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HomeMy WebLinkAbout0051 FULLER ROAD - Health , eCenterville P � A = 188 128 //// g UPC 12534 No. 2-15�3LQ(3 j✓`°osi.co�+5� HASTINGS, MN N Vr V Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitatton for Misposal *pstrm Construction permit Application for a Permit to Construct( ) Repair((,Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.J J r�(( �ti V;� ' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 16F. - Per 4c .Z Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. i 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) 3 3 gpd Design flow provided 'Jyp,'7 gpd Plan Date H tK Number of sheets L Revision Date Title Size of Septic Tank Type of S.A.S. CAI Lr", C k Description of Soil Nature of Repairs or Alterations(Answer when applicable) ,l JS �, ��} �;K C,,, C) A, t'© C`ACw (20-, of krkA LA' Skytve _LAbt.tif,4 0---o 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. Si Date Application Approved by Date �- Application Disapproved by Date for the following reasons Permit No. �-- 1(3� Date Issued 3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes V PUBLIC HEALTH DIVISION-- TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for;MispoBal Opstem Construction 3permit Application for a Permit to Construct( ) Repau((� Upgrade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. r�l(� r �' Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel ynlGIX -,'Z- Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: J .N Dwelling No.of Bedrooms -k Lot Size a,!), 2222 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date t-I- I q - t 4,. Number of sheets j.-- Revision Date Title tt `` tt 1 Size of Septic Tank f i5}�N� Type of S.A.S. D kr'"x>cu c I)tA1 C1,ic�lrthn 1,ft IA I-1 i Y C V b Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1,Jc�,irr, 1en, 0coc_ f 0 -1A ca)C &^-i c) nL t'n r-,cj J 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 - -3 l/la Application Approved by Date Application Disapproved by Date for the following reasons Permit No. / ^/J Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Coinpfiante THIS IS TOO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(Upgraded( ) Abandoned( )by �_ I-,��x_C,S A ig, %t - at { �t`,o r O t�,o� [-40A%e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Nos dated Installere__7�,�,,V., A Designer E%N,�tewo,m✓t N C L i,,Jy #bedrooms '], Approved design flow gpd The issuance of this permit shall not be construed as a guaran,tte"e that the system will function as designed. f t Date �d �(`� Inspector -----------------------�------------ --- -- ------ ------ ------------------------ ---------------- No. Fee --lJ d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nsposal Opstetn/ConBtrnttion i3ermit Permission is hereby granted to Construct( -) Repair( V)� U .grade( ) Abandon( ) System located at C 1 ���� `P f 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:Construction must be completed/within three years of the date of this•permit. . Date `y ;� /t� Approved by Town of Barnstable y�•°Fn+E'oky° Regulatory Services Richard V. Scali, Interim Director • BARNSTABLE. MASS. Public Health Division 90° 1639. `0 'DrFenna�° Thomas McKean,Director 200 M9i.n Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: a' Z7 t�� Sewage Permit# .90is-iin Assessor's Map\Parcel 1 Designer: n9 yteer;nc� WOr'�(S� 1 Installer: Ar, V_� a •� 4 Address: 1 Z w, C rt,ss-p, P,4 Address: f'.-cv z � t{S T: re5k_AckIle MA o2(044 �If VA_ 01C,3Z On tl-2 �' ` f3�` �✓t C. was issued a permit to install a (date) (installer) septic system at `� �lel— A A'a_e- Ile based on a design drawn by .�c'+e r !M c-6n+-ke ,i L (address) Ev►g ine�r".��1 ( cAu /4 C , dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral, relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or- certified as-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 constructs nce with the terms of the I\A approval letters (if applicable) tKOF PETER T. r WENTEE ro CNq, (installer's Signature) NO.351ce �FG�STER�O (Designer's Signature) (Affix Designer tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS: BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:1Scpti0Dcsigner Certification Form Rev 8-14-13.doe TOWN OF BARNSTABLE LOCAT 0 �i SEWAGE # VILLAGE ASSESS 'S MAP & LOT 6%eNAME&PHONE N / S%-7�� SEPTIC TANK CAPACITY LEACHING FACILrTY: (type) (size) (n k CD NO. OF BEDROOMS° BUILDER OR OWNER PF.RMITDATE: 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 �a�� f � i r ai n / , 'y^` B J� Vt�`' � f, � �` .� # E j TOWN OF BARNSTABLE -LOCATION 61 1)p� �� SEWAGE# 0 VILLAGE CC:�3i<'.f c. .l 1 Y' ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO:��S xtiC SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �QC� (size) 1-2 '3 X NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: xmk'C'+ ("I p Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility O 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 BY1016S >A i A,� cot - _ 33 G 'I x -tj7'C l 3 ' 1A))7)q fi 0 car 27 J v t�3 N OuF E'i - ' o t) Town of Barnstable Department of Regulatory..Services tsr�t Public Health Division Date 200 Main:Street,Hyannis MA 02601 1�MAC Date Scheduled �� u c. G9 Time r Fee Pd oUz0a . �71 1. ,Soil- Suitability Assessment,for Sew zsposal Performed By:1 e k f 1 e 6'1 f-1Z:K �j�j^� Witnessed By: LOCATIQN &GENERAL IlVFORMATION Location Address JCi Fu Ileme Owner's Name rr-n Pi t rs o A�/ q,/`0 �Qdl �✓Vl 7 L( Address Z 3 A) 134 e-t-ki+ �1 I� cam. � fl� � Assessors Map%Parcel: ��— �Z b Engineer's Namerw �a h tj C Ut�t 4 �r1 cJ (',I t'�(N.�� NEW CONSTRUCTION REPAIR Telephone.# _ ']7 Land Use 12e—S' tr "�� `C9 Slopes($o} Suface Stones OV a/!,C Distances from: Open Water Body.. uc"�` ft Possible Wet-Area NOV" ft Drinking Water Well f}�Q ft Drainage Way 0"b/'t� ft Property Line Q ft Other ft. i SKETCH:(Street name,dimensions of lot,exact locations of tescholes&perc tests,locate wetlands in proximity to holes) �ll ®- Ff . _ -• _._.,_ - - _ ' ST r-If Parent.matenal(geologic) QukAJOV k Depth to Bedrock Depth to Groundwater. Standing Water in Hole: � - Weeping from flit Race Estimated Seasonal.High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in, Depth to Sol]mottltis: Depth to weeping from side of obs.hole: in: oroundwater Adjustment fr. Index Well# Reading Date: Index Well level Attj.factor Adj.Grountlwnter Level. ]PERCOLATION TEST Wto . Tltne Observation Hole# f/ Tinto a0l, Depth of Perc �� - t Tltiie at 6" Start Pre-soak Time @ 'time(9"--6"")'. End Pre-soak p 1 t�l``/l� Z—1 ej C� � 'J� . Rate Min;/Inch G 2 " Site Suitability Assessment: Site Passed v Site Failed: Additional Testing Needed(YLN) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- *If percolation test is to,be<conducted within 1.00'of wetland,you roust first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTIC%PERCFORM.DOC DEEP,OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling '(Structure,Stones;Boulders. Consistency,% ravel Z.g-ZH A t oyrz-%- YL �Jz—l32 fK—C— DEEP OBSERVATION HOLE LOG Hole# 2— Depth from Soitf"Iorizoa Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% rave (act rM lCs'j 12 y 1Z La 3a -I3Z G '—C Sqt- Z,5 16& eU �a S DEEP.OBSERVATION HOLE LOG Hole# Depthfrom Soil Horizon Soil Texture . Soil Color Soit Other Surface(in.) (USDA)" (Munscll) Mottling (Structure,Stones,Boulders. Cni ec G ve " DEEP OBSERVATION HOLE LOG, 1101e1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA): (Munsell) Mottling (Structure,Stones,Boulders. Consisten Tloo_ d Insurance Rate Man: Above 500 year flood boundary No Yes ✓___' Within 500 year boundary No�� Yes Within t00 year flood boundary No� Yes. Death of Naturally occurring Pervious Material Does Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorptiori.system? If not,what is the depth of naturally occurring pervious material? Certifiication I certify that on ��hg4 (date)I have passed the soil evaluator examination approved by the. Departinent,of Environmental Protection and that.the above analysis was performed by me consistent with the required trai g,expertise and experience described in 3.10 CMR 15.017. f Signature L-�--� Date Q;\SEPTICIPERCFORM.DOC COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS !DEPARTMENT OF ENVIRONMENTAL;PR�O�TECTION APR 12 2005 i TOWN OF BARNSTABLE t HEALTH DEPT. TITLE 5 i- OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A � CERTIFICATION r - -- Property Address: Owner's Name:, Owner's Address:. - va Date of Inspection: 02 ol, C.Yj Name of Inspect please!print `�e crw Company.Name Mailing Address: C7 /lp "A-w&(O Telephone Number: 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 properAinction and maintenance of on site sewage disposal systems.I am'a DEP approved system inspector;pursuant to Section 15.340 of Title 5(316�IMR 15.000). The system: Passes Conditionally Passes ds Further Evaluation by.the'Local Approving Authority _7. Fail Inspector's Signature:! !Date: 0 AG 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. i Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that '2 time.This inspection does not address how the system will perform in;the future under the same or different conditions of use. P - Title 5 Inspection Form 6/15/2000 page 1 ! ! Page 2 of l 1 1, R OFFICIAL INSPECTION FORM—NOT FOR.VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION.(continued) Property.Address: �.7a 1 4 - I wner• Date of Inspection: Memp Inspection Summary: Check A,B,CID or E./ALWAYS complete_all of Section D. A: System Passes: i -• I have not found any-informatics which indicates that-any-ofthe•'.failure criteria described'in-3'10'CMR 15..303 or in 310 CMR 15.304 exist.Any failure criteria.not evaluated are indicated below. i Comments j B. System Conditionally Passes: 1 , One or more system component-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,%yill.pass. Answer yes,no or not determined(Y,NIND)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 infiltratioElp,or exfiltration or tank failure is imminent:System will pass.inspection if the existing tank is replaced with a complyEig 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 indicatinb 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..Systern 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: i I The system required pumping more than'4 times a year due to broken or obstructed pipe(§)`.The system will pass inspection if(with approval of the Board of Health): j brol�n pipe(s)are replaced obsttuction is removed � W ND explain: j ! 2 Page 3 of 11 I i I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continu�_J Property Address: Owner:114AP Date of Inspection: C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board ofHealth in order to determine if the system is failinb to protect public health, safety or the environment. j 1. System will pass unless Board of Health determines in accordaitce with 310 CMR 15.303(l)(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 j i i i 2. System will fail unlOs-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(SASI and the SAS is within 100 feet of 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 I of a public water supply. _ The system has a septic.tank and SAS and the SAS is within 0 feet of a private water supply we1L _ 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 supprrwell**'.Method used to determine distance **This.system passes if the well water analysis,performed at a D: P 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 n�less than 5 ppm,provided that.no other failure criteria are triggered.,A copy of the analysis must be attached to this form. I , I . Other: I i i 3 Page 4 of.I l I OFFICIAL.INSPECTIOlN''FORM-NOT FOR VOLUNTARY ASSESSMENTS ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. CERTIFICATION(continued) Property Address: 6 f Owner: AV Date of Ins'pection: S D. System Failure Criteria:applicable.to all systems: You must_indicate-"yes"or"no."to each of the following for all inspections: Yes 'Backup of sewage into faci�it or system component due to overloaded:or,clogged:SAS or cesspool Discharge or ponding of of ient to the surface of the ground.or surface waters due to an overloaded or Zclogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded`onclogged SAS or / cesspool _ ✓ Liquid depth in cesspool is!less than.6"below invert or available volume is less than%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. „ Any portion of a cesspool:er.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 10.0 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 fa6lityand 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.] (Yes/No).The system fails.I hive determined that 6ne.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 Vill be necessary to correct the failure. E . Large Systems: To be considered a largo system the.system must serve_a facility.wi.th a.design flow of 10;060 g'pd to 15,000 god- s must indicate either"yes"or"no" o..each of the following: (The following criteria apply to large systems in addition to the criteria above) i i yes . no the system.is within 400 feet bf a.surface drinking water supply the system is within 200 feet f a-tributary to a surface.drinking water supply the system is located in a nitr�geh sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well Ifyou have answered"yes"to any que ion 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 la;ge system'considered a significant threat under Section E or faded under Section D shall upgrade the system in accordance mith 31.0 CMR 15.304.The system owner should contact the appropriate regional office of the Department. j . .4 , Page 5 of 11 i OFFICIAL INSPECTION...FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE`SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: s Date of Inspection: I Check if the following have been done.You must indicate"yes"or"no"as to each of the following: I Yes—No Pumping.information was provided by the owner,occupant,or Board of Health . W ere,anv of the system components pumped out in the previo I two weeks+? j_ Has the system received normal flows in the previous two week period? i V 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?(Ifthey were not available note,as N/A) — L _ 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 V — Were the septic tank manholes uncovered,opened, and the in_erior of the tank inspected for the condition of the b ffles or tees,material of construction, dimensions,depth of liquid4 depth of sludge and depth of scum? Was the facility.owner(and occupants if different from owne-)'provided with information on the proper maintenance of subsurface sewage disposal systems i L' The size and location of the Soil Absorption System'(SAS)on the site has been determined based on: i Yes no L,!!�-_Existing information.For example,a plan.at the Board of Heath: Determined in the field(if any of the failure criteria related to Part Cis at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] i . j I : i I 5 Page 6 of 11. i OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE'DISPOSAL SYSTEM INSPECTION:FORM PART C SYSTEM INFORMATION I Property. Address: / .d Owner:a-A J?-�p Date of Inspection: PLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based:on 310.CMR�15-03(for example: 11.0 gpd x#of bedrooms) Number of current residents: Does residence have.a garbage grinder yes or no): Is laundry on a separate sewage systems( or no): [if yes separate inspection required] Laundry system inspected(yes or no): Seasonal use: (yes.or no): 23 OOp Water meter readings, if av�lable(last 2 years usage(gpd)): ��_Sump pump(yes or no)• (U Last date of occupancy: COMMERCIAL/INDUSTRIAL'/ Type.of establishment: Design flow(based on 310 CMR 15.2 3): 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: Was system pumped as part of the i sp�ction(ye6tor no • If yes, volume pumped: _gallons--How was qu nti 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,zttach previous inspection records, if any) Innovative/Alternative technology l Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight.tank _Attach a copyof he DEP approval �ther(describe) L17CaAzf-'ff I Ap roxim to age of all com on ntsT date insta led kno and source of information: Were.se. age.odors detected when arriving at the site(yes or no) 6 Page 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) PropertyAddress: vl C Owner: Date of Inspection: 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 line: Comments(on condition of joints,venting,evidence of leakage,etc.): �� i { SEPTIC TANK: ! 0ocate'on site plan) i Depth below grade: Material of construction:TZC/oncrete metal—fiberglass—polyethylene other(ezplain). If tank is metal list age: . Is age confirmed by a Certificate of Complia_-ice.(yes or no):—(attach a copy of.' certificate) , Dimensions: Sludge depth: 3� /I . Distance from op of sludge to bottom of outlet tee or baffle: Scum thickness::_ - Distance from top of scum to top of outlet tee or baffle: 3 �� Distance from bottom of scum to bottom outlet tee qr baffle: How were dimensions determined: 74 Comments.(on pumping recommen ations, ' let and outlet tee or baffle condition,structural integrity, liquid levels s related to outlet invert, evidence of leakage,etc.): GREASE TRAPWlocate on site plan) , j Depth below grade: Material of construction:. concrete "metal fiberg]ass 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: . . Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): i Page:8 of 11 OFFICIAL INSPECTIOI 1 FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE.SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART C . SYSTEM INFORMATION(continued) Property, Address II ' QW Owner: .Ydo 1'. 1 yn 7/ Date of Inspection: j TIGHT or HOLDING TANh,_ hank must be pumped at time of inspection)(locate on,.site plan) f Depth below grade: 4 Material of construction: concretei metal fiberglass__polyethylene other(ezplain).: Dimensions: I Capacity: gallkiiis Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and flo It switches,etc.): DISTRIBUTION BO - (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and dis ibution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out:of box,ete.): PUMP CH'AMBE' (locate-on site:plan). Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition,of pump chamber,condition of pumps and appurtenances;j etc.): I is .. I 1 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(cmntinued) Property Address:" Owner i .M1 Date of Inspection: S `. SOIL ABSORPTION SYSTEM (SAS):" (locate on site plan,excavation not required) i If SAS not located explain why.:. . f I Type leaching pits,number: 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, *..e .) J N 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: i 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.): F PRIVY:/ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): i i I i i } 9 Pace.10 of I I OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENTS' SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART C S_fSTEM INFORMATION(continued) Property Address: Owner: Date of Inspection: 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 I00 feet.Locate where public water supply_enters the building. Jj 5b I i I � f j 1 j �_ X(s Leac�, i I 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: S57du�L�C/L. Owner: Date of Inspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water /7 feet Please indicate'(check)all methods used to determine the high ground wa_er 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: Ahecked with.local excavators, installers-(attach documentation) ccessed USGS database-explain: You must describe how you established the high ground water elevation* i I i i i i i i i i - I i i I1 � - i Permit Number: Date: i Completed by: 4'Jc-AOf HIGH GROUND-WATER LEVEL.COMPUTATION Site Location: �l �l6�� ��/Z �/ Cen ��v�!/� Lot No. Owner: ��Z Address: Contractor: Ain Dl CD�J� Address la �s�yy Notes: STEP 1. Measure depth to water table - to.nearest 1/10 ft ................ .Date month/day/year - STEP 2 Using Water.Level Range Zone and Index Well Map locate site and determine: ' Z v O Appropriate.inde>_well.................................�/K/ - Water-level range zone .............................. i STEP 3 Using monthly report"Current . Water Resources.Conditions" i determine current depth to j 7 water level for index weir........................... DzQr //5 month/year! r - - STEP 4 Using Table.of Water-evel Adjustments j for index'well.(STEP 2A), current depth to water level for index well (STEP 3), .and.water-level zone (STEP 213) determine water-level adjustment ........................................!. -- STEP 5 Estimate depth to high water -� by subtracting the water I , level adjustment(STEP 4) 4 from measured depth to water level'at site (STEP 1) _......................................... i k ......................................... Y Figure 13.7-Reproducible computation form. x t� _ 15 } - .I - 3 i 8 b E i � M f i EXISTING LEACH PIT EXISTING SEPTIC TANK --6 4-= EXISTING CONTOUR N 28 EXISTING SPOT GRADE TO BE PUMPED, FILLED WITH (TO REMAIN) x 60.98 E � ® RpUZE SAND & ABANDONED TOP OF TANK, EL.=34.76E -W EXISTING WATER SVC. o INV.(OUT)=33.43E x 34.7 �H.iM1i OVERHEAD WIRES a BENCHMARK ® TEST PIT ° COR.ISTOOP BENCHMARK LOCUS c�a EL.=36.05 A IV 8p.5 ' LEGEND wrley Ave 0 50' W o 166 02' 8 0�o x 33.610 �mPs R\�ec Rd \ x 33,84 38.5 38,67 e o 34.33 / °0 Bumps River Rd t _ + / cu 35,8 34.24 01 0 x 34,18 + /SHED 37.12 LOCUS MAP / / 3 \ 1 \ �� 8.27 `� ;� NOT TO SCALE - I x 36.57 N 34.24 + 1 w / 38,37 36.05 n N �� \� o DECK / LOT 4 (above) 8.41.: O.N' 35A h 22,222±S.F. \� o i�.EygY; l 35.89 x 34M1 ® / r.z TP-2 EXISTING 35.08 // HOUSE(#51) 20' M T.O.F.=39. 1t WAL Bdh /Q b h vi. t:•/ 37.55 I /p TP-, 35.62 / a Of MA 33.00 i f z01/ \ o PETER T. x 31.31 \ 1 ___ 38-- o 6 McENTEE rh I,- -I-'35.1 �- o C> CIVIL CBdh _e ON(0 1 \ vi 0. 35109 35.80 33,95 ��` 3 ,69 >. S ` \ LO oEEIccO �w-� F I � x 3 191.09 1 ) 0 t V) 34.83 \� N 80*5=9„ w 1 , \Z� 33.86 edge of x 36,95 0 x 37.64 36.03 Pavement x 36.52 / TA f PARCEL ID. 188 128 33.73 PROPOSED SEPTIC SYSTEM UPGRADE PLAN Y FULLER ROAD 51 F CENT A v-�, 34.46 , ERVILLE, MA OWNER OF RECORD 35.40 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 ALFARO, FRANCISCO A & Engineering by: SCALE DRAWN JOB. NO. HERNANDEZ, ROSA M Engineering Works, Inc. 1"=20' P.T.M. 127-18 23A BARTLETT ROAD g g NANTUCKET, MA 02554 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 4/14/18 P.T.M. 1 of 2 f NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=30.5 \ EXISTING\ FOR A DISTANCE OF 15' FROM THE EDGE HOUSE 51 SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. 30' OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=39.1±(FRONT) SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT DECK] c�6, 00 F.G. EL.=36.0t F.G. EL.=35.3t F.G. EL.=34.5t F.G. EL.=34.5f r,�3 o MAINTAIN 2% SLOPE OVER S.A.S. �40' L = 16' L = 5' fV ©°SCH 0(PVC) �4"SCH O(PVC> 2" LAYER OF 1/8" TO 1/2" ' PROP. S.A.S. �Oo 6' DOUBLE WASHED STONE j � s' aaaSaaa (OR APPROVED FILTER FABRIC) „J 1 7INV.=33.43± aaaaaaa I---25----I aaaaBaa �-3/4" TO 1-1/2" DOUBLE EXISTING ae" LIQUID WASHED STONE SEPTIC LAYOUT LEVEL 4' 4.8' 4' GASINV.=32.27 PROPOSED INV.=32.10 D-BOX EFFECTIVE WIDTH = 12.8' EXISTING INV.=30.00 GENERAL NOTES: EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NOTES: H-10 RATED BOARD OF HEALTH AND THE DESIGN ENGINEER. 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=31.8t 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=30.50 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE INV. ELEV.=30.00 aaaa LOCAL RULES AND REGULATIONS. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO aaaBa GRADE ON A MECHANICALLY COMPACTED SIX RimaaBaBaaaaaa 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=28.00 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 310 CMR 15.221(2). 4' 1 2 x 8.5' = 17.0' 4' DESIGN ENGINEER. 4' OF NATURALLY OCCURRING 3) INSTALL INLET & OUTLET TEES AS REQUIRED, PERVIOUS MATERIAL EFFECTIVE LENGTH = 25.0' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION ENGINEER BEFORE CONSTRUCTION CONTINUES. NO G.W., EL=22.7 T 5. ALL ELEVATIONS BASED ON BARNSTABLE G.I.S.t.. LE SEPTIC SYSTEM PROFILE 6 THE CONTHEITRA TORNORROWNERTTOENOTSPOIFY HE FOR THEBOARDURE OF OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. _ N.T.S. - 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. DESIGN CRITERIA SOIL LOG 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DATE: MARCH 28, 2018 (REF#15,625) DIRECTED BY THE APPROVING AUTHORITIES. NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER McENTEE PE 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY SOIL TEXTURAL CLASS: CLASS I WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP- 1 DEPTH ELEv. TP-2 DEPTH CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS DAILY FLOW: 330 G.P.D. 33.7 FILL 0 34.0 A 0 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND DESIGN FLOW: 330 G.P.D. 32.2 SANDY LOAM REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). A 18 33.3 10YR 4/2 GARBAGE GRINDER: NO-not allowed with design SANDY LOAM g 8„ 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 9 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 10YR 4/2 SANDY LOAM 31.7 LEACHING AREA REQUIRED: (330) = 445.9 S.F. B 24" 10YR 5/8 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ,74 SANDY LOAM 31.5 C 30 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 10YR 5/8 PERC 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC PROPOSED D-BOX: 1 INLET, 3 OUTLETS, H-10 RATED 30.2 C 42 36"/54" SYSTEM COMPONENTS NOT SHOWN ON THE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES M-C SAND M-C SAND PROPOSED SEPTIC. SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 2.5Y 2.5Y 6/6 o% GRAVE L 10% GRAVEL 51 FULLER ROAD, CENTERVI LLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. 22.7 132" 23.0 132" Engineering Works, Inc. N.T.S. P.T.M. 127-18 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) _ .348.7 GPD PERC RATE 2 MIN/IN. 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. NO GROUNDWATER ENCOUNTERED (508) 477-5313 4/14/18 P.T.M. 2 Of 2 EXISTING LEACH PI T EXISTING SEPTIC TANK --64-= EXISTING CONTOUR N 2$ TO BE PUMPED, FILLED WITH (TO REMAIN) x 60.98 EXISTING SPOT GRADE R0 E SAND & ABANDONED TOP OF TANK, EL.=34.76E —W EXISTING WATER SVC. ® o INV.(OUT)=33.43E ---&H.4V— OVERHEAD WIRES o x 34.7 ® TEST PIT 11 BENCHMARK a LO COR.ISTOOP BENCHMARK LOCUS c� EL.=36.05 o N 8p,5 57 0 W LEGEND r�"ey qve .I „ o. l 166.02' •8 00 11J f Rd x 33,61 \ x 33.84 1) / 38,5 01300 o` I 38.67 0 1 �r 34.33 / + / Bumps fiver d 0 0 35,8 34.24 1� 0 SHED x 34.18 // 37,12 ' LOCUS MAP / NOT TO SCALE 4.01 1 �� 8.27 x 36,57 3 A N 38.37 � 34,24ox ,o h CD , J/ a BM ...,... g, CD 36.05 �. W O DECK ` :Pq. O' .. �•N above 8.41.. -e7 H. W- ': I / (above � D 4 R I LOT � •� 35.1 22,222±S.F. a / � 35,89 x / 3 4M1 O r- TP- 2 EXISTING 35,08 HOUSE(#51) 1�\ f - WA L T.O.F.-39. 1t � —� 2 Q 0 Bdh W / 37.55 (APp l c TP-1 ROX. Of 10 9ss9�yG I 33,00 \ o PETER T. �i \ _ _ 38 --- o o, gs' McENTEE x 31� .31 N 1 + �5.1� � Q CBdh U No.CIVIL N 35.80 33.95 �C2= 3 69 II \ ` �� o G/St4 � � x3 191.09 34,83 N 80*5;7'49 WI I I v 1 33,86 x 36.95 x 37.64 36.03 edge of Pavement x 36,52 v/ PARCEL ID: 188-128 TA IV 33,73 ' PROPOSED SEPTIC SYSTEM UPGRADE PLAN AV 34.46 51 FULLER ROAD, C ENTERVI LLE, MA OWNER OF RECORD 35.40 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 ALFARO, FRANCISCO A & Engineering by: SCALE DRAWN JOB. NO. HERNANDEZ, ROSA M Engineering Works, Inc. 1"=20' P.T.M. 127-18 23A BARTLETT ROAD NANTUCKET, MA 02554 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 4/14/18 P.T.M. 1 of 2 e NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=30.5 EX/STING FOR A DISTANCE OF 15' FROM THE EDGE HOUSE SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S. (#51)X\ 07 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S. 30' OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=39.1±(FRONT) SET'TO 3" OF F.G. TO SERVE AS INSPECTION PORT DECK co N F.G. EL.=34.5t 0 F.G. EL.=36.0f F.G. EL.=35.3t F.G. EL.=34.5t �� o MAINTAIN 2% SLOPE OVER S.A.S. O\r/4� L - 16' L - 5' I i� S=1% (MIN.) ® S=1% (MIN.) N 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" i PROP. S.A.S. o0 6,. rl DOUBLE WASHED STONE glei aeaSaBa (OR APPROVED FILTER FABRIC) j is a Baaea F--25'�---JI1 EXISTING a8" uoulo --s/4" ro 1-1/2" ooueLE LEVEL 4' 4.8' r12.19�! ' WASHED STONE SEPTIC LAYOUT ADD INV.=32.27 PROPOSED INV.=32.10 GASH EFFECTIVE WIDTH INV.=33.43t D_BQ� EXISTING INV.=30.00 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS GENERAL NOTES: SURROUNDED WITH STONE AS SHOWN 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL NOTES: H-10 RATED BOARD OF HEALTH AND THE DESIGN ENGINEER. 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=31.8± 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=30.50 aaaaa OF RULES AND REGULATIONS. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO INV. ELEV.=30.00 MOOR 0 aaaaaaaaaBa GRADE ON A MECHANICALLY COMPACTED SIX MOOR B6aaB 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=28.00 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 310 CMR 15.221(2). H 2 x 8.5' = 17.0' 4' DESIGN ENGINEER. 4' OF NATURALLY OCCURRING 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL EFFECTIVE LENGTH = 25.' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. LEACHING SYSTEM SECTION ENGINEER BEFORE CONSTRUCTION CONTINUES. NO G.W., EL=22.7 = 5. ALL ELEVATIONS BASED ON BARNSTABLE G.I.S.±.. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF SEPTIC SYSTEM PROFILE THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. N.T.S. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. DESIGN CRITERIA SOIL LOG 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DATE: MARCH 28, 2018 (REF#15,625) DIRECTED BY THE APPROVING AUTHORITIES. NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR: PETER McENTEE PE 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY SOIL TEXTURAL CLASS: CLASS I WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP- 1 DEPTH ELEy. TP-2 DEPTH CONSTRUCTION. 11 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS DAILY FLOW: 330 G.P.D. 33.7 FILL 0 34.0 A 0 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND DESIGN FLOW: 330 G.P.D. SANDY LOAM REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 32 2 A 18 33.3 10YR 4/2 GARBAGE GRINDER: NO-not allowed with design SANDY LOAM 8 8' 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 10YR 4/2 SANDY LOAM INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. LEACHING AREA REQUIRED: (330) = 445.9 S.F. 31,7 B 24" 10YR 5/8 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND .74 SANDY LOAM 1'5 C 30 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 302 42 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 10YR 5/8 PERC 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC PROPOSED D-BOX: 1 INLET, 3 OUTLETS, H-10 RATED C 36"/54" SYSTEM COMPONENTS NOT SHOWN ON THE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES M-C SAND M-C SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN 2.5Y 6/6 2.5Y 6/6 SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 10% GRAVEL 10% GRAVEL 51 FULLER ROAD, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. 22.7 132" 23.0 132" Engineering Works, Inc. N.T.S. P.T.M. 127-18 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD PERC RATE 2 MIN/IN. 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. NO GROUNDWATER ENCOUNTERED (508) 477-5313 4 14 18 / / P.T.M. 2 of 2