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Home My WebLink About0125 CONNERS ROAD - Health 1.25 CONNERS ROAD Centerville A = 251 -- 035 I II /// 5 MEAD® No.2-153LOR UPC 12534 smeadcom • Made in USA �L No. Fee THE COMMON ALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS O9pplitation for SIB I aI *pBtrm Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.� //��'S Owner's Name,Address,and Tel.No�` f_ ��Ti"v�/ Assessor's Map azc 1 Installer' ame,Address,and Tel.No�('��C�.� signera e A�re Tel.Na 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 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank P7 `�7�V Type of S.A.S. Description of Soil — Nature of Repairs or Alterations(Answer when applicable) G � 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 his Board of Healt '1 g ed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. . ' Fee Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS k ,t 01ptlflration for -Mis�l_wa.1 ;�pstem Construction Permit -- Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.Now. C -.�/Tr��/� Cam' Assessor's Map azcel , Te1 , Desin ' � ress and TelNo.Installer's-Name Address a aA� l 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 �� gpd.- Plan Date Number of sheets Revision Date Title i Size of Septic TankP((, /�j/�y Type of S.A.S. Description of Soil - Nature of Repairs or Alterations(Answer when applicable) i;L z. 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 this Board of Heal . 1 i ed t P-) Date >— Application Approved by i',�f/ U� /I/ Date Application Disapproved by Date s for the following reasons Permit No. Date Issued ------------ -------------------------- ---- -------------------- --------------- --------------------- ------------------------ Th F COMMONWEALTH OF MASSACHUSETTS �. BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CER IFY,that the On-site' Age Disposal system Constructed( ) Repaired(� Upgraded( ) Abandoned( )by at has been constructed in acrd;Nd— Installer `. with the provisions of Title 5 and the for Disposal System Construction Permit NoA Designer #bedrooms Approved design flow gpd The issuance of this permit sh►a�lJl T?- be construed as a guarantee that the system will funct s ,signed. Date / � Inspector � t � ------------------- --�j --j-------------------------------------------------------------------------------------- - - ---- No. W4\5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstem instruction Permit Permission is hereby granted to Construct( Repair( de( ) Abandon System located at p� �' U 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:Constru 'on ust b ompleted within three years of the date of this permit. t Date Approved b PP Y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders. II onsistenc %Gravel Alto JTn DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel) 6 ri DEEP OBSERVATION HOLE LOG Hole# N Depth from Soil Horizon Soil Texture Sail Color Soil Other Surface(in.) SDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel DE OBSERVATION HOLE LOG Hole# Pik ri Depth from Soil Horizo Soil Texture Soil Color Soil Other Surface(in.) USDA) (Munsell) Mottling (Structure.Stones.Boulders. Consistency, Gravel) �a R' Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes Within 100 year flood boundary No✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervio terial exist,in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pery ous material? ' r Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department nviron ntal rotection and that the above analysis was performed by me consistent with the required t ainn:;x rie a describ in 3:10 CMR 15.017. Signature Date s Q:\.SEPTIC\PERCFORM.DOC j -nstable. P Town of Bdb # Department of Regulatory Services Public Health Division Date M� e$ 200 Main Street;Hyannis MA 02601 1639• l K Date Scheduled ._ Time Fee Pd. 'o� ,suitability Assess�aie i fog- Se ge Disp Performed By: P� Witnessed By: LOCATION & GENERAL INFORMATION Location Address ,r C 0 k Owner's Name' f l.�✓��"r�/e� P A I Address V"'1 i ca S Tv Assessor's Map/P4rcel: 15 "% - I Engineer's Name j1/l e I.e/' NEW CONSTRUt 2N REPAIR x j Telephone* J D% 3 6 14 slopes(To) Surface Stones - Land Use �� ' }� � J ! ft Drinking Water Well l'S�o ft Distances from: Open Water Body L� f[ Possible Web Area l _— D� ft Pro Line >�ft Other ft Drainage Way P�rtY i SKETCH:($treet name,dimensiouS of lot,exact locations of test holes&Pere tests,locate wetlands in proximity to holes) U� S l TE O�/3 F G' ',,tin �tlryt Parent material(geologic) a t ' L, f Depth to Bedrock Depth to Groundwatdr. Standing Water in Hole: N i Weeping from Pit Face Estimated Seasonal gh Groundwater DItTERMIN TION FOR SEASONAL HIGH WATER T"L,E Method Used: I Depth to sail tnottlgs: ln. Depth dibperved standing in obs.hole: n Dep tt i in. Oroundwnter Adjustment Depth toiweeping from side of obs.hole: i A.f-letOr,,.,._.re- Adj.Croundwater Lavel.— Index Well# Reading Date: Index Well levrl I PERCOLATION TEST • Date-�.- �', T4ue'___• Observation l Tim �-e at 9" �r!/—G= -------- Hole# Time at G" .-�------- Depth of Pere !� Start Pre-soak Time-0 (�'ID Time End Pre-soak "- fiate MinJlnch 2l Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original:.Public I. e$lth Division Observation Hole Data To Be Completed on Back— ***If ercola ibn test is to be condrActed within 100' of wetland,.t ,beginning- Barnstable > t first notify the P � C4nservatien Division at least one (1) week prior to TOWN OF BARNSTABLE LOCATION ��. /�� SEWAGE#JIF � VILLAGE /P�(// � ASSESSOR'S MAP&PA CEL�� ,. INSTALLER'S NAME&PHONE NO. Aozlltaw SEPTIC TANK CAPACITY ' LEACHING FACILITY:(type)fJ, ize) F,C NO.OF BEDROOMS OWNER PERMIT DATE: 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 • \�� i ,ram. - �=- Town of Barnstable �,HE Regulatory Services Thomjs,F.G iler,Director ttnaysr BIZ t "^ g Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 503-36?-4644 Fax: 503-790-6304 Installer & Designer Certification Form Date: 7 r3 Sewage Permit# A13-a4Z_Assessor's Map\Parcel 7- Designer: M installer: �i� .J Address: ( Address: aL PCNM"C�C_s�' On 1e--,vas issued a permit to install a (dat ) (installer) 1�1— septic system at (0 k, based on a design drawn by (address) —Ti— dated 1 �( esigner} 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. OF_ Mgss9c 1 DA y Ill ME (Installer's Signa re) 0 `n '�fG/STENO S481 TA�� r (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CONIPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form 3-26-04.doc t ` Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town State Zip Code Date of Inspection 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. A. General Information 1. Inspector: -71' Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 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: LU ❑ Passes ❑ Conditionally Passes ® Fails f!i b t-= ❑ Needs Further Evalua " n by the Local Approving Authority act �:,.� LL- ` ' 5-15-13 C:) :r Insp dt&'s Signature Date O N Th Ettem 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. (tol t5ins•3113 Title 5 Official InspeW: urfaceSewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town 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: 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): i t5ins•W 3 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Y` Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 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): j ❑ 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: r ❑ 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•311 ,,_ ... Title 5 Official Inspection Form Subsurface Sewage Disposal System•Page 3 of 17 J Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4 A 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is 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 99 P ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ z Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3/13 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 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town 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 t Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4'Ar 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 t Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt c@ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes E No Is laundry on a separate sewage system? (Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 2-2013 Date 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,?. F ❑ 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts ' f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): i General Information Pumping Records: Source of information: N/A 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): System is a block cesspool for tank with leach pit for SAS. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address F Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 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: Cesspool 1970's--Leach pit 1980's Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 30"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.): Good condition. Septic Tank (locate on site plan): Depth below grade: 12"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: 6x8 cesspool Sludge depth: 16" t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 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 40" Scum thickness 6" Distance from top of scum to top of outlet tee or baffle 5" Distance from bottom of scum to bottom of outlet tee or baffle 17" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 6x6 block cesspool acting as main tank with baffles installed. 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 q„ 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City(Town 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. Cityfrown 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 N/A 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 1T Commonwealth of Massachusetts Title 5 Official Inspection Form I ib Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ 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.): Leach pit was beyond capacity at inspection. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration SEE SEPTIC TANK Pg 9-10 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town 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 W Title 5 Official Inspection Form " Subsurface Sewage Disposal System Form -Not for Voluntary Assessments G M 125 Conners Rd Property Address Bank Owned (Contact David Holt c@ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town 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 A 3.3 , c f} -p" � � art? - sr . O t5ins a 3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Conners Rd Property Address Bank Owned (Contact David Holt @ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 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: 20'+ 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: 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: USGS and town maps show groundwater at greater than 20'. 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 125 Conners Rd Property Address Bank Owned (Contact David Holt c@ Today Real Estate 1-800-966-2448) Owner Owner's Name information is required for every Centerville MA 02632 5-15-13 page. City/Town 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 I ' �C-� SEWACE PERMIT NO. tJ I y' INSTALLER'S 1AA E ® ® IIE35 ° LOTS�A 6 UILDf IR OR J � ISSUED S A T E � E I� S I T DATE C ® MPLIAHCE ISSUED t -6C y a r � _ TO T OpF ARNSTABLE ON a 5 L O n n e rs Ili SEV�I iGE # Locill / VIt LAGS C C� U�11 e, ASSESSORS MAP'&LOT' INSTALLBWS NAME&PRONE NO0 SEPTIC TANK-CAPAcm- v LEAMM4G FAe .cam) (sue) V. t�tO.OFBEa�tOOlulS 3, BtJiLf3ER QR OWcdER : PERAOTDATE. COMPLJANCE DATE Separation d?istar►ce Between Ehe Maxi mum A.d-riled Groundwater Table to the Bottom of Leachcn Facility eel Private�taieP Supply►We9l and Ltac4u09 Factttty any, ►ells east ou sate or; i n 2t ty felt ort was;C. Edge of teiland and Leaching I!aci 6 u any wetlands exist withers 3t3 Feet o Mi6inglacility Feet Furnished oy:: . 6 A ' 33 ' �L a -n p O Q THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH I ............................. � Appliration for Disposal Works Tonstrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (T-`aln. Individual Sewage Disposal System at: ......_ ..L ...�. . �t�c --•-------------• -•----.-------- -------------•---------------------------------------------------------------- Locatio ddress or No. ............. Adfirlss S CI<.o._ � � ?...... .. .............. �,1!Ll�. �--- Installer Address QType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ............................ No. of persons.......................... Showers ( ) — Cafeteria ( ) Q+ Other fixtures ------------•------------------ . W Design Flow............................................gallons per person per day. Total daily flow......................................._....gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area___.............._..sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� Percolation Test Results Performed by.......................................................................... Date--- -------............................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .---- ------- -------•--•. O --------------- - --- - --- Description of Soil--------•--•• .. U ............................................................----•--•-••--•----••-•-•-•---------•---••---•-•••--•--......•-•---------•-----............................................................. W ------•---••-----•----------•----•••-•••-•-•-••••••-----------•••-••-•--••-•-------••-••-•-•-----••-----•--•--•••-------------------------- --------®-- ....------------ .. -------------- VNature of Repairs or Alterations—Answer when applicable.: ",1�,0 L�""`� --•-•-•••-••---•••••-----•-•................••-••-•-•-•----•-----•...-••.........---.....---.......-•-•----....------------------••--••-••-••--•---••--••-----------•-••-••............................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'i 1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the boa of health. ign d-:••- .... .......... ...... D ApplicationApproved BY ��----` ---- Date------- -------------------•-----••-----------•---•----......._......--•- �� •... .....------. Application Disapproved r t following reasons-------------------------------------•-------------------•-----------------------------------------•--........._ ----•-•------•-•--.•--•••--•-•-•-------•-...••--.....----•-••-------•------•--••--•.............••-••-----......................--------------------------------------------------- -------------- Date PermitNo--------------------------------------------------------- Issued....................................................... Date 5 5® ► LOCATION SEWAGE PERMIT NO. VILLAGE u 61S'S R'S NA IgSTA LLE ICE & ADDRESS r41 L.o`%, rJA QUILDER OR OCHER J , R e C=:&A AZ DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED Aq- r 1 3 � 1 �� w�� X ......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ..........OF..... ............................. Appliration for Dhipoiial Works Tomitrurtion ramit Application is hereby made for a Permit to Construct or Repair (-j'a_n Individual Sewage Disposal System at: /- ;-",% 7 ....................... ................w-............................................................................... ............ Location Address or Lott No. ............. ...............; ,,... . ........................................... ,n Address7.......... . ..... ...... ........................... .................................................... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( PL4 Other—Type of Building ............................ No. of persons--------------------------- Showers Cafeteria ( PL4Other fixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length________________ Width....._........._ Diameter____._........_. Depth....__.-_...__.. Disposal Trench—No..................... Width_.....__.._.._____.. Total Length.................... Total leaching area....................sq. ft. Seepage Pit'No------_---_-------- Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) - aPercolation Test Results Per-formed by................................................. ----------------* Date........................................ Test Pit No. I................minutesperinch Depth of Test Pit.................... Depth to ground water.....................__. Test Pit No. 2................minutes per inch Depth of Test Pit.............._..... Depth to ground water.:__--____--___--...____ ---•------------------------=------••-•-----•---- --------•---...........---------•-----•--•---•---...........*--------------------------------------- 0 Description of Soil................ ...................................................................................................................... ................................................................................................................. -------------------------------------------------*--------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- vr -------------------- 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 T IT 1Z- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliaanc has beeA issued by the boardjof health._n 2,1144 ign ... ........... Application Approved By.... ............. ............................ ............................... --- ........ Date I Application Disapproved r t following ollo110 winin reasons-etasons:............................................................................................................... .......................................;............................................................................................................................................................... Date PermitNo........................................................ 'Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ........OF........... ... .......................................................... .. I-..,;............ Trrfifiratr of 11outpliana THIS-IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired /Q�," by............. .......f .......f------------- .......L_&Ll................................................................................... Installer at.........j, .................................. ........... ........................... F ----------- ....4 has been installed in accordance with the(provisions of TITLE 5 of�The State,Sanitary o a s scribed in the application for Disposal Works Construction Permit No-----ri -S-15-0 ................................... dated----- --- .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DA7;E............... . ..al, ........ .................... AtAe.` Inspector........ ... ............................................ w THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... "4 OF....... • ............................. No. ............... FEE...,.......,. . ....... Permission is hereby ........ ..... .. ...... ......................................... to Construct or Repair an Indivioual SfA,age Disposal System ....... ..... at No.......... il......... Z.... ................................... .. ..... ,................. ------------------- ---- Street as shown on the application for Disposal Works Construction Permit Nol�_AA!__ Dat .......................................... ............................... ..................... .............................................. Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS LEGEND- CENTERVILLE P �-- g®�- PROPOSED CONTOUR WEQUAQUET F LOCUS: 9® PROPOSED SPOT GRADE LAKE 125 CONNERS RD. EXISTING CONTOUR + 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICE N � TEST PIT Q 2 d- JIAJ N •E 28 y \ 74 LOCUS MAP LOCUS INFORMATION PARCEL ID: MAP 251 PAR. 035 S TITLE REF: 21312/237 PROPERTY IS WITHIN ZONE OF CONTRITBUTION AND \ ESTUARIES PROTECTION DISTRICT \\ SEPTIC SYSTEM REPAIR PLAN / ---- LOCATED AT: 73 ,� PROP. 1,500GAL 125 CONNERS ROAD O� SEPTIC TANK GENERAL NOTES: CEN TER VI LLE, MA ` \` �' ` 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL PREPARED FOR BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS FED. NAT. MTG. ASSOC. \`\ 72.E EXIST. CESSPOOLS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE \\} `\ O (NOTE 10) LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: — 310 CMR 15.405 (1) (B): \`\ �\ 0 1) A 1.01 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING JUNE 30, 2013 TO BE 4.01 FT (MAX) BELOW GRADE VS REQ'D 3 FT. (H20/VENT PROVIDED) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR �`A �F V4.S TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ��\ r9y DESIGN ENGINEER. �" DAVA � 4 3 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING Y G + FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ER ENGINEER BEFORE CONSTRUCTION CONTINUES. c� UU}ri �.o. nsp ports c3 TBM = EL. 75.2 NO. 1140 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. vent O TOP OF CONCRETE STOOP 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF c� ( y oj0 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF '�C/$( \ TH-1 3�6 TH ? vj �\ \ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. `£4NITAR�1`� � ()3 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. \ 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE 74 LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK.10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. MEYER 9 SONS, INC. 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 P.O. B 0�/X 981 1 13. NO KNOWN PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING 73 e 14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC. ) EAST SANDWICH, M A. 02537 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER 16. NO WETLANDS WITHIN 150 FT. OF PROPOSED LEACHING (5 0 8)3 6 2—2 9 2 2 SCALE: 1"=30' SHEET 1 OF 2 J#1540 NOTE: TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:69.99 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. T.O.F. EL.=74.80 INSTALL RISERS & COVERS OVER INLET & , INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER OUTLET AND SET TO 6' OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. . F.G. EL.=74.3t F.G. EL.=74.2t F.G. EL: 74.0t F.G. EL: 74.0(MAX.) �� F MASs9 o R E G 9" MIN COVER/ T- , 36" MAX COVER ` L = 20' L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) No. 1 40 0 S=1% (MIN.) EL. 71.45 S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC STEM 10' " 14 a 11.3" TO XNITAR\�`� INVERT \INV.=70.45 4e' uouID kNV.= 70.20 INV.= 69.60[E�i. PROPOSED GAS BAFFLE) 3 ROWS OF 5 UNITS AT 6.25'/UNIT + 0.75' WEDGE = 32.0'/ROW D-BOX INV.=69.80 INV.=70.0 D2 0 SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED 1,500 GALLON SEPTIC TANK EXISTING SEWER OUTLET RESTORE VEGETATIVE COVER INV.=70.70 BACKFILL WITH CLEAN PERC SAND 75" TO TOP OF CHAMBERS BREAKOUT=TOP ELEV.=69.99 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING INV. ELEV.= 69.60 PIPE INVERTS PRIOR TO CONSTRUCTION 2) TANK AND D-BOX SHALL BE SET LEVEL AND BOTTOM ELEV.= 68.66 EXISTING SUITABLE NINA 2.83' MATERIAL _ TRUE TO GRADE ON A MECHANICALLY COMPACTED 5' MIN. ABOVE BOTTOM OF I� 76" SIX INCH CRUSHED STONE BASE, AS SPECIFIED f T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH 3 x 2.83' = 8.49' IN 310 CMR 15.221(2) (6.86' PROVIDED) USE 3 ROWS OF 5-HIGH CAPACITY PROFILE 3) INSTALL INLET & OUTLET TEES W/ ADJ. GROUNDWATER EL.=61.80 = ADS 1620BD BIODIFFUSER (H20) UNITS-NO STONE GAS BAFFLE AS REQUIRED W/ CONTOURED WEDGE SEPTIC SYSTEM PROFILE TYPICAL SECTION fN 16„ N.T.S. N.T.s 11.2„ ii ; (- A SOIL LOG P#:14049 t i DESIGN CRITERIA DATE: JUNE 28, 2013 --34" � NUMBER OF BEDROOMS: 3 BEDROOM DESIGN SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE #1614 SECTION END CAP SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: I DONNA MIORANDI, BARNSTABLE HEALTH 16" HIGH CAPACITY 16208D (H-20) BIODIFFUSER UNIT DAILY FLOW: 110 G.P.D/BR. DESIGN FLOW: 330 G.P.D. Elev. TP- 1 oepth Elev. TP-2 Depth GARBAGE GRINDER: NO NOT DESIGNED FOR GARBAGE GRINDER 72.80 0" 73.00 0" ( ) A LOAMY SAND A LOAMY SAND MODEL 16" HICAP i` SEPTIC TANK: 330 d 200% 660 pd USE NEW 1,500 GALLON SEPTIC TANK 72.13 10YR 4/2 8" 72.33 tOYR 4/2 8" LENGTH 76" 9P x = 9 NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SANDY LOAM B SANDY LOAM " TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 69.64 1oYR 7/2 38" 69.84 1oYR 7/2 38" EFFECTIVE LENGTH 75 LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. C C SIDE WALL HEIGHT 11 3" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. DISTRIBUTION BOX: 3 OUTLETS MINIMUM PERC TEST OVERALL HEIGHT 16" (MINIMUM) 4640 TRUEMAN BL VD PRIMARY S.A.S. 0 67.80 MEDIUM MEDIUM OVERALL WIDTH 13.6"CF Elqxe HILLIARD, OHIO 43026 USE 3 ROWS OF 5 - 16" ADS 16208D BIODIFFUSER H-20 UNITS-NO STONE SAND SAND CAPACITY (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. 2.5Y 6/4 2.5Y 6/4 AND EXTENDED 0.75' W/ CONTOURED WEDGES PROPOSED SEPTIC SYSTEM SITE PLAN BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODIFFUSER) (BIODIFFUSERS) 15 UNITS x 6.25 LF x 4.73 SF/LF = 443.43 SF 61.80 t32" 62.00 132" 125 CONNERS ROAD, CENTERVILLE, MA (CONTOURED WEDGE) 3 ROWS x 0.75' x 4.73 SF/LF = 10.64 SF TOTAL AREA = 454.07 SF PERC RATE <2 MIN/IN. SOILS IN ("C" HORIZON) Prepared for: FNMA DESIGN FLOW PROVIDED: 0.74GPD/SF(454.07SF) = 336.01 GPD > 330 GPD req'd NO GROUNDWATER OBSERVED Engineering and Surveying by: SCALE DRAWN DATE: Meyer&Sons,Inc. NTS D.M.M. 06/30/13 • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 pOBOX981 REV. DATE: CHECKED to conduct soil evaluations and that the above analysis has been performed by me consistent with the EAST SANDWICH,MA 02537 SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Evol. Exam in October, 1999. 508-362-2922 D.M.M. 2 Of 2