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0010 LIAM LANE - Health
10 LIAM LANE, CENTERVILLE A=157-016.022 1 Vi Commonwealth of Massachusetts r= - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 3; . :: 10 LIAM LANE •,� Property Address f11 MARKEN FAMILY TRUST ;=t Owner Owner's Name r information is {; required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection } r°1 Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information (a f on the computer, JR use only the tab OHN P GRACI S key to move your Name of Inspector cursor-do not GRACI SEPTIC INSPECTIONS LLC use the return Company Name key. BOX 2119 ,h Company Address TEATICKET MA 02536 City/Town State Zip Code 508-548-7500 S1468 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 16.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evalu ton by the Local Approving Authority 4. ❑ Fails 03/09/2019 Inspector's Signature Date The system inspectors II submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)withi 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, t e inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 Commonwealth of Massachusetts U Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: SEPTIC SYSTEM PASSES TITLE 5 AT TIME OF INSPECTION 2) 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. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial 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 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. ❑ Y ❑ N ❑ ND (Explain below): NA t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form IV-,' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): NA ❑ The system required pumping more than 4 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(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): NA 3) Further Evaluation is Required by the Board of Health: ❑ Conditions 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. a. System will pass unless Board of Health determines in accordance with 310 CHAR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Di posal System•Page 3 of 18 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (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: NA **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent 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 form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: 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 clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts M Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) 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. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 I i Commonwealth of Massachusetts y P Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes"or"no"for each of the following for all inspections: 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? 0, N 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? ® ❑ Were as built plans of the system obtained and examined? (if they werd 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? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered opened, and the interior of the tank p p inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the 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: ® ❑ 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) [310 CMR 15.302(5)] t5insp.doc•rev.7/2612018 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: SEE ATTACHED COMPLIANCE . Number of current residents: VACANT Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: NA Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d TOWN 9 ( Y 9 (gP ))� Detail: 2018-45,000 2017-25,000 Sump pump? ❑ Yes ® No Last date of occupancy: SEPTEMBER 2018 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/industrial Flow Conditions: Type of Establishment: NA Design flow(based on 310 CMR 15.203): NA canons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): NA Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: NA Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: NA Last date of occupancy/use: NA Date Other(describe below): NA 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: NA gallons How was quantity pumped determined? NA Reason for pumping: NA t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts _ Title 5 Official Inspection Form t Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of 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)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): NA Approximate age of all components, date installed (if known)and source of information: 201-I-IIr7- Were sewage odors detected when arriving at the site? ❑ Yes ❑ No 5. Building Sewer(locate on site plan): Depth below grade: 20"feet Material of construction: ❑ cast iron ®40 PVC 40 PVC . ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): 1000 GALLON SEPTIC TANK. APPEARS FUNCTIONING PROPERLY AT TIME OF INSPECTION. UNABLE TO INSPECT UNDER NORMAL USAGE. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1411 feet Material of construction: ®concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) SEPTIC TANK IS CONSTRUCTED OF CONCRETE. If tank is metal, list age: NA years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 GALLON Sludge depth: 10" Distance from top of sludge to bottom of outlet tee or baffle 24" Scum thickness 6" Distance from.top of scum to top of outlet tee or baffle 1 Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1000 GALLON SEPTIC TANK APPEARS TO BE FUNCTIONING PROPERLY. UNABLE TO INSPECT UNDER NORMAL USAGE. RECOMMEND PUMPING SEPTIC TANK NOW AND EVERY YEAR. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: NA feet Material of construction: ❑concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: NA Scum thickness NA Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA Date of last pumping: NA Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): NA 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: NA Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): NA Dimensions: NA Capacity: NA gallons Design Flow: NA gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .�� 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: NA Alarm in working order: ❑ Yes ❑ No Date of last pumping: NA Date Comments(condition of alarm and float switches, etc.): NA "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert BOTTOM OF PIPE 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.): DISTRIBUTION BOX APPEARS TO BE FUNCTIONING PROPERLY AT TIME OF INSPECTION. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): NA * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: NA Type: ❑ leaching pits number: NA ❑ leaching chambers number: NA ❑ leaching galleries number: NA ® leaching trenches number, length: 2-32 ❑ leaching fields number, dimensions: NA ❑ overflow cesspool number: NA ❑ innovative/alternative system Type/name of technology. NA t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 1.1. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 2-32' LEACH TRENCHES WERE VIDEO INSPECTED EACH TRENCH WAS EMPTY AT TIME OF INSPECTION. RECOMMEND ADDING A BULL RUN VALVE AND CONNECTING SYSTEM FROM 1999 THAT STILL IS IN EXSISTANCE JUST NOT CONNECTED. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth—top of liquid to inlet invert NA Depth of solids layer NA Depth of scum layer NA Dimensions of cesspool NA Materials of construction NA Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): NA t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: NA Dimensions NA Depth of solids NA Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): NA t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ` Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately ,41- 22 131- 32� A2- 21 62- 50 A3- 33 133- 0-1 12- C3- 5fo 32�L AC{-DING 1 O — Ibb06 TREW-A SOX 2 O TAmi- �- d �n mct na) TREt�t-f nw SYSfEm NOT C�NNEC1'�D ,fltscon DBD>L �' yA-33 � e 4 5— 40 LIAM t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts _ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �9W-,� 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 10+ FEET feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ 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: HAND AUGER. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts : Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 10 LIAM LANE Property Address MARKEN FAMILY TRUST Owner Owner's Name information is required for every CENTERVILLE MA 02632 03/09/2019 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Page 1 of 1 TOWN OF BARN, LOCATION J C r ✓�2 .... _.. :ASSESSOR' INSTALLER'S NAME&PHQNE NO: . tl6' SEPTIQ.- AN 'CAPACITY` I ,doo 32 LEACHING FA.CII;ITY: (_type) 2 _ . NO..OF BEDROOMS! EERMIT DATE Z` / CONIRL Separation Distance Between the:. Ivlaximu pi Adjusted Groundwater Table to:the Bottom of Ls Private'Water`Supply Well and Leaching Facility((f any wt ri, site or�nthui 26.0-feet:of leaching facility) Edge u-Wetland and Leaching Facility(If any wetlandss"Oki 300,feet of leacing facility] FURNISHED BY' IV_ 2. :I http://issgl2/intranet/propdata/asbuilt.aspx?mappar=167016022&seq=2 3/11/2019 AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION _ l D_- ,1�t 1;1�7 IF A SEWAGE VEU AGE nvn lnrei.L/ & ASSESSOR'S MAP 8 INSTALLER'S NAME dt PHONE NO. SEPTIC TANK CAPACITY _ S—o Q LEACH NG FACILTIY: (type) Z.;V 2�2 L 7-/Z f rtt,4e_' NO.OF BEDROOMS r FOR OWNER PERMIT DATE: //I—��9IF—COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility _ Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) _ Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Furnished by zyO*Z2 i Itt"- V- A1 3 3 L ZIl http://issgl2/intranet/propdata/prebuilt.aspx?mappar=167016022&seq=1 3/11/2019 TOWN OF BARNSTABLE LOCATION Id �r�✓n 1,--"' SEWAGE# -VILLAGE 6ei4 f trf e ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. of��°'� 061 SEPTIC TANK CAPACITY Low LEACHING FACILITY:(type) 2 "17 f 'f f4IC t (size) 321:71}C zr NO.OF BEDROOMS 3 1'`r*49e- ' & '45 { OWNER 3�-e-"C A-, 69,`ZZ�'T► PERMIT DATE: 57- L Z —/,7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /10 f 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 �fee f���z �a�.� \ Y/ 3L � �©t � �3 �� �� 7a (� z2� No. ri6I17 — l V�L Fee t0Q, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:—Alt<_ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppliLatlon for Misposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair(✓U__pg��r""ad��e''..( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /Q 4 J C-1. L,U dry 18� Owner's Name,Address,and Tel.No. rj+V V e- i 2;?e..f!t f Assessor's Map/Parcel /,6 7-0/6 "D 22 Gnu 6 l0 L�`Awn 1'4/ t`tr vaIl t PWif Installer's Name,Address,and Tel.No. aj a,-o✓`� Designer's Name,Address,and Tel. Type of Building: Dwelling No.of Bedrooms 13 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 O gpd Design flow provided .341 . 1 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank 1600 Type of S.A.S. ���t/t.�4 � 10"Pe Description of Soil Nature of Repairs or Alterations(Answer when applicable) /D Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 2 Application Approved by P—t00, ` ` Date a.� ( —7 Application Disapproved by Date for the following reasons Permit No. '.Q i, �� _ Date Issued No. � b O f � �L Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: x PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for VstJ08�8tpm Construction Permit �p Application for a Permit to Construct( ) Repair(-}Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No.S�-e V B Assessor's Map/Parcel 7-4V4 Installer's Name,Address,and Tel.No. c>v,o Designer's Name,Address,and Tel.No. p��`n t-f/ tN� o f•(s ,lr�c G,-, ✓ a O t C.;/, 1f' J�,w �k ( 1 o 4-1k `,os� /4-�L'�R✓ 12 Fr9 v G > � / Type of Building: 13 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow(min.required) 3.3 O gpd Design flow provided .361 . 1 gpd Plan Date Number of sheets Revision Date Title', Size of Septic Tank 1600 Type-of-S. .S- reZ-1_/e.,f,_-J ' Description of Soil Nature of Repairs or Alterations(Answer when applicable) Gc.y,j w a '_'� 2 / f rc N c e 5^f f F,`�Y ✓t .S f k-�' Date last inspected: Agreement: y The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date K Application Approved by os— Date Application Disapproved by Date for the following reasons Permit No. o — ( f/ Date Issued --------------------------------------------------------------------------------------------------------------------------------------- r 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 0,-/9 (�yo,o �e,a-�/ G� rdC 0/'e,_,t, Z L L r✓7 �/ C ti✓� T�^�✓� f C�' has been constructed in accordance at �(� with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer ���•�u o n' o I'd \Z)!c4 itft- Designer A5,n Ci10,e 1✓1 #bedrooms 3 Approved design flow 3 D gpd The issuance of this permit shal not be c strued as a guarantee that the syste wwill func signed. Date S�a� /� Inspector / --------------------------------------------------------------------------------------------------------------------------------------- No oL 0t l G Fee ( (� THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair(11� Upgrade( ) Abandon( ) System located at �� G C�r� ✓�/ ef e4 --y✓�r//-e and as described in the above Application for Disposal System.Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date Approved byL i y '�'q�wn ���,Baxd�s�aleW oFrt+a r � >,Sca�c, �tterun.Director _, ..... QY' S �pA��s9 •�'ubi�� Health - rFor�°'';, ;" "T'hor�as,:1TcKean, Director • 2(1Q Mann Street,H�an222s;YTAQ2.,`"�(il�. •Office.>dq 86 :r4,644 I"nstaIIer&Desa ner Cert ttcat1bh F0, Date; � 3=1 Se�Yage 1?er rnxt# Assessor's Niap.\Iarcel 1- vx7 .,. C5 c :. D@s gne► � f�+ee��n y We ,-its r C t installer:: �� ) AdctTess 12 U��.C*�sse � RA Rcldr�ss tc ��sc� q On_ � r as da p a' w ssue �2 rl»t Ito ailstall {rite (arstallr} scpttc system�t t3 v�i l� ,n-c °tiA�t►�"tla basEr;<-on>a rtsii1 dsiwkil n (1dr(ressj; Z�-t lA 1 certify that the sejttc systcrra.referenced abvc ��Jas nstailcd su,trstantia�ky acodar�g.to thG dcstgh, W11"icla nay it�ct�t 1e ixiinor�� rn.�red Chan "es suclx s,t�tteral re(ocatao� of tl�e PP cyst ab anon hax anc nor septac:tank Ship nut (if iecj iacecf} was tnspe�ted and'tlie soiJa; Wel'fo fpu�.�:SatlSfiacti7]'y, ; I certIEy that tiyc septac syJ. strrn tcfctc aced abawe was t stabled wit1 n�afot c".j (Lc gteatecrythan�1.0 Iteta t�cpattorfof the SAS or any vettcaf retocatort o ai�ykcc� ponent °of thexseptcystetn`}belt tt� acccatc(ance v!a#hFStatc Local ReuYattort flan>estop or cerhfa" d as.i?utlt�y destg-n to fra1la i Stapp o r tf tequz►ed=�was inspected ndF lie soils, �YVC2�;fOU21Cd satasfact�irv; , cet ttfy t�7at'll�e system t c tca encecl abav was ectns'ta`�►ce nce vttlr:ttfc terns -"Alf......A appic,�uarlette (if appi'i'cable) � � #'t /r cWit: (Iastal(er's Sts�� atut )M :" 't . , t1x pestgret F... xainp In EAS°.E'MT U 12 a"V<TO .BATV ST A l L aum mIALTI3 k DT 0 SION..�Cli2TIF CATS: -OF COtMP.LIAI\;GE WILL. NflT, :.B T.SS.CIEll• C�NTIL BOTH`:THIS V'M AND AS-: }3C7IL :CARD A REC I ! D.BX THE"BAIRNS T"A$I E P,IJD"LICIE ALTH llI C ISIGN �Ti�iANK Y,+4U.; �Se 4icfi`bcsi cr.Ccrttfctinan Foaii.R4� 8 1;# 13 dnc. a i I THE Towns of Barnstable Pit_� J ; Department of Regulatory Services Pubiicl!Health Division _ ruxrtsTee[.e. : OIl Date MA88 ,a 200 Mairi Street,Hyannis MA 02601 rEo ttn't� a �I Date Scheduled //1 I� Time . Fee I'd_. 1 IC.' C - it - ' ! Soil Suitability Assessment for Selvage Disposal Performed By: `i �- _� ti• 1_j y z Witnessed By:_ i LOCATION & GENERAL INFORMATIONC — � 1 Location Address 11 ii 1 C,? h i c'\ "1 -�a t Owner's Name Address .7 Assessor's Map/Parcel: / r <.u� , •�rp OVA A rI r(�,`� �� ( 6�" �- Engineer's Name—, }n;i^.C�l•.v�-i1_.�:� 7(�..,1`::d�-�c t•1,� I NEW CONSTRUCTION REPAIR _'.> Tele hone# 5 P aL " ��7�70_`_, Land Use Slopes(%) (���- Surface Stones V.— Le-Distances from: Open Water Body ft Possjble Wet Area —ft Drinking Water WellZ ft Drainage Way 4 � ft Prop erty L`n�3d� (ft Other ft I — SRETCH:(Street name,dimensions of lot,exact locati!ns of test holes&perc tests,locate wetlands in proximity to holes) 3 J t � ram-. >� .. 0 cal-t��,v �► �/� Parent material(geologic) Depth to Bedrock T 'van \ Depth to Groundwater: Standing Water in Hole: pu=eN-t, Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SE JSONAL HIGH WATER TALlLE 5 Method Used: _ Depth Observed standing in obs.hole: Y in, Depth to soil mottles: Depth to weeping from side of obs.hole: 1, In, Groundwater Adjustment Index Well# Reading Date:_-- Index Well level, , ,� Adj,factor—. Adj,Orwindwuter U�vel PERCOL TI0 "EST butt Time Observation ,i Hole# Time at 9" Depth of Perc P Time at 6" _ Start Pre-soak Time @ �. ��.6 Time(9"-6") J[y �Z ` End Pre-soak f/ 1 I RateMin,/Irtch. < 7i t to /N - ii Site Suitability Assessment: Site Passed�",5� Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back --- ------ i �i ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least ongi (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC I>EEP.OBSERVATION HOLD1 LOG Hole# 1 Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) �(Munsell) Mottling (Structure,Stones;Boulders, Consistency,% ravel — I I ])EEP OBSERVATION HOLE LOG Hole# '�- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% ravel) _ - 13�� C— l�� • 1 Z;s"(��� L_ .t w llEEP OBSERVATION HOLt LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) I(Munsell) Mottling (Structure,Stones,Boulders. Consistency.cy.%Caravel) -- ]DI;E.P O BSERVATION•HOtE LOG. mole# . r Soil Other x for Horizon Soil Texture •. • Soil Co Depth from 'Soil = Surface(in.) (USDA) '(Munsell) Mottling (Structure,Stones,Boulders. Consi ten ° I - -- Flood Insurance Rate Mat Above y boundary 5O0 year flood bounda No _ Yes< a Within 500 year i>oundary Nc Yes ' Within 100 year flood boundary No Yes Depth of lYatural_ly—Gccu.rring Pervious Material 1 Does at least four feet of naturally occurring pervious'1material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what:is the depth of naturally occurring pprviouls material? i Certification I certify that on 1 L`�4_� (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 tmirri ,expertise and experience descril;ed in 310 CMR 15.017, t tf / Date Signature Q:\S.EPT1aPLRCPORM-DOC: TOWN OF BARNSTABLE LOCATION 1,d L �3lYI R-A - SEWAGE # 9 7 -1-7 •VILLAGE , f1` ASSESSOR'S MAP LO �� INSTALLER'S NAME&PHONE NO. ±Z/�&- S`�/7�/r' 2 2 e 0 SEPTIC TANK CAPACITY IX-10 0 LEACHING FACILITY: (type) 1ti, (size) NO.OF BEDROOMS BIUM-HERr 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 on site or within 200 feet of leaching facility) Feet Edge of Wedand and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ® Feet Furnished byi /,�i �!'� l A l 1?3 . Y � 9 Gj �� No. ( ! —[/ /7r Fee 1 " THE COMMONWEALTH OFKMASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYicatton for Digpoml *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System *V�ndividual Components Location Address or Lot No. 1 O U&m Jk4P. Owner's Name,Address and Tel.No. �Iv' V p1IV�� Assessor's Map/Parcel f�� O i1e` O a;-a, Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 'r Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures U Design Flow gallons per day. Calculated daily flow 3,"n gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank lF . cr— Type of S.A.S. V-f I VCaDGa Description of Soil I t�56(61�h Nature of Repairs or Alterations(Answer when applicable) .77:r-- &-Lcn� D--ek1 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 bee y Q Signed Date ` L Application Approved by Date Application Disapproved for the following reasons Permit No. 7 Date Issued y—7,.9 �.No. �� !' � Fee _e q THE COMMONWEAQFI OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication for Migogal *pgtem Congtructiou Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System'NSUdividual Components `1A1(y� k. Owner's Name,Address and Tel.No. Location Address or Lot No. ® - N�`r' y� Assessor's Map/Paz Ce vvy cel i��„ ��J �N t T�•� Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �r 6 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3W gallons per day. Calculated daily flow ��� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank F7C ► F y iCrx'2 Type of S.A.S. 4t t. V"C", c Description of Soil Nature of Repairs or Alterations(Answer when applicable) - Q.. 1 rAlt �—ec� -D � v 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 bbenassudby Ball i1— ``'' Signed Date 7'_7,5 _ Application Approved by mrz O&VO Date 'Y" Application Disapproved for the following reasons - I ' PermilNo. 7 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(t� Abandoned( )by t 1 .._C W 0t-_ 54_v at k� G'►A VA ( L i77f X- (Z 0, "has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer f;,4 l?.4 ��S Designer The issuance of s permit shall_not-be construed as a guarantee that the smtem will functio p as Oesigne�. Date Inspector ------------------------------------�--/�-- No. �� Fee 016--0 Z Z THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS lwigogaf *pgtem Cougtructiou Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at (� 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 be completed within three years of the date of th' rmit. Date:_ q q � . y�� // /� Approved by 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I���`O� S�-✓ hereby certify that the application for disposal works construction permit signed by me dated -1 —Cfl concerning the property located at 10 meets all of the following criteria: V• The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. (,14/There are no wetlands within 100 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change in use proposed There are no variances requested or needed. ZThe bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S.will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation Y40.d +the MAX.High G.W. Adjustment 1 C '" = i DIFFERENCE BETWEEN A and B �G SIGNED : A DATE: [Sketch proposed p of system on back]. q:health folder:cent d Mom• I f P �, G D 11 L O CAT ION SEWAGE PERMIT NO. VILLAGE INSTA WLMS NAME i ADDRESS Rac 1 1 s � l BUILDER OR OWNER P / DATE PERMIT ISSUED DATE COMPLIANCE ISSU /a-J��✓ - - - - - � i � �� �� -1 "'.`��, r,��� Fi$.3.3 '............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TO1-1.. ........oF... ... ... ,............................ .� ltr�a#i�an for Uhipvii al Workii Tnn,itrnrtinn trntit Application is hereby made fora Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . /' .........�:Z'.4.......... - ------ Location-Address" , or Lot No. ......................-..... .......... - -5=e--Li---- Owner Address a ----------•------------------ t t s_.e__�l<_... -- ---------------------------------------------•------- � Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.........��?•---_---•---••-•••--______-Expansion Attic fled Garbage Grinder aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) P4Other fixtures ------------------------•--------------------------------•--•-•---•••------••-----•-•---••-----•--•--•••---•-••---.........-•--...-•------....... W Design Flow..............3-5_................gallons per person per day. Total daily flow____-•_--.__.... .............gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.._................. Total leachingarea-------.............s ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank .--G / aPercolation Test Results Performed by---------------- �?_/4/ .-s...�f!�- Date.......... Test Pit No. 1••----...S.minutes per inch Depth of Test Pit ff Depth to ground water.. �0�� f=, Test Pit No. 2___ ..minutes per inch Depth of Test Pit.......`. epth to ground water-___-__ // / r� S O Description of Soil......................................... -�..1.. -----••-•---• -............... ........... ........G -- 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 iIT,U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed by the boar f health. Si . ed-•---••-_... .._......--•--• • ---..................................... _. .. Z Application Approved B - --= ------ ----•---------------•-•----••------•---......_...._.._.......-----•----•-- ^.� / -- •-- .......................... Date Application Disappr e r the following reasons---- ---------.........................----•-----------------------------------••......••--••--•-••---......._ ------.................. ......................................... Date PermitNo......................................................... Issued_....................................................... Date Nb !n ;Z W .................... THE COMMONWEALTH OF MASSACHUSETTS • BOARD OF HEALTH F........43,,... ..........0 �" 'W , _f ........................ Allpfirativit for Disposal Works Tomitrurtion ranfit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: /--" .......... ......... ................ ................. ..................... . ................... ............................... ......... Location-Address or, Lot ............................ ... ...... ....................... Z................ ------ Owner ;V — Address .................................. 5......... ...... ....................... < ...1=...................................................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......... ................................Expansion Attic Garbage Grinder a Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures ........................................... ......................................................................................................... Design Flow.............. ...gallons per person per day. Total daily flow................. W ------------------ ................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width..............._ Diameter--------_------ Depth....._...._..... Disposal Trench—No..................... Width............._...... Total Length___................. Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.._........._....... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank .... .... Percolation Test Results _ Performed by....... - C-). . --- Date.......... Test Pit No. 1..�.Lminutes per inch Depth of Test Pit-----1 ..4�... Depth to ground water Test Pit No. 2.._-7V,,',",4'_minutes per inch Depth of Test Pit.......L4--Depth to ground water_._... . . ................................................. / ...................... /...... ....................... 0 41."'"------------------*--------- 0,Description of Soil......................................... �'r.............. ....... ..................*-------- ........ . U ..........................................................................V ... ................................. ... .............. W �� �W t,'i I W,- :3� ......................................................................................................................................................................... ............................. 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'T=4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board-of health. Al ............................. ....4......... Sigfied........... ApplicationApproved B?.. . .................... .................................................. ................... Date Application Disapp� ve �rthe following reasons:................................................................................................................ ................................ ------------------*------------------*--------------------------------------------------------------------------------------------------------------*----------- Date PermitNo.......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... .... OF.............. .............................................. (Intifiratr J�a� THIS IS TO CERTIFY, That the I Ividual Sewage Disposal System constructed,.('{) or Repaired by-------------_- ....... ......................................................................................................................... Installer has been installed in at.............................. .......................... - -------Z�........... a�c .. ............ Z'-----------*"*------------- cordance with the provisions of TITLE ' f The State Sanitary Coy a'V_ described in the application for Disposal Works Construction Permit ................ dated--- - ------ -- --- ----- . .. ............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI ACTORY. ... DATE...............................................2.7 Y6........ ....... Inspector...........Pt ..A.Ce........................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH X V 44� ......OF................ Apr'... ........ . ...... .No.. .............. FEFJ ....... i0toposal Workii 0-FaInstruction rautit Permon is hereby granted........................ ........ .........• .......................... to Construct'(--b-or Repair an Individual Sewage Disposal System atNo................................. -------I.......f.... ... Street as shown on the application for Disposal Works Construction Permit No. �_-'.�o DatedA. . ......*.. .................. .I ..I ......................................................................................................... DATE---- .............................................. Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS (-0 : OD FT ( J./DC In Cl/5L/G\\ t OFM,�s� .U� s8o� 95 vc, h� SU LOT .for / ��� J, D' i LOT 7 a _ � r� 00,0 -5.F. 20 + r 30' FS.B. O � LK��I/Nr1GC � � �' C1 10' S g �_ s.'B. , L o-r B LEGEND f EXISTING SPOT ELEVATION OxO �P�1r� Al4s CERTIFIED PLOT PLAN 4 EXISTING CONTOUR -- 0 _.•— �� ;; �_. ,c, ,;,,.. ;.y ��-c: FINISHED ' SPOT ELEVATION g ALBER PMIISHED CONTOUR 0 p No.10951 q�1/� IN A"ROVED, BOARD OF HEALTHall jCATE AGENT SCALES _ O ` DATE, tU- TQrpVE ENG/NEERme CQ /N 4 CLIENT I CERTIFY THAT THE PROPOSED MOISTER REGiSTLqIED JOB NO. �2 `� BUILDING SHOWN ON THIS PLAN CIVIL LAND „ r CONFORMS TO THE ZONING LAWS V DR. OF BARNST LEA/� MASS. 7f2 MAl N STREET . CH. BYE, ✓ 7: �,-rrt' MYANN I S, MASS. SNEET_L OF DATE ,,REG. LAND SURVEYOR 20 FT. M/N- ,• N07E /F E/TNER THE-5-FP T/C TANK OR re , _E.4CJ/�ivG PIT A.tE MORE TN.9:`/ SELOK/ /O M/N. 1,4.4 OE, 4 24 'O//�M E TER CONCR ETA CO vE•P tF-- swA L L BE B:P O UG N T TO G RA O _ CONCRETE /-rEAV y C^ ST /PON CO I/ER Sf�.4 L XT Q,4 M/N. P/TCN 3c US E J �. 4�1-t-7-V, COVERS LlQt1/o LEVEL ` r RON sT P P - .' jyASHPO S72:NE f Vo PER/T SEPTIC TAAIK lar;:I BOX � b 8 •, P • D / 1 •EFFECT/r C ' ' 3V4•- %2 D�PTf/ o 0 It'.<.• Z �J-7 G ;•o b r • .i . • ° • • • . ;p v PREUS T SEEPAG E /NYGR'T CLENATIONS l° v ► • • aj • . • . • • . . ` o P/7 cR EQu/v. /N YEA T AT Sl//LD/NG ,?,AC.; r� Si � .crA�, Id INLET SEPTIC T.4NK `1` .3 FT, f� FT O/Al+f. . C(SEE TA8UL.4T)0N) ou ri eT SEPT/C 7AN K ¢4�FT. INLET D/STR/Bl/T/ON SOX FT GROUND NIATER 7A,&I-E OdTLfTDISTR/DIJT'/ON BOX '7 FT SECT/Q/V OF INLET LEACH/A/G O/T FT. SEh/AGE L7/SA7aSA 4 SYSTEM Ti4BL/LAT/DN LEACH//VG .P/T DFS/6N CRITERIA : %s" _ /-O- o/ME/vs/ON A D/.•fENS/ON 8�_fT. 'VV'wsER Of BEDROOMS 3 D/MENS/ON C ¢' ^f- C.A.4QAGE0/SPO.SAL !/N/T N UNc SOIL. LOG TOTAL EST/NNTED FLOW 33 O a4L./DAY SOI L TEST A*/ SOIL 7ES7-,*2 SO/1- TEST NUMBER QF 4fACNlN4 PITS �_ f'ELG`Y. 4` -ELEY, PATE OF SO/L SIDE LGACH/NG PER O/T S'a PT. a _ Z RESUJ-rS *V/TNESSED dY J R e ,30T7•p/►I 4A4C/I/NG PER P/T 28 so. FT. O "') 1 4COLAT/ON QA7-Ac At/ M/N�//lVGhf L ass TOTAL LEACH//YC. AREA Z(y SQ• FT. � S- ;�, S V r- RESERVELEACl/IN6AREA 7--�obSQ. FT. �N OFQ��H OF MAs L) "1 L D T 6 per' ALBERTn tiC C�I�/ % :. Z V/L 1- mils " NPORSE - 29814 Q 0.N 10951 O DREDGE ENG/A1EER//VG CO,/NC. /3TE yp 90� 3 M 3.5 712 A//y S7. , yYR.VNiS, titASJ. ^ h Np su. FSS/ONAL�a NC 41TOCINCI yY,4TCR ENCOCJNTEREO CL/ENT raxEeiy[i2/s-,2 DRTE G1 GM o .4 T EZ ff JOB N.O.• SHEET?OF z- LOCATIONL16M NO. VILLAGE C�N��Q�/� DATE S 14 B�L APPLICANT GA ,..t41aP_1e-P_ DEV: Onep. _ FEE 25 ADDRESS C1..3'c-Q►/► LLE TELEPHONE NO. 11 I• Non-refundable; ENGINEERLD��C�� 1.1�►IIJ Q:tI� TELEPHON NOZ-7, 5.2?.4t. DATE SCfiEllULI:;D_ Il h4q 14• A. I► , (Applicant' s signature) SOIL LOG SUB-DIVISION NAME Ca ►PS��-� DATE � �Y 0 A K TIME o EXPANSION AREA: YLS ✓NO ENGINEER ') TOWN WATER y/'PRIVATE WELL �1J Ca pp�(� BOARD OF HEALTH (M b;tj` ®LL- EXCAVATOR SxE,rcii: (Street n..ime, etc. ,dimensions of lot, exact location of test holes and per. colat.ion tests, locate wetlands in proximity to htest holes ) PkUM P at V NOTES: o,O o 95,00 42 15 rsx TS I1 w LSMr T PERCOLA`.PION RATE: '1- 0 TEST HOLE NO: O ELEVATION: TEST HOLE NO: EI_,EVAT'ION: 1 0,r l 1/ L.O>� 1 2 2 3 1 L_ 3 4 4 5 ��T 5 6 6 ! 7 ) I / ('^ 7 0 (i - I L S e 9 ' 9 10 10 11 L 11 _ 12 12 _ 13 13 i 1414 15 15 16 1.6 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACIIIG I'ITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON kL��f7FFSI' APPLICATION ORIGINAL: COMPLETED IN ENTIRETY AY P. E. AND RETURNED TO BOARD op HEALTH rnnv. Pr.'Pn TNT-J) BY APPLTCANT JOCATION ..,: ;.. 116 1 TILLAGE DATE S I¢ bZ APPLICANT (SkeeWQp leg FEE ADDRESS Ceti - LLC--- TELEPHONE. NO, 1 •�j(c,�((Non-refundabl( .NGINEER ��pQ�QC,� 1.1�.IIJ���l1.l�1 TELEPHON NO -QS-Z.1.L� )ATE SCHEDULED ���.( 14 Qom-' (Applicant' s signature ) SOIL LOG >UB-DIVISION NAME G PCCN P.'s . -DATE MAY I �- el TIME :XLANS ION AREA: YES ✓NO �Q,� , (,�Q.�- E_Ue, . _ENGINEER 'OWN WATER v,,,-I'RIVATE WELL 201J Ca BOARD OF 1iLAL. EXCAVATOR �KI:`P.CI1 : (iti:c:crt 1't.lme , etc. , dimensions of lot, exact location of test holes and percolai.ion tests , locate wetlands in proximity to test holes ) I UM �1 NOTES � p C IC> ►W L5MT' ERCOLA`.PION RATE : ' G , Q 'EST 110LE NO: ELEVATION: TEST HOLE NO: c liL EVATION : 2 3 `I-�Q..�t �.- 3 4 4 5 — f 5 — 6 _ 6 7 i i NN1 7 9 � 9 - 10 10 11 - 11 12 12 13 13 - --- 14 WI 14 ZI 15 15 16 ].6UITABLE FOR SUIT-SURFACE SEWAGE : LEACHING FIELD LEACHING LEACHING TRENCHES NSUITABLE FOR SUB-SURFACE SEWAGE. REASONS :-- IVA OTE : ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON L•'R ' 'I'1.:�'!.' A11P1-,ICATI01N RIGINAL: COMPLETED IN ENTIRETY 5Y P , E . AND RJ:TURNJ D TO BOARD c�N 1►1:;AL'I'tl r�nv. nr"rn Tmvr) BY APPI,TCANI z r_ -99 --EXISTING CONTOUR N x 100.98 EXISTING SPOT GRADE '�6P _ 4)W EXISTING WATER SERVICE �� N 36'5 '16 2" W G EXISTING GAS SERVICE / 145.58' y �H.W. - OVERHEAD WIRES E a 1P TEST PIT �d 44_ '' LOT 6 LZ o LEGEND '20,069 ±SF N EXISTING SEPTIC TANK TOP OF TANK, EL.=44.23 PARCEL ID. 167-016-022 3 0 INV.(OUT)=42.90-± I +•45;13 • (1• • • 43.65 LOCUS q e of goa edge ds � t � LOCUS o SCALE AP NOT r..' 44,90 O 1 1 46.00 x 43.31 44.56 3 + BH 00 III \\ x 42,76 GENERAL NOTES: 1i j � rNj 45.31 \\ 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL rn i8 4' \\ BOARD OF HEALTH AND THE DESIGN ENGINEER. Z 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS cn ~� / EXISTING DECK \\ 01 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE SLEEVE ✓ HOUSE(#10) \ - LOCAL RULES AND REGULATIONS. 18' J SEWER T O.F.=66.2f \ aoIm N 1 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 00 � TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. r ��O' � 21 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 45.27 ) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN + TP-1 7 45.17 GARAGE ENGINEER BEFORE CONSTRUCTION CONTINUES. 45.31 r/ 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 43,95 :N��-, TP-2 O 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ' 1 •M 2�- P 4 ,29 ti '� "` THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 44,93......I' :..: HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. \ 'W' W I , .�. .V I I \ :.,. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 00 ✓ 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 12' ./ Q I I° 44,47 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS I::.. o•.... .: :. .;: �' _ :' i $. :'.: 42.91 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE :I -94 4.1 >;-`: DIRECTED BY THE APPROVING AUTHORITIES. cn �.'"..:,`:. �..':.,:.% .:STONE DR/ ,. .. t:...:.` .,..'. ;:.. .' + 44,33 3,'` I VEWgy".` . .. , . . . 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY ;I.. ... • :.:;. ;.. •. ��.,:.: ., THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 44.25 `, .':; �5' I CONSTRUCTION. EXISTING S.A.S. 43,44:;' r :: 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS (APPROXIMATE) � D, lNAGE% IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND TO BE ABANDONED .�, o REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). ; : •.. .IN. EA MITI 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 43,41 :43' 4 550 ` INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL 121.47� 1 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND CBclh S 34'54'05" E I �� 1 + NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 43,20 \ OF M x 43.01 \ x 2 51" ' !'` 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC gss9�yG 43.07 Pg E _ -- \$�-- 1� �5'81 SYSTEM COMPONENTS NOT SHOWN ON THE PLAN o PETER T. 42.29 jf McENTEE 41.75 41.13 edge of pavement CATC BASIN 4o.eo 4��20POSED SEPTIC SYSTEM UPGRADE PLAN o CIVIL 40,51 No. 35109 BENCHMARK � 10 LIAM LANE, CENTERVILLE, MA o FR jgj�FL� ��A TOP OF CONC. BOUND Prepared for: DiBuono,LIAM LANE Sewer & Drain, 8 Johns Path, So. Yarmouth, MA 02664 EL.=43.20 /ON L jl OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. PIZZOTTI, STEPHEN J & NTS P.T.M. 184-17 Z CAROL A TRS Engineering Works, Inc. + 17 RIVERSIDE DRIVE 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. READING, MA 01867 (508) 477-5313 5/22/17 P.T.M. 1 2L 2 I t 7 1- NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.=42.6 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D—BOX PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & WATERTIGHT COVER SET TO 6" OF GRADE INSTALL INSPECTION PORT OVER END UNIT T.O.F.=46.2t F.G. EL.=45.3t F.G. EL.=45.2t F.G. EL.=45.2t F.G. EL.=45.3t EXISTING ' �/ @ MAINTAIN 2% GRADE MIN. OVER S.A.S. Q /JYAY� '�1i17A7.Yl1YJ .'A SET REBAR FOR LOCATING L = 26' L = 2' TWO 2'x3'x64' LEACHING TRENCHES WITH INSPECTION ® S=1� (MIN.) ® S=1%' (MIN.) NCH 40 PERF. PVC DISTRIBUTION LINES PORT 4"SCH40 PVC 4"SCH40 PVC 6" --------------------- 10"I e DECK 1a" 2' EFF. EXISTING 48" LIQUID DEPTH CAPPED ENo D LEVEL ADD INV.=42.37 PROPOSED INV.=42.20 SLOPE OF PERF. PIPE = 0.5% ✓GAS BAFFLE INV.=42.90tD—BO� INV.=42.16 2 ® 32'=64' EFFECTIVE LENGTH EXISTING\ GARAGE INV. EL.=42.00(END) h HOUSE 10 EXISTING SEPTIC TANK (VERIFY) H-10 SOIL ABSORPTION SYSTEM (PROFILE T.O.F.=66.2f MAINTAIN 2% GRADE (MIN.) OVER S.A.S. Z,32.2'— NOTES: 2" LAYER OF 1/8"-1/2" DOUBLE WASHED STONE 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BREAKOUT EL.=42.66 \�\ INVERTS, PRIOR TO INSTALLATION. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO INV.(IN), EL.=42.16 3/4"-1 1/2" DOUBLE GRADE ON A MECHANICALLY COMPACTED SIX 2' WASHED STONE N INCH CRUSHED STONE BASE, AS SPECIFIED BOTTOM EL.=40.00 I � IN 310 CMR 15.221(2). r: 3� 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' MIN. ABOVE BOTTOM OF 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE. T.P. EXCAVATION OR G.W. TWO 2'x3'x32' LEACHING TRENCHES \01 Cn NO G.W. EL: 33.8 — 90 O' SEPTIC SYSTEM PROFILE \ N.T.S. SOIL ABSORPTION SYSTEM (SECTION) \\ \ DESIGN CRITERIA SOIL LOG NOTE: SWING TIES ARE TO / DATE: MAY 4, 2017 (REF#15,340) \ CENTER OF TRENCH NUMBER OF BEDROOMS: 3 BEDROOMS ✓ SOIL EVALUATOR: PETER McENTEE PE(SE#1542) \ SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S. HEALTH AGENT ELEV. TP- 1 DEPTH ELEv. TP—2 DEPTH DESIGN PERCOLATION RATE: <2 MIN/IN 45.3 45 0" .3 0" DAILY FLOW: 330 GPD FILL I FILL DESIGN FLOW: 330 GPD 44.8 A 6" 44.9 A 5" GARBAGE GRINDER: NO LOAMY SAND' LOAMY SAND EXISTING SEPTIC TANK: 1500 GALLON CAPACITY 44.0 10YR 4/2 15„ 44.3. 10YR 4/2 12" PROPOSED DISTRIBUTION BOX: H-10, DB-3_' BOOAMY SAND BLOAMY SAND S.A.S. LAYOUT LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 42.3 10YR 5/8 36" 42.4 10YR 5/8 35' .74 GPD/SF C C PERC PROPOSED SEPTIC SYSTEM UPGRADE PLAN. INSTALL TWO 2' DEEP x 3' WIDE x 32' LONG STONE LEACHING 36'/54" ' TRENCHES AND SCHEDULE 40 PERFORATED PVC DISTRIBUTION LINE MED. SAND' MED. SAND 10 LIAM LANE, CENTERVILLE, MA 2.5Y 6/6 2.5Y 6/6 SIDEWALL: 2 EA. x 2 x 37'(SIDES + ENDS) ...................= 296 SF Prepared for: DiBuono, Sewer & Drain, 8 Johns Path, So. Yarmouth, MA 02664 BOTTOM AREA: 2 EACH x 3' x 32................................... = 192 SF Engineering by: SCALE DRAWN JOB. NO.- TOTAL AREA:................... .488 SF 33.8 138" 33.8 138" Engineering Works Inc. NTS P.T.M. 184-17 PERC RATE <2 MIN/IN. "C" HORIZON ' (PERC REFERENCE: P-1161', 5/14/82) 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(488 SF) 361 .1 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 5/22/17 P.T.M. 2 2L 2 ,