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HomeMy WebLinkAbout0387 NYE ROAD - Health 3 87 Nye Road Centerville A= 148 - 136 9 No. Y✓ Fee y. THE COMMONWEALTH OF'MASSACHUlETTS F-nteredincomputer: Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLEa MASSACHUSETTS ZIpprtcatton for ;Dtopozal bpgtem Conotruction Vermtt Application for a Permit to Construct(. )Repair( Upgrade( )Abandon( ) O Complete System individual Components . Location Address or Lot No. ;�� /�a� iZp, ` Owner's Name Address and Tel.No. C�t►.1�Ee-fit t-tE t M� TA�Z LPJ H t TVA kec Assessor's Map/ParceI 4 SAME Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �O�t�s �C �a�1Ci� cJ1�W`7-Ei9�, SQ.t�'CS• (_0 53io 5 39-_49cee Type of Building: Dwelling No.of Bedrooms 13 Lot Size lIS-95 sq.ft. Garbage Grinder(Alit Other Type of Building 190IS E No.of Persons oZ Showers( kl�'Cafeteria{ k�' Other Fixtures ktTenttVA `jAk . I nor-)&Li Design Flow gallons per day. Calculated daily flow 331` gallons. Plan Date 8 1 i L}f Bfo Number of sheets I Revision Date, Title & U o QaSC\ - Je Size of Septic Tank 1&1 T 1. Aftn QQ 1. Type of S.A.S. 5 -iN r-1 LX yxii Ili Description of Soil �CZ� (Aor-N Nature of Repairs or Alterations(Answer when applicable) SRs- 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 provision .of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has n issu o Heal h. Si ned Date 4 Q Application Approved b Date 1 Application Disapproved for the following reasons Permit No. ^ Date Issued No.r y t'�'�j $(0 ° Fee _ /D� . THE COMMONWEALTH OF MASSACHUS'E "�' Entered in.computer: Yes ' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for Miooal *pAqtemc Conztruction Permit Application fora Permit to Construct( )Repair( �>i4 Jpgrade( )Abandon( ) O Complete System D><dividual Components Location Address or Lot No. E ho Owner's Name,A dress and Tel.No. C E�TE P.J I L-L-E M F� �H rJ� W H►Tws)<Ee Assessor'sMap/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ���-C'�'S S�Q�` � SczcLfiC� 5t-4RY-E13�J SQvCs. (048-5 39-_49W. Type of Building: Dwelling No.of Bedrooms 3 Lot Size la4 S 9 5 sq.ft. Garbage Grinder( A Other Type of Building -Wt l t No. of Persons a2 t r Showers( )eltafeteria Other Fixtures 1emc► uA Slnik „ad_au�hcLl !` Design Flow �J 3 d gallons per day. Calculated daily flow ,331 e)0 gallons. Plan Date... E3 1141 (A- Number of sheets I `t Revision Date ^ - Titled Size of Septic Tank C�aC%�'T I. 000 C;C Type of S.A.S. is`X 3 Description of Soil \C(1 Nature of Repairs or Alterations(Answer when applicable) -?Q.sggC- -Am (�,\ . 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 fi f Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has b�er•is eby th' ar, ea»lth, �n/ �„ Sighed L(i Date 4 �lf'!o Yam" Application Approved by Date 1 '4 Application Disapproved for the following reasons Permit No. '� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, t t the On-site Sewage Disposal System Constructed( ) Repaired ( )Upgraded( k Abandoned( )by ,V at rpj kA&i I La— has been constructed i acco nce with the provi2&,4;6 tle 55 and the for Disposal System Construction Permit No. bdated �� Installer Designer The issuance of this permit shall not be on tru d as a guarantee that the system ill functio de 'gned. Date Inspector THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5ponl *pgtem Construction Permit Permission is hereby granted to Construct( ) epair ) pgr de( )JAbandon( ) t System located at 38-7 y=ai A AT, Ak// 1 U. and as described in the above Application for Disposal System Construction Permit, The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mus be corn a ed within three years of the date of his pen. Dater Approved by 02/11/2017 21 : 11 FAX [a 001/001 Town of Barnstable Regulatory Services r Thomas F. Geiler,Director KAM Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 509-862-46 Fax: 508-790-6304 Installer& Designer Certification Form Date; 1-16-06 Designer: Shay Environmental Services Inc. Installer: Robert Septic Services. Address: P.O. Box 627 East Falmouth Address: 5 Trenton Street MA 02536 Yarmouth, MA On 8/20/06 Robert Septic Service was issued a pen-nit to install a (date) installer septic system at 3 87 Nye Road Centerville MA,based on a design drawn by (address) Shav Environmental Services Inc. dated 8/14/06 (designer) i XX I certify tat the septic system referenced above was installed substantially according to the design which may include minor approved changes such as lateral relocation of the distributio i box and/or septic tank. 1 certify that the septic system referenced above was installed with major changes (i.e. greater thari 10' lateral relocation of the SAS or any vertical relocation of any component of the sept a system) but in accordance with State & Local Regulations. Plan revision or certified w-built by designer to ollow. 3 s ler's CARMEN E. , SHAY N No_ 1181 (De ' er's ature) I (Affix eA p Here) PLEASE RETU N TO BARNSTA13LE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIAN E WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD AR E RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q-I lealth/Septic/Design r Cur ification Form TOWN OF BARNSTABLE LOCATION ' ` �°'s/ SEWAGE# ✓�� VILLAGE ASSESSOR'S M(�AP&PARCEL INSTALLERS NAME&PHONE.NC _D SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Ofk,% :13o'Sp L- (size) 3 r7 �I 1 NO.OF BEDROOMS OWNER PERMIT DATE:_ i -7 COMPLIANCE DATE: /z- 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 2. ICI , 4 Town of Barnstable P# • oF� Department of Regulatory Services Public Health Division Date 71' 200 Main Street,Hyannis MA 02601 Date Scheduled h, Time Fee Pd. Soil Suitability Assessment for Sewage Disnosal Performed By: baayvCWitnessed By: _ -�l�Zv P-� LOCATION& GENERAL INFORMATION Location Address 3&::� �G ��� Owner's Name �j �J t 1R t Address Assessor's Map/Parcel: Engineer's Name NEW CONSTRUCTION a REPAIR Telephone# 66 -��(Q�p Land Use. _ �yz% \2S-T\�N ON Slopes(%) Surface Stones NIA Distances from: Open Water Body _ft Possible Wet Area—4—Aft Drinking Water Well jilln_ft Drainage Way�ft Property Line �©L—ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands 1n proximity to holes) \ Parent material(geologic) no-"G-51\ Depth to Bedrock li , Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face ����, t Estimated Seasonal High Groundwater +�i �� 1"o� 3 CZ-1 - DETERNIINATION FOR SEASONAL HIGH WATER TABLE,` h Method Used: �S*� y� `)" t, Depth Observed standing in obs.hole: �,_1n, Depth to sail mottles: �I A in. Depth to weeping from side of obs.hole: ��in. Groundwater AdJustment Index Well#500 - Reading Date: '4,j06 Index Well level-jk,L5 Adj.faetor 1 r U Adj.Groundwater Laval-� 3.lP $a rty PERCOLATION TEST hate .�, Time !�a'`d Observation I Hole# Time at 4" 91, Mtn a 192-0}: �1 Depth of Perc Time at 6" Start Pre-soak Time @ Time(V-6") End Pre-soak Rate MinJlnch L- 1 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If 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. Q:\SEPTIC\PERCFORM.DOC I DEEP.OBSERVATION HOLE LOG Hole# Depth from . Soil Horizon Soil Texture Surface(in.) Sdil Color Soil Other (USDA) (Mansell) Mottling (Structure,Stones;Boulders. n i tenc vet ( -YR 3 IJ A 30- :S." loose Leo DEEP OBSERVATION HOLE LOG 'Hole# Depth from Soil Horizon Soil Texture Surface(in.) Soil Color Soil Other (USDA) (Mansell) Mottling (Structure,Stones,Boulders. •� _� � `JL r� Y2 3� � co Stab nip I • �' 3a ._, c M-F I a.sY �o Depth from DEEP OSoil HoZ on BSER SAI t l Color S TION HOLELOG Hole# Texture Surface(in.) (USDA) Other (Munsell) Mottling (Structure,Stones,Boulders. Co it c v DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Surface(in.) Soil Color Soil Other (USDA) (Mansell) Mottling (Structure,Stones;Boulders. Consi e Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No ✓_ Yes Within 100 year flood boundary No a� Yes Death 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? If not,what is the depth of naturally occurring pervious material? Certification I certify that f (date)I have passed the soil evaluator examination approval by the Department of Envir nmental Prot ion and that the above analysis was performed by me consistent with .the required trai n e e ' e ex rience described in 310 CMR 15.017. Signature Date Q WEPTICIPERCFORM.DOC X a Town of Barnstable EVE Tp� Regulatory Services BAxxsTnB Thomas F. Geiler, Director 9�p MASS. .•� Public Health Division lED MA'S A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 6, 2006 Ms Jane Whittaker 387 Nye Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 387 Nye Road, Centerville, MA,was last inspected on June 2nd , 2006 by, Mark Polselli, certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: Bottom of pit is 8.7' below grade SAS is below high ground water elevation. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HE TH DEPARTMENT c ean, R.S., C.H.O. Agent of the Board of Health COI IiVON WE_4LT ���,,H OF 1v11-SDSACHLSETTS • T EXEcuuv-E OFFICE OF EtiVIRON`IIEN I_aL::�'�AjRS �9 a DEPARTMENT T _ w of Ei��rRO� T�L PROTECTION ,c O,M Sv'J TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUINTARY ASSESSNIENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A !� CERTIFICATION Property Address: e� e Owner's name: ,J g� g 1 Owner's Address: Date of Inspection: game of Inspector: (pleaseprint) Company!tame: !i/ O — Vlailing Address:_ a QD.X• la4 S� 474 oa6Z/� . Telephone Number� p 5---__�� ;73 rt^ c,, t CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address - _and tat*lie r: ormation:epos wed below is true, accurate and complete as of the time of the inspection.The inspection was peformed based on my graining and experience in the proper function and maintenance of on site sewage disposal s se_,s I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CIMR 15.000). T`h-e system. Passes Conditionally Passes F„nher Evah tion by the Local� y': pprong Au hority Fails l i;pector's Signature: Date: of D The system inspector shall submit a copy of this inspection report to the ?,nnrnyina a ut ,Ti,y.,B,..-a __l-_ DEP j wi rr ��__ �v�:i Vi Ga': Or inin 30 days of completing this inspection.If the system is a shared system or has a desr =�o•:,oft ,ern gpd or greater, the inspector and the system owner shalr submit the report to the appropriate:e-; DEP. The original should be sent to the system owner and copies sent to the buyer, if appli �vi �� a_.ce o-he authority. c_�_e �d-he ��•t3r0 VMQ Notes and Comments- 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. Ti<, ue 112SpeCtlOn rnrn= 4;i:/�nnn Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLL-tiTA,Ry Assssz; ti-rs SUBSURFACE SEW4GE DISPOSAL SyS?EiViINSPECTION' FOR-NM PART A ? CERTIFICATION(continued) Property Address: ✓ �/ � Owner: Date of Inspection: d O Inspection Summary: Check A,B,C,D or E/ALWAyS complete all of Section D A. System Passes: �,have not found any information which indicates that any of the fail 15.303 or in 310 C_-MR 15.304 exist.Any failure criteria not evaluated are nciicat�iure tebelow ria c�oyn��,0 CLR Comments: B. SVStem Conditionally Passes: _-_L One or more system components as described in the"Conditional Pass"section repaired. The system,upon completion of the replacement or repair.as approved by th Boadrd o Health- or ill pass. Answer yes, no or not determined(Y,lV,IV-D)in the for the followin statements.explain. g I1"not determined"please 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 existing tank is replaced with a complying septic tank as approved by the Board of Health. pass n,pec`en f the *A metal septic tank will pass inspection if it is structurally sound,not leakitlg and if a Certu-icate of Conrplzance indicating that the tank is less than 20 years,old is available. ND explgin; 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 zv1II pass :nmebzX approval of Board of Health): broken pipe(s)are—!aced r obstruction is removed distribution box is leveled or replaced ',D explain: The system required pumping more than 4 times a year due.o broken or obstructed p;,e(s). ; , ,s_ pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed D explain: Page 3 of l I OFFICIAL INSPECTION FORM- NOT FO V - - - R RY � � LBSL'RFACE SEWAGE DISPOSAL SYSTEyIINTS - PECTTO� FORA PART A ? /J CERTIFICATION(continued) Property Address• ✓ �/ /I-/ e R� L Owner OP 6 Date of Inspection: d D� C. /Further Evaluation is Required by the Board of Health: /y Conditions exist which require further evaluation by the Board of Health in order to deternne s- is failing to protect public health, safety or the environment. the sy_.em 1. Svstem will pass unless Board of Health determines in accordance with 310 CtiiR 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 bordermg vegetated wetland or a salt ruarsh ?. System will fail unless the Board of Health(and Public Water Supplier.if an system is fun uPP any) that t the g to 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 nubl=c water supDly. — The system has a septic tank and SAS and the SAS is within 50 feet of a private water szppiy 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 cermcled laborator;. or coli=or n a and u 'voLacuc CT anic Compounds indicates that the well is iiee - rnD01u p7� pry h`it aCI-3cZ and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less tl n 5 DDT oro-_dam;hat no, het failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: I r Pase 4 of 11 OFFICIAL INS PECTION FORM-NOT FOR YOLLN e,RY ASSESSIrENT'S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(conrnued) Property Address: U/ ,A.,��� Owner: (tik Date of Inspection: 6 oZ D. System Failure Criteria applicable to all systems: You must indicate `Yes"or"no"to each of the following for aIl inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool scharge or ponding of effluent to the surface of the ground or surface waters due to zn overloaded or __clogged SAS or cesspool Static liquid level in the distribution box above outlet invert due to an overloaded or clogged S�,S or cesspool _ '�Liquid depth in cesspool is less than 6"below invert or available volume is less than %day how Required pumping more than 4 times in the last year NOT due.o clogged or obs€�cted �-oz s .Nu-bey of times pumped * - P�. f ) ny 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 cater supply. •/_ 9ny portion of a cesspool or privy is within a Zone 1 of a public well. 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 anatvsis. performed at a DEP certified laboratory,for coliform bacteria and volatile organic compou>zds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or Iess than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this forma pj!�?J— (Yes/No) The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CyII21?,30; therefore the system fails.Tne system owne,should col;aLte Hoard 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 ,pd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large system in addition to the criteria above) yes no the system is within 400 feet of a surface drinking water supply the system is within.2200 feet ofa tributary to a su_•ace drinking ware.sua.Iy _ the yytem is located in a nitrogen sensitive area(interim���,'ellnead Prorect?o�,zi'e- =,�° ; . - ,_one ii of a public water supply well c - -� -� if';ou have . ins-wered "yes"to any question in Section H the system is considered a sig? _:can1 1 `__ ,;es -n Section D above the iarge system as'aIIed.Ti_e v_ ° significant hreai ur_der Section E or failed under Section o c te. or operator of an:is-Qe .'; D_hall u -04. e system ow per should contact the a Fgrade`he s%stern in ac;;o-v_-ce =: PPropria e regional office of the Dera�,L-znent. v-- ^� Page 5 of 11 OFFICIAL INSPECTION FORyI-NOT FOR VOLL7-,NTTARy ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SI'STENIL\TSPECTION FOR NI P_A, RT B CHECKLIST Property Address: ZOp,�' �/P-, e o�N vi Owner: Date of Inspection: oL ©b Check if the following have been done.You must indicate`Yes"or"no"as to each of the fo!:,owrno: Pumping information was provided by the owner,occupant,or Board of Health `� `/ere any of the system components pumped out in the previous two weets ? /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 th:s recaon:? Were as built plans of the system obtained and examined?(If they were not available note as NN%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 - -�e tares rzroec ed-or .he condition of the baffles or tees, material of construction, dimensions,depth of i quid,depth of sludge and depzh of scour? Was the facility owner(and occupants if different from owner)t ro- w-ded with information on the proper maintenance of subsurface sewage disposal systems? 1 he size and location of the Soil Absorption System(SAS)on the site has been dete—n-fined based on: Vas/,-ip v xictinba;nf01--n.I cxamp-le, a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue appro--- -ion n`dis ice is unacceptable) [310 CVZ 15.302(3)(b)) Page 6 of 11 OFFICIAL, INSPECTION FORM-NOT FOR VOLUNT_-�RY ASSESSyIENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM IINFSPE.CTIO--N- €ORyi PART C SYSTEM INFORMATION Property_ Address: —�e✓vr � Od Owner: ��- Date of Inspection: d FLOW Ov-DITIONS RESIDENTIAL Number of bedrooms (design): . Number of bedrooms(actual): DESIGN flow based on 310 C R 15.203 (for example: 110 gpd x_ofbedrooms): �3d Number of current residents: Does residence have a garbage grinder(yes or no): Is laundry on a separate sewage system(yes or no):,jw [if yes separate inspection required; Laundry system inspected(yes or no): .(/� Seasonal use: (yes or no): / Water meter readings, if avail Able(last 2 years usage(gpd)): Sump pump(yes or no): Last date of occupancy: CON MERC1A.L/ITND US TRI AL Type of establishment: Design flow(based on 310 C--NM 15.2034 gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):— Von-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL LNFORIL-,TION Pumping Records n_ Source of information: % Q t.✓Ha.� Was system pumped as part of the inspection(yes or no): yv If yes, volume pumped: gailons--How was quantity pumped determined? Reason for pumping: TYP SYSTEM Septic tank, diCtribution box,soil absorp-4 n system _Single cesspool _Overflow cesspool _Pnvy Shared system(yes or no) (if yes, attach previous inspection records,,if any) Innovative/Alternative technology. Attach a copy of the current operation and a,a tenar_ce obtained from system owner) V —Tight tank —Attach a copy of the DEP approval Other(describe): :.kpproximate age of ali components,date installed(if .*town)and soar;e of r rna ion: ✓ere se%vage cdors detected '-hen ariving al the site(yes or no):�U Page 7 of 1 I OFFICIAL INSPECTION FORM NOT FOR VOLUNT_A.Ry-SSESS-NIENTS SUBSURFACE SENVAGE DISPOSAL SYSTEM p�SpECTIO__N7 FORN PART C SYSTEM I iFORIMATION(continued) Property Address: Owner: Dd 63d Date of Inspection: ,1 O BLILDING SEWER(locate on site plan) 4 `1 Depth below grade: _7/ � Materials of construction:_fit iron 'VC_other(explaia): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of leakage,etc.): SEPTIC TANK:—(Iocate on site plan) Depth below grade: 33 " Material of construction: L-CO—ncrete metal—fiberglass_--polyethylene If — — If tank is metal list age: — Is age confirmed by a Certificate of Compliance(yes or uo):—(a«ach a coon of certificate) Dimensions: Sludge depth: 6 �i Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: ,s " Distance from top of scum to top of outlet tee or baffle: >r// Distance from bottom of scum to bottom of outlet tee or baffle: '_how were dimensions determined: �/e Qg5 � Comments (on pumping recommendations,inlet and outlet tee or baffle condifien,s�uctuxa1 te�it�, Ii a d'ev,l; as related to outlet invert, evidence of le ge,etc.): - v�7 ti o A"4 vbBso cow' 7�— 74/w7e o'� /�t'L✓ �/ S' GREASE TRAP:4 (Iocate on site plan) Depth below grade._ v.ateriai of construction:_concrete metal (explain): — _fiberglass—polyethyene—offer Dimensions: Scum thickness: Distance from top of scum totop of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments (on umpin re P g commendations, inlet and outlet tee or baffle conditor. sr cLura? 1_te Wiz; _e_;ti as related to outlet invert, evidence of leakage.etc.): _ _:es Page S of 11 OFFICIAL INSPECTION FORNtiI—NOT FOR VOLi,-N-TARy ASSESSNTENT.S SUBSURFACE SEtiVAGE DISPOSA.L SYSTEMZN'SPECTION FORYI PART C SYSTEM INFORMATION(continued) Property Address: ✓v� Owner: Date of Inspection: TIGHT or HOLDING TANK: t(tank must be pumped at time or inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal_fiberglass ,polyethylene other(exnlain): Dimensions: Capacity: allons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(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: Comments note if( box is level and distribution to outlets e _ q� �='evidence of solids carryover, any evidence of leakage into or out of box, etc.): svt�►�� A,�e� /l�o dew- /fio �- �e .�.� �✓ PUTIMP CHAMBER:& (locate on sire 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.): I Page 9 of 11 OFFICIAL INSPECTION FORNI—NOT FOR VOLU T_4RY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL,SYSTEYI n SPECT'ro�7 FoR-Nr PART C SYSTEM INFOR TATIO(continued) Property Address: / Q RC� ° Oa 3� Owner: Date of Inspection: A /Q-Z SOIL_ABSORPTION'SYSTEN1(SAS): (locate on site plan,excavation not required) if SAS not located explain why: Type / x P/ leaching pits,number: leaching chambers, number: leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: ianovativeialtemative system Type/name of technology: Comments (note condition of soil,signs of hydraulic failure,level ofponding,damp soil,condition of vegetation, etc.): 11� CESSPOOLS/i/ (cesspool must be pumped as part of inspecaon)(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,Ievel of ponding,condition of vegetatioL, etc.): PRIVY:/_/(locate on site plan) Materials of construction: Dimensions: Depth of solids: Com penis (note condition of soil, signs of hydraulic failure. '_evel of ponding,conditton o •.'etc aziOT e, Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR-NI PART C SYSTEM ENTORMATION(continued) Property Address: �U / /v e A Ci ' // e /17� O� 6� Owner: W/ Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent referelce land-marks or benchmarks. Locate all wells within 100 feet.Locate where public water supply nters the buEding. �l0 h T (Till) 111 _ 304 - - C8 e'r A3 ^ �� 121 --,23 ID--a 9. 133 - 39 � 63 - 30 . 3 CTI - a2 .� Pagellofll s G OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSZIE'_N_'TS SUBSURFACE SEWAGE DISPOSAL. SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) property Address: /V e %O L,'A Owner: ("N/#i a ✓ TO I'O'D Date of Inspection: 4-Z� Z, SITE EXAM , Slope •3 ��� Surface water 02 Check cellar Shallow wells Estimated depth to ground water 9'Op feet Please indicate(check) all methods used to detemvn the high ground water elevaton: Obtained from system design plans on record- checked,date of design plan reviewed: �rved site(abutting property/observation h le within 15,Q feet ) TO Checked with local Board of Health-explain: �''J decked ;vith local excavators,installers-(atta h documentation) Accessed USGS database-explain: You I/ JSt describe/how yo established the high 161, andd�water elevation: / / oC/ [/1 {'l a n A N ✓ O 7`r g�n O C G, �G C� /O 4 vt �l✓R 7�/, i n vim' t,- jr q S /S O Lf / to �t✓c ✓ . To D G�JP (9 O O 4 Iri O O O t ,p /D s 6) p 0 ,0 '6 i © Co No✓. .. l'....... •-. Fiz$.� �:'::.................. THE COMMONWEALTH OF MASSACHUSETTS �qg- / BOARD OF HEALTH ............... .....OF........S . Appliration for Uiiposa1 Workii Tomitrurtion ramit Application is hereby made for a Permit to Construct X or Repair ( ) an Individual Sewage Disposal .� Sy tem at AY Loc n-Address or Lot �[o. _ Owner. Address Pq Installer Address � Type of Building Size Lot...,C .....Sq. feet U Dwelling—No. of Bedrooms... .............................Expansion Attic ( ) Garbage Grinder (40 Other—Type of Building _______________•-_-_-__-•-- No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ----------••... --••--•-----•-- - �---------------- �...--------•---gallons. W Design Flow.......... ____gallons per person per day. Total daily flow____.__..___ WSeptic Tank A--Liquid capacity.).( .gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......'t------------- Diameter_10_X.C._. Depth below inlet.................... Total leaching area �....sq. ft. z Other Distribution box ( ) Dosing tank ( ) I Ili aPercolation Test Results Performed by..... d..� lC j��..._ r�/ �............... Date_........1_C� .). Test Pit No. 1._.)..0...minutes per inch Depth of Test Pit....1.'�___...... Depth to ground water..... fi, Test Pit No. 2...1_L....minutes per inch Depth of Test Pit-----V�....... Depth to ground water_________ .. xDescription of Soil------- ......... ........=-----.=----- --,>........ V •..............•-...--•-•-•••----•••-•.._...•--......---•--•----.......---•---••--•----.............••-••-••---------••--•-•••--•--•----•-•-•---••---••-••--•-••.....•••-•---•--•---....--••••---------- W U Nature of Repairs or Alterations—Answer when applicable--------------------------------------------------------------............................. _!_. ---------------------------•-----------------------------------------------------..........-•----------------------------------------------------------...-----------------------------................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code The undersi ed further agrees not to place the system in operation until a Certificate of Compliance has b ued y he bo d of healt 1--- ....... Date Application Approved BY..... _ �r% � l ... '� � Dater ` Application Disapproved for the following reasons______________________________________________________________________ ..................•_. --------- _._ •---------•---------------------------------•---------------••-------------------•--.........---------....----------------------------------------------------------------------------------.------------ Dat / PermitNo. .................................. Issued....................................................... Date T i i No._.--- .......4 ..... - FEB y"�....�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH i --------- ---t .... .OF.....-. ................................ ppliralion for Uispoii al Works Tonstrnrtiun ramit Application is hereby made fora Permit to Construct or Repair ( ) .an Individual Sewage Disposal Sy tem at ~ - - . Loc lSt?s �!► io . . _S......................................... • or Lot ]�o. ...t_tb.E.W&rE�.... ..7...,_.. �' ..._ ...�-fir ` ',. ---- -•L,_�---u&- A Owner Address Installer 'd$rPQ ess U Type of Building Size Lot_ 'al-4 ,' 0._..Sq. feet �. Dwelling—No. of Bedrooms.____ .............................Expansion Attic ( ) Garbage Grinder '4 Other—Type of.Building No. of ersons____________________:._ _....Showers a yP g p ( ) — Cafeteria ( ) d Other fixtures . •. -�-- --- •--•-••-_•----- W Design Flow.___..___ __.__. gallons per person per day. Total daily flow______. __.gallons. WSeptic Tank A-Liquid capacity 1 gallons Length...............,._,Width________________ Diameter_.._. � Depth................ i x Disposal Trench—NO _:Width_._ .._... Total Length.................... Total leaching area sq. ft. Seepage Pit No'. __. ... Diameter) '+f :Depth below inlet................... Total'leaching area�... .—sq. ft. z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by- __ pa 1,31�c_ jz ._.. A • Date.........11: -O._.minutes per inch Depth of ,Test Pit �.__. Depth to ground water -�, a Test Pit No. 1...� �. GTq Test Pit No. 2._..�s ).___minutes per inch Depth of Test Pit `,A.IZ __. Depth to ground water_____ Description of Soil ' .�' ,► ..........1 ---- t 1 S y ................................................................. .......__..........______________.._____........_._____.._ ....................._ I V Nature of Repairs or Alterations—Answer when applicable_____________________________________________ ___I _____________________ _______ _ -,--------•.-..-----•---------•----•---------------------•-------•-------------------- `.. Agreement: r The undersigned agrees to install,the aforedescribed Individual Sewage Disposal`System in accordance with the provisions of TIT LE 5 of the State}Sanitary Code The undersi ed further agrees,not to place the system.-in operation until a Certificate of Compliance has b ed he bo d of healt } Sign . $ '"-• ":a Date VA Application Approved By....... . ,.` ._ _ Date Application Disapproved for the following reasons: -----•-----•-----------•---------------------•----------------•---------------••--:_.::.-•----- - - b:.: ---------------------•---------------------------------- .................. Date ,.\ PermitNo.......................................................... Issued_....................................... Date U THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTEi ..... :.....OF........ .... ....................... fardifiratr of Tomplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by................................................ i y --- U at ,u/l �"--• �}.� -•/F'�• � ..-----•--`---------------•- JJ,,,,+ Y-e- has been installed in�Odarice with the pr,( v>isions o 5 of The State Sanitary diode s desc ibed in the application for-Disposal Works Construction Permit:i&-------------------------- dated_�_... ...._._ ................. THE'ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTE4 WILL FUNCTION SATISFACTORY. DAT ......................Z�..__rr .�..... �� d._ Inspector.-l.ff _------ R1s THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH No. ...................... FEif.:2.................. Per issigr�fs hereby granted.••-----•-•---•--- to C ,(r )OVpa ),a" d v' 1 Sewage D' po S s 1` atN �� . Street as shown on the application for Disposal Works Constru�K.. io rmi ........ atedk`,..._`.?6 .; r /��� �'A i ± � (t3!{--�/ t............................... .Y.....- � Board�f'{j Iealth DATE............. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS r ' p _ i r ,6l�E 7*iQr cr /is Ea Q Pv r _ No 7 / F 7�rE `�?i�/C'ets�T� CO L. �6►� QJFV&GN'T'rO-ORA OE 4 •g4''PVC D/PC OieE'/q- Sf•/ALL !3E USco MWNS E~.D �• C'O/VCRLrTE Cc)IVER CLEAN -TANG r _ BAClCF/&L 4"CAST - Z"L.AYER = -IROMPIPE ' i ltloo GAL. ' o vo pp ' o OF � SePTIC TANK - D�sT, a e • • • -a- • off o b a 'a NASHEU S727NE,: BOX. B o f • • DEP7,1W a o WA5RED STaN4. o f s o • • • ► ' o A a y m v4 � e • ® • • s • • a ° p PRECASTSEEP46Z V. IAAV,e-4 TT' LVLEVi4VON3 = 4 ►o ► • • • m . • • e ' a 8 /A.fyeR7" .4T Bunco/MG ITT. = - 6 FT /NLET_ S�E'P7/C Ti4A K. FT, t FT PIA. C SEE*8VLA7IO/V> O` LET SEPTIC TANK '_ _Fr. INLET 4P,1STR/6!!7-/ON BOX fig` FT. GROuND_=NITER TAB!E: ;.:. .SECTION O F 007ZET�isTRoerrr�oly BO�r 9�-n FT /7y/ T SSEE6?A E' �P1 yy. 1,.. .>9 6.S Fri SENdAGF ®/S�4SA L .�3�.STE/►9 `:TAJV4ATIAN LEACHlIV49 �`/T" 3 F'T - v/MENSI01V A D/M.ENSJoN $�-FT. ©/MENSlON_ 4 F_r'I'1 i A M1 .SOIL. LOG = t .4E �4'TEa FLOa4/ 3 G.4�./OAY uSOJL-TEST #/ SO/L TESTlOk2 L; S®fL ?'�$?" r - WOMBER 0,9 SEEIMGB Al73 f �: f`E'LE✓. I D a.y d -ELEt� �y°,i3 ,DATE a�' S014-7'EST- 7$/OrE LRAGHING:PEft P/T. 8 SQ FT RES!/LTS /�/tTNESS O BY U"47' s ! b - _ Sv1 SaIL 4&07TOJ►9 LGACK/NG PAR P/T Sq. Fi� PERCOtATioly R�ore�#/: 1 0 aCri + TOTAL.LEACH/NG_•ARENA SQ. FT. - ✓ _ )WI?co4AT/O/V%P! RESBRdiE,GE4CN//V6 AREA Z� SQ. FT. I �X-. yc = - a �o ROBERT yNL. 7 0 `' .S ft ✓� -L_..8 7,o �/ �/ L, BiJNIKIS� C4 OFF GISTS y\� 7NP:%'IA/NS7`` .. -3.3 JO:sr/s+/n/'sT Y'. Y/! u'5•f J!�1.4.53 F 9 S / OF _ J�D UN� S �i5r p s 4 r •' 4 g 4 ' �•'A � - ' s VI R to� t •1 --,'.�k.�' t`"' • �',. °F } r ,, p j, t> w_ I�.� e r 7 }., .� �Y;,.} s Js �r a < d4rr�m '� • r-t•. 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Ati` •�~� i � �1 , Y Doi / 1�4i /✓ /�/ At ��, [/.1/, r Ipfl 1 T y !1^p� fi i nl U1A w +1'k'VJ ei��T � eI m � J• :, ,`), �yr b 1 ^ .t- r ;�. .s -r - r d.Vt nr, Y�4ar r +F • �}� 4 1 1 '✓ -�. , 4 4'I ;tE./ r ;,i.,� AS/eLsd4;q `s + 'e. ,a hw r ° r�i'� a +:s`'f l i� z>T i }s s ��•��{ Fh�ss��n ti t„_ ;, .Oq o� ROBERT° �'b '�' . r r i I7 BUNIKIS " d F No.22162 O 5 .b 4}.' P ; i 5 y il" M1e• ,'� "� Ott �: a,r � 9 J, r �.+'s1 ydl' {,.J. y; �- f ,)1,• ?� t rJ' � s< , r�, ,r♦, , � R" p t , . . .rr to t^'?s sr . r 1 f a: LEGEND a�. CERTIFIED PLOT 1=XI+S 4NGQ'' SPOT ELEVATION OxO EX It -1`443 CONTOUR --.:0. - /8' N 'r- Ro.�'i y • , - . F SH„ . I10N (0.0 ,L.It4j E.® SPOT E�EV d T }� F F1Nf Ht ' +CONTOUR == 0 tm to I gAR �Rav,ED s BOARD �'OF r'NEALTM 2 L It AGENT �# " 'SCALE! / �� 40� DATE + r` ENGINEERING Cp CN [DR G1%°R�✓E H A�T T H E .� _ f } . .., T _ I CERTIFY,-T PROPOSED ��G' SEOiE " rRGiSYRED . DB BUILDING 5WO1�IN , ON THIS PM1LAN LAND 4' CONFORMS TO THE ZONING LAWS :, y ""�fN�1NEERLS' RVEYOR ' . _ pF t3ARNST LE , ASS.3IP',.4 rdlAt{rI `ST 712 AiIAIN -ST. ,f�SO GAFO`UTN �MASS. '.:HYAN hS MASS, ' -_/ OF DA- E REG. L`AN'D. SURVEvOt� ! '_ 3a7 LOCA N - I SEWA 'E" PERMIT NO.' VILLAGE ae^N le-"1 INSTA LLER'S NAME & DDRESS BUILDER OR OWNER ( DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED z 2 ,7 ti e _ o 4 2-18' DIAM. ACCESS MANHOLES a lr b of J VENT PIPE (O Least 24 inches tall) Schedule 40 PVC w/Charcoal Odor Filter '� •' "$� *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. / �' "�' saw.ty V 10' min. from �S'ECTION A -A INLET - T r, Existing Foundation house to septic tank PROFILE VIEW OF ADDITION TO LEACHING SYSTEM '1r. -- OUT D-BOX ewer mutt M ! TOP OF FOUNDATION ELEV. 100.00 (Assumed) �P tank oowrt mutt a within 6 in. of finished grade \ p, E caslete.lel� wRhin 6 In. of finished grade q I • THE ACCESS COVERS FOR THE SEPTIC TANK, �' +a Grade over Septic Tank-96.00 Orode over D-Box- 66.00 over SAS- 96.00 to 100.00 3" of 1/8" - 1/2" Washed Peatton �' DISTRIBUTION 80X AND LEACHING COMPONENT �r 4' - 3/4" to i 1/2 ' Washed Crushed Stone ;�;.�";v„i,f„�"Ti;:"•�"'r'^:^� ri:, h ,• SET DEEPER THAN 6 INCHES BELOW F1111SHED j� OWE SHALL BE RAISED TO WITHIN 6 OF f� . 1 S 0.02 STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE 3 HOLE H-10 4'PVC(CAPPED)INS?EC11oN PORT TO of ST. BOX 3' Mexinun Cover Top OF System-Elev. IS.76 INSTALLED AND To BE WITHIN 6.OF ORAGE PLAN VIEW INSTALL TUF-TITE OAS DAMES OR EQUALS EXIST. PDOE t0 ut 1,0 GAL. 5�0.01 or Greater S. s _ .. '�,r �N, ro N p ys• 0.01,pp /oat 0" EfhetM 3-24' REMOVABLE COVERS ,- •, FROM EXIST, FOUNDATION a� SEPTIC TANK 8 Depth •boas,w1mateet"F raiebs W6*7so.anepiie•a•st,led. ^` 11 rn o ^ CONCREiE FULL FOUNOAT it H-10 ~ tv S' S Units ! 6.25' 30' ti•, c ;. 14* "'' y o.83' (10 inches) GENERAL NOTES 01 C 3• 3, 3,min. clearance a'B' min 2'min. Inlet to outleSYSTEM PROFILE B n.of 3/4•-1 1/2• " > �; N31,25' INLET � ouTETaanp«t•d .wn• > ° d I.ai 1. Contractor is responsible for Digsafe notification Not to stole $ 'a 37.25Iand protection of all underground utilities and pipes. 3.5' 3.5' p Effective Length S' -T p �•2. The se tic tank a distri tion box shall be set -` T' 3' ; 6.4a' SOIL ABSORPTION SYSTEM (SAS) 4'-O" min. level on 6" of 3�4 -1 1p2 stone. 6 In.of 1/4--1 i/2' a t0 ° Provided . ' o"�' •;. quid �0i 3. Backfill should be clean sand or gravel with no oompaated .tone o Efltctly vw+tt, INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN +• ;, "' atones over 3" in size. NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6' BELOW GRADE -+ c It".1 + 4. This system is subject to inspection during installation (OR EQUIVALENT) Not to Stole , .,1,' •l, %'! .�, ,h .• by Carmen E. Shay - Environmental Services, Inc. Bottom of r O Hole 1 Q•v.-6$& NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" FFECTiVE HEIGHT IS 10" B-p• 4'-10' -- Groundwater Observed - Q.Ev 86.00 � 5. The contractor shall install this system in accordance CROSS SECTION END-SECTION with Title V of the Massachusetts state code, the approved plan and Local Regulations. ♦Obs. Groundwater - Test Hole 1 Elev.- 88.00 (Adj. Per CAPE COD COMMISSION 1.2' - ELEV. 89.20) 6. If, during installation the contractor encounters any vPROJECT ADJ. Groundwater ELEV. 89.20 TYPICAL 1000 GALLON SEPTIC TANK soil conditions or site conditions that are different NOT TO SCALE from those shown on the soil log or in our design installation must halt do immediate notification be made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the P E R C 0 LAT I 0 N TEST septic system unless noted as H-20 septic components. P 1 1385 8. Install Tuf-Tate gas baffles or equals on all outlet tee ends. LOT #10 Date of Percolation Test: AUGUST 8, 2006 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. Test Performed By. CARMEN E. SHAY, R.S., C.S.E. 10. All solid piping, tees dt fittings shall be 4" diameter Results Witnessed By. DONALD DESMARAIS ( Barnstable B.O.H.) EXCAVATOR: Shay Env. Svcs. Schedule 40 NSF PVC pipes with water tight joints. p Percolation Rate: Less Than 2 MPI ® 30" 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding Test Hole Properties. N No. 1 T No.est Hole DEPTH SOILS ELEV. DEPTH SOILS ELEV. 98.00 Sand Sandy Loom Loam THE PROPERTY LINES ARE APPROXIMATE AND COMPILE' NY 10 YR 3/2 ENTITLEDD" CERTIFIED PLOT PLANFROM THE PLAN BYLOFIDGE LOT 18GIING NYERROAD, CENCOMPT., MA" D"-6" At 6.50 D'-6" 10 A,� 97.50 DATED AND IS NOT OBER, 13,D1T078E A SURVEY PLOT PLAN Loamy L�oa^n Y IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. LOT #f f ; ' �! 10 YR 6/6 10 YR 6/6 5"- 30" B 94.50 6'- 30-1 B. 95.50 Medlum ns Medium/Fins O Sand Sand NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 2.5 Y 7/4 2.5 Y 7/4 FROM THE EXISTING LEACH PIT TO BE DISPOSED I It 30"- 132 C, 86.00 3a•- 132 C, 97.001 OF AS PER BOARD OF HEALTH SPECIFICATIONS. EXISTING LEACH PIT TO BE PUMPED DRY do 1 co 2 t FILLED IN PLACE t i i i . \ N3 4 PVC /WENT PIPE/i ASSESSORS MAP - 148 PARCEL - 136 � ZONING - RESIDENTIAL / / FLOOD ZONE C ` \\\ \\ k"• / / Depth to Perc: 30 to 48" \ \ \ x' • ar 4.81r Pere Rate- 2 MPI SDW252/ZONE C - INDEX - 46.5 for 7/06 THERE ARE NO WETLANDS LOCATED WITHIN A 200 RADIUS LOB" 1 Z \' \' 37 5' '.�I' / i OBSERVED H2O Elev. = 108" or ELev. 88.00 # �tr '\ � c"i / OF THE PROPERTY \\ �\\ ,x r• `� ADJUSTMENT - 1.2 FEET (ADJ. GN ELEV - 89.20) ,\ \ TE�T HOLE #1 � �� • y"� � i CATCH '\ \ ELN,= 99.00 °' _ 61 BASIN � ' LEGEND ALL OUTLET PIPES FROM TIE DISTRIBU11oN BOX!HALL BE \\ i ' \` \\ �• `ci(M TEST HOLE 2 •-•� BET LEVEL FOR AT LEAST 2 FT. t \ 12' DaNDRETE COVER -------- ----- ELEV_= 99-00 �\® i /i ;,�.• , I3DIoa°co M v •'i, .+• I _ N3X0 DENOTES PROPOSED Failed -_��' - a6• OUTLET 12' i"'ET SPOT GRADE EXIST. � LEACH PIT 's ' e• r `• DENOTES EXISTING / I j DRIVEWAYS ' ' X 104.46 ---- 1a6' 1.76• SPOT GRADE CATCH �� 3 PLAN SECTION CROSS-SECTION PL PROPERTY LINE BASIN \► O 3 HOLE DISTRIBUTION BOX - H-10 LOADING PROPOSED CONTOUR LOT #13 / DECK `�,�® � �' NOT TO SCALE \ / 97- - ----97 EXISTING CONTOUR Design Calculations DEEP TEST HOLE & LOT #18 i •' r i l' o PERCOLATION TEST LOCATION 17,595 Square Feet ' M DO I EXISTING Number of Bedrooms: '3 Equivalent to33 0 Gal./Day (330 Gal./Day Min, per Title V) FENCE l l 3 BEDROOM 0 i Garbage Grinder: No HOUSE 1000 gal. Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) Septic an ; Septic Tank : - 2 x 330 Gal./Day - 660 USE EXIST. 1,000 GAL. Septic Tank. - - PRIVATE DRINKING WATER WELL ---�\ SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch / i I #387 10, \\ % Bottom Area: 0.74 gal/sq. ft. x 370 sq. It. - 273.8 gallons REVISIONS Sidewall Area: 0.74 gal./sq. ft. x 78 sq. ft. 58 gallons Providing: = 331.80 gallons N0. DATE: DEFINITION Use: (5) INFILTRATOR HIGH CAPACITY H-20 UNITS, HAVING A 0.83 (10 INCHES) EFFECTIVE DEPTH, TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE 9 ' ' Mtr,► . / i� ON THE ENDS. NO STONE UNDER. 10, 10, L4171 01 PROPOSED PROJECT BENCH MARK `rr.mo TOP OF FOUNDATION 6' t'•; / � ; PREPARED FOR * ELEV. = 100.00 (Assumed) °� ; � ; '�'oo SUBSURFACE SEWAGE DISPOSAL SYSTEM OF o JANE WHITTAKER #387 NYE ROAD 387 NYE ROAD CENTERVILLE, MA o' � LOT #19 p ,' CENTERVILLE, MA 02632 PREPARED BY: / % MAR ") C4RM�'N E. ,SHA Y 0 20 40 50 0 ENVIRONMENTAL SERVICES, INC. 0. 1 �o P.O. BOX 627 s AI vjk\ a EAST FALMOUTH, MA 02536 SCALE: 1"=20' I TEL/FAX : 508-539-7966 SCALE: 1"=20' DRAWN BY: CES DATE: AUGUST 14, 2006 PROJECT#SD-954 FILENAME: SD954PP.DWG SHEET 1 OF 1 i