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0001 HALYARD WAY - Health
I Haiyard Way Centerville A = 194 083 No. 4210 113 ORA 90 10% 0 0 0 0 �.��.,.�..�..�_..�..,���,:�2�..�.:��.�:,�::,.�:., .:,,�a�y,:,.nz�,�:�d, ,.:....,��„�,.m._:.:.�..:oe,,:�_.r��ew�„�:.�.. .,.,.��_.r ..:,u._._..;d,�..e:..�.��„a:.�,.�:��.�u....�;.r,.._�.�,.�,�_... ... ...�..�,,,�.,�;; :�,....��� .��.a -- - _... - -- -_ - -•,�r�.� No. �U��" J/ 1 FEEa r C®MMONWEA T14 OF MASSACHUS ETTS Board of Health, �005(Yl<—A-qht2 , MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair�S1; Upgrade( ) Abandon( ) - ❑Complete System Individual Components Location L Owner's Name �A o s � Map/Parcel# ©� Address zilt Lot# Telephone# Installer's Name —G � Designer's Name Address Address X �a} y;C'\ 021c� Telephone# _ Telephone# 5-4L?— L Type of Building ��i l Ae 1�c� Lot Size sq.ft. Dwelling-No.of Bedrooms _f1 Garbage grinder Wl-4 Other-Type of Building / -Iate No.of persons Showers (Pl,*Cafeteria ( Other Fixtures Lcoc' , .6&:Cj r &'164 cckm Design Flow (min.requ1ired) 6 gpd Calculated design flow �� d Design flow provided gpd Plan: Date { l Jam\ Number of sheets Revision Date Title QCZSi sepki C S""5y"'t� ��& Description of Soil(s) `O�\ Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation i DESCRIPTION OF REPAIRS OR ALTERATIONS P1 The and rsigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a ees to of to plac to in eration until a Certificate f o ance has been issued by the Board of Health. DESIGNiiSG ENLl-rER IMUST SUPERVISE Signed Date --INSTALLATION AND CERTIFY IN WRITING THE SYSTEI-1 WAS INSTALLED IN STRICT Inspections ACCORDS."�7 r)Pi �_�I No."`a yU()� _ �� / FEES / Board of Health, MA. y APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT I Application for a Permit to Construct( ) RepairXUpgrade( ) Abandon( - ❑Complete System Xudividual Components Location -WI ` CC \ Owner's Name Map/Parcel# g Address 1 c Lot# 43 Telephone# _ Installer's Name `� -C �\LQ Designer's Name Address Address Telephone# i�, Telephone# Type of Building -ae S+r Cl�.( Ct Lot Size., sq.ft. Dwelling-No.of Bedrooms Garbage grinder Other-Type of Building tom' No.of persons Showers ( /Cafeteria ( !� Other Fixtures U, 3 c. � v ""-- Design Flow (min.required) gpd Calculated design flow Design flow provided gpd Plan: Date 1 `U, Number of sheets Revision Date r T tt i CZS�o G� �'�i C �5;,e 1. �G Title ta, v Description of Soil(s) � .i-t� Am �2 —'Soil Evaluator Form No. Name of Soil Evaluator Date of EvaluationIL DESCRIPTION OF REPAIRS OR ALTERATIONS .' The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agjreeess to not to place the(`system in o eration until a Certificate of J�om Vance has been issued by the Board of Health. Signed 1 �l/1� 6I LZ5 Date 1 �J g Inspections No. Ud; ^ COMMON V'V' F9r=C_ IJ�JETTS FEE Board of Health , AL4. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersignedpphereby c ti that t e Sewage Disposal System; Constructed ( ),Repaired ( ),Upgraded ,Abandoned ( ) by: fft� 1., iN U _�S! r 'ter-- r/ ),. at I Nr I r k s /1 r 1 t1 , 1CP has been installed in accordance with the prod ions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. 'pa)d� "'3>!�dated Approved Design Flow (gpd) Installer // �j A , Designer: Inspector: 9�.f Date: ( The issuance of this permit shall not be construed as a guarantee that the system will function as designed. r x No. .' u d a "31 FEE , C'®MMONV4: L OF Ml/� �CJ �JSETTS Board of Health, l�(, n DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby�g{r�antt/ed to, Construct( ,�) Repair( )� Upgrade`( ,) Abandon( ) an individual sewage disposal system at I q� WL 1��.. � Au , lam(' � t�� l as described to the application for Disposal System Construction Perm7t o. au,12-3/ (, dated - �/ Provided: Construction shall be completed within ree years of the date of this, ermita . 1 local conditio s must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date �� Board of Health TOWN OF BARNSTABLE CC LOCATION I A//a/yard G )&), SEWAGE # 2602-.3/Y T r �� e VILLAGE � S MAP & LOT ASSESSOR' OP? i INSTALLER'S NAME&PHONE NO. s r I eNe K cU1"7� SEPTIC TANK CAPACITY ))/OdO LEACHING FACEL=: (typ4/lrt.r'-ditr-a lb✓? S (size) /D�k36 NO.OF BEDROOMS 3. BUILDER OR O � PERMUDATE: 2a 0 Z COMPLIANCE DATE: Separation Distance Begeen 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 ' a I i �� ' TOWN OF BARNSTABLE rc `LOCATION Gk)&�e SEWAGE # 2�U,Z VILLAGE �P.�►="�er t C ASSESSOR'S MAP & LOT Z9 INSTALLER'S NAME&PHONE NO. &r let4t K clJ9f 17 SEPTIC TANK CAPACITY /d d o G4/I111� LEACHING FACILITY: (tyDtf) rt-rd 4r-4L�o►? S (size) to f k 36 NO.OF BEDROOMS 3 BUILDER OR QO � PERMIT DATE: a O 7 COMPLIANCE DATE: e 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 � ® � � � �� CARmENE• SHAY (508)-548-0796 ENVIRONMENTAL SERVICES,INC. P.O. Box 627,East Falmouth,MA 02536 July 24, 2002 RE: Certification of Title V Septic System Installation: Residential Property— 1 Halyard Way, Centerville, MA Dear Sir or Madam: On July 22, 2002, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 1 Halyard Way, Centerville, MA, based on a design drawn by Shay Environmental Services, Inc, dated, July 15, 2002. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARMENE. SHAY ENVIRONMENTAL SERVICES,INC. OF MIS CARMEN cy E. � .. It SHAY U' No. Ii81 Carmen E. Shay, R.S., C.S. c�8-T President S,q N)TARS A�� FORM 11 - SOIL EVALUATOR FORN Page 1 of No.: Date: 7/15/02 COMMONWEALTH OF MASSACHUSETTS Barnstable , Massachusetts Performed By: Carmen E. Shay Date: 7/15/02 Witnessed By: Waiver Location Address or##1 Halyard Way Owners Name: Mr.Moises B.Ferreira Centerville,MA Address and #311 Bearses Way,Hyannis,MA Lot# (Map— 194,Parcel 083) Telephone Number: (508)- New Construction : X Repair OFFICE REVIEW: Published Soil Survey Available: No ❑ Yes ❑ Year Published: Publication Scale: Soil Map Unit: Drainage Class: Soil Limitations: Surficial Geologic Report Available: No❑ Yes❑ Year Published: Publication Scale: Geologic Material: (Map Unit): Landform: Glacial Outwash Flood Insurance Rate Map: Above 500 Year Flood Boundary: No ❑ Yes ❑ Within 500 Year Flood Boundary: No X❑ Yes ❑ Within 100 Year Flood Boundary: No a Yes ❑ Wetland Area: None National Wetland Inventory Map (map Unit): Wetlands Conservancy Program Map (map unit): Current Water Resource Conditions (USGS): Month Range: Above Normal El Normal Fx--1 Below Normal ❑ Other References Reviewed: USGS Topographic Map DEP APPROVED FORM 12/7/95 �. r FORM 11 — SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No.: #1 Halyard Way, Centerville, MA On -Site Review Deep Hole Number: #1 Date: 7/16/02 Time: 10:00 AM Weather: Sunny, Cool Location (identify on site plan): Refer to Sketch Landform: Outwash Plane Position on Landscape (sketch on back): Refer to Sketch Distances From: Open Water Body N/A feet Drainage Way N/A feet Possible Wet Area N/A feet Property Line 25' feet Drinking Water Well N/A feet Other DEEP OBSERVATION HOLE LOG Depth From Soil Soil Soil Soil Other Surface Horizon Texture Color Mottling Structure, Stones, (inches) (USDA) (Munsel) Boulders, Consistency, % Gravel 0" — 10" AB Loamy 10 YR 3/2 None <5% Gravel, Friable Sand Friable 10" — 34" Bw Loamy 10 Y/R None <5% Gravel, Friable Sand 5/6 Friable 34" — 168" C' Medium 2.5 Y 7/4 None Medium Sand, 10% Sand gravel, Loose Parent Material (Geologic): Glacial Outwash Depth to Bedrock:None encountered Depth to Groundwater: Standing Water in the Hole: None Weeping From Face: None Estimated Seasonal High Water Table 168" Assumed — No groundwater Observed DEP APPROVED FORM 12/7/95 - FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No.: #1 Halyard Way, Centerville MA Determination of Seasonal Mgh Water Table Method Used: ❑ Depth observed standing in Observation Hole: N/A inches ❑ Depth weeping'from side of Observation Hole: 168 inches (assumed) ❑ Depth to Soil Mottles: None inches ❑ Groundwater Adjustment: None feet Index Well Number: Reading Date: Index Well Level: Adjustment Factor: Adjusted Groundwater Level: N/A DEPTH OF NATURALLY OCCURING 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: Yes CERTIFICATION: I Certify That on September 17, 2000, (date), I have passed the soil evaluators examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature: Date: l C FORM 12 - PERCOLATION TEST Location Address or Lot No.: #1 Halyard WAv COMMONWEALTH OF MASSACHUSETTS Centerville , Massachusetts Percolation Test Date: 7/15/02 Time: 10:30 AM Observation Hole #: #1 Depth of Perc 38" — 54" Start Pre-soak 10:28 AM End Pre-soak 10:38 AM Time at 12" Would Not Hold 24 Gallon Presoak Time at 9 Time at 6" Time (9-6") Rate Min./inch < 2MP1 * Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed By: Carmen E. Shay Witnessed By: Waiver Comments: Would Not Hold 24 Gallon Presoak - <2 MPI Site Passed X Site Failed DEP APPROVED FORM 12/7/95 Sep-20-01 13: 52 BARNSTABLE HEALTH DEPT 5087906304 P .02 5M101 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. _ J PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I hereby certify that the engineered plan signed by me dated A%51 CQ concerning the property located at cot- �AC<LMC meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as.CLASS I and the percolation rate is less than or equal to 5 rnsnutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary, tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than Fourteen r 14) feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Erirnptor method when applicable) Please complete the following: A) Top of Ground Surface Elevation (using GIS information) B) G.W. Elevation _ + adjustment for nigh O.W. = ® DIFFERENCE BETWEEN A and B SIGNED DATE: �— NOTICE Based upon the above information, a reoair permit will be issued for bedrooms maximum. lvo additional bedrooms are authorized in t`te future without engineered septic system plans. q:tit_Irh[cider percecmp Permit Number: Date: Completed by: HIGH GROUNDWATER LEVEL COMPUTATION Site Location: 1 'Q\ (X-(\- ��CI T�"�v,�\e Lot No. Owner: "m t, +eXKV\CC, Address: Contractor: F4r\C_LA F00. Address: —P)bX Notes: STEP 1 Measure depth to water table tonearest 1/10 h. .............................................................................. Date month Oay/ycar STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: spy (�A Appropriate index well.................................................... o2S� © Water level range zone C I i STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to z 4- water level for index well ....................... 1 �(„)—� • coon /Year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A),current depth to water level for index well (STEP 3), and water-level zone (STEP 28) ra determine water-level adjustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water levelat site (STEP 1) ............................................................................................................. �� I Cape Cod Commission: USGS Well Data-June 2002 Page 1 of 2 United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS) observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. For further information,please contact Hydrologist Gabrielle Belfit at the Commission offices (508-362- 3828). June 2002 L-SGS Site Water Record Record Departure from Number**** Location Well No. Level* High* Low* Average** (links to IJSGS Monthly Overall national water-level database) Barnstable 230 24.4 20.5 26.6 -1.3 -0.8 413956070164301 Barnstable 24W 26.2 20.5 28.6 -2.3 -1.7 414154070165001 Brewster BMW 21 12.6 6.9 13.3 -2.8 -2.4 414518070020301 Chatham CGW138 24.6 20.9 26.6 -1.3 -0.7 414100070011101 Mashpee MIW 29 8.7 5.6 10.0 -0.6 -0.2 413525070291904 Sandwich ZI52 47.5 45.9 48.2 -0.5 -0.2 414418070241601 Sandwich SDW 53.6 45.8 55.1 -4.1 -3.5 414124070265901 Truro TSW 89 12.2 10.2 13.0 -0.4 -0.2 420206070045901 Wellfleet W�W 11.6*** 7.3 12.8 -1.8 -1.2 415353069585401 http://www.capecodcommission.org/wells.htm 7/19/2002 No, gs r �,� •••••........_.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ........... .............OF..Ali ................ Appliration for Uispuiittl Works Tnnitrnrtinn Prrutit Application is hereby made for a Permit to Construct (kil"Or Repair ( ) an Individual Sewage Disposal System at11 --• __.. ... .................. . .. . . ........ ..................................... esS �iorr t o. .......... _----- --�'_J__ . .... . ............• ........................... ...................... ._..._:...........:..L+............................................................... Owner Ad ress a Installer Address Type of Building, Size Lot./';P, ......Sq. feet .. Dwelling—No. of Bedrooms___..._.............................Expansion Attic W4q Garbage Grinder (VO aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------•--------.._._.----•••••-•••-•----._...-•--•••- -•------------- ------- __W Design Flow........ l. ....:..................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 to ( ) '/ '-' Percolation Test Results Performed by_____ � % .._ ___� ' __ _- . ?`_____._.. Test Pit No. 1________________mmutes per inch Depthof Test Pit.________________._. �.-I' Date--/eto ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ p+ --•---------•- D _ .- ...�� - •- - -- -- - - .....escrptonoo -•••---� U ------------•-----------•- 02_- W VNature of Repairs or Alterations—Answer when applicable._________________________________.............................................................. ..------•---------------------------•--------------------------------------•---•--------._........-•----•---------------------------------------------------------••-••••-••-•-•--•..._..---•-•......__. Agreement: Th undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the pr isions of TITLES 5 of the State Sanitary Code— The undersigned further agrees not to place the system in /operan until a ertificate of Compliance has been issued by the board of h lthSignedl ----•--•- _ `Date (J/tion Approved By...--•----••--•----•--•--•---•- ---------------------------------------- Date Application Disapproved for the following reasons--------------------•-------•---•----••------•----------------....----------------------------•--...._•---...--- ----...-•-•....................•-----.._.._....----------•------------•---•--•---------•-------------------------------------•---------------------------------------•-----------------•-----•--•--- Date PermitNo......................................................... Issued................................ ....................... t No................_....... Fins........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 F.,&l �X.................................................................. ApplirFation for Disposal Works Tonstrurtion Prrmit Application is hereby made for a Permit to Construct (,---*)"or Repair ( ) an Individual Sewage Disposal System at .... •/ Locatiom�A ress / ,/ ...... ' `/ or x of No. .. •=f�r'r'Ls" .. .......................... , 1_C/..�i:.mot cr%e f-✓��. • ....... Owner / Addresses•-- ! . .............................. ...•-•........_......,.. .1 -.'.�/ ../J.-_............. �..........................-- •• Installer Address Type of Building ? Size Lot/ �'� ------ feet a Dwelling—No. of Bedrooms.__...!_ ________________________________Expansion Attic 4/0) Garbage Grinder W) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( } Other fixtures W Design Flow........ ? 7.........................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 � ✓'--!--1.._ .... � �`.- J... Date s�_'3.�_ _.______. ai- - - -..... Test Pit No. 1________________minutes per inch Depth of Test Pit................'' Depth to ground water........................ rZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ............. __ O Description of Soil..... ..� .., .: :. :.... .. 4 :- ...- w -1-----f`:--- .......................................................... UNature of Repairs or Alterations—Answer when applicable............................................................................................... •---••----------------------•----........--------...._..--••--------...--------.._...__.........._..---.._..-•------------•---------------•-•-------•-•------•-•----._..........--------•------••-•----- Agreement: T undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the pr •isions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in oper on until ertificate of Compliance has been issued by the board of health. ( Signed---t-`j . .�. !..;���.... r_1_, ............. ✓""'Scs f F Date PPlication Approved By.. �./ ... --•.............•-••------•---------•-•- Date Application Disapproved for the following reasons:.............................................................................................................. ......-•----....-•---•-----•-•-•-----••.....................•----•------•--------•-•-•--.._.....-•--••••.---._......•--••--------•-•---...--••-----------•-----------.....-----•--------•--------••••--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD,; OF HEALTH �'..........OF.... / /!%/r .._ ....................... e Trrfif iratr of T-amplianrr THIS}S TO CERTIFY, That.the Individual Sewage Disposal System constructed (/- ) or Repaired ( ) b //Z 1 / //I 7 /r/✓ ._.....4_;=- -� / ,Ins/t�atller ; has been installed in accordance with provisions of T1 LE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........ .......... dated.......lQ.._-_(.Q..-_ ............. THE ISSU#NCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.. J. .......Z ........................................... Inspector............. .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD�OF HEALTH r ..n......-..........OF... . 't� :� �i!_ ........................ a„G No. .. ..-•- a`---- FEE.....��?................. Disposal 10orkii 0onsfrnrtion rantit ;5. Permission is ereby granted..---- ��Z---.U c-laP�1.A1__5�...---------••------•----•----•------•.............. ._..._._......---•_.._...... $� to Construct,( ) or Repair,(/ ):an Individual Sewage Di s osal�S-y_stem at No...... .a2 � ws •, ��-°'1f*. ,�/_j: rl. /. .trr_�- < /�!Jsf--ems/... , as shown on the � / � street .....� application for DWosal Works Construction Permit No..................... Date .._....... "" �_ "g .. ,. 6 ................................. _ Board of Health DATE-------------q-J-2.-9.5•---___-_-___An:lp_ •---- FORM 1255 A. M. SULKIN, INC., BOSTON .� � 1 G Y, I E-t-- r � 3rBE .20QN! ��' i B.A •�G.e%t/OE�2_ = _i _ G� i i iZ all P.O 1 , 14- - +80TTO�,P�.tl 0,- f.: ,X :•G.1 f t i s0 G.•dd. l p� y 'S` .7 477.41- 27A14}%FL:oyr/ + OE.S/G ;PE.eCQG•?T/�i�/ I I . 1 T 1 Q t PlrRp t �'1�♦.�,. .5 �+{ , ''.-., nl., -1 ,{ ,` I , f.i':, ' i I",' f T t1sl :, It # I *N�.39T33 T. r {. q �O �•• I lIT'l� f 1 fxt ! , 4 1 , L ,t71 TEST'Ho�E- � I r t•;+1 i i j t ' y--'I�r 3 QY J -L t s ii l ' , tl+ '•1 �' -r { ^t } I ; f 1 +t i +,- t- 9 OM',IGI►-�GV� {� `^TX ��s i j. t. a �I 'I�IJaIYO^.: Gr ILI sg ` /vao T- i_ re 6.dG.;"-I /.Yl� BOX /N✓. GAL. 1b11r� { ►G A Z CC -�!�p,: � I /'�-- c•-'�/.�,�98,0;� LoG,QT/ov . C C,�1 TZ:"�YI C-�- 1 779 ov file THE°/�puNtar�, otiJ SI-14K/v G�31G 374:'n yE.�Ea v; •OMRLY.sr I,s/ir�/T/s!E,S of ✓ B,ex €/c/yE/Nc. N7S Off:Th'� - ,2E6isr ,er'O.CslrvO SU.erEYct4S _..: 1 , t , .ter oc�rE.v;WiTi�Iy �'NE FLGtoo�44/it/. ' 4 j Ta Es?�ZQL/sy LoT ASS /� 4 5 g� .=" O CAT ION 5 E W—K C E FE it MIT NO. 3 �`/e3r1 try l� VilbLAGE INSTALLER'S NAME A ADDRESS - ____--- r�G � _fit✓-� - 8 U I L iD E R OR OWN ER o. A T E P E R M I T I S S U E o LDATE COMPLIANCE S S U E D 10 - 2i? - 8� r r �V-12 t0' min. from SECTION A —A 1. 2000' Existing Foundation house to septic tank *NOTE. ALL PIPES ARE TO SE 4" SCHEDULE 40 P V C. PROFILE VIER' OF ADDITION TO LEACHING SYSTEM o sTstw�at�;"w014' e�E Septic tank Covers must be SET LLNEL FOR AT LEAST 2 FT. 13 CONCRETE COVER within 6 in. of faeshed geode 3w+ " of 1/8" - 1/2" washed Peoston 6 Geode over Septic Tank - 9925 Geode o D-Do* - 10025 — ;rode over SAS -92.25 3/4" to 1 1/2 " washed Crushed Stone t , t)TE x , 3 - 5"OUTLET ,. 2- RO / xNDgcoun servA\ ice R - -1S.5" e + 12' DIET S 0.02 3 HOLE M-20 , ; OUTLET ; r 10' EXIST. S-0.01 DIST BOX 3' Ma-W"um Co.w Top of SAS - Elev. .90.50 FROm EXIST rmr"Tiam w SEPTIC TANK 13 Da y1S'7 S C o EXIST. PIPE X n 1.000 GAL. o S- O.OtO' root • r/ J1 2' Effective Depth 4" / p rn H-10 p - SCH 40 T t.75' P� �o` ytX TT1pD NN--�/// PLAN SECTION .CROSS-SECTION s FULL 0."Ift a r. t`, 6 Units a fr• 30' CONCRETE (�i ALK OUTFBfSEMENr) •b > p M O 1 3 1' STONE UNDER CHAMBERS 3, a 31E 30 • rn $ �' SITE 'd SYSTEM PROFILE > 6 "a' 3/4--1 1/2" a, " g 36' 3 HOLE H-10 DISTRIBUTION BOX compiled stone > V 00 Not to Scale - c v Z � N. Effective Length NOT TO SCALE ' • 4' _ LOCUS MAP > c m 4' 6 in.or 3/4•-t 1/2' 105 u SOIL ABSORPTION SYSTEM (SAS) composted stone - Effective vkftn m CULTEC MODEL 125 (H-20 LOADING)/ SHOREY PRECASTS j J39ttf2rA_91_I4ctltck_]_Elr_->`5 -------- (OR EQUIVALENT) Not to sale GENERAL NOTES NOTE OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 12" 1. Contractor is responsible for Digsofe notification and protection of oil underground utilities and pipes. 2. The septic tank and distribution box shall be set 2-18" aAM- AccEss MANHOLES level on 6" of 3/4"-1 1/2" stone. 3. Backfill should be clean sand or grovel with no stones over 3" in size. 4. This system is subject to inspection during installation +(1i — ' � by Carmen E. Shay - Environmental Services, Inc. o I / 5. The contractor shall install this system ;n accordance with Title V of the Massachusetts state code, the approved plan / / + THE ACCESS COVERS FOR THE SEPTIC TANK. INLET ' and Local Regulations. 1 DISTRIBUTION BOX AND LEACHING COMPONENT ' LOT #44 OLITI f T SET DEEPER THAN 6 INCHES BELOW FINISHED ' N 80 d 6. If, during installation the contractor encounters any .� t.i GR�FISHED �BE RAISED To vu1r+IN 6" of f d 48' s� ,, soil conditions or site conditions that are different from those shown on the soil log or In our design _ INSTALL TUF-TITS GAS BAFFLES OR EQUALS ' I 1 ' I installation must halt & immediate notification be - I I I I mode to Carmen E. Shay - Environmental Services, Inc. STEEL REINFORCED PRECAST CONCRETE i z, 01 1 1 1 1 ^ 7. No vehicle or heavy machinery shall drive over the PLAN VIEW ' I IRO. , p M septic system unless noted as H-20 septic components. 1� v. ' y: Failed I I 1 0 `j 8. Install Tuf-Tits gas baffles or equals on all outlet tee ends. 3-2+" REMOVABLE covERs I • _ Letbch Pit 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. O I �l EXISTING DECK t- �0 0 10. All solid piping, tees & fittings shall be 4" diameter TEST H E #1 , 11 1 Schedule 40 NSF PVC pipes with water tight joints. 3' inn•deorortce ELEV = 2 12 ' i I Tl •HEST 8_mine tY min inlet to outlet 6-,,,,, iRB OUTLET t3 N4ET r • j 3G• :' • t ASPHALT pR1VEWAY Cn = ` 1 1• Municipal Water is Connected to The Residence and Abutting id 1e"� :_ 1 O [�~,/ Properties Within 150 Feet. r'- "` S' -7" � r --- . 4 EXIST 1000 qol 5 -7 O E. J i, ; Septic Tonk tee to T1 NOTE- o Liquid depth f • 1nic'�1 g THE PROPERTY LINES ARE APPROXIMATE AND O EXISTING D COMPILED FROM THE SURVEY PLAN GENERATED BY ' BAXTER & NYE, SURVEYORS. OF OSTERVILLE, MA 1 27 3 BEDROOM � ENTITLED " PLAN OF LAND IN CENTERVILLE, MA" ~ e'-0. +' -10" HOUSE DATED SEPTEMBER 3, 1984, � ,' � 1 AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN CROSS SECTION END-SECTION b i #1 IT SHOULD BE USED FOR NO PURPOSE OTHER THAN I THE SEPTIC SYSTEM INSTALLATION.- CO ! USE EXISTING 1000 GALLON H- 10 SEPTIC TANK o° NOT TO SCALE LEGEND PERCOLATION TEST �`ti �'� <" LOT 42 DENOTE PR OPOSED PR # 104X 1 SPOT GRADE OSED Dote of Percolation Test: JULY 15, 2002 Test Performed By. CARMEN E. SHAY, R.S., C S.E. cy DENOTES EXISTING Results Witnessed By WAIVER ( per Barnstable B.O.H ) 9� X 104.46 SPOT GRADE �, `� Excavator Roberts Septic Services � ` \\ O/ Percolation Rote: Less Than 2 MPIPRO.� \ ` PL PROPERTY LINE TOP OFFOUNDATION BENCH K ►�n� PROPOSED- CONTOUR ELEV. = 100.00 (Assumed) Test Hole 1 97— — — — — —97 EXISTING CONTOUR No, 1 It DEPTH SOILS ELEV CD LOT #43 o 92.12 18,956 Square Feet +/— 1 `' DEEP TEST HOLE & Loamy Sand PERCOLATION TEST LOCATION �' 10 YR 3/2 0--10' A. gt 25 6 FOOT STOCKADE FENCE Loamy 92 ---- Sond I 1 10 Y 5/6 10"- 34' B. 89 33 I ORJ Coorse ' Sand P LOT PLAN 25 Y 7/s I 34"-168" C, 78.i 2 1 � N 84d 34' 40" ry OF PROPOSED SEPTIC SYSTEM UPGRADE i Perc pt IO2.7,�' A' PREPARED FOR Depth Perc: 38" to ------ M R . M 0 I S E S B . F E R R E I RA Perc Rofate= Less Tha 2 MPI Groundwater Not Observed AT No Observed # 1 HALYARD WAY HWT ADJUSTED H2O0 Elev = None lev Design Calculations 0 20 40 50 - CENTERVILLE , MA --+ DESIGti1.`-} Li�GINEEIR MUST SUPERVISE •�NOF1y Number of Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gol./Doy Min. per Title V) INSTALLATION AND CERTIFY IN WRITING ��� qS���\ PREPARED BY: Garbage Grinder: No Leaching Capacity Proposed: 330 Gal./Doy Minimum (Min. Per Title v) THE SYSTEM WAS INSTALLED IN STRICT �' �U ,y�� �� �'+ Septic Tank - 3 x 330 Gal /Day = 660 USE 1,500 GAL Septic Tank SCALE: 1 "=20' ACCORDF.:,E TO PLAN. H N (� E. ,�7 HA Y SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch i Bottom Area: 0.74 gal/sq. It. x 360 sq. ft. = 266.4 gallons � " O. ENVIRONMENTAL SERVICES, INC. Sidewoll Area: 0.74 gal /sq. ft. x 92 sq. ft. = 68.08 gollons -` �`� a�`� P.O. BOX 627 EXISTING LEACH PIT TO BE PUMPED & REMOVED TO s N EAST FALMOUTH, MA 02536 Providing: = 334.48 gallons-! FACILITATE INSTALLATION OF NEW SAS fsTE _ gNI7ARIP Use: (5) CULTEC MODEL 135 UNITS, HAVING A V EFFECTIVE DEPTH, TEL/FAX : 508-548-0796 TO BE USED MATH 4.0' OF WASHED STONE ON THE SIDES, AND 3' OF WASHED STONE NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACw4TE SCALE: 1 "=20' DRAWN BY: CES DATE: JULY 15, 2002 ON THE ENDS. NO STONE UNDER. FROM THE EXISTING LEACH PIT TO BE DISPOSED OF As PER BOARD OF HEALTH SPECIFICATIONS. PROJECT#SD333 FILENAME: SD333PP.DWG SHEET 1 OF 1