Are the variances listed on the plan ? [310 CMR 15.220 (4)( ) X RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] New construction or increased flow proposed - [Refer to 310 CMR 15.4141 Address d - GU P70 i J C ►`' Sheet 6 of 7 i Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] Pumping to septic tank ? [ 310 CMR 15.229] Shared System [310 CMR 15.290 Address f V GLI Vv1-) �� s _ Sheet 7 of 7 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Swcture,Stones,Boulders. vel 0tt� �a ill N '� (o' A LOAM SAW O l0 3�Y 3511 10 A, S/$ 35 1321 G eD. Scl*loo 2.5. >/4 DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Souirexture Soil Color Soil Other Surface(in.) (USDA) (Munsell). Mottling (Structure,Stones,Boulders. Consistency.%Gravell D''- D" F►'( I : N A '1= S'' q LO 0 R-1/V is" - 36' tom, GoA+. a F-s-la DEEP OBSERVATION HOLE LOG Hole# N�A Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, I l DEEP OBSERVATION HOLE LOG Hole#tJ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i Flood Insurance Rate Mali Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No V Yes Depth of Naturally Occurring:Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? ____._ If not,what is the depth of naturally occurring pervious material? Certification I certify that on (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 reyui i expettis and experience described in 310 CMR 15.017. tA Signature Date QASEFnWERCPORM.DOC r r ! .Gown of BiAi ble. --� t►+Er� Department of Rel latory Services . . 'on Date • ; • , . � Public�eal�h Division v KASIL 601 200 Main.Street: an H nis MA 02 Time'r�� Fee Pd. Date Scheduled Se weg a Disp osar6oai Suitability Assessmen �or Performed By: _ y'"'�� V I�'('i ell", Witnessed By i LOCATION& GENMRAL INFORMATION 1J Location Address .r0 Z C,(.!'r=�t j ��E Owner's Name W i LL1 Ceti—1 F_�Y Z uue '""1 Address �,d�v t�H A-.M AAA 0V 6 7, Assessor's Map/Nrcel: Engineer's Name o� ''� IM " e;1- Z NBW CONSIRU(h,1ON REPAIR Telephone# 36Z— 29z. Slopes'(A) -- ~Surface Stones." _\10 Land Use lsu Distances from: Open Water Body } �ft Possible'W61 Area >�ft Drinking Water Well ___ft - r � ft Drainage Way l� ft Property Lini y_..v—Oft Other i SKETCH:(Street nanie.dimensions of lot.exact locations of 14t holes&Pere tests,,locate wetlands in proximity to holes) I i Till ___.. i ; � �•� I II T1 C, !.I (� t1_e—z all' � I I O La o J Ott) l1.43Y �\ - k k OUA1r &-_,h i Depth to Bedrock / Parent material(geologic) �J I Weeping from Pit Face Depth to Groundwaidr. Standing Water in Hole: Estimated Seasonal lijigh Groundwater O RATION FOR SEASONAL HIGH WATER TABLE Method Used: t--' in. •Depth to soil mottles: �. Depth Ob;ervcd standing�tn obs.hole: in. ©ioundwater Adjustment Depth toiweeping from side of obs.hole: •...�..- A�.Groundwater Level...... index Well# Reading Date: Index Well k , p�,!actor ve1,_:. . PERCOLATION TESTDate. Observation I I 711610 at Hole# ' Time at 6" __ �-- • Depth of Pere Start Pre-soak Time.0 End Pre-soak 3� . I Rate 1AiinJlnch ceded Y/N)'T-- Site Suitability Asse$sment: Site Passed ___x — Site Failed; Additional Testing N, al Public Holth Division Observation'Hole Data To Be Completed on Back . Original:. .• ' of wetland,.-You must first notify the ***If ercola jion test is to be conducted within'100' P n.l.►.....votenn Division at least one(1)we&prior to beginning- TOWN OF BARNSTABLE LOCATION C ,FTby! 'lAm-e SEWAGE# 00 - 9S� VILLAGE ASSESSOR'S MAP&pPARCJEL �_>y7� INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY OD / LEACHING FACILITY:(type) NO.OF BEDROOMS 3 OWNER /2/l/// PERMIT DATE: ^/�1/ --09 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge.of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ��°�'7 UQI�'/� . fj�ac�� �_ tea, . e 3�'' � •� ST N Town of Barnstalble Regulatory Services Thomas F. Geiler, Director HARN&MLL MAS& Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,NIA 02601 Office: 503-362-4644, Fax: 503-790-6304 Installer & Designer Certification Form Date: Sewage Permit# I dO f r -',9L�ssessor's Map\Parcel 2'Y7-- 10. /V Designer: I 1L ✓� / Installer: Address: �� �✓L / Address: On .9 —16 �f �, �� s issued a permit to install a (date) (installer) septic system at IjQ C���i� N UN• based on a design drawn by (address) /7k Ya " ,L° '� dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or anv 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. APR (Ins ler's Signature) No: 1140 lS0ITAR1a� igner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTA E PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Heal th/Septie/Designer Certification Form 3-26. 4:'doe SURVEY REFERENCE: LEGEND PLAN OF LAND BY BEARSE & KELLOGG, CIV. ENG DATED: MARCH 11, 1952 PROPOSED CONTOUR ® PROPOSED SPOT GRADE EXISTING CONTOUR �oPo i' + 96.52 EXISTING SPOT GRADE -36 J� x BENCH MARK W— EXISTING WATER SERVICE i• J Q 6 PAINT SPOT ON TEST PR BULKHEAD CORNER ELEVATION = 37.09 / / \ BARNSTABLE CIS DATUM SITE k i! TH-1 O o^ ;/ T 2 Exi5T.CE55POOL5 �. SEE NOTE 10) 3 7 LOCUS MAP N.T.S. s, i GENERAL NOTES. ,� 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF'9S HEALTH i \ 2. ALLL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS L �cF OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE \ ,p A/ CJ r,. \ LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: L O TN 2 2 A �X\ - 310 CMR 15.405 (1) (B): 36 1) A 2.5 FT. VARIANCE FROM 310 CMR 15.211 TO ALLOW LEACHING TO BE AREA = 8_�7�1 sf+—��•. 34 17.5'FT FROM DWELLING VS REQ'D 20 FT. (LINER PROVIDED) `•� % \�� 'o\� \� V �p � �. �� 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE q `C/ �. , / DESIGN ENGINEER. O `7 - % 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING `• i o FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN �pQ !! �(T !! \/ ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. rr l\ ao �/� i/ i'� `__ 7. WATER SUPPLY BY TOWN WATER SERVICE. (PROPOSED INSTALLATION) 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED `•.� \� �T�.,` TF / /� S TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. �\ �S� / ` 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE �� �L ! THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING PLAN 34-�__ ���� \�� !! � / CONSTRUCTION. �.\ \\\ �32 l/ R 10. EXISTING CESSPOOL TO BE PUMPED, CRUSHED AND FILLED. •� ~' �` \} 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION SCALE: 1 in = 20 f t 32'�c �`� i! \ / 12.- THIS PLAN IS-TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY �'\•\!\\ �\/ AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 20 O 20 40 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 0 10 20 \ 14. NO WETLANDS WITHIN 150' OF PROPOSED LEACHING. 15. ALL PIPING TO BE 4- SCH 40 0 1/8-/FT (UNLESS SPECIFIED) 16. PROPERTY IS LOCATED IN A ZONE 11. Of °, PROPOSED SEPTIC SYSTEM UPGRADE PLAN No. 1140 " 102 CLIFTON LANE, CENTERVILLE, MA Prepared for: Joey De6arros /Sj MAP.• 247 Engineering by: Surveying by: SCALE DRAWN JOB. NO. NI TAR\p� LOT•010 DARREN M.MEYER,R.S. Eco—Tech m wroan2enta 1"=20' DMM DEED BOOK.'18024 PO BOX 981 (508) 364-0894 [co� DEEDPAGE:189 E45T&4NDWWCH,MAOZb37 DATE CHECKED SHEET NO. 13 508,",zan 09/13/09 DMM 1 of 2 d TOP FOUNDATION NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS " (Existing) f = FINISH GRADE= 36.0 38.23-N--, F.G.EL: 37.0 F.G.EL: 36.5 F.G. EL: 36.0 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA MAX. COVER OVER LEACHING = 3.0 FT. COVERS TO WITHIN 6 OF GRADE z' of 3/8" DOUBLE WASHED 3/4- - 1-1/2" DOUBLE STONE OR FILTER FABRIC.� " WASHED STONE s" • ~ 4" SCH 40 PVC 4" SCH 40 PVC ®S=2% 10"I 1 000IM O ®®®® :INV.34-25 S= 1% (MIN.) s (MIN.} 14 S= 1� (MIN.) ®®®E3E3E3®® '!: TEE'S ARE TO 8E 4' SCH 40 PVCami 2 EFF. DEPTH ®®®®®®®®®®® INV.33.90 INV.33.70 88 4" P CE 4FT.STONE BEISMIE'EN CHAMBE S 4, EXIST. OUTLET GAS PROPOSED DB-3 BAFFLE EFFECTIVE LENGTH = 29' EL. 35.56 °�����• �•• •• � •� �� • H-20 DISTRIBUTION BOX INV. 34.50 PROPOSED 1,500 GALLON SEPTIC TANK INV. ELEV.= 33.00 ---j GAS BAFFLE TO BE INSTALLED ON • BREAKOUT ELEV. 33.5 OUTLET TEE AS MANUFACTURED BY TOP CONC. ELEV.= 33.5 TUF-TITE, ZABEL, OR EQUAL INV. ELEV.- 33.00 •®® NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING rIE33 ®®® PIPE INVERTS PRIOR TO CONSTRUCTION ®®®2) TANK & D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM EL.= 31 .00 ®®® GRADE ON A MECHANICALL COMPACTED SIX 2.5' T. 2.5' INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2) SEPARATION 6.60 FT. EFFECTIVE WIDTH = 10' 3) INSTALL INLET & OUTLET TEES AS REQUIRED SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 24.40 _ SOIL ABSORPTION SYSTEM (SECTION) SOIL LOGS N.T.S. (500 GALLON LEACH CHAMBER (H-10) LOADING) P#: 12M6 DESIGN CRITERIA DATE: JULY 6, 2009 SOIL EVALUATOR: DARKEN MEYER, R.S., CSE #1614 NUMBER OF BEDROOMS: 3 BR DESIGN (PROP. IS IN M.E.P. ZONE 11) WITNESS: DONALD DESMARAIS, BARNS. B.O.H. SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN Elev. TH-1 Depth Elev. TH-2 Depth DAILY FLOW: 110 G.P.D. 35.40 0" 36.0 0" DESIGN FLOW: 330 G.P.D. FILL FILL SEPTIC TANK (VOL. REQUIRED): 330 gpd x 2 = 660 gpd (USE NEW 1,500G SEPTIC TANK) 34.57 10" 35.17 10" GARBAGE GRINDER: NO (not designed for garbage grinder) A LOAMY SAND A LOAMY SAND 34.07 10YR 3/2 1 g" 34.75 10YR 3/2 LEACHING AREA REQUIRED: 330 gpd/0.74 = 445.94 S.F. 15" ,• B LOAMY SAND B LOAMY SAND USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS (H-10 LOADING) 10YR 5/8 10YR 5/8 WITH 2.5 FT ON SIDES 4 FT ON ENDS, & 4 FT IN BETWEEN- 251 x 13'W x 2'D 32.48 C1 35" 33.0 C1 36" BOTTOM AREA: 29 X 10 = 290 SF SIDE AREA: (29 + 10) X 2 X 2 = 156 SF PERC TEST®EL: 31.30 MEDIUM MEDIUM TOTAL SQUARE FEET PROVIDED = 446 vs. 445.94 REQ'D SAND SAND 2.5Y 7/4 2.5Y 7/4 A DESIGN FLOW PROVIDED: 0.74(446 S.F.) = 330.04 G.P.D. vs. req'd 330 GPD OF A/gsfgcy PROPOSED SEPTIC SYSTEM UPGRADE PLAN oA E M 102 CLIFTON LANE CENTERVILLE, MA 24.40 132" 25.0 132" v No. 1140 con) ' Prepared for: Joey QeBarros PERC RATE <2 MIN/IN. ("C" HORIZON) Engineering I � by Surveying by: SCALE DRAWN JOB. N0. NO GROUNDWATER OBSERVED c'�`ClSiE {+� DARRENM.MEYER R.S. Ben-Teak Ravbw=ental N.T.S. DMM 1 • I, Darren M. Meyer, R.S., CSE, hereby certify that 1 am currently approved by MAD' pursuant to 310 CMR 15.017 `OINITAR� � � � ' (508) 364-0894 DAB CHECKED SHEET NO.. to conduct soil evaluations and that the above analysis has been performed by me consistent with the AM requirements of 310 CMR 15.017. 1 further certify that 1 have passed the Sop Eval. Exam in October, 1999. �3 Q' Sp&382,2g12 09/13/09 DMM 2 Of 2 t�