The URL can be used to link to this page

Home My WebLink About0156 POINT OF PINES AVENUE - Health (2) 156 Point of Pines Centerville A=230-167 SMEAQ No.2-1 ULOR UPC lau • US&a uV OIFI �uwM��oa�crw �w�oo�wor. CHAMPION FACTORY 041 THIS HOME HAS BEEN DESIGNED SPECIFICALLY FOR: BUILDER: CHAMPION MODULAR,INC. 10642 S.SUSQUEHANNA TRAIL D R EAM L I N E LIVERPOOL,PA 17045 KING 11 CHAMPIOtf MODULAR MODULAR HOMES BRAN�®®�e�� 156 POINT of PINES AVE ALL ON-SITE CONNECTIONS TO BE CENTERVILLE,MA 02632 AHOMES VERIFIED BY THE CONSTRUCTION SUPERVISOR BARNSTABLE COUNTY BUILDER: DREAMLINE MODULAR THIS HOUSE IS REPLACING AN EXISTING DWELLING CUSTOMERIPROJECT: THERE ARE NO LOT LINE FIRE SEPERATION REQUIREMENTS KING II THIS BUILDING IS PREPPED FOR ON-SITE SOLAR PANELS ENGINEERS/ �H OF AMS DRAWING INDEX: RYAN W.BORING PAGENUMBER DESCRIPTION U CIVIL NO.49508 1 COVER SHEET 2 ELEVATIONS 9 q �O O 1ST FLOOR PLAN FCISTE? •ROOF TRUSS IS DESIGNED TO SUPPORT 5 PSF FS MAX.ADVL DEAD LOAD FOR POTENTIAL SOLAR d M.FLOOR PLAN L E PANELS.THE SOLAR PANELS MUST BE INSTALLED 5 1 ST FLR ELECTRICAL V\1 PARALLEL TO ROOF SLOPE x/MAX.VERTICAL OFFSET OF 12" 6 2NO FUR ELECTRICAL I CIRCUITSCHEDUIE ug 30,2019 two¢MRT t/_25'-0'MP OF SILL TD MAX ELECTRIC INFORMATION �' 9 FOUNDATION APPROVERS SEAL 10 CROSSSECTION 12 CROSSSECTION 13 BUMPOUT FASTENING 1A WINDOWIDOO ARWAL SCHEDULE cvx�/ PFS Corporation 15 IS FLR SHEAR WALL 16 2ND FLR SHEAR WALL APP�l LlMted m FBDIDry-9UIN Portion Only B_0'2ND BOOR CEUNG HEIM+ 17 TYPICAL PLUMBING(0pp) Stale: Mamdus9lts iB PLOT PLAN SlgnaNre: _lq_.&_ 19 HEAT m LOSS Title: MOIR Phan ROVIeWeF 20 RES CHECK PRINTS N0 Rm.) /JO/lOS(2ps) Date: 08tg 21 R 22 HEADER CALCULATIONS(10 pp) —�------------ ----- ® ® ® ® ® 20 WIND CALCULATIONS(11 pp) MODIFICATIONS ' S3 TOTAL PAGES 12 7 _ 2N0 RODR R0 SITE CONDITIONS: I III I Id GROUND SNOW LOAD: 30 PSF B=0"1ST FLODR CEUND HOC WIND SPEED: 1Q V.1t IXPOSURE: C PROJECT: ® m ® m ® m m CONSTRUCTION B 41ST6 USEGROUP: SINGLE FAMILY TWO STORY CONSTRUCTION TYPE: VB WOOD FRAME UNPROTECTED ® ® ® ® ® TITLE: SQUARE FOOTAGE: COVER SHEET FIRST FLOOR: - 1.195 SO.FT. SECOND FLOOR: 880 SO.FT. Hill Hill 11 Hill 11 ISf F100R BOOR BONUSROOM: - SD.FT. DRAWN BV:ST ——_ IDP O SILL GARAGE DATE:OB-0t-19 FlNISHED CRADE VARIES - CRAOE TOTAL 2,075 SO.FT. SCALE: ROOF,COLUMNS,STEPS,RAILING,PORCH FIR.AND THE FRONT PORCH MUST BE DESIGNED BY A MA LICENSED FILENAME:41836PD PLANT TRELLIS ON SITE BY OWNER PE/RA TO BE STRUCTURALLY INDEPENDENT OF THE MODULES OVERALL SIZE 27'L"346'-0' HEADER TO BE SUPPLIED AND INSTALLED BY BUILDER. WITH THE DESIGN AND INSTALLATION TO BE REVIEWED, MODEL: TWO STORY INSPECTED AND APPROVED BY THE LOCAL BUILDING OFFICIAL SHEET: NOTES: FRONT ELEVATION BUILDER/OWNER SIGNATURES: COVER LITEMSSHOWNON THE EXTERIOR ELEVATION DRAWINGS ARE FOR ILLUSTRATIVE PURPOSES ONLY - ACCEPTED BY: DATE: FOR ACTUAL GRILL PATTERN)2.GRILLSSHOWNARE FOR ILLUSTRATIVE PURPOSES ONLY(SEE WINDOW MANUFACTURER CATALOG . TITLE: PROPRIETARY AND CONFIDENTIAL •ROOF TRUSS IS DESIGNED TO SUPPORT 5 PSF CHAMPION FACTORY 041 MAX.ADVL DEAD LOAD FOR POTENTIAL SOLAR CHAMPION MODULAR,INC. PANELS. E SOLARRDa Nr E INSTALLED PARALLELRTO ROOF SLOPELw/MAX.MUSTWRRCAL OFFSET OF 12' 10642 S.SUSQUEHANNA TRAIL LIVERPOOL,PA.17045 CHAMPIOW - - MODULAR It- BRAND: =\(t//��Y{\///��'� IE w HOMES BUILDER: ' DREAMLINE MODULAR NSTOMEWPROJER: KING II ------------------ ENGINEER'S I AR SN OF MAS m m m RVAN W.BORING 01 CIVIL NO.49506 PO 'GISTS`- Ill E FlNISMED GRADE VARIES ug 30,2019 REAR ELEVATION APPROVERS SEAL `O� APPROVED sr ` � 8/30/19 �s DATE PFS CORPORATION I I I I I pill I III ��Ilbllll Hll[Will till 11 till 11 111111 Illill it I I I Bloomsburg,PA ® m m ® ® m m ® MODIFICATIONS ®�® ® 0 PROJECT: 41836 TWO STORY TITLE. ELEVATIONS DRAWN BY:ST DATE:08-01-19 SCALE FINISHED GRADE VARIES I DNISHED DRADE VARIES FILENAME:41836PD LEFT ELEVATION HEADER TTDDDE AFP m AND eiSiA-BY BUIUDDEa �'R DE siLPS Rwc PDRa P.A.uN RIGHT ELEVATION FADFA m BF$IIPPIIID ANU MsPDRDH BY 9ARDLY. SHEET: BUILDER/OWNER SIGNATURES: ELEVATIONS NOTES: ACCEPTEDBY: DATE: 1.ITEMS SHOWN ON THE EXTERIOR ELEVATION DRAWINGS ARE FOR ILLUSTRATIVE PURPOSES ONLY TITLE: PROPRIETARY AND CONFIDENTIAL ARE WL RRWRI �R Rw W1IF1�Mli Oa �MPmlGlrto(9J6]DI EXISTING REAR DECK ON HOUSE TO STAY AND CONNECT TO NEW HOME 46'-0" 14'-D" 32'-0" P-0" NLfA1206B-4 A zo PRE-NULL IDB I/Y.60 1/2•R.O. 24apoN]D50-] 31'-D" S-9f 2440H2B46 NLLD808B HEAiILATOR IIREPtACE N NRAL CAS MOpEL A.B.— _ m --- R. RUSH 3 13-6" /8' F~ m FlRE PLACE INSTALLED BY n m F �z FACTORY.FLUE COMPLETED ON-SITE BY BLllB.PER 8 j ALL APPLICABLE WOES QO LIVING ROOM DINING ROOM �~ = 1 BEDROOM#1 - a 20 OR°9O 14'- WCOD ININCNSEB - D n$ z11 FOYER T A — E OUT 0.C/FRAM Q RR RR OIAY m m 2.6 26 28 1\ 3'-6" 6._ 19gp`mJl _ Z I DRY WASH O rc- I 6-614 3-3 I CLOSET _d I e F u0. BATH 02 3-D _26pP =RAILING BY BU D R KITCHEN _ 8-3" L_ T _ 3<R APPLICABLE HANDRAILODES HOT 244DH24]6 BATH W' 8_1•� - 4•-px 3 3° 2440H2850 I 1 2410H2B8D.0. 2441),I! , S-3" ID'-9" 4'-6" 7'-7,YI 71-7% 14'-D" 17'4D• 11 1 17-2" ON-SffE PORCH 1 T_________T L---------J NOTES: 1. 2x6 VT WALLS 016"O.C./2x4 MARR WALLS 0 15"O.C. - 2. 8'-0"CLG HT. 3. 2%ID SPFg2 FLOOR JOISTS®16"O.C. 4. ROOF SYSTEM TO BE 16"O.C. 5. ANDERSEN 200 SERIES WINDOWS 6. 7. SITE LOCATION: CENTERVILLE.MA; BARNSTABLE COUNTY; 30 PSF GROUND SNOW LOAD - BASED ON 140 VUlt WIND LOAD&EXPOSURE"C" CHAMPION FACTORY 041 CHAMPION MODULAR,INC. 10642 S.SUSQUEHANNA TRAIL LIVERPOOL,PA 17045 32•-0' CHAMPION• MODULAR 6'-4' - 18'-B" T 0" BRAND: HDR: 2-1 1/2 x7 1/4-ML - HDR: 2-1 1/2 x7 1/4'ML !. - AND 22 PRE1 MULL 24 DH3046-3 AND 22"PRE-MULL 24 DH3046-3 108 1/2"x54 1/2"R.O. 108 1/2•x'R 1/2"R.O. ll��✓✓�,r_7 2.-0. 2r 0. 14•-3. .. / I"�O M E S . BUILDER: _ DREAMLINE MODULAR 5w Q-S O 1 NSfOMER/PRO]ECT: -^ In] KING II BEDROOM #4 W BEDROOM #a7 Z ENGINEER'S/ARCHRECPS SEAL J � SN OF M9 SS 134.21 SOFT.of ROOM a 161.55 SO.FT.of ROOM G 10.74 LIGHT REO'D. 12.92 LIGHT REQ'D. ! Jp a 6.45 VENT REO'D. 5.37 VENT REO'D. z 0 RYAN W.BORIN 49.12 LIGHT PROV'D. - 46. LIGHT PROUD. �1., CIVIL .I 21.00 VENT PROV'D. 28 27.10 0 VENT PROUD. NO.49506 90 AFC/STEREO �� G' -I L ug 30,20 9 __ LL APPROVERS SEAL �8 r--__I 3'-6" CLG AGG _ APPRORo VED P%N 1 6T1/4- R. 8/30/19 s � 2'N7 VENT 122--3 J (e Va•MAXunx R. DATE _B MIN TREAD)_ I PFS CORPORATION 142,_y. —--- Bloomsburg,PA y •L ;��/ / n z 2'-10,L CL09ET g D MODIFICATIONS °' BEDROOM #2 RAME OUT CLG/I v 187.03 SQ.FT. f ROOM j ° <3 BATH#1 F- I FLR FOR CHASE I 15.03 UGHT REO'D. �o 7.51 VENT REO'D. o: 54.96 LIGHT PROUD. EN �F 2°-103j" 6-VZ" - 32.14 VENT PROVD. w� 2. 7• 7)�" aN ---------------- ��. PROJECT: 410J6 1 0`SI;ESO� TWO STORY LIN -I 3'RADON VENT •7 ARATE V.T.R.WALK-IN 3-PVC CONDUIT MOS 14'-[ TITLE: STATE LABEL I BSMT TO ATTIC SECOND FLOOR FLOOR PLAN 244DH2B5Q �244DH2850 244DH2850 244DH2850 HDR: 2-2x6 SPFp2 HDR: 2-2x6 SPF#2 MDR: 2-2x6 SPFg2 HDR: 2-2x6 SPF012 DRAWN 8Y:ST 4'-6" 7'-7%' 7'-7�" T-9" 4'-6" DATE:OB 1-19 i I SCALE:3/16"=V-O" FILENAME:41836PD NOTES: 1. 2x6 EXT WALLS 0 16" O.C./2x4 MARR WALLS O 16" O.C. SHEET: 2. 8'-0" CLG HT. BUILDER/OWNER SIGNATURES: 2ND FLR 3. 2x10 SPF#2 FLOOR JOISTS AD 16" O.C. ACCEPTED BY; DATE: 4. ROOF SYSTEM TO BE 16" O.C. 5. ANDERSEN 200 SERIES WINDOWS TITLE PROPRIETARY AND CONFIDENTIAL 6. FLR GIRDER UNDER BR2/BR3 TO BE: 2-1 1/2"x9 1/4" M.L. (PER MOD) — �,�� R a3o-o�� c Commonwealth of Massachusetts �n p Title 5 Official Inspection Form 1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments rti�t r 156 Point of Pines Ave �. Property Address 4=? Robin Brenner Owner Owner's Name s information is required for every Centerville !/ Ma 02632 11-10-2018 j page. City/Town State Zip Code Date of Inspectioff 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. Inspector Information ('/ �33,on the computer, use only the tab Brett Hickey key to move your Name of Inspector cursor-do not B&B Excavation use the return Company Name key. 374 Route 130 Company Address Sandwich Ma 02563 aff City/Town State Zip Code (508)477-0653 S113747 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ■❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 11-10-2018 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to 14 the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.Page 1 of 18 cam, Commonwealth of Massachusetts @ Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave u- Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: The system was in working order at the time of inspection. 2) 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): t5insp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave \V Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): 3) 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. a. 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: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 l Commonwealth of Massachusetts Title 5 Official Inspection Form 1.1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ El clogged of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ a Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 c Commonwealth of Massachusetts �a ,p Title 5 Official Inspection Form I e Subsurface Sewage Disposal System Form -Not for Voluntary Assessments l v— 156 Point of Pines Ave Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ El Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ El Liquid depth in cesspool is less than 6" below invert or available volume is less than %day flow ❑ 0 Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ 0 Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ O Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ E . Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ 0 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.] ❑ 0 The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ 0 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. 5) 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 CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 i c Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave emu, Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered'yes"to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed.The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ❑ El Pumping information was provided by the owner, occupant, or Board of Health ❑ 0 Were any of the system components pumped out in the previous two weeks? ❑ El Has the system received normal flows in the previous two week period? ❑ 0 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) ❑ 0 Was the facility or dwelling inspected for signs of sewage back up? M ❑ Was the site inspected for signs of break out? 0 ❑ Were all system components, excluding the SAS, located on site? El ❑ 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? ❑ a 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: 0 ❑ Existing information. For example, a plan at the Board of Health. ❑ 0 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c Commonwealth of Massachusetts �� ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave u Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: 4 Number of bedrooms(design): Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 440/gpd Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes No Does residence have a water treatment unit? ❑ Yes 0 No If yqs, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes 0 No information in this report.) Laundry system inspected? ❑ Yes 0 No Seasonal use? 0 Yes ❑ No Water meter readings, if available(last 2 years usage (gpd)): See below Detail: "`2016-119,000gallons 2017-82,000gallons— Sump pump? ❑■ Yes ❑ No 1 month Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form �l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave u% Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/industrial Flow Conditions: NA Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd)- Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ .No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner- date of last pump is unknown Was system pumped as part of the inspection? ❑ Yes ❑■ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r° 156 Point of Pines Ave Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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. 0 Other(describe): Tank, pump chamber, D-box and SAS Approximate age of all components, date installed (if known)and source of information: COC dated 6-19-12 Were sewage odors detected when arriving at the site? ❑ Yes ❑■ No 5. Building Sewer(locate on site plan): 3' Depth below grade: feet Material of construction: ❑ cast iron ❑■ 40 PVC ❑other(explain): Town water Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 2' Depth below grade: feet Material of construction: 0 concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is b age confirmed f g y a Certificate o Compliance. (attach a copy of certificate) El Yes ❑ No Dimensions: 1500/1000 tank pump chamber combo ' 6" Sludge depth: 30If Distance from top of sludge to bottom of outlet tee or baffle 3" Scum thickness 6" Distance from top of scum to top of outlet tee or baffle 13If Distance from bottom of scum to bottom of outlet tee or baffle measured How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tank was in working order at the time of inspection. The tank is in need of pumping at this time and should be pumped every two years for maintenance. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 10 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): NA Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): NA Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts �- ,4 Title 5 Official Inspection Form °l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave �v Property Address Robin Brenner. Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every St page. City/Town ate Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): 0'r Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): The d-box was in working order at the time of inspection. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. 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.): Pump chamber, pump and alarm were all in working order at the time of inspection. * If pumps or alarms are not in working order, system is a conditional pass. 11. 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: (21)hi cap infiltrators 0 leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Typelname of technology: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 c Commonwealth of Massachusetts I , Title 5 Official Inspection Form r� I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments I; 156 Point of Pines Ave u Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): The leaching was in working order and was dry with no high staining at time of inspection. i 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): NA Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts I� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): NA Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Tide 5 Offidal Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 c� Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave L Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. 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: ❑Q hand-sketch in the area below ❑ drawing attached separately Asbuilt Ground Water Detail Grade House 65" 77" Top of SAS L 1 :11 SAS Al-49' Bottom of SAS B1.53' A2.54' B2.56'6" A3-5 ' Garage >11'6 63-59' 1 A4.64'$" A B4-64'9" A5.105'13" 5' B5.103' (n B Ground Water 5 t5insp.doc•rev.7/26/2018 Title 5 Ofhdal Inspecton Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave Property Address Robin Brenner Owner Owners Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: FM Check Slope FE-1 Surface water 0 Check cellar ❑Q Shallow wells NoGW@120" Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: n Obtained from system design plans on record 5-24-12 If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: A plan on file with the Board of Health was used. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 s c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 156 Point of Pines Ave V Property Address Robin Brenner Owner Owner's Name information is Centerville Ma 02632 11-10-2018 required for every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: 0 A. Inspector Information: Complete all fields in this section. B. Certification: Signed& Dated and 1, 2, 3, or 4 checked C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4(Failure Criteria)and 6 (Checklist)completed 0 D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included I t5insp.doc-rev.7/2 612 0 1 8 Title 5 Official Inspection Forme Subsurface Sewage Disposal System•Page 18 of 18 �l i y _ No. —1 ; Fee �eD THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOVON OF'BARNSTABLE, MASSACHUSETTS Yes 01ppYitation for Veiposal 6pstrm Coustruttion 13ermit Application for a Permit to Construct( ) Repair() Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 0`1\1F line S ner's Name,Address,and Tel.No. Assessor's Map/Parcel c3 3 0 P r i i o b t nB`,°n net N 57) 9 9 9 a 9 2 42 Installer's Name,Address,and Tel.No. A10kgjgner's Name,Address,and Tel.Nq �$ 2,, 45 4 , r �! k Type of Building: 14 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) 144 b gpd Design flow provided gpd Plan Date '5124(i2 Number of sheets ' Revision Date Title Size of Septic Tank 1500 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer 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 b Board of Health. Signed Date Application Approved by Date % Application Disapproved by Date for the following reasons Permit No. Date Issued NO. �/ Fee V I THE COMMONMIEA OF MASSACHUSETTS Entered in computer: 10 Yes PUBLIC HEALTH DIVISION -TOWN O'F"BARNSTABLE, MASSACHUSETTS application for Disposal 6pstrin Construction 3PPrm t � I Application for a Permit,to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ( Vol 1\1�;�' 1�n e S Zr's Name,Address,and Tel.No. Assessor's Ma /Parcel 0l3D V � b r n�en ne4, ('9 57) `�9 9 " �2 Ll I p Parcel b _a I staller's ame,Address,and Tel.No. - Designer's Name,Address,and Tel.No -Do+ a - cLCWO tlon bog -LIJI- 0 65-5 G u�n�aCLPI ��i t s� 1 Type of Building: Dwelling No.of Bedrooms 14 ! Lot Size sq.ft. Garbage Grinder( ) ' 4 Other Type of Building No.of Persons Showers( ) Cafeteria( ) I Other Fixtures LL'' Design Flow(min.required) -T 4 d gpd Design flow provided gpd ; Plan Date 'S� 1�-- Number of sheets Revision Date Title �A Size of Septic Tank 15 OU Type of S.A.S. Description of Soil • I Nature of Repairs or Alterations(Answer when applicable) i i I ,I Date last inspected: Agreement: j 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 Compli ce,has been issued b his Board of Health. Signed Date 5 114 1'L Application Approved by Date A `;),, Application Disapproved by Date JI _. for the following reasons I Permit No. ^ ' Date Issued ' t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance 3 THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( byt at 4 66 $6 l nt ►nes \V e . /P(1} rbeen constructed in accordance with the pro is ions of Title 5 and the for Disposal System Construction Permit No— -/7 dated Installer r-r -i 1 Designer �{ 1 #bedrooms 1-'� Approved d 5' ow gpd The issuance of this permit sh 1 not b construed as a guarantee that the syste will functio a de i ed: Date �/ �/^�— Inspector - - _ =-- --------------- - - - == =____ No � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Nsposar 6pstem Construction Permit Permission is hereby granted //to__Construct( ) Re air (' ) Upgrade( ) Abandon( ) System located at 1 l/J ni O• P I U-S 'Au p i_ iQJf ,T V d' `t ' 1 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 ^oniplet d within three years of the date of this permit. Date 3� � Approved i y TOWN OF BARNSTABLE LOCATION /SG Po;ni o-C Pin c S A✓E SEWAGE# a01 a • l�1 VILLAGE CcMt r u;I G. ASSESSOR'S MAP&PARCEL .4730-G'7 INSTALLER'S NAME&PHONE NO. (34 .R EXCCL%/MJ;p^ y�7-OL53 SEPTIC TANK CAPACITY DSOO 4ca I /SoO f/000 LEACHING FACILITY.(type) =tJ Z 1> (size) $.$x y3.75 NO. OF BEDROOMS A/ OWNER 'n PERMIT DATE: S13o l I z- COMPLIANCE DATE: 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 A)-4%. , g1- S 3 14ou5e- AZ- 54' A3- s,° 83- Sg° A4- a � ASS• t3S• tc��° .� � Q Y s 1. c h-� D �.s 7 �e._CCFecLJ �' rTLyfys �'IsoT-has, ,G,ei:e �'rIl`��LQi {�-RAM4STABLE.I jv-P'ss. A. u,b,1 e eatith DhAsion Thomas McKean, Director 200 Maim Street,idyanak,1 AL 02601 OLice: 508-862-4644 7ax: 503-790-6304 amStaHeT DeSiiTPTr Cert-t&SdOn jii mrffi Date- l Z- sewm'-e perQmint4 Assessor's MapTareell cU0 11 l�e�n�nlemo W O vJ^ e j gm�¢ IlIlero Q`�'Q 5 C1c" Address: / "(CtA hAddress: yall--/W on issued a permit to install a (date) (installer) septic system at M 4 A I V�J— �� l�O based on a design drawn by � / (address)aYv'( pv� ff � ` ala dated (design r) 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 componi nt of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. SH of�Ss9 y c DANIELA. �s OJALA (installer's Signature CIVIL NO,40502 �0XI �GIsT��O?�t esig let's Signature) (AR Ex Designer's Stamp I zero) PLEASE RETURN TO A S s'ABLE }a 1�€IC 1 EA L"Q IR DIVISION. CE-R TICA.!E OF � eni�A a"aAida `4 L NOT f� v u-ITH 30TH TMS FOR AND As-BST CAS ARE RECEEED BY TBE BARNSTABLE PUBLIC IHALTH DtMsION. THANK YOU Q:-leahh/septic/Desig a Certification Fcrii 3-26-04.doc ; DWELLING 4 c� GARAGE ter. 7 SHED Aq `0s O ST/PC 21 HI-CAP INFILTRATORS (NO STONE) PJ� QO� SEPTIC ASBUILT 12 °' PREPARED EXCLUSIVELY FOR THE HEALTH DEPT. LOCATION 156 POINT OF PINES AVE. CENTERVILLE SCALE : 1" = 30' DUNE 20, 2012 PREPARED FOR: REFERENCE MAP 230 PARCEL 67 A RENNER N OF MASS c q DANIEL yam A. AA �JACA CDoff 5 3fi2-9880 No.40M8D fax 51 08-362-98FS0 downcape.com ® OWN cape eadiaeeria'r,iae. ess civilengineers -- ---- ----- \ -�S R land surveyors urvurve ors � 939 Moln Street ( Rte 6A) YARMOUTHPORT MA 02675 DATE REG. LAND SU VEYOR Town of Barnstable #� Departmox'It of Regulatory Services / ll&��g� �lea°Afth Divisiol l l 200 Main Street,Hyanuis MA 02601 Date Scheduled , Time ]Fare `oil Suitability Assessmentfibir Se g e Disposal I'crYonncd By: C�C��-�2J—✓�-•�/ -- �`�"�:+ 4Yitncs5cd 0y;: LOCATION & GENE RAL INFORMATION ION y Location Address / oQ f r1 0/ P�n(0 Owner's Namc id V•.e Address r� A55cs5or'5 Map/Parcel; a�30 J / Engiucer'5 Neiuc �0 vv,` Ow e NEW CONSTRUC"1'l01`4 REPALR TrIeephone It CiJ Dd�'�36 Land Use Slopo5(9'0) 62^6 /(J Surface Slonc5 — - Distances Front: Open Water Body DU rll Possible Wel.A,,, —ft Drinking Water Well ----ft Drainage Way rt Properly Una ft Older ft h SKETCH:H : (Sheet came,dlmen5i0n5 of lot,exact locations off hest ko .&pert tests,locnle wetlands•in proninuly to Bales) C. G03P- PLrrrit n.iaLcH181 colo tc (g g )_ Depth 1p.-B"u,Glrovs Depth to Groundwater. Standing Water In 1-I01e; plhg hill Pit Pllee— ,0V0 Estimated Seasonal High Oioundwawr ]DETERMINATION FOR SEASONAlL HIGH WA71'EGH TABLE MuLhod 1-15cd: Depth Observed standing in obs.hole: In. Depth IU sgll Iz10111.5Y;_ 4 _ III, Depth to Weeping from side of obs.hole: Ill, Cll'uulldWulel'AdJu9lhlent u ^^�� PC• Index Well f# Reading Datc: Index ll leYnl fltetor dit�llhCdY;L!ter LeVel JL 1U RCOLATION TJIU S T �Q,lUN `VLtll El��/(/ Obscrvatimi / I Ho1c ft ( Tinle Ill t)il ,�____•_• —_�_ Depth of Perc Tl nip at G' Start Pre-soak Time @ �O _ Time(9"-0") End Prc-soak [ /� Rate Min./lncll 51tc 5ullablllly Assessment: Site Yesseil_ SitG Foiled: Additional Tcsling Necded(Y/N) Original: Public l-lcallh Division Observation Hole Data To Be Completed on Back-- �pci-colatJon teElt l5 to Y)e conducted }Natlllll 100 of WellQa➢nd, you ➢E➢uYslt firsit 4 OUTY the. Barnstable C•onsery;itioll f).➢visjol, at least olle (1) vVec16 prior to beginning. Q:\S EPTIC\I'L•'RCFORM.DGC ID11r ICP.O S.ERITATI ON]E]fOn,'�I+LO, Dcplh fr°rvr Soil Horizon Soil HoIP_ # (USDA).. Soil — 5urface(in.) l Te�tlure 'Sdil Color (Munsell) Mot[lin Other g (Structure,Stones;Boulders. 1 (�' Con isle S ca' ra el 120 - _ DSoilHo c��S]E][�1�ATION-Ho E ]LOG Depth from Soil lianzon Surface(in.) Soil Texture Soil Color �0�� (USDA) Soil Other (Munsell) r g (structure,Stones, moulders• _ S� o si enc 0 aYe) 3� -IZU /0\112 Depth from Soil ROH7.on 'Hole, # Surface(in.} Soil Tex hire e, _ (USDA) Soil Color. Soil (Muns411) Other Mottling 6",truclure,Stones,boulders. Consistency Depth from Soil H Hole orizon ®�a e# Surface(in.) Soil Tcxture Soil Color (USDA) ,• °li Other (Munsell) Mottling (StrucWre,StopeS; Boulders, Conslsten_cY py O�GI� ^ice • El1i0Qd Insurance]Bate 1V'rr� n� ^.hr.vc 500 ye;r,;load boundary No Yes Within 500 year boundnry No Yes. Within 104)year flood boundary No 'Yes IDI�)C��V��1Jl�ken>ra9A.y t�ccuaraun� >��avious Mfaterial IJows W least four feet of naturally occurring pervlouS material exist in all areas nbserved thrpughout the area proposed for the soil absorption system.? Rt not, "rhat is the depth of naturally occurring 1)ervious matol'ial`? � I certify that on (date)I have passed the sail evaluator exami �epartrrlent of Environmental.Protection and that the above analysis was performed bppme�conredb stent with 111c required training, expertise and experience described in 10 CAIl2 15.017. Signnture Datb Q!T..HPTICU'HitCF0RM.D0C ALL SfSTE LL SYSTEM PROFILE MARKED WITHC MAGNETIC TTAPEAOR BE boo PROVIDE WATERTIGHT MIN. 20" DIAMETER (NOT TO SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. NOTES yoke �t ACCESS COVERS TO FIN. GRADE PROVIDE INSPECTION PORTS TO 1. DATUM IS WEQUAQUET LAKE SYSTEM a \ TOP FOUND. EL. 40.4 WITHIN 3" OF FINISH GRADE 2. MUNICIPAL WATER IS EXISTING Locu 2% SLOPE REQUIRED OVER SYS";�EM 47 O' � 42.5' MINIMUM .75' OF COVER OVER PRECAST 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. Wequaquet PROP. TEE 4. DESIGN LOADING FOR ALL PROPOSED PRECAST o� Lake 38 7' 4"0SCH40 PVC 5.9 MAX. UNITS TO BE AASHO H-10 m PIPES LEVEL 1ST 2' A• _ 41.1 5. PIPE JOINTS TO BE MADE WATERTIGHT. eP d o ens *38.5'f 10x 2500 GAL H-10 14" ` (PROP) 37.33' TEE SEPTIC TANK/ TEE 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE G�eo offish p PUMP CHAMBER °°°° 40.72 WITH 310 CMR 15.000 TITLE 5.) COMBINATION �°00000 °°° 0.92' 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND 5.25' LIQ. LEVEL ACME OR EQUAL) 40.90' 40.73' 39.8' NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 28 s Rd.. ::.,..•' a .':•.•.•••• :` 21 H-20 HIGH CA'ACITY INFILTRATORS Route �o°°°°°°°°°°°°°°°°°°°°°°°° °°°°°°°°°°°°°°°;o� 6" MIN. SUMP Id Po 00 ° ° ° ° ° ° ° 00000000000° ° ° ° ° ° ° ° ° ° 12" MIN. INT. DIM. (NO STONE PROPOSED) 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. WATERPROOF/WATERTIGHT 43.75 K 8.5 O.A. � ( 1.5% SLOPE) 6" CRUSHED STONE OR MECHANICAL 9. COMPONENTS NOT TO BE BACKFILLED OR COMPACTION. (15.221 [2]) ( 1 % SLOPE) CONCEALED WITHOUT INSPECTION BY BOARD OF 5 HEALTH AND PERMISSION OBTAINED FROM BOARD *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL OF HEALTH. LOCUS MAP UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS ( 1 % SLOPE) PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM 10. CONTRACTOR SHALL BE RESPONSIBLE FOR FOUNDATION - PUMP D' BOX 3' THING CALLING DIGSAFE (1-888-344-7233) AND NOT TO SCALE 78 SEPTIC TANK 22 ITY VERIFYING THE LOCATION OF ALL UNDERGROUND & ASSESSORS MAP 230 PARCEL 67 CHAMBER .iIGH WATER LAKE ELEV. 34.8' OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. ' VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE 11. ANY UNSUITABLE MATERIAL,ENCOUNTERED IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR SHALL BE REMOVED 5' BENEATH AND AROUND THE BY HEALTH INSPECTOR PROVIDE WATERTIGHT MIN. 20" PROPOSED LEACHING FACILITY. ! PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED ACCESS FOR ROUTINE MAINTENANCE DIAMETER COVERS TO GRADE MUST BE PROVIDED FOR ZABEL FILTER. 12. EXISTING LEACHING FACILITYSHALL BE PUMPED BY THE BOARD OF HEALTH REVISED DURING A PUBLIC HEARING HELD ON AUG. 4, 2009 INSTALLER MUST FOLLOW ALL AND REMOVED OR PUMPED AND FILLED WITH CLEAN MANUFACTURER'S SPECIFICATIONS FOR SAND. PROPER FILTER INSTALLATION 3) FAILED SYSTEMS ONLY SOIL ABSORPTION SYSTEM 3 INSTALLATIONS PROPOSED MORE THAN THREE FEET BELOW PNOOT ,0E 00o IN PAC RESERVE 49 i GRADE WITH PROPER VENTING (PIPED TO THE ATMOSPHERE) 7.25 \ AND WITH H-20 LOADING, BUT IN NO CASE SHALL THE SAS ALARM AND CONTROL PANEL \ BE LOCATED MORE THAN SIX FEET BELOW GRADE. TO BE INSTALLED INSIDE BUILDING. ALARM TO BE ON INV. IN 37.33' \ SEPARATE CIRCUIT FROM PUMP 2" PRESSURE LINE \ ZABEL FILTER / 4 6.33 F . \ SYSTEM DESIGN: c (A100) 14" TEE SLOPE TO DRAIN BACK x38.2o FLOAT SWITCH ALARM ON OUTLET TEE W/EXTENSION WEEP HOLE �� / 8.04 ��NQ SETTINGS: PUMP ON 15M °AL• MI ' CHECK VALVE v / 34.80 GARBAGE DISPOSER IS NOT ALLOWED 6" THIS SIDE /� BENCHMARK: TOP `�� 6.74 5" WORKING RANGE BAFF►E MYERS SRM 4 OF WATER METER 5" a.e' SUBMERSIBLE 4/10 HP PUMP / PIT ELEV. 41.2' PARCEL s7 DESIGN FLOW: 4 BEDROOMS ® 110 GPD = 440 GPD PUMP OFF 12 SYSTEM (OR EQUAL) (ON BLOCK) J� 37.86 y� 3;.73 20" OA USE A 440 GPD DESIGN FLOW 4 DOSES PER DAY, AT 110 GAL. PER o00000 0000 00 0000 �� / O 8\ DOSE (5" WORKING RANGE) / O'4. 41.02 SEPTIC TANK: 440 GPD (2) = 880 8" BAFFLE 1 40.41 3 C+1 T� - '� USE (1) H-10 2500 GAL SEPTIC TANK/PUMP CHAMBER 2500 GAL. SEPTIC TANK/PUMP CHAMBER COMBINATION ��,� x36 8 °4051 EXIST. 110, COMBINATION (NOT TO SCALE) �/ 5 TOP FNDN. = 40 4' ,� 1.21 LEACHING: 37.06 .32 1.26 4 x4046 30" OAK 4.73 SF/LF x 6.25' LENGTH = 29.56 SF PER CID WAT>=R METER PIT 41 HIGH CAPACITY INFILTRATOR UNIT 39.50 41.2" 41.43 / 37.82 41. 41.46 4,.39 EXISTING CESSPOOL (SEE NOTE 12) o 39.8 33 41.65 4 440 GPD/0.74 GPD/SF 595 SF LEACHING #6 7.15 PL ING 1.3 TEST HOLE LOGS 4,. 5 4'.33 READ TO 41. 1.69 a GARAGE .69 -R D 41.94 41 42.0 595 SF/29.56 SF/UNIT = 20.1 UNITS ENGINEER: ARNE H. OJALA, PE, SE 42.05 42.03 2.19 42.17 12" \ THEREFORE, USE GRAVELLESS SYSTEM OF (21) WITNESS: DON DESMARAIS, RS 20 GROVE RIVE 42.33 HOLL H-20 HIGH CAPACITY UNITS IN FIELD DATE: 5/7/12 ' 1• 2.36 42.22` CONFIGURATION SHOWN 4 3 6� ff < 2 MIN/INCH 0 /SHED 21 UNITS x 29.5 SF = 619.5 SF PERC. RATE = OPERATING POINT 4z a \T• ��'� ��\y h 42.33 619.5 SF (0.74) = 458 GPD (OK) q lw.O�4\8 42.63 I- 14.7' C CLASS I SOILS P# 13631 15 2.7' IOPt 3 4z. tea\ " O,P7 4 42.83 \ 42.88 Z A 3.0E J g9\ 43.54 MA 4 ELEV. ELEV. 4 .6 x 4 . 8 43 5 43.13 0" - 47.0' O" r 46.5' Ld t0 �yZ1 .48 43.4 \ 3.64` ��1�56 A A J a APPROVED DATE BOARD OF HEALTH �3�\ 93 Q h 43.81 SL SL ~ ar/� 4423 "4 2 ��.18as.o4BENCHMARK: USE10YR 2/1 10YR 2/1 0� 5 67 44.60 °" 2`, .91 -' WATERGATE AT TITLE 5 SITE PLAN $ $ 15" 45 AKS x 45.82 ;' ELEVATION 46.5' " B .� B �' �O}}..��45.17 � 45.06 \ OF 1 5.55 �45. 7.47 LS L$ 0 c '.94 .2 PINE , \"46 x .588 156 POINT OF PINES AVE. 10YR 5/6 1OYR 5/6 25 50 75 100 PARCEL 66 ��6.53 36" 44.0' 32" 43.8' CAPACITY - GPM 9? 6. 7 x47.53 •CENTERVILLE ' �W 2 �46.3a � i PUMP CURVE FOR MYERS SRM4 4/10 HP PUMP 4 6 41 6 47.04 1 135 ��,,,,,,pp ►..�,� ' \\AOFMgs PREPARED FOR - C C 4 " °`�? `��S Jlv �ZH OF Mqs Ak- AK C. �� DANIELA. ti� ' B&B EXCAVATION/BRENNER �, o UANIEL G � , c� PERC BUOYANCY CALCS: P o� A 0 OJA,A MS MS 2500 GAL H-10 SEPTIC TANK WGT: 22560 LBS. (SHOREY EX.) '•vENT WITH crlARcoAL FlLTER C.� JALA 4Q AN D BUSCREE GN (FlNAL RAcEMEw BY / No.46502 3.47 x 11.8 x 6.3 x 62.4 = 16096 LBS, UP (OK) CON710=OR WrtH HOMEOWNER ,� ��' q No.4 MAY 24, 2012 CONSULTATION) �� i Q �o- z ��F c, '�� MAY 29, 2012 (ST/PC ELEV.) 2.5Y 5/6 2.5Y 5/6 L o�N` ° DANIELA.A. QO �� OJALA " � Civ�i LA off 508-362-4541 fox 508-362-9880 o No.40980 v �� o No.46502 � downcope.com x 49.32r ��` �S T rCF1' •C4✓�r 120" 37.0' 120" 36.5' t �� down cope engineering iac• NO GROUNDWATER ENCOUNTERED Scale: 1 = 30 unL POLE �r��/�2 �_ '�� ->! � civil engineers ( land surveyors >2- > 07 0 15 30 45 60 75 FEET DATE DANIEL A. OJALA, P. P.L.S. 939 Mcin street ( Rte 6A) YARMOU77-/PORT MA 02675