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HomeMy WebLinkAbout0096 RIVERVIEW LANE - Health 96 RIVERVIEW LANE, CENTERVILLE A= 228162 UPC 12543 No �r�o �� trnsrrr�os,art n TOWN OF BARNSTABLE LOCATION SEWAGE# 'L607- 2 59 VI;.LAGE 6,R IV4i'l t Cc ASSESSOR'S MAP&PARCEL ��� �- • fCo� INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY f SOU ff l U LEACHING FACILITY:(type) Q560 /4 a U (size) 12 J-5- NO. OF BEDROOMS , OWNER �.{ yJ AL4-A d1 Jr PERMIT DATE: !toh,o d7 COMPLIANCE DATE: ZoZo'o' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility n'v 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 leach' acility) Feet l FURNISHED BY , ✓�, C eY y3 lacy i5,g 164 3.-' , CS 39.0 39 as VSS 33 , �o 33� � No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS s Zipplication for Migo$al �§V!Ae YY Con5trurtton Permit Application for a Permit to Construct( ) Repair ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 7Y t V�I'/� � Owner's Name,Address,and Tel.No.OPWRD j� g ((✓ WGwEA ��r0✓ Yd� Assessor's Map/Parcel � Installer's Name,Address,and Tel.No. C► �`��e. e'"@.s Designer's Name,Address and Tel.1,10 vo�-t 63V§ n r n' az d> —�✓J Type of Building: t , Dwelling No.of Bedrooms v Lot Size 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) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board a lth. Sign Date Application Approved by Date 715 1/ Application'Disapproved by: Date for the following reasons Permit No. ' Date Issued No: Y , A' Fee ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y s �i PUBLIC HEALTH DIVISION -'.TOWN OF BARNSTABL�E, MASSACHUSETTS 3pprication for �Ngpont 6pgtem 00U,5tructiou permit Application for a Permit to Construct( Repair' Upgrade( ) Abandon( Complete System ❑Individual Components 0 Location Address or Lot No. 94 , 6 V I 1 V Owner's Name,Address,and Tel.No. E11�V J/1 1/ /c Assessor's Map/Parcel Installer's Name,Address,and Tel.No. e4rW'ot+- re'''" Designer's Name,Address and Tel.Ng. arc ya Vo�.�f ...; ��t� ,�,1 17 s� - -�3 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided' gpd Plan Date Number of sheets Revision Date Title n Size of Septic Tank /A .71 % 1421-10"LIType of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) w . 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 5of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of,1jealth. Sigrign ` /n a �, , Date Application Approved by /� / Date Application Disapproved by: ` Date �^ for the following reasons Permit No. ''' l) Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY that the -n/-site/Se�w/age Disposal S yl!tystem Constructed ( Repaired ( Upgraded ( ) Abandoned( )by ( (' 1/1/ I 1��1— �A`�l-�� at Ile has been constructedAn accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. / dated i Installer Designer #bedrooms Approved design- ow —7 gpd, The issuance of this permit shall n. be cons'rruueda'�a guarantee that the system wil nc�tioon as.designe G // C Date // l Inspector / /L�✓ �` �� ---�- —'------------------- --- 77——————— No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS =igpoga1 *pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon ( ) System located at q t - Fr 11. , _, _ / 'Pat, 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. n Provided: Construction must be completed within three years of the date of this permit.i Date 1 I Approved by �, 6 oF Town of Barnstable PO-1- Department of Regulatory Services 'sRAVOWASM Public Health Division Date Q 8639. �s� 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. / �� Soil Suitability Assessment for Sewage Disposal Performed By: tCNf4irL t�+MEWEL E.L 1 a L,S C. Witnessed By:—DoNtiA M16fAN 1 LOCATION & GE RAL INFORMATION Location Address lL� 1 692Y/ /,l ) f�` Owner's Name E:O,.Afz C. 0f-yf4 (G �U _4lrl/0 �y Address j(Q QIUE'f-gifpS (ArW Assessor's Map/Parcel: ZZFj 1(pZ Engineer',N�`eE1���� � ►r.1C, NEW CONSTRUCTION REPAIR _A Telephone# 6 t� 24-P03 1 Land Use Slopes(%) 6--bQ)6 Surface Stones ^ Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Weil ft Drainage Way —ft. Property Line `5 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes& rc tests,locate wetlands in roximit to holes) Pe proximity Parent material(geologic) OUitSw1SN.1t91N g Depth to Bedrock 32 L� Depth to Groundwater. Standing Water in Hole: l32 ��05 Weeping from Ph.RaceS i Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE � Method Used: d,fecF Q1o5--V-k-- Depth Observed standing in obs.hole: 7 t'3 2- in, Depth to soil 0`101,le8: ?t 3 2 in. Depth to weeping from side of obs.hole: 13 1 in, Groundwater Adjustment ft. Index Well# Reading Date: — Index Well level Adj,factor — ,_ Adj.Oroundw®ter Level, ,a PERCOLATION TEST Date LY-o 7 Time 12P 11 _- Observation Hole# i Time at 9" Depth of Perc 52• Time at 6' Start Pre-soak Time @ �1 v® ___ Time(9"-6") End Pre-soak " Rate Min./Inch Z 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:\SEPTICIPERCFORM.DOC _ i V4 DEEP OBSERVATION HOLE LOG Hole# r Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel 'Viu. 1����1 iMFArtn� SvA�t I6°fie 5 DEEP OBSERVATION HOLE LOG Hole# `Z ' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. [ Consistency,%Gravel O�Ib fll� -t3Z a i'dIEO. (WM LINO 2,5.Y � 1 . 5-it°iv u 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 Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consist 1 0 Flood Insurance Rate May: 4 Above 500 year flood boundary No_ Yes' Within 500 year boundary No Yes c Within 100 year flood boundary No Yes t Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in al areas observed throughout the area proposed for the soil absorption system? YES If not,what is the depth of naturally occurring pervious material? Certification I certify that on ©"Z7"R? (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,ex erns d experience described in 3:10 CMR 15.017. Signature Date b 7 Q:\SEPTICIPERCFORM.DOC . s 4 DEC-05-2007 12 :03 PM JgENGINEERING 508 273 936�7 P. 03 i Town of narnstame j Regulatory Services Thomas P.Geiler, Director MAI Public Health DlpiSion * Thomas McKean,Director 2001VIain Street,Hyannis;MA 62601 j I Office: 508-862-4644 Fax: 508-790-6304 i Insta er & Designer CIrtifieattoq,F'orm Date: i csi er: . c n 'c neetioc .To< Installer: I � w cc_ h �lSe Address: 20 a y C c o6Vet ,_ ---- Address: i VAAA on 111(o p2�- 7 l,. , _ t was issued a permit to install a i (date) (installer septic system at ` !6 ,� ue c weta: Grp Cc e 4 t- based on a design drawn by (address) I "SC �nctneerc��� ► C dated 6.3-0 t t(eQ. to-kq-07) j / (designer) V I certify that the septic system referenced above was installed substantially according to I the design, whichrnay include minor approved changes such as lateral,relooation of the distribution box and/or septic tank. ' , I i - I I certify that the septic system referenced above'was installed with mojor changes (i.e. greater than 10' la�eral relocation of the SAS or any vertical relocation f any component of the septic system)but in accordance with State & Local Regulations., Plan revision or i certified as-built by designer to follow. u � I tiller'sSWature (Designer' ignature) (Affixr gner s t Here l LEAST; T RN TO RAMS L pU IC VI" j C T C TE ' 1.1 A NCW_ S D TANM BUILT CMM ARE D Y E C SI N, i TM LN I YQU. Q: Health/Septicmesiater C'ertiiiicatiori Fotm I i 4 k5 ZZtT lateparation 0t YlanS.and SAec1r3cari0112 n u,., r' ` w I I •"�` -` - r — .for every on-site system shall be prepared as follows: The plans and specifications (1) Every system shall be designed by a Massachusetts Registered professional Engineer or a Massackusetu Registered Sanitarian provided that such Sanitarian shall runt-design a. system designed to discharge more than 2,000 gallons per day pursuant to 320 CMR 15.203. Any other-anent of the o�vner•.rz'.ay prepare-plans for the repair of a system.designed to discharge not more than than.2,000 gallons per day pursuant to 310 CMR 15.203 provided they are reviewed by:a Massachusetts Registered Sanitarian and approved by the approving authority,, .(2). .Every:p Ian.submitted for approval must be dated and bear thestamp and signature of-the designer, (3} Every plan,for a new systcrz!or plan for the upgrade or expansion of an existing:system which requires a variance to a property setback.distance;'must.also reference a plan which bears the stamp and signature of a Massach'iisetu: Licensed Land Surveyor in accordance with M:t;.L. c: 112, § 81D; (4) Every plan for a system shall be of suitable scale (one inch=40 feet or fewer for plot plans and one inch=ZO feet or fewer for details of system components). fad.shall include. depiction of: (a) the legal boundares of the facility to be served: _ o or which could impact the (b) the hdldcr and location of any easements appurtenant t V s .. . stem; .. ._..•. (c) the locatorfof the,all dwellings)or buildrug(s.)existing and proposed on t facity and identifigaddri of those to be served by the system; '(d) =the''Iecation of existing of proposed irmperciois areas, irtcIung:dsivoways and �71 .paz�g areas; - (e) location and dimensions cf th'e system (including reserve area); (f), system design calculations, including design daily sewage flow, septic rank capacity (required and provided); soil absorption system capacity (required and provided); and whether system is designed for garbage grinder; ( ) North arrow and existing and proposed contours; (h} location and log of deep'observation hole, tests including the date of test, existing / grade elevations marked on each test, and the names of the representative of the V approving authority and-soil evaluator, a Qate of test and the names of (i) location and results of percolation tests including th the.representative of the approving authority and soil evaluator; . } name and ecrtificatioa number of the Soil Evaluator of record; (k) location.o£every water supply,public and'private, 1. within 400 feet of the proposed system location in the case of surface water supplies'and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case;of tabular public water supply swells, and ovate water 3, within 150 feet•of tho Proposed-system.location in the the, case of p supply wells: etaated - •- - - 1) location of any surface waters of the Commonwealth,-nvers, bordcrsng-ve g wetlands. salt marshes, inland or coastal banks, regulatory fioodway, velocity roomy surface water supplies, tributaries to surface water supplies,certified vernal pools,pri water supplies or-suction lines, gravel packed or tubular public water Supply wells, substtzface drains, leaching catch basins, or dry wells; and the location of any nitrogen sensitive area identified'in 310 CNM 1.5.215 within which portions of the Proposed •system are located. (m) location of water lines and.other subsurface utilities on the facility; (n) observed and adjusted ground-water elevation in the vicinity of the system; o) a.completc profile of the system; �:Tin ) a note on the plan listing all variances to the provisions of 310 C.tv1R 15.000 sought conjunction with the Plan: iWi'urnp q) . th77 . e location and of one benchmnark.within S0 to 75 feet R the facility hich is not subject to dislocation or Joss.during consavcrion'on the facility; (r) when dosittg is"Proposed, 'complete design ana"ai�eci`'icadorr of the,dosing system proposed including.but not limited to er .6f L-si a be^lo capacity nd depth c c ced providcd), curves and,specifications, number of d'osin, Y- p p Y (s) when a lZecirculatisg Sand Filter or equivalent alternative technology is required or roposcd, a complete plan and specification for the syste ,including a hydraglia profile; (t) a locus plan,to show the loca4on of the facility including the nearest existing scree-, y, of the facility; and. the street nrimbcr and lot number, once ficaoons of the system. v) the materials of construction.and.the sp TOWN OF BARNSTABLE ` LOCATION (0 Rl noel L SEWAGE # ,VILLAGE 0Z nWUI/%4, ASSESSOR'S yMAP & LOT INSTALLER'S NAME&PHONE NO. ZZ)6101— mil SEPTIC TANK CAPACITY l0®8 LEACHING FACILITY: (type) (size) /OXoZ�E-e3► NO. OF BEDROOMS BUILDER OR OWNER1 PERMIT DATE: 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 e� i - i� (r Ir I • '• 6' / W b a � r mil. ✓ . `� .� TOWN OF BARNSTABLE Li CATION 'RG 1fA1YZ1,,J-Xa/ 1CX'. 0 SEWAGE# VILLAGE ASSESSOR'S MAP&LOT'04S 0 v/l NAME&PHONE NO. f7/ SEPTIC TANK CAPAC= /Ge'a G/9e_ LEACHING FACILITY: (type) A, % (size) Gil NO.OF BEDROOMS 3 •FOR OWNER /4W. G.ih- Z4,ltK PERMITDATE: vL� COMPLIANCE DATE: yvd; 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 leachin acili ) Feet by Furnished �� ' r �, is l3/1/�Gii /Q/Zl�,� �S, i � �I o `�... V i TOWN OF BARNSTABLE LOCATION J I f?tYI ,VYSEWAGE # VI.L LAG EF(('���2�%C. ASSESSOR'S MAP 6t LO ���� `2 INSTALLER'S NAME 6i PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Ja(� (size) NO. OF BEDROOMS, PRIVATE WELL OR PUBLIC WATER IOW BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No „4 1 No. —. '� i t Fee $50 .00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for nigaal *p$tem Cun5tructiun Permit Application for a Permit to Construct( )Repair(x>r)Upgrade( )Abandon( ) ❑Com lete System ❑Individual Components p Y Po ocation Address or Lot No. 96 Riverview Ln Owner's Name,Address and Tel.No. Edward Kuhn Assessor'sMap/Parcel Centerville,_ MA 96 Riverview Ln, Centerville,MA 771 —8657 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Srv ­ PO Box 1089 , Centerville,. MA 0263 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(nq Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) .. ,� c5 �Y. � �, 4 '4 .3 74 it- 3 o- 2- 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 Board of I3ealth. Signed °_ Date v—3- —9 Application Approved by r 00-V Date Y'—Z--I'f Application Disapproved for the following reasons Permit No. Date Issued No. d Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ` Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS {� F 'ZIppYicationfor Miooml *pmetn Construction Permit Application for a Permit to construct( ),Repair(xxl Upgrade( )Abandon( ) ❑Complete System ❑lndividual Components Location Address or Lot No. 9 6 Riverview Ln Owner's Name,Address and Tel.No. Edward Kuhn Assessor's Map/Parcel Centerville, MA 86 Riverview Ln, Centerville,MA ZZ?-� -C ,. 771 -8657 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Sry - PO Box 1089, Centerville, MA 0263 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder(ng Other Type of Building Nb�o€ rsons " Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons°per day. Calculated daily flow gallons. Plan Date 1 GA { Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) 74 ,//- '1 0- 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 13oard of Health. �! Signed < � ,/•`' Date v^a- -9 l5 Application Approved by i��t Date Al 7- Application Disapproved for the following reasons Permit No. Date Issued —————— --———————————— ————————— ———— I/TH COMMONWEAL .,H-OF MASSACHUSETTS zV - t Kuhn BARNSTABLE, MASSACHUSETTS / Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (x )Upgraded( ) Abandoned( )by at 96 Riverview Lnr ,Centerville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 9 7 Z V dated 9 Jor Installer W E Robinson Septic Service Designer The issuance of this ermit shall not be construed as a guarantee that the system will.functon as designed. Date 'q v Inspector ---- �.0 f/ ---------------------------Fee �-- 50.00 No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Ku 4 igpoml *pgtem Con.5truction Permit Permission is hereby granted to Construct( )Repair( x)Upgrade( )Abandon( ) System located at 96 Riverview Lane Centerville, MA Installer: W R Robinson Septic Service 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 must be completed within three years of the date of thi rmit. Date: '�r Z- �9 Approved by ` • a. NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at 96 Riverview Lane, Centerville, meets all of the following criteria: * There are no wetlands within 100 feet of the proposed leaching facility. * There are no private wells within 150 feet of the proposed septic system. * There is no increase in flow and/or change in use proposed. * There are no variances requested or needed. * If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) B)Observed Groundwater Table Evaluation(according to Health Division well map) l 2� SIGNED: DATE LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 20-1998 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). 4:7 C2 62 3D L TOWN OF BARNSTABLE . , aOCATION !C!Ut'I c�iG� L•n SEWAGE # VILLAGE OktiW,�� ASSESSOR'S MAP& LOT��� .< INSTALLER'S NAME&PHONE NO. --------------- _4,i�i �a6KcGY1 ,Sp/ SEPTIC TANK CAPACITY 16O d .;:.<:.LEACHING FACILITY: (type) C����,� (size) ,N.O,.OF BEDROOMS_ .:BUILDER OR OWNER _ :>::'P)rRMITDATE: - COMPLIANCE DATE: Se0aration Distance Between the: >:::;:Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet `Rrvate Water Supply Well and Leaching Facility (If any wells exist ;';on site or within 200 feet of leaching facility) Feet age of Wetland and Leaching Facility(If any wetlands exist ;within 300 feet of leaching facility) Feet Furnished by Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of 0 Environmental Protection WIIYam F.Weld Trudy Cc" Arpso Paul Calluoel David B. Struhs LLGOMM C,ommtsttiornr as � 1l� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION pr'Operty Addeesa Address of Owner, Date of Inspection; / (If differept) c1�G/9G Name of Inspector: /1/41�/f/1 Company Name,Address and Telephone Number- 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: _Passes _ Conditionallv Passes Needs Further Evaluation By the Local Approving Authority Fails 00, Inspector's Signature: Date: The System Inspector&hall submit a copy of this inspection report to the Approving Authority within thirty(30)days of complaLing this inspecxion 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 tba appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Chec]o,C,or D: A] SYSTEM PASSES: I have ant found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Azq failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes Indicate yes,m,or not determined(Y, N, or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 11/03/95) 1 One Winner Street a Boston,Massachusetts 02108 s FAX(617)556.1049 a Telephone(617)292-6S00 A + Pnnted on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ' CERTIFICATION (oontinued) Owne Property Addlress: qG A -5 �"•v s Date of Inspection: B]SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution boa is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four 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 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 the public health safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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 APPROPRIATE) DEl'EBMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis 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 6 ppm. S) OTHER (revised 11/03/95) 2 I� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address, Owner. ^46 Date of Inspection: D) SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The bases for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to oorrect the faihre. Backup of sewage into facility or system component due to an 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 dogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 112 day flow. 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 Soil Absorption System. cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program raquiremsnts of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 11/03/95) 3 } SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Addreos Owner. Date of Inspection; / c!/G�clt 'Check if the following have been done: _4efumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow J/ The site was inspected for signs of breakout. system components,eluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees,material of construction, dimensions, depth of liquid, depth of sludge,depth of scum. ✓Tbe Sim and location of the Soil Absorption System on the site has been determined based on existing information or apprasamated by non-intrusive methods. ✓Tbe facility owner(and oocupants,if different from owner)were provided with information on the proper maintenance of Sub. Surface Disposal System. (revised 11/03195) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Addreaa: yG 4144e/G e-IX u/ L/9,v� c�,ci 7r,�d/GriJe owner. i% 46 S C: r ' Date of Inspection: `�/�;'- / FLOW CONDITIONS RESMENTIAL. Design fbw:�lLona Number of bedrooms:_ Number of current residents: 0 Garbage grinder(sr or no):'Y Laundry connected to system(yes or no):� Seasonal use(yes or no):,Y Water meter readings, if available: /119J^- So .t. L-✓t C 19�S' - Y Gov L Lost date of occupancy: 'iL COMMERCIAL/INDUSTRL(- Type of establishment: Design flow:_ sallons/day 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: I OTBER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection: (yes or no) L If yea,valume pumped: gallons Reason for pumping TYPE OF SYSTEM Sep soil absorption system 8iagis Cesspool. Oaeflow anspool Privy Shared system(yes or no) .(if yes,attach previous inspection records, if any) Other(a:plain) APPROXIMATE AGE of all components,date installed(if known)and source of information: Sewage odors detected when arriving at the site: (pea or no) (revised 11/03/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address lG /vv/mow Gifc/l Owner. fyG/�5 `✓ S �v�r Date of Inspection: SEPTIC TANK_ (locate on ate plan) Depth below grade:, Material of a n:✓esnc:etx_metal_FRP_other(explain) Dimanaons: 8hAp depth: //" Distance ffom top of sludge to bottom of outlet tee or baffle: Scum thiclmesa:- 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: as Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leafage, etc.) 51A11'- iyv ��//i�/,�G i9T /ryG�.C-A�! /�!/le'il AGs Ca Y25/ G� Cdv2t 5Tis2r�,vG �v C.�sxcy GREASE TRAP: (locate on ate plan) Depth below grade: Material of construction:_concrete_metal_FRP—other(explain) Dimensions: Scum thie>msss: Distance fiom top of scum to top of outlet tee or baffle: Distance 6=bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,etc.) (revised 11/03/95) 6 J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: GfG X,4, "!/!d Owner. A74,5 Date of Inspection: TIGHT OR HOLDING TANK (locate an site plan) Depth bsbw grade: MatsrW of cmu t uction:_concrete_metal_FRP—other(explain) Dimensions: Capacity: aallona Design flow: ¢allons/day Alarm level: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DUMtIBUTION BOX: (locate on site plan). Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal,evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBEBs-7,/ (locets an site plan) Pump in working order.(yes or no) its: (note condition of pump chamber,condition of pumps and appurtenances, etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C SYSTEM INFORMATION(continued) Property Address: Owner. /&7,,-,5.. H S C vim. Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): [./ (locate on sit.AM,if pombk;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Issching pits, number: lssehiag chambers,number:_ lssehing galleries,number: leeching trenches,number,length: leeching fields, number,dimensions: overflow cesspool, number: Comments:(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation etc.) 6 X'G _LZ4v/.D /.r/ /% A�i�-a�.Gg�!/o �/�.oivG Td �XT4'e_-' o N CESSPOOLS: (locate on ate plea) Number and configuration: Depth4op of liquid to inlet invert: Depth of solids layer: Depth of scum layer. Dimension of cesspool: Materials of construction: Indite of groundwater: inflow(cesspool must be pumped as part of inspection) Wits:(note condition of soil,signs of hydraulic failure, level of ponding, condition of veg etation,etc) lBIVY: Qoeate she plan) Materials of : Dimensions• Depth of solids• C a manta:(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.) (revised 11/03/95) g F SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (oontinued) Prop"Addeere Owner. ✓/i?S rj�ffv S v�r ' Date of Inspection: SKWMH OF SEWAGE DISPOSAL SYSTEM: include tin to at Last two permanent references landmarks or benchmarks locate all well within 100, GA/IgG/' Bvc�/y6Ao o \qi - I i DEPTH TO WOUMMATER Depth to v=9woter .gyp- feet sntW of dstwmiW�ar appr==twn: PVAI!5119/91,,e Cs/S UI% ?//,d _Ar so -9 ,/5- - ys, ais, (revised 11/03/95) 9 RTIFIED SEPTIC SYSTEM REPORT LOCATION 96 RIVERVIEW LANE CENTERVILLE, MA MAP 228 PARCEL 162 PREPARED FOR SELLER MRS . JOAN LUKE 530 MIDDLE RD . GULFSTREAM, FL 33483 I BUYER MR. WALTER WENSKEVICH MS . REGINA HURLEY 52 JOAN RD . CENTERVILLE, MA 02632 PREPARED BY HILLIARD HILLER P .O . BOX 250 CENTERVILLE, MA 02632 508-778-1472 _ PROVIDE PRECAST CONCRETE 0� EXTENSION RISER WITH CONCRETE FINISH GRADE OVER D-BOX= 49. ± FINISH GRADE OVER CHAMBERS = 49.13' (MAX) 3/4"TO 1-1/2"DOUBLE WASHED TOP FOUNDATION COVER TO WITHIN 6"OF FINISH GRADE REMOVABLE CONCRETE COVER STONE TO CROWN OF PIPE ELEV== 5O.$ ±' OVER INLET AND OUTLET COVERS. TO WITHIN 6"OF FINISHED GRADE o 4" PERFORATED PVC PIPE WITH SCREW 4 SCHEDULE 40 PVC MIN SLOPE 1 /o � GENERAL NOTES FINISH GRADE TYPE CAP TO WITHIN 3'OF F.G. 2 OF 1/8 TO 1/2' DOUBLE 5" DIA. OUTLET(S) SLOPE @ 2% MIN. OVER SYSTEM (SEE NOTE#21) WASHED STONE @ FND. EL.= VARIES FINISHED GRADE OVER TANK EL. 49 5'± UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION 20" MIN. ACCESS COVER } } PLACE RISERS ON ALL METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE (TYPICAL FOR 3) PROPOSED 4" I I TOP OF SAS = 46.13' CHAMBERS TO 6"OF ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. EXISTING 4" PVC SEWER PIPE 36"MAX. , 9"MIN. FINISHED GRADE -- - 9"MIN. 45.30 36"MAX. BREAKOUT EL = 45.80' 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD SEWER PIPE EXIS i iNU 4" OF HEALTH AND THE DESIGN ENGINEER. FSEWER PIPE 6" 3" 3"DROP MAX 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 2"DROP MIN 3' 9 PROVIDE WATERTIGHT BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. 10" " * 4 PVC IN FROM JOINTS (TYP.) 0 0 0 O 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 14 46.L " SEPTIC TANK 4" PVC OUT TO p c� ELEVATION =45.80' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS O LEACHING FACILITY oo = = = °° o A 40 MIL GEOMEMBRANE LINER IS PLACED AT LEAST FIVE FEET FROM S.A.S. AND THE TOP p 00 OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR CONTRACTOR SHALL 12" 2' o o o �p p000 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET TEE 45.64' MIN. 45j.47' 0 0 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. AND CONDITION OF EXISTING TEES 22"ZABEL FILTER 1 p 0 0 0 0 0 0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO EXISTING SEPTIC AND REPLACE AS MODEL#A1801-4x22 6 CRUSHED STONE o _ TANK NECESSARY OVER 4.0' BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR COMPACTED BASE LLY 4.0 8.5' (TYP. FOR 1) 3.55' 3.55' INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING 5 4.9' APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. OUTLET DISTRIBUTION BOX 25.0 (TYP ) TO BE INSTALLED ON A LEVEL STABLE 8. ELEVATIONS BASED ON APPROXIMATE M.S.L DATUM OF 50.00' BASE. FIRST TWO FEET OF OUTLET /,43.30' < 38.00' TYP GROUND WATER ELEV.= ESTABLISHED ON A NAIL SET IN A BEECH TREE AS SHOWN ON PLAN. EXISTING 1000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 2 - 500 GAL. CHAMBERS 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION CROSS SECTION VIEW 5'MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW AT1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. NOT TO SCALE CONTRACTOR TO VERIFY NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE -- -- STRUCTURES SHALL BE MADE WATERTIGHT. TEST PIT DATA 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR Ch f • ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH r Donna Miorandi DETERMINATION FROM APPROPRIATE AUTHORITY. • , INSPECTOR: • 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS • " • It 0 � SOIL EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE + 1I • • `11 • • ' • I!• DATE: June 4, 2007 THEY SHALL WITHSTAND H-20 LOADING. + * • "�/ . TEST PIT#: 1 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND �� • +fir +� ' �` ELEV TOP= 49.00' 14. WHERE REQUIRED CONTRACTOR SHALL REMOVE ALL LOAM SUBSOIL AND . .0. " • ELEV WATER= <38.00' UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF + , LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN Qi ""`" �\• • • PERC RATE _ <2 MIN/IN COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN 00 • • ACCORDANCE WITH 310 CMR 15.255(3). MAP 228 co DEPTH OF PERC= 34"-52" 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN PARCEL 99 TEXTURAL CLASS: 1 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. / * • -"` rRFEt; o� I • II � � • '� _ � 0" 49.00' 16. PROPOSED PROJECT IS LOCATED WITHIN: „ ASSESSORS MAP 228 PARCEL 162 PROPOSED 2 - 500 GALLON CO p , Fill LEACHING CHAMBERS o a • . wr OWNER OF RECORD: KARYN B KUHN PROPOSED 16 47.67 ADDRESS: 96 RIVERVIEW LANE (5) 33, DISTRIBUTION BOX MAP 228 fr CENTERVILLE, MA 02632 B Medium Sand / / I LOT 160 10Yr 5/6 FEMA FLOOD ZONE C % (4) 250, ^(6 ; + AS SHOWN ON COMMUNITY PANEL# 250001 0005 C 4 / _ _ �X s 34' 46.17" 40 / ' / �-I' Perc - 17. PLAN REFERENCE: rY 1. RIVERVIEW LANE LAYOUT(BOOK 399, PAGE 65) • •+ 52" ' 44.67' 2. PLAN BOOK 17, PAGE 3 v�° MAP 228 / s 10 - ,� ���-� i . . v / PARCEL 162 �� TP 1 � T ! C ` 18. DEED REFERENCE. �_ `� 20,710±S.F. / 9.00' (3) � X-v }� ,. • M+. Medium-Coarse Sand 1. BOOK 10767, PAGE 270. 0 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. � 40 Cam /o/ HC 3 } N Benchmark �� ' (Loose, 5-10 Gravel) 44/ ,90/ / Nail in Beech Tree �,' • '� yys�cc `' 20. PROPERTY LINE INFORMATION IS APPROXIMATE ONLY. THIS PLAN IS TO BE USED ONLY o �/ EXIST. WATER HC 2 �S� Elev. =50.00' M{ •• '.+, �✓ �G,! . �_: FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY Approx. M.S.L. FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. SERVICE LINE (APPROX. LOC.) #96 132" 38.00' 21. A 4" PERFORATED SCH.40, PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION, TO A EXISTING / DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A / G / 3-BEDROOM LOCUS PLAN REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. w DWELLING / No Standing,Weeping, or BH MAP 228 SCALE: 1" = 1000'i Mottling Observed PARCEL<�9 \ 161 \w TEST PIT DATA CHIMNEY / \ LEGEND �(2 I EXISTING SOIL ABSORBTION SYSTEM I00X00 EXISTING SPOT GRADES / I DECK Donna Miorandi HC 1 c2)`�`t � DESIGN DATA INSPECTOR: - _ --inn _ (EXISTING ( REEZE - EXISTING DISTRIBUTION B' SOIL EVALUATOR: Michael Pimentel, E.I.T. EXISTING CONTOURS � NAY = a \`� June 4, 2007 DRIVE I� `F � a �° �., �CONNECT PROPOSED 4 PVC PIPE DATE: 102 PROPOSED CONTOURS co �04 °• pa�TJ �'CO \k�ke\ TO EXISTING SEWER PIPE TEST PIT#: 2 �%' X \ o EXIS' iiv I vvu �a �w NUMBER OF BEDROOMS _ ELEV TOP= 49.10 102 PROPOSED SPOT GRADE . \X�X �j o' DESIGN FLOW 110 GAUDAY/BEDROOM -� �;�" GARAGE - e, --° .��•- �X � SEPTIC TANK u- / \ o X TOTAL DESIGN FLOW 330 GAUDAY -X-X-X-X-X- a / P ELEV WATER= < 38.10' EXISTING FENCE LINE t POOL r DESIGN FLOW X 200 % = 660 GAUDAY PERC RATE _ ❑/H/W EXISTING OVERHEAD WIRE -v ° USE EXISTING 1000-GALLON SEPTIC TANK DEPTH OF PERC= ° // TEST PIT LOCATION 77 >`r &/y / / TEXTURAL CLASS: 1 (f�D-) \T)t'E \ ��N�c�-'�: �/ �0 EXISTING 1000 GALLON SEPTIC TANK fi411� �� INSTALL 2 - 500 GAL. CHAMBERS 0" 49.10' 143 sg, Fill �y PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE SIDEWALL CAPACITY 16" 47.77' `� i ❑(LENGTH +WIDTH)(2)(2' HIGH) (0.74 GPO/S.F.) = GAUDAY PROPOSED DISTRIBUTION BOX (25.0' +12.0') (2)(2') (0.74 GPD/S.F.)= 109.5 GAUDAY B Medium Sand 10Yr 5/6 © PROPOSED 500 GALLON LEACHING CHAMBER �\ 34" 46.27' MAP 228 PARCEL 163 ��'Y��.\ --� /` MAP 228 BOTTOM CAPACITY PARCEL 101 ( LENGTH x WIDTH ) (.74 GPD/S.F.) = GAUDAY 1 6-19-07 MCP JLC ADDED EXISTING WATER LINE (25.0'x 12.0') (.74 GPD/S.F.) = 222.0 GAUDAY REV. DATE Wt APP'D_ DESCRIPTION Medium-Coarse Y6/6 Sand C PROPOSED SEPTIC SYSTEM UPGRADE TOTALS: (Loose, 5-10%Gravel) PREPARED FOR: KARYN B KUHN TOTAL NUMBER OF CHAMBERS: 2 TOTAL LEACHING AREA: 448.0 SQ.FT. LOCATED AT TOTAL LEACHING CAPACITY: 331.5 GAL./DAY 132" 38.10' 96 RIVERVIEW LANE SWING TIES No standing, weeping, or CENTERVILLE, MA 02632 Mottling Observed DESCRIPTION HC 1 HC 2 HC 3 SEPTIC COVER IN (1) 29.7' 25.9' - RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: JUNE 5, 2007 0 10 20 40 80 FEET tiH OFU1, r -- SEPTIC COVER OUT(2) 32.4' 29.1' - �° SOH, L. is PREPARED BY: o CHU tC��HILL �� JC ENGINEERING, INC. LEACHING CORNER(3) - 30.0' 42.7' ° J . CIVIL 2854 CRANBERRY HIGHWAY LEACHING CORNER(4) - 33.4' 28.1' NOTE: N " a,e°' LEACHING CORNER(5) - 44.2' 39.7' 1.) MAGNETIC MARKING TAPE SHALL BE EAST WAREHAM, MA 02538 SITE PLAN PLACED ALONG THE TOP EDGE OF EACH • f 508.273.0377 LEACHING CORNER 6 - 41.6' 51.1' _._.._. O SEPTIC SYSTEM COMPONENT. Drawn By: MN Desi ned By:MCP Checked By:JLC I JOB No.1183 j SCALE: 1' =20 9