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HomeMy WebLinkAbout0034 ELIJAH CHILDS LANE - Health 34 Elijah Child's Lane ' Centerville ' �? A= 171 --256 I S M E A D)J No.2-153LOR UPC 12534 amead.com • Made in USA J40CYc% No. 6 V 3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftPYitation for Misposal *pstem Construction 3perm.it Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System 2fndividual Components Location Address or Lot No.n r-'L i✓!9H C4f-/ S Z iwtsz Owne A Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No.,5'0.F—5/'7 D —97.38 Designer's Name,Address,and Tel.No.j0�—3 (f—33// Type of Building: Dwelling No.of Bedrooms,3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re uired) 0 gpd Design flow provided gpd Plan Date il Number of sheets Revision Date Title 1 Size of Septic Tank Dou 3 -)' Type of S.A.S. G�`�^"� �✓ Description of Soil Nature of Repairs or Alterations(Answer when applicable)"A/ �l¢�l l9�Ov" /HQ' Ty P!,ff`I 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. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �.d (7 — o Date Issued 7/ 1 Il No. J 03 Fee (Uv THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:__,; 7 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppfication for Disposal *pstem....Construction permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System 21,dividual Components Location Address or Lot No..3el/_'L/J14K C411ds L 4 7r n G-..am., Owner' Name,Address,and Tel.No. n/T'i;.�"E!r//��, r.��/fir y� Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 15"C i2- _7/2 G) -q71 e" P Designer's Name,Address,and Tel.No. Jot epk vt 5' f 4-9-e 7f .c.fi!�f'/s v S7 fi I S G'1/�A-5 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) a gpd Design flow provided gpd Plan Date 1 7 Number of sheets Revision Date I Title f Size of Septic Tank Utiu r t ` Type of S.A.S. P 't v� c Description of Soil Nature of Repairs or Alterations(Answer'when applicable) T/, > 771 7 i 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. Signed t; aC; fi.f��£,rr 'I� Date Application Approved by VJ /� 7 ,7Z Date I /A Application Disapproved by j Date for the following reasons Permit No. )d /7 Date Issued 2171111 ------------------------------------------------------------------------------ --------- ---------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(G)- Abandoned( )by at `/ j=/ /,/y`/�(,�i/lG/s L��i c ,;_nrl� f��/ir'%has been constructed in accordance p _. p y _ _ _ with the rovisons"of Title 5 and the-for Disposal S sfem Construction Permit N'o. j -� dated T( / Installer �� .f_- /> lir✓c S Designer / � r #bedrooms Approved design ii �� U gpd The issuance of this permit shall not be construed as a guarantee that the syste will funef bn de 'ggned. Date Inspector ----------------------------------------------------=-------- v� ! No. tl 1-7, 69 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgraded( '' Abandon( ) I System located at Z /J/# CAI r�✓1; r-' 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:Constructon must be completed within three years of the date of this permit. t Date 7 J f,/ — Approved by_,(I �) f TOWN OF BARNSTABLE EL ] TA11- CA 14aS SEWAGE# A6b L-7- 0`13 1.)CATI-�iN ILLA(=1'. L Al]' L-'IQ 1/�LLF_ ASSESSOR'S MAP&PARCEL INSTAL6R'S NAME&PHONE NO. 7'!1 -e V S SL- I0 / I C'_ SEPTIC TANK CAPACITY r o u D LEACHING FACILITY.(type) >30 0 C.A e b e. size) / k NO.OF BEDROOMS ,OWNER. %, L4,1 / L L f AM /4. C0 I/(= I L PERMIT DATE: COMPLIANCE DATE: j I 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 c a ----------------- A3 3 04/04/2017 03:14PM 17744139468 MEYER AND SONS PAGE 01/01 Town of Barnstable Regulatory Services i ems, 'r Richard V.Scalt Interim Director KAM Public Health Divi'sion " Thomas McKean,Director 200 Maine.Street,Dyangis,NIA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Desiw3er Cert' &tion Form Date: 1 Sewage Permit# Assessor's MapWarcel )-sl� Designer hh Yt %Stalier= Address: Address: > (f �r57�y15' `0//11r c%f _ was issued a permit to install a (date) �y (installer) septic system at ,3 �L[ S k4 C�n L 05 b T based on a design drawn by (address) dated �� t I certify that tle septic system referenced above was ►mstalled substantially according to the design,whicb may,include minor approved changes such as lateral relocation of the distribution boat and/or septic tank. Strip out (if required) was inspected and the sons were found satisfactory. a- I certify that the septic system referenced above was installed with,major changes (i.e. greater than,l 0'lateral relocation of the SAS or any vertical relbeation of any component of the septic system)but in accordance with State&Local Regulations. plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above,was construc a with the terms of the LA,approval.letters(if applicable) alley Signature) 1 (Designer's Signatur (A.1 Desigpa 4 Here) PLEASE REIM10 LRNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WnJ, NOT BE ISSUED IJMW' DQ')l .'IgL4 FORM AND AS- BL m T CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DS_I.Q�T. THAW YOU. Q:Wlic\Desiper.GecWcarion Form Rm 8-14-13.doc . I Town of BAnistable. P# 2-q D °f Department of Regulatory Services Public Heaith Division mate Asa ,16�F�e� 200 Main Street,Hyannis MA 02601 lW a+ Date Scheduled 'Time JLI&a Fee Pd. I � Foil Suitability Assessment fop Sew • e ' posal Performed By: 201Nrf?-V) [ A Witn esse d By L, t��P i LOCATION &GENERAL INFORMATION 34 �i. Srt-j C9+►.L tt) ' Owners Name We location Address�. t L�,, � 11 V�AA Addrtic's Assessor's Map/P4rce1: I-7 Engineer's Name NEW CONSTRUCTION REPAIR _X �Telephoone# 331 Land Use Slopes(%) Surface Stones Distances from: Open Water Body �'t/� R Possible Wot Area _�ft Drinking Water Well ?_Z_P—ft Drainage Way d ft Propdrty Linee , ft Other ft SKETCH:($treet name,dimensiotis of lot,exact locations of tot holes&percitests,locate wetlands in proximity to holes) kN • i I • i i i Parent material(gedlogic) `R�'�f'J aS� Depth,t0 Bedrock Depth to Groundwater. Standing Water in Hole:' - i Weeping from Pit Face Estimated Seasonal Vgh Groundwater 1J\ DTERmmv TION FOR.SEASONAL HIGH WATER TABLE Method Used: in. Depth d4erved standing�mobs.hole: in. Depth t0 salt mottles: Depth toiweeping from side of obs.hole: I in, Groundwater Adjustment ft Index Well#_ .Reading Date---index Well I, � — — Ate.�brtM'..... Adj.d�UtldWBtirL8Vtl1.,,,.• PERCOY,AT'ION TEST' Dist®.,,_ ___, T4W Observation I Timm$t 4" Hose# Depth of Perc Time at b" _. Start Pre-soak Time. 1=_ TSme(9"•G') 17 End Pre-soak JJL— 4. Rate MinAnch Site Suitability Asse0sment: Site Passed Site Failed; Additional Testing Needed(YM) Original:.Public I101th Division Observation Hole Data To Be Completed on Back ***If percola#on test is to be conducted within 100' of wetland,.-You must first notify the Barnstable C4#servation Division at least one (I wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ravel 3 D DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) `' LoaM DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ther Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. o Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. nice Flood Insurance Rate Mau: 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 pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per ions material? Certification � a I certify that on (date)I have passed the soil evaluator examination approved by the Department of vtr n ental Protection and that the above analysis was performed by me consistent with inin ertise and expe 'ence described'n 3.10 CNR 15.017. the requiredP Signature Date Q:ISEFTICU'ERCFORM.DOC COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS K- b aS e DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 34 Eliiah Childs Lane Centerville, MA 02632 Owner's Name: Estate of Kathleen Kirk Owner's Address: 1�Z Date of Inspection: September 19, 2007 �1 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford \ Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 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. 11 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: =; ✓ Passes Conditionally Passes r Ne Further Evaluation by the Local Approving Authority Fa' s 6 Inspector's Signature: Date: October 1 2007 The system inspector shall SU4 a copy of this inspection report to the Approving Authority(Board f 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 DER The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Continents ****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. Title 5 Inspection Form 6/15/2000 page 1 V Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 34 Eldah Childs Lane Centerville, MA Owner's Name: Estate of Kathleen Kirk Date of Inspection: September 19, 2007 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. Answer yes,no or not determined(Y,N,ND)in the 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 inuninent. 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: 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: 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: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 34 Eliiah Childs Lane Centerville, MA Owner's Name: Estate of Kathleen Kirk Date of Inspection: .September 19, 2007 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 "This system passes if the well water analysis,performed at a DEP certified laboratory, for colifonm bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 34 Eliiah Childs Lane Centerville, MA Owner's Name: _ Estate of Kathleen Kirk Date of Inspection: September 19, 2007 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/2 day flow ✓ 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 groundwater 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have detennined 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 System: 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 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 34 Eldah Childs Lane Centerville, MA Owner's Name: Estate of Kathleen Kirk Date of Inspection: September 19, 2007 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 breakout? ✓ _ 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: Yes No ✓ _ 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(3)(b)]. 5 r Page 6 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 34 Eliiah Childs Lane Centerville, MA Owner's Name: Estate of Kathleen Kirk Date of Inspection: September 19, 2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION . Pumping Records Source of information: Unavailable Was system pumped.as part of the inspection(yes or no): 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) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of infonnation: Installed on 8124181 -per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION.FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C SYSTEM INFORMATION(continued) Property Address: 34 Elijah Childs Lane Centerville, MA Owner's Name: Estate of Kathleen Kirk Date of Inspection: September 19, 2007 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction liner Cotmnents (on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 20" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 3" Distance from top of scum to top of outlet tee or baffle: 6rr Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Conunents(on pumping recominendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. There did not appear to be any signs of leakage GREASE TRAP: None (locate on site plan) Depth below grade: 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: Conunents(on pumping recotrnnendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 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: 34 Eliiah Childs Lane Centerville, MA Owner's Name: Estate of Kathleen Kirk Date of Inspection: September 19, 2007 TIGHT or HOLDING TANK: None (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/day Alarm present(yes or no): Alarm level Alarm in working order(yes or no): Date of last pumping: Continents (condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Continents(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.): The D-box was level. No solids were present. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarns in working order(yes or no) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): 8 I I Page 9 of l l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 34 Eliiah Childs Lane Centerville, MA Owner's Name: Estate of Kathleen Kirk Date of Inspection: September 19, 2007 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: I -6'x 671000 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.): The leach nit had]'of liquid on the bottom There did not appear to be any signs offailure The cover was 2'below grade The bottom to Arade was H. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,.signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Corn ments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 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: 34 Eliiah Childs Lane Centerville, MA Owner's Name: Estate dKathleen Kirk Date of Inspection: September 19, 2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide.a.sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. A (3Ac k d a O r3 3 y aD- E3 a .10 sY 3 ag sr 10 r Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 34 Eliiah Childs Lane Centerville, MA Owner's Name: Estate of Kathleen Kirk Date of Inspection: September 19, 2007 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25 +/- feet . Please indicate(check)all methods used to detennine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high groundwater elevation: Using Barnstable topographic and water contours maps the maps were showing approximately 25'+1-to ground water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees; either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 L f Town of Barnstable OF IME Tp� � Regulatory Services BARN7ABLE, Thomas F. Geiler, Director S. E �A Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future nor does this Division agree with any technical observation s and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the"Disposal Work Construction Permit". If you should have any questions regarding this report,please contact the certified Septic System Inspector who conducted the inspection. r TOWN OF ASTABLE LOCATION J Ell SEWAGE# VILLAGE CRA-rVV% ASSESSOR'S MAP&PARCEL I-1 I - ;Lr(D INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY Wj k`' LEACHING FACILITY.(type) ��r' (size) I GUb 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 s tit Z7 IFD/'� g 101 IA aAc k a .6 I a o (3 3 y aG� 93 a ;I(a sy 3 aLg s� yGa3� t APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS L0CATI0N,6 e)-t�A'4 k-A/ i4f� �1'����S. L� NO. P- 50 _ VILLAGE DATE /Z-23 APPLICANTd�/�J S�/}LL _ //1JC, � FEE A/S, ADDRESSp (Non-refundable)dable)R/A) L �/A TELEPHONE NO4 ENGINEER A.V TejZ 4 j Xr-_ ���A)�� Pam, TELEPHONE NO.��-9/_T/ DATE SCHEDULED /2 3 -8e� C i-E, (Applicant' s signature) SOIL LOG SUB-DIVISION NAME���TE ,r/!A.,n c TR"DATE 1 1 "Z 3--80 TIME ` EXPANSION AREA: YES LANONG INEE R TOWN WATER [/PRIVATE WELL /1" BOARD OF HEALTH EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES: 00r ep `4 (©0 E- �-i J A-1I C9i L-t>S L� . PERCOLATION RATE: I //� L�iy,•vr. S TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: 2 2 3 3 5 5 _ I 6 -' 6 7 7 8 8 9 9 10 10 11 ill 1.1 12 S*4AI0 12 13 13 14 14 15 15 16 16 -SUITABLE: FOR:SUB-SURFACE:•SEWAGE: -LEACHING.-FIELD ___LEACH-ING -PITS LEACHING­TRENCHES ` .UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: I NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT .......... THE COMMONWEALTH.OF MASSACHUSETTS BOA Ra-- H EALT OF.................................I ..-------- ----------- ......................... Applira#ion for Diipuual lgorkii Tome rnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal --•- --....--•----- --------------- .......... ---------••----- -•---------... ......_ ------- ............................. Location ddress • No. ja .......... . ..................................................... .............. ...._ ................._..............-•-••-.............................. own.00L _ Address Installer Address Type of Building a Size Lot....•...._ �.Sq. feet U Dwelling—No. of Bedrooms..........�... .-_ -_---Expansion Attic ( if LV Garbage Grinder (/ aOther—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) P4Other xtur .--•--•---------------•-•---------------------------------------------------------------......----- W Design Plow...... ___.2—�t..................gallons per person per day. Total daily flow_.__........_ ..�.............gallons. WSeptic Tank—Liquid capacit� gallons Length................ Width................ Diameter................ Depth................. x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. 3 Seepage Pit No._�._. Diameter..................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water..................... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--____•----._-__---____. a' ---•---------------------------------------------------------------------•-.._.......-••-•-......•••......................................................... 0 Description of Soil......................................................................................................................................................................... x W VNature 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 TI'L 5 of the State Sanitary Code— Tip undersigned further agrees not to place the sys in operation until a Certificate of Compliance has bee sued the board health. Signey ..................•---------------------- ate . .... ----�-- - . . Application Approved By ..X.!.....-/(_ ... � ............. Date Application Disapproved for the following reasons:.... .......................................................................................................... ...............................................•--•---------------------------------------•---............----------------------.....------------------------------------.----••------................. Date PermitNo......................................................... Issued........----------- ................................ Date b'1 - lop,FEB... . ...... THE COMMONX EALTH OF MASSACHUSETTS i . BOA LRD �� H EA T -------------OF......... ..... '`. ?` .............._........_. Appliratiun for llhipvii al Workii Cnnmitrnr#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ,$ M641 ,r r .. .. . Locatio -Address L � No. . ".�....... . ...........................................................................................•.................•.... ................................................................................................. Owne Address a _ -.�wf� , �G ------------------------------------------- Installer �... �Q Address Q Type of Building Size Lot.... __ _S feet Dwelling—No. of Bedrooms.__..._...�,;,;, ...........................Expansion Attic ( Garbage Grinder (IL),O aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other .fixtures,.•---•---•----------------------•-•••--- . .� Design Flow------' �- g P P P Y Y `................................�•.. - gal ns. W .. .................. allons er person per day. Total daily flow.._.._.___ Ions. WSeptic Tank—Liquid capaci X.�- Ogallons 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ••--•---••••-•--------------•••--•--••--•••-••••....-••.....•--•••-------•----...._...•••••••••......••••••-••-...._...•••••.._...--...--•----•-•-•---•••-•-- '0:, :. .. Description of Soil........................................................................................................................................................................ W ------------------------------------------------------------------ ----------------------------------------------------------- ---------------------------------•---•--...._.._----------••......••-- U --Nature of Repairs or Alterations=Answer when applicable............................................................................................... ---------------------------•------•-------•--•-----•------•----------------....._........-•------------•----------------------------------------------•----------------------------------------••-•--•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T I E 5 of the State Sanitary Code— T undersigned further agrees not to place the syst m in operation until a Certificate of Compliance hasWbeeued bthe boar health. Xj Signed: r --•----- %' '"`... ev ,,�lei....S D�ate - Application Approved By....� .., e •... ... . c.e............ Date Application Disapproved for the following reasons---------------••------•-----------------•--------•-----------------------------••-----------•••--•-••----••..... ...----•--•----------•-------•------------------•---•----•--...-----•------------------........•...-------•------•---••••--------•--------•---•-••------------------------------------------------------ Date PermitNo......................................................... Issued_....................................................... Date c THE COMMONWEALTH OF MASSACHUSETTS BOARD ,O/F� HEALTH �1~iQ....4„..............OF.......,-r 7 ' .. ..................................... C�rdif iratr of Tomptianre THIS IS/T CERTIFY, That the Individual Sewage Disposal System constructed ( 1' or Repaired ( ) sbyue^ -r---1 � -- ----------•-------------- •----------------------------------------------------------•---------------.-----••----•-•---••-- atalter------.... r ----•-•...............•-•-•-------•-•..................••-•- has been installed in accordance ith the promsov+isii'oons� off T,�IT r of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. __•-_-__------ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................................51 /�---•-------•---. Inspector------.....4�..--� ................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �v it ........OF............ .. .................................. o No..G41'/1 .. FEE.....• --. / Diupnual Works 0, unot inn amit Permission is hereby granted............ ...... =................................................_...................................... to Construct ( 4-or Repair ( ) an Individual Seara a Dis osal System --•--------------------•--•--•----•--....-•---------------------------------••_••-••• Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ......... A,r u ------•----------•-•-------------------� 7 / B9a DATE---------- ----�------�!-....------•--•------------- ------------------- of Health FORM 1255 HOSES & WARREN. INC.. PUBLISHERS t x c v_—S[G Q T�IQ,TA, Zd t..to �.At-rr at� i;.r�i�.tc�EsL � .• 4' ��cJ a N ��� °r:�., �E�yT-tC `I-l.�.tt._ .. 3'�nJ !SO % • 4�r cy.PD. '� U Sc.- %o00 6 A L-. N 9?rl, T-IT - IJSE- .1 ocx� 4Gt�. � ; ;W6WALL MaA _ tc,o 'S- . m '' 1�,,a SF' ►c 2.S • 3-IS C .P.D. ' cep 5+�. { l •G� = Sd G P.V. To r•,&L •DESIGN - 425 TnTo L gal�.�� Ft.ow z 3w 6.pm. t f1GOl.QC10Q IZQTE �IetQ Z,MIQ o2 LESS. Q 2 MCHARD A. BAXTr T / �G- 17 T -row F'.,v _ WPM i � ��)L•�=-_ �Z-Z 3��0 B I t'r.. ice:t:ii iii.•.•..—�,-7n•�7,,.. 4. EL�9B �Ga 9 TTJ7C.:7Tia�e�'' � . s t Logn�1 ; ��e I ooa 'A � Sv+esa�. 4'pPc �� iw. G�.�. y�•8 ;;. Z i INV. -rAWK f a 1000 twv. t►w 2>1P L `� 9 c, z w�.a i. r,-' ,d a'a.. FIT , Av C.S ZTIF1GD PL(::> t✓'i_./a.F�1 LOCATION GENTERVtit--LE A'T- T 44 e- FCV t tUAT10W NC.1?t=151�1 GCarlitPt_�(S W iTk Tt-1� �jlDli.t_I►-�� Aua ';E~71�'��CIC 1.'GQ�1�CAiccuTS of T t-+C pL• 3430� •Pc�. t✓,�;L 'ToviLi Or- BARN TAC'�LE' l � e aA*rc J B/.�XTEtZ c • t���. . twc.. �+ , REGISr�.RiYD LAt-!G 5ue.�'c Tt-1l`� 17�f<AI-•t tr,, t-tOT L'>AC'C� C��-t A4•J I 05TE��/1Ll.G o ItJ,f�?J!✓�C?t'' y �,Uc:.1t:� Tt1Ls i3F ;FT�, �it�Lwl� API!t GA.t�JT' t t" mot. IJ� n TO1�c:t'CMtW�: ,I..DC l_IW��� ---- AL�N .R \ A ' L 0 C• T ION SEWAGE W A 6 E PERMIT N0. VILLAGE INSTALLER'S �JNAME & ADDRESS i Q,I LID E R OR OWNER DATE PERMIT ISSUED ot. DAT E COMPLIANCE ISSUED RA2 7��,g � �'�� , - S 3 _ ��. i � �� �-� i �� LEGEND �' " CENTERVILLE °to PROPOSED CONTOUR t ® PROPOSED SPOT GRADE I EXISTING CONTOUR + 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICE , �• 2 <v TEST PIT SCALE: 1"=20' ��O LOCUS v� 54 — — — — 25.0:oV w Li — — LOCUS MAP z �� �� I LOT 54 LOCUS INFORMATION 1 PLAN REF: 343/084 11 PAVED DRIVEW�Y EXISTING T,-GO-OG AREA = 25001 sf+— 1 TITLE REF: 25786/312 LEACH PIT `' PLAN BOOK 343 PACE 84 PARCEL ID: MAP 171 PAR. 256 ASSR MAP 171 PCL 256 FLOOD ZONE: "X" (0) � �} ; ' COMMUNITY PANEL: 25001CO561J DATED:07/16/14 (n - SEPTIC SYSTEM REPAIR PLAN �•r'I��--. L O _7 I i E D I S O N LIGHT LOCATED AT: — Z b I 0 N 34 ELIJAH CHILDS LN. Z ', IrO X COMPAN �' CENTERVILLE, MA U a �n`0 ram- (� 00' �-- ; 1 o PREPARED FOR Tl° `" _' EASEMENT WILLIAM H. COVELL EXIS ING 1 ,000G MARCH 20, 2017 SEPTIC TANK of -54 — $. DIRE M 250.01' j i i MEYER & SONS, INC. PLAN BENCH MARK P.O. BOX 981 SCALE: 1 in = 20 ft * EAST SANDWICH, MA. 02537 PAINT SPOT ON 0 20 40 BULKHEAD CORNER PH: (508)360-3311 55. 72 F FAX: (774)413-9468 0 10 20 40 IBARNSTABLE GIS DATU meyerandsonsinC@gmail.com SHEET 1 OF,2 J 1894 i NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH TOF SFpTIC TANK GRADE SHALL NOT BE < EL:52.30 FOR A DISTANCE GENERAL NOTES: INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX '15' AROUND THE PERIMETER OF THE S.A.S. EL.=55.75t. OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED S.A.S. INSTALL RISER & COVER INSTALL A RISER OVER ONE CHAMBER 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL INSTALL LOCKING COVERS IF AT FINISH GRADE (MIIN SET TO 6" OF GRADE ) BOARD OF HEALTH AND THE DESIGN ENGINEER. F.G. EL.=55.Ot AND SET TO 3" OF F.G. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS F.G. EL.=54.80t F.G. EL: 55.0f OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE F.G. EL: 54.80OCAL RULES AND REGULATIONS. (MAX.)( ) 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFlLLED PRIOR L 13' 9` MIN COVER/ - TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE = 36' MAX COVER L = 30' L = 25'(MAX) DESIGN ENGINEER. S=1% MIN. = 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING ® ( ) EL.=53.33f ® S 1� (MIN.) ® S=1% (MIN.) 4'SCH40 PVC 4'SCH40 PVC 4`SCH40 PVC 2" OF 3/8" DOUBLE WASHED _ FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN STONE OR FILTER FABRIC 3/4' 1-1/2' ENGINEER BEFORE CONSTRUCTION CONTINUES. DOUBLE WASHED STONE t0` 6 / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. INV.=52.30 14 •• 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 48`I ouro INV.=52.05 BUJ®®- 0 ®®®® THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF LEVEL HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. PROPOSED ®®®®®®®®®® GAS BAFFLE EMEE73®®®®®B- 37. DWELLING IS SERVICED BY MUNICIPAL WATER. INV.=51.55 E3®®®®®®®®E INV.=51.75 DB-5 B.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. EXISTING 1.000 GALLON SEPTIC TANK (H20) 4' 2 X 8.5' 4' 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK. EXIST. SEWER OUTLET EFFECTIVE LENGTH = 25.0' 10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5. INV. ELEV.= 51 .30 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION BREAKOUT 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY PIPE INVERTS PRIOR TO CONSTRUCTION TOP CONC. ELEV.= 52.30 EL. 52.30 13. NO KNOWN PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING 2) D-BOX SHALL BE SET LEVEL AND TRUE TO 14. ALL PIPING TO BE 4` SCH 40 ® 1/a'/FT (UNLESS SPEC. ) INV. ELEV.= 51.30 a® 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW GRADE ON A MECHANICALLY COMPACTED SIX aaaaa�a FOR THE USE OF A GARBAGE GRINDER. INCH CRUSHED STONE BASE, AS SPECIFIED IN 0IMaaa6 310 CMR 15.221(2) BOTTOM EL.= 49.30 aaaaaaa 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK -4' 5 FT. - �� 17. PROPERTY IS LOCATED IN A GROUNDWATER PROTECTION DISTRICT. WITH 1500 GALLON SEPTIC TANK IF FAILED, EFFECTIVE WIDTH = 13' DAMAGED, NOT H2O LOADING, OR UNDERSIZED. SEPARATION 5.60 FT. 4) INSTALL INLET & OUTLET TEES W/ SOIL ABSORPTION SYSTEM (SECTION) GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE BOTTOM OF TESTHOLE EL: 43.70 (500 GALLON (H20) LEACH CHAMBER) i N.T.S. DESIGN CRITERIA **NO PROPOSED INCREASE IN FLOW** SOIL LOGS P#:15290 NUMBER OF BEDROOMS: EXIST. 2 BEDROOM/ 3 BEDROOM DESIGN DATE: MARCH 14, 2017 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) DESIGN PERC RATE: <2 MIN/IN 3�j/l7 SOIL EVALUATOR: DARREN M. MEYER, RS, CSE DAILY FLOW: 110 G.P.D. X 3 BR DESIGN FLOW: 330 G.P.D. R WITNESS: DAVE STANTON, BA NSTABLE HEALTH GARBAGE GRINDER: NO (not designed for garbage grinder) Elev. TP-1 Depth Elev. TP-2 Depth SEPTIC TANK: 330 gpd x 200% = 660 gpd USE EXIST. 1,000G SEPTIC TANK 54.70 A 0" 54.80 A 0" i LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. LOAMY SAND LOAMY f} 10YR 3/1 10YR 3/1D USE TWO (2) 500 GALLON PRECAST LEACH CHAMBERS 54.03 B 8` 54.05 B 9" LOAMY SAND LOAMY SAND W/ 4 STONE ON ENDS AND 4 ON SIDES: 25 L x 13 W -x 2, D 10YR 6/8 10YR 6/8 I 51.52 . 38" 51.80 36" BOTTOM AREA: 25 x 13 = 325 SF PERC TEST C SIDE AREA: (25 + 13) X 2 X 2 = 152 SF • 49.7 MEDIUM MEDIUM TOTAL SQUARE FEET PROVIDED = 477 vs. 445.94 REQ'D SAND 2.5Y 6/6 2.5Y 6/6 DESIGN FLOW PROVIDED: 0.74(477 S.F.) = 352.98 G.P.D. vs. 330 G.P.D. req'd t 43.70 132" 43.80 132" OF PROPOSED SEPTIC SYSTEM UPGRADE PLAN G PERC RATE <2 MIN/IN. ("Cl" HORIZON) D ARM �, 34 ELIJAH CHILDS LN, CENTERVILLE, MA NO GROUNDWATER OBSERVED o. 11 V Prepared for: Covell System Design and Topography Plan by: SCALE DRAWN DATE • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 �G/$T MEYER 8 SONS,INC. � N.T.S. DMM 03/20/1] to conduct soil evaluations and that the above anal has been performed b me consistent with the f a� PO SOX 961 Y� Pe Y A � NITAR (� 7 REV DATE CH SHEET NO. requirements of 310 CMR 15.017. I further certify that 1 have passed the Soil Eval. Exam in October, 1999. f, I EAST SANDWICH,MA 0253 CHECKED r 1 508-3622922 DMM 2 of 2