HomeMy WebLinkAbout0038 LIETRIM CIRCLE - Health k
PF 38 Lietrim Circle
Centerville
A= 169-054
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`` TOWN OF BARNSTABLE
f LOCATION 3 8 U e h rti Ct(cI e SEWAGE# o2042- /.SO
;VILLAGE CZ 1er-trt0f_ ASSESSOR'S
IMAP&PARCEL IZ?- 06Y
INSTALLER'S NAME&PHONE NO.B- hCLW_(l s tci - $08-�{ -SS��j
SEPTIC TANK CAPACITY /000 GH
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LEACHING FACILITY:(type) tQ �- QO OV` (size) 8.6y X 31 4"
NO.OF BEDROOMS 3
OWNER [S_ra-kc f�(cXtS lums
PERMIT DATE: rI I q t,LO Lk COMPLIANCKDATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
• Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
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✓ Town of Barnstable Barnstable
OF THE Tp�
� Regulatory Services Department �edcac�
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IIA MASSABLE, public Health DivisionI.F
_
MAS
�A i639. 2007
rF0"1A'`a . 200 Main Street, Hyannis MA 02601
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
CERTIFIED MAIL #7011 0470 0001 4525 6805
May 2, 2012
Mr. Alexis C Burns
P.O. Box 970
Marstons Mills, MA 02648
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5.
The Y
septic system located at 38 Lietrim Circle, Centerville, MA, was last inspected on
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4/13/2012 by James D. Sears, a certified septic inspector for the State of,Massachusetts.
The inspection of the septic system showed that the system "Fails"under the guidelines
of the 1995 TITLE 5 (310 CMR 15.00) due to the following:
• System is in hydraulic failure.
You are ordered to repair or replace the septic system within sixty (6) days from the date
you receive this notification.
Failure to repair/replace the septic system with in the deadline period will result in future
enforcement action.
PER ORDER OF T E BOARD OF HEALTH
s S. CHO
Agent of the Board of Health
I
Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\TOB Itr
I
COMMONWEALTH OF MASSACHUSETTS
a
r EXECUTIVE: OFFICE OF ENVIRONMENTAL AFFAIRS
r. DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS `
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address- 38 Lietririz Circle
Centerville,MA 02632
Owner's Name: Clir is Car ter
Owner's Address:
Date of Inspection: April'13 2012
Name of Inspector: (Please Print) James M"Ford
Company Name: James M.Ford
Mailing Address: P.O.Box 49
Osterville MA 02655-004.9,
Telephone Number: (508).862-9400
LI-j CFRTIFICATION STATEMENT
Cwi I.cify that I gave personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
m ap owed sy; em itspector pursuant to Section 15.340 of Title;5(310 CMR 15.000). The system:
Passes
Conditionally Passes
c�a Needs Further Evaluation by Local Approving'Authority
c Fails
Inspector's Signature: Date: Apri123, 2012
The system inspector shall su n it a cop .of this inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of compl ing'thi inspection. If.the system is a shared system or has.a design flow of 10,000.
gpd or greater,the inspector and the system owner shall submit the report to the.appropriate regional office of the.
DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving
authority.
Notes and Connnents
****This report only describes conditions at the time of inspection and under the conditions of use at that
time. This inspection does not address how'the.system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Forin 6/15/2000 page
Page 2 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 38 Lietrim Circle
Centerville,MA
Owner: Chris Carter
Date of Inspection: April 13, 2012
Inspection Summary: Check A,B,C,D or E./ALWAYS complete all of Section D
A. System Passes:
I have not found any information which.indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are 'indicated below.
Comments:
B. :System Conditionally Passes:
One or more system components as described in the"Conditional Pass" section need to be replaced or
repaired. The system,upon completion of thg replacement orrepair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"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.
ND explain:
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
distributipn box is leveled or replaced
ND explain
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
obstruction is removed
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ND explain:
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Page 3 of i l
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 38 Lietrint Circle
Centerville,MA
Owner: Chi-is Carter
Date of Inspection: April 13, 2012'f
C. 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.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303 (1)(b)that the
system is not functioning in a manner which will protect public health,safety 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,if any)determines that the
system is functioning in a manner that protects the.public health,safety and environment:
p
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 aseptic 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 coliforin
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of anunonia 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.
3. Other:
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Page 4 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
is
Property Address: 38 Lietrim Cir+cle
Centerville,MA
Owner: Chris Carter
Date of Inspection: April 13 2012
D. System Failure Criteria applicable to all systems:
You must indicate either"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
✓ 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 %z 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 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 coliforrn 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 form.]
Yes (Yes/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.
i E. Large System:
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 have answered"yes"to any question in Section E the system is considered a significant threat,or answered
"yes"in Section D above the large system has failed. The owner or operator of any large system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304. The system owner should contact the appropriate regional office of the Department.
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Page 5 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION. FORM
PART B
CHECKLIST
Property Address: 38 Lietrim Circle
Centerville,MA
Owner: Claris Carter '
4 Date of Inspection: April 13 2012
Check if the following have been done: You must indicate"yes"or"no"as to each of the following:
i
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 nozmal 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 were not available note as N/A)
✓ Was the facility or dwelling inspected for signs of sewage back up
✓ Was the site inspected for signs of break out?
✓ Were all system components,excluding the SAS,located on site?
✓ 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?
✓ 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:
Yes No
r ✓ Existing information. For example,a plan at the Board of Health.
✓ Deter7irined,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)].
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Page 6 of 11.
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
" SYSTEM INFORMATION
Property Address: 38 Lietrim Circle
Centerville,MA
Owner: Chris Carter
Date of Inspection: April 13, 2012
FLOW CONDITIONS
RESIDENTIAL y
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
Number of current residents: 2
Does residence have a garbage grinder(yes or no): N/a
Is laundry on a separate sewage system(yes or no): N/a [if yes separate inspection required]
Laundry system inspected(yes or no): no
Seasonal use(yes or no): no
Water meter readings,if available(last 2 years usage(gpd)): Unavailable
Sump Pump(yes or no): No
Last date of occupancy: Currenth
COMMERCIAL/INDUSTRIAL
Type of establishment: -
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sq/ft etc.):
Grease trap 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 date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records
Source of infonnation: Unavailable
Was system pumped as part of the inspection'(yes or no):
If yes,volume pumped: gallons-=How was quantity pumped determined?
Reason for pumping:
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)
Tight Tank Attach a copy:of the DEP approval
Other(describe):.
Approximate age of all components,date installed(if known)and source of information:
Date of installation 611194 leach field ivas added per as-built card
r Were sewage odors detected when arriving at the site(yes or no): No
}
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Page 7 of 11
OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 38 Lietrinr Circle
Centerville,MA
Owner: Claris Carter
Date of Inspection: April 13, 2012
BUILDING SEWER(locate on.site plan)
Depth below grade: t
Materials of construction: _cast iron 40 PVC other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,levidence of leakage,etc.):
SEPTIC TANK: ✓ (locate on site plan)
Depth below grade: 1"
Material of construction: ✓ concrete _metal _fiberglass _polyethylene
_other(explain).
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions: 1006 Qal.
Sludge depth: 2
Distance from top of sludge to bottom of outlet tee or baffle: 30
Scum thickness: 2"
Distance from top of scum to top of outlet tee or baffle: 6
Distance from bottom of scum to bottom oPoutlet tee or baffle: 10"
How were dimensions determined: Measuring stick
Comments(on pumping recommendations,'.inlet.and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.).
The tees were Present. The liquid level was even with the outlet invert. There did not appear to be am,signs of leakage.
GREASE TRAP: None (locate on site plan)
Depth below grade:
Material 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:
Comments(on pumping reconunendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
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Page 8 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 38 Lietrim Circle
E Centerville,MA
Owner: Chris Carter
Date of Inspection: April 13, 2012
TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: _concrete metal fiberglass _polyethylene _other(explain):
Dimensions: 4
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Continents(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: Even
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.):
The D-Box was broken down, needs replaciiw
PUMP CHAMBER: None (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no)
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
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Page 9 of 11
OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 38 Lietrint Circle
Centerville,MA
Owner: Chris Carter
Date of Inspection: April 13, 2012
SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required)
If SAS not located explain why:
Type
✓ leaching pits,number: 6'x6'1000.eal. original systern.Dry,Stain lines up to inlet pipe Failed in 1994?
leaching chambers,number:
✓ leaching galleries,number: 4- infiltrators with 2'stone per as built
leaching trenches,number,length:,:
leaching fields,number,dimensions:
overflow cesspool,number:
Innovative/alternative system Type/name of technology
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.):
The infiltrators were full. The liquid was up into.the inlet pipe.A camera was used for the inspection_
CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
PRIVY: None (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc,):
's
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Page 10 of 11
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
h PART C
SYSTEM INFORMATION (continued)
Property Address: 38 Lietrini Circle
Centerville,MA
Owner: Chris Carter ` 1'
Date of Inspection: Apri113, 2012
I
SKETCH OF SEWAGE.DISPOSAL SYSTEM
Provide a sketch of the sewage disposal systes'n 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.
3,
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-to 30
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Page 11 of 11
OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 38 Lietrirn Circle
Centerville,MA
Owner: Chris Carter
Date of Inspection: April 13, 2012
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water I5+1- feet
Please indicate (check) all methods used to determine the high ground water elevation:
Obtained from system design plans on record- If checked, date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
✓ Checked with local Board of Health-explain: Topographic and ivater contours maps
Checked with local excavators,inkallers-(attach documentation)
Accessed USGS database-explain
You must describe how you established.the high ground water elevation:
Using Barnstable topographic and water contours maps the wraps were showing approxinratetn 15 to ground water at this
site
This report has been prepared only fi r the septic system and componews described herein.. This septic system has beery
inspected and failed as of the date of inspection. This report is not a warranty pr•guarantee,that the system will.
f-mction properly sit the fia�ttn•e. ,There have been no wm•ranties or guarantees, either expressed, vvritten or implied,
relating to the septic system,the inspection, this report and/or ally components of the septic system iwhich have not.
been located and inspected.
11
�]0 �� _ 5d
No. � I " , Fee
THE COMMONWEALTH df MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zippiitation for Bisposal *ystem Construction permit
(1�F lbandon Complete System -iividual Components
Application f6r a ermm nstruct( ) Repair 0 Upgrade( ) ( ) ❑ P Y r, p s
Location Address or Lot No.3 a �a €C-2 ^► C c kr a Owners Name,Addres ,arid Tel.No 6o3'8Q�-S�f6f�
Cev�Tarv�lle c/ ,.6STr�Tc a► 6 eaus 'g�rij5
Assessor's Map/Parcel /6 OS5/ ego ehR�l SCOTw�u-k ' _,- O.V10
Installer's Namg,Zi Address and Ttl No. $cam- Designer's Name,Address,and Tel.No. 5oa-36A;2Sa a
c`u&C o.=L a5tc� -ZAaa tip e2
� �'t381S3�Q
Os?rw.Lk c> s���eer�`�'1i9• eaS37
Type of Building: ° �l
Dwelling No.of Bedrooms Lot Size /SU 9 L{ sq.ft. Garbage Grinder(JWq
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) am =0"g'pd Design flow provided 3 .b3 gpd
Plan Date .S-/O—/a Number of sheets 15L Revision Date
Title
a
Size of Septic Tank doo f�- Ceti ST_Cvx Type of S.A.S. YiC 39- '6 /-/a0 �
Description of Soil O'f S`"� ��I p-oT �_ /C ''Am SAO Q'Y' S°t�Z /09M 3A o2 ' 6. a f�►y
10
Nature of Repairs or terations(Answer when applicable) S v u 0
/-aU CtJA S, Co-.,Cs L;:TLGeAt�SF}�l.
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 f Health.
Signed Date
Application Approved by �^` - S Date
Application Disapproved by Date
for the following reasons
Permit No. 'PLO �} ' 5 Date Issued L� y
4.
Na. O U - Q Fee "
THE.COMMONWEALTH CIF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
0(ppYication for Disposal 6)_,stem Construction Permit
Application for a'Pe it to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.3 e i i+�+ +� C kc(e Owner's Name,Address,and Tel.No.
CFrITrrV.I1F ✓ � zt ,�l: (,� alc� 'j;4 _.rlS
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designei wani,, udress,and Tel.No. S o19.36.) ;25�
y�r�ce: 1`1G.C�I�,ai„ ���3-SS"act �ltyt2+�(mM 1"iryrr2.
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Type of Building: `(' ? l
Dwelling No.of Bedrooms Lot Size / TO 9 y sq.ft. Garbage Grinder(t/�
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
aasa E�m
Design Flow(min.required) -ouAtU gpd Design flow provided 33 . U 3 gpd
Plan Date .S- /U' JQ Number of sheets Revision Date
Title
Size of Septic Tank 4 uyy G i2J. (e Xt S i.ke� Type of S.A.S.
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Description of Soil C '1�-` ' �=, 1/ �Y - �y / t t�, 5 it+yl ply`= 5 d `- /u I n�y S:�.i�' ,t ' 13e �= W eA J
Nature of Repairs or Alterations(Answer when applicable) !1(� (J s/�. 6�,/i,l� UU X _7 />7 / -d T-Z
Cf/1-n-l- e'l. Cu f`e'li� S.a,14 f r'�� ' '•�'�I X i'J�/�r
Date last inspected:
Agreement:/
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board .f Health.
Signed L o: Date
Application Approved by - _ ` 17 - IL
Date S-
Application Disapproved by U Date
for the following reasons
i
Permit No. U I 1 15 y Date Issued — c ' t
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 ru rt%.
at Li t l , C, 2 C P , C[ t 1 f.+v<(�c has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No..,?U dated
Installer-z Lin r Cr. <j e, . Designer C-1 e 12
#bedrooms Approved design flow 3 gpd
The issuance of this permit shall no be co strued as a guarantee that the system wil function de g ed.
Date r���['!'�. Inspector
-------------------------------------= ------------------------------------------------------------------------------------------------ r
No. "'?O / 2 I S 0 Fee �G
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction 'ermit
Permission is hereby granted to Construct( ) Repair(� ` Upgrade( ) Abandon( )
System located at 38 t P lie I IV\ C i
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 `�- ( ( a-- Approved by L'(_ i
Town of Barnstable
Regulatory SerAces
Thomas F.Geiler,Director r:
Public Heath Division f
1 ..
Thomas Mc'hean,birector
- - 200 Main Street,Hyannis,MA 026014
Office: 50&362-46J4 Fax: 503-790-6304
Installer&Designer Certification Form
Date:S' 19 /02 Sewage Permit#o)Dlo)-/50 Assessor's MapTarcel 6 - 6Sy
Designer: L' ,_f Installer: Cc tic�. _ \A t cC
Address: V-C>,_3 U x Address: 8 Z ?C>&,� t.
CAsl.,Sr'},�pw�cct
a ).53 7
On M a-b �t-voi_ C���Zcr was issued a permit to install a
date (installer)
septic system aL -3 ������"`'\ UJ'C `� l ee✓C. based on a design drawn by
. (address)
rl-ki ._,_dated, ,. )ikY fQ..,.�t)-t
1 certifij`that die s.gttc`systerii referenced above was installed`substantially'according to
the desiea, which may include minor approved changes such as Lateral relocationoF the
distribution box andior septic tank.
t' r with major changes 'i.e.
-v referenced above was installed I certify that the septic system re r �
0- lateral relocation of the SAS or an vertical relocation of any component.
greater thin 1 Y
of the septic system)but in accordance with State&Local Regulations. Plan revision or
certified as-built by designer to follow.
�ZA{OF A,f4
`r9
AA DA
Aj
(In aller's Signature) E R
P 40
SFG/STER��
4, N
(Designer's Sianature) {_Affi-K p Here)
PLEASE 4ETUR1N, TO M&NSTABLE PUBLIC" 3iEr�LTH DIVISION. CERTIFICATE" OF
COMPLIANCE WILL .NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE
RECEIVED BY THE-BAkNSTABLE-PUBLIC HEAUR DIVISION..THAINK YOU.
Qs:Health/SeoticiDesimier Certification Formam;2 aoe----,-
I ,
Town of B=astable P#
Department of Regulatory Services
' = Public Health Division Date
KAS& j
200 Main Street,Hyannis MA 02601
lfD MA't '
Date Scheduled /`� Time Fee Pd.
0,
oil' Suitability Assessment or Sewta e Das osa � '�
ty f g P
Performed By: Witnessed By:LOCATION & GENERAL imORMATION
Location Address .], �� g ylt��/h Owner's Name le�0��
CIE N TINE i?V t Ll,,t--- 10 J'l,p I Address M. t�P l L
Assessor's Map/P4rcel: 1(01���� ` I Engineer's Name bc,.f k4
NEW CONSIRUtON REPAIR '\ Telephone# rbg 3 6 L--�' 4-9 G/�✓
Land Use V�,f�,`7 � j I 1J 1 ` Slopes v(1 Surface Stones N0 iV
Distances from: Open Water Body ftPossible Wee Area 0 ft Drinking Water Well r j u ft
Drainage Way �} ft Property Line ft Other ft
SKETCH:(street name,dimensiods of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
I
0 01
lEXISTING
- _ DWELLING
OF FNDN
EL = G.50
S .MP P°R•' I
EDGE pF Pq yE.iENT J
LIETRIM CIRCLE
I 1 .
I
Parent material(geologic) (,444VO91,1, Depth to Bedrock
Depth to Groundwater- Standing Water in Hole:' i Weeping from Plt FACe
' , yy R �
Estimated Seasonal Nigh Groundwater iQ A
Dl RMINATION FOR SEASONAL HIGH WATER TALE
Method Used:
Depth observed standing in obs.hole: in. Depth td Sall mottles:
Depth toiweeping from side of obs.hole: in, aroundwa[er Adjustment tt-
Index Well# Reading Date Index Well levy) --
_ Adj.ActOr Adj.Uroundwater Lave]
,,e
j
PERCOLATION TEST . Date
Observation ,
Hole# i Tune at 901
_,._.,..,.�...
Depth of Pere Time at 6"
Start Pre-soak Time.@ '�9f I Time(9"-611
End Pre-soak
s
fiats MinJInch13 !
Site Suitability Assessment: Site Passed - Site Failed:
Additional Testing Needed(Y/N)
Original:.Public lie$Ith Division Observation Dole Data To Be Completed on Back—
***If perco1a#6n test is to be conducted within 100' of wetland,.-You must first notify the
ek prior to beginning.
Barnstable Conservation DiNision at least one (1) we
DEEP OBSERVATION HOLE LOG Hole# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
» Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel
Iv
r�N-1�"11,
AXI
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in* (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistent %Gravel)
dtj
�.�
S19,AJV4 icy
v ,
DEEP OBSERVATION HOLE LOG Hole# A)=P
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistent %Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Sall Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders.
Consistency. Gravel)
F
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes = _
Within 500 year boundary No Yes
Within 100 year flood boundary No Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervio material exist.in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
3
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the .
Department of Enviro"mental Protection and that the above analysis was performed by me consistent with
the required1ra' in lxpertise and experience described in 3,10 CNM 15.0171
Signature I �'' Date
Q:\,SEPTIWERCFORM.DOC
s TOWN OF BARNSTABLE \�
i
XOCATION 3� L,t Ir,,^, SEWAGE
VILLAGE CeA /0� yo e ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY IC 4G as t - /h I?a4(
LEACHING FACILITY:(type) (size)
✓
NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLeIC WATER QLiWC
i
BUILDER OR OWNER
DATE PERMIT ISSUED: S�Z'�/c`-1
DATE COMPLIANCE ISSUED: jj�r_l `" 9
VARIANCE GRANTED: Yes No
Z4
r
A
F-7
Csa'
TOWN OF BARNSTABLE
LOCATIONI1l.Tt' N\ SEWAGE#
VILLAGE CQ/Mt(VA ASSESSOR'S MAP&PARCEL I(, — OS
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 1 UM
LEACHING FACILITY. (type) Pi 6An Pt
�, r40 fS (size)
NO.OF BEDROOMS 3
OWNER C,A r-r#,r✓
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY S / /3-
A f3
a33 Y--, -
3 C/o 30
a Y
3 O Y
S�ne�
ASSESSORS MAP N0: Uie�
t- PARCEL N0: �5�-------_
Nol
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OWN OF BARNSTABLE
2
, r a� �� n tti parks Tomitr r hurt Prrmit
*_'. ,
Application is hereby made for a Permit to Coristruct ( ) or Repair ( an Individual Sewage Disposal
S stem at
.. . .._..�`_ c� . ....��. ----------- ---------------------- ...............................................................
�^ Location- •Iddress or Lot No.
�;••G W r�yxier L �ddrg
--- -
nea
-------
Itcstallet re
PQ
UType of Building Size Lot............................Sq. feet
�-, Dwelling—No. of Bedrooms--------------------------------------_--.-Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ---------------------------- No. of persons------...............---.--- Showers ( ) — Cafeteria ( )
dOther fixtures ----------------------------------------------------------------------------------------------------------•-----------•----------------..............
W Design Flow........................ gallons per person per day. Total daily flow............................................gallons.
Septic Tank—Liquid capacity- ----.-----gallons Length---------------- Width.--------------. Diameter----..-------.-- Depth....------......
W Disposal Trench—No. .................... Width---.--.--..-.-.-.--. Total Length-------------------- Total leaching area....................sq. ft.
Seepage Pit No------------ ------- Diameter.--..............--- Depth below inlet.....--............. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........----------------------•-•--•--
W
Test Pit No. I----------------minutes per inch Depth of Test Pit.-.----------------- Depth to ground water..........---...........
LL, Test Pit No. 2................minutes per inch Depth of Test Pit.---------------.--- Depth to ground water..--....--..--......---.
...........................................................•----....-•--•---•---•-•-----------........-•-------............... ..............................
0 Description of Soil.............................................................................------------------------------------------------...-----------•---------------------------
x
V
W
---------------------------------------------------------------------------- ------•----------- -----...... ( ---------
U Nature of Repairs or Alterations=An er when applicable-- C1. ..----�.. 9_-�1►'1.c� � .......... rr.. ..1n...............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersig.accLfurther agrees not to place the
system in operation until a Certificate of Complia ce has been ' y the board f health.
t�
Signed ------- ............. . ......................................
Dace
ApplicationApproved By ..............., .ennn --- -----c<,tti ----------------------------------------------------------------------
Application Disapproved for the following reasons: ...... ... ............................................ . . ........ . ...............
......... ..................... ... .......................... -------------- -----------------------------------....---------------------------------. ........................................
Gr
Dace
Permit No. ..- " $..�---------- -------- -------- Issued ....................................
Dace
r .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
/
iraft3awifff Vie nuttl Wn_rlip (famitrnr#inn rrmi#
Application is hereby made for a Permit to Construct ) or Repair ( Van Individual Sewage Disposal
System at:
........C.L r..--------------------•-----•---
Location- gddress or Lot No.
.�. ........5.(--' -----------------------------------------------------------------------
(� � Ov ner Address
�...... " --....................................... ...al.•---.F.UX&� a d • la c`-r`
Installer Address
UType of Building Size Lot............................Sq. feet
-� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
dOther fixtures ----------------------------------------------------------------------- -------------- ---------•-----••••-•----•-•----•-----•----••---•--------•---
W Design Flow.................................... gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity.,_-..._...gallons Length---------------- Width................ Diameter................ Depth................
x Disposal Trench—No. .................... 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 ( )
aPercolation Test Results Performed by----------------------------------- ...................................... Date........................................
Test Pit No. l----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P: .....-•---•-----•-------------•••••••-•--•......----•-••-----•--•-•----•-•-••-------..........------.........................................................
0 Description of Soil---------------------------------------------------------•----------------•---------------------------•---------------------------------------------•••-...............
W
U ---------------•-----------------------...-----------------------------------------------------.....-----------....------------------------.....--------•---------------------------...........-•-------
W
------------------------------------`--------:-----------------------......---------------------------- ---••••.- _i -------------..................
U Nature of Repairs or Alterations—An er when applicable.. -...�1. .....1__A_ __ _� L_______C_QG. }^................
Agreement.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersi_ned further agrees not to place the
system in operation until a Certificate of Compliance has been ue y the board f health.
Signed .......... .g a
................................
Date
Application Approved By ---------- ....
' --`--------------------------------------'-----.................. �--�....-�- Date
Application Disapproved for the following reafonf: ------------------- ..------ -------------------------..............------------------------------ -----------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------�--------------------------------------- ---------------------------------------
qq ` , Date
Permit No. .....1...../.. a-- -- -------------------------------- Issued
- ---------
• Dare
___.____,_,—_.__,—_,—_,._._______ — __.—W_—_— _,—__.___—___,—.r--_.___4______._____ ___.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(fertifirate of Tontlatiance -
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by ..................... _016._. —--------------- ----------------.................
- - -
Installer
at ............... _�----------L -C:.S(r_.1--^^--------C..4.r-------------------.._-------------------------------........................---------.....---------------------_------------------------------
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ..._717(. ..,T/---------- dated ...._................................._..._.
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE .. '., `"-. .....f7` Inspecto - ..
t
--------------------------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
�cj�L1 FEE.... 7....:....
Dispnlltt1 Nor fi Tonotrurtion Vrrmit
Permission is hereby granted = -.......tf �-
to Construct or Repat(V'an Individual Sewage Disposal System
at No............... ..._� .!.� .�. ...... .i ......------•-----...
----------------------------------------------------------•--......--•---.
Street qqu q
as shown on the application for Disposal Works Construction Permit NJYn.).3).... Dated._....:5 A—..��>:.�.-../..
............................3-----� ..�---------------.--------------------------------------------
p� Board of Health
DATE........... 2:7.�--..f-_.�
FORM 36508 HOBBS h WARREN.INC..PUBLISHERS
LEGEND CENTERVILLE
t,� ® PROPOSED CONTOUR
® PROPOSED SPOT GRADE 6
33 —— 98 —- EXISTING CONTOUR
w
+ 96.52 EXISTING SPOT GRADE r Z
N 34 ' c TARAMAC RD. L
/,
W— EXISTING WATER SERVICE m
D_ 1 i TEST PIT
54.
1 ( # , ft /35 r
r
/ 11 CNp,E gyp) SHEp �� LOCUS
, 31 ALBERT ROA
' ,,_1———— ROUTE 28
0-10
LOT 37 LOCUS MAP
72 `` AREA = 15094 sf + — LOCUS INFORMATION
CD
TITLE REF: BK 12928/PG 104,
D_ // // PARCEL ID: MAP 169 PAR. 054
BENCH MARK � ,' ,' D I/�/ N G p�°� >< �► z'`'Ne TI
Insp ports EL I n ,
PAINT SPOT ON ° ' 2p ft ' SEPTIC SYSTEM
PAVEMENT EDGE * � iy86 ,�i' } / TOP '
ELEVATION = 32..63 „ �� EL _ OF FNON REPAIR PLAN
BARNSTABLE GIS DATUM �\ �� � �i 36 50 35 LOCATED AT:
\ ' 38 LIETRIM CIRCLE
l 1 i
CENTERVILLE, MA
GENERAL NOTES: \33 I�� j ,--___ 1 ;// /00 PREPARED FOR
I. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL \, i '
BOARD OF HEALTH AND THE DESIGN ENGINEER. Q_ BURNS
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS \ \ W
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLEz_
LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: -- ----------
- 310 CMR 15.405 (1) (B): Q j J MAY 10, 2012
1) A 1.39 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING \ ' a \
TO BE 4.39 FT (MAX) BELOW GRADE VS REQ'D 3 FT. _-
(H20/VENT PROVIDED) EDGE OF 1p�W GAs \- �F Mq0
3, THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR P 7 ft GATE y
TO INSPECTION
NSPGN ECTI NEER D APPROVAL BY THE BOARD OF HEALTH AND THE / /` VE\\_ 34 DA R N M. �+
I 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING (`
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN T/�)
/ ® O. 114�
ENGINEER BEFORE CONSTRUCTION CONTINUES. ✓ /
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. �` '�F6ISfER��
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF C/R \ �1
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OFNITAR�a �G Ike HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. { CL
7. WATER SUPPLY PROVIDED BY.TOWN WATER SERVICE.
8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION. i MEYER & SONS, INC.
10. EXISTING LEACHING TO BE PUMPED, CRUSHED AND FILLED PER TITLE V. I
11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION P.O. BOX 981
12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY
AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY EAST SANDWICH M A. 02537
13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING �-
14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC. OTHERWISE) (5 O 8)3 6 2—2 9 2 2
15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW
FOR THE USE OF A GARBAGE GRINDER
16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING
r_ 7 S'ALE: 1" = 20' SHEET 1 OF 2 ' ' J 1387
,+ NOTE, TO PREVENT BREAKOUT, THE PROPOSED
NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:29.11
FOR A DISTANCE OF 15' AROUND THE
PROPOSED
SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S.
S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER 14"
T.O.F. EL.=36.50 OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. --{ INSTALLED
F.G. EL.=35.50t I LENGTH OF Mq
•• � F.G. EL=35.5t F.G. EL:33.5t F.G. EL: 33.5(MAX.)
9.45" D A
' VENT
9" MIN COVER/ } " No. 1140
L = 10't L = 20' L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) 12.37"
® S=lr'b (MIN.) 36" MAX COVER 0 S=1% (MIN.) 0 S=1% (MIN.)
4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC
L. INV�.=
10" 14• s to.38" To SANITA 34.27 48"LIQUID �INV`.=34.02 INVERTLEVELINV.= 28.65
COUPLER DETAIL
GAS BAFFLE PROPOSED
D-BOX 3 ROWS OF 6 UNITS-0 5'/UNIT + 1 COUPLERS ® 1.16'/UNIT = 31.16'/ROW
INV.=30.0 29'80 SOIL ABSORPTION SYSTEM (PROFILE)
EXISTING 1,000 GALLON SEPTIC TANK
EXISTING OUTLET # RESTORE VEGETATIVE COVER
1 BACKFILL WITH CLEAN PERC SAND 60"
NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING TO TOP OF CHAMBERS
PIPE INVERTS PRIOR TO CONSTRUCTION
2) D-BOX SHALL BE SET LEVEL AND TRUE TO
I GRADE ON A MECHANICALLY COMPACTED SIX BREAKOUT=TOP ELEV.=29.11
INCH CRUSHED STONE BASE, AS SPECIFIED IN INV. ELEV.= 28.65`
310 CMR 15.221(2) BOTTOM ELEV.= 27.78 EXISTING SUITABLE
3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK 2.88' MATERIAL
WITH 1500 GALLON SEPTIC TANK IF FAILED, 5' MIN. ABOVE BOTTOM OF
DAMAGED, OR UNDERSIZED. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH 3 x 2.88' = 8.64'
I 4) INSTALL INLET & OUTLET TEES W/ (6.20' PROVIDED) USE 3 ROWS OF 6-ADS ARC 36HC
GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL.=21.58 - (H20) UNITS r NO-STONE W/ 1 COUPLERS
5) PLACE SANITARY TEE IN D-BOX. IN EACH ROW
SEPTIC SYSTEM PROFILE TYPICAL 'SECTION
16"
N.T.S. H.ra
s
SOIL LOG P#:13636 .
DESIGN CRITERIA DATE: MAY 8, 2012
' SECTION 1D.ae"
NUMBER OF BEDROOMS: 2 BEDROOM DWELLING/ 3 BEDROOM DESIGN SOIL EVALUATOR: DARREN M.. MEYER, R.S., CSE. #1614 INVERT
WITNESS: DONALD DESMARAIS, BARNSTABLE BOH
HEIGHT END CAP
I SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 110 G.P.D/BR. DESIGN FLOW: 330 G.P.D. Elev. TP-q 1 Depth Elev. TP-2 Depth ADS . - ARC 36HC CHAMBER (H20 LOAD)
GARBAGE GRINDER: NO NOT DESIGNED FOR GARBAGE GRINDER) 33.08 0" "
i ( FILL 33.10 FILL 0 MODEL ARC 36HC
SEPTIC TANK: 330 gpd x 200% = 660 gpd USE EXIST. 1,000 GALLON SEPTIC TANK 31.58 A 18" 31.60 A 18" LENGTH 63" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT
LOAMY SAND LOAMY SAND EFFECTIVE LENGTH 60" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY
10YR 3/2 10YR 3/2 DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE.
LEACHING AREA REQUIRED: (330)/0.74 = 445.94 S.F. 31.08 24" 30.85 27" SIDE WALL HEIGHT 10.38
B B OVERALL HEIGHT 16"
DISTRIBUTION BOX: 3 OUTLETS (MINIMUM) LOAMY SAND ; LOAMY SAND
10YR 6/8 4640 TRUEMAN BLVD
10YR 6/8 OVERALL WIDTH 34.5" HILLIARD, OH/0 43026
PRIMARY S.A.S. 28.75 C 52" 28.68 C 53" 10.7 CF ows.
USE 3 ROWS OF 6 - ADS ARCHC 3616 H2O UNITS-NO STONE P73 CAPACITY (80.0 GAL) ADVANCED DRAINAGE SYSTEMS, INC.
PERC 0 28.0 VA MEDIUM SAND MEDIUM SAND
AND EXTENDED 1 16 W/ COUPLER IN EACH ROW VA 2.5Y 6/6 2.5Y a/a SITE PLAN
BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 Sf''°LF O'F CHAMBER) PROPOSED SEPTIC SYSTEM/
(CHAMBERS: 6/ROW)18 UNITS x 5.0 LF x 4.80 SF/LF = 432.00 SF 21.58 1138" 21.60 138" 38 LIETRIM CIRCLE, CENTERVILLE, MA
(COUPLER: 1/ROW) 3 UNITS x 1.16 LF x 4.80 SF/LF = 16.70 SF
TOTAL AREA = 448.70 SF PERC RATE <2 MIN/IN. ("C" HORIZON) Prepared for: Burns
DESIGN FLOW PROVIDED: 0.74GPD/SF(448.70SF) = 332.03 GPD, > 330 GPD req'd NO GROUNDWATER OBSERVED Engineering b : SCALE DRAWN
9 9 Y Surveying by:
MEYER&SONS,INC. Eco Tech Env. NTS D.M.M.
y e I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 pO BOX 981 (508) 364-0894 DATE: CHECKED
to conduct soil evaluations and that the above analysis hoe been performed by me consistent with the SHEET NO.
EAST SANDWICH,MA 02537 05 10 12
requirements of 310 CMR 15.017. 1 further certify that'l have passed the Soil Evol. Exam in October, 1999. / / D.M.M. 2 OF 2
508-362-2922