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HomeMy WebLinkAbout0460 OLD CRAIGVILLE ROAD - Health 460 OLD CRAIGVILLE ROAD Centerville A = 247 - 030 ESMEAD No.2-153LOR UPC 12534 smaad.com • Mada In USA pgCYC,� WMMMNi0001.M SFI �SFlPpOGYAi1 c FI SOUaCNG �GIiD Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is required for every 48 Oregon Road, Ashland MA 01721 March 14, 2013 page. City/Town 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 on the computer, use only the tab 1. Inspector. 1l key to move your V I cursor-do not Troy Williams I use the return Name of Inspector key. Troy Williams Septic Inspections �y Company Name 19 Hummel Drive ILIf Company Address tam South Dennis MA 02660 City/Town State Zip Code (508)385- 1300 S1682 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 16.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails w --j c) ❑ rNeeds Further Evaluation by the Local Approving Authority cn c C14 _,.„ S c„�,�; March 14, 2013 I Inspe`c#or.,s Signature Date C:) Cam:. w n c'- The `'stem ins ector shall submit a co of this inspection report to the Approving AuthorityBoard oof Hh or DEP)within 30 days of completing this inspection. If the system is a shared system or t- N has sign 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. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Dis sal System•Page 1 of 17 e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments " M °F 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is required for every 48 Oregon Road Ashland MA 01721 March 14, 2013 - 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: System meets minimum standards set by Massachusetts DEP at the time of inspection only.This inspection is not a guarantee or warranty on the future working conditions of leaching, pipes, components or the future structural integrity of said components and only represents conditions found at the time of inspection only. 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): N/A r t5ins-11110 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 460 Old Craigville Road, Centerville M -247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is required for every 48 Oregon Road, Ashland MA 026 March 14, 2013 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 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): N/A ❑ 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): N/A 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-11110 Tide 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 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name information isequired or every Oregon 48 Road, MA 026 March 14, 2013 page. Cityrrown 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: N/A D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® 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 %day flow t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts upTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name formation is 48 Oregon Road, Ashland MA 026 March 14, 2013 squired for every 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. ❑ ® 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•11/10 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 M 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is g required for every 48 Oregon Road Ashland MA 026 March 14 2013 page. Cityfrown 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 ❑ ® 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? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ 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): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd t5ins•11/10 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ..yt 460 Old Craigville Road, Centerville M -247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is required for every 48 Oregon Road, Ashland MA 026 March 14, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 12=41,000 gals. g ( y g (gp ))' 11=38,000 gals. Detail: Sump pump? ❑ Yes ® No Last date of occupancy: occupiedDate Commercial/Industrial Flow Conditions: Type of Establishment: N/A Design flow(based on 310 CMR 15.203): N/AGallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): N/A 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: N/A t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts upTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 460 Old Craigville Road, Centerville M -247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is g required for every 48 Oregon Road, Ashland MA 026 March 14, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: N/A Date Other(describe below): General Information Pumping Records: Source of information: No pumping info was available. Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)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-11/10 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 460 Old Craigville Road, Centerville M -247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is required for every 48 Oregon Road Ashland MA 026 March 14 2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Tank, d-box and leaching were installed on 5/18/10 per compliance. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18"+ feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: N/A feet Comments(on condition of joints, venting, evidence of leakage, etc.): Flushed lines and found clear at the time of inspection. Septic Tank(locate on site plan): 18"with riser to 6" 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: 6'X10.5'X6' 1500 gallon Sludge depth: 4" t5ins•11/10 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 460 Old Craigville Road, Centerville M -247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is required for every 48 Oregon Road, Ashland MA 026 March 14, 2013 page. City/Town 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 21811 Scum thickness none Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? probe/measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pvc inlet and outlet tees were found present and in working order. No evidence of leakage or damage was found. Tank was not in need of pumping at this time. Grease Trap(locate on site plan): Depth below grade: N/A p g feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): N/A Dimensions: N/A Scum thickness N/A Distance from top of scum to top of outlet tee or baffle NIA Distance from bottom of scum to bottom of outlet tee or baffle N/A Date of last pumping: N/A Date 15ins•11/10 Title 5 Official Inspection Form: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 M 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is g required for every 48 Oregon Road, Ashland MA 026 March 14, 2013 page. Cityrrown 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.): N/A Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: N/A Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): N/A Dimensions: N/A Capacity: N/A p gallons Design Flow: N/Agallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): N/A Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w 460 Old Craigville Road, Centerville M -247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is every 48 Oregon Road required for eve 9 Ashland MA 026 March 14, 2013 page. City/Town 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 level 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.): D-box was found level and in working order with equal distribution to outlet lines through speed levelers. No evidence of solid carry-over or backup in the past were found at the time of inspection. 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.): N/A Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 Title 5 Official Inspection Forth: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 460 Old Craigville Road, Centerville M -247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is Oregon g required for 48 O on Road, Ashland MA 026 March 14, 2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 15 biodiffusers with stone ❑ leaching galleries number: 25'X8.5'X11.2" ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Checked stone and found dry and clean. No evidence of hydraulic failure or problems in the past were found at the time of inspection. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration N/A Depth—top of liquid to inlet invert N/A Depth of solids layer .N/A Depth of scum layer N/A Dimensions of cesspool N/A Materials of construction N/A Indication of groundwater inflow ❑ Yes ❑, No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is g required for every 48 Oregon Road, Ashland MA 026 March 14, 2013 page. City/Town 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.): N/A Privy (locate on site plan): Materials of construction: N/A Dimensions N/A Depth of solids N/A Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): N/A Title 5 Official Ins ection Form:Subsurface Sewage Disposal System•Page 14 of 17 t5ins•11/10 p g p y g Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments y� 460 Old Craigville Road, Centerville M -247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is g required for every 48 Oregon Road, Ashland MA 026 March 14, 2013 page. Cityrrown 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 i I I r12FCk- -- - - - - - -- - - nw y vti k, 157' .3 3y'f it t5ins•11/10 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 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is g required for every 48 Oregon Road, Ashland MA 026 March 14, 2013 page. Cityrrown 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: 12.0' 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. 6/7/10 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: MIW 29 Zone C 6.8' 1.5' adjustment You must describe how you established the high ground water elevation: Test hole recorded on plan showed no water found at 11.0'. Hand augered 5' below bottom of leaching with no water found at a depth of 9.0'. Groundwater adjustment at the time of inspection was 1.5'. Bottom of leaching at 3.0'was found not to be located in the high groundwater elevation at the time of inspection. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 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 w 460 Old Craigville Road, Centerville M-247 P-30 Property Address Rachel O'Connell Owner Owner's Name information is every 48 Oregon Road re wired for eve 9 Ashland MA 026 March 14, 2013 page. Citylrown 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 No. l — 94 Fee v " uteri THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplitatlon for Misposal *pstem Construction Permit Application for a Permit to Construct( ) epair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 7440 O LW f 21' 0 f LC �12/ e,5 p IC , C-2 n`_- y l Installer's Name,Address,and Tel.No. 1,jep•99 y&e Designer's Name,Address,and Tel.No. e vc✓f3f.A) Get: Type of Building: Dwelling No.of Bedrooms _I,ot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(An wer when applicable) t2,CPLced MQx Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the/Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by r Date 7— 95— 1 f Application Disapproved by Date for the following reasons Permit No. Date Issued 7' aol No. � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppIication for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) �epairUpgrade( ) Abandon(µ ) [:]Complete System ❑Individual Components Location Address or Lot No.,, Gam"?" G7 / Owner's Name,Address,and Tel.No. 1 Assessor'sMap/Parcel y�p Qte� t`r Qi ,jdle. Installer's Name,Address,and Tel.No. yqg-I68a Designer's Name,Address,and Tel.No. SLIP►.A) l vR 471 dos--37a7 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil �. Nature of Repairs or Alterations(An wer when applicable) Date last inspected: --Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the'Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by r Date -7' 5- '+.,. Application Disapproved by Date for the following reasons . . Permit No. �10Date Issued -7_ - ----------------------------= - _ - - = _- -------- THE COMMONWEALTH OF'MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of 6miplianie THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned /)b y at fo& - ;326 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.,;�01'/- �,-q I dated 5 Installer , Designer #bedrooms Approved design flow�, gpd The issuance of this permit shallnot b /construed as a guarantee that the system Will�fun`Gt'on a" s'tle\ignetl. Date / j�7 //r Inspector _ __ No. �" r' _ _______ - --- ------- Fee ( V �. /y THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 30IsPosal 6psteln Construction 'ermit Permission is hereby granted o onstruct ) Re fir( ) U ,g}asl ) Abandon( ) System located at r 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 �' _ l Approved by I . j Town of Ba' i-____table. P# — of� • Department of Regulatory Services � $ Public Health]division DategrA _ i639. �e 200 Main Street;Hyannis MA 02601 Date Scheduled Time — Fee Pd. go ' �5uitability Assess�ner�t for-Sewage Performed By: ! Witnessed By: i LOCATION & GENERAL INFORMATION � Location Address U 0 L J (Ski 6U1 U,�E V. Owner's Name p 4Y u,[S ��1J 1 �Lv 1"L'vL Address 4 Assessor's Map/P4rcel: 2 7 � I Engineer's Name fk(L(�Y) NEW CONSIRU�`i'ION REPAIR Telephone# SD$ 3 6 2•_ 2_q Z2_ p I f Land Use �e�l Ct P ( Slopes(%) ' J",• Surface Stones Distances from: Open Water Body y ZS� ft Possible Wet Area 7 Z�ft Drinking Water Well 7 z� ft i Drainage Way } ft. Property Linc 7_� U ft Other ft i SKETCH:(street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proxitnity to holes) ti a ti 001 i O 3n160 n Ask- J o r O 0 m I --�- G o G X ���~ U o < / n c: — O �Oi I J L 1 p i m Z zz _ ; � <_ 0 1 a 1 i i a�V i a 7)oOooi Parent material(geologic) Depth to Bedrock • nl i Weeping from Pit Depth to Groundwater. Standing Water in Hole:' i .._� Estimated Seasonal Nigh Groundwater DtTERMINATION FOR SEASONAL HIGH WATER TOLE Method Used: In, Depth 6;erved standing s obs.hole: in. Depth to snll mottles, Depth[oiweeping from side of of s.hole: in. oroundwnter Adjustment Index Well# Reading Date: Index Well level .._.. Adj.Actar_- Adj,firoundwaterievel,,,s i PERCOLATION TEST . Date- Tl!ut----. Observation I Time at 9" -----F - ..- Hole# i 46 Time at 6" .....------ Depth of Perc Start Pre-soak Time.9 [1.03 Time(9"-6") -- End Pre-soak ' Rate MinAnch i Site Suitability Assessment: Site Passed--X— Site Failed; Additional Testing Needed(YIN) Original:,Public 1=e4lth Division Observation Hole Data To Be Completed on Back-- -- i ou must first notify the ***If percolation test is to be conducted within 100' of wetland,,You Barnstable C4.4servation Division at least one (1) wedk prior to beginning. 1 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel �Il-g 11 f�3�v 37" 132' G MEb. S"o 2 �'A- 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) tj 3�tr_ f3Z � 2, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel 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) Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes . Within 100 year flood boundary No i 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? If not, what is the depth of naturally occurring pervi s material? Certification I certify that on 10 (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 in ,expertise and experience described in 3.10 CMR 15.017. Signature IIAIV Date 6 I> >u Q XSEPTICIPERCFORM.DOC t No. �c�l 0 � Fee ' THE'COMMONWEALTH OF MASSACHUSETT.S Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for laioogal *p5tem Construction Permit Application for a Permit to Construct( ) Repair(t-�6pgrade( ) Abandon( ) ❑ Complete System ❑hndiiviidual Components Location Address or Lot NoylQa 071�9 C/A/G V11le Owner's Name,Address,and Tel.No.� S/4 / � E� c,nq�y'aV///e, Ink, :Y6 o ©x-.,o �ewc o I l(2, ;eL) Assessor's Map/Parcel + v/ h1a., Installer's Name,Address,and Tel.No. /fical Designer's Name,Address and Tel.No.P/-W. �JeEW er, �/y'7!7/$ i�� f�Q' �Oj' /2-`� :26®Z Type of Building: Dwelling No.of Bedrooms Lot Size ��—�� sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( } Other Fixtures ' Design Flow(min.required) gpd Design flow provided � � gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank ,�l"i7wl/ '/G'`�!1412 Type of S.A.S., , ?l� Q/%= O. d'� Description of Soilo�,�/����� ,,v-a.) Nature of Repairs or Alterations(Answer when applicable) �izLJ1� � Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. -�0 I -" 113 Date Issued 46 q�t swat-> Fee / THE COMMONWEALTH OF MASSACHIdSETZS, Entered in computer:. Yes✓ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE; MASSACHUSETTS Application for �Di,!gpogal 4pztem Cowaruction Permit Application for a Permit to Construct( ) Repair(tj"'Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components 4cation Address or Lot No'��,,l iJ,,_2 CA AA v�� Owner's Name,Address,and Tel.No.�� Assessor's Map/Parcel gz . y D Installer's Name,Address,and Tel.No. (�/'/�� r�I T:)/ Designer's Name,Address and Tel.No.P-4« 7` /1/if.�izi� y%� �v :c��!' 9�?/ �L►'�lc.'�c,� ✓� �(. fQ�26GZ— Type of Building: Dwelling No.of Bedrooms Lot Size ` /` sq.ft. Garbage Grinder ( ) E r �v Other Type of Building K � No.of Persons Showers( ) Cafeteria Other Fixtures Design Flow(min.required) j Q /. gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank �+/ ��/' / 7(�/� Type of S.A.S. (y S 61 Description of Soil Nature of Repairs or Alterations(Answer when applicable) _ /� � � 1�>� - j + Y Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. _ Signed / � ,%-� -��' Date Application Approved by Date Application Disapproved by: Date for the following reasons 3 i Permit No. o ►o— 3. Date Issued G s' D THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( A-1 Upgraded ( ) Abandoned( )by lW/ a"Alr i Y1 at 1 _ CAVA 6- C-11111,11V has been constructed in accordance a01( with the provisions of Title 5 and the for Disposal.System Construction Permit No. l 73 dated G 5" U Installer 1 //// h� ���-,/e'er'/ ` Designer ��j,G,�� Zwei/ .� #bedrooms- Approved sigh flow gpd The issuance of this permit shall not be construed as a guarantee that the system il71, on as di igned. Date fr to Inspector p�- No. � alb - !�3 -------.----------- ---.--. Fee r Cr( THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Digo!gal *p!gtem Con5truction Permit Permission is hereby granted to Construct ( ) Repair ( �_< Upgrade ( ) Abandon ( ) System located at </�iQ �1�� C4�lwzl_p and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date (7 �� (C) Approved by -'� TOWN OF BARNSTABLE LOCATION AGE# VILLAGE ,t�ASSESSOR' MAP&PARCEI ��- INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type)/ � ��' (size) �, NO.OF BEDROOMS OWNER PERMIT DATE COMPLIANCE DATE:,,*' Separation Distance Between lie: 00, 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 wi r 300 feet of leaching facility) Feet FURNISHED BY Sy Town of Barnstable ¢THE�j,- Regulatory Services Thomas F. Geiler,Director • snaivsrestZ MAM Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: d Sewage Permit# Assessor's iYIaplParcel z-1�7 O�O Designer: ," Installer: Address: �O SOX �8 Address: On L1/ vas issued a permit to install a (date) installer septic system at, �� �I CI('1��(,(,� �� based on a design drawn by (address) dated (designer) NW X 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. 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. OF o DAR6QE1 r„ EYER (Installer's Signature) ` No: 1140 sfcislE�P� � � G � AN I TAR Q 22` (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BA STABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COiNIPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. 1 Q: Health/Septic/Designer Certification Form 3-16-0doc • O LEGEND OP PROPOSED CONTOUR ® PROPOSED SPOT GRADE• EXISTING CONTOUR + 96.52 EXISTING SPOT GRADE o�a G ' 28 W— EXISTING WATER SERVICE SITE BENCH MARK TEST PIT 28 PAINT SPOT ON G O� AREA 7500 sf LOT 7 A SONOTUBE FOOTING ELEVATION = 22.46 CRAlGVILLE BEACH RD- = — WATER BARNSTABLE GIS DATUM LlV LOCUS MAP N.T.S. 6 GATE BED RM RM GENERAL NOTES: 26 iL �\G BED i. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL �\ v G O RM K/T BOARD OF HEALTH AND THE DESIGN ENGINEER. 0 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS Bth OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE �1 BED LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: O ' F RM SUN — 310 CMR 15.405 (1) (B): P 0� N2 PROP. 1 ,50OG RM 1) A 2.21 FT. VARIANCE FROM 310CMR15.221(7) TO ALLOW LEACHING TO BE 24 SEPTIC TANK 5.21 FT BELOW GRADE VS REQ'D 3 FT. (H20/VENT PROVIDED) ,p 2) A 0.84 FT. VARIANCE FROM 310 CMR 15.211 TO ALLOW LEACHING TO BE 19.16 FT FROM DWELLING VS REQ'D 20 FT. (liner provided) 24 io rt 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. o tti FIRST FLOOR 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING p ,� FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 22 ENGINEER BEFORE CONSTRUCTION CONTINUES. _______ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 22 ———_�o 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. Q p 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. LQ 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE.RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. ��? 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 20 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING o 00 �� ^1 /G� CONSTRUCTION. e 5y fig• AJ 10. EXISTING CESSPOOL TO BE PUMPED, CRUSHED AND REMOVED PER TITLE V. +,p• �` FILL WITH CLEAN MEDIUM SAND. 'o 20 Exist. Leach Pit 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION TH-1 (Note 1 O) 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY VENT N 13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING INSP. PORT 0 14. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPEC. OTHERWISE) 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW DAR N M. G 7 or FOR THE USE OF A GARBAGE GRINDER M ~ h�t< ��� � 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING o. 1140 ^^ 17. PROPERTY IS IN ZONE OF CONTRIBUTION TO SALTWATER ESTUARIES. cV 00, V 18. INSTALLER TO FIELD VERIFY H2O CERTIFICATION PRIOR TO INSTALLATION. 'pf6/ E�• 'Z S0ITAR\a� "� �� ' r. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Ic¢ 460 OLD CRAIGVILLE RD., CENTERVILLE, MA MAP.•247 Prepared for: Mike Dedecko SURVEY REFERENCE: SYSTEM TIES LOT., 030 Engineering by: Surveying by: SCALE DRAWN PLAN BOOK:103 DARRENM.MEYER,R.S. Zoo—Tea 6nvlronmental 1°-20' DMM PLAN OF LAND BY BEARSE & KELLOG, ENG. PAGE.•075 PO Box 9e1 (508) 364-0894 EASTSANDW/CH,MA02537 DATE: CHECKED SHEET.NO. DATED: MARCH 11, t952 508362-2922 06/16/10 DMM 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:16.29 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED_D-BOX PROPOSED S.A.S. T.O.F. EL.=27.42 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER OF MAS OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. F.G. EL.=24.Of F.G. EL.=22.50f F.G. EL: 22.0t F.G. EL: 19.0-21.5(MAX.) VENT ` D M -. No. 1140 ," 9" MIN COVER/ i 'PfGI L a 10 t 36" MAX COVER L 30' L 10(MAX INSTALL TWO INSPECTION PORTS (MIN.) 0 S-1X (MIN.) O S-IX (MIN.) 0 Sm1% (MIN.) NITAR� 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC a� LL-iio*l " 14 a 11. .3" O (pII(0 t o INV.=18.50 48'UQUID INV.=18.25 GAS BAFFLE ,PROPOSED INV.=16.25 3 ROWS OF 5 UNITS AT 6.25'/UNIT + 0.75' WEDGE - 32.0'/ROW D BOX INV.=16.45 INV.=15.90 SOIL ABSORPTION SYSTEM (PROFILE) PROPOSED 1,500 GALLON SEPTIC TANK (H20 LOAD) RESTORE VEGETATIVE COVER EXISTING SEWER OUTLET BACKFILL WITH CLEAN PERC SAND INV.=21.33 TO TOP OF CHAMBERS 75" NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING •':• ;,::.,• ,.,;:.,:•. PIPE INVERTS PRIOR TO CONSTRUCTION BREAKOUT=TOP ELEV.=16.29 2) TANK AND D-BOX SHALL BE SET LEVEL AND TRUE TO INV. ELEV.= 15.90 GRADE ON A MECHANICALL COMPACTED SIX BOTTOM ELEV.= 14.96 INCH CRUSHED STONE BASE, AS SPECIFIED IN EXISTING SUITABLE 310 CMR 15.221(2) 2.83 MATERIAL r 3.) INSTALL INLET & OUTLET TEES AS REQUIRED 5' MIN. ABOVE BOTTOM OF 76" T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 3 x 2.83' = 8.49' (6.96' PROVIDED) USE 3 ROWS OF 5-HIGH CAPACITY PROFILE BOTTOM OF TESTHOLE EL.=8.00 ADS BIODIFFUSER UNITS-NO STONE W/ CONTOURED WEDGE SEPTIC SYSTEM PROFILE TYPICAL SECTION- 16" N.T.S. e.rs 11+2 DESIGN CRITERIA SOIL LOG P#: 12964 NUMBER OF BEDROOMS: 3 BR EXIST. DATE: JUNE 7,. 2010 �-34"--►1 SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. SECTION END CAP DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DAVE STANTON, BARNS. BOH TP-2 16"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT DAILY FLOW: 110 G.P.D/BR. DESIGN FLOW: 330 G.P.O. Elev. TP-1 Depth Elev. Depth GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) 19.0 A 0" 19.50. A 0" PROPOSED SEPTIC TANK: 330 X Z00% MODEL 16 HICAP= 660 gpd LOAMY SAND LOAMY SAND USE PROPOSED. 1,500 GALLON CAPACITY IOYR 3/2 1oYR 3/2 LENGTH 76„ NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT 18.33 a 8" 18.75 9" EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY ,� DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED: (330) = 445.94 S.F. LOAMY SAND LOAMY SANG SIDE WALL HEIGHT 11.2 74 1OYR 5/8 1oYR 5/8 OVERALL HEIGHT 16" DISTRIBUTION BOX: 3 OUTLETS (MINIMUM) PRIMARY S.A.S. OVERALL WIDTH 34" HILLIARD, OHIO 43026 15.92 C 37" 16.50 c 36" CAPACITY 13.6 CF • USE 3 ROWS OF 5 - 16" ADS 16008D BIODIFFUSER H-20 UNITS-NO STONE (101.7 GAL) ADVANCED DRAINAGE SYSMUS, INC. AND EXTENDED 0.75' W,/ CONTOURED WEDGES MED. sANo MED. SAND PROPOSED SEPTIC SYSTEM SITE PLAN BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.70 SF/LF OF BIODUFUSER) 2.5Y 6/4 2.5Y 6/4 (BIODIFFUSERS) 15 UNITS x 6.25 LF x 4.70 SF/LF = 440.63 SF PERC ®15.0 (CONTOURED WEDGE) 3 ROWS x 0.75' x 4.70 SF/LF = 10.58 SF 8.0 132" 8.50 132" 460 OLD CRAIGVILLE RD. CENTERVILLE MA TOTAL AREA = 451.21 SF PERC RATE <2 MIN/IN. ("C" HORIZON) Prepared for: Mike Dedecco DESIGN FLOW-PROVIDED: 0.74GPD/SF(451.21SF) = 333.89 GPD > 330 GPD req'd NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN JOB. No. DARRENM.MEYER,R.S. Zoo-Teoh EAVIrommatilte! NTS D.M.M. • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 pOBOX981 (508) 364-0894 to conduct soil evaluations and that the above analysis has been performed by me consistent with the DATE CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. EAST S N MA 02537 ° 29�22� 06/16/10 D.M.M. 2 of 2