Loading...
HomeMy WebLinkAbout0068 DOLAR DAVIS ROAD - Health 68 Dolar Davis Road Centerville P A 171 290 1 No. 4210 1/3 ORA Pendaflex 10% . - w,.;.:�:.:�� - ..�., No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION , TOWN OF BARNSTABLE, MASSACHUSETTS 01pphratlon for Misposal bpstem Construction Permit Application for a Permit to Construct( ) Repair(✓�Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. (_g I( )a v►S i Owner's Name,Address,and Tel.No. Cevr-c-r V 1)I't Assessor's Map/ParcelC'r�� Installer's N�ame,Address,and Tel.No. Designer's Name,Address,and Tel.No. 7 Type of Building: Dwelling No.of Bedrooms :3 Lot Size %SL2`/ sq.ft. Garbage Grinder( ) Other Type of Building /Cs 10eN Hel I No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `"3 gpd Design flow provided WE ,'7 gpd Plan Date CG—/'5—/I Number of sheets 2 Revision Date Title Size of Septic Tank CX'r 5 r c Type of S.A.S. _1 !h c,lw ry la —1 CO C lnc✓kide rS Description of Soil Nature of Repairs or Alterations(Answer when applicable) C, A-)Yug C,, C) Y1q H r 5 M).­�e 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. i e t Q Date _G ZU S' Application Approved by P' Date Application Disapproved b V Date for the following reasons Permit No. ✓ Date Issued No: Fee Entered in com uteri HE COMMONWEALTH OF MASSACHUSETTS Yes . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ' JplIcatlOn for Disposal *pBteln COnBtCUctlOneflYClt Application for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) [:]Complete System ndividual Components Location Address or Lot No. G46 1 I a r'C6 S Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 r Lot Size j</2 t-/ sq.ft. Garbage Grinder( ) Other Type of Building ���N No:of Persons Showers( Cafeteria( ) Other Fixtures �X Design Flow(min.required) ::I nj6 gpd Design flow provided 309_! gpd Plan Date 1��' �y Number of sheets Revision Date . - Title Size of Septic Tank r Type of S.A.S. 11&,,,� _ O—C Osaka rs Description of Soil Nature of Repairs or Alterations(Answer when applicable) t� 6 ,,�� _E^� •L <<� 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. (Ai e - Dateh Application Approved byi �' Date / Application Disapproved b / _ Date for the following reasons Permit No. Date Issued / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Eeftificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by (9 �44 C at 6 �3 ���,,i d,�� „�� d ���1 Chas been consO d' acc f with the provisions of Title 5 and the for Disposal System Construction Permit No. to f Cl Installer��, ��,�, w Designer A 1A ,b S #bedrooms -Z Approved design flow gpd The issuance of this e, it shall not be construed as a guarantee that the system will Pict o)rdesigneA Date (, , Inspector \/ ------------------------------------------------------------------------------------------------------------------------—--------- No. Fee ..-'' --�� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS Disposal *- pstern onstruttionefrnit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at � S �,. 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. f Provided:Con tion mu7eqnpleted within three years of the date of this permit. Date Approved by 1 , Town of Barnstable F THE?" Regulatory Set-vices x} Richard V. Scali,.Interim Director �'BAHNSTABLE,I�f i639. Public Health.Division �p\A �m rFDMpy� Thomas McKean,Director 200 Main Street,Hyannis,MA 0260.1 . Office: 508-862-4644 Fax: SO8-790-6304 Installer& DesiVner Certification Form Date: k-A_7_­I� Sewage Permit# 2Dlq�Assessor's MapTarcel PC+e N C iY�te e- I}esi ner: = s.. .�� -,'n ±1 S��7� Installer: P< (A� qx.-c Address: 'Crams /c/ Jet Address: �ZG32, Oil ° C( v-4,was issued a permit to install a. (date) // (installer) m septic syste at (o �Q CLv✓ 'i� _ _ q� s t2_S4 basal on a design drawn by (address) ., �_non per t'✓1y Gtics✓L� ./k_C_ dated 0_( (designer) -^.L'1�6rtity 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 boa and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic systen.i referenced above was installed. with major changes (Le, greater that. 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-bu.11t by designee to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in with the terms of the FI,A approval letters (if applicable) $ y MGENTEE Installer's Signature) ` GNiL NO.35109 { signer's Signature) (Affix Designe PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH. DIVISION. CERTIFICATE OF COiVIPL.IANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD .ARE. RECEIVED BY THE BAR VSTABI:E PUBLIC HEALTH :DIVISION. 1:11ANK YQUI Q'`.Scwic'•.i.)asigncr Certifivation Form Rev 4-14-l3.doc Engineers note:This certification is limited to an as-built ins.cectien of system components as installed prior to backfill. The engineer did not supervise construction of the systern.The installer assumes responsibility or all materials,s»ark;naranip:back!(ling to specified grades with proper compaction and setting risers.-covers as shown on the design plan. TOWN OF BARNSTABLE LOCATION (:,,r ���c�iS 1 � SEWAGE#_ o0t9 VILLAGE �'�ro dy+��C ASSESSOR'S MAP&PARCEL J I INSTALLER'S NAME&PHONE NO. `D.A.P_,t 1kA,j SEPTIC TANK CAPACITY &,ris 1000 qc,Iloo LEACHING FACILITY.(type) ak ual,1 size) NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: 6 -A S-r Y Separation Distance Between the: ^!®Me e4C0,1,Vi,&1&d Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Q f Tim 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 jc� D -- a� Nek 'BOOT -30 n ST S Town of Barnstable P# 15 1 S-S Departimentof Regulatory Services r Public Health Division Date 3 200 Main Street"Hyannis MA 02601 Date Scheduled 1� Tune. A,4 Fee Pd. `o G ` ad Soil. Suitability Assessment for Sew ePisposall Performed I3 : Bc�k r E�J-2�t S C y Witnessed By;_ G tr r LOCATION& GENERAL INFORMATION Location.Address & ®� (A', D C It-�S MC Owner's Name 01IAC f eIQ1 ?-t-C(.yam( ✓��-Q r112 Address &4& ,�e�`.q r-b c,%*!':J' ee.•, �.ral,►u !Jl Vk oz ee Z_ Assessor's Map/Parcel: 171 _Z9 d Engineer's_Name NEW colslmUcnoN REPAIR D� j Telephone# Land Use (je-Si a, , d Q fI Slopes(.%) Surface Stones Distances from: Open Water Body p/ci—C AA ft 'Possible Wet Area ne_ ft Drinking Water We117�Sz ft Drainage Way ft Property Line (— k Other ft SKETCH:(Street,aame,dimensions of lot,exact locations of test holes&peratests,Locate wetlands fn proximity to holes) r � Z 74 " /�yy �alQf 7U>,J:s f2o1 Parent material(geologic) U.`j�'oS�` Depth to.Bedrock Depth to Groundwater Standing Water in Hole: Weeping from Pit FACE Estimated Seasonal.High Groundwater i • ZZ DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: __ in, Depth to soil mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment t. Index Well# Reading Date:. Index Well level Adi.Actor— Adj.Grouftdwater Level PERCOLATION TEST I.litte , Tolle —� Observation r Hole# Z �eJ P�e.r C_ Time at h" Depth of Perc `s_tz tp-•S6 a7 Time at 6" Start Pre-soak Time C� r O//I ZOV-5- 'time(9"-6") End-Pre=soak Rate ivlimllnch, L 2" / Site Suitability Assess ment: Site Passed L Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Bole Data To Be Completed on Back-<--------- ***If percolation test is mbe conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\S EPTICIPERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# t Depth from Soil Horizon Soil Texture Soil Color Suit Other Surface(in) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.. Consistency, a vet DEEP OBSERVATION HOLE LOG Hole# °z- Depth from Soil Horizon Soil Texture Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con,sistency,%. raveb t Z - l $ ,� Ste,»� 1 M'A a I`C 2s/-f _ 1 DEEP OBSERVATION HOLE LOG Hole# Depth.from Soil Horizon Soil Texture Soil Color Soil Other Surface.0n) (USDA). (Munsell) Mottling (Structure,Stones,Boulders: n ' to Grave . DEEP OBSERVATION HOLE LOG Hole.# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) .(Munsell) Mottling (Structure,Stones,Boulders. onsi en ca Insurance Rate Ma Flood Insu U . Above 500 year,flood'boundary No_ Yes A— Within 500 year:bopndary No Ycs, Within 100 year flood boundary IYo 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? V�'1' If not,what is the depth of naturally occurring pervious material?, Certification I Certify that on i (date)1 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 ng,expertise and experience described in�10 CMR 15.017. Date 2�- 9 Signature -- --/ Q:\.S,EP`rlC\PERCFORM.DOC i E COMMONWEALTH OF MASSACHUSETTS SEP 2 3 Z003 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFA R§O''HEALTHH DEPT. N OA T Z w DEPARTMENT OF ENVIRONMENTAL PROTECTION n r MAP w 9 d 'oqM SJev r PARCEL TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE, MA 02632 96 � Owner's Name: KELLY Owner's Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Aft Date of Inspection: 9/4/03 Name of Inspector: (please print) JOHN GRACI,INC. Company Name: SEPTIC INSPECTIONS Mailing Address: P.O. BOX 2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT 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: X Passes _ Conditionally, asses _ Needs Furt Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: 9/4/03 The system inspector shall submit copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspecti n. 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. Notes and Comments SYSTEM PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. ****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. I Title S Incna.rtinn Fnrm F/l S/M00 1 L_ ' 'Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Owner: KELLY Date of Inspection: 9/4/03 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: SYSTEM PASSED TITLE V INSPECTION.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. n/a The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced obstruction is removed ND explain: n/a 'Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Owner: KELLY Date of Inspection: 9/4/03 C. Further Evaluation is Required by the Board of Health: _ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. _ The system has a septic tank and SAS and the SAS is within a Zone 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 n/a "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic Icompounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: n/a z Page 4 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Owner: KELLY Date of Inspection: 9/4/03 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No _ X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ X Liquid depth in cesspool is less than 6"below invert or available volume is less than 'h day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped nLa. X Any portion of the SAS,cesspool or privy is below high ground water elevation. _ X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this forma NO (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes" or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. d Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Owner: KELLY Date of Inspection: 9/4/03 Check if the following have been done.You must indicate"yes"or"no" as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant, or Board of Health _ X Were any of the system components pumped out in the previous two weeks X _ Has the system received normal flows in the previous two week period`? _ X Have large volumes of water been introduced to the system recently or as part of this inspection? X _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up `? X _ Was the site inspected for signs of break out`? X _ Were all system components,excluding the SAS, located on site'? X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid, depth of sludge and depth of scum ? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems`? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes no X _ Existing information. For example,a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] S Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 wner: KELLY ate of Inspection: 9/4/03 FLOW CONDITIONS �ESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 ESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 umber of current residents: 1 oes residence have a garbage grinder(yes or no): NO s laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] aundry system inspected(yes or no): NO easonal use: (yes or no): NO ater meter readings, if available(last 2 years usage(gpd)) -.', �a ump pump(yes or no): NO ast date of occupancy: n/a CA — l'�3 vo OMMERCIALANDUSTRIAL ype of establishment: n/a esign flow(based on 310 CMR 15.203): n/agpd asis of design flow(seats/persons/sgft,etc.): n/a rease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO on-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a ast date of occupancy/use: n/a THER(describe): n/a GENERAL INFORMATION umping Records ource of information: n/a Was system pumped as part of the inspection(yes or no): NO f yes,volume pumped: n/agallons--How was quantity pumped determined? n/a eason for pumping: n/a YPE 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) Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components, date installed(if known)and source of information: 1986 PER AGENT/ASBUILT Were sewage odors detected when arriving at the site(yes or no): NO F Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Owner: KELLY Date of Inspection: 9/4/03 BUILDING SEWER(locate on site plan) Depth below grade: 10" Materials of construction:_cast iron X40 PVC_other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints, venting,evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 4" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: L 8' 6" H 5' 7" W 4' 1011" Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle:32" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 17" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): n/a 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Owner: KELLY Date of Inspection: 9/4/03 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no): NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX:X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): D-BOX IS STRUCTURALLY SOUND. PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a R Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) roperty Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 caner: KELLY ate of Inspection: 9/4/03 OIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) f SAS not located explain why: /a ype 1000 GAL 6' X 6' leaching pits, number: 1 /a leaching chambers, number: n/a p/a leaching galleries, number: n/a fh leaching trenches, number, length: n/a /a leaching fields, number: n/a /a overflow cesspool, number: n/a /a innovative/alternative system Type/name of technology: n/a omments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): EACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. SYSTEM SHOWS NO SIGNS OF AILURE.PIT HAD 2' OF LIQUID IN IT AT TIME OF INSPECTION. STAIN LINES INDICATE PIT HAS EVER BEEN MORE THAN HALF FULL. BOTTOM IS AT 101. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): n/a RIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Owner: KELLY Date of Inspection: 9/4/03 KETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. W �CK 0 U t /qc �Sis in Page 11 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) roperty Address: 68 DOLAR DAVIS ROAD CENTERVILLE,MA 02632 Owner: KELLY Date of Inspection: 9/4/03 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER- 12+FT. 11 171~ ' P9 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4.. ....................OF..... 41s ..........�- ......................... Appliratiun for Diupuual Works Toustrur#iun rrrmi# � Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ............. D..1 .1.. 0 6_.....:r�--D.......... . --Cam ................... ...............4:114:.Swrocation.. el.(. 1.d. ..�1,_........ ................................................._.....__..__..._...................or Lot No...._.._.................................. �'. ._....... Owner Address a ................................................... ................._....--•--............___ .......----......--•••••._.........-•--•-----...........•-••-•••••................................ Installer Address .� �. Type of BuildingSize Lot__5_'.�,��....Sq. feet Dwelling No. of Bedrooms...........................................Ex Expansion Attic / a g— � p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures ................................. .1— IJ'ACM.................................................................................................... Design Flow.............. _ ..................gallons per pc=am pe day. Total datlyl�ow_._.... `�.�..4�................gallon Septic Tank—Liquid capacitAPa gallons Length_0..f2_... Width_.55,_.4A... Diameter________________ Depth�_(Q.. x Disposal Trench—No..................... Width ........... Total Length............ Total leaching area................t...sq. ft. 3 Seepage Pit No.._.__f_.---._... Diameter....___.__.__ Depth below inlet..... Total leaching area.Wil......sq. ft. Z Other Distribution box % T Dosing tank ( ) Percolation Test Results Performed by.. . . .._. ._. .1 Test Pit No. 1._��minutes per inch Depth of Test ..... Depth to ground water....................... L Test Pit No. 2................minutes per i h Depth of Test Pit..-........_____.... Depth to ground water_...._...._......_._.--. O --•- •- ................ Description of Soil..-_- f_____ _. -_L� C�-Y .� .... _ .. ............ ------------------------------- ---------------------------- ---------------------•-------------•-.----.._..-----•----•------•----------------:. _ ...s-----------:......_..-•-•-------.........----•-•--•-•--••---._..._._...---•-••---•-•- 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:ITL: 5 of the State Sanitary Code—The undersighed fu ther agrees not to place the system in operation until a Certificate of Compliance has been i5,snyd by,he boao 011, fh Signed.......... ....___.. .................... ............. �� �eiB?yf Application Ap7 s—,, :. ......................•••....___••-••-----_---•- -•------Gt� - _-_.g� Date Application Disapproved for the following reasons:............................................................................................................. ........................................................................_....c..........._..._..................:..--•---•--•--.............--••-•-•----......-•---•--..:._....._......-.................... au Permit No...•-----•-. Issued................�— f - ._..... ................... .... ...... Date JI No..............._....... Fzcs.. ... THE COMMONWEALTH OF MASSACHUSETTS '- BOARD ,,OF HEALTH 1 � Q !!`-................OF.....K".� C�� C.C!'. � ._....-..._......_._: Appliration for Disposal Works Tonotrudion Itlermit Application is hereby made for a Permit to Construct�( � or Repair ( ) an Individual Sewage Disposal System at: ........... ........... a. a. � ( z : �....................... �) Location-Address , ) or Lot No. ............... Ss...T:. '' �r.(?.0 _ .... .�........_ ......--•--..._..........._....._.......... ........._.._...._........................... Owner Address a ................:.....••-••--•-........••---•-•--•----..'.........._-- .........-----....---------........---•--...................•�:---...-----:.................... Installer Address ts,17. Type of Building � Size Lot-...:...�.......:..r....._Sq. feet Dwelling—No. of Bedrooms................:: .......•_:_.•___.._____.Expansion Attic ( ) Garbage Grinder ( ) 004 Other—Type of Building ..........................•. No. of persons............................ Showers ( ) — Cafeteria ( ) Q Other fixtures -------•---•......._--•-•-•---•--!:. 1 ucilkrwv-.•a ,._°.._•.......... ! Design Flow..............1_.10- ...............gallons per person per day. Total daily'flow....... -' .................glom? W q P � - b'a ....•..•_.� Total Length....-•------3--..._. ------------- Depth:_1 C�... W Septic Tank—Li Liquid"' ca actt �_-__Q-_-._ llons Len h.'P----�?_. Width;. ::... Diameter.__ x Seepage Pit 1No._ .�o__._._.. Diameter y---•-•• Depth below inlet..•.��?r.......Too all leachingg area................ ft. Disposal 3 PaS � P area2Qj..M..A.sq. ft. Z Other Distribution box' Dosing tank ( ) '-" Percolation Test Results Performed by........ --- t 2ADate._.. ......,.........•_.. 1.4 Test Pit No. i__L <-^minutes per inch Depth of Test Pit._:( cC__. Depth to ground water. a .. f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a+ =` !-... 11 .................................... Description of Soil..........�..` ._-r�-_..? .U.> t- � � ... 1 �_ V ....-..•-•-••-•---•----•---••--------------------•-------------------•----•-_... �?V`1� .�.. d, �k ps -•.• �"t£ ........... UW ---••------------------------------•------•--------•----•-----------------------''`~ a P`-G. � =------------ ----------------._.....-----..-_..•..-------..._..............._......•.. 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 TITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been/issued by the board of h�edllth. r- Signed !. �.� ... � ;•1/1d'tt/�!. ................. l! �.. .�..-'�..... ......... .. . _ .. Application APP` e _ ..........•..._.... -••--•-• -- •...... . Date Application Disapproved for the following reasons:_.._.•______.:.-_•..................•_•______-_-___•-_...__•_-_••-_-____•----_•-_..._.._._...................... ••••.........................................•---•---._...•....-•----•----......--•-----........---......._.......•.._._._.---•--••------...•.__.........-._..---•------..._._....---.........-•--••-•-- ��— Date PermitNo..................................... ...... Issued----------------------•--...._............- ........... Date N THE COMMONWEALTH OF MASSACHUSETTS .M1, v BOARD OF HEALTH aA rc Trrtif iratr of Tomplianrr THIS IS TO CERTIFY, T�Iat the Individual-Sewage Disposal System constructed (I) or Repaired ( ) by............................................... f„lC<<:Z (/...... . ,nos 7"'UC 7`!/1.. '.............. .. ................ ............_.... I-sue llez at.............................. �t 7" (tea..`' ......_ �(I t.�:_..•.... --------•-----••---• .................................................E l / -----v.. . -. ...... r has been installed in accordance with the provisions of TITLE Hof The State Sanitary Code as described in the - I v_ - dated---....�/. r application for Disposal Works Construction Permit No._.__.�_._.•._._ . .................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................................•-•-•---------.............-----_.... . Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �— ,00� ..........................................oF..........:....._._..__:.._....------------------------.:..__...................... �a No......................... FFx........................ `Disposal Works Iffonotrudion tirrmit Permission is hereby granted ................................ ....•................ ....... to Construct (vf) or Repair ( ) an Individual Sewwage Disposal System at No..........--•......_..._tic/ � /?....../w.dl/>t t..: T�P GC'._..... --.._....•..................-_.. Street too �� as shown on the application for Disposal Works Construction Permit-No..................... Dated_._•____..(_��........._..._........ I 2 3 / 9� Board of Health DATE... ...-•--=•--•--••......................................... ,,ASSESSOR'S MAP NO''� PARCEL 100 C w T ION 1;;'I>Lf g - SEWAGE PERMIT NO. VILLAGE 68 I N S T A LLER'S NAME i ADDRESS 4b� Z,R U 1 L D E R OR OWN ER DATE PERMIT ISSUED pf� / DAT E C0MPL'I1-ANCE 17'1 -SIZEDdr_x w® t-_� 11— .Y ryl� oV% '3. o Lk �' SECTION :SEWAGE -TON. CA i�i - .71C 1.11�M�.t..►G e. K1.7. ' 2 l SEPTIC TANK sit)to BOX EACH ` a EL_ .. 417.00 t TOP OR-F N/�' - :�a/(MSLJ• o2"'OF f/eT0'tih" k WASHEO STONE J 1N OUT• IN!' .OtJ T• 1�•� SEPTIC TANK ELEV. 'ELEV. ELEV. ELEV.'. 1 ; ° ✓y" ELEV. l:cEv8.w tC w a- M'' fi s WASHED STONE ., j f �O y \ LIT-IL p-x7Trr>Nf o� "T�4-i TEST HOLE LOG- � � �8 7 ��, �� 1.8 5 ,��s� ZEsT ,�pri iZPSA►�K ,Go ti/Lo►�(. j �� �o, ) BY c WITNESS t� TEST DATE. l_,.28�85 BEDROOM HOUSE I DESIGN z3 tp t�o-f -7 T.Hs r 1 T.H. ELEV.•5�0.8 PERdRATE 2 MINAN, o15P SEF4 DISPOSER n 3Cv11 F10111(•Ri4TE 330(GAL./DAY j 3 O } - 2 o r Gd S wA D REO'DSEPTIC TANK SIZE 000" r ro . � �// Vr�j LEACH FACILITY' r u S ,p SIDE WALL'8n /50,8 �2, 37�i o .GiD'. 4 - ' r �✓ N BOTTOM' Z Z ='✓�,. /,o) • _�;3 GM. O T L .0011 l 2 7r N Q USE: ©�1 .. LEACHING ' p f"T' i L. ' WATER ENCOUNTERED ¢�A `'•.., t NOMI (UNLESSf'OTH'ERWISE NOTED) 1,L'(-_ 20 ell1:DATUM(MSU�TAKEN FROM'" p WAG QVAORANGI:E MAP` ��t� Or �'� 5 I p — O 2aMUNICIPALWATER -------_AVAILABLE" 3':?IPE FLTCH:''A"PER FOOT' �/� ARYL H. i �� � I ;4..DESIGN LOADING FOR ALL PRECAST UNITS:AASHO -44 .5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:"(1)FT.' `;v;. 6.PIPE JOINTS SHALL BE MADE WATER HT ` -h r?3 7.CONSTRUCTION DETAILS TO BE"'ACCOROANCE WITH COMM.OF MASS. '}�, SITE STATE ENVIRONMENTAL CODE TITLES T¢ « }L ''� N �} R pA �IARNE \ LOCUS: L o T- 9 p0[A V l S I�O�I QED r aZ '71Lo7 .G"f ��`aC .-�-d.�•..v Frl TFRYILLE InA SS ��fl ��r QOD ��r �� gO REG:PROFESSIONAL ENGINEER OJAI.A vv C> Q� 0263 �� REF: rBt)�k �U'� l l4 6E �rT down ca 'e ea ineetin ��,� Af 1 G0� ,2'r✓-E 'S.6�I�LI7 Gv�G�.(/Ec_ 3�r-�I p g . PREPAREDFOR: L �L- SOLLOV�IS CIVIL 'ENGINEERS LI<,�G ►`L� .�� , f LAND SURVEYORS. --- - -- BOARD OF HEALTH REG.LAND SURVEYOR- Onn (EXISTING)------ --- JAIePIg% F`.. � Yab S SCALE 1 CONTOURS (PROPOSED)-O-O-O-O- APPROVED DATE — 'A Y�� w�" :k ATE BENCHMARK EXISTING S.A.S. -100- EXISTING CONTOUR PUMP, FILL W/SAND & ABANDON x 100.98 EXISTING SPOT GRAD E N OUTSIDE COR.IDECK DO PARTIAL STRIPOUT-SEE NOTE 11 � EL.=f03.13 V11 EXISTING WATER SERVICE a � S 62'58'10" E G EXISTING GAS SERVICE 98 102. m � U UNDERGROUND WIRES o ea 101.18 0 101, TEST PIT x 0 12.8'-'Ix BENCHMARK - x 101.12 - a STORAGE r.: 'p LEGEND `� o°/° Ra TENT SHED r:. ; O .01 �Oys na LOCUS 1 ' !' LO 101.28 �.' • m x g LOCUS MAP EXISTING SEPTIC TANK o SCALE J �;: :. TOP OF TANK, EL.=101.44 INV.(OUT)=100.1f(VERIFY) TP-2 O I 10' bh x 101,80 BM + 3 TP-1 101.40 SWING SET DECK GENERAL NOTES: x 101.57 /EXISTING 100.98 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL HOUSE(#68) BOARD OF HEALTH AND THE DESIGN ENGINEER. T.O.F.=102.7f 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE W LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR io0 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE } N x DESIGN ENGINEER. n (0 101.59 - 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING x FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN N 100.89 0 ENGINEER BEFORE CONSTRUCTION CONTINUES. z 9�,r 101.23 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. X 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF N ° X / THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 1°1.33.:.:. .: .:.:..... a ° 100.61 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. o -I 101,49 '' `; 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. STONE .;;.":'. .` 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. f 101.4 ` :, .. -^ / 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS ioi:oo` . Dl?IVEW�4Y: ::' •>: ' 100,49/ AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE / DIRECTED BY THE APPROVING AUTHORITIES. 3 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 100.56 1 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 \ REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE " INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL LOT 9 Of MAs 15,124 ±SF ' ��Q�� sq�yo 13 THIS NOT OAN IS TO BO BEE FORPRO SEPTIC SYSTEM PURPOSES ONLY AND f39.83 \ o PETER T. s , 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC / McENTEE SYSTEM COMPONENTS NOT SHOWN ON THE PLAN G CIVIL N \ly / -%. . .1 ( No. 35109 1°0,27 PARCEL ID. 171 -290 s . . �'x 100 36 GISfF.�``� 103.13' � � ioo,o6 `5:`:62�1. ,46„ E ---------���T.� N �. 98.61 �' PROPOSED SEPTIC SYSTEM UPGRADE PLAN _ _ --_ - 68 DOLAR DAVIS ROAD, CENTERVILLE, MA 98.71 98.51 _98.33;`. 98.04 _ - -� - Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 edge of pavement 97.83 \ OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. DOLAR DAVIS\1>!�O A D PEARSALL, ANDREW A & SUZANNE E Engineering Works, Inc. 1"=20' P.T.M. 150-19 68 DOLAR DAVIS ROAD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 06/13/19 P.T.M. 1 Of 2 • NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:98.50 SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE INSTALL RISERS & COVERS OVER INLET PERIMETER OF THE S.A.S. AND SET TO 6" OF FINISH GRADE. PROPOSED S.A.S. EXISTING PROPOSED D—BOX � INSTALL WATERTIGHT RISER & PROVIDE ONE ACCESS MANHOLE TO WITHIN 3" HOUSE(#68) T.O.F.=102.70f COVER SET TO 6" OF GRADE OF FINISH GRADE FOR INSPECTION PURPOSES T.O.F.=102.7f F.G. EL.=101.9t F.G. EL.=101.9t F.G. EL.=101.4f F.G. EL.=1,01.2t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. a , ECK �bh ' L = 24' L = 5' ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC GJ2� 6" N io'I n as $ as ^� ia" s 2' EFF. aaaaaaa rn EXISTING 48" LIQUID DEPTH aaaaaaa LEVEL FFLE } �GAS � J INV.=98.47 PROPOSED INV.=98.30 4' 4.8' 4' ��i ` 761. ' INV.=100.1 f D—BOX EFFECTIVE WIDTH = 12.8' 26.6' 4 EXISTING INV.=98.00 -0 o EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS �p ; SHED SURROUNDED WITH STONE AS SHOWN -o H-10 RATED TOP CONC. ELEV.=98.8f 't1� N. w BREAKOUT ELEV.=98.50 � �8 NOTES: INV. ELEV.=98.00 Maim- �Z' SEPTIC LAYOUT 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 66B6aaaaaaa0m INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=96.00 4' 2 X 8.5'=17.0' 4' 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' MIN. OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. ABOVE GROUNDWATER LEACHING SYSTEM SECTION rUE3 ® 0 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OF TP, EL.=90.3 — � ®®® ® ®®® ® 33" 4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON 3/4" TO 1-1/2" DOUBLE W ®®® ® ® 0Ea THE OUTLET TEE. WASHED STONE N zEa 3" LAYER OF 1/8" TO 1/2" SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE (OR APPROVED FILTER FABRIC) 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT DATE: APRIL 24, 2019 (REF#15,955) 20" DIA. COVER NUMBER OF BEDROOMS: 3 SOIL EVALUATOR: PETER McENTEE PE(SE#1542) SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S. HEALTH AGENT 4" KNOCKOUT0 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH (0.74 GPD/SF LOADING RATE) 101.4 0" 101.3 0" DAILY FLOW: 330 GPD FILL FILL 4" KNOCKOUT DESIGN FLOW: 330 GPD 100.4 12"' 100.3 12" GARBAGE GRINDER: NO ASANDY LOAM ASANDY LOAM LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 10YR 4/2 10YR 4/2 500 GALLON CAPACITY, H-10 LOADING 100.1 B 16"1 99.8 B 18" CHAMBERS .74 GPD/SF e EXISTING SEPTIC TANK: 1000 GALLON CAPACITY SANDY LOAM SANDY LOAM10YR 5/8 10YR 5/8 N.T.S. PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS 99.1 c 28 I 98.8 30" PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PERC SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES M-C SAND M-C SAND 30"/48" 68 DOLAR DAVIS ROAD, CENTERVILLE, MA 2.5Y 6/6 2,5Y 6/6 SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. 5% GRAVES f Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. j 5% GRAVEL Engineering by: SCALE. DRAWN JOB. N0. TOTAL AREA:..............................................................471.2 S.F. 90.4 132" 90.3 132" Engineering Works, Inc. NTS P.T.M. 150-19 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER, PERC RATE: <2 MIN./IN. 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. PERC REFERENCE: P#5087, 10/28/85 (508) 477-5313 06/13/19 P.T.M. 2 of 2 y I