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HomeMy WebLinkAbout0067 PONDSIDE CIRCLE - Health 67 PONDSIDE CIRCLE, CENTERVILL A=233-081 LOT 10 llll UPC 12543 % �a No._._.53_LOR ��Srcw►g'� HASTINGS. MN r I No.4 �" THE COMMONWEALTH OF MASSACHUSETTS FEE a� BOARD OF HEALTH TaWA OF bams�6o(e APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( ) Upgrade (V(Abandon ( ) - Vomplete System ❑Individual Components (ol p6laslde Circle CMke.rVMe_ , HA Hlalnae,( t 54tey1a Ri k terk Location b7 PO(tdS(de Owner's Name 233 Ctcc�C. Cenle..cwkte Nag Map/Parcel# Address Lot# Telephone# rs,pe.,a:(4 L-'tiv�elPrt>t 5C Engt�ee�ir��1 T�nc_ Installer's Name Designer's Name 20 137 x 7,62 C &� A-A� l(P 2-$51 C(-"eq 14(a, 4LWV.E. warylnaryl PR- 0263& Address; Address SLR t L) L OL 566P273-0377 Telephone# Telephone# Type of Building: 5tn-1 e- Vami ty v*U4wki41 Lot Size 9 �4�' t Sq.feet Dwelling—No.of Bedrooms 46(ee,(3) Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) (1 e/bcd gpd Calculated design flow 330.6 gpd Design flow provided 326.3 gpd Plan: Date & u V 10,2009 Number of sheets one(t) Revision Date Title er,uosed seeks sySW-m ue!�('ade Description of Soil(s) See_ a�oc,ne4 t 04 Aakd 8-20^0 9 Soil Evaluator Form No. — Name of Soil Evaluator Hichoel Otwer,ld Date of Evaluation 'b-w'0 9 DESCRIPTION OF REPAIRS OR ALTERATIONS emeosed s OLA'tt drskibh(m (xx .r 12 A(L c 3toNC Qx060;r(Se_r5 artA 2 CNseeckax Jia4S, The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed ur Date Z — Zoos Insp (tions 244) FORM I - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 TOWN OF BARNSTABLE LOCATION G1 o n�18-2 -u- SEWAGE# '?,0©A-24.-7 VILLAGE Oenh.rvl J& ASSESSOR'S MAP&PARCEL J33 -81 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ocl /0 LEACHING FACILITY-(type) (size) 0) �>< 30 �=�k NO.OF BEDROOMS 3 OWNER MAaA�, i PERMIT DATE: d s Z! -2--,65 COMPLIANCE DATE: $ -Z f' Zo. j Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility /bo C/' 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 f� CAJi ��CJ�✓��'j 1 ,n n r'; , � 11� w �� - 3� �� �s � �2 - �/�s v � � , �- Lr� ns TOWN OF BARNSTABLE " F LOCATION 6�O9a M C�4S`•"t,��c G� /( t'[ SEWAGE # U,Q zis YII:LAGE l -�i%r• ASSESSOR'S MAP & LOT Z 33 INSTALLER'S NAME&PHONE NO. Cti(�4 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) �,xo- (size) io x 3d NO.OF BEDROOMS 7 BUILDER OR OWNER A/k /*J �/ � L rd. PERMITDATE: L2Z V,,—COMPLIANCE DATE: �" r 0/ fl " Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility a 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 Laez 0,VfC -J � f ,.. , �.�on� sic�� ��i � -� :f . � � � . _ i ,r �� t � � . ` . THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE *'Description of Work: Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded( ),Abandoned( ) (..-�- at has been installed in accordance ith the provisions of 310 qMR ifi.0 (Title 5) and the approved design Tans/as-built plans relating to application 1, -,96 dated o Approved Design Flow er (gpd) Installer �`4 o f 3 c L r t Designer: la ,`; 2 �_ I Inspector PV- Date f The issuance of this certificate shall not be construed as a gua rnt-,e that thesys m will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DE-� PROVED FORM 5/96 No. 0 �� HE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair (fie!) Upgrade ( ) Abandon ( ) an individual sewage disposal system at ( '1 �, . l ic_I .V,,t,tLcr 4!Il ..2 as described �'� /lam 9' in the application for Disposal System Construction Permit No. , �D� ,dated � 1 CL Provided: Construc oon sh 11 be completed within three years of the date Qth per o al conditions must be met. Date O Board of He FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN TM PUBLISHERS- BOSTON v �00Y � ] _ -- D NO. T�; E COMMONWEALTH OF MASSACH„!J"SETT<6 FEE # tir y a tBOARD OF HEALTH Town ,t OF �jacr,5�able } r APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (a ) Repair''( ) Upgrade (Abandon ( ) - NeComplete System ❑Individual Components (,I Po"ndsidc 60r I Gmke-cVlttC- AMA Hichae.( I SHey\g RiA{e� Location Owner's Name z 33 67 Nodstde Ct�c�e , C,4 uv[tl e N A !, Map/Parcel# " Address i Lot# Telephone# I Installer's Namerr ''J Designer's Name ( �.�n t [A 1( � U.51 C(pnlperf Y H1q�1�Gy,-F. wofi am PA 0263 Address f � I 'Address J "4 L 1 �-( v Z � 606-273-0377 Telephone# Telephone# Type of Building: ECvyli ty felk4oki,I Lot Size_ 4/ . Sq.feet Dwelling—No.of Bedrooms 4W e e C 3} Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) III/fed gpd Calculated design flow 330.0 gpd Design flow provided 3y6.3 gpd Plan: Date A bus t 10, 100 4 Number of sheets o()c t t) Revision Date ` Title sr-4 se,Pk[c 5y3lerh Ue5(ade Description of Soil(s) 5ee-- o�c,V e d orl A o kd 8-7 a -,0 1 Soil Evaluator Form No. Name of Soil Evaluator H16--1 ew-Rrile_l Date of Evaluation 8"ZO-y 9 DESCRIPTION OF REPAIRS OR ALTERATIONS eweose A -5 out t e+ dt kr[loA loo W x 12- Av-(- 36 NC (3t.ndkGWse.c5 0r1A Z (Obeec�ton eQfts, The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed �( M C Date Insp ctions ZO�J FORM t - APPLICATICIN FOR DSCP DEP APPROVED FORM 5/96 - t lbwn of Barnstable Regulatory Services Thomas F. Geller Director b a 6, Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508.862.4644 Fax 50E-740-6304 �ataller & UesiQnp t7eAr�nn Forte Date; A0osk 214 2CYJ9 , Desigper: � ;rrec�wl ��, -__.�_ Installer; Address: 2.6 5 k Ccc,,��Oe -ti V1Wo �"T .�! Address: �s+ Wor6nam HFF 62,538 on S-21 •-1000� was issued a W e(date (�nstallec r' ait to install a septic system at_ �7 t�calclgi c1Q- �� (address) based on a dv;ign drawn by j'• V1c _ dated :�u6UJt / (designer) I certify that the septic system referenced the deli above was installed substantially according, tc. design, which may include minor approved changes such as distribution box and/or septic tank. lateral relocation of es major char I certify that the septic system referenced above was installed wit1 greater than 10' lateral relocation of the SAS or any vertical relocation of any component Of U10 septic system) but in accordance with State & Local Regulations. Plan revision o- certified as-built by designer to follow, �A M Mr.SS- - (I17St$ller'S �1 rc ` CHURC;,ICI. JR - (Designer.'s Si e) W. (Af 1 esi 8nor's . P TU TO OF CO L CE I Otampp Here) PU I H I SY RT CAPE BUILT RE C D MWI g S- TH bIVI3I '.V. Q; Realth/Septic/Dtgigner Certification Form oF� Town of Barnstable P a G?® Department of Regulatory Services R&RN,ST"LA Public Health Division Date U �a t679 ,6� 200 Main Street,Hyannis MA 02601 Date Scheduled e a a fJ Time Fee Pd. Soil Suitability Assessment for Se aUelsposal Performed By: M 1(;�/1meCSEWitnessedBy: - n Location Address LOCATION & GENERAL FORMATION ?0A aStd_q u ra Owner's Name filk Address (e7 �o�c�S�uCq cil�C�a Assessor's Map/Parcel `Z 3 3 Engineer's Nam ` NEW CONSTRUCTION REPAIR ^�"�c^^�'�'� .� SG Ensr�ge l�lc�tC Telephone# Deb _ _ a Z f Land Use fi�gle }m�njl Y I(e3iden4ial Slopes(9b) -lD�� Surface Stones Distances from: Open Water Body ft Possible Wet Area - —_____.-_ft Drinking Water Well ft Drainage Way. ft Property Line 716 --__ft Other � ft , SIM'TCH: (Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands in proximity ty to holes) Parent material(geologic) P''}WO-.,A u Depth to Bedrock > 2 (-$5 Depth to Groundwater. Standing Water in Hole: 7 t2.S Weeping from Pit Pace D l'2�.�js Estimated Seasonal High,Groundwater '7 DETERMINATION FOR SEASONAL HIGIA T� {TABLE Method Used: Otreoi ObStP�Q�toh Depth Observed standing in obs.hole: 7 12.E in, Depth to 5011 mottles: 7 t.2 Depth to weeping from side of obs.hole: 7 t7 in, Index Well# _ 5 in, GroundwaterAdjUstment Reading Date: Index Well level ft. a- AdJ,factor__ ,_ Adj.drnuntlwater I-evel z- PERCOLATION TEST bate -20-09 Time � Observation Hole# ., Time at q,� Depth of Pere YZ-(o0 T - _-Time at 6" Start Pre-soak Time @ �d' A Time(9"•6") End Pre-soak 10,250 - Rate Min./Inch 2 Site Suitability Assessment; Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one (1) week prior to beginning, Q:\SEPTICVERCFORM.DOC DEEP.OBSERVATION HOLE LOG Depth from Hole# � P Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. on istenc % ravel fit,( y-N L S �oYd 5/(. y2-90 6-1 -h-05 51'/6 k-207 Srouel- gac+MC 10_ 28 6-2- 11s z 5r %b lbbse DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc `Yo Grave. l) 0 N _ Fill y2-90 c-I h-GS 2-�Y `4 - lb-2lJ� Dse. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co i to c 9' Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten I Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No! Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perviouH material exist in all areas observed throughout the area proposed for the soil absorption system? S If not, what is the depth of naturally occurring pervious material`? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of.Environmental Protection and that the above analysis was performed by me consistent with . the required training,eger se and e ence described in 310 CMR 15.017. Signature Date S-2c o9 Q:\S BPTIC�PERCFO RM.DOC Z COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 1y yV� TITLE 5 � OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 67 PONDSIDE CIR CENTERVILLE Owners Name: RITTEL Owner's Address: SAME 177 Date of Inspection:2/1/07 s' Name of Inspector: (please print) Douglas A.Brown Company Name: Douglas A.Brown Septic Inspections Mailing Address:P.O Box 145 to Centerville,MA 02632 ca Telephone Number: 508-420-4534 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: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: 2/l/07 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 owner 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. Title 5 Inspection Form 6/15/2000 page 1 Revised on 10/31/2000 i Page 2 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 67 PONDSIDE CIR CENTERVELLE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection: 2/l/07 inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information winch indicates that any of the failure criteria described in 3 10 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: THE S.A.S COULD NOT BE OPENED THERE WERE NO INSPECTION PORTS B. System Conditionally Passes: one or more system components as described in the"Conditional Pase'section need to be replaced or repaired. The system,upon completion of the replacement or repair, as approved b the Board of Health will ass. y P Answer yes,no or not determined(Y,N,ND)in 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced 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 obstruction is removed I L Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 67 PONDSIDE CIR CENTERVILLE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection: 2/1/07 C.Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 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 I 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 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. , 3. Other: r Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 67 PONDSIDE CIR CENTERVILLE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection:2/l/07 D. System Failure Criteria applicable to all systems: You must indicate"yes or no to each of the following for all inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow _ X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. X 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.] NO (Yes/No)The system f il&I have determined that one or more of the above failure criteria exist as described in 3 10 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure, E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. •You must indicate either"yes"or no 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 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 11 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 yb9'm 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 _I Page 5 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 67 PONDSIDE CIR CENTERVILLE Owner: RITTEL Date of Inspection: 2/l/07 Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No X Pumping information was'provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks ? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X — Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out? X — Were all system components,excluding,the SAS,located on site? X _ 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? X 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 X _ Existing information. For example, a plan at the Board of Health. _ _ Determined in the field(if any of the failure criteria related to Part Cis at issue approximation of distance is unacceptable) [310 CMR 15.302(3 ))(b)] 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 67 PONDSIDE CIR CENTERVII LE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection. 2/l/07 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN How based on 3 10 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 3 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NA Seasonal use: (yes or no): NO � 550 C. Water meter readings,if available(last 2 years usage(gpd)):—�(y .3 P D Sump pump(yes or no): NO Last date of occupancy: NA COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow(based on 310 CMR 15.203): and Basis of design flow(seats/persons/sqft,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: Was system pumped as part of the inspection(yes or no): NO If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X 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 awner) Tight tank _Attach a copy of the DEP approval —Other(describe): Approximate age of all components,date installed(if known)and source of information: 1998 OFF AS BUILT CARD Were sewage odors detected when arriving at the site (yes or no)? NO I i Page 7ofII OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 67 PONDSIDE CIR CENTERVILLE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection: 2/l/07 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,venting,evidence of leakage,etc.): SEPTIC TANK:_ (locate on site plan) Depth below grade: Material of construction: X concrete_metal_fiberglass _polyethylene other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no): _(attach a copy of certificate) Dimensions: 1500 gal Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: 0 Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: WOODEN POLE Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.)- TANK LOOKS STRUCTUALLY SOUND AT THIS TIME IT IS LOCATED ALMOST UNDER THE DECK. GREASE TRAP:_(locate on site plan) Depth below grade:_ 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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels 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 PART C SYSTEM INFORMATION (continued) Property Address: 67 PONDSIDE CIR CENTERVILLE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection: 2/1/07 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: eallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches, etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 67 PONDSIDE CIR CENTERVILLE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection: 2/l/07 SOIL ABSORPTION SYSTEM(SAS): _(locate on site plan,excavation not required) If SAS not located explain why: SYSTEM HAS 4 INFILTRATORS WITH NO OBSERVATION PORTS 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.): 4 infiltrators in a 1Ox30x2 area CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): ' Page 10 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 67 PONDSIDE CIR CENTERV LLE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection: 2/1/07 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. B UO ® I , t_j2 ' .�- of I i Page 11 of 11 OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM ] INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 67 PONDSIDE CIR CENTERVILLE Owner's Name: RITTEL Owner's Address: SAME Date of Inspection:2/l/07 SITE EXAM Slope: Surface water: Check cellar: Shallow wells Estimated depth to ground water 132"+ 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) _Accessed USGS database-explain: You must describe how you established the high ground water elevation: off plan by j doyle associates dated 4-6-1998 r No. L Fee �� THE COM NWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS "lpplication for Mi ool * item Congtruction Permit Application for a Permit to Construct )Repair( )Upgrade( )Abandon( ) Complete System O Individual Components Locatiygq�Addresvr Lot No.� �� Owner's Name,Add a Assessor's Map/Parcel g:n / P/ Installer's Name,Address,.and Tel.Nyy Z U,Designer's Va ddress an Tel.No. ✓_ cal/�C �v / �1�3 !1fll Type of Building: Dwelling No.of Bedrooms_ Lot Size �Q sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow U K gallons per day. Calculated daily flow � � gallons. Plan Date Number of sheets l Revision Date Title Size of Septic Tank Z- _17T 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 Certifi- cate of Compliance has been issued by this Boar of Hea h. G Signed 4 Date Z Application Approved by Date Application Disapproved for the following reasons Permit No. 1Z;71. Date Issued ,� ����:..m---•s.. """i,..^ . .. .�e ...� M ....� r''.,.• nI :r-c -.-._ --..- s.'r ....�� .. .. !^,�, Y���..i .- ' ' No. T Fee x THE COM NWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC-HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS y rtcation for �Di onl .5tetn Cowaruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Locatio Address r Lot No. n Owner's Name,Address and Tel No. Assessor's Map/Parcel Fq1 Z 6OZ Installer's Name,Address,and Tel.N / "'3'(, °L (�Z 9 Designer's Name,. ddress an Tel.No. � � ✓C',��/tom f°' ✓'".... ' Type of Building: Dwelling No.of Bedrooms Lot SizeWO U sq. ft. Garbage Grinder ( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow , gallons. Plan Date c/lG .� !� Number of sheets Revision Date Title Size of Septic Tank / Q Type I f S.A.S. Description of Soil Nature ofiRepairs or Alterations(Answer when applicable) r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described oti'-site,sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code a. d not to place the system in:operation until a Certifi- cate of Compliance has been issued by this Board of HeqDh C Signed Date OF Application Approved by > DateAV « Application Disapproved for the following reasons Permit No. Date Issued ——————————————————,———————————————— ——— THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-sit .Sew Di osal System Constructed(Repaired ( )Upgraded( ) Abandoned( )by 44c, t v C-✓ at /Q JW/ 114 u(I + f i/' .--iM has been constructed in accordance ' with the provisions of�Tid 5 and e for D' posal System Construction Permit No. / dated �*' Installer /V� C � J Designer �� The issuance of pentl�ha11 e construed as a guarantee that the system 11 function as designed. Date Inspector No. � , +� -------------------------Fee / i�'""'�„"�✓ 6� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Migo ?( ) v5tem Con5tructton Permit { Permission is hereby ranted to Construepair( )Upgrade( )Abandon S stem loca ed at !� �'? and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction ust be completed within three years of the date of this t. Date:�"n Approved b �2 —Ronk 5 ;d� psi L3 _. T � C \ t ' 1 i Lr� M TOWN OF BARNSTABLE LOCATION �%�" ��t3n��' t�� r ' /'C i -C SEWAGE # 4 Zl ' VILLAGE � "� ASSESSOR'S MAP & LOT 133 INSTALLER'S NAME&PHONE NO. L-g''�'`/ n�i F.. _t !a SEPTIC TANK CAPACITY / 6 F LEACHING FACILITY: (type) . ��;'-; °� (size) iax36 NO.OF BEDROOMS BUILDER OR OWNER /'c �� 2 ' PERMITDATE: L COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 '�'°/'"`` /V,r 'A ,'eZ 7-/ (f e V-4R IV,4Y. CC%R 1AIll, -5-IZ7- z Z14AII �/ //Vv, 02- Z Al 7� 't, 1:54, 42,92 c e, :f;-7Z>A,-& 3' hVI77-1 eWA45k: *Z-�7-AA12) --- /- ee:4- 34,7 tle-l- 6P-4 V.FL 124) APkll- 3-7 IA A') R //V/ 4 E�,9 7-60, 72F 2 I'-11,A1 -7 Ag :57, 4, 5, + Y5/L IV,41Z- 0 EL 6 V SO, 71 Ile gpp P&/f ag4xM x '-4 V 33W O. 14 6- 1-1,0,41 = 444- -WAr: & 5 Vel VAI 40 le, so, .60X b-d 12 6W ol>,eOVI-S/e91V 93 TOTAL NA 0 AMP 23� VKZ�C'd5-4- 461 "V -92,45>0 �4 -73 4 Z 0 7 M�57- /0 P,- DI F 6'1,TC e- F MI 14 9 ? Z) V T.O.F. EL.= 54.6 ± PROVIDE PRECAST CONCRETE 4"SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER BIODIFFUSORS = 50.4' (T1) GENERAL NOTES EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-BOX= 50.5± SLOPE @ 2% MIN. COVER TO WITHIN 6"OF F.G. OVER INSPECTION PORT WITH 49.9' (T2) INLET AND OUTLET COVERS. REMOVABLE WATER-TIGHT COVER OVER ACCESS BOX TO WITHIN 3" 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE RISER TO WITHIN 6"OF FINISHED GRADE OF F.G. (ONE PER TRENCH) METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 51 . '± FINISHED GRADE OVER TANK EL. = 51 ,0'± 5" DIA. OUTLET(S) - - CODE AND ANY APPLICABLE LOCAL RULES. - Ni . ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE f 9" IN. 47.43' (T1) DESIGN ENGINEER. EXISTING 4" PROPOSED 4" 9� MIN. 36"MAX. TOP OF SAS/B.O. = 46.93' (T2) 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE , - PVC SEWER PIPE I 36 AX. SYSTEM UNLESS OTHERWISE NOTED. 6" 3" 3"DROP MAX 3„ 9" PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN EL. _ 2" DROP MIN MIN.SLOPE@1% JOINTS (TYP.) 47.43' (TRENCH 1)AND EL. =46.93'(TRENCH 2) FOR A DISTANCE OF 15'AROUND THE i �f =TF loll4 PVC IN FROM 1.33' 16"TYP PERIMETER OF THE SAS. UNLESS A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE -� 14" `-*48, j'± SEPTIC TANK 4" PVC OUT TO 0.90, (TYP.) fl5"TYP FEET FROM S.A.S.AND THE TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. O LEACHING FACILITY + 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. CONTRACTOR CONTRACTOR SHALL , 12" 6" 9 47.00'(T1) 46.10' (T1); 45.60' (T2) 2.875'(34.5") 5.75' 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET TEE 47.27 MIN. 47.10 46.50'(T2) 5 0' (TYP.) (STONELESS) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES 22"ZABEL FILTER 6"CRUSHED STONE (TYP.) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS MODEL#A1801-4x22 4R9 OVER MECHANICALLY 5'MIN. 11.50' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY (GAS BAFFLE ON BOT.) COMPACTED BASE 30.0'(TYP FOR BOTH TRENCHES) AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 55.00' ESTABLISHED (T1)=TRENCH 1 "STEPPED"- TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 39.83, ON A NAIL SET IN A 24" PINE TREE AS SHOWN ON PLAN. -----___-_------------------..---------------------- BASE. FIRST TWO (FEET OF OUTLET (T2)=TRENCH 2 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. BIODIFFUSER (PROFILE) BIODIFFUSER (END VIEW) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL 12 ARC 36HC (#3616BD) BIODIFFUSERS TO THE DESIGN ENGINEER. TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NIOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. ___ ____--- SC---- -- - - _ -- - ---_-- 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED v " j TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM MAP 233 PERC NO. 12680 APPROPRIATE AUTHORITY. PARCEL 82 10 INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS Benchmark 5 -- r o " -'' r4 EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE Nail Set in 24 Pine , • Off . Oct. 1999 THEY SHALL WITHSTAND H-20 LOADING. S85°16'37"E Elev. =55.00' 2 ZONE 2 _ y i �, `' r; C.S.E. APPROVAL DATE: 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 180 91 APProx. M.S.L. !S3 +� �/ I `` ,f ( DATE: August 20, 2009 x-X CID X-X-X�X7 -X-X- '= - /) TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE • , + •`' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. N d X -A-A ELEV TOP = 50.50' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, Oq p0 \ "! `e 54� _ MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). �--- FINES OR OTHER UNSUITABLE M �O N h x 1 • • Q ELEV WATER- <39.83 N PROPOSED INSPECTION PORT WITH sx�\ aMlk I w # • 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN a a x PERC RATE _ <2 min./inch a ACCESS BOX TO GRADE (TYP OF 2) 5 a x �� t i + LOCUS SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. DEPTH OF PERC 42 T 1 - 4�` • 60 16. PROPOSED PROJECT IS LOCATED WITHIN: a \ I / / = s \ I c, I ♦ * TEXTURAL CLASS: 1 ASSESSOR'S MAP 233 PARCEL 81 OF m \ axs \ Z \ \ 53� 4. \ OWNER OF RECORD: MICHAEL& SHEYLA RITTEL z I m 2 �n _, ` C�; j ADDRESS: 67 PONDSIDE CIRCLE 1 w Fill CENTERVILLE, MA \ a a '�\ ��� PAVED DRIVE \ •+ 4" 50.1T PROP. TOTAL 12 ARC 36HC BIODIFFUSERS 52� GARAGE (6 BIODIFFUSERS EACH TRENCH) 8X7 �p0 s•3' \ (SLAB) / \ I • + + B Loamy Sand FEMA FLOOD ZONE C w I • + 10Yr 5/6 COMMUNITY PANEL# 250001 0005 C 42" � 47.00' 17. DEED REFERENCE: DEED BOOK 11685, PAGE 61 = : \ - - 18. PLAN REFERENCE: PLAN BOOK 440, PAGE 27 .. aaXs \ U _--_-W ._-- ^� 7� ❑ , 'O "r._ • Perk 60" 45.50' PROPOSED DISTRIBUTION BOX w W ApppOX.I.00-) u o O A SHALL BE RESTORED TO ORIGINAL CONDITION. \ \ O U oo C , � Z s . • C-1 Med.-Coarse Sand AREAS#67 = ( 19. ALL DISTURBED AR 0 EXISTING w O Q • 2.5Y 6/6 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY O 3-BEDROOM o / m (n DWELLING -0 ��� "� , *� (10-20%gravel) FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY �\ - � some cobbles EXISTING 10'x 30'SOIL ABSC icf i Ivry �' I Livi p TOF 1 = 54.6'± / 18rt d ( ) FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. (WITH 4 INFILTRATORS)TO BE ABANDONED �5 - � O / m /53 ,--� inn ,, 90^ 43.00' EXISTING DISTRIBUTION BOX TO BE ABANDONED �PNpSOPpE PReA OT � � / � � � OG C) Medium Sand EXISTING 1000 GALLON SEPTIC TANK TO !/ d\ `PAGODA NE� ,., TOF 2 TOF 1 / / I 1 m LOCUS PLAN C 2 (loose) BE UTILIZED AS PART OF THIS DESIGN - o �/ SCALE: 1"= 1000' m -GAS �� GAS GAS LAs 128" 39.83' rno r i /�` No Mottling, Standing or Weeping Observed A 233 _ �' °�� '� � TEST PIT DATA PARCEL29 DESIGN DATA LEGEND �z �> PERC NO. 12680 n MAP 233 INSPECTOR: David W. Stanton, R.S. PARCEL 81 1 NUMBER OF BEDROOMS (DESIGN) 3 I p EVALUATOR: Michael Pimentel, E.I.T. 50x0 EXISTING SPOT GRADE 44,609 S.F.± m DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E.APPROVAL DATE: Oct. 1999 - 50 - -- EXISTING CONTOUR j O TOTAL DESIGN FLOW 330 GAUDAY DATE: August 20, 2009 DESIGN FLOW X 200 % = 660 GAUDAY r7 - PROPOSED CONTOUR TEST PIT#: 2 USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 50.50' E/ r/C EXISTING UNDERGROUND UTILITIES ELEV WATER= <39.83' GAS EXISTING GAS LINE PERC RATE -W-W- EXISTING WATER LINE INSTALL 12 - ARC 36HC (#3616BD) BIODIFFUSERS (4 DEPTH OF PERC = -� TEST PIT LOCATION (3 SYSTEM CAPACITY TEXTURAL CLASS: 1 FO �, EXISTING 1,000 GALLON SEPTIC TANK (TOTAL L.F. OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD (60.0')(7.8 SF/LF)(0.74 GAUSQ.FT.)= 346.3 GAL. LEACHING/DAY 0" 50.50' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE Fill HC 4" 50.17' PROPOSED DISTRIBUTION BOX TOTALS: Loamy Sand 1) GARAGE ! B 10Yr 5/6 PROPOSED ARC 36HC (#3616BD)BIODIFFUSER 2) (SLAB) TOTAL NUMBER OF BIODIFFUSERS: 12 42" 47.00' TOTAL NUMBER OF COUPLINGS: 0 TOTAL LEACHING AREA: 468.0 SQ.FT. REV. DATE BY APP'D. DESCRIPTION TOTAL LEACHING CAPACITY: 346.3 GAL./DAY ---- ---- -------- -----___ -_- -.____ Med.-Coarse Sand PROPOSED SEPTIC SYSTEM UPGRADE #67 C-1 2.5Y 6/6 PREPARED FOR: EXISTING (10-20%gravel) 3-BEDROOM NOTE: (some cobbles) CAPEWIDE ENTERPRISES DWELLING EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THE TOF 1 = 54.6'± DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER 90" 43.00' LOCATED AT TOF 2 = 50.6'± "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO NOTES: DC ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST Medium Sand 67 PONDSIDE CIRCLE MODIFIED OCTOBER 30, 2008). TRANSMITTAL NUMBER=W000052. C-2 2.5Y 6/6 CENTERVILLE, MA 02632 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE (loose) TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. SWING-TIES SCALE: 1"=20' 128" 39.83' SCALE: 1 INCH = 20 FT. DATE: AUGUST 20, 2009 0 10 20 40 80 FEET 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE DESCRIPTION HC DC No Mottling, Standing or Weeping Observed OF - LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE BIODIFFUSER CORNER(1) 62.2' 72.3' PREPARED BY: O CHUORNHILL u°� CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. RESERVED FOR BOARD OF HEALTH USE JC ENGINEERING, INC. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS BIODIFFUSER CORNER(2) 73.7' 79.9' N 441E 7 2854 CRANBERRY HIGHWAY ARE NOT CONSISTENT WITH TEST PIT DATA. BIODIFFUSER CORNER(3) 83.3' 104.2' EAST WAREHAM, MA 02538 3.) PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2. SITE PLAN BIODIFFUSER CORNER(4) 72.2' 98.8' 508.273.0377 SCALE: 1" =20' Drawn By: MCP Designed By:MCP ! Checked By:JLC JOB No. 1672