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HomeMy WebLinkAbout0006 PATRICIA STREET - Health s Patricia Street Centerville P- A = 246 056 NoP2-1 3 OR HASTINGS,MN TOWN OF BARNSTABLE LOCATION k,' C SEWAGE# AD%S-aSl VILLAGE Ct,r iTi-,�LMt k\{,_ ASSESSOR'S MAP&PARCEL ayf, lo INSTALLER'S NAME&PHONE NO.Wtkkil►yn�t�o�12 SOB-fe8s-�l Ny SEPTIC TANK CAPACITY %C W !ac l l oxza, LEACHING FACILITY:(type) "-ko SGO�A� 1)Q.s,Iyuel�(size) SDb NO.OF BEDROOMS OWNER-Sep, M�sT'?t`c�pe,�ztieS 1_t..C_ PERMIT DATE: COMPLIANCE DATE: \�a Separation Distance Between the: rr' 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 BYjc1 . s "Feo w�T t�i•3z.5�'��• t b•�• , c��N onTs , AZ-Z$,J CAL• 13.5 �iISI E►v3•' 3•a� :B3• S -M pS rp z zs,! y ° A lL1•ab•5 3y 3�..5 ,. ,' S � S•��.5� F5S•��''S n No. Fee f��C.!' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ID PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for ai6mal *PstPm Construction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) gC Complete System ❑Individual Components , Location Address or Lot No. T ' Owner's Name'Address,and Tel.No.YA Assessor's Map/Parcel I stall 's N�,AddressandTel.No. V 116 K Im --DIP � De si ner's Name Address,and T 1.No. � C-0 p- Ong i P d�a �' �-ft(�a Reis a cud4 0Zp,�i v�S gam© P�CILV, � � 0 f,, 9j 4Z jol 4 t_ o c t Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Qec,CIg2jj a.Q No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3(� gpd Design flow provided 'jj gpd Plan Date t4 S A`� jkO\� Number of sheets 2� Revision Date Title�A,pT►C -osra(" e;l �1Q rJ Size of Septic Tank rSQQ g* L Type of S.A.S. ,j __DVjSk 0&S Ju j Description of Soil Nature of Repairs or Alterations(Answer when applicable) 0 p 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 o t V11 Signed �. . Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �')d/ 025�' Date Issued "f No. � �.i� `�, Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF 'BARNSTABLE, MASSACHUSETTS Yes apphration for, , p sal, *pstem construction Permit Application for a Permit to Construct( ) Repair'()Q Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. Acp � - '5T • Owner's Name,Address,and Tel.No. �y Ass`essor's Map/Parcel � � � �� ��,r � I talle 's N Address and Tel.No. s Des er's Name Address,and Tel.No. Co C 0-- 'r_c ,� `I° p'. 5t 1 (44 il1S 04A d21,�i w )to �''•(rJlL)(, � S 5 O�1, f. Q -. 10% 4 Li ,i TI-\r r r,ca rani[ - C -3iA c -A A 4 W ` Type of Building: iDwelling No.of Bedrooms 1 Lot Size )1_r)g� --Sq.ft. Garbage Grinder Other ` Type of Building No.of Persons Showers( ) Cafeteria( ) a Other Fixtures Design Flow(min.required) JO gpd Design flow provided ??(A 9 a, gpd Plan Date t"�i1r� .�� ,(� \ ) Number of sheets 2, Revision Date e Title�*PTl(- (fit&vet So . �c]�C 1<W\ G Yy Size of Septic Tank W 4 t* L Type of S.A.S. ,'� )�,,� 1 -o ,o, Description of Soil Nature of Repairs or Alterations(Answer when applicable) �D�%t~�•'��k <,r)Q e rt. eb 1c a dA 1- SCE Q CAA V t f U 4.Je Nk '01 Date last inspected: 1 t+ e , 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/,He thh../ _ Signed /,5 Date Application Approved /4 �/ { PP PP b Y � - ! � Date Application Disapproved by Date for the following reasons Permit No. ,2(2/ 5�" Date Issued '' '"t THE COMMONWEALTH OF MASSACHUSETTS Ile BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�) Upgraded( ) Abandoned( )by tI\!1 t'f'{M, !)ouct IL,- at j� ?Q�( � l —rA,,Jj' �, s ,,-- - has been constructed in accordance with the provis/i�onn o//f Title 5 and thee`fioDisposaal)System Construction Permit No. Al�r a ��ated �� `7-. /O Installer / � 7, /f� �/ Designer #bedrooms �� Z `2 Approved esign•.flow,-_111,�`J _) and The issuance of this p rmit shall 1� I.' 1 not be construed as a guarantee that the system will fimctio as esign ed..-._--- Date ��.. r LT- Inspector No. v9 v/U .-x J Z+ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal Opstem Construction J)Prmit 'Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at (,2 6,TiL� ecjA C p u i fI�e c%/Wt j6 A 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 compl ted within three years of the date of this permit. KC)LO Date '� Approved by (/�/ r Town of Barnstable .�`me'a►�,Si. RetMgulatory'Services _ 1kiel ref V.Seali,Interim Director nARN9UBM MAM Public Health Division .679. A'Fat�" Thomas McKean,Director 200 Main Street,.Hyannis,MA.02601 Office: 508-362-4644 Fax: 508-790-6304. Installer&Designer Certification Form .Date: �\� SeNvage Permit# 2ol$- ;ASS Assessor's MapkParcel 246/56 Designer: David D. Coughanowr RS Installer: Address: 155 George Ryder Rd South Address: ale l�aaT.ae. s"C' Chatham, MA 02633 NANAa1.3..a15 . "Ek aZ.yok I Ong f ,`��ay� ��gt� was issued a permit to install a (date) (installer septic system at 6 Patricia St based on a design drawn by (address) David Coughanowr, IRS dated May 24,2018 (designer) 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. Strip out (if required) was inspected and the soils were found satisfactory.. l certifythat the septic stem referenced above was installed with nia'or changes i.e. P Y J � ( greater than 10' lateral relocation of the SAS or any verrical 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. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constricted in compliance with the terns of the IAA approval letters (if applicable) LjkAOF4f'S`�9 �yZHOFt& S DAVID D. off' DAVID o. ( n a ler's ibn re) COUGHANOWR (A v D. in COUGHANOwR 41o��tcEr4scaVAX pQ` (Designer's Signature) Dner's Sta PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH. DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QAScptic\DcsiSncr Certification Fonn Rev 8-14-13.doc � o�F AT NOTES P H• �p s SOIL REMOVAL AREA - REMOVE ALL FILL AND UNSUITABLE NJ ®a SOILS DOWN TO THE C STRATUM AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5 (310 CMR 15.255(3)). * EXISTING CESSPOOLS TO BE PUMPED, COLLAPSED AND FILLED. it I INSTALLR T I VARIANCE REQUESTED VERIFY LOCATIONS PROPOSED SOIL 1 OF ALL UNDERGROUND MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. EXCAVATING BEFORE 310 CMR 15.2111)) - SOIL ABSORPTION SYSTEM T1O ABSORPTION SYSTEM. CELLAR WALL. 20 ft MIN REQUIRED - VARIANCES TO SYSTEM 17 ft & 19 ft SEPARATION REQUESTED. -SEE DETAIL 15 ON BACK 100.00 ft !� ib SHED HYDRANT o 16 15 �I SOIL . 'I )s REMOVAL AREA " 1 /9 1 10 ft 17 ft E%6S TONG \ 16 0 14 0 3 BEDROOM Z DWELLING I O O 1 -o G \ 9 O w \ 1 ao ti MINIMAL � N GRADING N M PROPOSED 1 TOp F FNDN \ o 17,32 c� \ LOT 2�3 RIVEWAY /AREA = 11084 sf+- 3 PLAN BOOK 116 PAGE 73 \ yyATER. GATE ASSR MAP 246/PCL 56 74.21 ft I6 , ft 15 14 E E OF PAVEMENT V E UK � DG Q L� l ue:�HQ DD /W OC .................. II LEGEND p 14I'BlE®r"S 104T0 SEPTIC COMPONENTS ELEVATION 1 TIC GAL p �3.03 �`�, PLAN THIS IS A SEPTIC TANK OF DRAIN G COLOR SCALE: 1 in = 20 ft FLAN EXISTING USE COLOR PLAN ONLY CESSPOOL 2 0 40 FOR INSTALLATION FULL DETAIL IS BEST DISTRIBUTION BOX a VIEWED IN GARB O 10 20 'FULL COLOR TEST PIT G R PRINT ON 8-1/2. x 14 in AN A OWED PAPER FOR PROPER SCALE ro GR°DET i I I� THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY I INCLUDING PLACEMENT OF ADDITIONS. SHEDS, FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. 'I I � 4 y - - -- s s N i -�N OFMgss Of M SEWAGE DISPOSAL c�OQ I F POSAL � s DAVID 9ryGJ+ o�P DAVID S90yG S SYSTEM PLAN � �COUG ANOWR c�io �COUGHANOWRw '� I� � -TO SERVE EXISTING DWELLING ~ Z To No. 1093 No. 461 � SEA MIST PROPERTIES' LLC cHaDwlc K AVE SCALE �FG Pp •• �DWNERIS) OF RECORD EVA� ppEs2rOj 6 PATRICIA S — - -- TREET � CRAIGVILLE BEACH ROAD 155 Geo Ryder Rd S PROERNTERVTY IIE ADDRESS MA CENTERV/LLE. MA ! DATE: MAY 24, 2018 Chatham, MA 02633 ------ Dovidcou@HotmaiLcom L O C U S MA P 508 364- PG-i1%2 roe#___T __ - IA RSI N _1 089410, E E 4288 Inecoe DATE: MAY SM TEST LOG P-E_RC# 567723. 2018 'D SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE #461 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. GROUNDWATER ENCOUNTERED AT 104 in SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS TEST PIT PERC AT 50 In - 2 MIN/INCH IN C SOILS INSTALL NEW 1500 GALLON SEPTIC TANK. j 'r ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER = T�c�� q��� INCHES HORIZON TEXTURE (MUNSELL) MOTTLES *I.$Lfl,BpTIO�QX, INSTALL UNIT DEPICTED BELOW. , 14.50 0-8 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE i SOIL ABSORBTION SYSTEM: 12.17 8-28 Bw LOAMY SAND 10 YR 516 NONE FRIABLE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE S.83 SOIL WITH A PERCOLATION RATE BELOW 5 MINU TES • 28 26 C MEDIUM I a ED UM SAND 10 YR 5/4 NONE LOOSE 4.00 PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. THE 'L' SHAPED LEACHING GALLERY DEPICTED CAN LEACH: TEST PIT 2 GROUNDWATER ENCOUNTERED AT 102 In 2 MIN/INCH IN C SOILS BOTTOM AREA = 12.83 46.5 + 8.5) = 320.751 sq. ft ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SIDEWALL AREA = (16.5+12.83+3.67 I INCHES HORIZON TEXTURE (MUNSELL) MOTTLES +8.5+12.83+21.33)x2 =151.32 s ft. f 14.35 0-6 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE TOTAL AREA = 472 sglgft. 12.18 6-26 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE ` FLOW CAPACITY = 0.74 x 472 = 349.33 OI/do 5.85 : 26-120 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 8 y 4.35 INSTALL THE •L' SHAPED LEACHING GALLERY AS CONFIGURED L- -- - - --- - -- -- BELOW. FLOW CAPACITY = 349.33 gal/dog WHICH EXCEEDS THE 330 gal/doy REQUIRED FOR A THREE BEDROOM 'IDESIGN. 1500 GALLON SEPTIC TANK 7- DIMENSIONS ' DETAIL SOIL A = SORPTION USE • - •• SY,9 _rEM CONSTRUCTIONDE TA IL NOT USE •• •• • r RYWELL lin I'. - 12.83•ft TAPER TO INSTALL TWO DRYWELL El A UNITS AS SHOWN SCALE 8.5 ft WITH FOUR FEET OF O _ STONE ALL AROUND. 5 ft- ° O 8 in N o MAR K INSPECTION OD RISER WITH MAGNETIC TAP. ' DRYWELL ! j, IQ ft-6 �j 21.33 ff A UNIT 1n P I 500 GALLON DRYWELL INLET OUTLET DIMENSIONS INSTALL ONE INSPECTION RISER I, COVER COVER TO WITHIN THREE INCHES OF & DETAIL FINAL GRADE & INDICATE 3 IN DROP LOCATION ON AS-BUILT -► I� FLOW LINE FROM - USE BUILDING O in 14 TO ,,, �- 33 H-lo D-BOX 48. in `..., in UNIT LIQUID GAS LEVEL BAFFLE 102 b in STONE BASE I SEPARATION BETWEEN INLET & OUTLET CROSS SECTION VIEW (SECTION A-A) TEES NO LESS THAN LIQUID DEPTH INSTALL AN APPROVED GEOTEXTILE CROSS SECTION VIEW FABRIC OVER STONE I USE I 3/4 !n T 24 in O • 3/4 in TO 28 I ' � §O O 1-1/2 In GRAVEL EFFECTIVE.-t►-1/y In GRAVEL i r «fl DIMENSIONS PIPES EXITING in DEPTH r • • EVEL AND DETAIL FOR • • 48 in 58 in 48 in I it 154 in 12 /n I f CI MIN -INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE j' --► N STARTING WORK. LO FROM S -� -ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM N TANK LO U) TO O REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC SAS CODE (310 CMR IS). I O ^O T -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 6 In STONE BASE -ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION ii E OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC PUMPING OF THE SEPTIC TANK. 21 /n 2 CROSS SECTION VIEW S i ' -SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. j DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. i I I 9 _ II TOP OF FOUNDATION ALL PIPE TO BE 4 in SCH. 40 PVC - RAISE COVERS TO WITHIN AND EL - 17.32 +- 6 in OF FINAL GRADE TO PITCH AT 1/8 In/ft MIN 15.0 j I _�®� 3 © MX A ������� USE H-20 13.65 i o=14.32 15000 GALLON b=]5.48 PRECAST o �o�ao SEPTIC TANK 13.45 . DRYWELL a�000 D oo a°I�Qo. Ltl a op,Zylo in EXISTING 13.03 A ° � °�00 REFER TO DETAIL BOX )3 20 STONE SO�L ABSORPT�QN 13.70 r roe As BASE 12.90 ������ -REFER TO 24 ft 5-13 ft DETAIL BOX LO )0.90 SEASONAL 60 ft HIGH GROUNDWATER _ 5.85 SEWAGE DISPOSAL SYSTEM PLAN 16 PATRICIA STREET -- CENTERVILLE. MA MAY 24 2018 ETE-4288 PG 2/21 � I SEPTIC I F®p AT , NOTES �g®o W MM e U s SOIL REMOVAL AREA - REMOVE ALL FILL AND UNSUITABLE u � SOILS DOWN TO THE C STRATUM AND REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5 (310 CMR 15.255(3)). EXISTING CESSPOOLS TO BE PUMPED, COLLAPSED AND FILLED. INSTALLER TO VARIANCE R E Q U E S T E D VERIFY LOCATIONS L PROPOSED SOIL OF ALL UNDERGROUND MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. UTILITIES BEFORE 310 CMR 15.2110) - SOIL ABSORPTION SYSTEM TO ABSORPTION EXCAVATING FOR CELLAR WALL. 20 ft MIN REQUIRED - VARIANCES TO S SYSTEM. SYSTEM 17. ft & 19 ft SEPARATION REQUESTED. I —SEE DETAIL p, ON BACK 15 100.00 ft 16 SHED 15 HYDRANT O 16 O SOIL 1 ) D 15 REMOVAL wok " AREA a' I I 1 10 ft 17 ft 1 EIS/STING 16 14 3 BEDROOMDWELLING 01 � .I \ 9 \ qD k'r MINIMAL \ \ 1 N 'I GRADING �_ �h PROPOSED w 7TOFl OF FNDnM _7=4 � I V V 7- (4 II I _ r n c� v �OT 2I3 ._RIVEWAY a _ - - AREA 11084 sf+ - PLAN BOOK 116 PAGE 73 \ WGATE ASSR MAP 2461 PCL 56 74.21 ft ib !li Ile 15 14 OF PA G E VEMENT V E99 U ED A AD v _ C�H o� OE®G S DA� LEGEND I � SEPTIC COMPONENTS NTS ELEVATION 1500 GAL Il >°p 13.03 PP��� PLAN THIS IS A SEPTIC TANK ® OF DRAIN G COLOR SCALE: 1 in = 20 ft PLAN O EXISTING USE COLOR PLAN ONLY CESSPOOL 0 20 40 FOR INSTALLATION �I FULL DETAIL IS BEST DISTRIBUTION BO'X g GARB O 10 2 0 VIEWED IN FULL COLOR TEST PIT , - it R PRINT ON 8-1/2 x 14 in CLEAN our OWED PAPER FOR. PROPER SCALE TO GRADE N, n THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING PLACEMENT OF ADDITIONS, SHEDS, FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. OFI►fgSs9C �P�ZH OFk4s SEWAGE DISPOSAL °o s n DAVID 'yG DAVID �yo SYSTEM P L A N ma D > D, p s� I -TO SERVE EXISTING DWELLING _- Na. 461 ,t� SEA MIST -- COUGHANOWR �n u COUGHANOWR N `" - NOT No. 1093 Z TO PROPERTIES LLC p CHADWICK AVE SCALE PF I �c0 s IPPRO�� C) !OWNERIS) OF RECORD III— 6 PATRICIA STREET I VILL CRAIGE BEACH ROAD CENTERVILLEI MA 155 Geo Ryder Rd S PROPERTY ADDRESS CENTERV/LLE. MA Chatham, MA 33 Dav dcouC Hot oa 6com ATE.-MAY 24. ET201 L 0 U-S MA P --- - - - - .. -- --- 508- 364 -0894 LO--- - ._E_-- 28s �B�_oE l >��11(L TEST LOG PEAc# ,5677 . 2Q1B �"� SOIL EVALUATOR: DAVID D. COUGHANOWR, ASE #461 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. TEST PIT GROUNDWATER ENCOUNTERED AT 104 In SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PERC AT 50 In - 2 MIN/INCH IN C SOILS INSTALL NEW 1500 GALLON SEPTIC TANK. ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER i INCHES HORIZON TEXTURE (MUNSELL) MOTTLES PISTRIBUTION BOX, INSTALL UNIT DEPICTED BELOW. 14.50 0-8 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE SQIL`4 SORBTION SYSTEM: 12.17 8-28 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE 5.83 : 28-126 C MEDIUM SAND 10 YR 5/4 NONE LOOSE SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES 4.00 PER INCH = 0.74 GALLONS PER DAY PER SOUAREI FOOT. ' THE 'L' SHAPED LEACHING GALLERY DEPICTED CANT LEACH: j TEST PIT 2 GROUNDWATER ENCOUNTERED AT 102 in I �I 2 MINIINCH IN C SOILS BOTTOM AREA = 12.83 (16.5 + 8.5) = 320.75 sq. ft ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SIDEWALL AREA = (16.5+12.83+3.67 INCHES HORIZON TEXTURE (MUNSELL) MOTTLES +8.5+12.83+21:33)x2 =151.32 s ft. 14.35 0-6 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE TOTAL AREA 472 s �q'sq. 12.18 6-26 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE FLOW CAPACITY = 0.74 x 472 = 349.33 al/do 26-120 C MEDIUM SAND 10 YR 5/4 NONE LOOSE I 4 35 CONFIGURED INSTALL THE 'L• SHAPED LEACHING GALLERY AS -- -- - BELOW. FLOW CAPACITY = 349.33 gal/day WHICH EXCEEDS THE 330 gal/day REQUIRED FOR A THREE BEDROOM DESIGN. 1500 GALLON SEPT§C DIMENSIONS : I 0 USE O • I CONSTRUCTION i I In NOT USE 51-IOREY PRECAST 500 GALLON LEACHING DRYWELL TAPXR TO 12.83 ft w INSTALL TWO DRYWELL SCALE AUNITS AS SHOWN v 8.5 ft WITH FOUR FEET OF c STONE ALL AROUND. r1 5 ft— c 8 in O � �h � MARK INSPECTION _• C,,) RISER WITH I I •* * MAGNETIC TAP. DRYWELL /Q ft-6 in 5 21.33 ft A UNIT I 500 , GAL LON DRYWELL . INLET OUTLET INSTALL ONE INSPECTION, RISER COVER COVER DIMENSIONS TO WITHIN THREE INCHES OF & DETAIL FINAL GRADE & INDICATE j �3 IN DROPFLOW LINE LOCATION ON AS-BUILT �I FROM )O in - USE �I BUILDING 14 TO (0 33 H-10 ," D-BOX in UNIT EL4"� IQUID GAS 00� EVEL "A BAFFLE 5$ f 102 jn I � bin STONE BASE � SEPARATION BETWEEN INLET & OUTLET CROSS SECTION VIEW (SECTION A-A) TEES NO LESS THAN LIQUID DEPTH INSTALL AN APPROVED GEOTEXTILE FABRIC OVER STONE CROSS SECTION VIEW I USE 3/4 In TO ■ 24 in ■ •• 3/4-in TO 1 JSTMOUTMINY 28 O 0 in I-1/2 In GRAVEL DEPTH EFFECTIVE I-1/2 !n GRAVEL DIMENSIONSt• • RUN LL�)VEL AND DETAIL FOR BEFORE PITCHING D 48 in 58 in 48 in 154 in 12 in C MIN -INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE N STARTING WORK. I _ —► e e� I -ALL COMPONE NTS.INSTAL LED SHALL MEET THE MINIM UM N TAONK b TO O REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC p ^ SAS CODE (310 CMR 15). O -INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND T UTILITIES BEFORE EXCAVATING FOR SYSTEM. I 6 In STONE BASE -ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES & APPLIANCES. AND PERIODIC CROSS SECTION VIEW PUMPING OF THE SEPTIC TANK. Ili S -SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. I flF L O W o 0 0 't TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE 4 in SCH. 40 PVC EL = 17.32 +— 6 in OF FINAL GRADE AND TO PITCH AT 1/8 in/ft MIN 15.0 MAX I N S T USE H-20 13.65 . I o=14.32 1500 CALL ON aaooro oQ� o b=15.48 oa�o�o�oo PRECAST EXISTING SEPTIC TANK 13.45 o°�e DRYWELL $000 ' in REFER TO DETAIL BOX 13 20 ST 13.03 ONE SM ABSORPMN 41 13.70 BASE 12.90 �YSTEnn —REFER TO 6 In TONE ASE M O 24 DETAIL ft 5 '13 ft D E L BOX 60 ft 10.90 SEASONAL HIGH GROUNDWATER _ 5.85 I SEWAGE DISPOSAL SYSTEM PLAN �'6 PATRICIA STREET - CENTERVILLE—MA MAY 24, 2018 — ETE-42881 PG 212' COMMONWEALTH OF MASSACHUSETTS w' EXECUTIVE�OFFICE-`OR ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION N TITL,E 5 _ OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A - CERTIFICATION Property Address: } "4 ,Q EFED Owner's Name: P -" "' gOwner's Address: 4 , . � - - -���� ® � �®®�7Date of Inspection: />.. / — L— q.{�EPIOvft rABI E Name of Inspector: leaseprint) = Company Name: _:�S O'M GZ,c,.o_ Mailing Address: f PARCEL i 5 LOT Telephone Number: 3� -- Z,66 ) CERTIFICATION STATEMENT 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 15.000). The system: i-o""Passes _ Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails anat Inspector's Si % _ -p b ure: Date: /l The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of-completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system o«,ner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under.the same or different conditions of use. '�f Page 2 of l l OFFICIAL INSPECTION FORM—NOT FOR DAILY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: Owner: Date of Inspection• Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section , A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR --15403 or in 310 CMR 15.304 exist Any failure criteria not evaluated are indicated below. Comments: . B. System Conditionally Passes: One or,more system componebts as,described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion ortlle replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the �`� for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic` (whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank fa htreZ imminenL System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the d of Health. 'A metal septic tank will pass inspection if it is structurally sound,not le and if a Certificars of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or'high static water level in the distribution box due to.bmkea.or . . obstructed pipe(s)or due to a broken,settled or uneven dis ibution box.System will pass inspect if(with approval of Board'of Health): broken pipe(s)am mplaead obstruction is removed . distribution box is leveled or replaced ND explain: The system required pumping more dan.4 times a.year due to broken or obsumcted•pipe(s).The system will. pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM -. PART A CERTIFICATION(continued) Property Address: Owner Date of Inspection: ' C. Further Evaluation'i$Required by the Board of Health: Conditions exist whiO require further evaluation by the Board of Health in.order to determine if the systei is failing to protect public health,safety or the environment. 1. System will pass unless`'Board of Health determines in accon /p,6 with 310 CMR 15.303(1)(b)that I system is not functioning%jn a manner which will protect pu"c 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 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 aseptic 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility am the,pcesence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no otht failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: f. Page 4 of I 1 OF FICIAL INSPECTION FORM—NOT FOR VCfLtl14'TAHy ASSESSMENTS 'SUBSURFACE SEWAGE'DISPOSAL'SYSTEM UNSPECTTONTORM PART A CERTIFICATION(continued) Property Address: Owner. Date of Inspection: ` 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 L/Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped f/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. _ i Any portion of a cesspool.or privy is within a Zone•l of a public well. _ (any portion of a cesspool or privy is within 50 feet of a private'water supply well. c./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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] - (Yes/No)The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CNR 15.303,therefore the system fails_Mm sysscm owner should crossact tha Bear6of Health to determine what will be necessary to cor, the failure. E. Large Systems: To be considered a large system the system must save a facility with a design flow of 10,M gpd to 15,000 gpd. You must indicate either`yes"or`ono"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no the system is within 400 feet of a_surface drinking water supply _ the system is within 200 feet of a..triburary to a sm-face 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. Y , Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: I (V_De_ Date of Inspection: 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 ? C� 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) f/_ 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? y— 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: Yes no Existing information. For example, a plan at the Board of Health. y _ 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(3)(b)j 5 L y Page 6 of l l , OFFICIAL INSPECTION FORM—NOTFOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL S:YMOEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: t r / �'' Owner: W Date of Inspection: I I— 1 —6 FLOW CONDMONS RESIDENTIAL Number of bedrooms(design): Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): Number of current residents: `? Does residence have a garbage grinder(yes or no):AV Is laundry on a separate sewage system(yes or no): dfo[if yes separate inspection required] Laundry system inspected(yes or no):,/ Seasonal use:(yes or no): Ud Water meter readings,if av able(last 2 y usage(gpd)): d l ,2o�P 4 Sump pump(yes or no):_ - Last date of occupancy: COMMERCIAL/1MUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): and Basis of design flow(seats/persons/sgf,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records _ Source of information: — q 7 I'L j E Was system pumped as part of tie inspection(yes or no): If yes, volume pumped:!Lod allons—How was quantitpumped determined? _04,6 Reason for pumping: C 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 cm-rut operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all co pon nts,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no): 6 Page 7ofII ^ r OFFICIAL INSPECTION-FORM NOT}FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:�_� •I ' Owner: L,0•.44 t Date of Inspection: i BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: -- cast iron —40 PVC - other(explain):. Distance from private water supply well or suction line: Comments(on condition,of joints,ventinna eevidence of leakage,etc.): SEPTIC TANK:_(locate on site plan) _ Depth fielow grade: Material of construction:_co'ocrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age-_ is age,,confirmed by a Certificate of Coriipliance-(yes;or.no):_(attach a copy of certificate) Dimensions: Sludge depth: Distance from top-of sludge,to bottom of-outlet tee or baffle: Scum thickness: Distance from to,p•fif scum to top of outlet t&or baffle: Distance from rtom of scum to bottom of oui`let tee or baffle: How were dimensions determined: Comments(on pumping recommendations, inlet and outlet tee or.baffle condition,structural integrity, liquid leve as related to outlet invert,evidence of leakage,etc.): GREASE TRAP: _(locate"on site plan) Depth below grade:_ Material of construction: concrete_metal_f_iberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top-of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or,baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levt as related to outlet invert,evidence of leakage, etc.): Page 8 of 11 OFFICIAL INSPECTION FORM-NOT•FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM a _ PART C SYSTEM INFORMATION(continued) S •r Property Address: Owner: Date of Inspection: TIGHT or HOLDING TANK: (tank must be pumped at time of inspecdvn)'(v&ee an site plan) Depth below grade: Material of construction: concrete metal fiberglass___polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION­BOX: (if present must be opened)(locate on site plan) Depth of liquid level above-.outlet invert: Comuments(note if box is level"and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out-of box,etc.): PUMP'CHAMBER: (locate on site plan) Purf ps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber;condrtim of pumps aadappurtenances;etc.): I Page 9 of I 1 OFFICIAL; INSPECTION'FORM-NOT FOR VOLUNTARY ASSESSMENTS ` SUBSURFACE'SEWAGE"DISPOSAL SYSTEM INSPECTION FORM PART C 2 .';SYSTEM INFORMATION(continued) , Property Address: Owner: r tl Date of Inspection: SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: _ leaching chambers, number: leaching galleries,number: 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.): CESSPOOLS: 1 - (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: j— Depth—top of liquid to inlet invert: ilf) Depth of solids layer: 1 i Depth of scum layer: t.' Dimensions of cesspool: Materials of construction: i Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): PRIVY: (locate on site plan) Materials of constructmn, _ Dimensions: Depth of solids: Comments(note co ition of soil,signs of hydraulicfailure, level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL,INSPECTION FORM-NOT FM VC 1gnARY ASSESSMENTS CE SEWAGE DISPOSAL-SYSTEM INSPEC�ON FORM SUBSURFACE . PART'C 1. SYSTEM INFORMATION'(Cantinued) Property Address: G i/ !..& u a,A-4 421 Owner. LL) ? - Date of Inspection: !t- t - 0 -L— SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. �. C Page I I of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: / __` •,i, __: Owner: Date of Inspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water _feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: 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) (, <Ccessed USGS database-explain: LI S 6 S Zjd You must describe how you established the high ground water eleva 'on: US -7',_,r ti