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Home My WebLink About0040 RED LILY POND ROAD - Health 40 Red Lily Pond Road Centerville Y �y A=227-056 " �QEcYct'�o� NPC 12543 o. 3LORco . HASTINGS, MN 4 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. City/Town State Zip Code Date of.Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out I / D forms on the \3 computer,use 1. inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. DOUGLAS A BROWN INC Company Name VQ P.O. BOX 145 Company Address CENTERVILLE MA 02632 City/Town State Zip Code 508420-4534 S14297 Telephone Number License Number ,B.-Certification J 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 ins5ection.The inspection o was performed based on my training and experience in the proper function and mai tenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15340 0� Title 5(310 CMR 15.000).The system: _ ® Passes ❑ Conditionally Passes ❑ Fails c, F ❑ Needs Further Evaluation by the Local Approving Authority 8-25-14 jkpectefs 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 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. ****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. �( ZZ)f� t5ins-3/13 Title 5 Official Inspection Form:Suour,4Sewage Disposal System-Page 1 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GSM , 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM IS ONLY 3 YRS OLD AND HAS SEEN LIMITED USE B) System Conditionally Passes: ❑ one or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official, Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM '< 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cost.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ 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): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 40 RED LILLY POND RD - Property Address CATTQN Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. - Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection, Form Subsurface Sewage Disposal System Form--Not for Voluntary Assessments M SV yy� 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Citylrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GSM , 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were.any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M '< 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: ACCORDING TO AS-BUILT CARD SYSTEM CONSISTS OFA 1500 GALLON TANK D-BOX AND A 11X28 LEACH AREA Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): Detail: 2012-------109 2013 127GPD Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: 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 Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 7-13-14 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1.5 feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Sludge depth: LIGHT t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is CENTERVILLE MA 02632 8-25-14 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness LIGHT CLUMPING 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 WAS CLEAN AT TIME OF INSPECTION WITH NO SIGNS OF FAILURE Grease Trap(locate on site plan): 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 RED LILLY POND RD Property Address COTTON Owner Owners Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 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: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" 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.): BOX LEVEL WITH NO SIGNS OF LEAKAGE OR FAILURE 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.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official: Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: 16 ® leaching chambers number: INFILTRATORS ❑ 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.): NO SIGNS OF FAILURE CHAMBERS HAD DAMP SOIL AT TIME OF INSPECTION 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 ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts w u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 40 RED LILLY POND RD Property Address COTTO N Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: AT LEAST 5 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 8-2014 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: DESIGN PLAN Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 �. Commonwealth of Massachusetts Mi Title 5 Official Inspec3on Form Subsurface Sewage Disposal System Form -Not`for Voluntary Assessments M 40 RED LILLY POND RD Property Address COTTON Owner Owner's Name information is required for CENTERVILLE MA 02632 8-25-14 every page. City(rown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 e: ° Assessing As-Built Cards Page 1 of 2 TOWN OF BARNSTABLE LOCATION i SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL :�a 2-m5& INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /AGO LEACHING FACILITY:(type) NO.OF BEDROOMS 3 OWNER_i PERMIT DATE: 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 �8 f1 o h /y�y low u� N f 9 jo 3a' 10 http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=227056&seq=2 8/22/2014 TOWN OF BARNSTABLE �) / LOCATION ,O , f SEWAGE# 020 PILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. & !('Glil17�� SEPTIC TANK CAPACITY /sljlJ LEACHING FACILITY: (type) ,erDfGrJ (size) IZX d NO.OF BEDROOMS 3 OWNER > ✓! PERMIT DATE: / 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) A Feet FURNISHED BY � „ sy O ` � 6d � ` 36 ma`s 38 �� r u� No 0' �1 ~ Fee Aw THE�COMMONWEALTH OF MASSACHOSETfS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Bisposal *pstem Construction permit Application for a Permit to Con ct( ) Repair(W/Upgrade( ) Abandon( ) ❑Complete System ElIndividual Components Location Address or Lot No.�d f /�Oh / Owner's Name,Address,and Tel.No. Assessor's Map/Parcel C AN!� >I[e wd C l,^ G1 $C�/p9 Fo Installer's Name,Address,and Tel.No. �� ECGjp J?4( OW Designer's Name,Address,and Tel.No. y7? d07 D r/-eq t - Gov'. 34 Type of Building: J > r� Dwelling No.of Bedrooms J Lot Size ��y /� sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `� ('� gpd Design flow provided � gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Sty 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 s stem in operation until a Certificate of Compliance has been issued by this Bo of H l J Si dre Date Application Approved by Date I I " 11 Application Disapproved b Date for the following reasons Permit No. �sV,t 22_2_ Date Issued � 10 11 a 2011 - 077, No. I Fee THE_CPB-AONWEALTH OF MASSACHU'SETT Entered in computer: . ,., �PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,,MASSACHUSETTS Yes application for Oie-posal #�peitrm ConBtrUction 3prTmit Application for a Permit to Con ct( ) Repair(W' Upgrade( )".Abandon( ) ElComplete System ElIndividual Components Location Address or Lot No. yQ I-j ,,,v� h 'Owner's Name,Address,and Tel.No. -PHryV"V 1l� Assessor's Map/Parcel —O /WQ/ � al CS-a.-W Installer's Name,Address,and Tel.No. �� F�'�'!G d{�l� (Designer's Name,Address,and Tel.No. 1/7 9 eMj DQ1-rrdr a� 3G,2 Type of Building: Dwelling No.of Bedrooms -Lot Size (g6 7S" sq.ft. Garbage Grinder( ) Other Type of Building i y i YP g ��[��(fi '��`�I�o.of Persons Showers( ) Cafeteria( ) Other Fixtures r� c Design Flow(min.required) gpd Design flow provided ; gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil CcV( f Nature of Repairs or Alterations(Answer when applicable) ..t Date last inspected: , i Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in i. accordance with the provisions of Title 5 of the Environmental Code:and.not to place the s stem in operation until a Certificate of Compliance has been issued by this�a of H. 1 Si Date 7"'//�—// Application Approved by Date it Z-'a it Application Disapproved by' Date for the following reasons h Permit No. Z0 0 2 22 Date Issued If THE COMMONWEALTH OF MASSACHUSETTS TM� BARNSTABLE,MASSACHUSETTS Certifirate of Compliancr r THIS IS TO CERTIFY,that the On-site Sewage Disposal s stem Constructed( ) Repaired( Upgraded( ) Abandoned( by 0A ti z— , at 4 F& V( has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No z®){ dated Installer el P Designer #bedrooms Approved design flow gpd The issuance of this permit hall no b construed as a guarantee that the system(wil c o a designed. Date // / Inspector` ---- -------- — -- ------- - •------- No. 2 Fe ZZ e-0/w pJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Disposal —15bpstent Construction hermit Permission is hereby granted to Constru(t( ) Repair( ) Upgrade( ) Abandon( ) System located at `�l o lI Fl� �1 I� �Q✓�(� and as described in the above Application fo'r Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:C stru tion must be completed within three years of the date of this permit. Date 7 ( {7 t Approved by Darren Metier, R. S. 17815850293 P. 1 Y ' Town of Barnstable Regulatory Services vAWMAa.a. ;} x homas F.Geller, Director X Public Health Division ATE A` Thomas McKean,Director 200 NTain Street,Hyannis,IRA 022601 Office: 603-362-46•4. Fax: 1403-790-6304 Installer & Designer Certification Form Date: 3 1 Sewane Permit# Z'Z assessor's iVIaplParcel f, l 7 Designer: / �. trt { L Installer: Address: Y�,W. Cl� address: �. (44 1VI,�4 _ J On GI A,7 0 /� 's issued a permit to instail a (date) ( staller) septic system; at 40 based on a•iesi��n drawr, by (address) dated (Uesi aner 1 1 certify that the septic system referenced above was installed substantially accorcing to the desinn, which may Include minor approved chaiiges such as lateral relocat.ur cl tj�:. distribution box andaor septic tank. I certify that the septic system referenced above was installed w:tlt maior changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocaton o`any component of the septic system) but in accordance with State 8c Local Regulations. Plan revision or certified as-built by designer to fo:'low. 11 OF l DARRE IN f�,,�ME .. (Installer's Signature) � a,!1 40 VV C ( esianer's Signature) (Affix Designer's Stamp here) PLEASE RETURN TO BARIN ABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CONIPLIANCE WILL \'OT BE ISSUED UNTIL BOTH THIS FORA) AND AS-BUILT CARD ARE RECEIVED BY THE B AR`iSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health,Septic:,,Desiz:ier Ccrtiticatiur.Fom;3-26-4rcoc i I . I , 'down of Instable P#� -- °� � Department of Regulatory Services Public Health Division Bate i6 ems$ .200 Main Stree4 Hyannis MA 02601 AffD NIA't� '• l Date Scheduled C Time Fee Pd. Soil Suitability Assessment or S e Disposal Performed By Witnessed By: Y�" I LOCATION G NER_AL INI�'ORNTATION Location Address W e� G �jiyl Owner's Name 1/`�1n ad. 6 (&4a.v Address Assessor's Map/P4rcel: ZZ'? Q Jb I Engineer's Name it �,�•� �/,, M�� REPAIR # �v 36Z-ZA-z1. NEW CONMRU(I70N h Land Use ?�1 Q.U6�t- Slopes(96). - � Surface Stones Ak Distances from: Open Water Body 2da ft Possible Weti Area DO ft Drinking Water Well 921 ft Drainage Way ft Property Line /fl ft Other ft SKETCH:(Street name,dimensioris'of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) I 0 A. cii Cr �• p P �,�� 1 o o (Y _ a _I l � . . z o I �� O r I- O T 7 I-- —! �W ze n �_ I j o e ,I Q4 X � a oil LLJ 0 w G-5 LINE ------ ----- -- ------------ WATER, LINE $!-!E ' >E _Q `t L1 i IJ I - t Parent material(geglogic) d- �� A I Depth to Bedrock n� Depth to Groundwater. Standing Water in Hole:' Weeping from Pit Face Estimated Seasonal Vigh Groundwater A/ i DtTERMWtTION FOR SEASQNAL HIGH WATER TALE Method Used: ln. Depth Observed standing in obs.hole: In. Depth to salt mottles: $. Depth to'weeping from side of obs.hole: ! in. Oro undWnter Adjustment Index Well#� Reading Date index Well levdl ! A ,faetor.�,�.-.._ Adj.Oroundwaterlevel,,,,e, PERCOLATION TEST Date,...,._. '1Cltue Fof 1 Time lit V tl _ Time at G" Time(91'-6 Start Pre-soak Time.@ End Pre-soak �A& ! i Rate MinJlnch Site Suitability Assessment: Site Passed_L�C—_ Site Failed: Additional Testing Needed(YIN) Original:.Public l;e$lth Division Observation Hole Data To Be Completed on Back— ***If percolation test is to be condracted within 100' of wetland,you must first notify the rior to beginning. Barnstable Cd.4servation Ditzsion at least one (1)wedk p S. 0 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. n' Consistency,%Gravel 0 /q450 DEEP OBSERVATION HOLE LOG Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency,%Gravel) uet DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon oil Texture Soil Color Soil #ftr Surface(in.) ( A) (Munsell) Mottling (Structure,Stones.Boulders. Consistency, ra 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 pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per 'ous material? Certification I certify that on a L (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 tt ' ,expertise and ex enence described in 3,10 CMR 15.017. Signature Date Q:\.S EP'rICVERC FORM.DOC LOCATION //� SEWAGE PERMITT NO. Sao 97 e d"'/izl' ca/ VILLAGE Ile A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDEyRy� OR OWNER DATE PERMIT ISSUED re DATE COMPLIANCE ISSUED 7. 1 ,�eQeh poai L , .00 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH T ownO F.....Barn stable ....... . -------------------------------•----------...--•-...._......-- ApplirFatinn for UiipnsFal Work,6 Tonstrurtinn unit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: 4.0 Red Lilly Pond Road, Centerville, MA 02632 ................-................................................................................ .....-•-----•--•----•••............_...••--•••---•----•••••-••-•....--•••••••..................... Location-Address or Lot No. Mrs. Thomas.. ottsn..............••-•--------------•-••-,-----••......._.... .. Q..R�d__Ta . ..�Qbd..Rd. .._��nt��,�e,-•]�-....02632 ---------••-..... Owner Address A--�`•B--Ces...00l Service .......................................•--- 128--B1ab.QjD re�. _....4 �Q1...... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................2 ............................ Attic ( ) Garbage Grinder ( ) a'4 Other—T ype of Buildin g ____________________________ No. of persons........3_................. Showers ( ) — Cafeteria ( ) dOther fixtures ..---•------•-•-•--------------•-•----------------------••••--- W Design Flow............................................gallons per person per day. Total-daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter-____-__---.-._- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Oa' -•••-•••••-•-••-••--•-------•••-•-.....-•-••--••....--•----•..........................•-••..............---•---------•------...----•-•---------••-•--------- Description of Soil Sand ------------------------------•---------------......---------------------------------------------------•---------------------------•......----....--•-- x W -------------------------------------•---------------------------------------...-------------------------•-------------------...-------------------------•------------•----------------•-•--------..... U Nature of Repairs or Alterations—Answer when a plicable_..in st allat i on-•of a._I,000__•gall one--•ire-c_ st, stone inked leach pit Coverflow) . Sectional Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code— The ersi ne f ther agrees no < place the system in operation until a Certificate of Compliance asresd.by of ealth. Sig =------------- 6.26 84 ApplicationApproved By................................................................................................. 6D26/84 Date Application Disapproved for the following reasons:.......•------•---------------------------------•------------------........................................... Date J�_ Permit No...84-.... - Issued_ -61261 84 Date p. No..- FR$.... ....15.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town_......OF.....Barnstable . ......--•........................................................... ApVfirFafion for Disposal Works Tomitriirtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 40 Red Lilly Pond Road, Centerville, 14k 02632 ................_._.._.... .................................................................. --•--••••------•---•------••-•----•-•----••••. ... ..... Location-Address or Lot No. Mrs,_Thomas_Cotton_________•__•_____________________•...__........._.-•-.. .40__Red__Lilly--Polid__Rd._, Centerville,__MA____P2632 Owner Address A. .......Cesspool Serv..ce............................................... 12£3 Bishops Terrace, Hyannis,..NAA ....02601....... Installer Address UType of Building 2 Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons_.....3................... Showers ( ) — Cafeteria ( ) P4 Other fixtures ......................... w Design Flow............................................gallons per person per day. Total daily flow--------------..............................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX.I Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' ODescription of Soil.... a---------•..............................•-•--.......••-------••-------------------•----•--•...---....---------------......•-----•--•......_.. x w V Nature of Repairs or Alterations—Answer when applicable..installation of a 1,000 gallon, pre-cast, stone eked leach fit -�overflow�. . Sactional� ---------------------------------------------........................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The ers' n rther agrees no o place the system in operation until a Certificate of Complian as > e&b of ealth. Sig ' 6 26 84 ApplicationApproved By.................................................................................................. .................61A/ Date Application Disapproved for the following reasons:................................................................................................................ \ -•-•--------•-------•----------------------•------•------------••-------------------.._.....---------•------•--------•------------•-------•-•------------------•-------•--•------------•------•-------- Date Permit No..�---------------------------•-------•--••-•_._.. Issued-------6/26/-8----------•--------------....... Date THE COMMONWEALTH OF MASSACHUSETTS"' BOARD OF HEALTH .......................Town........OF..........Barnstable .......................... .......................... (9rdifirair of Tompfiianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal a System constructed ( ) or Repaired (X ) by........A..&..B...Casap.0.al..Sexdze,...128..Bi,ahops..Ter=eA.....Hyannis,._m_..._A26a...------••-•--•------------------- 40 Red Lilly Pond Rd., ,.Centerville, P#Wta11,02632 - Thomas Cotton at has been installed in accordance with the provisions of �4TLE 5 of The State Sanitary Code kx4bed in the application for Disposal Works Construction Permit No......................................... dated-------------------------_...................... THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE SYSTEMMVIL F TION SATISFACTORY. -DATE... ._....��--------------------••••-----•-----••------•----. Inspector..... ----• ..................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 84- / Town Barnstable OF..................................................................................... 15.00 No......................... FEE........................ Disposal 10orkii Tons#rudion rrmi# Permission is hereby granted A & B Cesspool Service, 1 .. Bishops Terrace, Hyanni. s. 02601 -- --- -- ------------- --- ---•---•------ . ------------. ------•---------- ..........._.... to Const t 11 RRe 1 n I diva ya ai�is st at No. Red)Lof].1y1' o i4da`., erlireg 1� p`� k3I'homas Cotton Street 6/a1/8 as shown on the application for Disposal Works Construction Permit No :.... .......... Dated.......................................... • I .......................•---. -------------•------•-----------•-------•-----•---------••------------ Board of Health DATE------------------------•-------•------•----------------- FORM 1255 A. M. SULKIN, INC., BOSTON (i CENTERVILLE' LEGEND !E PROPOSED CONTOUR jI ® PROPOSED SPOT GRADE EXISTING CONTOUR '' BENCH MARK + 96.52 EXISTING SPOT GRADE POND IRD. TOP OF CONC BOUND W— EXISTING WATER SERVICE SITE y� ELEVATION = 20.17 Q BARNSTABLE GIS DATUM TEST PIT 0 L O T 40 7 NCH ROAD AND PART O F LOT 41 Z i % CRAIGVILLE e AREA = 8675 sf +- 18 LOCUS MAP N.T.S. O 19 �° I TH—q TH-2 I I GENERAL NOTES: Q (01 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ` OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 19 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: C^ ^ / i — 310 CMR 15.405 (1) (B): O 1) A 0.89 FT. VARIANCE FROM 310 CMR 15.221(7) TO ALLOW LEACHING TO BE 3.89 FT (MAX) BELOW GRADE VS REQ'D 3 FT. (VENT/H20 PROVIDED) \\ KFILLED PRIOR j 62� � 1,8 3 TOEINSPECT ON DISPOSALAGE AND APPROVAL BY THE BOARD OFCHEALTH AND THE _ \ \C / DESIGN ENGINEER. O — 20 �� 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN dA�ATE \\\J Q // ft ty i ENGINEER BEFORE CONSTRUCTION CONTINUES. O �� ft 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 1 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF HEALTH CONTRACTORTHE ROPER INSPECTIONSECTIONS DURING CONSTRUCTION.FOR OF 17 Nf` J 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 94.8 a.• 8 TO L AREAS DURING CONSTRUCTION CONDITION AGREED N UPON BETWEEN OWNER D CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY syE PROP. 1 ,500 GAL' THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 5EPTIC TANK CONSTRUCTION. 10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. FILL WITH CLEAN MEDIUM SAND. (COMPONENT LOCATIONS PER TITLE 5 INSP.) EX15TING CE55POOL5 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION (NOTE 10) 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 100 FT. OF PROPOSED LEACHING 14. ALL PIPING TO BE 4" SCH 40 ® 1/8"/FT (UNLESS SPEC. OTHERWISE) ' 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER i 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING 17. PROPERTY IS IN EMBAYMENT NITROGEN SENSITIVE AREA. OF Mgss9� � o DAR� y r No. 1140 "' PROPOSED SEPTIC SYSTEM UPGRADE PLAN cistE ° 40 RED LILY POND ROAD, CENTERVILLE, MA SANITAR\a� j l ( Prepared for: Cotton �l Engineering by: Surveying by: SCALE DRAWN I DARRENM.MEYER,R.S. EcoTech Env. 1"=20' DMM PO BOX 981 MAP 227 EAST SANDWICH,MA02537 (508) 367-8097 DATE: CHECKED SHEET N0. LOT.056 508-3622922 07/05/11 DMM 1 of 2 t C NOTE: TO PREVENT BREAKOUT, THE PROPOSED µ NOTE: MAGNETIC TAPE TO.BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:13.61 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. T.O.F. EL.=16.88 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER VENT �� F �q`C. F.G. EL.=16.2tET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. D ��yG • F.G. EL.=16.2t F.G. EL: 16.6f -F.G. EL: 16.8-17.5 (MAX.) R _ w „ u + No. 1140 + 9" MIN COVER/ �£GI�iE L = 12't L =15' L 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) 0 S=1% (MIN.) 36" MAX COVER 0S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC SAN E TAR\a tG" 6 11.2" TO INV.=13.89 u• 48"UOUID I NV.=13.64 INVERT LEVEL INV.=13.32 GAS eAFFLE PROPOSED 4 ROWS OF 4 UNITS AT 6.25'/UNIT - 25'/ROW .. • . .... . . .. . . ... . ,.. INV.=13.49 DB-5 INV.=13.22 SOIL ABSORPTION SYSTEM PROFILE) PROPOSED 1,500 GALLON SEPTIC TANK EXISTING SEWER OUTLET RESTORE VEGETATIVE COVER EL: 14.13 BACKFILL WITH CLEAN PERC SAND 75" TO TOP OF CHAMBERS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING : ' ,•. . PIPE INVERTS PRIOR TO CONSTRUCTION I BREAKOUT=TOP ELEV.=13.61 't 2) TANK AND D-BOX SHALL BE SET LEVEL AND INV. ELEV.= 13.22 TRUE TO GRADE ON A MECHANICALLY COMPACTED BOTTOM ELEV.= 12.28 SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN EXISTING SUITABLE 310 CMR 15.221(2) MATERIAL 5' MIN. ABOVE BOTTOM OF - 3) INSTALL INLET & OUTLET TEES AS REQUIRED EFFECTIVE WIDTH = 4 x 2.83' 76' T.P. EXCAVATION OR G.W. (6.78' PROVIDED) USE 4 ROWS OF 4-16" HIGH CAPACITY (H20) PROFILE BOTTOM OF TESTHOLE EL=5.50 - ADS 16008D SIODIFFUSER UNITS-NO STONE SEPTIC SYSTEM PROFILE TYPICAL SECTION -� 16" N.T.S. M.rs 11.2" N i DESIGN CRITERIA SOIL LOG P#: 13319 34" NUMBER OF BEDROOMS: 3 BEDROOMS DATE: JUNE 14, 2011 � SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. SECTION END CAP DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONALD DESMARAIS, BARNSTABLE BOH DAILY FLOW: 330 G.P.D. Elev. TP-1 Depth Elev. TP-2 Depth 16" ADS 160OBD (H-20) BIODIFFUSER UNIT DESIGN FLOW: 330 G.P.D. 17.00 0" 17.50 0" A LOAMY SAND A LOAMY SAND MODEL 16" 16008D GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) 16.25 1OYR 4/3 g•• 16.83 10YR 4/3 8" LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT PROPOSED SEPTIC TANK: 330 X 200% = 660 GPD, USE PROP. 1,500 GALLON CAPACITY B B EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY LOAMY SAND LOAMY SAND DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. LEACHING AREA REQUIRED: (330) = 445.94 S.F. 1oYR 6/6 tOYR 6/6 SIDE WALL HEIGHT 11.2" .74 13.42 43" 14.00 42" OVERALL HEIGHT 16" DISTRIBUTION BOX: 5 OUTLETS (MINIMUM) C2 C2 OVERALL WIDTH 34" 4640 TRUEMAN BLIND PRIMARY S.A.S. 1 13.6 CIFHILLIARD, OHIO 43026 „ MEDIUM SAND MEDIUM SAND CAPACITY mm USE 4 ROWS OF 4 - 16 160OBD ADS BIODIFFUSER (H20) UNITS-NO STONE 2.5Y 7/4 2.5Y 7/4 (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODIFFUSER) PERC o EL. 12.a2 I (BIODIFFUSERS) 16 UNITS x 6.25 LF x 4.73 SF/LF = 473 SF PROPOSED SEPTIC SYSTEM/SITE PLAN C• DESIGN FLOW PROVIDED: 0.74(470 GPD/SF) = 350.02 GPD > 330 GPD req'd 5.50 138 6.00 138" 40 RED LILY POND ROAD CENTERVILLE MA a I Prepared for: Cotton PERC RATE <2 MIN/IN. ("C" HORIZON) r1, NO GROUNDWATER OBSERVED Engineering by: Surveying by: SCALE DRAWN JOB. NO. DARRENM.MEYER,R.S. EcoTech Env. NTS D.M.M. • I, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 PO BOX981 to conduct soil evaluations and that the above analysis has been performed by me consistent with the 367-8097 DATE CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. 5STSAAIDW/CH,MA02537 (508) sos-3sa2922 1 07/05/1 1 D.M.M. 2 of 2