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HomeMy WebLinkAbout1035 OLD STAGE ROAD - Health 1035 Old Stage Road Centerville A = 172 159 SA IN UPC 10259 No.HER NA$TINOY. UN a C5 TOWN F BARNSTABLE LOB: 'a ION 1035 OI0t<T SEWAGE # VILLAGE �t9w`CrVV V\\�- ASSE OR'S MAP & LOT 17)—1-5-1 INSTALLER'S NAME&PHONE NO. tt t SEPTIC TANK CAPACITY 2 y5 QW LEACHING FACILITY: (type) �_ /^-�t VC7 W-5 (size) ',Z6}e 0 1Co� NO. OF BEDROOMS 2 BUILDER OR OWNER PERMITDATE: o1I COMPLIANCE DATE: t0 0� 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 tc, Lo 0 i A- 3� 33 1A r No. FEE r COMMONWEALTH OF MASSAC14US ETTS �L � a _ Board of Health, MA. MA. APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) RepairX Upgrade( ) Abandon( ) - ❑Complete System Wndividual Components Location () a � ''Q Owner's Name {�;C C Map/Parcel# VP L Address ,osow Vi Lot# Telephone# Installer's Name �C Designer's Name Fnt)t Address MA Address Telephone# 68— 64 —sa-3% Telephone# S48 Type of Building s\C \Q` Lot Size sq.ft. Dwelling-No.of Bedrooms l�lsj r�� Garbage grinder (NIA Other-Type of Building No.of persons Showers (4,Cafeteria (W Other Fixtures LA4 R rmg 1 k\TcttEa L-Au1A b2Y Design Flow (min.required) 336 gpd Calculated design flow 32)0 Design flow provided gpd Plan: Date 611410a Number of sheets Revision Date Title c_ C Description of Soil(s) SO\� Soil Evaluator Form No. Name of Soil Evaluator to 0 SL Date of Evaluation ( =ACZA4 J DESCRIPTION OF REPAIRS OR ALTERATIONS The and rsigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further es to t to lace t in o until a Certificate of om li ce has beef d of Health. p / `D--iNS L4TInki AND CER UST SUPERVISE Signed Date TIFY IN THE SYSTEM WAS INSTALLEDWRITING (�a r ACCORDARXE TO PLAN. IN STRICT Inspectio No. W .t k FEE 96l�l� ONWEAITH O� ETTS a _ Board of Health,k"-)C rO' =, G QAee MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) RepairN Upgrade( Abandon( ) - ❑Complete System ,Xindividual Components Location 0.3 0(C\ Owner's Name Map/Parcel# ` 1,59 Address Lot# fF 1l�-`' Telephone# Installer's Name 1 .�C C �.�iG2 Designer's Name ��rl`r' �7t)t�v�1112,1ICr1� T1C� Address -e^ A,/�gr Address Telephone# Telephone# �� v Type of Building �j1 cl�-ec>4\CX t Lot Size `"� s ft. ""C't �(1, � q Dwelling-No. of Bedrooms ia' Garbage grinder (/\qA Other-Type of Building i���c" No.of persons Showers (v�,Cafeteria Other Fixtures �..Ail f�'�CC Y, \ C Ci\>ti�.1 ��1 Lc u J mm Design Flow (min.required) gpd Calculated design flow Q Design flow provided �i. �•�{ gpd Plan: Date (oil�L �oa Number of sheets Revision Date Title ? !1,qc0 k S TUpqC o(AC Description of Soil(s) <7;4 .( � Voj Soil Evaluator Form No. Name of Soil Evaluator (0 Date of Evaluation 0_A_f?1Mt�-vJ s1 -)y DESCRIPTION OF REPAIRS OR ALTERATIONS nQ —m The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a ees to T'tto place Ps/teem in o VAdau until a Certificate of ompli 'ce has been issued by the Board of Health. Signed / /t�1 Date t /1? l G a Inspectio i h No. C]O -2b 1 C®�'l[�'J[ONWE'k,TH OF MASSACH SETTS FEE�- R Board of Health, J1 MA. CERTIFICATE Of COMPLIANCE Description of Work: ndividual Component(s) ❑Complete System The and 1� i ne her cerht that the Sewa e Disposal System; Constructed ( ),Repaired ( ),Upgraded ( bandoned O by: X V4 ��C...� K�V►S'f � i /� j V i I at 1 0 _N J- C K V-has been installed i accordance with the p si ns of 31 AMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. �' ��i a�l dat d/d� /�1 ���Ua Approved Design Flow (gpd) Installer V t *i({� /[i?M/ Designer: Inspector: � ' ate: ID 2 D t The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. d�UOa'o�{9� FEE C®MMONW &J � �E ASSZHUSETTS Board of Health, MA. DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby gran ad to- Construct( ) ,Repair( ) Upgrade(�/Abandon( ) as described in the application an individual sewage disposal system at / ) //[ I Q , 1�� / for ., r _ Disposal System Construction Permit No. 002'2 f, dated / (1 Provided: Construction shall be completed within three years of the date of this per it. All local conditions must be met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date �! V 2 Board of Health �' TOWN QFBARNSTABLE F LOCA�HON 035 01031 SEWAGE # )VU; VII LAGE C d%,NZVQ&CL ASSE (OR'S MAP & LOT 7 INSTALLER'S NAME&PHONE NO. (1 � SEPTIC TANK CAPACITY . `S? LEACHING FACILITY': (type) (size) Q f 1Ce NO. OF BEDROOMS BUILDER OR OWNER 1l a PERMITDATE: oZ l COMPLIANCE DATE: v� ' 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 w (7 p i DO CAdel t E d E. ►.7IZA (508)-548-0796 ENVIRONMENTAL.SERVICES, INC. P.O.Box 627,East Falmouth,MA 02536 June 24, 2002 RE: Certification of Title V Septic System Installation: Residential Property— 1035 Old Stage Road, Centerville,MA Dear Sir or Madam: On June 24, 2002, Roger Roberts, Inc. was issued a permit to install a Title V Septic System at 1035 Old Stage Road, Centerville, MA, based on a design drawn by Shay Environmental Services, Inc, dated, June 14, 2002. XX I Certify That The Septic System Referenced Was Installed Substantially According to the Plan I Certify That the Referenced Above Septic System Was Installed With Changes but in Accordance With State and Local Regulations, Revisions or As-Built Plans/Sketch will Follow. The Septic System Was Not Installed Per State and Local Regulations and Corrective Action is Required. If you have any questions, please do not hesitate to call the undersigned at (508)-548-0796. Sincerely, CARHENE. SHAY ENVIRONMENTAL SERVICES,INC. N OF Mgss�cy CARMEN E. SHAY cn 1 Carmen E. Shay, R.S., C. No. 181a President �G/STER' S'9NI TW NN I FORM' 11 SOIL EVALUATOR FORK Page 1 of No.: Date: 6/14/02 COMMONWEALTH OF MASSACHUSETTS Barnstable , Massachusetts Performed By: Carmen E. Shay Date: 6/14/02 Witnessed By: Waiver Location Address or#1035 Old Stage Road Owners Name: Mr.Richard Malmgren Centerville,MA Address and #1035 Old Stage Road,Centerville,MA Lot# (Map—172,Parcel 159) Telephone Number: (508)- New Construction : X Repair : OFFICE REVIEW: Published Soil Survey Available: No ❑ Yes ❑ Year Published: Publication Scale: Soil Map Unit: Drainage Class: Soil Limitations: Surficial Geologic Report Available: No❑ Yes❑ Year Published: Publication Scale: Geologic Material: (Map Unit): Landform: Glacial Outwash Flood Insurance Rate Map: Above 500 Year Flood Boundary: No ❑ Yes X❑ Within 500 Year Flood Boundary: No X❑ Yes ❑ Within 100 Year Flood Boundary: No X❑ Yes ❑ Wetland Area: None National Wetland Inventory Map (map Unit): Wetlands Conservancy Program Map (map unit): Current Water Resource Conditions (USGS): Month Range: Above Normal ❑ Normal 5-1 Below Normal ❑ Other References Reviewed: USGS Topographic Map DEP APPROVED FORM 12/7/95 FORM 11 — SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No.: #1035 Old Stage Road, Centerville, MA On ®Site Review Deep Hole Number: #1 Date: 6/14/02 Time: 10:00 AM Weather: Sunny, Cool Location (identify on site plan): Refer to Sketch Landform: Outwash Plane Position on Landscape (sketch on back): Refer to Sketch Distances From: Open Water Body N/A feet Drainage Way N/A feet Possible Wet Area N/A feet Property Line 25' feet Drinking Water Well N/A feet Other DEEP OBSERVATION HOLE LOG Depth From Soil Soil Soil Soil Other Surface Horizon Texture Color Mottling Structure, Stones, (inches) (USDA) (Munsel) Boulders, Consistency, % Gravel 0" — 10" AB Loamy 10 YR 3/2 None <5% Gravel, Friable Sand Friable 10" — 34" BW Loamy 10 Y/R None <5% Gravel, Friable Sand 5/6 Friable 34" — 168" C' Medium 2.5 Y 7/4 None Medium Sand, 10% Sand gravel, Loose Parent Material (Geologic): Glacial Outwash Depth to Bedrock:None encountered Depth to Groundwater: Standing Water in the Hole: None Weeping From Face: None Estimated Seasonal High Water Table 168" Assumed — No groundwater Observed DEP APPROVED FORM 12/7/95 FORM '11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No.: #1035 Old Stage Road, Centerville MA Determination of Seasonal Fli_gh Water Table Method Used: ❑ Depth observed standing in Observation Hole: N/A inches ❑ Depth weeping from side of Observation Hole: 168 inches (assumed) ❑ Depth to Soil Mottles: None inches ❑ Groundwater Adjustment: None feet Index Well Number: Reading Date: Index Well Level: Adjustment Factor: Adjusted Groundwater Level: N/A DEPTH OF NATURALLY OCCURING 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: Yes CERTIFICATION: I Certify That on September 17, 2000, (date), I have passed the soil evaluators examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature: Date: FORM •12 - PERCOLATION TEST Location Address or Lot No.: #1035 Old Stage Road COMMONWEALTH OF MASSACHUSETTS Centerville 9 Massachusetts Percolation Test Date: 6/14/02 Time: 10:30 AM Observation Hole #: #1 Depth of Perc 38" — 54" Start Pre-soak 10:28 AM End Pre-soak 10:38 AM Time at 12" Would Not Hold 24 Gallon Presoak Time at 9 Time at 6" Time (9-6") Rate Min./inch < 2MP1 * Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed By: Carmen E. Shay Witnessed By: Waiver Comments: Would Not Hold 24 Gallon Presoak - <2 MPI Site Passed X Site Failed DEP APPROVED FORM 12/7/95 SKETCH OF PERC TEST & DEEP HOLE LOCATION Property Address: #1035 Old Stage Rd Centerville,MA Owner: Richard Malmgren Date of Pere Test: 6/14/02 L D S T A G E R d Existing House 65' Test Hole#1 Asphalt Driveway Sep-20-01 13 : 52 SARNSTABLE . HEALTH OEPT 5087906304 P . 02 • S251o1 NOTICE: This Form Is To Be Used For the Repair Of Failed i Septic Systems Only. PERCOLATION TEST AN'D SOIL EVALUATION EXEMPTION FORM I, a—QlM94 0+kf4Y hereby certify that the engineered plan signed by me dated (o� concerning the property located at l b3S Old S' gR Tvgr"\k meets all of the- following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is ciassi;ied as.CLASS i and the percolation rate is less than or equal to 5 rrunutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary, tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than Fourteen (14) feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater cable using the Frimptor method when applicable) Please complete the following: ,a.) Top oI Ground .Surface Elevation (using GIS information) 'b r B) G.W. Elevation _ F adjustment for nigh G.W. 3_(� DTFERENCE BETWEEN A and B 28- 1 S I G NtE D : D ATE: (Q O (^--- — NOTICE Based upon the above information, a repair perrr.( will be issued for bedrooms �maximum. No additional bedrooms are authorized in the future without engineered sepnc system plans. A q:h:_lih trldcr.perccxmp • I I Permit Number: -Date: Completed by: r.N,� S�A� HIGH GROUNDWATER LEVEL COMPUTATION Site Location: (0 3 n\ L��t=.'L �� `t�i V t 1{Z Lot No. MAP 1_+; 0—OT 1 Sq Owner: �( �'d,�+ Address: SAME Contractor:s�}L'� Lf7JtC1 (YQl��IG�.Address:_ 0' I Notes: STEP 1 Measure depth to water table tonearest 1/10 h. .............................................................................. Date mono /day/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: S CJ OA Appropriate index well.................................................... SZ © Water level range zone..................................................... C i STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to r ' - water level for index well ..........................• mon lyaar �� STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A),current depth to water level for index well (STEP 3), and water-level zone (STEP 28) determine water-level adjustment .......................................................................................... STEP 5 Estimate depth to high water by subtracting the water• level adjustment (STEP 4) from measured depth to water............................................................................................... f level at site (STEP 1) .............. ZI co i I Cape Cod Commission: USGS Well Data- May 2002 Page 1 of 2 United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS) observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. For further information, please contact Hydrologist Gabrielle Belfit at the Commission offices (508-362- 3828). B&B2k�9H�CvAaY.^»4z88e�il M'�'2'tlS'a"S Px'�'. SAl'A..n ^f,k:'.;;,'3"»�WE7&;.°c`;E;kYk�Yz•^:.» ",::,nPE�1NL"'s"UY5de8e May 2002 (JSGS Site Water Record Record Departure from Number**** Location Well No. Level* High* Low* Average** (links to I:1SGS Monthly Overall national water-level database) Barnstable 230 24.1 20.5 26.6 -1.3 -0.5 413956070164301 Barnstable 2I W 26.5 20.5 28.6 -2.7 -2.0 414154070165001 Brewster BMW 21 12.6 6.9 13.3 -2.9 47 -2.4 414518070020301 Chatham CGW138 24.7 20.9 26.6 -1.5 -0.7 414100070011101 Mashpee MIW 29 8.6 5.6 10.0 -1.0 -0.1 413525070291904 Sandwich ZI52 47.7 45.9 48.2 -0.8 -0.4 414418070241601 Sandwich SDW 53.3 45.8 55.1 -3.8 -3.3 414124070265901 Truro TSW 89 12.3 10.2 13.0 -0.6 -0.3 420206070045901 Wellfleet WNW 17 11.7 7.3 12.8 -2.0 -1.3 415353069585401 http://www.capecodcommission.org/wells.htm 6/17/2002 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME.in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that'is required by law. DATE: a a�� Fill in please: 3 APPLICANT'S YOUR NAME/S: L i BUSINESS YOUR HOME ADDRESS: i d 7_S_ ©Q 9r 2 0 VVI ter.;,p TELEPHONE # Home Telephone Number_,!�1 0$- Ll7/ - S 116 NAME OF CORPORATION: NAME OF NEW BUSINESS ` ,a c - _411ki TYPE OF BUSINESS -WEB DEs i C ex IS THIS A HOME OCCUPATION? tl YES NO ADDRESS OF BUSINESS 10 0 L A S 714 C G `cce MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in th(s town. O1. BUILDING CO ISSI ER'S OF ICE This individ al o dd a p mit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION Authorize ig atuce** RULES AND REGULATIONS COMMENTS: . FAILURE TO e0i'viptY MAY HL6UL IN IN S, 2. BOARD OF HEALTH This individual s mformed gfie equirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. ' Authorized Signature* COMMENTS: -� - Hazardous Materials Inventory Sheet Checklist �oate physical Street Address-Check database to ensure it exists r 'Working Phone Number Actual Amounts-(ie.gas being used to fuel machines,thinner to clean brushes all count as hazardous materials) Storage Information-location of storage,how long Is storage for? If none,note that. L— --Mposal Information-where and who?If none,note that. 4--Applicant Signature-understand what is listed and noted Staff Initial-any questions,know who to ask Vehicle Washing/Rinsing? -provide a vehicle washing policy and __,.ex0lain it-note that it was given Pl Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town which You must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1- FL., 367 Main Street, Hyannis, MA.02601 (Town Hall) [� ^Nv.?y'M!x's7WW NuiuN�"i:4 $.S'— ' SATE' ! 3 D �J ° :,u• °;'� Fill in pleasa: APPLIGANTS YOUR NAME: 1"► L V1 p1 L E:r ►, ,i � OUSINESS YOUR HOME ADDRESS:_ ct �1-e (o C 0t 1--Csc r' `6 r M ro TELEPHONE # Home Telephone Number_S68 (NAME OF NEW BUSIIVE55 y-o L TYPE OF BUSINESS: C 1 e 3>1 nu 1S THIS A HOME OCCUPATION? YES, NO 7 ctejnr,�o� Have you been given approval-from se`rV 1'Le S O ADDRESS`OF BUSINESS otd 5foVer C o1 Od(o 3 01 MAP/PARCEL NUMBER / 7 /. When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you y fnay need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses_required to legally op~ e ss m this town. 1. BUILDING COMMI STtTtVER'S OFFIC r This individual s n irk d• f y ermit requiremeilts that pertain to,this type of business. MUST COMPLY WITH HOME OCCUPATION I A thorize t r ** ULES AND REGULATIONS. FAI /COMMENTS: 4 r-)j/-. COMPLY MAY RESULT IN FI LURE TO 2. BOARD OF HE ALTH This individual ha inform do h er t Mq ents that pertain to this type of business. Authorized Sign Lure** MUSTCOWLYVItl1}(ALL, COMMENTS: . 3: CONSUMER AFFAIRS (LICENSING AUTHOR���I () This individual h s,b: en inf ' o the l,{!ce�lsi g r ' e,Tents that pertain to this type of business. ---------------------------------------- Authorized Signature.* COMMENTS: Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: O e L C 'Se'r, a 3� BUSINESS LOCATION: 0.35 I oQ Cen / INVENTORY MAILING ADDRESS: `� S�132P_ TOTAL AMOUNT- TELEPHONE NUMBER: .509 s Q,7/_ c5// CONTACTPERSON: EMERGENCY CONTACT TELEPHONE NUMBER: .-q O,,?'' 71 SIJ h! MSDS ON SITE? TYPE OF BUSINESS: C l C-a" M INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) 0 Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents I Leather dyes Car waxes and polishes Fertilizers + — Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, 7— Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers � o p y A,4 E S 'OA E o A,?- (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Health Complaints 18-Jun-02 Time: 9:25:00 AM Date: 6/18/02 Complaint Number: 3478 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: TITLE V SEWAGE Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 1035 Street: OLD STAGE Village: CENTERVILLE Assessors Map Parcel: 172159 Complaint Description: ROBINSON SEPTIC WAS ASKED TO COME PUMP THE SYSTEM BY THE TENANT AS THE SYSTEM HAS BACKED UP INTO THE HOUSE, AND DESTROYED LAUNDRY. WHEN TONY FROM ROBINSON SHOWED UP TO PUMP IT, HE WAS TOLD TO LEAVE THE PROPERTY BY THE LANDLORD. THE TENANT PAID ROBINSON TO HAVE IT PUMPED. Actions Taken/Results: DS CALLED AND LEFT MESSAGE WITH LANDLORD (10/18/02 @9:30 AM) CONTACTED ROBINSON AGAIN. THEY GOT CHECK FROM TENANT, AND MET HER AND PUMPED IT OUT. SHE IS LEAVING PROPERTY SOON AS IT WAS SOLD. THEY WILL BE UPGRADING SEPTIC IN A WEEK. LAUNDRY IS NOT CURRENTLY TIED INTO SEPTIC SYSTEM, BUT WILL BE WITH NEW SEPTIC SYSTEM. SYSTEM HAS BACKED UP SEVERAL TIMES DURING HER RENTAL PERIOD. NO FURTHER ACTION REQUIRED, UNLESS FURTHER PROBLEMS ARRISE 1 Health Complaints 18-Jun-02 DURING HER RENTAL TIME. SHE WILL CONTACT US IF SUCH OCCURS, OR IF SHE NEEDS ANY DOCUMENTATION FROM THE BOARD OF HEALTH. Investigation Date: 6/18/02 Investigation Time: 11:20:00 AM 2 { � -- c2/6 LO-CR'TION SEWAGE PERMIT NO. VILLAGE Q INSTAL R'S NA E & ADDRESS BUILDER Olt WNER DATE PERMIT ISSUED 7( OAT E COMPLIANCE ISSUE-D hd y j ii C71- THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .,;�q.ee 7.S.,/k.4_'/ Appliration for RopoaFal Works Cfoustrnrtion ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .......... ". ®, .... -----•-------------•---............._...._. Locatio -Add s / or Lot No. ............ .� ... .4-- P'�•'f/ ............ ......................................... ,: -- net Address W A. .................. .... .......!nstaller ._....._..-..._-__ _ ..._ __...._____..__...____..._.__.._..........._____._....________................................ Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bdrooms.______®.....................Expansion Attic ( Garbage Grinder ( ) 04 Other—Type of Building ........� `? ... No. of persons......... Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... .. w Design Flow............���.....................gallons per person per day. Total daily flow•._®_..._.•..................gallons. WSeptic Tank—Liquid capacity/.gallons Length.... ......... Width----- Diameter________________ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... iameter.............___.._. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing ank ( ) '~ Percolation Test Results Performed by....Oa .�__�r�_._._..•......................... Date. aTest Pit No. I....... -------minutes per inch Depth of Test Pit.................... Depth to ground water........................ (� Test Pit No. 2.......... inutes per inch Depth of Test Pit.................... Depth to ground water........................ . . ---- --_-.----..�} - ••--•- O Description of Soil.....42/----�o. s��a_S�s- ......P". --�7...-C ram. ..----- - ----�.eCX ���.. .---• x w V Nature of Repairs or Alterations—Answer p ica le........................... '" _______________.__._-_-_____-_.....__- ----------- Agreement: Z The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' s ed by he board of b4gfalth.. Sig Dat. �� ----- ------ '-l= __�----•--- Application Approved By..... r- 7 .' Date,. Application Disapproved for the following reasons:.....................................•........................................................................•-- .....................................................................................................-----•••--•...--••-•---•--•••-------••-----•-•------------•------••-----••......•--••----•--_.... �yDate . - = Permit No........................................................ Issued... � 7k�•..................... Date 47 / I FEs................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HfEA - TH 7� ------_---.... OF...f r►��-,, --------------------•-------.........--•-•------- Applirtttijan for Uiipuiittl Works Tonotrnrtinn Vamit Application is hereby, made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at , Locate n Address or Lot,No. Ao 1+,�,► ........................ ......-........................... W ner Address ......................... ......•...------•••-•--•---•------------------•.........•---•---..._..---............. Installer Address UType of Building Size Lot____------•---------_--_.--Sq. feet Dwelling—No. of Bedrooms ............................Expansion Attic (41< Garbage Grinder ( ) 04 Other—Type of Building ....... :'.......... No. of persons.............................. Showers ( ) — Cafeteria ( ) .< Other��es ................••---•-•----•--- - d Design Flow.............................. ..........gallons per person per day. Total daily flow W --------------------------gallons. WSeptic Tank—Liquid*capacit —gallons Length.__s4......... Width....;f.......... Diameter________________ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( f/f t Dosing tank aPercolation Test Results. Performed by......f -c�C ...........:............... Datef+ .J.s '.. Test Pit No. 1------ --------minutes per inch Depth of Test Pit................:... Depth to ground water......................... Test Pit`No. 2........... vinutes per inch Depth of Test Pit ... Depth to ground water .................... O Description of Soil O----.ate....; A4.. .... ,a--�. -- -- �". ... ................................... x ...._... - c.� ---------------------------- -------- •-------------------- •-••-•-------•-------.::..-----------••------------------------------------------------•----------------..-.__ W V Nature of Repairs or Alterations—Answ' ,,Whe pp icab ale _.-__ .......................... ............ a Agreement The undersigned agrees"to install.the aforedescribed Individual Sewage Disposal System in accof:,rdance with ..,, the provisions of ITLIE 5 of the State Sanitary Code—Tl',e undersigned further a rees not to place the system in operation until a Certificate of Compliance has beeyrs3ued b the board of a h �✓ Sne ---------..•--- 3i Dale Application Approved BY / 0 ............................ .. Application Disapproved for the following reasons:..................................------------------------------------------.................................. 5 i. ........................................................ ---------------- .._.._..------....---------.............._.._...._.._..._........._.._....----------------------•-----------------•------------ Date PermitNo......................................................... Issued---------------------------.-._...-----••-•---•...._._ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ........OF......... ...... 01, .. ........................... (�rrifirtt# ,aff' r�e TIMS IS TO 4RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ®fi e ....... InstaJ� at has been installed in accordance with the provisions of.TI i IZ 5 of The State Sanitary'. Code as described in the application for __'Disposal Works Construction Permit No. ... ____ dated_. --------------- THE ISSUANCE OF THIS CERTIFICATE SHALL T /6/ON - UBEI) UJA ANI THAT THE SYSTEM WILL FUNCTION SATI CT RY. , �.... . Inspeo DATE............. THE COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH OF .:•. . :..............•.--..-...__.---...... No.... ;¢' .�............ + FEE................ i r lV rk r Ton iou ramit Permission is hereby granted ........................................ ------------------------ to Cons 'uctr Repair ( n In idua e DlSposal System ; at ' /----_f� � �;� _ ............................ Street A. as shown on the application for Disposal VVor s Construction Permit No..................... Dated f... -..._....._.. ". ...... //j:eo.�.+�-'_'`/'� _ .__ "` . .......................................•...... .'v'2 ,. FORM 1255 HOBBS & WARREN,. 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VvfCsStfE this plan to avoid mistakes,the maker can not gJaaltee aoainst Yuman error,The crntracta of the jd,met check ANIMM12 WALKfWOL015 www.cacWc5icjn5.biz all dimensors and other details pria to-stn¢hon aid _ _ be 54dq responsible thereafter, ® AREA5 FOOTAGE ®®®® ®®®® ® FINISHrLoopAAsouArr. O. ®®®® ®®®® 1 RYGFNF N01�5 INISI ED 13ASEMENf AIA IN/A ®®®® ®®®® ® 15f�L00EAFfA ®®®® ®®®® !. A.W.FK!5 fO COMPLY W11H flE LAe5f AAOrrW 2NDf1.00°A�A VEON e n MA DULDING COP EPMON"5 MV ANY COUMYOPfOWN PULPING RFCU W¢W5. NI5$b Af11C APEA N/A 2. TOTAL"NN151-1 FLOOF AREA u u � OVER`SCALED DIMENSION". PO NOT 5C&. THE PEAWIN65 Mix.ApEA �: 4 5. P5IGVLOAD5: GAPArES J OOF COVED POIECNE5 s 20 P.sf Rf . .,O 25 PSf. FLOOR o nsf. WOODEN DECKS L, . FLOG5fAR5 100 P.Sf. Mf i 60 PST. IDS ^ 1� NSLAroN (MIN\ff MLM R<OIL�MENfS-SEE MASCFIX I[J.I('1�G/�I�I PORE F(X W51LAfONnEEPD) I1 rll l�l� f/-'Vilf� - WPLLS R-II FLGGRS R.19 2 FpONT& Ap���VA110N5 CELING R-50 5. ALL EXTERIOR WALL OPENING5 9 DEPRING WALL }' GFENIN1,5 TO NAVE YA.ID IEAZ-R5 LU5550hEWA% INVICA1W. 3, ��Ff& P,16 "�I,FVAWN5 x 6..5/9"FIP.ECOP 5fETROCK IN51D"e W,11® S ]S FOtti FOR FEECODE.EOIAREMEW.. �� FOUNPA110N PLAN L - TIT ]E AGE NOT TO SCALE7. EACHDEDROOMfOMVEAA9NIMIIMWNDOWOMNIN6GF x� ... F 2 Cfl FT.N17 AMIN 0.EAR 555 TING LE ZO"X 29"IN k. 5 15T,1 LOOP,PLAN U . - DG?ELiION PND A SLL FEI(kIf LE55 THAN 99"OFF iFE FL00R. y7 G I��j �J �J 8..ALL WNDOVV5 WHIN 0"OF frEFL00R MID Vv7MIN .C/ ZNV I rOOr\r I,AN 12"LP ANY VOCIP 51A,L NAVE TEMFERED GLAZING. .(F - ___ 9. ALL',WCR'a10MERE%LOAK.E5AP.EfopeaA,,ov T, 'j CpO55 51,CI ION _ m 1 10 AL0.AZwG. __ 0. ALL',YARIOR WNDOWSARE f0 DEDOU3LE CVAZED I PND A.L EY.rtR10R D0M5 P&1O DE`ACID CGP.E W1M f� MEA4ER51R1PP1NG. CJ . II. COK-Wf'ALL5AM7fELfOR5fOHOtff ELECfMC& SYSfEM AJD INIEkI.00K EACH SO MAi WrEN ANY"'!IS 9 --- 1 TRPPED BEY ALL WILL 5OUND, 11 I 12. PROVIP COMDU5110N AR VEW5(W/`-Cg�E,J)rL A N . 10, IAN I I A"PLLE V✓nN AN OPEN FLAME. \J r7A1�0� 15, DA1FB00M5 AND UN.Itt ROOMS A's'fO DE VEN1ED f0 TrE OI1f%7EW1(HAMNWJBA6A90CF.M GFM. - IN& 1551 -.8® 1 19, FOO F A PRE f0 DEAR ON I1NDI5MV 511 LEVEL 5 I _ PVGD Of ANY OP.(J`MGMAIERIA.SOND STEPPED A5 r� �I ffOUKED fO MANfAN f.-E REMV✓ePTH DELO'W TFE FINAL 30/05 O .:BADE,SJL DEABNG PRh50 A5%MEV fO P 2000 P.5.1. I 13. 19. ALL Ca gM f0 P U5Ei7 fO HAVE A MINIMUM 6. v . I 2,500 P.Si.C0`N'FSSIW S1�NGiM 6V 28 DAYS. I 1 I6, N-L WOOD IN CONfPLT WRN CONCRETE f0 L'E ' PK59.1W 1MA"12. 1 _____________________ r I 17. WAiE9"OGFDASEMENfWA-LSfY'rGDKKFtl.LING., - SCALD UNIrl.55 ' I8. (SAM PA'XE15 N CGNCF�tE f0:AVE I/2"AP.S'AG,Af �I�f N V I I.V SIPS PND E!.u75 WIM A MWIMIIM GY 5"[1EARING. �' ---- - ------ Q 011I�pW15� 19. FV ME'W e5wLA°SNOf USEDAS NANfA"A.E. Iv . I I - OCLp 5LVIE`V.ACE SWLL DE PROVIPO EMTHeM A MINWUM OF FOL;S.IDI;JG frt'E,Oz AWNING iWE A"Tk Nf WNDOW$FOI' I EVERY 1500 5r,Va FEET OF FLOO2 AREA GR M➢rT195 19 i I I P P WOP.AMC)HULL DE LOCATED.A5 NEAR A5 PRACTICAL.f0 I' I i I PROVIP RO55VENMA ON N Cc 20. PROVIP IN5tLAf10N DAFFLE5 Af EAVc VENTS, 2O. � - ----- ----- ____ 21..PLL A1fe5-MI15f 6 5 FY OR DRP NIE.VW } -N EE ED` NYAl EDAVE N LD 21 -75 L60 50RRIDGE VIEW Ar fOP. 75 - 22, g n PALS # �:o.. �:x - EB. 0 1 20Q5 5 A ROUTE 2 kfAP��YtCi i .x:3T f",. G�_may; B •----------- ------ N x PPOP05�17 A1901110N EX15TING HOH 1 \, N ®®® 0 HHk FM Ll I FRONT ELEVATION REAR ELEVATION � 0 u PATI OF Z FINAL 155UE HH ® 4fl A] HE HHE Q � SCALD UNI.�55 NOT P � � N CO pAL� EJ GREENER HARMf ,'-''co..s. ,T!3UL"f'sue: P.U.S.' '(8-0 r<:,A i~OUTE 23 'HAP'cVI FsRT, !.� r _y ®®® ® QN u u � C RIGHT ELEVATION � V } CLEFT ELEVATION � P4 0 0u PA1F OF ® FINAL 155UE I/�0/05 1 � � SCALD UNI-�55 � N01�f7 ® OTI-I�pW15� g o U3 GREATER H:<RV - H P Q RIX f; 3 -A ROUTE » 23'-8" a'_7112" -10 I/2 4'-Id' 24.-0" ------------------------- ---- I I I1 .------------- L--� I 1 1-- --------------------.--- ---- ------- F--- \\ \\\\\ I \\ \\\\\\\\\\\\\ \\\\\\ \\\\ \\\\\\\\\\\\\\\ \ \\\\ I------------------- --- I i I a 1 i 1 I I --- 1 I I EX1511NG FOUNPAVON I . � p�OpO5El7 FOUNf7A110N I � I I I I I •� xa ro tOov�a�DOc'� I � I I � 0 Ul N LONC fE'r03J2A�ON - a 1� u _______________________________1 1 L I I 1 I o i I i I �I6"X9" co SL I CONLPef FL1�nfING I I 11 I I I I 1 1 l a l I 1 I 1 I I i 1 I I I I I I I . I I •� 1 I I I I 12AT� OF 1 L----------- _ ___ ——— 1 1 b� I Z FINAL 155U� MCrPaw NNfC?*PO ° r uaLvvdANFwwrcN o I ----- — — — -------- ------ —I ----------- — ———— 24'-d' 4'-0" 60' 5CAL� UNLESS NO�C�t7 OTN�pWI5� FOUNDATION PLAN ;T- --a QN O v GREATER GOIN;"'RU ;' 'r ..-•. _:•C I P.Q. R'>`(Ex5? ?: A ROUTE 43 (-E,02) 432 t WNDON xFEDLLE - - IOry IFLO(R DIMENSIONS 1 Iry I'I2 295/8 0 t29S/267 R/O IIDXR IO IMg0- "X527/8" K ICOMMSNfS _ 301/$X53I/4 DgBLE HNG 2492 IANDEk';EN I 12 29 5/a"X56 715.1 ANDE2zN 2 591/9"X56 7/P." 60%571/4 MLLlc111111 2996 MILLION ANDE°..,E`N 2 59I/4X79 V, 6aX80 ADE2(AA55 FWG 5W8 ANDEP„EN Nil LI.am OF DECK mag WI oofof 4 CowmfE FD;LN? - - F0011NG WIM I0"Co\mf,FILLED - --_---- -___ 5ONO 0,09EI1 I 5'-0" — 1 I I � � O Cn J . A ____ ____ I 12"X98"C0IA—,2FRLED SOh'O P.M � � I '<D P955,F,E ' 'EATP 2 X B'5 N - 23'-10 1/4" 4'-5 1/4" .-0 3/4" 8'-7 1/2'• 1-0 1/4" rr----- _ t}- I 5'-21/2' 3'-1014 5'-43/4" 3'-23/4" '61/c^ 11'-6" I� c i0 a _ ^ _ . 30663E - ------ Sf01ZAGE - UNDE. I � I SfAlnS b o� oo u --- -- EXISt1NG EXISTING BATH o FXI51%KITCHEN b�CK EX1511%PEN f't?Op05EP 2 CA!?GAp,A� o � 0 26W 2068 'I ---------- --------------------------- a - ----------------------------- -- DOC 2666 r T �WI2%35571MI AM 4'3" �4'-71 i/2" ICI ----- ----� r- ------ EX1511NG EX151%PININ6WOM I I A6B3lIiE LIVING Wom o PATE OE FINAL 155L1E I I I I n�Gti , ———— ———— ---------- gm, SCALE UNLESS 6'-6,• 1P-0,. 6.6.• - 2•,0., 2._G' 4.0„ 0_6„ F5,.6. 5 6.. a-6• 4_01• NOTEP OTNEnWISE 24'-g' a'-a' co 32•-0^ 1 N IST FLOOR PLAN � o PAGE # raEATER Hr-.RV —c +_ Vv1MOW X�EDH.E ' ION -FLOOR INMEN51('ti5 IR/0 1 WE 6`.CRWroN I� IMAVFAL'IP�R ILOMMEW5 I 1 1 295/B"X567/8" 1501/8X471/4 V=EHAY' 12446 IANCIP55N - I I 5 2 29 5/31,X52 7/P." 501/8X551/4 OOIA.E NAIL 12442 I ANOEMN - 12 295/8"%567/6- 501/8X571/9 VOLfR'NAY 12446 1PNDEP.`kN 2 59 I/9"%56 7/8" 60%57 I/4 I MILLED WIi 2446 MLLLON A\ER`.EN 12 591/-4X791/2" 160XE0 I%M-6LA55 I`VJ,5065 IAV M'C EV I ----------------------- _ MOF05EP A EXTUWV[PECK b 23'-70 7/4" - 4'5 7/4" 3P-8 7/2" - I N 2315 7_2,. 6'-0" u cc �.j 2446 N ULLION FWG`068 u u �I o II 00 p1;OFO b LIVING/ EX15-M4 DINING . A BATH i EXISTING 13Et2VOOM # I 0 EX15MC4 CfPP,00M # 2 T101'05E I ED KITCHEN 1 lO 4'-3 7 2" 2650 2269 ILI 0 pp 705E17 Of PW0M l e568 PxKEi DOOR — j 6ATH ----- --------- --------- o ALLE55 PANEL � (� [PATE of 66 6 _ FINAL 155T 46 � a `� �. 2442 2442 2442 "'f� �iC 2 6 `\ \ /50/0� 28'-0" 1 32'-G' 5CM UNI,1.55 t NOTE I bG-O" OTNEI?W15E 75 � N } U 2ND FLOOR PLAN 6 GREATER 2 X 10 WTEp5 \ @ 16" O,C. - -f?VCT VENT 235# 7H E TA13 ASPHGJ T 12 1 X 8 LEPCTP 130APP APPpOX, 5HINGLE5 OW\1/2" CPX , p ; COLLAP TIES @ 32" O.C. PLYWOOt7 49/16" 12" P APPFOX. 4 15/16" SOFFIT VEN u ALL WINnOW5 p-3O 2 X 8 MTEp5 TO 13F ANI2EP5EN INSULATION @ 16" O.C, u u IN5ULATION f� 88 2X4 121Ip 12 5TUn5 @ 16" O,C, t,TO MATCH EX1511%2NP FL.HEIGHT 2Nn FL00 2 X 4 5TU175 @ 0'' o O.C. -NEIGH1 TO 6E 2 X 10 FLOOD, IM2 X 35 5/8" FIPECOt7E PETEt;MMP IN t? 30 5TEEL.1-BEAM 5HEETPOCK ON.COMMON FIELD IN5ULA110N JOISTS @ 16"O.C. WALL AN12 CEILINC45 t All, POMP PAt OF CONCPM 5LA13 FINAL ISSUE Q P<?ESSUIT aATEI7 2 X 6 51LL OVEC?.511 1 5EAL U SCALE UNLESS NOtP POU12E17 CONCP.I 1E OTNEpWISE FOUNPA110N 3' 9" X 8" POUP.E17 CONCpETE FOOTING516" X 9" °� 75 CROSS SECTION A � o 1/2" IVENT PIPE (® Least 24 inches toll) SECTION A -A 1' = 2000,�hoiu 10' min. from Schedule 4 PVG w/Charcool Odor Filter ALL OUTLET PIPES FROM THE se to septic tank 'NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. PROFILE VIEW OF ADDITION TO LEACHING SYSTEM asTRWTaN Box s�eE E� ExistingFoundation tT Septic lords coven mutt be SET LEVEL FOR AT LEAST 2 FT. CONCRETE COVER �R githin 6 in. of finitthed prods 3- of 1/$" - 1/Y washed Peoston K S ' Grade over Septic Tonle - 99.25 Grade over D-Box - 100.25 3/4" to 1 1/2 - washed Crushed Stone �••�':.. P ----Grade Over SAS- 100.25 . KNOGcOUTST 2 \ — E ROAD r I S 0-02 3 HOLE N-20 - - -t5.5' •� ' t2' MET QLD STAG y r 10' EXIST. S-O.Ot DtST. BOX 3' Uoxmum Corer Top of SAS - Elev. "95�50 %• f' EXIST. PIPE X u'l 1,000 GAL. pp 13' S- 0-010' per foot • 4- - SCH. 40 Te O FROM EXIST. FOLINDATION t,l SEPTIC TANK A 2' CHective Depth t.75" 4 P N "`t0 �,..�. PLAN SECTION CROSS-SECTION i 09 > A M a o o SITE CONCRETE FULL FOUNOATIO � � > � � O 1� �Q, ` �4 � y v A 46 4 units @ 6' = 24' ,SYSTEM PROFILE 6 in-of 3/4"-1 1/2" p � a, 1' 1' STONE UNDER CHAMBERS 3 HOLE H-10 DISTRIBUTION BOX t C compacted stone ; >y �, 8 3 3' NOT TO SCALE h 2a LOCUS M A P Not to Scale - c o • q 4' _0 4 4' ; 30. v2.5 u _ Effective Length 6 in.o1 3/4'-1 1/2" � 10 � composted stone Effect" urldrn m SOIL ABSORPTION SYSTEM (SAS) J�4tt—! 01-1t1tJi*_1_E.IIlI i -------- CULTEC MODEL 125 (H-20 LOADING)/ SHOREY PRECASTE GENERAL NOTES (OR EQUIVALENT)Not to Scale 1. Contractor is responsible for Digsofe notification NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 12" and protection of all underground utilities and pipes. 2. The septic tank and distribution box shall be set. level on 6" of 3/4"-1 1/2" stone. 2-18' DIAM. ACCESS MANHOLES 3. Bockfill should be clean sand or gravel with no B' stones over 3" in size. 4. This system is subject to inspection during installation •' �' ' ` b Carmen E. Shay - Environmental Services, Inc. c9� ® 5. The contractor shall install this system in accordance \\ with Title V of the Massachusetts state code, the approved plan. �`1 f and Local Regulations. / / a THE ACCESS COVERS FOR THE SEPTIC TANK, \ g INLET DISTRIBUTION BOX AND LEACHING COMPONENT I `\ 6. If, during installation the contractor encounters any OUT T GR�EEE1ALiHBENRAtSE0T0 6 INCHES WITHIN L FINISHED 9 \\ soil conditions or site conditions that ore different ;I f FINISHED GRADE. \\ \\\ from those shown on the soil log or in our design \ \ installation must halt & immediate notification be 7I V INSTALL TUF-TITE GAS BAFFLES OR EOtJALS ` made to Carmen E. Shay - Environmental Services, Inc. STEEL REINFORCED PRECAST CONCRETE `96' \\ - \\\ 1<1 7. No vehicle or heavy machinery shall drive over the \ 00T septic system unless noted as H-20 septic components. PLAN VIEW ,a, \\\ \\\ ,Q/ � 8. Install Tuf-rite gas baffles or equals on oil outlet tee ends. 3-24- REMOVABLE COVERS 00 \`\ \\\ \\! Cyl 9, All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. O 10. All solid piping, tees & fittings shall be 4" diameter :• ,•.,: ..,. _: .: ,. 4' :- `\ \\ �z?�, �� Schedule 40 NSF PVC pipes with water tight joints. :_min. aeoronce �� \\ `\ \ 9� 11, Municipal Water,is Connected to The Residence and Abutting INLET 8" min -�2_min. inlet to outlet 8_me, tY INLET'T •' �i' v `\ \ \ OUTLET \ � '� ` Properties Within 150 Feet. T,T Lquid Level " 5' -T �� ---- r t--- t 5 -7 �O '��` \\ O�� \\ \` NOTEw Or r 4'-0" min. C� \\* �� `\ \\ THE PROPERTY LINES ARE APPROXIMATE AND Liquid depth \\\ \\ `\\ COMPILED FROM THE SURVEY PLAN GENERATED BY \ \ CHARLES SAVARY, SURVEYORS. OF HYANNIS, MA t �\ 1t \ `\ \\\ `� ENTITLED " PLAN OF LAND IN CENTERVILLE, MA" '' " `_' "'' f ► \\ `� \ `� DATED SEPTEMBER 3, 1974, PLAN BOOK 306 PAGE 24 g-0 - 4' -10 i `\ `\ \`\ j�\ S AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN CROSS SECTION END-SECTION \\\ ��� IT SHOULD BE USED FOR NO PURPOSE OTHER THAN i EXISTING Q' THE SEPTIC SYSTEM INSTALLATION. •" i 2 TIER DECK USE __EXISTING __1000 -GALLON -H-- 10 SEPTIC-TANK _ �, EXISTING �\ - 3 BEDROOM NOT TO SCALE HOUSE \\\ \\\ LEGEND PERCOLATION TEST '� EXIST. 1000 gal LOT # f 04 104X 1 ov DENOTES PROPOSED 1 Septic Tank t i \ 15,037 Square Feet +/- SPOT GRADE Date of Percolation Test: JUNE 14, 2002 Test Performed By. CARMEN E. SHAY, R.S., C.S.E. Foiled \� \\ \`\ \` DENOTES EXISTING Results Witnessed By WAIVER ( per Barnstable B.O.H.) 1 Leach Pit/--`\ \\ \\ �9� X 104.46 SPOT GRADE Excavator: Roberts Septic Services \ \ \ Percolation Rate: Less Than 2 MPI i I`, I'L PROPERTY LINE + ~ PROPOSED CONTOUR .: • `+r..' TEST HOLE �{1 �.�5 Test Hole ' `� :y� 1 • ;*< ` ELEv.= 100.12 \\\ No. 1 �� . w�?• o ;� 97— — — — — —97 EXISTING CONTOUR .. .�,.f DEPTH SOILS ELEV. ; \`\ i0•fir••,"' DEEP TEST HOLE & o ,00.12 PROJECT BENCH MARK PERCOLATION TEST LOCATION l TOP OF FOUNDATION Loamy Sand \\ \\\ 10 YR 3/2 6'! `\ ELEV. = 100.00 (Assumed) o--,o- A► 9.25 ? •--- 6 FOOT STOCKADE FENCE Loomy �\ 3 Sand \ 10 Y 5/6 10-- 34' Be 97.33 LOT ##105 \ \\ CJ Coarse Y7/ P LOT PLAN sand \ 2.5 Y 7/4 \ �\ 34"-168- C, 86.,2 \\ \ OF PROPOSED SEPTIC SYSTEM _UPGRADE \ i �o \ o Perc #1 LOT ## 103 i PREPARED FOR Depth to Perc: 38" to 56" MR . RICHARD MELMGREN Perc Ratee Less bs 2 MPI o� DESIGNING ENGINEER r IUs^T SUPERVISE AT Groundwater Not Observed Q' INSTALLATION AND CERTIFY IN WRITING 1035 0 L D STAGEROAD No Observed 0 Elev, `''�a, THE SYSTEM WAS INSTALLED IN STRICT OA D ADJUSTED H2O Elev. = None lam,, ACCORD!—"'7 TO PLAN. Design Calculations 0 20 40 50 �. CENTERVILLE MA �,J s Number of Bedrooms: a Equivalent to Got./Day (330 Col./Day Min, per Title V) PREPARED BY: Garbage Grinder: No o CAR Leaching Capacity Proposed: 330 Gal./Doy Minimum (Min. Per Title V) �� E,IJ /'�A /�/f�n j E. jJ� `� Septic Tank - 3 x 330 Gol./Day = 660 USE 1,500 GAL. Septic Tank. SCALE: 1 "=20' � ' SHAY CD C.�1`Y 1�1 1 V 1�( j SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch No. 1181 ENVIRONMENTAL SERVICES, INC. Bottom Area: 0.74 gal/sq. ft. x 300 sq. ft. 222 gallons j a Sidewoll Area: 0.74 gal./sq. ft. x 160 sq. ft. = 118.40 gollons EXISTING LEACH PIT TO BE PUMPED & REMOVED TO GfsT0' P.O. BOX 627 Providing: = 340.40 gallons s�NftAlttP� EAST FALMOUTH, MA 02536 FACILITATE INSTALLATION OF NEW SAS Use: (4) CULTEC MODEL 135 UNITS, HAVING A 1' EFFECTIVE DEPTH, TEL/FAX : 508-548-0796 TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, 3' OF WASHED STONE NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE SCALE: 1 "=20' DRAWN BY: CES DATE: JUNE 14, 2002 Ll ON THE ENDS AND 1' OF WASHED STONE BENEATH THE ENTIRE SAS. FROM THE EXISTING LEACH PIT TO BE DISPOSED OF AS PER BOARD OF HEALTH SPECIFICATIONS. PROJECT#SD324 FILENAME: SD324PP.DWG SHEET 1 OF 1 i