HomeMy WebLinkAbout0071 KEARSARGE AVENUE - Health 71 Kearsarge Ave
Centerville
A= 225-018-001
I
I
co
No. O F rV
Fee i�
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
A PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01pprtcatton for Dtooar *pgtem Cougtructtou Vermtt
Application for a Permit to Construct( ) Repairs( ) Upg#r ade OQ i Abandon( ) ❑Complete System QIndividual Components
��fca�ts Ad`dre Lot No. 7( 16L&eSmr�a ITV- Owner's Name,Address,and Tel.No.
llor
Assessor's Map/ParcelWWI' s �� ` �� ,y vet 3 J�d�, 5�� at,_Je., Leu: ,_cj i �14 �J�73
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 526-77/`_7507—
Bor�cl aHi C�vSiu�c t,9J 45 � ,( CI. P86g�["la L3a ski-->+me-
S Ox 1,%'R Ar Ajor Sl` tk. a VVIGss OZ40
Type of Building:
Dwelling No.of Bedrooms 1't I1 e- Lot Size d ( sq. ft. Garbage Grinder NO
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) V50 gpd Design flow provided e Z 7 gpd
Plan Date _ 4—3&U, Number of sheets tee, Revision Date 4L-411 Z
Title 4.911le, 10/111
Size of Septic Tank/� / ,2 ry.csh.j�lType of S.A.S. l.Lccla✓�+y G�l AHC✓,
Description of Soil �,{.. 5,,1 l (ury5 c� ,,,1�_ (P-13, 4-46 j
Nature of Repairs or Alterations(Answer when applicable) Ala ,,,t&�„ exish�j—Aj i-
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction ntenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Env' nm al Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of th.
Signed Date0/0Ai-- ' h
Application Approved by Date �v1
Application Disapproved b Date 4
for the following reasons O
v
Permit No. ZO i Z -Z6 Date Issued
L— �__ -----_— _------ —--------------��
Of
Ou
No. O ff : { y Fee /
-,
' Off`
1 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLICH�EALTH DIVISION -=TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipplication for 30i ogar * gem Congtructtonermtt
Application (
r ai for a Permit to Construct( ) Re ade Abandon_ p �p� ;� ( ) ❑ Complete System Individual Components
Location Address or Lot No. 7( kcte-* v-r /4%AI Owner's Name,Address,and Tel.No.
Col Y`i' �Il Mwsph L, tJ,a,n
Assessor's Map/Parcel pia S {�cvrs{ Ocl I ✓ 7c�nd`r 5�ww. C'Ircic t Le x,-+9 h" H'l/I' 02173
Installer's Name,Address,and Tel.No. P ' ss and Tel.No. �'77/-75oZ
- � Desg Name,
Co.nW-A%vi),45
"e-
S rnA Oa.6,4 7$' Qor e+' J-( owra Wlaas 6440
Type of Building:
Dwelling No.of Bedrooms 1111v1 G Lot Size -ZO (b e) —sq. Garbage Grinder QUO)
i
Other Type of Building No.of Persons Iv1 Showers( � ) Cafeteria( ) '
Other Fixtures
Design Flow(min.required) ',$SO gpd Design flow provided 4 t , 1 L 2 7 gpd
Plan Date (./Zg 12-C4Z Number of sheets -A4,0 < Revision Date a13 IL 2-
A
Title- 5c�, /t„7 (JS�c�y f ls.+ 1
Size of Septic Tank /5oc) c�/ro (tX�stir��_Type of S.A.S.�,cocl,�ay fl�,,,�.,.s SO/,c/Z1u 21 G,F
,F^ 3 �
-� Description of Soil 'Sad l"S cn r14*. ( 9-13 rya)
)
Nature of Repairs or Alterations(Answer when applicable) fy,,�,Kam,; ���,�,4s �roc6► �y ,�.- iis�/i�/
'�5A S
Date last inspected:
' Agreement: 1 '
t, The undersigned agrees to ensure the construction and'nlal'ntenance of the afore described on-site sewage disposal system in
accordance with-•the provisions of Title 5 of the Envi.ronme I Code and not to place the system in operation until a Certificate of -�
Compliance,has been issued by this Board,of e1h.`',
Signed / Date
1
r Application Approved by Date
Application Disapproved b I' i4 Date
for the following reasons . o
r Permit'No. 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 (-K)
Abandoned( )by
c at -41 9 5 AAGE As/E (--(r q Nov i S has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.7.E)12 76 f dated 8/2° Zo(Z .
Installer ti�,-4' Designer
4 # dxoomsf: Approveddesignflow 5��,, gpd
6-0
The issuance of this permit sh Il not be)onstrued as a guarantee that the system wil f nctio as ,esi'gn8d
Date �'�-� S7� J Inspector L
ti -
'-----
No.7U I Z W, / 0 c,
Fe
'THE"COMMONWEALTH OF MASSACHUSETTS
PUBLICHEALTH DIVISION — BARNSTABLE, MASSACHUSETTS
=i5po5al *pgtem Congtruction Permit
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (x ) Abandon ( )
r`System located at '� I (�Qii(_S/44C.6 AVr' AAA)1,7 AJJP
's
i
f.
and as described in the above Application for Disposal System Construction Permit.The applicant r nizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this per t.
Date ! Zd 1 2� Z Approved by
f
AUG-27-2012 07:41 From:BORTOLOTTI CONST 5084289399 To:15087717622 P.1/2
Town of Barnstable
Regulatory Services
Thomas P.Cciler,Director
Public Health Division.
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 506-862-4644 Fax: 505-790.6304
Date; glyliz _ Sewage Permit##202:- Assessor's Map/Parcel
T.ngtaller&TDesi ever CeIgfiendon For
Designer: • bl= uttt. Installer -' &Fj�
Address: or-dt.I, SW—►- Address:
14�e,^ws r�la�S �Z4,.C�_[ Wig esisvtr Wt` d2Ls4/9'
On 8 Z- Zc12 `ir,gk— was issued a permit to install a
Nate) installer)
septic system a:t?e! ce��. ��; .L�ll y- k •� based on a design drawn by
(addros )
dated 2S1—o 7-70 t'2
(tiesigner)
x , certify that the septic system referenced above was installed substantially according to
the design,whirh my iv aes Such as latuw�=W=a
ef Stripout was inspected and the soils
were found satisfactory. tZ fi fi�5 iv-nk $ ct~c.a,. bo,w. rove—A t^ pl,.crc,
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&focal Regulations. flan revision or
certified as-�t by de:signcr to follow'. Stripout(if requ' spected and the soils
were fo djatlsfactory. P�SN OF Mgss�
O= STEP EN CyG
ALLYN m
( nstal er's i'gnature S.N s y
FG/S—ADeTER������a`
signer's i&nature A F ore
BLEASA RETURN 10 BA S'$�B - P NLl C IU AID l)L11 W N, CERW-I!Q T
OF AD C y�L ANCE NOT BE MI i ►1'TId BOTH T PQRM A-5'
IjUMT P 1ECEMID B'YTHE l3 STABLE, BEAD gnolON-
THA .YOU
q:iol'�ce ebmisldc�ignores�t8l�kinn fom�-dam
I Town of Barnstable P#
w
�pTHE 1pk
Department of Regulatory Services
1A"STABLK • Public Health Division Date
y MA69.
1619. �e 200 Main Street,Hyannis MA 02601
°rfn MAt Al f
Date Scheduled / Time Fee Pd. /C
Soil Suitability AssessmentfoY Sew , DP osal
6LPerformed By: ,S C VAC W r!S�e Witnessed By:
LOCATION & GENERAL INFORMATION
Location Address 71 l'�ta rs_q v�—je. ;^V—c. .. Owner's Name 176e5 ek A, O r n r,
t���yr 3o.nas .� +¢. IG7vev+
c Address
.... I.curmilrm r MA 02173
�11x
Assessor's Map/Parcel: .iNlu`p 2z5/R .611W-001 Engineer's Name
NEW CONSTRUCTION REPAIR Telephone# o A W 77I d7 7
Land Use , Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
rv� �
Parent material(geologic)9`Gr:\e,I 0 0 4!-L,..V5 tz, Depth to Bedrock r•a
Depth to Groundwater: Standing Water in Hole' Weeping from Pit Face '
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil 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 Le Al
PERCOLATION TEST Date Time
Observation u
Hole# 2 Time at 9"
Depth of Pero lo0er Time at 6"
Start Pre-soak Time o i Q'•`0 --Time(9"-6")
End Pre-soak 10 3T uKr-16t `- spoor
Rate Min./Inch
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 pereolation'test is to be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least one(1)weelc prior to beginning.
Q:HEALTH/WP/PERCFORM
CraZ�ll- o27- I �
t w .
DEEP OBSERVATION HOLE LOG Role #
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surfnce(In.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
o Grovel)
G -all
r, (� --
p
rj k: by U.Q* mi St,KJ 10 YK '//:3
2y"_.. (eO' C Y11cola ScKc d 10 1
Me-of" Sc—1 7r S YJC ---
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture.. Sail Color Soil Other .
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
' - Consistency,u o Q eve
44 .
t Z.
Ito zqr � �,eewu Sa►hc4 '10 '�'tl,' s/�/ P
v C .5aH.44 -7t T YK
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil . Other
Surfnce(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,
Comistemy,a
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surfnce(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Col sistelicy,°o
Flood Insurance Rate Map:
Above 500 year flood boundary. No_ Yes ✓
Within 500 yenr boundary No ✓ Yes
Within 100 yenr flood boundary No ✓ Yes
]bepth of Naturally Occttrrine Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observe d'throughout the
area proposed for the soil absorption.system? Yam_
If not,what is the depth of naturally occurring pervious material?
Certiffcatlon
I certify that on Apr,119%ir (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
raining,expertise anal experience described in 310 CMR 15.017.
the required t
Date
Signature
Q:H EALTI-1/W P/PERCFORM
r
LOCATION APPROXIMATE — SCALED ,, 'O
DEED BOOK 468 PAGE 455 a� � l Ally w
i
. WAT
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Q� % ii )SHUT-
ti^ 1 x 19.5 1 0
/23.3 \ /o��r�c� 3r-� MWATER
ETER
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F1
6'8 � Iu��,NHC
I 1 �• r�, vi WAITER
x 25.5 v
PIT
x A. 6.�1~X1S11NG
S'TRUCTUR
0. AT
1 / r
I A ty
1500 GA4L.ON 'x 16;1 ° p ' 7
;1 2ANK i i`/ �0 00 c
TP 1 2 �h 5.7
'# � %� � 0 MANHOLE
r / ,
AP OXIMiTE t' \`, IRRIGATION G
�A ONOF;S&P C IRR�ATIO �� ;CONTROL
ONE�TS 15.0 CONXOL ` e" ! BOX vi
B
,
SSUMEDI PIT �4b
/ •
LOCATIO SEE NOTE\N10 r � •0
FLAC�PO
BENCHMARK: I 1
SPIKE SET
NAVDB I 1
TP 1
2 # 1 1 \ x 27:51 1
27.5
RIC
ySTOCKA x 15`9 \ ` ^` . ,\ 24.9
_ . D
�N 72.5 . 15`F�T Wlp �N pK �ck 036 i \ x § �4\
\ 2 lg r W f f Asf'�fN S27 pq F
\ 160aD, T G
\ o GATE /
UTILITY EASEMENT o 23.7/
EED BOOK 10,425 PAGES 245 - 24746
AM 225 — Pc1 017 \ \
ELIZABETH A. LIGUORI t
LOT 2
PLAN BOOK 220 PAGE 37 \
PLAN BOOK 523 PAGE 47 \
95 KEARSARGE 'AVENUE
MAP 225/PARCEL 018
LOT 18 N 527/52
20,000 SQ. FT. t
0.46 ACRES t
TOWN OF BARNSTABLE
LOCATION_,— 7I kemrS'a9Ave SEWAGE #
VILLAG I � � ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS G
BUILDER OR OWNER
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 f
on site.)r within 200 feet of leaching facility) w Feet
Edge of Wetland,&nd Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
.1
I
lv
0
ns; tgSSt Wr4 _.
COMMONWEALTH OF MASSACHUSETTS
z s
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
u d
a
DEPARTMENT OF ENVIRONMENTAL PROTECTION
MAP
Z2 5
PARCEL �, �* � O*a.c.e
LOX
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM:FORM
PART A
CERTIFICATION
Property Address: 71 Kearsarge Lane 9
Centerville MA 02632
Owner's Name: Craigville Realty Trust JAN O 5 2004
Owner's Address: Some
TOWN OF BARNSTABLE
Date of Lnspection: December 12,2003 HEALTH DEPT.
Name cif (nspector: PATRICK M.O'CONNELL
Company Name: SEPTIC INSPECTION SERVICES CO.
Mailing Ekddress: 189 CAMMETT ROAD
MARSTONS MILLS MA 02648
Teleph)ne Number: 508-428-1779
CERTIFFICATION STATEMENT
I certify tl iat I have personally inspected the sewage disposal system at this address and that the information reported
below i 3 t•ue,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 D�itlpill111/
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: `y Of�
_X_ Passes G
Conditionally Passes
Fails Needs Further Evaluation by the Local Approving Authority 0, 0NNELL :.y=
Inspector's Signature,��� �.�� Date: INSp�G�vv���`
111111 lit
The systei n inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or
DEP)witHn 30 days of completing this inspection. If the system is a shared,system or has a design flow of 10,000
gpd or g-reater,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
authorh y.
Notes and Comments: System in good condition.
****This report only describes conditions at the time of inspection and under the conditions of use at that
time.Thl,� inspection does not address how the system will perform in the future under the same or different
conditi)n,-.of use.
Title 5 'nspection Form 6/15/2000 page I
Page 2 3f 11
0 FFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 71 Kearsarge Lane,Centerville
Owner; -Craigville Realty Trust
Date oi'Inspection: December 12,2003
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section Il
A. System Passes:
_XX_ 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.
Commen ts:
B. SyAcm 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 y,;s,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please
explain
h,;septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally
unsound,,,xhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing:tz Ais replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND exI lain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND exF lain:
Th.,system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass im pe;tion if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND exf lai is
Page 3 )i'11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 71 Kearsarge Lane,Centerville
Owner: Craigville Realty Trust
Date of I nspection: December 12,2003
C. Further Evaluation is Required by the Board of Health:
C mditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health,safety or the environment.
I. S;istem will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the
93 stem is not functioning in a manner which will protect public health,sairety and the environment:
__ Cesspool or privy is within 50 feet of a surface water
__ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,it'any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used to determine distance
* This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
th.,presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
fa.lure criteria are triggered.A copy of the analysis must be attached to this form.
3. O:her:
L
f
Page 4 AI I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 71 Kearsarge Lane,Centerville
Owner: Craigville Realty Trust
Date of I aspection: December 12,2003
D. Syr+tum Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
—X.- Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
_X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
X Liquid depth in cesspool is less than 6"below invert or available volume is less than'/z day flow
_X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
X Any portion of the SAS,cesspool or privy is below high ground water elevation.
_X_ Any portion of cesspool.or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
X_ Any portion of a cesspool or privy is within a Zone 1 of a public well.
4X Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_X-_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for 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,provided that no other failure criteria
are triggered.A copy of the analysis must be attached to this forma
_No_-(V es/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gpd.
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
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
If you bav:answered"yes"to any question in Section E the system is considered a silpificant threat,or answered
"yes"in S-ction D above the large system has failed. The owner or operator of any large system considered a
significam threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304.T1 to system owner should contact the appropriate regional office of the Department.
A
I
Page 5 A']I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 71 Kearsarge Lane,Centerville
Owner: Craigville Realty Trust
Date of Inspection: December 12,2003
Check if the following have been done.You must indicate"yes"or"no"as to each of the following:
Yes No
Pumping information was provided by the owner,occupant,or Board of Health
_ _:{ Were any of the system components pumped out in the previous two weeks?
Has the system received normal flows in the previous two week,period?
Have large volumes of water been introduced to the system recently or as part of this inspection
X_ __ Were as built plans of the system obtained and examined?(If they were not available note as N/A)
_X_ __ Was the facility or dwelling inspected for signs of sewage back up?
_X_ __ Was the site inspected for signs of break out ?
_X_ __ Were all system components,excluding the SAS, located on site?
_X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the
condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of
scum?
_X __ Was the facility owner(and occupants if different from owner)provided with information on the proper
maintettaj ice 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
_X_ __ Existing information. For example,a plan at the Board of Health.
_X_ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of
distance;is unacceptable)[310 CMR 15.302(3)(b)]
r
Page 6 A 11
t)FFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 71 Kearsarge Lane,Centerville
Owner: Craigville Realty Trust
Date oi'I aspection: December 12,2003
FLOW CONDITIONS
RESIDENTIAL
YTIAL
Numbe-c.f bedrooms(design): 4 Number of bedrooms(actual): 4
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440
Numbe-of current residents: 0
Does resi,Ience have a garbage grinder(yes or no): No
Is launch} on a separate sewage system(yes or no): No [if yes separate inspection required]
Laundry,.ystem inspected(yes or no):
Seasonal ase: (yes or no):No
Water meter readings,if available(last 2 years usage(gpd)): 2002—317,000 gal.2003-=147,000 gal.=636 gpd.
Sump pump(yes or no): No ** Residence has large irrigation system**
Last da::e of occupancy: One year prior to inspection
COMMI RCIALANDUSTRIAL
Type of e.;tablishment:
Design flaw(based on 310 CMR 15.203): gpd
Basis oFdesign flow(seats/persons/sgft,etc.): _
Grease ta-p present(yes or no):_
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available:
Last da:e of occupancy/use:
OTHE R i;describe):
GENERAL INFORMATION
Pumping Records: None available
Source of information: -
Was sy:;te m pumped as part of the inspection(yes or no): No
If yes, vol Lime pumped:_gallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
_X Septi.-tank,distribution box, soil absorption system
_Singly;cesspool
_Ov.-rtlow cesspool
_Pri vy
Share•i system(yes or no)(if yes,attach previous inspection records, if any)
Innov ative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be
obtaineI f-om system owner)
Ti€,ht tank _Attach a copy of the DEP approval
—Otl ter(describe):
Approximate age of all components,date installed(if known)and source of information:
11)82+/-
Were scwE ge odors detected when arriving at the site(yes or no): No
I
Page 7 A*11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 71 Kearsarge Lane,Centerville
Owner: Craigville Realty Trust
Date of I nspection: December 12,2003
BUILDING SEWER: X (locate on site plan)
Depth below grade: 1'
Materials of construction:_X—cast iron _40 PVC_other(explain):
Distance '.rom private water supply well or suction line: 40'
Comments(on condition of joints,venting,evidence of leakage, etc.):
No evidence of backup.
SEPTIC TANK: X (locate on site plan)
Depth below grade: 4"
Material(if construction:_X—concrete_metal_fiberglass_polyethylene
_othcr(-.xplain)
If tank s;netal list age:____ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
Dimens io as:8'long x 5.2'wide—1000 gal
Sludge depth: 2"
Distance from top of sludge to bottom of outlet tee or baffle:31"
Scum thickness: 2"
Distance from top of scum to top of outlet tee or baffle: 7"
Distance iiom bottom of scum to bottom of outlet tee or baffle: 13"
How w er.-dimensions determined: STICK WITH HINGE FLAP.
Commc nt i(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Tees intact and clear,not in need of pumping. Liquid level at bottom of outlet invert.
GREASE TRAP: No (locate on site plan)
Depth below grade:_
Materia l of construction:_concrete_metal_fiberglass_polyethylene other
(explain):.
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comment:,(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels
as related :o outlet invert,evidence of leakage,etc.):
17
Page 8 A 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 71 Kearsarge Lane,Centerville
Owner: Craigville Realty Trust
Date of I aspection: Decem ber 12,2003
TIGHT c,r HOLDING TANK. No (tank must be pumped at time of inspection) (locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass polyethylene___other(explain):
Dimem ions:
Capacil y: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Commc nt s(condition of alarm and float switches,etc.):
DISTR IEUTION BOX: X (if present must be opened) (locate on site plan)
Depth of liquid level above outlet invert: 0"
Commt nt i(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.):
11ox set level has no high water stains,no solids present.
PUMP 0JAMBER: No (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Commc nts(note condition of pump chamber,condition of pumps and appurtenances,etc.):
J
Page 9 if]]
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 71 Kearsarge Lane,Centerville
Owner: Craigville Realty Trust
Date of]nspection: December 12,2003
SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits,number:
_X_Ic,aahing chambers,number: Four 4x4x1 diffusers with 4'stone all around.
leaching galleries,number:
leaching trenches,number,length:
leaching fields,number,dimensions:
overflow cesspool,number:
innovative/alternative system Type/name of technology:
Commc n s(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,
etc.): Exposed top of leaching structures,found no access covers Probed stone around diffusers stone is
clean and dm appears to be one foot deep.
CESSPOOLS: No (cesspoo)must be pumped as part of inspection) (locate on site plan)
Numbe•E.nd configuration:
Depth—tip of liquid to inlet invert:
Depth of iolids layer:
Depth of icum layer:
Dimem ions of cesspool:
Materials of construction:
Indication.of groundwater inflow(yes or no):
CommeN s(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.):
PRIVY: No (locate on site plan)
Materials of construction:
Dimens io is:
Depth of,-oiids:
Comment 3(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
Page 10 of 11
GFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 71 Kearsarge Lane,Centerville
Owner; Craigville Realty Trust
Date of Inspection: December 12,2003
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchira;-ks.Locate all wells within 100 feet.Locate where public water supply enters the building.
Kearsarge Lane
w15 .
AA y�
zz
1 A
r
Page 11 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 71 Kearsarge Lane,Centerville
Owner: Cralgville Realty Trust
Date of l nspection: December 12,2003
SITE f?s:AM
Slope None
Surface viater None
Check cellar Dry
Shallow wells None
Estimated depth to ground water: More than 10 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:
_X_Cib:,erved site(abutting property/observation hole within 150 feet of SAS)
C ieeked with local Board of Health-explain:
C iecked with local excavators, installers-(attach documentation)
A-.cessed USGS database-explain:
You muse:describe how you established the high ground water elevation:
Bottom of SAS considerably higher than low point to rear of property and abutting properties.
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WAY9 PAGE 0VER OT81 AT PLANTBOOK 220 PAGE 37,(THIS3L0 CONVEYS
DETAIL ABOVE
(N.T.S.) SUBDIVIDED TO CREATE LOCUS) TO LOT 2. THIS RIGHT OF WAY WAS AN EXISTING
lDRIVEWAY AND IS NOT SHOWN ON THIS PLAN. SEE ALSO PLAN BOOK 392 PAGE 34.
AM 225 - PcI 018-002 4.)ZONING INFORMATION: RD-1 (RESIDENTIAL) CONSULTANT
VINCENT B. LARGAY, ET UX. AM 225 - Pci 022
LOT 1A MARGARET RISK CAMPBELL 1985 TRUST CURRENT MINIMUM ZONING REQUIREMENTS
PLAN BOOK 392 PAGE 34 VARIOUS LOTS
PLAN BOOK 26 PAGE 113
63 KEARSARGE AVENUE
PLAN 527 PAGE 52 S-FOOT WIDE EASEMENT A/ PLAN BOOK 159 PAGE 123 AREA = 4.3,560 S.F.
\ rPLAN BOOK 392 PAGE 34 64 KEARSARGE AVENUE MIN. LOT FRONTAGE = 20'
2 6.5 LOT WIDTH = 125'
FRONT/SIDE YARD = 30'/10" PREPARED FOR :
/ \\� S 82-2,1�■ -\ � /� GAS CATE
5.) SITE BENCHMARK: ROD FOUND EL = 10.24 (NAVD88)
v PK NAIL Joseph L. *Inn, et ux
\ �` FND 2F 6.) A TIRE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE IF DETERMINED
BARNSTABLE WATER COMPANY _ _ / TO BE NECESSARY, A TITLE SEARCH SFWl BE PERFORMED BY OTHERS.
10-FOOT WIDE TAKING �4�
2 1 4.1
PLAN BOOK 39 PAGE 73 y i / 7.) TOPOGRAPHIC SURVEY DETAIL PERFORMED BY BARTER—NYE DNGMAMNG &
/ PLAN BOOK 72 PAGE 35 '� j I —�_ SURVEYING ON JUNE 2 AND JUNE 6, 2011. BUILDING DIMENSIONS AND
�N LOCATION APPROXIMATE - SCALED �� R"�� •�� -- / J OFFSETS TAKEN FROM WOODEN SIDING.
� M % o tER
41 DEED BOOK 468 PAGE 455 ""A -
20.4/ a N ( _ �� --- 8.) COMMUNITY PANEL NUMBER 250001 0008 D (TOWN OF BARNSTABLE)
00 �` �� / THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES B do C
Q Q ,' I y>� < WATER
a I A ,�� Q �� ;Su!jT-OFF OVERLAY DISTRICTS. AP
J
it) r) x1
O O / o ; I - /�: �� �\ wA.T Y 27.2 9.) ENVIRONMENTAL INFORMATION:
m m �, ','�� ' e t � �� '� METER �z • SITE IS NOT WITHIN AN A.C.EC. (AREA OF CRITICAL ENVIRONMENTAL CONCERN).
�,,,� •s �'/ `� I F �,s `�,' �Q r ,� • SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE
z z PROPOSED ADdllav +� `� Y PER NHESP MAP OCTOBER 1, 2010 "ESTIMATED FIAB"::A.S OF RATE
�iJ �� ��. H �. Icy Gq �Tj EXISTING WALL
a w - �� �� 'q��c Ins Y MANHOLE TO BE REMOVED WILDLIFE" FOR USE WITH THE MA WETLANDS PROTECTION ACT
WATER SERWM REGULATIONS (310 CMR 10).'
w � �p I 1 a • SITE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 1,
BENCHMARK: �� ypT 2� � F. EXISTING llli•� LJ
ROD FOUND �b 7, o e so. STRUCTURE 4Q 2010 'PRIORITY HAWATS OF RARE SPECIES■ FOR SPECIES UNDER THE
EL 10.24' AT
z� ROAD' / MAS'SACHUSETTS ENDANGERED SPECIES ACT, REGULATIONS (321 CMR10).
/ �/ o,
SIDELINE Cm
, �
NAvoss _ Q EXISTING WAILS TO BE ELEVATED, WE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP
,40, o F}i y `r y 3 SAVED AND RESET ON NEW FOUNDATION \ Q�Q�R 1, 2010 -CERTIFIED VERNAL POOLS.■ ' N
� 74NK �z•� C
S 82'S2'15• E '' �' / • SITE IS NOT WITHIN A STATE APPROVED ZONE II GROUND WATER
O
'� r 6j%c ST y d
w K Ci h ^7 p RECHARGE PROTECTION AREA �'
V \T 0 C J/ w S
P x l E i G A r MANHOLE Q, • SITE IS NOT WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESTUARY Q .,
p 1 y_ � IRRIGATION •�+
A1� hS 0 EP I� n IR ATIO ;,s _ CONTROL (BOH 360-45). 4
a �� P! c
o J i BOX i/ o w
� �. ON � �� AM 225 - Pcl 021 �
/ J OX '`, C c4 LILLIAN C. W00, REALTY TRUST 10.)UTILITY INFORMATION SHOWN HEREIN: _j L
3 �\ / 8 LOT A
UNRECORDED PLAN ~ cc C
BRUSH �. ` `. ` \�/ ' i PARTIALLY SHOWN: PLAN BOOK 159 PAGE 123 THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) F
' 1 ~ ' r.' �)/ 80 KEARSARGE AVENUE AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES, AT LEAST L a0
I 1 M E D PIT �► % ' 72 HOURS PRIOR TO THE START OF CONSTRUCTION. THE LOCATION OF 0CIO �
.,rlr,n� SF Y� ; , � i i y��,o n .
� � ,'• yF ; � v,�=, � FLAGPOLE I I EXISTING UNDERGROUND INFRASTRUCTURE, UTILITIES, CONDUITS AND w
Eti E C TR I c BEN �, � LINES ARE SHOWN IN AN APPROXIMATE WAY ONLY, AIRY NOT BE LIMITED Y +'
r ` a01 TO THOSE SHOWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THE m
f,�ET R SPIKE SET � \ ` O
EL - 11.05 \ `, AVAILABLE UTILITY RECORDS NOTED HEREON. THE CONTRACTOR AGREES r
NAVD$8 , \ T.o..W,EL!25 0 / v a
2 = TIC �', '. TO BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT
'� / BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE SAID
x 27.5 NOTE: INFRASTRUCTURE AND UTILITIES EXACTLY. IF FIELD CONDITIONS DIFFERS
ELEC.Toi,`.
FROM PLAN INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER
UP 208 Bnx �STO I ��° ` `, 24.9 z
CkgOF � A ���� `� ` �w� THIS PROJECT PROPOSES TO RAISE THE EXISTING STRUCTURE IMMEDIATELY FOR POSSIBLE REDESIGN.
S`A EEO ei \ \ \ Q /� CURRENTLY AT THIS SITE AND CONSTRUCT A NEW 8" �' O
���� X ,4 Q FOUNDATION UNDER THE EXISTING COTTAGE WITH PROPOSED cW cn
�� N 2�2' woo` erg 036s v � Q ADDInONS AS SHOWN ON THIS PLAN. WATER LINE SHOWN IS A COMBINATION OF LOCATED STRUCTURES AND Q a
15' A ok 5 Pq 1 , A INFORMATION RECEIVED FROM THE C—O—MM WATER DEPARTMENT (SERVICE 0
l \ \\ W 16Q 00' SE��EN7' 2 FA GE 5�. ` \\ \\ Q%/ c, THE EXISTING PORCH AND GARAGE WILL BE REMOVED PRIOR CARD C-525-0, DATED 912188). 23
'
TO FOUNDATION INSTALLATION AND REBUILT. � 0 �
/ O GATE `" •GAS LINE SHOWN AT LOCUS IS APPROXIMATE AS PER NATIONAL GRID MAP z w
L UTILITY EASEMENT 1 SO2714. GAS METER WAS LOCATED BY BAXTER NYE ENGINEERING do SURVEYING. o �
o �'' •„ DEED BOOK 10,425 PAGES 245 - 247 h LO.W. EL 21.0 /
/ \� • NSTAR ELECTRIC MAP AND EVIL DATED §12111, INDICATES THAT THE SECONDARY
CN
AM 225 - PcI 017 �/GE� WIRE ENDS AT POLE 208/5 AND THE SERVICE FOR HOUSE 171 IS FED UNDERGROUND �N w
ELIZABETH A. LIGUORI PROPOSED RETAINING WALL FROM
OFF AHAND—HOLE FRO POLE 208/7 ALONG WITH SEVERAL OTHER SERVICES COMING � M Q
LOT 2 OFF THE SAME POLE.
PLAN BOOK 220 PAGE 37 C
a PLAN BOOK 523 PAGE 47 �'�, 5' OVERDIG
95 KEARSARGE AVENUE $! SEE CONSTRUC NOTE /5, SPIFFY SP-2APPROXIMATE
3 3 r
M ` INSPECTION COMPONENTS
5-07N 6 I WHICH SHOWS A TO TANK PPROMA OVER ONLY, DOES m
"to � \` \ NOT SPECIFY SWING TIES TO OTHER COMPONENTS. THEREFORE LOCATION OF PIT IS "' Z
MAP 225/PARCEL 01 S '�F_ '
ASSUMED AS NOTED ON SKETCH. ACTUAL LOCATION OF ALL COMPONENTS SHOULD BE
N LOT 1 B 527/5'
\\ VERIFIED PRIOR TO COMMENCING WORK AT THIS PROPERTY. LOCATION OF EXISTING SEPTIC SHEET TITLE
N 20,000 SO. PT. + G
\0 4h ACRES
FIELD VERIFIED JUNE 27, 2012. Septic System
r\ + \�
0
d, COMCAST COMES IN FROM BEHIND f 71 KEARSARGE AVENUE. COMCAST HAS NO DESIGN
3 \\ GOING DOWN KEARSARGE AVENUE. PER GENE U09, PROJECT COORDINATOR, OUTSIDE PLANT Upgrade Plan
S. YARMOUTH, MA., 20664, VIA E—MAIL DATED JUNE 3, 2011.
SHEET NO
o
• VERIZON INDICATES NO CONDUIT FOR KEARSARGE AVENUE VA E-MAIL DATED JUNE 3, 2011.
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BAXTER NYE !X1 f:
ENGINEERING &
SURVEYING w
Registered Professional Engineers ""`' y
and Land Surveyors1 -
TYPICAL SYSTEM PROFILE 78 North Street - 3rd Floor w
NOT TO SCALE Hyannis, Massachusetts 02601
Phone - (508) 771-7502
Fax - (508) 771-7622 �-
www.boxter-nye.com !'
SET MANHOLE COVER TO wRFIIN 6' OF FINW GRADE
TOP OF FOI,*&TiON = 27.3t SET AT LEAST ONE MANHOLE FRAME RISER do COVER SWILL BE WA7ERTIGi1T
STAMP S T A M P
& COVER TO TIM 6' OF FINISH GRADE W
RISERS & COVERS SWILL BE WATER`IX*ff
OF
FINISH GRADE - 16.0t Mq�sgc
(FINISH GRADE - 16.5f Sow EP Eh] tin
m
INSPECTION PORT TO -'
3' MN. FUM GRADE OVER N� 30296 `�
LE40IPI�` TRENCH = 17.Of 3' BELOW GRADE o �NSTER�p
23 lF»4 SCH 40 M OS=2.0X
BASEMEN SLAB = 18.3t 6' MM. ' SCH 40 PVC OS=2.0X S G
10' MIN. FIRST 2 BE LEVEL 9" (min) Cover S/ONAL
NV IN- 13.9 OUT= 13.6
PVC z 2' F;'�• 40 PVC 2"Layer 1/8"to1/2"36" (max) Cover
GAS BAFFLE MV IN=13.5 ,:• !7 Ll�L
gr4' H 40 PVC 6' SUMP . OUT-13.3 4" Peastone or Filter FabricCONSULTANT
PVC
UT = 14.9 14'
REINFORCED CONCRETE ` •
-77777-777
6' CRUSFIED
INV IN-13.2
l:OWATION WALK OUT STONE BASE
CONSULTANT
1600 GALLON SEPTIC TAP(( IDOSTNV(>71 DIS I FBLnM BOX
SHOREY 00-3 OR EQUAL BOTTOM OF SYSTEM - 11. 5' MIN
TO BE NSTALLED ON A LEVEL STABLE BASE
No Groundwater Observed O Elev. 4.0
LEACHNG CHAMBERS PREPARED FOR :
(Cuftec Recharger 330XL or equal)
Joseph L. Winn, et ux
SOL LOOS 151648 DATE ' 06/01/12 LEACHING AREA REQUIREINENTS CONTRWTM NOTE&
BARNSTABLE
SOIL EVALUATOR: BOARD OF HEALTH AGENT: RESIDENTIAL- 5 BEDROOMS 1• ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH
TIRE V OF THE STATE SANITARY CODE DATED APRIL 21, 2006, AS AMENDED
3/4"-1-1/2" STEVE WILSON, P.E. DONALD R. DESMARAIS x 110 GEQ/BEDROOM THROUGH THE DATE OF THIS PLAN, do ANY LOCAL RULES do REGULATIONS
TOTAL DESIGN FLOW = 550 GPD APPLICABLE.
DOUBLE WASHED STONE TEST PIT 1 TEST PIT 2 GARBAGE GRINDER (NOT INCLUDED) = N/A
DIST. LINE IN 6 - C TEC RECfIARGER 3 OXL 4' 12' " G.S.E. = 14.0t G.S.E. = 15.0f 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE C4
PERC RATE = <2 MIN. / INCH (CLASS 1) ENGINEER. ELEVATION INFORMATION MUST NOT BE CHANGED WITHOUT WRITTEN m
SAND FILL SAND FILL LIAR = 0.74 GPD/S.F. PRIOR APPROVAL BY THE ENGINEER. N
" 12' WIN, LEACHING AREA OF SAS, REQUIRED: O
8 550 GPD/ 0.74 GPD/S.F. = 744 S.F. MIN. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, NOTIFY THE >
4' 48' 4' Ap ; 10YR 3/2; LOAMY SAND Ap ; 10YR 2 2; LOAMY SAND PROPOSED SYSTEM:
BOARD OF HEALTH AGENT AND ENGINEER FOR INSPECTION. Q
50' 110 16" 6 - CULTEC 330XL LEACHING CHAMBERS 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4" SCHEDULE 40 PVC. m
PLAN SEW B ; 10YR 5/4; LOAMY SAND WITH 4' OF STONE ON SIDES, 4' OF STONE AT ENDS UNLESS OTHERWISE NOTED HEREIN. W O
B ; IOYR 4/3; LOAMY SAND a
NOT TO SCALE SIDEINALL AREA: (50' + 12')2 x 2' DEPTH = 248 SF � >` co
24" 24" BOTTOM AREA: (50' x 12') 600 SF 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE "C HORIZON" , FOR A ~ G
TOTAL EFFECTIVE LEACHING AREA = 848 SF
HORIZ. DISTANCE OF 5' SURROUNDING THE LEACHING FIELD, AND REPLACE L G
C1 IOYR 6/3; MED. SAND C1 IOYR 6/3; MED. SAND 42" SYSTEM DESIGN CAPACITY = 848 SF x 0.74 GPD/SF = 627 GPD WITH CLEAN SAND PER 310 CMR 15.255 TO THE TOP ELEVATION OF THE SAS. CU �
PERC TEST w m =
11-60* SEPTIC TANK SIZING: SINGLE COMPARTMENT=440 GPD x 200% = 880 GAL 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3'
12' 60• 72" USE EXISTING 1500 GALLON TANK OF COVER. o
FINISHED GRADE C2 ; 7.5YR 4/4 ; MED. SAND C2 ; 7.5YR 4/4 ; MED. SAND W
7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GARBAGE GRINDER a 3
" " I \\j\\j\\j\\j\\j\\j\\j\\j\\j\\j\\/\\/\\/\\/ COMPACTED FILL " DISPOSALS.
36 MAX.-9 MIN. //\//\\//\\//\//\\//\\//\\//\\//\\//\�/ //\\//\\//\/ 120" 126 DESIGN 8CI�lLE ELEVATION
2" OF PEA STONE NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED TOP OF FOUNDATION 8. CAUTION: THE CONTRACTOR SHALL CONTACT DIG SAFE (AT �
OR FILTER FABRIC 314" TO 1 1/2 27.3 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES, Z
A EL 4.0 A EL 5.0 BASEMENT FLOOR SLAB 18.3 AT LEAST 72 HOURS BEFORE THE START OF CONSTRUCTION. THE CONTRACTOR o
30.5" DOUBLE
SEWER INVERT AT HOUSE 14•9 SHALL DETERMINE THE EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY,
2' EFFECTIVE DEPTH WASHED STONE OF ALL EXISTING UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION W U 0-
SEWER INVERT INTO SEPTIC TANK EXISTING 13.9 OF EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE WAY v
4' 4' F 4' SEWER INVERT OUT OF SEPTIC TANK EXISTING 13.6 ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND HAVE NOT BEEN N
I CERTIFY THAT IN APRIL 1995, 1 HAVE PASSED THE SOIL EVALUATOR EXAMINATION APPROVED BY THE SEINER INVERT INTO DISTRIBUTION BOX 13 5 INDEPENDENTLY VERIFIED BY THE OWNER OR ITS REPRESENTATIVE. THE z W W
DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE ANALYSIS WAS (PERFORMED BY ME SEWER INVERT OUT OF DISTRIBUTION BOX 13.3 CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES o o
SECTION CONSISTENT WITH THE REQUIRED TRAINING„ EXPERTISE AND EXPERIENCE DESCRIBED IN 310 CMR 15.017 SEINER INVERT INTO LEACHING CHAMBER 13.2 WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE g Cr
UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN
.� PLASTIC LEACHNG CHAMBER DETAIL SIGNATURE r% _ DATE ��� l Z�/Z BOTTOM OF LEACHING CHAMBER 11.2 INFORMATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR w
N) GROUNDWATER OBSERVED TO ELEVATION 4, POSSIBLE REDESIGN. AT UTILITY CROSSINGS, VERIFY IN FIELD THE LOCATION
CULTEC NO SCALE EQUAL INVERTS OF ELECTRIC, GAS, TELEPHONE & DATA/COMM AND RELOCATE IF / 00 o
a CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE ; ;
o }
CONTRACTOR SHALL PRESERVE ALL UNDERGROUND UTILITIES AS REQUIRED. m
00
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'" 9. THE PROPOSED UTILITY CONNECTIONS SHOWN HEREON ARE SCHEMATIC. N z
FINAL LAYOUT SHALL BE AS DETERMINED BY THE APPROPRIATE UTILITY SHEET TITLE
C) COMPANY.
0`0 10. PRIOR TO START OF CONSTRUCTION A SECOND PERC TEST SHALL BE Septic System
3CONDUCTED.
Upgrade Plan
o9 SHEET NO
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j GIs-527 71 KEARSARGE AVE
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WEST HYANNISPORT, MA 02672
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'1 DRAWING TITLE:
ia SITE PLAN
�D PROJECT MANAGER PROJECT NUMBER
Brendan T. O'Donoghue Project ID
DRAWN BY. SCALE:
BTOD 1/4"=1'-0"
REVIEWED BY: DRAWING NUMBER7-7
BTOD
DATE:
\ ro.18.11
CAD RLE NAME: .
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