HomeMy WebLinkAbout0046 ELIJAH CHILDS LANE - Health 46 Elijahs Childs Lane
Centerville
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NO. 1521/3 ORA
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Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way.
Important: A. General Information
When filling out
forms on the
computer,use 1. Inspector:
only the tab key
to move your Robert Paolini
cursor-do not Name of Inspector
use the return
key. Capewide Enterprises,LLC.
Company Name
P.O.Box 763
Company Address
Centerville Ma. 02632
rerwn City/Town State Zip Code
(508)428-4028 S14454
Telephone Number License Number
B. Certification
I certify that I have personally inspected the sewage disposal system at this address and that the
information reported below is true, accurate and complete as of the time of the inspection. The inspection
was performed based on my training and experience in the proper function and rriaintenance of on'.site
o sewage disposal systems. I am a DEP approved system inspector pursuant totSection 1.5.340 of
Title 5 (310 CMR 15.000). The system: tS
® Passes ❑ Conditionally Passes ❑ Fails
❑ Needs Further Evaluation by the Local Approving Authority
5/08/2008
Ins tor's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the
report to the appropriate regional office of the DEP. The original should be sent to the system owner
and copies sent to the buyer, if applicable, and the approving authority.
****This report only describes conditions at the time of inspection and under the conditions of use
at that time. This inspection does not address how the system will perform in the future under
the same or different conditions of use.
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 1
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
Inspection Summary: Check A,B,C,D or E/always complete all of Section D
A) System Passes: .
® I have not found any information which indicates that any of the failure criteria described
in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are
indicated below.
Comments:
The septic system is in proper working order at the persent time.
B) System Conditionally Passes:
❑ One or more system components as;described in the."Conditional Pass" section need to be
replaced or repaired. The system, upon completion of the replacement or repair, as approved by
the Board of Health,will pass.
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 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:
❑ 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
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 2
f
T i
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
^M 46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is Centerville Ma. 02632 5/08/2008
required for
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
B) System Conditionally Passes (cont.):
❑ 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:
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.
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 3
I
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
B. Certification (cont.)
C) Further Evaluation is Required by the Board of Health (cont.):
❑ 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 coliform
bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or
less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be
attached to this form.
3. Other:
D) System Failure Criteria Applicable to All Systems:
You must indicate "Yes" or"No"to each of the following for all inspections:
Yes No
❑ ® Backup of sewage into facility or system component due to overloaded or
clogged SAS or cesspool
❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters
due to an overloaded or clogged SAS or cesspool
❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded
or clogged SAS or cesspool
❑' ® Liquid depth in cesspool is less than 6" below invert or available volume is less
than 'h 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 ground water elevation.
❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or
tributary to a surface water supply.
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 4
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name .
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
i
B. Certification (cont.)
D) System Failure Criteria Applicable to All Systems (cont.):
Yes No
❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well.
❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply
well.
❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet
from a private water supply well with no acceptable water quality analysis. [This
system passes if the well water analysis, performed at a DEP certified
laboratory,for fecal coliform bacteria indicates absent and the presence
of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,
provided that no'other failure criteria are triggered.A copy of the analysis
and chain of custody must be attached to this form.]
❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd-
10,000gpd.
❑ ® The system fails..l have determined that one or more of the above failure
criteria exist as described in 310 CMR 15.303, therefore the system fails. The
system owner should contact the Board of Health to determine what will be
necessary to correct the failure.
E) Large Systems: To be considered a large system the system must serve a facility with a
design flow of 10,000 gpd to 15,000 gpd.
For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the
questions in Section D.
Yes No
❑ ❑ the system is within,400 feet of a surface drinking water supply
❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply
E] ❑ 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.
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 5
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
C. Checklist
Check if the following have been done. You must indicate"yes"or"no" as to each of the following:
Yes No
® ❑ Pumping information was provided by the owner, occupant, or Board of Health
❑ ® Were any of the system components pumped out in the previous two weeks?
® ❑ Has the system received normal flows in the previous two week period?
❑ ® Have large volumes of water been introduced to the system recently or-as part of
this inspection?
® El available
as built plans-of the system obtained and examined? (If they were not
available note as N/A)
® ❑ Was the facility or dwelling inspected for signs of sewage back up?
® ❑ Was the site 'inspected for signs of break out?
® ❑ Were all system components, excluding the SAS, located on site?
® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank
inspected for the condition of the baffles or tees, material of construction,
dimensions, depth of liquid, depth of sludge and depth of scum?
® ElWas the facility owner(and occupants if different from owner) provided with
information on the proper maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System (SAS) on the site has
been determined based on:
❑ ® Existing information. For example, a plan at the Board of Health.
® ® Determined in the field (if any of the failure criteria related to Part C is at issue
approximation of distance is unacceptable) [310 CMR 15.302(5)]
I'
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 6
i
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
.
every page. City/Town State Zip Code Date of Inspection
D. System Information
Residential Flow Conditions:
Number of bedrooms (design): . 3 Number of bedrooms (actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330
Number of current residents: unknown
Does residence have a garbage grinder? ❑ Yes ® No
Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No
Laundry system inspected? ® Yes ❑ No
Seasonal use? ❑ Yes ® No
. ,000
:49
Water meter readings, if available (last 2 years usage (gpd)): 2002006:49,000
Sump pump? ❑ Yes ® No
Last date of occupancy: 5/8/2008
Date
Commercial/Industrial Flow Conditions: .
Type of Establishment:
Design flow(based on 310 CMR 15.203): Gallons per day(gpd)
Basis of design flow(seats/persons/sq.ft., etc.):
i
Grease trap present? ❑ Yes ❑ No
Industrial waste holding tank present? ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
Last date of occupancy/use: Date
Other(describe):
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 7
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
° M 46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
General Information
Pumping Records:
Source of information:
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
Type of System:
® Septic tank, distribution box, soil absorption system
❑ Single cesspool
❑ Overflow cesspool
❑ Privy
❑ Shared system (yes or no) (if yes, attach previous inspection records, if any)
❑ Innovative/Alternative technology. Attach a copy of the current operation and
maintenance contract(to,be obtained from system owner) and a copy of latest
inspection of the I/A system by system operator under contract
❑ Tight tank.Attach a copy of the DEP approval.
❑ Other(describe):
Approximate age of all components, date installed (if known)and source of information:
New Leaching installed in 2002
Were sewage odors detected when arriving at the site? ❑ Yes ® No
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 8
Commonwealth of Massachusetts ,
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town i State Zip Code Date of Inspection
i
D. System Information (cont.)
Building Sewer(locate on site plan):
14"
Depth below grade: feet
Material of construction:
❑ cast iron ® 40 PVC ❑ other(explain):
Distance from private water supply well or suction line: 1 +
fee et
Comments (on condition of.joints, venting, evidence of leakage, etc.):
Joints appear tight.No evidence of Ieakage.System vented through the house vents.
Septic Tank (locate on site plan):
14"
Depth below grade: feet
Material of construction:
® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain)
If tank is metal, list age:
years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
-------------------------------------------------------------------------------------------------------------------------
Dimensions: 1000 gallon
Sludge.depth:
3"
Distance from top of sludge to bottom of outlet tee or baffle
29"
V.
Scum thickness
Distance from top of scum to top of outlettee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
13"
How were dimensions determined? Measured
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 9
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
M 46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Pump septic tank every 2 years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank
appears to structurally sound.
Grease Trap (locate on site plan):
Depth below grade: feet
Material of construction:
❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain):
Dimensions:
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
Date of last pumping: Date
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan):
Depth below grade:
Material of construction:
❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain):
46 Elijah Childs Lane-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 10
Commonwealth of Massachusetts'
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Tight or Holding Tank (cont.)
Dimensions:
Capacity:
gallons
Design Flow:
gallons per day
Alarm present: ❑ Yes ❑ No
Alarm level: Alarm in working order: ❑ Yes ❑ No
Date of last pumping: Date
Comments (condition of alarm and float switches, etc.):
Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No
Distribution Box (if present must be opened) (locate on site plan):
Depth of liquid level above outlet invert No
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.):
Box is Ievel.Box has one outlet Iateral.No evidence of solids carryover.No evidence of leakage into or
out of box.
i
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ ,No
Alarms in working order: ❑ Yes ❑ No
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 11
6
Commonwealth of Massachusetts
W Title 5 Official Inspection Form '
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
� M 46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
I
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
I,
Type:
❑ leaching pits number:
® leaching chambers number: 2-500 LC
❑ 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.):
Sandy dry soil.No signs of hydraulic failure.Leaching Chambers were dry at time of inspection.Stain
dine is 7" off bottom of chambers.
46 Elijah Childs Lane-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 12
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Cesspools (cesspool must be pumped,as part of inspection) (locate on site plan):
Number and configuration
Depth—top of liquid to inlet invert
Depth of solids layer
Depth of scum layer
Dimensions of cesspool
Materials of construction
Indication of groundwater inflow ❑ Yes ❑ No
i
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
Privy(locate on site plan):
i
Materials of construction:
Dimensions
Depth of solids
Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.):
I
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 13 '
Map Page 1 of 2
Town of Barnstable Geographic Information System
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http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=171255&map... 5/12/2008
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
^M 46 Elijah Childs Lane
Property Address
The Estate of Rita Driscoll
Owner Owner's Name
information is required for Centerville Ma. 02632 5/08/2008,
every page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
i
® Check Slope
® Surface water
® Check cellar
® Shallow wells
Estimated depth to high ground water: Bottom of LC 20'
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: 8/26/2002
Date
❑ Observed site (abutting property/observation hole within 150 feet of SAS)
® Checked with local Board of Health-explain:
As-Built Card
❑ Checked with local excavators, installers- (attach documentation)
❑ Accessed USGS database-'explain:
You must describe how you established!the high ground water elevation:
USED:USGS Observation well data.USED:Technical Bulletin 92-000-01 plate#2 annual ranges of
groundwater elevations
46 Elijah Childs Lane•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15
Town of Barnstable
Regulatory Services
BMtNSTABLE Thomas F. Geiler,Director
9�A1639. ��� Public Health Division
rED MA'S A
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
REGARDING SEPTIC INSPECTIONS BY PRIVATE CONTRACTORS
DISCLAIMER
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 or copy of the report;
this Division does not warranty the functionality of the septic system in the future nor does
this Division agree with any technical observations 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 Works
Construction Permit".
If you should have any questions regarding this report, please contact the certified Septic
System Inspector who conducted the inspection.
Q:\SEPTIC\Disclaimer Private Septic Inspections.DOC
T
No Fey$5 0. 0 0
.fir
_a4
' TH COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Zi pplication for 3igpogal bpgtem Congtruction Permit
Application for a Permit to Construct( )Repair(KX)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.4 6 Elijah Childs Lane Owner's Name,Address and Tel.No.
Centerville Mass. 02632 Mrs.Dennis Driscoll
Assessor'sMap/Parcel 1 71 -255 46 Elijah Childs Lane Centerville, a.
Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.Nos 0 8—2 7 3—O 3 7 7 2
.P.Macomber & Son Inc. C Engineering, Inc. 5 Roundhill BLVD
ast Wareham Mass. 02538
Type of Building:
Dwelling XX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(10)
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 351 gallons per day. Calculated daily flow 3 x 1 1-0=3 3 0 GP D gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon leaching chamber
packed in 4 ' of 1" stone. 25 'X12 ' 9"X2 '
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 Co4p and not to place the system in operation until a Certifi-
cate of Compliance has beoissueolbhis o ealth.
Sign D&te 10 1 0
Application Approved by DateApplication Disapproved ng reasons
Permit No. Amg �' Date Issued 179
1 i
' `1
MP-
No. Dfl� ��//fJj/I/ Fes 5 0.00
TH COMMONWEALTH'OF MASSACHUSETTS Entered in computer:� yes �
{tPUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
Zipphration'for Migaal *pgtem Con!Arurtton Permit
Application for a Permit to Construct( )Repair({X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.4 6 Elijah Childs Lane Owner's Name,Address and Tel.No.
Centerville,Mass.02638 Mrs.Dendis Driscoll
Assessor'sMap/Parcel 171-255 46 Elijah Childs Lane Centerville, ias
y Designer's Name,Address and Tel.Nos Q 8_2 7 3—0 3 7 7 b 2
Installer's Name,Address,and Tel.No. 5 Q 8..7 7 5—3 3 3 8 Sn
.P.Macomber & Son Inc. C Engineering,Inc.5 Roundhill BLVD
3ast Wareham Mass.02538 508-
A`
Type of Building:
DwellingXX No.of Bedrooms 14 Lot Size sq.ft. Garbage Grinder(40)
f Other Type of Building No.of Persons Showers( ) Cafeteria( )
r
Other Fixtures
f t , Design Flow 3 51 gallons per d'ay; Calculated daily flow 3 X1 1 0=3 3 0 GP gallons.
f Plan Date= Number of sheets "•. Revision Date
k Title r '
-X Size of Septic Tank Type of S.A.S.
r
Description of Soil
t
I 1
i ;Nature of Repairs or Alterations(Answer'when applicable) Adding two 500 gallon teaching Chamber
packed in 4 ' of 11" stone. 25'X12' 9"X2'
Date last inspected:
Agreement: `{
The undersigned agrees to'ensure the construction and maintenance of the afore described Csite sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Co a and not to place the system in operation until a Certifi
Cate of Compliance has been issued by this do 'd 'ealth.
Signed / A0 Date 10/17/0)2 {
Application Approved by Date !�
" Application Disapproved Mahe following reasons-6 ` V f
r
4
eons
Permit No. — Date Issued
r
i
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
.,,Certtfirate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired�,XX)Upgraded( )
Abandoned( )by J.P.MNaomber & Son Inc.
at- 46 Eli ah Child Lane Centerville Mass. has constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. "'' dated
Installer J.P.Maeomber & Son Inc. DesignerJC En4rrrearin INC
The issuance of this pe it shall not be construed as a guarantee that the system will function as desi ned.
Date `I U Inspector ...�� _ � �'S
�— -- ------------------------------
( Ivo./` '"' Fee$5 0.0 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
lwtgogal *p6tem Cou6trurtion Permit
Permission is hereby granted to Construct( )Repail-.(CX)Upgrade( )Abandon( )
Systemlocatedat 46 Elijah Childs Lane Centerville,Mass.
1
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must bercorn led within three years of the date of this "e�rm /
Date: Approved by /
TOWN OF BARNSTABLE �L
LOCATION �— C/////-1- 5 1-4 SEWAGE #
VILLAGE G eAl re R VI%Z ASSESSOR'S MAP & LOT -' ?
f
INSTALLER'S NAME&PHONE NO. 144 A C 6/N i3 e A. 5 y,4/-
SEPTIC TANK CAPACITY 1 0 0
LEACHING FACILrrY: (type) /�A, X (/,J I 1 L 5 (size) A.S= 1.3 X 1;2-
NO.OF BEDROOMS 3
BUILDER OR OWNER pevlyl i f pr ,' S c d
PERMITDATE: lollffIO2 COMPLIANCE DATE: 121-0,Z
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
g.
\
I
i
TOWN OF BARNSTABLEL <
.LG A."i-ION A": L 1-TAll C/1/1-VI 1-4 SEWAGE # 9602
s
VILLAGE C.e.NT e R V/1l e ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. /4.4 C" 6 Al 9 G A. S oAl
SEPTIC TANK CAPACITY Z, 6 o a
t LEACHING FACILITY: (type)1- /'/E' LcJ/1 L 5 (size) S/3 x 2-
NO.OF BEDROOMS 3
BUILDER OR OWNER De✓lrl11 L' S C a 11
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
� I
s
�I ` 0
N 0 FnB ........
THE COMMONWEALTH OF MASSACHUSETTS I/-&-V-
BOARD OF HEALTH 2e77
OF......
---------- ....................................................................................
Appliration for Bispaoal Vorkg Tomitrurtion Prrmit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
SMy�stetn at,
7V
C vaz
.... .... ... . .... r......
0
,-L'ecation-Address 0
.......4.1 -_�. ...................................... . ......................................................................
.. .... ........
............-----------------*----------------- .......... - --------- -
dress
............................................ ........... ......
Installer Address
Type of Building Size Lot.............................Sq. feet
U
Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder (
Other—Type of Building ............................ No. of persons....................._.._.._ Showers Cafeteria (
Ottfixtures ......................................................................................................................................................
Design Flow......'..-2 .. ..gallons per person per day. Total daily flow....... .............gallons.
WSeptic Tank—Liquid capacity . .jallons Length................ Width.........._..... Diameter__-___........_. Depth.....__.......-_
7Z-------
Disposal Trench—No. .................... Width.........._.._._._.. Total Length...__............... Total leaching area....................sq. ft.
Seepage Pit No._j1he_190_. Diameter.................... Depth below inlet.__................. Total leaching area..................sq. f t.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date............._....................._....
�--1
1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
1_4
r1rq Test Pit No. 2................minutes per inch Depth of Test Pit-_-................. Depth to ground water.__......_..........__..
P4 .............................................................................................................................................................
0 Description of Soil........................................................................................................................................................................
x
U .......................................................................................................................................................................................................
------------------------------------------------ .......................................................................................................................................................
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 TJITM 5 of the State Sanitary Code— The undersignedWrther agrees not to place e system in
operation until a Certificate of Compliance has been s Vdy the board o0ealth.
Signed,.-..'. ................................. ...... ... .............
� ate
.... ..................
W
Application Approved By ......
........ ...... e ---- ...... .. Date
..............
Application Disapproved for the following reasons:................................................................................................................
................................................I
.................................................................................................................................. ......................
Date
PermitNo......................................................... Issued.......................................................
Date
Fmc.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
:.... ...O F.........................................................................................
Applirtt#ion for Disposal Works Tonstrn.rtion "rrmi#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
................_................................................................................ ••----•••---•..._...--••---••-•-•••-••••••--•••--.._..••••........••••••..................••......
Location-Address or Lot No.
_.. ..._._... ........ ...-
Owner Address
W ........ ......................... ..............•...............................
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.............................. .. .Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures -------------------------............................
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
aTest Pit No. I................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........................
R, -----------------------------------•----------..............................._..........-•••--..............................................................
ODescription of Soil........................................................................................................................................................................
W -----• ----•---------------------••--------•------•••-----••---------•---------.....---•--------•--•-------•••••-------------•-----••---••-----------•---------------•--••-•--•---••---•-----------..._.
UNature 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 TITTLE 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 health.
Signed.....................................1------............•----------------------------- ------ ----------------
ate
Application Approved BY.............. .r_ � /.... --------------
Date
Application Disapproved for the following reasons:................................................................................................................
...............•-•------....:---•-----------•---------------------•---•-----•--•-•-----------------------"---------------------------...-----------•------•...-----••----
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......... ..........OF....... .....................................
C�rr#ifirtt#�e laf �nnt�littnrr
THIS IS TO C TIFY, That the Individual Sewage Disposal System constructed or Repaired ( )
'----C2 44% �v ----•------- ----•-•---------------------------------------•-- •----------••---•--------------------------------------•---------------
- I alley �
at.................. ` ., ........
C'�- ------ !' ---------------------------------------------------••------
has been installed in accordance with t e�i' provisions of TI= j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No 1pz)...., .. ............ dated................................................
THE ISSU CE F THIS CERTIFICATE SHALL NOT BE CONST AS A GUARANTEE THAT THE
SYSTEM WIL F TION SATISFACTORY.
DATE_�� .•` ................................................... Inspector.... .... •-----------------------------------.........................•-•....--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
8/ 2i ..........I .................OF.... ...-----------..........------........... FEE... �•-•'�
a...............
Disposal Works Tnntrudinrt Vrrmit
Permission is hereby granted----_ '--••-••6--�'��c..
Construc O or Repair ain Individua $e ra a Disposal Syst
at No.......... -...S5... ... _ ,rxi.... Disposal
.............................................=
Street
as shown on the application for Disposal Works Construction Pe it No..................... Dated..........................................
_...._..._.--� ------. ----•-------------------------------
BgaPtf� Hel
DATE P
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
r ! t
St��ty� Fav�tLam! 3 raooMI /! N Cl-�/LUS ' Z4
c.zo GAr�siY G t�.tt? _5 ! i
D�1u`-( FLow _ l!b ,c 3 t S3D G!PV. 1 }
1EPi'(G T"�.1k = 33D�r (r7O % • �56.P.D. '' ;. E '
USA- t OOCl 6At_.
j 1 SPC}SAL' PIT USE GOp �L I#I
.�� SF' ' ,c 2.S • �'71 G.P.U. � !.. :..
TOTAL �ESIGIJ = Q�G•P.D. 6..��
0 I pk. I •
s =T'oTQ t_ 6.PD. /�ovtJDAT�a►+�l %8 t
GElZCDLQTIOI.I 7&TE : I"IU I-mo;,.1' 02 LL%.
'o
n z�. { „•°i ;' �w`�N OF M
c9 Y,�✓ Sf� C� sG 4 4.
`-
kfk
ACS
1"
���� Wgir1 j i1�pe ', ILiV••62:'La
7 4
•80 61 o nC l
j i4VA•L�Pl rw IMv o
. X
a.. 1 �a�lK
Q
FIT
9.9
mc
'STOW
f—i s O a
. CEQTII✓1ED pl.b'T' PL./5�..1
L bCA Ti O" t.La
rL= I 13 �2 C�Q G
5crnl.0 ( �. UATEs /
1 c r-lZ T l t;-{ T l- r TNT F70 U qDA,-n VW S No &j P L.A►J 1Z C�C R E___!J GE
t dF G?(,t�t_l GGtilPL�IS w vriA TNT 51DE..Liwe L -�.• s S
�G bJD SCT ACID C c�ICEMc►.1TS OF T"C—
'�'o
RCGIS,M-Jzst> "Wo I,U2vaYoeS
Tl-ti5 PLAa...1 le, UoT Z&,,zEC) 064 AN OSTEfLV1l_l.G o 11�tASS.
I;�Sr��.uet.a� �,IJP_.�G�( TI{rr o1=c�,�Ty SIa�WLD APPLt cA►-j-r ALAht✓TczMIN& LOT LIw�•� 1 �r 14 (, L 1Njc,
S E W A G E PERMIT N0.
s
INSTA LLER'S NAME /D ADDRESS
` ILI-e2 R (�y P, 2-r2 -
9 4a
�J - o
BU1LDERG OR OWNER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
��t Box
oZ� �
S
C O.AITOACTOR cunt i XIMOiw ens nnin � 5" DIA. OUTLET(S) � FINISH GRADE OVER CHAMBERS = 96.23'-96.731
v -,� ,,,r ",,, ` .,,«- GENERAL NOTES
CONDITION OF EXISTING SEPTIC TANK REMOVABLE COVER SLOPE @ 2% MIN. OVER SYSTEM
FINISH GRADE OVER D-BOX= 98.0�
4" SCHEDULE 40 PVC MIN SLOPE 1% 3/4" TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE
FINISH GRADE @FND. EL.- 99.69' 99.1' 2" OF 1/8" TO 1/2" DOUBLE WASHED STONE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
- FINISH GRADE OVER TANK EL.= METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE
ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES.
20"MIN. ACCESS COVER TOP OF SAS = 93.73 PLACE RISERS ON ALL CHAMBERS
(TYPICAL FOR 3) 36"MAX. 9" MIN. TO 6" OF FINISHED GRADE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
EXISTING 4" 36" MAX.
BREAKOUT EL = 93.4 OF HEALTH AND THE DESIGN ENGINEER.
PIPE 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL
PROVIDE WATERTIGHT f BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED.
6"+ 3" 3" DROP MIN. 3., �' JOINTS (TYP.) I
00 00000 00 O� O O
0 4" PVC IN FROM O o00 oo i 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS
14" 96 40' SEPTIC TANK 4" PVC OUT TO o 000 00 0o THAN ELEVATION = 93.4' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS.
LEACHING FACILITY T oo o TOP OF THE LUNLESS A 40 INER IS°NOTILLESS THAN THE BREAKNE LINER IS PLACE OUT
LEAST FIVE FEET FROM S.A.S. AND THE
96.70' 12" 2' o0 0 o0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. OUT ELEVATION.
48 CONTRACTOR SHALL OUTLET TEE 94.5' 1 MIN. 94.33
c� oo c.�
VERIFY CONDITION OF o ` 0 6" CRUSHED STONE ! 0 0 0 0 0 0 0 o0 000 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
16.8' EXISTING TEES 22"ZABEL FILTER �� OVER MECHANICALLY o o -
AND REPLACE AS MODEL#A1801 HIP (GAS COMPACTED BASE 4 8 5' I •• 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED
NECESSARY BAFFLE ON BOTTOM) 4' _ 4' PRIOR TO BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND
5 OUTLET DISTRIBUTION BOX 25.0' (TYP.) READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED
TO BE INSTALLED ON A LEVEL STABLE , GROUND WATER ELEV.= < 4.25 � 12.9'
WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH.
EXISTING 1000 GALLON CONCRETE SEPTIC TANK BASE. FIRST TWO FEET OF OUTLET
PIPES TO BE LAID LEVEL. 2 - 500 GAL. CHAMBERS 5' MIN. 8. ELEVATIONS BASED ON ASSUMED DATUM OF 100.0' MSL OBTAINED
LENGTH 8'-6" WIDTH 4'-10" DEPTH 5'-7"
�+ ��rr �g CROSS SECTION VIEW TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW FROM TOP OF FOUNDATION AT BULKHEAD AS SHOWN ON PLAN.
SEPTIC TAN PROFILE LE DISTRIBUTION BOX DETAIL NOT TO SCALE 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
NOT TO SCALE NOT TO SCALE THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE
- AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY
777' T DISCREPANCIES TO THE DESIGN ENGINEER
ts,," n � � fi" u y� EST PIT DATA
�W �� �� � ' , � � 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE
'E � 1 STRUCTURES SHALL BE MADE WATERTIGHT.
} INSPECTOR:
fir'�' y .Y4 k 1 n, 8 „ �;
k SOIL EVALUATOR: John L. Churchill Jr. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR
' t ZONING REGULATIONS, OWNER/APPLICANT IS TO OBTAIN
DATE: August 15, 2002
P
w. Esc *f � # � SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
TEST PIT#: 1
12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
CB/FND ELEV TOP = 96.25' i LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH
-
Y k �� �„� '�• ELEV WATER- >12' BGS CASE THEY SHALL WITHSTAND H-20 LOADING.
LECTRIC 84X ¢ f 4L, ar a°O PERC RATE _ < 2 MIN/IN 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND
ti I �
w3x �,, k FINES.
QQ- % el � � ��� ���� n "� � � � � * � � j� N,,� DEPTH OF PERC= 40"-58"
Q� '' '��: �' err�e, �� I �, a� ,;.,.., ,p &t,� ��u ._.
sF I rr� nl 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND
0 � TEXTURAL CLASS: 1
3_ UNSUITABLE MATERIAL TO ELEV. 92.92' IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES
XISTING a 'p
NDERGROUND �� a „, a t - -- -- --- - OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN
UTILITIES ! *�'" � �" ���.�,r � COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN
xx
`P ti, w. •.q� "" �' ACCORDANCE WITH 310 CMR 15.255(3).
n �00 0 96.25'
Loamy Sand
j A 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES
10YR 3/2 FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
8" 95.58,
N� .� . Db � ti ` Loam Sand 16. PROPOSED PROJECT IS LOCATED WITHIN:
� ) Y
GARAGE / � � �4t B 10YR 5l6 ASSESSORS MAP 171 PARCEL 255
� 0 a
..u�.. .. Perc
40"
MAP 171 �-DISTRIBUTION BOX ,t" IlMl � , r 17. OWNER OF RECORD: DENNIS DRISCOLL
.. � 58" 91.42'
PARCEL 255 ADDRESS: 46 ELIJAH CHILDS LANE
•. r1 r
CENTERVILLE, MA 02632
26,965S.F.
COVERED
i GB/FND M-C Sand
i EXISTING PORCH °*� �;fir '
�� C 18, PLAN REFERENCE: BOOK 343 PAGE 85
d �` 2.5Y 5/4
� 3-BEDROOM � �, r �
' DWELLING
PATIO
` --- -- r'� ��. / - r"` - ''n '" - y - � f M' ` " 19. ALL DISTURBED AREAS SHALL BE RESTORED WITH LOAM AND SEED.
TOF = 100.0' ��� Q �� / No Groundwater 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
LOCUS PLAN Encountered FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
144" 84.25' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
SCALE: 1" = 1000'
DESIGN DATA LEGEND
y
B.M. x25' / 1 x 5C PROPOSED SPOT GRADES
TOF @ Bulk Head L/p ' �p�� - 50 EXISTING CONTOUR
Elev. = 100.00' f' /
Assumed r' P� NUMBER OF BEDROOMS 3
� 50 PROPOSED SPOT GRADES
` O ' 12" SCRUB PINE -10 NUMBER OF PERSONS 3
EXI51''INv 10U0-GALLON �p�;., d TO BE REMOVED ,�O DESIGN FLOW 110 GAL/DAY/BEDROOM PROPOSED CONTOUR
SEPTIC TANK, EXISTING \ti
TOTAL DESIGN FLOW 330 GAUDAY
OUTLET PIPE 70 BE CAPPED Q / 2-500 GALLON �� Eff/ EXISTING UTILITIES
DESIGN FLOW X 200 % 660 GAL/DAY
EXISTING LEACHING PIT TO // LEACHING �� _
BE PUMPED AND FILLED ti� CHAMBERS LPG' USE EXISTING 1000 GALLON SEPTIC TANK C7 EXISTING GAS LINE
WITH CLEAN SAND s°
/ �'A W -W- - EXISTING WATER LINE
GO � TEST PIT LOCATION
INSTALL 2- 500 GAL. CHAMBERS
Q Q EXISTING SEPTIC TANK
SIDEWALL CAPACITY
(LENGTH + WIDTH) (2 SIDES) (2' HIGH) (.74 GPD/S.F.) = GAL/DAY ---,-- 4" SOLID SCHEDULE 40 PVC PIPE
O� (25'+ 12.9') (2) (2') ( .74 GPD/S.F.) = 112.2 GAL/DAY
��\� ❑ DISTRIBUTION BOX
� BOTTOM CAPACITY
CO� 500 GAL. LEACHING CHAMBER
(LENGTH x WIDTH) (.74 GPD/S.F.) = GAL/DAY
�1 1 (25'x12.9') (.74 GPD/S.F.) = 238.7 GAL/DAY
N'
TOTALS- REV. DATE BY APP'D. _ DESCRIPTION _
TOTAL NUMBER OF CHAMBERS 2 PROPOSED SEPTIC SYSTEM UPGRADE
TOTAL LEACHING AREA 474.2 SQ.FT. PREPARED FOR:
TOTAL LEACHING CAPACITY 350.9 GAL./DAY
DENNIS DRISCOLL
LOCATED AT
46 ELIJAH CHILDS LANE
CENTERVILLE, MA 02632
SCALE: 1 INCH = 20 FT. DATE: AUGUST 26, 2002
X" 0 10 20 40 80 FEET
o��rpLzr;or-��•.,,,
� JoHNI L.� PREPARED BY:
° CHURC 'ILL
JC ENGINEERING, INC.
cl
Cj 5 ROUNDHILL BLVD.
No 41E0
EAST WAREHAM, MA 02538
SITE PLAN `` 508.273.0377
SCALE. 1"=20' Drawn By BMB Designed By: BMB I Checked By: JLC JOB No.250