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HomeMy WebLinkAbout0082 HELMSMAN DRIVE - Health 82 Helmsman Drive A= 193—238 Centerville UPC 12543 No...53LOR �'�, '. voa+�uq� WN a � No. ®� p { Feel 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes apphCAtton for �Dtq;po al *pztem Con5trurtton Verm t Application for a Permit to Construct( ) Repair I Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ( Owner's Name,Address,and Tel.No.50- 3-7 D(oq Assessor's Map/Parcel �j3(939 ?a 00M_DN\ C42A`�_rU 1 1z, g �8 3(oy-obi y Q Installer's Nam Address,and Tel.No � Designer's Name Address and Tel.No.� �' O vp 4 `t'n le,C� C � v'�r�► Type of Building: n Dwelling No.of Bedrooms �� Lot Size °�� $35 sq.ft. Garbage Grinder (Ry Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures //�� / Design Flow(min.required) 3 3 V gpd Design flow provided 33c, J 3 c' �1 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs o Alteratipns(Answer�eapplicable) ne,,o Tl 0 e— Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt . Signed } Date ✓°�' �-- Application Approved by Vv✓ Date Application Disapproved by: Date for the following reasons Permit No. Date Issued 3'" J TOWN OF BARNSTABLE (LO ATION �J 671 WkS wX A 9-a 1�Z)fL. SEWAGE#Aff-42 Y VILLAGE Clt^+trf• 11 ASSESSOR'S MAP&PARCEL 193 -a3'F INSTALLERS NAME&PHONE NO.L-PA, e.eo6,Aro.. Sjp+�c S,ir,,ee 721-E77 b SEPTIC TANK CAPACITY /o o o LEACHING FACILITY:(type) 9X.SUb /J�5y w.c Its (size) 13.9 a y,Cd NO.OF BEDROOMS 2 OWNER W_c 6P_An-( I PERMIT DATE: *Roby COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �9 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 ehh =�-® s �J ISi �h-J e 5W5 'SF 81h _ e ,h,he-/-£/ o n Ii•'a t7� `'�" YaNb I r• -c^.+R,..r.T,.^-.-�.*...,v.-r��,..a�-yr..,y:r..r..y..�v.'°4•-,r'wt �w..-w•_•-f ,<_.,,.,z::<•"4Ji�."-e,.,-ay ^.`�,,i�..: ^,." -" . . ... �n� �+ ..gym ,s+�.." � .I �-�_.;,-... •., . . � ... , No. ?LOOK -1�4 FeS 100 THE COMMONWEALTH OF MASSACHUSETTS, Entered in computer: �— PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for �Bigogal �bpgtem ( Congtruction Permit Application for a Permit to Construct O Repair(�) Upgrade O Abandon O ❑ Complete System ❑Individual Components C� Location Address or Lot No. , Owner's Name,Address,and Tel.No.�o `37 O bH 6 Assessor'Is Map/Parcel q,2) 038 . oZ 020 yn—DoY ), gytl e CR,0 4u 0 1 L4-. Installer's Nam g.,Address,and Tel.No✓`w � Designer's Name Address and Tel.No.-9:6 1ywy"Otol �l� C'�c�t 1Og� P,� v� �,�� ti ��"► fie_ �.'�UIC.. � �v�c.P�, Type of Building: DwellingNo.of Bedrooms a23 935 � Lot Size sq. ft. Garbage Grinder 4PO) Other Type of Building No.of Persons - Showers( ) Cafeteria( ) Other Fixtures 2 Design Flow(min.required) �� gpd Design flow provided J �l gpd 30 r Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. L Description of Soil Nature of Repairs or Alterations(Answer when applicable)':17115 1pj� 0, r)e o ` 71 `- 1? 5 S.�4 5'Ie 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 Healt . Signed / ` Date -A Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. a" Date Issued 3" $'d --------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS McG� Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System System Constructed ( ) Repaired Upgraded ( ) Abandoned( )by LDM L, �\ at ` ��� �V1`j► 1 `y( (j?�kf t LLbas been constructe in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a d0 g dated Installer Designer #bedrooms Approved design flow d // gp�7 The issuance of this permit shall npt�beJcons,rued a a guarantee that the system will function as designed. `7/�1 ' Inspector Date Ihs ector ---- �/l,, . M r No. Fee' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS xl gpoal bpgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ) Upgrade ( ) Abandon ( ) System located at Oe `M�V`�Qx� `\ t 11�I l �` r(' U , and as described in the above Application for Disposal System Construction Permit.The applica recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction musA pe completed within three years of the date of this eftaai Date ~CEO% Approved by Town of Barnstable FtHE.T do Regulatory Services Thomas F. Geer,Director. HAMSFABLE. s' 9NAM. Public Health-Division 1639• ♦� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: Sewage Permit# Assessor's Map\Parcel Designer: —�e-CA Installer: hU`Cl �C Address: `12J �g:L C Vie- Address: CeA Ae,�-v\ W-- On .. t,�d''� C�O�� was issued a permit to install a (date) (installer) septic system at a based on a design drawn by (address) C0- 7VEC- dated �a(p IO�. (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. 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. -,�A OF lygss�c a �o� DAVID D. staller's Signature) COUGHANOWIR No. 1093 'P�O�STE��O SgNlTAR\PN (Designer'.s:Signature) (Affix Designer's Stamp Here) PLEASE RETURN. .TO BARNSTABLE PUBLIC HEALTH DIVISION. . CERTIFICATE 'OF COMPLIANCE WILL NO.Y BE ISSUED UNTIL BOTH THIS FORM AND .AS-BUILT CARD ARE RECEIVED BY THE BARINSTABLE.PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3 26-04.doc FRIEDLINE&CARTER ADJUSTMENT, INC. 436 Main Sb eet, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 DATE: November 18, 2008 Barnstable Board of Health 367 Main Street Hyannis, MA 02601 RECORDS REQUEST RE:Our File Number: L2572* Insured: MCGRATH, Stephen &Amy Date of Loss: 8/23/2008 Claimant: ROGERS, Kathy Loss Location: 82'Hekrism0-Drive, Centerville, MA Please send information requested below in regard to the above referenced caption and proceed accordingly: Please"forwa'rdFHeahli Department e,cords regarding alLinspections at the above loss location. Thanking you in advance for your anticipated cooperation. V tru ours ar Hayw r J((vW30 Lia ility Adjuster MH/mjc. cc: Massachusetts Property Insurance UnderWriting Association , I / Town of Barnstable P# Department of Regulatory Services �D BARMABLL Public Health Division Date coF b Z ". t6. 9. s$ { 200 Main Street,Hyannis MA 02601 Date Scheduled ITime Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By:� i/r 4 �D yQr hD�✓lr Witnessed By: N��. kJ1-Yl2Cl� S LOCATION & GENERAL INFORMA�'I ON n Location Address o;rvl C,(��/]{� Owner's Name 5�'Je ;- ! ft7 Y?e 1 Address �i- �j Assessor's Map/Parcel: A 3 / Z3 c6 Engineer's Name h U1 d CA ee, 'I'vo n Y A / NEW CONSTRUCTION/ REPAIR `� Telephone# 5!!� 3 C/4- Land Use ,` S t�l l Slopes(%) ( L o Surface Stones AD � Distances from Open Water Body 00 ¢ ft Possible Wet Area L©� ft Drinking Water Well 1 0 0+ ft Drainage Way (;0 ft Property Line O ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) f' W W m \? , ) W<O CDN < 3ELJ m<UlLNvm /®® 00 W/ Z Z 3 3 Q3W J O ZU OZ p W W� 3 �z� <3 zz�� 1,0,0,fi O Co< UXW00 \\\ / j moo ZZOWWOO XQ� W M C Parent material(geologic) �8 t"rGj O1( (:9v I L-V`)s Depth to Bedrock n Depth to Groundwater: Standing Water in Hole: >n 0 e Weeping from Pit Face _._ V\�0 V1 e- Estimated Seasonal High Groundwater See I b o v e- bTiMINATIbN `Ul7 SRASI'VA :HI(sH Method Used: see m bo ve Depth Observed standing in obs.hole: in. Depth to Bell mottles: _. in. Depth to weeping from side of obs.hole: _ _ In, Groundwater Adjustment ft• Index Well# Reading Date: Index Well level Adj.factor Adj,Groundwater bevel Observation �O;3 1 Hole# � Time at 9" fc� � Depth of Pere 't h Time at 6" 166 II` Start Pre-soak Time @ to" 10 Time(9"-6") M i.h End Pre-soak Rate Min./Inch v Site Suitability Assessment: Site Passed�� Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC f — — SOIL TEST L O G DATE OF TEST: MARCH D. UG-H 008 APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR,. #461 WITNESSED BY: DONALD DESMARAIS. HEALTH D PERC NUMBER: 12134 NO TEST PIT 1 PAARENTUNDWATE MAATERIA ENCOUNTE PROGLACA LED OUTWASH PERC AT 76 in - 2 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 64.25 0-13 FILL 13-20 A LOAMY SAND 10 YR 4/3 NONE FRIABLE j 60.92 20-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE C 40-132 C MEDUIM SAND 10 YR 6/4 NONE LOOSE 53.25 NO GROUNDWATER ENCOUNTERED TEST PIT 2 PARENT MATERIAL: PROGLACIAL OUTWASH j 2 MIN/INCH IN C SOILS I t ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELU MOTTLING 64.15 0-12 FILL 12-18 A LOAMY SAND 10 YR 4/4 NONE FRIABLE 18-38 B LOAMY SAND 10 YR 5/6 NONE FRIABLE 60.98 38-144 C MEDUIM SAND 10 YR 6/4 NONE LOOSE 52.15—- ., --- --- - -uepm rrom---R—Soil-Honzon - - Soit'1'ezture--T Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEP O$SERVATION ROLE LOG Role# Depth from Soil Horizon Soil Texture Soil Color SoilOther Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel) I Flood Insurance Rate May: Above 500 year flood boundary _ III rY No Yes Within 500 year boundary No✓/ Yes _— Within 100 year flood boundary No ✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the 1-' area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? „ Certification J I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,ex ertise and experience described in 310 CMR 15.017. ° Si nature �'�"`� �' �''S�' Date m ll rc t) 2 G t 2005 p ZH OF MqS g �`� syc DAVID u o D. m+, COUGHANOWR ' Q:\SEPTIC\PERCFORM.DOC 61014 1C E N SE'0�p� FVALV P I TOWN OF BARNSTABLE ` 7- LOCATION �`J � SEWAGE # VILLAGE Je ASSESSOR'S MAP &LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 I9 ►fib` A-i.v y DATE: 1.2,/-8-/95 10 dd PROPERTY ADDRESS:_ , - • 8, Helmsman Drive • VO -.- Centervil.le ,Mass. •r l9,q ---'QQ-5320 'A► ti On the above date, I Inspected the septic system at the above add re s 1 This system consists of the following: _ 1 . 1 -1000 gallon leaching pit. 2 . 1 -1000 gallon septic tank. 3 . 1 -Distribution box. Based on my Ins-naction, I certify the following conditions: 1 . This is a title Five septic `'sys,tem ( 78 Code ) Z.a-The septic -s,ystem is in proper working order. at the present time.. > SIGNATURE: Name: J_P M_acomber Jr. i - -7- -------- Company:_'• P_Macorgber- & Son _Inc Address _.-B-e-x-bb-------I-- -- Cente_rvilhe ,Mass__02.632 Phone:---SQ8zZ-75x3338----_-_- - 1 THIS CERTIFICATION DOES NCT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P, MACOMBER & SON, INC. Tanks-Coupools-Leachfields . Pumped & Installed Town Sewer Connections P.O. Box 66 ' Centerville, MA 02632-0066 713-3338 775-6412 R �./ commonwealth of Mossachusetis Executive Office of Environmental Affoifs Department of Environmental Protection WIIIIsm F.Weld Trudy Coxe e S�ur1.,EOEA Davld B. .uhs SUBSURFACE SEWAGE-DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Address of Owner: Chris Hayes Property Address: 82 Helmsman Drive Centerville (If different) Invision Technologies Date of Inspection:12/7/95 1749 Old Meadow Road. Suite 600 Name of Inspector:Jose h p M o ber Jr. McLean,.Uirginia 22102 Company Name, Address apd Telephone Num�er: J . P.Macomber & Son InC , Box 66 Centerville ;Mass . 02632 508-775-3338 CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes _ Conditionally Passes _ Needs further Evaluation By the Local Approving Authority Fails y Inspector's Signature �� it�hr�G'LY� Date: i The System Inspector shall submit a copy of this inspection repon to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A, 8, C, or D: At SYSTEM ASSES: I have not found any information which ;ndicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. 81 SYSTEM CONDITIONALLY PASSES: ett One or more system components need to be replaced or repaired, The system, upon completion of the replacement or repair, passes inspection. Indicate yes no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If'not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (reviscd 9/1V 9$) 1 One 1Nlnter Street 0 Boston,Massachusetts 02108 • FAX(617) 554i-1049 9 Telephone (617)292.5500 Uc7N .__. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 82 Helmsman Drive Centerville ,Mass . 02632 Owner: Michael Kuzminsky Date of Inspection: 1 2/7/9 5 B) SYSTEM CONDITIONALLY PASSES (continued) Alb Sewage backup or breakout or high stab:water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four 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($) are replaced obstruction is removed C) FURTHER EVALUATION 15 REQUIRED BY THE BOARD OF HEALTH: A G• Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: i 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 APPROPRIATE) DETERMINES THAT THE SYSTEM 15 FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: /Vt The system nds a septic tdnn drw bull d'usorpliun system aid i; fern to a surface M=-- sUppl) C:iribuna j tc a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D) SYSTEM FAILS: lt � _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. V; Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. 'I Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. (revised 8/15/55) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 82 Helmmsman Drive Centerville ,Mass . Owner: Michael Kuzminsky Date of Inspection: 1 2/7/9 5 D) SYSTEM FAILS (continued): • 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped 1-my portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. .&J Any portion of a cesspool or privy is within a Zone I of.a public well. &A 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a.tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply well; The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 6/1$/9$) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 82 Helmsman Drive Centerville ,Mass . Owner: Michael Kuzminsky Date of Inspection: 2/7/9 5 Check if the following have been done: -,,/- Pumping information was requested of the owner, occupant, and Board of Health. V/None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. J/built plans have been obtained and examined. Note if they are not available with N/A. �e facility or dwelling was inspected for signs of sewage back-up. ZThe system does not receive non-sanitary or industrial waste flow 2The site was inspected for signs of breakout. Z- All system components,,*Kluding the Soil Absorption System, have been located on the site. ZThe septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. /The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. The facility ov.,-r- different fru!n 0%%'ner: were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 82 Helmsman Drive Centerville ,Mass . Owner: Michael Kuzminsky Date of Inspection:12/7/9 5 FLOW CONDITIONS RESIDENTIAL: Design flow: 176 �'� Y Number of bedrooms:: Number of current residents: Garbage grinder (yes or no): ,- Laundry connected to system (yes or no)*C) Seasonal use (yes or no):A2Lr _ water meter readings, if available: /�i� �' '�' Last date of occupancy: COMMERCIAUINDUSTRIAL: Type of establishment: ,2h� Design flow:_Ld__gallons/day Grease trap present: (yes or no)A/A Industrial Waste Holding Tank present: (yes or no)lL� n-sanitary waste discharged to the Title 5 system: (yes or no)" ater meter readings, if available: � Last date of occupancy: OTHER: (Describe) hits Last date of occupancy:_ GENERAL INFORMATION PUMPING Ij CORDS anff source of igimation: System oumped as pan of inspection: (ye:. or no)4 If yes, volume pumped %('; g.allo Reason for pumping. TYPE OYSTEM r Septic tank/distribution box/soil absorption system VA Single cesspool ,LYZ_ Overflow cesspool Aleil Privy Al J11 Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) A R- XIMATE AGE of all components, date installed (if known) and source of information: A41 111h2��I� A-- cage odors detected when arriving,at the site: tyes or no)k C? (revised 8/15/95) 5 C7) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 Helmsman Drive Centerville ,Mass . Owner: Michael Kuzminsky Date of Inspection: 12 7/9 5 SEPTIC TANK:/'7 + (locate on site plan) v Depth below grade' Material of construction: I concrete _metal _FRP —other(explain) Dimensions: Lwo (- Sludge depth:_ C Distance from top o, sludge to bottom of outlet tee or baffle: Scum thickness:_ Distance from top of scum to top of outlet tee or baffle: �t Distance from bottom of scum to bottom of outlet tee or baffle:_ Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) $e�»ti c shall] (I he, pumpetlPvPrj7 — rParG _ Tn1 pt, anti 011tI Qt tQg5; arp gtru(,t :irg11y ) s st.ritr't,ural l y Sound LA-Lc nn ci $ns of l e@l-age No repairR are nize.dgrl at. t.hic t.i mG _ GREASE TRAP:a_> (locate on site plan) Depth below grader Material of constructionAconcrete _metal _FRP —other(explain) AA Dimensions: A !9 __ scum thickness." Distance from top of scum to top of outlet tee or baffle: A't1 Distance from bottom rn «o— i­ bottom MI Mille! tee or Uattle' Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage. etc.i (revised 8/15/95) 6 r ' C . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 Helmsman Drive Centerville ,Mass . Owner: Michael Kuzminsky Date of Inspectional 2j 7/95 TIGHT OR HOLDING TANK:A,-e) (locate on site plan) Depth below grader Material of construction:A&concrete _metal _FRP _othei(explain) A'1 ft Dimensions:_I 1 Capacity: _gallons Design flog.•: gallons/day Alarm level:�� Comments: (condition of inlet tee, condition of alarm and float svritcher , etc 0(1?a , DISTRIBUTION BOX: j (locate on site plane Depth of liquid level above outlet Inver: A fr' Comments mote it levvi anU c._:i ncc` ct }( ;d, C."';';r.-i", e`."idencc w leakage into or out of box,gic) D—box is level •no evidence of solids carry over ;No evidence of akage in or outo e is ri u ionbox. o repairs needed- ath-1.6 L . PUMP CHAMBER:iA/C (locate on site plan) Pumps in working order:(yes or nor Comments. (note condition of pump chamber, condition ut pumps and appt:nenances, eta., _ Izev:sec 6/1_5/9s) 7 i ' � 1 t,r SUBSURFACE SEWAGE DISPOSAL,SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 Helmsman Drive Centerville ,Mass . Owner: Michael Kuzminsky Date of Inspection: 1 2/7/9 5 — SOIL ABSORPTION SYSTEM (SAS):, ' 1 ti (locate on site plan, if possible; ex vation not required, butI ay be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits. number: leaching chambers, number: leaching galler,es, number:_ leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: CCo rpents: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) vledium sand to fine sand No si n vegetation is normal CL,,,OOLS: '" (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 (cesspool must be pumped as part of inspection) ►L A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) AJOV PRIVY:&L"__ (locate on site plan) Materials of construction: A."d Dimensions: `y Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) NGti� (revised 6/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 82 Helmnsman Road Centerville ,Mass . Owner: Michael Kuzninra'" r Date of Inspection: 1 2/7/9 5 SKETCH OF SEWAGE DISPOSAL SYSTEM: • include ties to at least two permanent references landmarks or benchmarks _ locate all wells within 100' Town Water- . iI; If �r DEPTH TO GROUNDWATER l rh'jE.i'�'.%�:�" � .. C Depth to groundwater:'A ' feet method of determination or approximation:I �` 1-r the Barns table Hoa?d Of Health Toad 10 Barn,-, (revised 8/15/95) 9 .1.OWN OF Barrio !;--ibL� BOARD OF HEALTH SUBSURFAU SFWAGE IMSPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION -TYPE OR PRINT CIXARLY- PROPERTY INSPECTED STREET ADDRESS _3,1 Tiel_msman Drive ASSESSORS MAP , DLOCK AhV PARCEL 4 OWNER' s NAME Michael Kilzminsk.T PA I?V L) - CE1?T1FrCA 7'-[OjY NAME OF INSPECTOR Joseph P. Macomber Jr . . COMPANY NAME J. P.Macomber & Son Inc . COMPANY ADDRESS Box 66 Centerville ,Mass . 02632 Street Town or City State LIP COMPANY TELEPHONE (508 ) 775 3338 FAX ( 508 )790 1578 CERTIFICATION STATEMENT I certify that I have personally Inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the timie of * inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : XXX. 0 System: PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public healLh or the environment as defined in 310 CHR 16 . 303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . - I System FAILED The inspection which I have conducted has found that the system fails to Protect the public health and the environment in accordance with Title 6 , 310 CMR 15 , 303 , and as specifically noted on PART C FAILURE CRITERIA of this inspection form . Inspector Signature odm Datel 2/8/'95 One copy' of this de.r�ti f ication must be Pr' ovided to the OWNER, the 13UYER ( where applicable ) and the DOARD, 01r 11RAL11111 If the inspection FAILED, the owner o r"'o­ the ayetem perator shall upgrade ' within one year of the date of the inspection , unless allowed or required r) f.h P r-tj i an n a n ^v , A.A * - i i n (-m n 1 r 11()r, ry. 1�. •��y» S jC .L6`IIIIII` W THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTIO: BE IT KNOWN THAT Joseph P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE 5 SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. June 8, 1995 Acting Director of the ion of Water Pollution Contr LOCATION SE GE PERMIT N0. YI L A G E G. INSTA LLER'S NAME ADDRESS Tro �- - �L B U I L D E R OR OWNER s 1r� DA T E P E R M I T I S S U E D DAT E COMPLIANCE ISSUED ks ho6 r ay ; r No - Fps.... ........ THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH ............OF.. ............ Aplifiration for Dig as al Works Tonst.rnrtiun ramit Application is hereby made for a Permit to Construct (v) or Repair ( ) an Individual Sewage Disposal Systep at `�... •---• ........ �.. Loca n-Acldr s/ o Na. .... ... ......__ ..........�.................................. ......• .. .......................................... goer d ss. nstaller Address Type of Building q Size Lot ____._Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic � Garbage Grinder VO) Other—Type T e of Building _.._.._..___•............... No. of ersons.....................__._.._ Showers — a yp g p ( ) Cafeteria ( ) Pa Other fixtures -------------------------------------- - ------------••------------.----------- Design W Flow•...... .- ®.........................gallons per person per day. Total daily flow.... ..gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ W 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 ( ) C// ~' Percolation Test Results Performed by.. ........................... . . ......... Date_. / 'dT a Test Pit No. 1................minutes per inch Depth of Test Pit.______._.___..___._ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ pa' ----•-------.... ,:---------------........................................................ O Description of Soil......... - --------------------- --------------------------••--- W ---------------------------------------------------•------•--------------------•-----• ----•••--...••---•-••-•--•••-•••----•---•-----••••-------•-••-••---•--•-•-----•-••••---•-•-•-•-------------- U Nature of Repairs or Alterations—Answer when applicable..............................•......._.____......_...........__..___._.__..._.................. -----------------------•----•------------------------------------------------•--------•---•------------------••------------•----........-----••-•-------•-------•----------------------••-----......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation MtiA Certifigate of Compliance has been issued by the board of he th. Signed---...--- --- . .......... - --••-..-• Date Apply tion Approved B ... ...--�............ ............... ........................••--------- - ---- .. ........ Date Application Disapproved for the following reasons:---...---•-.....-•------------------------------------••----------------------------............................ --------•-•-•-•-•----•-•-•----------•-----••----------------------------•-•-----------.......----------...--------•------•------------------------•--------------------------------------•---••....._.... ((_0 ! Date PermitNo...................................................- Issued•....................................................... Date ...-----.-----------------•----- ilI. No7,tr.':..1{ � THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O .. ......................... Apptiratiun for Disposal Works Tonutrnrtion ramit Application is hereby made for a Permit to Construct (P1) or Repair ( ) an Individual Sewage Disposal ` ,".�.: - ;C ................................................ •-"1 Loc on-Adjd s / ry ([fTpQ Lot No ..5..^.�1 ._...... i. .._. 't................................. ......3 `S�/��.�G A:t T ... -'------ ..................................... ner :.:.............................. ...... -�r". Address------------------------------------------- -4.st;aller - � �s _ Type of Building 9 Size Lo .: _.Sq. feet a ........�'_�____ Dwelling—No. of Bedrooms ___________::.._._....__.....Expansion Attic Garbage Grinder,, v) aOther—Type of Building ............................ No: of persons............................ Showers ( ) — Cafeteria ( ) P4Other 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..................."S-Width......I.....__..... Total Length.................... Total.leaching area....................sq. ft. o.. Seepage Pit No--------------------- Diameter.-_.:.:..:.__,-°.:... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosingtpmk (per) nn ~' Percolation Test Results Performed by. ....... . ..:................... Date/U-:..�. -....---. Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f•� .....----- . •--••s G-ass.---.........----•-•-•-- ; ----•-----------------•-••---•----------------------------------- Description of Soil......_ x l � i ...... . x ..........................................••-•----------•---•...... 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 TITLI 5 of the State Sanitary Code—The undersigned further agrees not to place the system in p Certifi to of Compliance has been issued by the board of h lth operation t a gaf Signed.. 'f - � - - Date APPl tion Approved :6 ,- .....-•-•....................... •- ' Application Disapproved for the following reasons-.................... Date Date------.....-- .................•-•-•---------•--------...--••----....---•-•..---•-•-•-••-----•.....---:....------••-•----.:.•--•----.....•-•---------•---••-•----•••-•---............................................ Date lj PermitNo............:. ........ ... .............. Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0. t. murrfifirtttr of Toutpliattrr T I IS TO CERTIFY hat the Indivi,d� Sewage Di pos ystem constructed ( or Repaired ( ) �. --- -•...............•--••••....... by P staller at... ---.-- w has been installed in accordance with the provisions of TIT F . of The State Sanitary Code s described in the application for Disposal Works Construction Permit No.......... ......... .�_.. dated__ _. _' � ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM W. ILL F NCT)ON SATISFACTORY. DATE. •-•� ----------•--------------•--.-----.--- Inspector... ( ? ?.............. - 4 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �rr ' �-� .........O F No. ic ............... r/ .,.... ..................... ► .. 1 Cd[. FEE.............. Disposal Works aanu#rudion Prrmit Permission is ereby granted.........ZAf-k.....� ----40*t IV ........----..•--•---. :.-••----•-•........................................................... to ConstrV ��Repai an Individual Sewa •Disposal Systely at No....... ._... y ..,9U.+L -Stred ... ' Street' ,,. as shown on the application for Disposal Works Construction Permit No. k?�... a d_--. �= .................. -- --•- "- DATE.----....__. Board of Health •-��- �.-�- FORM 1255 A. M. SULKIN, INC., BOSTON 5I NG-LEi FAM t lY 3 BCDIZi�c I`� ��: • Q tsl� Gt2tI�1 DCtZ 1Zl�ACTE . C>A I,I..Y ; �Fl.ovJ � �l o x- 3 33o G.P. �• •�,i �?Tl 3 3c� x ISo�o ` 4Q5- G-.i?• C�• , ��. S � T � �l.T• L 1 000 GAL' TiAt.SY- �yo DISSPoS.At_ PST'. t000 G,AL. IbEWAL.t_" Av-ZA Nw S �. - 375 Cr:P. p �y ec�MoM.. AREA - So! g•!r. w: 6 , �i: \ ( : : _;_ 5"0 • S.F. x .1. O ,.- Sca G. Q D. LoT' 9'g, . �� � _ ,. .. , TnTH i✓ OESIGrJ = 42S G. P. Q, 8 -I y - :T TA 1. UN ILy t=l.ovV = SS o LoT to (� NToN R.A'l� t"iN Z NoN .0R. (F,SS OF 144� s �' r PETER c,';� ` ' z3,BaSs.G. N o SULLIVAN ICHARD BAXTER Ad 4� o Na 24o48 c` i i ST0% ��� .0 1 _ OAt ENG��a Q�Bt�ERyo� c` l2- 3-84 GA* 2 a/Ny�c,TnG Z^/ G/Frv2D GsZC• /. S3 FG. 4;4� f. .,;, ��'�.vo,�G�,a 44. /coo 6oX /.V✓. G"4L, /ic/t/. o• P.T ;. . Z 7'Ani .- • • W g s H C D • G'.E,QT/F/EO PG OT p4.441 Ilk ' �t STo�E . .,a a.c�✓.SS.o c •••� PROM LC Tf✓.4T'Tip, Act w SI-14WV 7��E•S/dE�C,/�E B.4XT�,e i�e Mt z;I've. ?OWiV of B,gellSjq�.�l.E• QiVI� /.S it/GT GocaT.E.a W .ClaooPG.Q/ti �sr ,2Yi�,t: ,sTtsf 14.*11_1 7,W op"iV /.f lyOT e74XEp pAV,4 /y..ST,tz- - *•d�LEiYT.fve�/EY/4149 T.yE o<FS� ALL PIPE SPECIFIED ARE INVERT ATIONS ELOW PROFILE EXPRESSEDLINV DECIMAL FEET NOT FEET AND INCHES.TIONS TOP OF FOUNDATION RAISE COVERS TO WITHIN SIX INCHES OF FINAL GRADE EL = �4.�3+- ONE INSPECTION RISER FOR LEACHING GALLERY TO WITHIN 3 INCHES OF FINAL GRADE AS INSPECTION PORT. 64.50 �/ 3 FL ALL PIPE TO BE /3" DROP �D-BOX MAX SCHEDO PE UL 40 VC AND g FLOW LINE 61.50 1/8 in/Ft MIN. 1m" - II 14 46" GAS�� PRECAST BAFFLE DRYWELL T0.66+- 6 to BOTTOM OF EXISTING STON 60.68 LEACHING LEACHING EXISTING BASE GALLERY EXISTING 61.05 GALLERY EXISTING 1000 GALLON 60 T5 (END VIEW) 58.T5 5.00 Ft + SEPTIC TANK SEE DETAIL ON REVERSE EXISTING 135 Ft, of 5 Ft 12.5 Ft Ilk 11 bl 12 Ft ADJUSTED SEASONAL 39.8 HIGH- GROUNDWATER Ok m�DO r� O o WCDW -k ,(Wn .cwnrnm � mN� � as rn aWUIW z ril mc~n m Ao O ro 0 ea C titi� LSO\ a o frl rn d6/ \ 00- (A) \�N Wrn Z>j �m Z Zrn O n� \\•SOS W > � n--I I` ,'I oao c� ZZo �Z3 o �o > \ ->i m U N ' O �o `Lot � � � •a ti n COMM s ( �ti\y \ 1 A I a o c) ID _ / Sao ¢ o / o \ op co00 m s> m a 1 coral / I x � � 6 tijp / p /D z D 0 C` O ?J 7a� 3m i �V z x oar= m 9W `� \\` A 3� (� r-mnr� h m Zo �� \ a F-Z z�o=oz -i 0� =GZ� ® cD m ® \ w O �o m�cn m 3r —a s`'e� y / o O r rn 2 Co 1 >rn � � � �\ o tp i C 407>om� rn CT1 ee cn >Z�F Cy)ro A ck)mI �6 \\` i / � i >o= z m rn z m m \\ / m ,s �cni 3 o N m (�N A 0 m0 mZ�=C O Z 00 = fTl -,�>rn 3 �1 �J Z rn f�l G p -+mz rn w 3 > z m o Z 2 -,o c rn rnm n (� ;u0m;o� N n CID O m � U) cn y °23 mcrni umi �� rnm� m��o = cD O 3 n 90 x O = z A rna '+ �1 �mo z z rn z N oo N m �U� o U) mom ;mmQo OO m ��a � m cn�o � O � � y = c� �mm -b c m yro W > < rn3�m< y U1 �3 O > rn �aA N o ® o mr ar -I < �v1`' r cn m m # r p �a�p< O F� 3 Z c� �° �o m py �2 rn r p� n ocj-u(n> N rn y F-Z o Z Zmo m� p p m � S� o m mz N rn m�3 rn >o-i m O n I'' 3 G7 O n~y �O O cn c J `� > A Z��—I_ Z m ❑ 2 Z frl n�m O Or ncn r m m � °m`z � � O y A� O �.ou)2 N >< Z7 r 3 r 3 o r Z m �` <�ocnrn > � omozrno rn r- r T o �7 o30 = Z V DATE OF TEST: tIA (k-H 2006 SOIL TEST LOG APPROVED S IL EVALUATOR:` DAV D D4C000HANOWR. #461 DESIGN CALCULATIONS WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. PERC NUMBER: 12134 DESIGN FLOW: 3 BEDROOMS X HO GPD = 330 GPO SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS NO GROUNDWATER ENCOUNTERED OUTWASH USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL TEST PIT CONDITION. IF NOT, INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) PERC AT 76 in - 2 MIN/INCH IN C SOILS DISTRIBUTION BOX: USE 3 OUTLET D-BOX. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: A 24 ft. x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH 64.25 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING Abot = ( 24 x 12.5 ) = 300 sf 0-13 FILL A s d w = ( 24 + 24 + 12.5 + 12.5 ) x 2 = 146 sf Atot. = 446 sf 13-20 A LOAMY SAND 10 YR 4/3 NONE FRIABLE Vt 0.74 x 446 = 330.04 GPD 60.92 20-40 B LOAMY SAND 10 YR 5/6 NONE FRIABLE USE A 24 Ft x 12.5 f t x 2 ft GALLERY. Vt = 330.04 GPD > 330 GPD REOUIRED 40-132 C MEDUIM SAND 10 YR 6/4 NONE LOOSE 53.25 GRNWATENCOUNTERED LEACHING GALLERY 1000 GALLON SEPTIC THINK TEST PIT � PDARENOTUMADTERI R EPROGLACIAL OUTWASH DIMENSIONS AND DETAIL NOT TO USE SHOREY PRECAST 500 GALLON NOT TO USE EXISTING H-10 WIT SCALE 2 MIN/INCH IN C SOILS LEACHING DRYWELL (H-10 LOADING) SCALE ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SEPTIC TANK IS TO BE PUMPED DRY CONSTRUCTION DETAIL AT TIME OF INSTALLATION AND IS TO (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING BE EXAMINED FOR STRUCTURAL 64.15 DRYWELL UNIT INTEGRITY. INSTALL NEW PVC OUTLET 0-12 FILL STONE TEE EQUIPPED WITH A GAS BAFFLE. 12-18 A LOAMY SAND 10 YR 4/4 NONE FRIABLE 24.0 f t m 1 In 18-38 B LOAMY SAND 10 YR 5/6 NONE FRIABLE m"' ,, TAPER 60.96 4J m 38-144 C MEDUIM SAND 10 YR 6/4 NONE LOOSE Lo m 52.15 �n � � �� c 0 o 0 � r. o l GROUNDWATER ADJUSTMENT 4- Ln 7 1-11 EXISTING GROUNDWATER LEVEL 3.5 Ft 8.5 f t 8.5 f t 5 t BASED ON TOWN OF BARNSTABLE 24.0 f t GIS DEPARTMENT RECORDS. 1� INDICATED GW 35.00 6 Ft_6 In A INDEX WELL A1W-247 500 GALLON DRYWELL ZONE C DIMENSIONS AND DETAIL COVER OVER READING DATE FEB. 2007 READING 24.3 USE H-10 WIT ADJUSTMENT 4.8 INSTALL ONE INSPECTION 3 IN DROP ADJUSTED GW 39.8 RISER TO WITHIN THREE — FLOW LINE INCHES OF FINAL GRADE FROM AND INDICATE LOCATION BUILDING 10 in ]q TO ON AS-BUILT PLAN D-BOX 48 in LIQUID GAS LEVEL BAFFLE NOTES 00 33 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. oa��oo moo Op�p� Ir, 2) SEPTIC TANK TO BE PUMPED DRY AT TIME OF SYSTEM REPAIR AND CHECKED �0000a000ao 00o CROSS SECTION VIEW a00000 FOR STRUCTURAL INTEGRITY. INSTALL PVC OUTLET TEE FITTED WITH GAS BAFFLE. 5g 3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS 1021n OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. CROSS SECTION VIEW SEWAGE DISPOSAL SYSTEM PLAN 5) EXISTING LEACH PIT TO BE PUMPED. COLLAPSED. AND FILLED. 2 to PEASTONE in PEASTONE 6) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES. AND DUST IN PLACE. -TD SERVE EXISTING DWELLING 0 Ain Z) ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES 24 EFIAZ STEPHEN AND AMY McGRATH AND APPLIANCES. AND BIANNUAL PUMPING OF THE SEPTIC TANK. 28 3/4i TO EFFEC26In -1/2 u,p?AVEL DEPTHIn 8) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 82 HELMSMAN DRIVE CENTERVILLE, MA -- • PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. � . '. 46 in 58 1n 46 1n ECO-TECH ENVIRONMENTAL 9) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE -TO GRADE 'ON -A__LEVEL 150 1n STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH INSTALLER MAY XTILE 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE -UNEVEN SETTLING.. ABRICINPLACE OF THE 2Ein. PEAS AN RTONEOVEL LAYEGEOTR SPECIFIED. ETE-286el MARCH 26. 2008 1 1212