HomeMy WebLinkAbout0084 JUNIPER ROAD - Health 84 Juniper Road
Centerville P
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UPC 12543 �a
No.53LOR
HASTINGS, MN
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t COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS .
DEPARTMENT OF.ENVIRONMENTAL PROTECTION
MAP
,o ® 42
PARCE4
LOT
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
KEC
Property Address: 84 Juniper Road
:�
n erville, MA
Owner's Name: Mark _nrd e i rn NIAR 0 .8 2004
Owner's Address:
10'�A N OF'DMNSTABLE
Date otInspection: j -�- HEALTH DEPT.
Name otlnspector:(please print) Wi1Liam E_ • Robinson Sr.
Company Name: William E. Robinson Septic Service
Mailing Address: P O Box 1089
Centerville. MA -
TelephoneNumber: (508) 775-8776
CERTIFICATION STATEMENT
1 certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP
approved system inspector pursuant,to Seet'o'o 15.340 o[Title 5(310 CMR 15.000). The system:
. Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authority
Fails 9 .
Inspector's Signature: C�Li v i, ✓�— Date: l_L/0
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.
Notes and Comments
""This report only describes conditions at the time of inspection and under the conditions of use at that
time-This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11 f t
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 84 -juniper Road
Cpntprville
Owner. Mark r'nrrlai rn_
Date of inspection:. t?.—�
Inspection Summary: Cheek A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:I have not found any information which indicates that any of the failure criteria described in 310 CMR.
15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated,below.
Comments:
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass"section need to be replaced or
repaired.The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass:
Answer yes,no or not determined(Y,N,ND)in the for the following statements.if 1%ot determined"please
explain.
The septic tank is metal and over.20 years old*or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent.System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
•A metal sephe tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old.is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due tabroken or
obstructed pipes)or due to a broken,settled or uneven distribution box.,System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or rep laced
ND explain:
Th system required pumping more than 4 times a year due.to broken or obstswed piipe(s).The system will
pass inspt ion if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is rcmovcd
ND explain:
Page 3 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 84 Juniper Road
Centerville
Owner; Mark Cordeiro
Date of Inspection: ,
C. Further Evaluation is Required by the Board or Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
Ll failing to protect public health,safety or the environment.
System will pass unless Board of Health determines in accordance with 310 CMR 15.303(i)(b)that the
system is not functioning in a manner which will protect public health,safety.and the environment:
Cesspool or privy is within SO feet of a surface water
Cesspool or privy is within So feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
systea is functioning in a manner that protects the-public health,safety and environment:
The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
su face water supply or tributary to a surface water supply.
The system has a septic.tank and SAS and the SAS is within a Zone 1 of a public water supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply.well.
The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well— Method used to determine distance
' This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform
ba teria 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 S ppm,provided that no other
failure criteria are triggered.A copy of the analysis must be attached to this form.
3. Other:
3
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY.ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECT ION.FORM:
PART A
CERTIFICATION(continued)
Property Address: 84 Juniper Road
Centerville -
Owner: Mark Cordeiro -
Date of Inspection:_ Z,-- <Cj
D. Sks(em Failure Criteria applicable to all systems:
You Most indicate').res".or"no"to each of the following for all inspections.
77
Yes No
Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
dod''SAS or cesspool
Staggtice 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 lessAhan'h day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number
of times pumped
_ Any portion of the SAS,cesspool or privy is below high ground water elevation.
_ Any portion of cesspool or privy is within I00.feet of a surface water supply or tributary to a surface
water supply.
Any portion of a cesspool or privy is within a Zone I of a.public well.
_ Any portion of a cesspool or privy is within 50 feet of private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 f et from a private vatrr
supply well with no acceptable water quality analysis.IThis system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
Indicates that the well is free.from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than S 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.1 have determined that one or more of the above failure criteria exist as
described in 310 CMR_ 15.303,therefore the system fails.The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. ;rge Systems
To be considered a large system the system must serve a facility with idesign now of 10,000 gpd to 15,000
gpd•
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
_ — the system is within 400 feet of a surface drinking water supply
_ — e system is within 200 feet of a tributary to a surface drinking water supply
_ — he system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped
ne 11 of a public water supply well
If you have swered"yes"to any question in Sectinn Elk system is considered a significant threat,ar answered
yes"in Sectie D above the large system has failed.The owner or operator of arty large system considered a
significant tt e� nder Section E or failed under Section D shall upgrade the system in accordance with 310 CM
I i304.The syst m oouwr should contact the appropriate regional office of the Department.
4
Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 84 Juniper Road
rtmntPrvi11P
Owner:
Date of Inspection: 3
Check if the following have been done.You must indicate`'yes"or"no"as to each of the following:
Yes No
Pumping information was provided by the owner,occupant,or Board of Health .
_ _V/Were any of the system components pumped out in the previous two weeks 7
Has the system received normal flows in the previous two week period?
! Nave large volumes of water been introduced to the system recently or as part of this inspection?..,
1/_ Were as built plans of the system obtained and examined?(If they were not available note as N/A)
Was the facility or dwelling inspected for signs of sewage back up? '
Was the site inspected for signs of break out?
f� Were all system components,excluding the SAS,located on site?
t/__ Were the septic tanl:manholes uncovered,opened,and the interior of the tank inspected for the condition
of the bafflees or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum?
/Wast'he facility owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurface sewage disposal systems?
The size and location of the Soil Absorption System(SAS)on the site has been determined based on:
Yes no
l_�L_/Existing information.For example,a plan at the Board of Health.
!/ — Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance
is unacceptable)13 10 CMR 15.302(3)(b)J
5
Page 6 of 11
OFFICIAL INSPECTION FORM-,NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL'SYSTEM INSPECTION FORM
PART C`
SYSTEM INFORMATION
Property Address: 84 Juniper Road
Centerville
Owner. Mark Qprdeirp
Date of Inspection:
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design):. . Number of bedrooms(actual):
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): `I`Q
Number of current residents:
Does residence have a garbage der(yes or.-no).
Is laundry on a separate sewage system(yes or no): [if yes separate inspection required]
Laundry system inspected(yes or no): ®'
Seasonal use:(yes or no):
available i sage d : = 0
Water meter readings,if a atl 1 (last 2 ears u • ' 2 0 0 3 � 3 8 0 0
g � ( Y g (gP ))
Sump pump(yes or no): /1/d 2002. - 6 5, 0 0 0
Last date of occupancy:
COMM CIAIJINDUSTRIAL
Type of a tablishment:
Design flo (based on 310 CMR 15.203): Qpd
Basis of d ign flow(seats/persons/sgft,etc.):
Grease tra present(yes or no):_
Industrial aste holding tank present(yes or no):
sa _
Non- ni waste discharged to the Title S system(yes or no):
Water mete rea dings,_if available:
Last date o occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records ��ef�,
Source of information:
Was system pumped as part of the inspection(yes or no):_
If yes,volume pumped:_gallons-=How was quantity pumped determined?
Reason for pumping:
TYP F SYSTEM
_Septic tank,distribution box,soil absorption system
_Single cesspool
Overflow cesspool
Privy
_Shared system(yes or no)(if yes,attach previous inspection records,if any)
_Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
_Tight tank _Attach a copy of the DEP approval
_Other(describe):
Approximate age of all components,date installed(if known)and source of information:
q Cl
Were sewage odors detected when arriving at the site(yes or no):
6
']'age 7 of I I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)'
Property Address:_84 Juniper Road
Centerville
Owner: Mark Cordeiro
Date of inspection:
BUIL' ING SEWER(locate on site plan)
Depth elow grade:
Materia s of construction:—cast iron —40 PVC other(explain):
Distan a from private water supply well or suction line:
Comm nts(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK: t✓(locate on site plan)
— P )
Depth below grade: ,3.
Material of construction concrete_metal fiberglass
_ ther(explain)o — g —Polyethylene
If tank is metal list age:_ Is age confrme&by a Certificate of Compliance(yes or no): (attach a copy of
certificate) t b p 7
Dimensions:_ �� at
Sludge depth:__j--3
Distance from top of sludge to bottom of outlet lee or baffle: '�-
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:1 ,,
How were dimensions determined: d R41 C, rX,
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
u GI
GREASE TRAP: (locate on site plan)
Depth below grad _
Material oteonstru tion:_concrete._metal fiberglass. polyethylene—other
(explain): -'
Dimensions:
Scum thickness:
Distance from top ofkum to top of outlet tee or baffle:
Distance from botto of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on punnpi Ig reconuncndations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet in crt,evidence of leakage,etc.):
7
Page 8 of 11
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PAR. TC
SYSTEM INFORMATION(continued)
Property Address: 94 .Tu n i nP r Road
Owner:
PAr-FlpDate of Inspection: •' ro
TIGHT HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan)
Depth belo grade;
Material of c nstruction: concrete metal fiberglass_polyethylene other(explain):
Dimensions:
Capacity. I Rallons
Design Flow: allons/day
Alarm present es or no):
Alarm level: Alarm in working order(yes or no):
Date of last pu ping:
Comments(co dition of alarm and float switches,.etc.):
DIS
TRIBUTION
TRIDUTION BOX: if present must be o erred locate on site Ian
P )( plan)
Depth of liquid level above outlet invert:
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.): ))
® G�
PUMP CHAMBER: V(locate on site plan)
Pumps in working order(yes or no):v
Alarms in working order(yes or no):? �
Comments(note condition of pump clfamber,condition of pumps and appurtenances,etc.):
8
Page.9 of I I
s
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 84 Juniper Road
Centerville
Owner: markcc)rd -; ci
Date of Inspection:
SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required)
If SAS not located explain why:
Type
1 thing pits,number:
leaching chambers,number:
leaching C�
leaching galleries,number:
leaching trenches,number,length:
leaching fields,number,dimensions:
overflow,cesspool,number:
innovative/altemative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,
etc.):
CESS OOLS: (cesspool must be pumped as part of inspection)(locate on site plan)
Number nd configuration:
Depth—t p of liquid to inlet invert:
Depth of lids layer:
Depth of s um layer:
Dimension of cesspool:
Materials o construction:
Indication groundwater inflow(yes or no):
Comments ote condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
PRIVY: (locate on site plan)
Materials of nstruction:
Dimensions:
Depth of solid
Comments(no a condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
9
Page 10 of l l a ,
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 84 Juniper. Road
Centerville -
Owner: Mark Cordeiro
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 100 feet.Locate where public water supply enters the building.
10
1 Page l l of l l
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 84 Juniper Road
Centerville
Owner. Mark Cor.dPi rn
Date.of Inspection:
SITE EXAM
Slope
Surface water
Check cellar
Shallow welts ,
Estimated depth to ground water' feet
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:
Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
P 6 e 2--
i
11
S i
No. —//., ` 'd' Fee
ww; -THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V/
Yes
Q�( UBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
�o ZIppYication for Migaaf *pztem Construction i3ermit
Application for a Permit to Construct( )Repair(-<Upgrade( )Abandon( ) El Complete System El Individual Components
Location Address or Lot No. gt1/ (m;per 2 Owner's Name,Address and Tel No.
inn mc�f,4y
Assessor's Map/Parcel ��(� -- Yd �d""�l�'�(K�
c5 rA me
Installer's Name,Address,a%%'&9.CANCO Designer's Name,Address and Tel.No.
350 Main Street f,yV( n 3 F-77/c)
W. Yarmouth, MA 02673
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other T}pe of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures !/ L/
Design Flow 7 y1 gallons per day. Calculated daily flow gallons.
Plan Date /^c? !o- 9 9 Number of sheets t Revision Date NJ_4
Title S�'fe - .SC41v4
Size of Septic Tank /S"bZ,) Type of S.A.S. 211 / 4,j t-C, LJ1 LS4aAe
Description of Soil PP r P 1A rn
Nature of Repairs or Alterations(Answer when applicable) ?P-r
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 Certifi-
cate of Compliance has been issued by this Board of /
Signed V ��JJ Date
Application Approved by Date y-/-9 ,
Application Disapproved for the following reasons
Permit No. T- alc Date Issued
\` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
"\0 Yes
�- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
.Q0'�.` pplication for Migogal 6p.5tem CZongtruction Permit
t1 O- Application for a Permit to Construct( )Repair( ✓'Upgrade( )Abandon( ) O Complete System O Individual Components
Location Address or Lot No. ¢c/ JU n I�P f 2 Owner's Name,Address and Tel.No.
Assessor's Map/Parcel
Installer's Name,Address,andAACS CANCO Designer's Name,Address and Tel.No.
350 Main Street ��f y v( � 9 _ -7/c>
W. Yarmouth, MA 02673
Type of Building: /
Dwelling No.of Bedrooms L Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow �y� gallons.
Plan Date /- !, - 99 Number of sheets / Revision Date N/A
Title
Size of Septic Tank /,-6 Type of S.A.S.
Description of Soil � ('
Nature of Repairs or Alterations(Answer when applicable) PP( IAJ
.-Date last inspected:
Agreement: ,
y�
The undersigned agrees to ensure the construction Viand maintenanc of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of thei nvironmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Board of, eaith
k*Signed Date 7
Application Approved by _ / �"-' Date y--/--9 9
Application Disapproved for the following reasons
J� 1,
Permit No. �j'`�— /�� Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS'
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired --)-Upgraded'( )
Abandoned( )by L7iZ��U
at ",/ K 2z,r/e has been construV��17
in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. nl 9''/l6o dated -
Installer l'f7.6el'o Designer iJ-1 /"1 f sl c . ,r t
The issuance of this permiR-5 all n e nstrued as a guarantee that the syste 1 ctio s design
Date L / Inspector (3
No. / /�or
6'----- --------- --- —Fee Q
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
wliopoot 6p6tem Congtrurtion Permit
Permission is hereby granted to Co�struct( )Repair ✓�Upgrad ( )Abandon( )
System located at e/ �//17,1 fir! /e
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Construction must becompleted within three years of the date of thisRM
Date: Approved/ Approved by Tz
_ TOWN OF BARNSTABLE c�
LOCATION 7 �ur> e SEWAGE # ( —
VILLAGE (?e,+,�c g N/ ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. (7A174.7 77 r—,;? fop
SEPTIC TANK CAPACITY — Soo eAf. XA . /odn jgol /S.
LEACHING FACILITY: (type) 2'nF.'/TO/7 leo,e r (size) .R 6• 7 S'X aD,a'x 7
NO. OF BEDROOMS
BUILDER OR OWNER /AI (_' ACA
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
16
_ TOWN OF BARNSTABLE
LOCATION 0 r SEWAGE # ( `
VILLAGE (34n�G,<V,'/ Q., ASSESSOR'S MAP & LOT'Z3y—'04
INSTALLER'S NAME&PHONE NO. 4 4 73 e,074/1co 77 r—,;Z SOO
SEPTIC TANK CAPACITY /SDo Al, SA 1 oov a,41
LEACHING FACILITY: (type) 4 ZnAi'/7-94 to of (size)a 6.7 S X 70.a'x 7
NO.OF BEDROOMS
BUILDER OR OWNER /AI C'_ AO'A
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) . Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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N ASSESSORS MAP: 230 T E S T HOLE LOGS NOTES:
PARCEL: 42
WEQUAQUET
LAKE FLOOD ZONE: C 1. VERTICAL DATUM: ASSUMED FROM QUAD (NCVD +/-)
ENGINEER: THOMAS McLELLAN, P.E. 2. MUNICAPAL WATER IS AVAILABLE.
WITNESS: GLEN HARRINGTON, R.S. 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM.
DATE: 1-14-99 P#: 9347 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 & H-20
LocUs PERCOLATION RATE: < 2 MIN/IN
LOADING SPECIFICATIONS.
5. PIPE PITCH = 1/8" & 1/4" PER FOOT, (UNLESS NOTED OTHERWISE).
GREAT MARSHtiffs TH-1 43S TH-2 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE SET LEVEL.
Ito
�� 0/A HORIZON ELEV. 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE
LoAMY SAND USE OF A GARBAGE DISPOSAL.
ROUTE 28 10" IOYR 3/2 42•7 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE
39. 9 B HORIZON STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL
LOCATION MAP 40. 0 - - _ 42" 10�j8�r 400 HEALTH REGULATIONS.
LOTS 20 & 27 \ 39. 6 C HORIZON 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR
20,284 + S.F. 4 �5z. ys, MEDIUM
SAND TO CONSTRUCTION.
(0.47 + AC.) i �- 10. GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO
108" OBSERVED 34.5 EXCEED 3.0.
' I 11. EXISTING CESS POOLS ARE TO BE PUMPED AND FILLED WITH SAND
GROUNDWA"ER
39. 4 `� 12 33.5 OR REMOVED.
40. o - 12. ALL UNSUITABLE SOIL (B HORIZON, APPROX. 42" DEEP) WITHIN 5' OF
USGS GROUNDWATER ADJUSTMENT: PROPOSED LEACH AREA IS TO BE REMOVED AND REPLACED WITH
WELL: A1W-2.47, ZONE: C, ADJUSTMENT: 4J'
CLEAN MEDIUM SAND.
40. 2 ` �� 0 13. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW.
14. EXISTING CESSPOOLS ARE TO BE PUMPED AND FILLED WITH SAND OR REMOVED.
15. SEPTIC TANK AND PUMP CHAMBER ARE TO BE WATER PROOFED BY
SEPTIC SYSTEM DESIGN
MANUFACTURER WITH IPANEX CONCRETE ADDITIVE OR CONSEAL 55.
40. 3 ` = 39. 2 � A 6" EZ WRAP IS ALSO REQUIRED FOR BOTH TANKS.
INNERS 40B %A FLOW ESTIMATE:
4 `w
�
EXISTING BEDROOMS AT 110 GAL/DAY/BEDROOM =440 GAL/DAY
�
4 BEDR�Y -4--G
Ip/ELLING 442 w
tA 1st ltip0r SEPTIC TANK_
440 GAL/DAY x 2 DAYS = 880 GAL
ST
40. 4 S$ xl , i 39. 4 USE 1500 GALLON SEPTIC TANK
BENCHMARK AT �_ OFIICE BED
WOOD STAKE LEACHING AREA: LrV TBAT7HJI
ROOM
ELEVATION - 40.83 �,., 4G. - ' 40
40. 5 USE 6 INFILTRATORS (STANDARD CHAMBERS) WITH ROOM
4!►/ 6. 1 4' OF STONE ALL AROUND AND 6.5' BETWEEN ROWS DEN DIN. KIT. ROOM
04 cD 05 3 - 41 (26.75' x 20.2',x 7" DEEP)
�+ 41'/� A�E$\ PORCH
4��L1`� SIDE AREA 47 x 2 x 7/12 = 55 (.74) = 41 GAL/DAY
41. 2 �� \ BOTTOM ARF 4: 28.75 x 20.2 = 540 SF(74) = 400 GAL/DAY
6� ir - - - - - 42 CAPACITY = 441 GAL/DAY EXISTING FLOOR PLAN
42. 0 .� �G$ _ _ - - 43 SEPTIC SYSTEM SECTION
COVERS WITHIN 12"OF Z" PEASTONE
42. 0 s, � $�' FINISHED CRADE COVER OVER PUMP TO BE
�, 44� (ONE COVER TO BE WITHIN WITHIN 6" OF FINISH GRADE. 3/4" - 1 1/2"
. •. '. s" OF GRADE WASHED STONE
� - 44 FIRST FLOOR r Pcv(PRESSURE LINE)
42. 3 -
� � 65, � � ELEV. 44.0
i 00 39.5 39.0
�-' 0• 3925 HOLE 43B D-BOX 43.0
ELEV. DRAIN - -
' .::: ' 44.4 1 ELEV.
4z. 5 n` ��. '':. 34 5 43.63
I 350 1500 GAL ELEV. ELEV ELEV. (6" OF ELEV. 49
' F;► ELEV.
ELEV. SEPTIC TANK PUMP CHAMBER (f000 GAL CHECK STONE F- 26.75' s 20.2'--->
�O (6" OF STONE UNDER OR SEPTIC TANK) WITH MYERs VALVE UNDER) 5'
`yam43
44 MECHANICALLY COMPACTED) PACKA E TO BE INSTAALLLED (rBa AT INLar) 4,y�8
405, 40.8 & 40.8
43. 9 ELEV. TEE SIZES: IN DWELLING POWERED ELEV.
POLY LINER (SEE DETAIL THIS SHEET (EXISTING BY A CIRCUIT SEPARATE
INLET: 6" UP, 13" DOWN FROM THE PUMP USE 6 INFILTRATORS (STANDARD CHAMBERS) (H-20
POWER, (DISTANCE BETWEEN
KEY: ON/oFF SWITCH TO BE 6").OUTLET: 6" UP, 14" DOWN WITH 4 OF STONE ALL AROUND AND 6.5' B EEN ROWS
EXISTING CONTOUR: (GAS BAFFLE AT OUTLET TEE) (DISTANCE BETWEEN ON SWITCH (26.75' s 202' x 7" DEEP) (H-2o)
PROPOSED CONTOUR: BOUYANCY FORCE = 11,145 LBS LBS AND ALARM TO BE 1z") HIGH WATER MARK IN BASEMENT ON WALL - 38D
WEIGHT OF SEPTIC TANK = 11,480 LBS BOUYANCY FORCE= 8X5 LBS LBS (USGS ADJUSTED GROUNDWATER ELEV. 38.6) v� �
EXISTING SPOT ELEVATION: 25.5 WEIGHT OF SOIL OVER TANK = 3000 LBS WEIGHT OF SEPTIC TANK=U40 LBS
PROPOSED SPOT ELEVATION: 25 WEIGHT OF SOIL OVER TANK= 4100 LBS
TEST HOLE:•$� ELEV. OF FINISHED PROPOSED GRADE - 454 SITE AND SEWAGE PLAN
UTILITY POLE: -0- GRADE OVER LINER - 44S
FENCE LINE: •• •• •• (TOP OF LINER a 44.0) APPROVED BY: DATE:
HYDRANT: -b- LOCATION.
RETAINING WALL: ® 'v,OF � nDML
84 JUNIPER ROAD
TREE: 4s o ^B CENTERVILEE. MA
or
EXISTING ' �!k
�" �+a '�EXISTING GRADE �}E-*L GRADE9 PREPARED FOR
PROPOSED LEACHING AREA ,�
DEMAREST-McLELLAN ENGINEERING 40 MIL POLY LINER TOP OF PEASTONE ELEV. 44.0 `: 4 A. & B. CANCO
24 SCHOOL STREET P.O. BOX 463 P 5' x Z) URD (OR EQUAL) TOP OF LINER ELEV.- 44.0 ��_. . C.
WEST DENNIS, MASSACHUSETTS 02670 (75' s �) SCALE: f = 30 DATE: 1/26f99
PHONE & FAX : (508) 398-7710 SEPTIC SYSTEM LINER AND FILL DETAIL P.E. REFERENCE: PLAN BOOK 122 PAGE 89
DM # g8_I7Z_(D31F7) THOMAS McLELLAN, JOHN Z. DEMAREST JR., P.L.S.
N ASSESSORS MAP. 230 TEST HOLE LOGS NOTES:
PARCEL: 42 _
IiLQUAQUET FLOOD ZONE: C 1. VERTICAL DATUM. ASSUMED FROM QUAD (NGVD +/-)
LAKE ENGINEER: THOMAS McLELLAN, P.E. 2, MUNICAPAL WATER IS AVAILABLE.
WITNESS: GLEN HARRINGTON, R.S. 3. SCHEDULE 40 - 4" PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM.
DATE: 1-14-99 P#: 9347 4. ALL PRECAST UNITS TO CONFORM WITH AASHTO H-10 & H-20
LOCUS PERCOLATION RATE: < 2 MIN/IN
LOADING SPECIFICATIONS.
s vA TH-1 TH-2 5. PIPE PITCH = 1/8" & 1/4" PER FOOT, (UNLESS NOTED OTHERWISE).
MARSH Rd 43.5 6. FIRST 2' OF PIPE OUT OF D-BOX TO BE SET LEVEL.
{} 0/A HORIZON HEV. 7. THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE
Low' SAND USE OF A GARBAGE DISPOSAL.
ROUTE 28 f0« fOYR 3/2 42.7 8. ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE
39. 9 LOB RI ZON STATE OF MASS. ENVIRONMENTAL CODE (TITLE FIVE) AND LOCAL
LOCATION MAP 40. 0 - - - _ 42- foYR 6/8 4o HEALTH REGULATIONS.
LOTS 20 & 27 39. 6 C HORIZON 9. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR
20,284 ± S.F. 4 2• q�, `� MEDIUM Sl!ND TO CONSTRUCTION.
z.5Y 7/3
(0.47 ± AC.) ► 10. GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO
108" OBSERVSD 34.5 EXCEED 3.0'.
i
CROUNDIP,LTER 11. EXISTING CESS POOLS ARE TO BE PUMPED AND FILLED WITH SAND
40. 0 39. 4 C'` 120" �3&5 OR REMOVED.
N � 12. ALL UNSUITABLE SOIL (B HORIZON, APPROX. 42" DEEP) WITHIN 5' OF
USGS GROUADWATER ADJUSTMENT:
WELL: AIW-247, ZONE: C, ADJUSTMENT: 4.r PROPOSED LEACH AREA IS TO BE REMOVED AND REPLACED WITH
CLEAN MEDIUM SAND.
40. 2 13. D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW.
14. EXISTING CESS POOLS ARE TO BE PUMPED AND FILLED WITH SAND
OR REMOVED.
DRNF ' 15. SEPTIC TANK AND PUMP CHAMBER ARE TO BE WATER PROOFED BY
�'. SEPTIC P T I G SYSTEM DESIGN MANUFACTURER WITH IPANEX CONCRETE ADDITIVE OR CONSEAL 55.
�. 40. 3 ` S 39. 2 A 6" EZ WRAP IS ALSO REQUIRED FOR BOTH TANKS.
INVERT ffi 40 8 erg FLOW ESTIMATE:
�Q �� �d B �� G i BEDROOMS AT 110 GAL/DAY/BEDROOM =440 GAL/DAY
t DwELLI G 442
/ 10 1st f SEPTIC TANK_
ST YIN �' `( 440 GAL/DAY x 2 DAYS = 880 GAL
40. 4 1� , )} 39. 4 USE 1500 GALLON SEPTIC TANK
BENCHMARK AT _ i
WOOD STAKE - LEACHING AREA: OFFICE [BATg RBED
OOM
ELEVATION = 4083 ' 4G. - ' 40 �M
40. 5
't� _ USE 6 INFILTRATORS (STANDARD CHAMBERS) WITH
4' OF STONE ALL AROUND AND 6.5' BETWEEN ROWS DEN LKIT. ED
p�41,/ vE 4f (26.75' x 20.2 x 7" DEEP) DIOOMg 9SIDE AREA:. 47' x 2 x 7/12 = 55 (.74) = 41 GAL/DAY
_.
41. 2 o P" - - _ _ tp BOTTOM AR.,,ek 26.75 x 20.2 =`540 SF(.74) = 400 GAL/DAY
42
.6 - _ - - - - CAPACITY = 441 GAL/DAY EXISTING FLOOR PLAN
42. 0 _ - _ _ - - ' " - AGE , _ _ _ SEPTIC SYSTEM SECTION
o' $ 43
0; ti4 G COVERS WITHIN 1z"OF 2" PEASTONE
42. 0 i, ct $ FINISHED GRADE COVER OVER PUMP TO BE
6
4 42 ONE COVER TO BE WITHIN WITHIN 6" OF FINISH GRADE. 3/4" - 1 1/2-
® - of GRADE)
�`� - FIRST FLOOR 2" PCV (PRESSURE LINE) WASHED STONE
<' 42. 3 44! '
.�� j• ,�` 65' � T7 r7 � ELEV. 44.0
39.5 39.0
.: -}-44.4 oo ELEV. 3925 ELEV. DRAIN
`� 42. 5 'ra, �j.'::.. HOLE 43B D-BOX
43A
�w 3� 1500 C L ELEV. ELEV ELEV. (6" OF ELEV. 41 H ELEV.
\ 1► ELEV. SEPTIC TANK PUMP CHAMBER (1000 CAL CHECK STONE
44 (6" OF STONE UNDER OR SEPTIC TANK) WITH MYERS VALVE UNDER) �- 26.75' x 202'-� 5,
43 MECHANICALLY COMPACTED) SRM-4 PUMP. PUMP ALARM (TEE AT INLET) 43.58
'd 44 405., 40B & 40.8 PACKAGE TO BE INSTALLED
43. 3 ELEV. TEE SIZES: IN DUELLING POWERED ELEV.
POLY LINER (SEE DETAIL THIS SHEET) (EXISTING) BY A CIRCUIT SEPARATE
INLET: 6" UP, 13" DOWN FROM THE PUMP
USE 6 INFILTRATORS (STANDARD CHAMBERS) (H-20)
.• 6"
« POWER, DISTANCE BETWEEN Tli o0 KEY: OUTLET UP, 14 DOWNON1OFr SWITCH WITH 4 OF STONE ALL AROUND AND 6.5' BETWEEN ROWS
GAS BAFiLE AT OUTLET TEE
EXISTING CONTOUR: ( r ) (DISTANCE BETWEEN ON TO BE SWITCH (26.75' x 20Z x 7" DEEP) (H-20)
PROPOSED CONTOUR: ••••••••••••••.••••••••••••••• BOUYANCY FORCE = 1105 LBS LBS AND ALARM TO BE 12") HIGH WATER MARK IN BASEMENT ON WALL = 38.0
EXISTING SPOT ELEVATION: 25.5 WRIGHT OF SEPTIC TANK = 11,480 LBS BOUYANCY FORCE=8,965 LBS LBS (USGS ADJUSTED GROUNDWATER ELEV. 38.6) wow
BRIGHT OF SOIL OVER TANK = 3000 LBS WEIGHT OF SEPTIC TANK= 8,240 LBS
PROPOSED SPOT ELEVATION:RE WEIGHT OF SOIL OVER TANK= 4100 LBS
TEST HOLE: ELEV OF SITE AND SEWAGE PLAN
UTILITY POLE: -O- GRADE OVER LINER D- 44.5 PROPOSED GRADE - 45A
FENCE LINE: (TOP OF LINER - 44.0) APPROVED BY: DATE:
HYDRANT: -� L 0CA TION
RETAINING WALL: ® 5' r ,
,, '�� uAi
'. 84 JUNIPER ROAD
TREE: 45.0 0 ', .��'� '�"`or
CENT ERV I LLE MA
EXISTING @y^! '� � � Z.
EXISTING GRADE CAI:_ 4
DM GRADE 1 DE�.� PREPARED FOR
DEMAREST-McLELLAN ENGINEERING 40 MIL POLY LINER PROPOSED LEACHING AREA 9 � Q �
PERMA-GAURD (OR EQUAL) TOP OF PEASTONE ELEV.- 444 �` ,, A. & B. CANCO
24 SCHOOL STREET P.O. BOX 463 TOP OF LINER ELEV.- 444 L
HEST DENNIS, MASSACHUSETTS 02670 (7S s 2') .-,
PHONE & FAX : (508) 398-7710 ��i ! SCALE: 1" = 301
DATE: 1 Z26f�
SEPTIC SYSTEM LINER AND FILL DETAIL REFERENCE: PLAN BOOK 122 PAGE 89
DM # 9 -1.7Z (D31F7) THOMAS McLELLAN, P.E. JOHN Z. DEMAREST JR., P.L.S.
f