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HomeMy WebLinkAbout0012 MONOMOY CIRCLE - Health 12 Monomoy Circle Centerville - A = 190 - 163 S M E A D No.2-153LOR UPC 12534 smead.com • Made In USA m-b OIR wetus®Nn�swoouctus Mn ooaaMow THE Town of Barnstable P# Department of Regtdatory Services Public Health Division Date_ MASS. 200 Main Street,Hyannis MA'02601 e Date Scheduled Time Fee Pd. �D Soil Suitability Assessment for Se .Das ® � L17 Performed By: VA(AGA P�av►eoE�� ELY C51; Witnessed By: - LOCATION& GENERAL IN'ORMA.TION Location Address Owner's Name 1v1 1 C1'(G -e Al C 4 t-6( 1p / /— .Address i�.o, 6w y65 G��'['�urwC Assessor's Map/Parcel: I—1 G7 ( �cG�� Engineer's Name dope )()E' ZV Qj t,t� NEW CONSTRUCTION REPAIR x - �G En9G�eer�n Telephone# 5e��j—C�?Z..-S 8 rf`"'`7 Sign Ia` F 50 Land Use' S ,4Mt1� dW2i�lh� Slopes(%) S Surface Stones $-273-©377 Distances from: Open Water Body ft Possible Wet Area : ft Drinking Water Well ft Drainage Way — ft Property Line 71 o ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands fn proximtity to holes) see aC[at;�12� (JIav1 . 'vv W :,rz Parent material(geologic) DuyWGstt% Depth to Bedrock t eJ7-1 .31 Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater 7 13 0` \655 DETERAiRNATION FOR SEASONAL HIGH WATLRTABLE' Method Used: _DI(O OoseWaktud) Depth Observed standing in obs.hole: '7 13 0 in, Depth to loll mottles: Depth to weeping from side of obs.hole: _ Itt, Groundwater Adjustment __ ft. Index Well# Reading Date: Index Well level�� Arli.factor , 9� A�U.UIowidwater Level ' PERCOLATION TEST Date 11-15-1Y 'rime il:1 Observation Hole# Time at 4" Depth of Pere Time at 6" Start Pre-soak Time @ �-��"n'' Time(9".6") End Pre-soak Rate Min./Inch < �' Site Suitability Assessment: Site Passed ye 3 Site Failed: Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one(1) Week prior to beginning. r,2:�sEPrIc�PEacroaM.DGc DEEP.OBSERVATION BOLE LOG 'Hole# 1 2. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. -- onsi tenc ravel y- 3o L 5 joy,--5/6 30'-51 e I C S `t `°/e 54'-130 G-2 MS 2.5Y�/� DEEP OBSERVATION HOLE LOG Hole# Depth from. Soil Horizon t, Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten % ravel 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) • I a DEEP OBSERVATION DOLE LOG Bole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, a Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Withdn 500 year boundary No✓ Yes Within 100 year flood boundary No V Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Ye,5 If not,what is the depth of naturally occurring pervious material? Certification I certify that on /n-2-1-g.q (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 training,expertise and a erience described in 10 CUR 15.017. Date 22-/ Signature - y Q-.WRFTIC\PLaRCFORM.DOC TOWN OF BARNSTABLE LOCATION/ �,ndMQ%J j"y� ,��, SEWAGE# /Vo/� A VILLAGE��yl,�%^Jj!}�r ASSESSOR'S MAP&PARCEL 1,q0 INSTALLER'S NAME&PHONE NO.6_ipcA.v�'Je LZn4c,-pelt ��*7XSW77 SEPTIC TANK CAPACITY 15-0 LEACHING FACILITY.(type) 6-,4,/ e �(size)r NO.OF BEDROOMS OWNER/-^v► , >61664-0 + ./1 c$7e_& PERMIT DATE: 4 COMPLIANCE DATE: Separation Distance Between the: AW 6, • Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /�� Feet Private Water Supply Well and Leaching Facility(If any wells exist on d site or within 200 feet of'leaching facility) /�rf Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) I 0 Feet FURNISHED BY��` i A off= 6-3"0' P _ , _ - g. 7 — No. 1 lzt !y Fee a7 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21ppYication for Misposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. j'raA^0 p(t,.j%f<A P. Owner's Name,Address,and Tel.No. Gc'6Jrc- s%(LLC- witC�Z�= W_C T" Assessor's Map/Parcel (�� (IC C �V l � Installer's Name,Address,and Tel.No.SacZ g 7 7 Designer's Name,Address,and Tel.No.s()g-973-03-77 C�6�02x�� e✓ P�LtS c S u-L I C elo A.►b L[ "--VN -' c cw E fAl Type of Building: m i o 9%3�_I VI CZ V Dwelling No.of Bedrooms Lot Size 2 f —sq.ft. Garbage Grinder( ) Other Type of Building R5N t pF_bjlrj 14.C_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided ��4 �(l gpd Plan Date q•-a3 r aoi q —Number of sheets Revision Date 2 Title ( ®t.�(��I,�L Size of Septic Tank i j0© Type of S.A.S. a) 5 C» Cam - (.o4lukax-i C Lgtp-S Description of Soil (t o4P_S' _`;;AilVQ ! 107, (2a4A -9 _Q Nature of Repairs or Alterations(Answer when applicable) ZQ5$- YA_ IJ&) 12500 C- S� �i?b ►ii E3.c b- arc °� �a� S��: c�L1� W-�etc 6k64d A (9-5 Cat 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. 01 S' d Date Application Approved by Date Zj Zo/ Application Disapproved Date JF for the following reasons Permit No.ZON Date Issued y./,��/Zo/y No. k Fee THE COMMONWEALTH OFV MASS ACHUSETTS Entered in computer: r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for-Mispo$al 6pstrin Construction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. I'a My W 0 6G 0 f GI Z Owner's Name,Address,and Tel.No. ) GE&),M- ' C ofCL _ Mtc�c� w_60ATl-I Assessor's Map/Parcel �jo ((o 1 s?- a ( G r%;1U(uuz, Installer's Name,Address,and Tel.No.S(FZ -CM -192 7 7 Designer's Name,Address,and Tel.No.508-973-0377 LIL C_ 1 C c w E'1 Type of Building: M 10 Pt�..l tti cr. y Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building R��I Dc-,jTt l=C No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided �LN ,(l gpd Plan Date `(- ,a3 . p L(# Number of sheets Revision Date Title 2 M 0 00—KA Oaf i IQ Id Size of Septic Tank (SO O Type of S.A.S. S Utz CV&L --Description of Soil C OARS 4SAl✓1) ! to 76 G"V-G;L.. Nature of Repairs or Alterations(Answer when applicable) TQ5-[1¢LL. OW I5c-.<> �,5,4CC,OtJ Srp"t�G K, 1b N Q t� b-R ok — t —F�-r � Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the,af r 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. ' x S' d Date Application Approved by Date VtZ5 1701 Application Disapproved Date for the following reasons Permit No.Z01 g -/Z S Date Issued glzil Zo/y TIC E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�) Upgraded Abandoned( )by cAyr=w 1 DG7 at O L)06Lf 0 j5L-Cj=g . j LL__C_: has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No ZD'y-1Z6- dated L-1 Installer O-ApEwi(hr ENmF04.Z�� C.L c. Designer'S C #bedrooms &4 1 Z 1 Approved design flow gpd U The issuance of this permit sha/ll o�/) e cons rued a guarantee that the system wil'l�ti/o)as dessigneDate 4A J Inspector PT AI�I I l P No. ��L z Feet W yU THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Bisposal *pstem Construction 3pertnit Permission is hereby granted to Construct( ) Repair(x) Upgrade( ) Abandon( ) jSystem located at (a M 0 IJ O jU,,G\-( 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 Ci/Z�o-1 i Approved by 4 Town of Barnstable Regulatory Services Thomas F.Geiler,Director • public Health Division i6" Thomas McKean,Director 200 Maia Street, Hyannis,MA 02601 Office: 508-962-4644 Fax: 508-790.6304 Date: .r"3�"IN Sewage Permits' 20 04—t 2-5 Assessor's Map/Parcel I al O Installer&Designer Certification Form Designer: Sc Erwneer(f)�, , TVIC Installer: Go(�tw,� ��ke��rlszS Address: 2i5`t Crqrbecr% yk&vU Address.- 1 5 3 Covyy oie.cc,'a l Sirfe i T e,,..% ►JgF«VnCrn, t1A o1538 ;cE•273•0377 On `I 2� 2 t Gaee J;ac- C,nEecpc"se.s was issued a permit to install a (date) (installer) septic system at i 2- Mono mo y CifcAe.. 'based on a design drawn by (address) "S C Eng��e�c�n5 , Z,n�_ dated A f,i f 7-3, 26 I N (designer) I 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. Stripout (if required) was inspected and the soils were found satisfactory. 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 certified as-built by designer to follow. Stripout (if required) ected and the soils were found satisfactory. TM� CJOHH L.. i� HURCHILLIVI (In ler's Signa re) JR. a 4160 esigner s Signatur;ARNSTABL19 (Affix De g Here) P ASE RETURN TO, PUDLIC HEAT. 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:loAke Ibmuklesignercenificetion form.doc I Town of Barnstable Barnstable Regulatory Services Department ;efta ' BARABM ` Cft & Public Health Division 1659. .�0� ° 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard Scali,Intrim Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #1012 1010 0000 2851 2606 .April 10, 2014 Michelle McGrath, Tr Blue Waters Realty Trust PO Box 465 Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5. • The septic system located at 12 Monomoy Circle, Centerville, MA, was last inspected on 3/29/2014 by, James D. Sears, a certified septic inspector for the State of Massachusetts The inspection of the septic system showed that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool. • rSystem must be re-designed for the garbage grinder, or removed. You are ordered to repair or replace the septic system within sixty (60) days_from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action.. PER ORDER OF T BOARD ,OF HEALTH c ean, R.S. CHO • Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\12 Monomoy Cir Cent 2014.doc Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �( 12 Monomoy Circle D 6 �L)C.-L is YS Property Address Michelle McGrath +� Owner Owners Name information is required for every Centerville MA 02632 3-29-14 page. Cityrrown State Zip Code Date of Inspection 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. General Information ```�q►tlttlrrrru�p77j on the computer, OF use only the tab 1. Inspector: key to move your O: yG�% cursor-do not =�: JAMES use the return James D.Sears =�: m Name of Inspector key. Jim The Inspector Man Company Name P.O.Box 784 Company Address West Yarmouth --MA 02673 City/Town State Zip Code 508-364-4398 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the insn!19 The,iLtspectio�t was performed based on my training and experience in the proper function and maintenance ofan site Y sewage disposal systems. I am a DEP approved system inspector pursuant to 5e tion 15.340 of� Title 5(310 CMR 15.000). The system: `' ❑ Passes ❑ Conditionally Passes ® FailsS ❑ Needs Further Evaluation by the Local Approving Authority CD y� 140 Y Yt x.2 a 3-29-14 spectors Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or j 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. ""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. U1 "I t5ins•3/13 Title 5 OfficiTinspeianrm:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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 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): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 . page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ 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): ❑ 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): 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 'y 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and.the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for 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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate`fYes"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 N ❑ ❑ 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 Y2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ 0 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 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ Z Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? A1,4 ❑ ❑ 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? Z ❑ Were the=00HIMSt manholes uncovered, opened, and the interior of inspected for the condition of the 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)] D. System Information Residential Flow Conditions: Number of bedrooms(design): NA Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 220 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is Centerville MA 02632 3-29-14 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information Description: The system is two old cesspool's. I Number of current residents: 1 Does residence have a garbage grinder? Z Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection El Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes 0 No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15,2 U Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 2-4-14 Was system pumped as part of the inspection? ❑ .Yes ® No 1f yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system MAW 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): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 1970's Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 30"feet Material of construction: ❑ cast iron ❑ 40 PVC ® other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Pipeing is orange burge. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 4 Sludge depth: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °y 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 . page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap(locate on site plan): Depth below grade: feet 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: Date t5ins•3113 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owners Name information is required for every Centerville MA 02632 3-29-14 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(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: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ N9 Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 .Y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name - required for every information is Centerville MA 02632 3-29-14 require page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): 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.): If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leeching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: one ❑ 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.): Leaching is a T deep block c. pool cover at 20" below grade. Pool is full, not leaching. Need to replace system. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert At inlet Depth of solids layer 2„ Depth of scum layer 0 Dimensions of cesspool 6' Materials of construction block Indication of groundwater inflow ❑ Yes ® No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form R Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 5a' 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Main pool 6'deep block w/cover at 18". No in or out let tees. Pool full not leaching. Need to replace system. 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.): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. CityTrown State Zip Code Date of Inspection D. System Information (cont.) 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 r;ARR;� Q� 5-3 r '2 =, 7 , Or t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 15'+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: Abutting property and area high. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 Monomoy Circle Property Address Michelle McGrath Owner Owner's Name information is required for every Centerville MA 02632 3-29-14 . page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 _ FINISH GRADE OVER D-BOX= 52.4'± _ T.O.F. EL.= 55.0�± FINISH GRADE OVER CHAMBERS= 52.3� - 52.7� ^ GENERAL NOTE S PROVIDE EXTENSION RISER SLOPE @ 2% MIN. OVER SYSTEM 3/4 TO NE DOUBLE WASHED REMOVABLE WATER-TIGHT COVER OVER STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS BOX FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. , ° 2"OF 1/8"TO 1/2" DOUBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL f @ FOUNDATION = 54.3�± 54.0± 5" DIA. OUTLET(S) MIN SLOPE 1 /° TO F.G. (SEE GENERAL NOTE#21) STONE OR GEOTEXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. - 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 20"MIN.ACCESS 9"MIN. i I DESIGN ENGINEER. COVER(3 TYP.) 36"MAX. TOP OF SAS = 50,53' PLACE RISERS ON ALL 9 MIN. CHAMBERS WITH 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROP. SCH.40 36"MAX. , 9"MIN. �� PVC SEWER PROP. SCH.40 49.70 36"MAX. BREAKOUT EL= 50.20' INLET PIPES TO 6"OF SYSTEM UNLESS OTHERWISE NOTED. PVC SEWER ' FINISHED GRADE - 2" DROP MIN. 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN *6'0" MIN.SLOPE@3 3" DROP MAX. 3" 9" MIN.SLOPE 1% L-27± PROVIDE WATERTIGHT ' ELEVATION = 50.20' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A n 4" PVC IN FROM JOINTS(TYP.) � 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF * 4^ SEPTIC TANK 4"PVC OUT TO 0 0 O \ 0 0 0 Q 0 0 o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 52.5 ± 1 51 .75 LEACHING FACILITY I po 00 o p 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 52.00' 50.00� MIN. 6" 49.$3� 2' op o 0 0 op 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48" OUTLET TEE o0 00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 6"CRUSHED STONE 00 0 0 oo FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS GAS BAFFLE 4w OVER MECHANICALLY pp 00 o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 10.5'OFFSET TO FND COMPACTED BASE BOX 5 4.0' ( )8.5' TYP - I 4.0' E 4'0 4.83' 4.01AND DESIGN ENGINEER. OUTLET DISTRIBUTION8. ELEVATIONS BASED ON APPROXIMATE U.S.G.S. DATUM. BENCHMARK ELEVATION OF 55.00, 6"CRUSHED STONE TO BE INSTALLED ON A LEVEL STABLE 25.0' (TYP.) ESTABLISHED ON THE TOP CORNER OF BULKHEAD AS SHOWN ON PLAN. OVER MECHANICALLY BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 41 .57' / 11 COMPACTED BASE C PIPES TO BE LAID LEVEL. 47.70 12.83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1 ,500 GALLON CONCRETE SEPTIC TANK 2 - 500 GALLON CHAMBERS 5'MIN. CHAMBER END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10'$' WIDTH 5'-8" DEPTH 5'-8° (Dimensions per Wiggin CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES "CONTRACTOR TO VERIFY ExiSiiiVG SEPTIC TANK PROFILE Precast Corp., Pocasset,MA) DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK & 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERED`` NOT TO SCALE NOT TO SCALE NOT TO SCALE - - 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING MISCELLANEOUS NOTES: h. '` ' . ; ; • - ' • TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM it 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC fir • «•• ` �` : • PERC NO. 14336 APPROPRIATE AUTHORITY. SYSTEM COMPONENT. , ! ' . • • + Imp ' ; INSPECTOR: Donna Miorandi, RS 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS ` « ► „ • . LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE • , CSE 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED '� ` • • • " "" EVALUATOR: Michael Pimentel, THEY SHALL WITHSTAND H-20 LOADING. LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. +.•• • • r ,� ` C.S.E. APPROVAL DATE: Oct. EIT EIT, REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH 1! • DATE: April 15, 2014 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. TEST PIT DATA. �J /� + • ' . " „ 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE )� * « • TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS. ; ,; • �! ••s � ELEV TOP= 52.40' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, • • " • + FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). • ; * , ' ELEV WATER= <41.57' . , • '• • • + " • , 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN ZONE 2 a • LOCUS us' . PERC RATE _ <2 min./inch j SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 4 ,�» + : • DEPTH OF PERC= 30"-48" 16. PROPOSED PROJECT IS LOCATED WITHIN: M �� " '+ •• re 0 y • • TEXTURAL CLASS: 1 ASSESSOR'S MAP 190 PARCEL 163 •� f r +••`*• a •• r'" • OWNER OF RECORD: FRANK J. NUOVO& MICHELLE McGRATH, TRUSTEES +w• + • s• « • • ♦• r+ + ! 52.4-- OF BLUE WATERS REALTY TRUST a r y� • • ' * , • +• ' " Fill ( ADDRESS: PO BOX 465 oc�, try + , . + « # • s • 4 52.07 I CENTERVILLE, MA 02632 Al \S 2ry MAP 190 N _Y✓ ,' •• B Loamy Sand FEMA FLOOD ZONE C �O q-5 qs \ Oy PARCEL 162 a + �/ + �' ` «••. • • +� 10Yr 5/6 COMMUNITY PANEL# 250001 0015 C O� & ish .•�, •� « • SM 60 30^ 49.90' 17. DEED REFERENCE: DEED BOOK 7337, PAGE 197 o / \ G S C�c(� ' ." HatC rY �`` • • Pere 18. PLAN REFERENCES: 1. PLAN BOOK 224, PAGE 87 0 i y 48" 48.40' Coarse Sand ) r O `'AS7S+ ' f " ` • 2.) PLAN BOOK 364, PAGE 36(MONOMOY ROAD LAYOUT) EXISTING CESSPOOL TO BE PUMPED, FILLED * + C-1 5- .5 6/6 WITH CLEAN COARSE SAND, AND ABANDONED .., , ~,``- -_ •• * • 54" ( g ) 47 90' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. �� \ G` '� • • 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY Qom/ �C' ran • • I k FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. -- ... Medium Sand fVO� ac, C-2 2.5Y 6/6 21. A 4" PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A (5%gravel) DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A #12 I SHED 4U LOCUS PLAN REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. EXISTING ' 2-BEDROOM DWELLING \ r SCALE: 1"= 1000' TOF = 55.0'± / F' I I 130" 41.57' Q -SHRUBS- 44/ ' No Standing, Weeping or Mottling Observed PATIO / / �c,v _. _ - ---------- ------------------ ---- --------- DESIGN DATA TEST PIT DATA LEGEND 6' .irn INV.=52.5± 9� / PERC NO. 14336 / 50x0' EXISTING SPOT GRADE NUMBER OF BEDROOMS (DESIGN) 3 (MIN. PER TITLE 5) INSPECTOR: Donna Miorandi, RS 1pS, CID NUMBER Michael Pimentel, EIT, CSE - - 50 - - EXISTING CONTOUR Benchmark SWING-TIES SCALE: 1" =20' DESIGN FLOW 110 GAUDAY/BEDROOM TOTAL DESIGN FLOW 330 GAUD" C.S.E.APPROVAL DATE: Oct. 1999 -� 50 PROPOSED CONTOUR DESCRIPTION Bulkhead Comer � f � � HC-1 HC-2 DATE: April 15, 2014 Elev. =55.00' SQ DESIGN FLOW x 200 % = 660 GAUD" 50 PROPOSED SPOT GRADE Approx. U.S.G.S. -� TP 1 SEPTIC COVER IN (1) 50.5' 28.1' TEST PIT#: 2 / 52x4' USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV TOP= 52.40' ❑/H/W EXISTING OVERHEAD UTILITIES PROPOSED 1,500 ��"' 52xT SEPTIC COVER OUT(2) 58.1' 22.6' GALLON SEPTIC TANK � � c ELEV WATER= <41.5T -W W-- - EXISTING WATER LINE '�' S3 TP 2 O `'2x cV CORNER OF STONE(3) 76.2' 35.2' s- EXISTING LEACHING PIT TO BE �'�-� 52x4 oMco o^ PERC RATE = GAS EXISTING GAS LINE PUMPED, FILLED WITH CLEAN - *_1 CORNER OF STONE(4) 73.3' 45.2' O �N �. COARSE SAND, AND ABANDONED CORNER OF STONE(5) 98.1 62.4 INSTALL 2 - 500 GAL. CHAMBERS W/ AGGREGATE DEPTH OF PERC = % TEST PIT LOCATION -ram SIDEWALL CAPACITY PROPOSED 1,500 GALLON SEPTIC TANK TEXTURAL CLASS: 1 O O O PROPOSED DISTRIBUTION BOX I'� MAP 190 CORNER OF STONE(6) 100.3' 55.6' 0 0 52- -- ---- (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUD" �^ 52x5' � PARCEL 167 (25.0'+ 12.83')(2 ) (2' ) (0.74 GPD/S.F.) = 112.0 GAUD" -- PROPOSED 2-500 GALLON LEACHING h� 0" 52.40' CP EXISTING CESSPOOL Fill CHAMBERS WITH AGGREGATE `5 BOTTOM CAPACITY 4" 52.0T ! PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE 52x2' HC-1 (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUD" Loam Sand MAP 190 (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAUD" B y O PROPOSED DISTRIBUTION BOX 10Yr 5/6 PARCEL 163 O PROPOSED 500 GALLON LEACHING CHAMBER 21,845t S.F. PROPOSED INSPECTION PORT #12 30" 49.90' EXISTING TOTALS: 2-BEDROOM TOTAL NUMBER OF CHAMBERS 2 Coarse Sand REV. DATE BY APP'D. DESCRIPTION --- MAP 190 DWELLING C-1 2.5Y 6/6 TOF = 55.0'± TOTAL LEACHING AREA 472.2 SQ.FT. (5-10%gravel) ' PROPOSED SEPTIC SYSTEM UPGRADE PARCEL 164 s TOTAL LEACHING CAPACITY 349.4 GAL./DAY PATIO � 47.90 PREPARED FOR: CAPEWIDE ENTERPRISES Medium Sand C-2 2.5Y 6/6 LOCATED AT '�s• O 1) (5% gravel) 12 MONOMOY CIRCLE HC-2 � 2) CENTERVILLE, MA 02632 -Q, (4� 130" 1 1 41.57' SCALE: 1 INCH = 20 FT. DATE: APRIL 23, 2014 j 0"A,1( 0 10 20 40 80 FEET 3 No Standing,Weeping or Mottling Observed OFs, ( � O Jhc' Jo. L. PREPARED BY: o RESERVED FOR BOARD OF HEALTH USE �. CHUP, HLLJR. JC ENGINEERING, INC. o N ' 807 + 2854 CRANBERRY HIGHWAY • � �� ,ST EAST WAREHAM, MA 02538 SITE PLAN �,,,�z a��5, ` r 508.273.0377 SCALE: 1"=20' (6 Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.2716