HomeMy WebLinkAbout0091 LONGFELLOW DRIVE - Health 01
91 LONGFELLOW DR., CENTERVILLE
A= 188 011
NoP2�„1 35LOR �, �
HASTINGS,MN
TOWN OF BARNSTABLE
LOCATION 1 vt-,� SEWAGE #
VTLAGE ASSESSOR'S MAP & LOT ^ 0`
INSTALLER'S NAME&PHONE NO7
SEPTIC TANK CAPACITY I SOD
"LEACHING FACILITY: (type) (size) `�L� -IC G(
NO.OF BEDROOMS
BUILDER OR OWNE
PERMUDATE: l a I COMPLIANCE DATE: Uf 6 L/
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
'Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
P14-5 �.
fT t �� •a
s
6 xf
TOWN OF BARNSTABLE
LOCATION ®e SEWAGE #
. r
VILLAGE ASSESSOR'S MAP & LOT �Jl a�aJ
INSTALLER'S NAME&PHONE NO. —
SEPTIC TANK CAPACITY
V LEACHING FACILITY: (type) (size)
NO. OF BEDROOMS 'Y
:�OR OWNER h5, c.�, i'Tn f}
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility S, 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 facilityA Feet
Furnished by /� 7�
r
� .
J
/ t'..
l� _AA y'
1� � i
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� � t'7i('�Ct��LG.
Ma
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No. Q' D LI V L FEE
COMMONWEALTH OF MASSACHUSETTS
Board of Health, ��' ' MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) Repairxupgrade( ) Abandon( ) Complete System ❑Individual Components
Location ` Owner's Name
LA
Map/Parcel# Address
Lot# fUOUlL9I Telephone#
Installer's Name �C �C Designer's Name
Address^ S Address - mil
Telephone# !� `\ Telephone#
LOY
Type of Building WOSi '"hG-` Lot Size 10I®6 sq.ft.
Dwelling-No.of Bedrooms ,��19 S2— Garbage grinder
Other-Type of Building _1�04�- No.of persons Showers ( #afeteria
Other Fixtures ( ,�c. c ... �( c 1N\Z. c�as.Z�exg%..
Design Flow (min.required) 440 gpd Calculated design
ign flow _ Design flow provided�gpd
Plan: Date \���CM y{^^Number of sheets _ ,• `,_ Revision Date
Title i� Jam;r �ZA S W-m U( 3
Description of Soil(s) V
Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS N-0 PCNN
The un ersigned agrees to install the'above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further a ees onto lace e m' o ation until a Certificate of om 'ance been issued by the Board of Health.
Signed Date
Inspections
re.,'.r:.,rti'"`1..��.•-��,s�.,�,,.�;4c�`�">-.�r ^.:,,.�v*�'+..`�.-•ww�V^'"'",.'yu�r4"�",-�.�'sv►.��ti"r„"�:'`^r,.'^rbnn.ei.:�}''„�,p.r,,,y,^�"+x�'�r---�"`ti.......,..-.
No. i FEE
COMMONWEALTH Of M
• Board of Health, �c—z��l� MA.
APPLICATION
Iq'' � SYSTEM
`\^\\ M CONSTRUCTION
\^\\ U N PERMIT
4
Application for a Permit to Construct( ) Repair>eUpgrade()`-Abandon( )-Complete System ❑Individual Components
f
Location \k LwA ,10u 1-P. Owner's Name
Map/Parcel# ��tJ �� �JQ Address 4
Lot# �"�_ G6UTFRU1Lj,t Telephone#
Installer's Name -C S�YC Designer's Name �i
•..7 tJ trW\ � & �
Address T Address "&X 067D_ t mV
Telephone# ` Telephone# —Z)-.gb
Type of Building Lot Size I IV Y-- C_'4-� t 1O b —sqft.
�
Dwelling-No.of Bedrooms Garbage grinder oj/A,
Other-Type of Building N�f LSt No.of persons Showers
(�.., p ( �afeteria
__ Other Fixtures
� a
Design Flow(min.required) A��equired) �T�1'� gpd Calculated design flow Design flow provided 4L� gpd
Plan: Date 'i`��}�Q�.1k Number of sheets Revision Date
__
Title �C l�VU2K� C Sul S�eM U PC.SY3 C�
ti, v
Description of Soil(s) ,
Soil Evaluator Form No. �""'"'° Name of Soil Evaluator C S\_� Date of Evaluation �)3' og
DESCRIPTION OF REPAIRS OR ALTERATIONSCJV�
The undo signed agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and f
further a .weesot m e Y m o anon until a Certificate of Com 'annce been issued by the Board of Health.
Signed i 7 �� Date C/
Inspections
No..2 i q'31r 7 C �T��r �T FEE
OMMO V'�Y �H ®F MASSAC14USETIS
Board of Health, S MA.
CERTIFICATE OF COMPLIANCE
Description of Work: ❑Individual Component(s) XComplete System
The undersigned here y.certiV that the Sewage Disposal System; .Constructed ( ),Repaired ( ),Upgraded,Abandoned ( )
at �^lJ
OAF-
has been installed in'a/ccorda jce with the r visi s of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application N�. '1 r / to ��a V e - Approved Desi Flow (gpd)
Installer LIU
Designer: Inspector: Date: —7 L/,
The issuance of this permit shall not be construed as a guarante that the system will function as designed.
No. / 3 I FEE
COMMONW&114 Of MAS AC14USETTS
rt,
Board of Heealt MA.
➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is herebygr ted to; Cons(truct(r) Repair . ) Upgrade Abandon( ) an individual sewage disposal system
at r GCJ / V as described in the application for
i
Disposal System Construction Permit No. dated
t
Provided: Construction shall be completed withinthree years of the
�/ dat of this p 1 al conditions must be met.
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date / I ),5 /O ISoard of Health
TOWN OF BARNSTABLE F�
LOCATION Dt SEWAGE #
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY OD
LEACHING FACILITY: (type) (size) 1`rc to f
NO.OF BEDROOMS
BUILDER OR OWNE 457 ��
PERMTTDATE: 71l a COMPLIANCE DATE: .2 f
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any.wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300-feet of leaching facility) Feet
Furnished by
iT',
61F
Town of Barnstable
�tME 1p�
o Regulatory Services
Thomas F. Geiler, Director
• BARNWABLE,
9� " �m� Public Health Division
p'FD 1A. Thomas McKean, Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer& Designer Certification Form
Date:
Designer: SV) PjWk-,D�ncY� k SJC!:-> Installer:
Address: Address:
_L
On a � �� SqC�nc,� was issued a permit to install a
(date') (installer)
septic system at q, , I on a design drawn by
t address) `
� , dated CQ ola 1 Z�
(designer)
XI certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
c rtified as-built by designer to follow.
"ems
tea: CARMEN yc�
(Ins er's Signature
SWAY v
No. 1181
0
STIE
S
(Designer s Sig to ) (Affix D p Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
4�Y 4
c
CERTIFIED SgpTTf SYSTEM REPORT_
FN
V=0
5 199�5
91 LONGFELLOW DRIVE HEALTH DEPT.
CENTERVILLE, MA 02632 T0WN0FBARNSTABLE
MAP 188 PARCEL 011 LOT .27
PREPARED FOR
�ELLEB
MS . CONCETTA A. WERNER
720 PITCHERS WAY B22
HYANNIS) MA 02601
SHYER
MS. PAMELA EICHIN
P.O . BOX 761
OSTERVILLE, MA 02655
PREPARED BY
HILLIARD HILLER
P .O . BOX 250
CENTERVILLE, MA 02632
508-778-1472
1
Commonwealth of Massachusetts.
Executive Office of Environmental Affairs
Department of Environmental Protection
Wlglam F..Weld
C,owmor
Trudy Coxe
8�ci.ury E°EA
David m6. hs
SUBSURFACE SEWAGE DISPP PART
STEM INSPECTION FORM
CERTIFICATION
y/ �flNGFFG[-aw 4� Address of Owner: 9.7,2
Property Address: (if different)
Date.of Inspection:
Name of Inspector: H/«IA/e d
Company Name;Address and Telephone Number: �o �X�
CERTIFICATION STATEMENT
rate
I certify that have personally inspect e sewage Theinspection awassperformedtem at sbased on my training a address and that the n
d extperience indthee proper tfunction uand
and complete as of the time of inspection.
maintenance of on-site sewage disposal systems. The system: vits>E Q� ��� iC'vvTe"O 3�9G�e'
r/ R&'�•,..�•.G.vo i��'S itvo �,9UvD.ey
_ Passes ivTo 5 yST��.
_ Conditionally Passes `
_ Needs Further Evaluation By the.Local Approving Authority
_ Fails
Inspector's Signature: Date:,�
ity within thirty
) days of
ing
is
The inspection.
Inspector shall submit a copy f this has design flow f 10,000 gpd or greater, the inspector d0the systemCownert shall submit
inspection. If the system is a shared system
the report to the appropriate regional office of the Department of Environmental Protection.
The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority.
INSPECTION SUMMARY
CheckjV,,B,C,or D:
Al SYSTEM PASSES:
I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
BJ SYSTEM CONDITIONALLY PASSES: I
_ nts need to be replaced °r repaired. The stem' upon completion of the replacement or repair,
One or more system compone j
passes inspection.
not
Indicate yes,.no, or not determined'(YN,Ior NacOlc. Des
e uct�abysunsound, owl substantialf.determination in infiltrationnfiltration•o exfiltratiodetermined",
or tank failuWeYsnot)
The went tan ion if the existing.septic.tank is replaced with a conforming septic tank as
imminent. The system will pass.inspecf
approved by the Board of Health.
(revised 8/15/95)
e: Boston,Massachusetts 02108 a FAX(617)556.1049 a Telephone(617)292-SM
One Winter Street
qPnmed on aeeyded Pape
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: q/ 4
Owner: rr6.
Date of Inspection:
B]SYSTEM CONDITIONALLY PASSES(continued) .
_ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
t he
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approvalt
Board of Health):
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
_ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass
inspection if(with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
Cl 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 the
public health, safety.and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH AND SAFETY AND THE ENVIRONMENT:
FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH
_
Cesspoolor privy rivY 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 UN HEALTH
THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THEEERMINES THAT
THE SYSTEM IS FUNCTIONING IN A MANNER
ENVIRONMENT:
_ The wstem has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tribulary to a
surface water supply.
_ The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well.
_ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
_ The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water
supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is
free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5
ppm•
DJ SYSTEM FAILS:
I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis
for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
the failure.
_ Backup of sewage into facility or system component due to an overloaded or dogged 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.
2
(revised 9/15/95)
4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address:
Owner: ^S. cowc'tfTi)
Date of Inspection: /l a19.�r ,
D)SYSTEM FAILS(continued):
_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
_ Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow.
_ Required pumping more than 4 times in the last year NOT due to dogged or obstructed pipe(s).
Number of times pumped
Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation.
Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
_ Any portion of a cesspool or privy is within a Zone I of a public well.
_ Any portion of a cesspool or privy is within So feet of a private water supply well.
_ Any portion of a cesspool or privy is less than 100 feet but greater than So feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E]LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety
and the environment because one or more of the following conditions exist:
the system is within 400 feet of a surface drinking water supply
_ the system is within 200 feet of a tributary to a surface drinking water supply
_ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a
public water supply well)
water
The owner or operator o system shall system and
acility into full compliance thfin ��program
requirements of 314 CMR 5.00 andP�� sult� , gonaoffice of the Departmentfor urtherfomation.
3
(revised 8/15/95)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address:
Owner: 1415
Date of Inspection: /42-14s
Ch
eck if the following have been done:
&--Fumping information was requested of the owner, occupant, and Board of Health.
j
None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates
o y ion.
during that-period. Large volumes of water have not been introduced into the.system recently or a5 part of this inspect
Nl/As built plans have been obtained and examined. Note if they are not available with N/A.
VThe facility or dwelling was inspected for signs of sewage back-up.
/The system does not receive non-sanitary or industrial waste flow
vlhe site was inspected for signs of breakout.
V All system components, excluding the Soil Absorption System, have been located on the site.
The septic tank manholes were uncovered, opened, and the inter o f the
septic
dept tonk was scum.inspected for condition of baffles or
tees, material of construction, dimensions, depth of liquid, depth sludge,
1e"The size and location of the Sod Absorption System on the site has been determined based on existing information or
p Y
approximated by non-intrusive methods.
f/rThe facility o,%ner (and occupants, if different f-cm cwne.! were provided with information on the proper maintenance of Sub-
Surface Disposal System.
4
(revised 9/15/95)
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 91 [ astiG �GLaori L7�Q. �ZyZ�/��i�l
Owner: or:5.
Date of Inspection: !f aA,;f
FLOW CONDITIONS
RESIDENTIAL:
Design flow: yalIons
Number of bedrooms:_
Number of current residents:a
Garbage grinder(yes or no):-&L-'
Laundry connected to system (yes or no): GvN.vIL�� c'o io S!r'.oQ�2 �✓�.��/`LC
Seasonal use(yes or no): N° 3 a pow G�L �� Y �"✓>'G
Water meter readings, if available:
Last date of occupancy: /96e-'
COMMERCIAUINDUSTRIAL•
Type of establishment:
Design flow:_gallons/day
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:
OTHER: (Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information:
System pumped as part of inspection: (yes or no),LLt7
If yes,volume pumped gallons
Reason for pumping:
TYPE OF SYSTEM
Septic tank/distribution box/soil absorption system
Single cesspool
Low'_ Overflow cesspool
Privy
Shared system (yes or no) (if yes,attach previous inspection records, if any)
Other(explain)
APPROXIMATE AGE of all components, date installed (if known) and source of information: .77 YI&
Sewage odors detected when arriving at the site: (yes or no)�d
S
(revised e/15/95)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C.
SYSTEM INFORMATION (continued)
Property Address:
Owner: 176.
Date of Inspection:
SEPTIC TANK:
(locate on site plan)
Depth below grader
Material of construction: _concrete _metal _FRP other(explain)
G o,t/G L
Dimensions: �i' 4S G' �!y'f=��Tiy.� d.F'�✓�
Sludge depth:d_
Distance from top of sludge to bottom of outlet tee or baffle:
Scum thickness: d
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.) -?LSS.06
GREASE TRAP:_
(locate on site plan)
Depth below grade:
Material of construction: _concrete _,metal _FRP —other(explain)
Dimensions:
Scurr thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of sfum r^ bottom of ou!iet tee or oat fie:
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.)
6
(revised 8/15/95)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: e//
Owner: &,5-
Date of Inspection:
TIGHT OR HOLDING TANK:--
(locate on site plan)
Depth below grade:
Material of construction: _concrete_metal —FRP other(explain)
Dimensions:
Capacity: gallons
Design flow: gallons/day
Alarm level:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:=
(locate on site plan)
Depth of liquid level above outlet invert:
Comments:
(note if level and distribution is eq::--!, c':idence of so!ids carryover, evidence of leakage into or out of box, etc.)
PUMP CHAMBER:_
(locate on site plan)
Pumps in working order.(yes or no)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
(revised 6/15/95) 7
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: �1/ L o.�f�GLGw OR
Owner: Arv5•
Date of Inspection:
SOIL ABSORPTION SYSTEM(SAS):_
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type:
leaching pits, number:_
leaching chambers, number:_
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:_
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) G�SS��L
CESSPOOLS: _
(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater:
inflow (cesspool must be pumped as part of inspection)
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY:
(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.)
B
(revised 6/15/95)
I
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: �// LvvGG�GGvc.� �R G�,lJlt:2vlGL,G
Owner: .ov�e. A Ze-11—,44,44
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
C!� � GItl
ay„ �
8o`L�L�
if Ao y
DEPTH TO GROUNDWATER
i
Depth to groundwater: feet
method of determination or approximation:_49,V-46 ran.,Q <fz/!5 Tiff S/T� 'C''��Tc�.v
b
i
(revised 8/15/95) 9
SECTION A -A
10' min. from *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE O Least 24 Inches tan ALL OUTLET PIPES FROM THE ryv
Existing Foundation house t0 septic tank Schedule 40 PVC w/Charcoal Odor FilterPROFILE VIEW] OF ADDITION TO LEACHING SYSTEM Dis-mmuro" Box sHALL BE t2. CONCRETE�vFR _ v'F
SET LEVEL FOR AT LEAST 2 FT.
`s
TOP OF FOUNDATION . ELEV. 100.00 (Assumed) Septic tank covers must be - e�, : 3.4 ; .s,
a within 6 In. of finished grade ,i 3 - 5'OUTLET
Grade over Septic Tank- 98,25Grade over D-Box- 9a00 t--grade o�+er SAS - 98.00 3 of 1/8" - 1/2',Washed Peastone '�,- - - `-�•-
\`` KNOCKOU75
3/4' to 1 1/2 Washed Crushed Stone lha
.: o yw
.. S.5' °OTLET I �t 12' INLET " '-..� / C
S 0.02 4- PVC(CAPPED)INSPECTION PORT TO BE ` g•
3 HOLE H-10 _ / I t +{
DIST. BOX 3' Maximum Cover Top Load - Elev. -95.75 INSTALLED AND To BE MATHIN 8'OF GRADE 4
F 2 $atCPtit�1r4,. W F
EXIST. PIPE N 10' NE h 1,5NEW
00 GAL. s=0,01 or Greater 0.01' / Top of 3A5 -Elev. -95.25 15.5'~-- i °'+s t„
FROM EXIST. FOUNDATION X N n 10' i foot or greater • /.J/ 0" Effective Depth 4" - SCH. 40 T•
1 w POOL.YETCHYLENE C 0 20 o tie sf ,
p " �, h PLAN SECTION CROSS-SECTION ,
ew 9oN.
CONCRETE FULL FOVNDA o p H-10 N
0 d 0.83' (10 inches) 7 Units @ 6,25' 44.00'
s 4 3'
3 HOLE H-10 DISTRIBUTION BOX
SYSTEM PROFILE 6 inaf 3/4"-t 1/2" a
compacted atone 5 o o m a o - 50' NOT TO SCALE a { "�; ;•4
Not to Scale S e o +av a wtHaty a owmwr
> ° 4' q u Effective Length
c Q 2'5 SOIL ABSORPTION SYSTEM (SAS) GENERAL NOTES
6 in.of 3/4"-1 1/2' - -10 Fv
compacted atone Effective vide' INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE v m - 1. Contractor is responsible for Digsafe notification
'.. Bottom of Test Hole_I FJev.=87.00 (OR EQUIVALENT) Not to Scale and protection of all underground utilities and pipes.
Obs. Groundwater - Test Hole 1 Elev.= NONE OBSERVED NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10' 2. The septic tank and distribution box shall be set
level on 6" of 3/4"-1 1/2" stone.
3. Backfili should be clean sand or gravel with no
stones over 3" in size.
4. This system is subject to inspection during installation
by Carmen E. Shay - Environmental Services, Inc.
5. The contractor shall install this system in accordance
PERCOLATION TEST with Title V of the Massachusetts state code, the approved plan
and Local Regulations.
Date of Percolation Test: JULY 13, 2004 6. if, during installation the contractor encounters any
i soil conditions or site conditions that are different
Test Performed By. CARMEN E. SHAY, R.S., C.S.E. � from those .shown on the soil log or in our design
Results Witnessed By. WAIVER (per BARNSTABLE B.O.H.) _
�� �`� installation must halt & immediate notification be
Excavated By. SHAY ENVIRONMENTAL SERVICES, INC.Percolation Rate: Less Than <2 MPI \ made to Carmen E. Shay - Environmental Services, Inc.
� ----- �
7. No vehicle or heavy machinery shall drive over the
septic system unless noted as H-20 septic components.
8. Install Tuf-Tite gas baffles or equals on all outlet tee ends.
Test Hole 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes.
I No. 1 f 100.00
' !0' 10. All solid piping, tees & fittings shall be 4" diameter
DEPTH SOILS ELEV i Q 4" PVC ;
0 9800I �� Vent Pipe 0' O Schedule 40 NSF PVC pipes with water tight joints.
TEST HOLE #1 O 11. Municipal Water Is Connected to ALL OF The Residence and Abutting
Sandy
j Loom I ., • • ,+- • n. 1 , - Properties Within 150 Feet.
I 0"-8" A, 97.25 ��..�, �' •_.�x:;r',`2` .�R�.-i� ,r_..�i„ r f _ I Failed '
10 rR 3/2 '
i 1 !0' C THE PROPERTY LINES ARE APPROXIMATE AND
Cesspool
Loamy .._-- O
Sand
N __ic 1500 agai- ---� ENTITLED - "SUBDIVISION PLAN OF LAND IN BARNSTABLE, MA
10 vR 5/6 i Failed Septic Tank DATED DATED APRIL 10, 1972, PLAN # 24613-E SHEET3
s"- 40" e. 95.75 PROJECT BENCH MARK Cesspool - _ 1 t' A.ND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
"red- TOP OF FOUNDATION + IT SHOULD BE USED FOR NO PURPOSE OTHER T!IAN
2-s SAND
/4 ' ELEV. = 100.00 (Assumed) PAT,10 THE SEPTIC SYSTEM INSTALLATION.
700
40'- 132
zzrzzzrz� EXISTING LEACH PfT/CESSPOOLS TO BE PUMPED UT AND
LOT #28 FILLED IN PLACE OR REMOVED TO FACILITATE N STAi_LATION OF NEW SAS.!
LOT #26 EXISTING
4 BEDROOM NOTE: ANY STRIPPED OUT SOft. CONTAINING LEACHATE
HOUSE FROM THE EXISTING LEACHPIT/ CESSPOOLS O BE DISPOSED
I I OF AS PER BOARD OF HEATH SPEC IFICAP? Ns
#91 _ -- -- ----- - i NO WETLANCS Af E PRESEt'T W'THit� 0 OF THE
g$ p ASSESSORS MAP 188, PARCEL 011
I
Perc #1 \1 E t, E N t
Depth to Perc: 40" to 58"
Perc Rate= Less Than 2 MPI
d `� I I LOT #27 -- DENOTES PROPOSED j
Observed ESHWT® - NONE OBS.- 132" Assumed I 0
ADJUSTED H2O Elev. NONE OBS. - 132" Assumed t ASPHALT 'i a 104x11 SPOT GRADE '
I I DRIVEWAY:
l T 10,000 Square Feet +/-
I DENOTES EXISTING
x 104.46 SPOT GRADE
s 100.00' 't
--- PL PROPERTI' LINE
96F'�------ PROPOSED CONTOI.IR I
i ,..`,98 - -- - __ __ -97 EXISTING CONTOUR
MAY SUBSTITUTE FOR 1500 GALLON POLYETHYLENE TANK
GEORGE OBRIEN, INC. OR EQUIVALENT _E 01V G_'FL, IJ 0 "T J_?I VI ' _ DEEP TEST HOLE
PERCOLATION TEST LOCATION �
3-24' D". ACCESS uANROLES
(40 FOOT RIGHT Of WAY) -- 6 FOOT STOCKADE FENCE
P LOT P L A >>�
1Nl ET
INLET - / ..,,--/ `„ / - -
.� f`fi °U THE ACCESS COVERS FOR THE SEPTIC TANK, OF PROPOSED `i E I TIC SYSTEM UPGRADE
-c e` DISTRIBUTION BOX AND LEACHING COMPONENT
` f ' '1 SHALL BE RAISED TO WITHIN 6" OF PREPARED FOR
STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE.
PLAN VIEW INSTALL TUF-TITS GAS BAFFLES OR EQUALS I A I V! E LA E L C I I I N
ON ALL OUTLET TEE ENDS
r 3-24'REMOVABLE COVERS AT
_ ,. >::. 91 l_ONGFELLOW DRIVE
mt�3 rn>n� : HYAN N I S MA
-�Y inlet to outlet e' tr tuET„T'"- L
T�} Liquid level _ OVTIET '
- 10,Min. I u ILLI Design Calculations -AAA�
E ," PREPARED BY:
b or > Liq.;1e aPth Number of Bedrooms: 4 Equivalent to 440 Gal./Day a E G
Garbage Grinder: No
1 Leaching Capacity Proposed: 440 Gal./Day Minimum �Cl�1 it e�1 Y �• ACl 1.
- Septic Tank. RINC.o _
Septic Tank - 2 x 440 Gal./Day - 880 USE NEW 1,500 GAL. e tic ' S ENVIRONMENTAL SERVICES,s -6' SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch 0 20 40 0 1 IN
CROSS SECTION END-SECTION Bottom Area: 0.74 gal/sq. ft. x 500 sq. ft. m 370 gallons I I 00011
I ° P.O. BOX 627
Sidewall Area 0.74 gal./sq. ft. x 99.6 sq. ft. = 73.7 gallons G/ST� - EAST FALMOUTH, MA 02536
Providing: _ 443.70 gallons � sghi►TAR\R
TYPICAL 1500 GALLON SEPTIC TANK SCALE: "-20' TEL/FAX : 508-548-0796
Use: (7) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, SCALE: 1"=20' DRAWN BY: CES DATE: JULY 14, 2004
NOT TO SCALE TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3' OF WASHED STONE
(H- 1 0 LOADING) ON THE ENDS. NO STONE UNDER. PROJECT#SD601 FILENAME: SD601 PP.DWG SHEET 1 OF 1