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HomeMy WebLinkAbout0127 RIVERVIEW LANE - Health 127 Riverview Lane, Centerville �� �RECV[lfpc UPC 12543 NO 53LOR �PoSI.CONS°� HASTINGS, MN z- TOWN OF BARNSTABLE LOCATION t a7 RNV6>ZW6W LAME SEWAGE# `AQ US �- "VILLAGE C(: kViU-C- ASSESSOR'S MAP&PARCEL -tag I '7 8 '00 INSTALLER'S NAME&PHONE NO.I.A_eG(JLVC- 6jraapusi� SEPTIC TANK CAPACITY. tfoo® C—ic"i 9 o i LEACHING FACILITY.(type) 5) C"kt3fitg (size) 3q � NO.OF BEDROOMS 3 OWNER 4ZiS-w G KEY PERMIT DATE: 7-/0 -A0 ; COMPLIANCE DATE: ? + 3- 15 Separation Distance Between the: &to Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility EIJC®qvaTc�,� Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) NIPA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) too Feet FURNISHEDBY CAPGO(AG CPS ��'� O A-z; JL"° A_3; V 3° Q-3 = 2.'i,9 e � A„y ° t-L, NAw 5 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yet application for aispo8af 4&pstpm Construction Permit Application for a Permit to Construct( ) Repair()� Upgrade( ) Abandon( ) [Complete System ❑Individual Components Location Address or Lot No. 1 a.-7 R1VF_P_VJE✓kj CA,J e✓ Owner's Name,Address,and Tel.No. d 1 Vj,_C �C t s;rc,s c' <<cY Assessor's Map/Parcel ;Lag rI g o o l *—swp KEArA-tj"'PM 0A tt;L-3 EA U H1 Installer's Name,Address,and Tel.No. 570$ —(+ j $g 7-1 Designer's Name,Address,and Tel.No. 5LV--4-71-W-n CAPGuw tD E L/,C, Z-e, wee(Ji s& mac. 1,53 co NAA-Si}Pew 11%94 CRfW 0 E. klAtegAm Type of Building: + Dwelling No.of Bedrooms 3 Lot Size ko _sq.ft. Garbage Grinder( ) Other Type of Building ZES No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 336 gpd Design flow provided 3531 l gpd Plan Date .rV" I �4-0(5 Number of sheets t Revision Date Title l al (Z(O 6V V fCqA) jAxJK \/ej (.;f Size of Septic Tank l,p00 C.dl{1_ lj Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) QS E C—Y(� lC N N tto D-A a?c -M LC 7(a d qAa,tl sW-1-TL4 3 F�1I OF A-CzaR�-16 5«6:S AI&I do s-� Dti &WD-5 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health, Signed Date '7 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 1 Lj i9t Date Issued 5 Fee ap `THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1 Yes PUBLIC HEALTH`DIVISION : TOWN OF B.ARNSTABLE, MASSACHUSETTS 2pplitatlon for Disposal stem Construction Permit '�'7C 7P � Application for a Permit to Construct( ) Rewpair()� Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. (a-7 RXdF_R.V(F�W L A ,xj C Owner's Name,Address,and Tel.No. CtV/ti.L ots-ripe KCY Assessor's Map/Parcel ';L;Lgjr1gj00j t !e U-P 0A# '3 C-A U N Installer's Name,Address,and Tel.No. Sv$ _t.-11 „$8 Y-7 Designer's Name,Address,and Tel.No. CAPGWt1D6 &- 7tw_pAJSj-,S G.C.C. 3c. C- ir-ISZXjQa mac. (53c o S LV4 )6ewA 14W E L Type of Building: DwellingNo.of Bedrooms +Lot.Size (p 0 " sq.ft. Garbage Grinder( ) Other Type of Building P,eS(DE'N" 1A-Lr No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 31(o gpd Design flow provided 3 $3.l gpd Plan Date _.. zr%)" 2 a \0(5 Number of sheets Revision Date Title 1 21 R 1 U EQ V t MC_ Size of Septic Tank I i ppQ C-_J.r r CA- Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) UA e EY I a I LIG 1000 C_4,4� 5tiPT tC..-t-AW V� Dal S! dI&I AJ-62Er btw G5 , 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 of Healt . Signed Date 17 r 1 p.1 5 Application Approved by Date 7 ` 1 o J Application Disapproved by Date for the following reasons Permit No. Date Issued l THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by ( Y I NE 6 M"��- at GO I U W ELA) tAIJ - C'V I L A 45 has been constructed in accordance l with the provisions of Title 5 and the for Disposal System Construction Permit N.. P<X f dated /6 /�S Installer GAPGAAbg L(,(�, Designer JC EN)61rptizg4 #bedrooms 3 Approved de Dfncoto 3 gpd The issuance o this pe6it shall not be construed as a guarantee that the system win as deli d. Date 3 h Inspector ------ ------------------------- ---------- ----------------- - n'- No. l Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(J\) Upgrade( ) Abandon( ) System located at ( ,l7 R l V Ems/!tC 4j « Ci WTQ9N l LA_G and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mu t be co pleted within three years of the date of thQby Date �� Approv r Town of Barnstable Regulatory Services Thomas F. Geiler,Director • �► Aa • • Public Health Division MABB. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax; 508-790-6304 Date: 7-Z3 _i 5 Sewage Permit# Z ► ' 2-2-1Assessor's Map/Parcel 22S / 179/01 Installer & Designer Certification Form Designer: SC En9ineeri,)S, Tmic;_ Installer: Ca(�ewide �vlEerecise� LAG Address: 2j✓5Y Cconbe•cy Hk1,nw!!%/�______ Address: 153 GoMmerGcal S'ECeet EASA wcreharvl HA 62538 H451vete., N/t OZ(e y On 7 7n 2.3 t,' e. EoterfGseS was issued a permit to install a (date) (installer) septic system at ►27 -tur-r yt*.w Lane_ based on a design drawn by (address) yj c,e r(A C t 7v1 C,, dated T"lli $ 1 241 S (designer) �I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the g y PP g distribution box and/or was septic tank_ Stri out (if required) inspected and the soils P P Q P Nvere found satisfactory. l certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if req ' nspected and the soils were found satisfactory. Vo` l0 JOMN L. JCMUf:'�!I:L •i (I staller's Si tore) er No�415*7 &Tel- esigner's Signat Our (Affix esi s Amp Here) PLEASE RETURN BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU, q',ofi'irc ibmu'Jrsignrr:ertil'icatiun lonn.duc 1• . 7 Town of Barnstable P '. Departiment of Regulatory Services BAHttBTAaIJC Public Health Division Date 04111 � MAM 46jy. 200 Main Street,Hyannis MA 02601 rfl)A0.A'I� Date Scheduled Time-- —�'""' . Fee Pd. 100 , Stull [Suitability AssesSmentfor ,Se ale isposal Performed By: 1 ,t 1,Mpfw ,. t.T_1 r n Witnessed By: ✓ ]LOCATION& GENERAL INI'ORMATION Location Address Owner's Name KE(S'Z f NC K9_Y 07 P,I(J6zVre312,) L4;e < �pU J b� KE v<PAFED�1 KE r (-(� Address (iD" Assessor's Map/Parcel: -A �I7 8 (Oc I Engineer's Name 0�'Ca4P* 0 NEW CONSTRUCTION REPAIR Telephone# �o �1��-7 �QB-273-037 -7 Land Use Slopes % 5!a P ( ) Surface Stones Distances from: Open Water Body 7106 ft �Posslble Wet Area ft Drinking Water Well ft Drainage Way ft Property Line 7/O ft Other ft 'A SKETCH.'.(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands fn proximity Wholes) 1 r Parent material(geologic) &A(V05�j Depth to Bedrock 7( 212, ti Depth to Groundwater. Standing Water in Hole: 7 3 2 Weeping lfom Plt Pace 7 1 3 2 t Estimated Seasonal High Groundwater 7132, DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: J)U-CA C>o5etu-ttai Depth Observed standing in obs.hole: 7 t 3.2 In. Depth to soil mottles: 7. ]tt, Depth to weeping from side of obs.hole: in. Groundwater Adf uNtment — f[. Index Well# Reading Date: Index Well levol ,_ _� Adj.factor AdJ.Croundwater love) s PERCOLATION TEST ]Date 6-14-15 7bue f1 apt Observation Hole H ITime at 9" 4 Depth of Perc 33.-51 R - Time at 6" Start Pre-soak Time @ /1.00 C'm Time(9"-6") r End Pre-soak I I't5 q a(.4 Rate Min./lnch Z Site Suitability Assessment: Site Passed e'5 Site Failed: — Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is Ito be conducted within 100, of wetland,you must first-notify the. Barnstable Conservation Division at least one (1) week prior to beginning. QASEPTICVERCFORM.DOC $ /J� 111ii/ U DEEP.OBSERVATION ROLE LOG Dole# r ( L Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Stnucture,Stones;Boulders. onsistency,%aravel) 0-(2 12 -r(o ,t L 5 /UYr�ri - 16- 33 L s OyT sib - - 33-132 C M-C 5 2.-5Y 0/6 - v DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other. Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% ra DEEP OBSERVA TION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Graven DEEP OIBSERVATION DOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency, a flood Insurance Rate Map: Above 500 year flood boundary No— Yes ._ Within 500 year boundary No✓ Yes Within 100 year flood boundary No. Yes Death 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? Ye-5 If not,what is the depth of naturally occurring pervious material? Certification I certify that on /-0"27-9 9 (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,expertI a and erience described in 10 CMR 15.017. Signature Date 7 Q:\SEPTlCVERCP0RM.D0C Commonwealth of Massachusetts =— Executive Office of Environmental Affairs RECEIVED Department of MAY 8 1997. Environmental Protection HEALTH D`PT. William F.weld TOWN OF BARNSTAGLE Governor Trudy Coxe Secretary,EOEA David B. Struhs Commissioner SUBSURFACE SEWAGE,DISPOSAL SYSTEM INSPECTION FORM PART A ` CERTIFICATION Pro ert Address: 1e���1 .s Address of Owner: P Y vc.-v;r.v.il.�v. Le..-TS(LVt �: Date of Inspection: -4 `'_7 (If different) Name of Inspector: ( ,, ('I '.�Z f j_�.;r1-S Company Name, Address an Telephone Kumber: 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 se age disposal systems;. The system: Passes Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails ,/ Inspector's.Signature: r Date: 7 <3� The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty 00) days of completing this inspection. If the system is a shared system or has a design flow of i0,000 gpd or greater, the inspector and the system owner shall submit the repot. to the appropriate regional office of the Department of Environmental Protection. the original should ae sew tL !nc• system o\Nner and copies sent to the'buyer, ii applicable and the approving aj-lnorit . INSPECTION SUMMARY: i Check A, B, C, or D: A] SYYSSTEM PASSES: y I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: ✓ �d ,One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, 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 exhltration, 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 8/15/95) One Winter Street a Boston,Massachusetts 02108 • FAX(617)556-1049 a Telephone(617)292-5500 t<�, Printed on Recycled Paper ................. i r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) , Property Address:' ? Owner: (*04*613'1'\r'j Date of Inspection: 7 B) SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box 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 CJ }FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: ✓ 1 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. T) SYSTEM WILL PASS.UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER '' -- WHICH WILL PROTECI THE PUBLIC HEALTH AND SAI`E.IY AND THE ENVIRONME:N1: 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) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONAIENT: _ IhP wSlem ha, a sewic lanK anu soil ausurpriuu sys�ieni anu is within iw fcci ii, a Sui(uCc tact 5uPP!) G'- triFiutarr' to a surface water supply. _ The systen, hay 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 soi 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 toliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. -- —DJ SYSTEM FAILS: --- �I I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. 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. (revised B/15/55) 2 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A -- - CERTIFICATION (continued) Property ddress: C � il.r,-.�'u t ri✓ (, t. . C. c.rv7 Owner: d'100N%'Tz�—S Date of Inspection: y -31) 7 D] SYSTEM FAILS (continued): 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 1/2 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 c6liform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM'FAILS: The following criteria apply to large systems in addition to the criteria above: The design flog of system is 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 v,ithin 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 suppiy well' The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 6/15/95) 3 SUBSURFACE SEWAGE DISPOSAL"SYSTEM INSPECTION FORM PART B CHECKLIST Property`Address: ? l�rW.-cv Owner:1110 rv,,T ej Date of Inspection: 7 Check if the following have been done: Pmping information was requested of the owner, occupant, and Board of Health. _ZNone 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. /Vr'l_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. V-The system does not receive non-sanitary-or industrial waste flow a,� a site.was inspected for signs of breakout. All system components, excluding the Soil.Absorption System, have been locatbd on the site. e septic tank manhole, were uncuvewd, upened, and the intetiut of the septic tank was inspected fur cunditiun of baffles ur tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil.Absorption System on the site has been determined based on existing information or appro),,imated by nun-intrusive methods. _The faci;i;, o..:,; o:c�pa:; , i d:<<e e^e,Lo� ov.ner; were provided with information on the proper maintenance of Sub- Surface Disposal System. .r' i i (revised 8/15/95, 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address:i DC7 Owner: Date of Inspection: FLOW CONDITIONS RESIDENTIAL Design flow: Qallons Number of bedrooms: =Number-of current Garbage grinder (yes or no): Laundry connected to system (yes or no):� Seasonal use (yes or no):!`T � ) Water meter readings, if available: I Last date of occupancy-: r�SJ COMMERCIAUINDUSTRIAL: Type of establishment: Design flow:_gallons/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: OTHER:.(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped.as pan of inspection: (yes or no)_ If yes, volume pumped gallons 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) Other (explain) APPROXIMATE AGE of all components, date installed (if known)and source of information: l- Sewage odors detected when arriving at the.site: (yes or no)L� (revised 8/25/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Properly Address:. 7 Owner: G Date of Inspection: 3� "V7 SEPTIC TANK: "� r (locate on site plan) cl,� Depth below grade: Material of construction: _concrete _metal _FRP _other(expla'in)' ; - --Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: I%k Distance from top of scum to top of outlet tee or'baffle: to c� Distance from bottom of scum to bottom of outlet tee or baffle: l a 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.) GREASE TRAP:,7 (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP other(exp.lain) _. Dimensions: Scum thickness, Distance from top of scum to top of outlet tee or baffle: Dictance from hotto r to hhttnm of owip! tee 0_• t)a!ttp' 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 8/:5/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Properfy Addiess: f)-� G�.>•17— Owner: Date of Inspectio•: TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP _other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: Comments: --- (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX:_✓ (locate on site plant. Depth of liquid level above outlet invert: Comments: mote it ievei anti distribut,�,;: e,UcrICE of>u!.)d ca:t�o,et, evidence of leakage into or out of boa, etc.) PUMP CHAMBER: 7 (locate on site plan); Pumps in working order.(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/15/95) 7 • i, r SUBSURFACE SEWAGE DI SPOSAL SYS TEM EM INSPE CTION N FORM PART C. SYSTEM INFORMATION (continued) Property Addressc 7 l vr^v'��t c t �•i�.�t.. �.<ti^ti Owner:1%v`70%*k C r J Date of Inspection: SOIL ABSORPTION SYSTEM (SAS):____ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined•to be present, explain: Type: leaching pits, number: leaching chambers, num er:_ leaching galleries, number: leaching trenches, number,length: i;'' leaching fields, number, dimensions:_ _ overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of,p'onding, condition of vegetation,etc.) CESS.PQOLS: (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 gro`undwatc inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of pondmg, condition of vegetation, etc.) PRIVY: (locate on site plan) Dimensions: Materials of construction: Depth of solids: igns of hydraulic failure, level of ponding, condition of vegetation, etc.) Comments: (note condition of soil, s 8 trevised 8/15/95) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property ddress:/a Ic i 7 vim-U Owner: j�o0-,h Z T-r-S Dale of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 0 O i -DEPTH TO GROUNDWATER _ _.:,; .....:_,:..:...:.,....._,_,. ................ _ _ . Depth to groundwater: le feet , method of determination or approximation: �T17aN/ 14"1 �. i..•�Yc'� =t'1!Gk7'o✓lr.aq..S> (revised 8/15/95) 9 AL' .—, , —...1 t. ._ 1 . > . . aAj.i LOCATION GD e2 /I L1 "!eJ 11 VILLAGE �(// �itl --7� 1`-i -- DATE ! $L APPLICANT FEE_2�_� ADDRESS TELEPHONE NO. (Non-refundable) ENGINEER /����+'� �+,y�t�•✓'! T NO._ DATE SCHEDULED (Appli t' ignature) O O . O . . . . . . 0 . . . . . . . . . . O`o O . O . . . . . ..;...,.'. . . . . . . . . . . . . O . . . . . . . . O . O . . . . . . . . O . { SOIL LOG SUB-DIVISION NAME*, s DATE_G/Z.. TIME Sa —A> EXPANSION AREA: YES -- ENGINEER TOWN WATER 4-VVIVATE WELL BOARD OF HEALTH EXCAVATOR SKETCH: (Street name, etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES : i � • s PERCOLATION RATE: TEST HOLE .NO: ELEVATION: TEST HOLE NO: ELEVATION: 2 2 �. 3 3 4 4 - 5 5 l 6 GG 6 8 djr 8 9 9 10 10 11 11 12 12 13 13 14 14 i 15 15 � 16 16 ' SUITABLE FOR SUB-SURFACE SEWAGE : LEACHING FIELD _LEACHING PITS__ LEACHING TRENCHES ; UNSUITABLE FOR SUB-SURFACE SEWAGE . REASONS : NOTE : ENGINEERING . PLANS MUST SHOW NUMBER ASSIGNED ON PERC AS APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P . E. AND RETURNED TO BOARD OF HEALTH COPY: - RETAINED BY APPLICANT .L-O C T ION S EW A G PERMIT NO. - AprOW YY - ~ Ib I L L AG E , �1,� ( — I-7S' 001 I N S T A LLER'S- NAME & ADDRESS GUILDER OR 0WNER DATE PERMIT rSU.ED I D ATE CO.M ►LIAN-CE hSSUED I . bqon d 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1� ...... ...<��t/.nJ..........OF..., c.�l .,&CC ............................ Appliration for its oral Works. Tonstrudi an 11.0rutit Application is hereby made for a Permit to Construct ( Repair ( ) an Individual Sewage Disposal Sy �iU %2lJFc�._ ....... � 8 T .....� - .... .........•... .... . ...... Location Address or Lot_No. .• Owner Address Installer Address Type of Building p Size Lot.../ .23?.:Sq. feet w Dwelling—No. of Bedrooms..........�..1.............................Expansion Attic ( j Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria na Other fixtures ................................... . W Design Flow..............` ................gallons per person p� day. Total daily flow.............S..34:2...............gallons. WSeptic Tank—Liquid capacity allons Length.J9F....*.. Width..,,.�_4 Diameter................ Depth..' .-5e.." x Disposal Trench—No..................... Width.................... Total Length.................. Total leaching area....................sq. ft. t�Seepage Pit No......../-------- Di eter... .-...... Depth below inlet....C2.7....... Total leaching area...J�' C?..sq. ft. Z Other Distribution box ( Dosing tank ( ) / Percolation Test Results Performed by E -:�!Q.,�Z,�¢U.�r�..1............... Date....6 .L.�i.'.`�..�. a 14 Test Pit No. 1...A minutes per inch Depth of Test Pit... Depth to ground water_.. .Ar4....... Grr Test Pit No. 2...!!'..•....minutes per inch Depth of Test Pit....45`.Y.--`-. Depth to ground water....e�...... w�+ 2Tj• '=(• ..................................^.......... .......`.�.....�...........!.....�....� . '9 escri�tion of o O i ••l•. ...... ... Q ........... Sef-n..-�..C6 ------------- --.•_•--?------•--.�..-.-�---•--.�-.•?.-./-.-.•.-.�-.._.........-..•..-..-- ......-•- - W UNature of Repairs or Alterations—Answer when applicable............................................................................................... •-•------------------------------------------•------...........••---•----•-•-•-•---•---•---•----•-•-•--•-........... 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 undersigned further agrees not to place the system in operation until a Certificate of Complianc s _ n issue he board cal Si ..�. --• •-• ---•• ................. .. L� ApplicationApproved By...1. .. .....:�..--•-•-•-••--........-•----:....-•-----•-•--......- --•........ ..:I.. .r�......................... Date Application Disapp e r e following reasons:.............................................................................................................. _ ............................. ...............................................................................................................................-......................... Date PermitNo................................................_._.... Issued.................. ............................... Dattee THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliratiun for Disposal Works Tonstrurtion Ifermit Application is hereby made for a Permit to Construct ( C),.or"Repair ( ) an Individual Sewage Disposal System at: -. ................ .......................X 0 7- *-a Location-Address ` or Lot No ............................. . ......::T;.�� .aLl....,: •.'.� :a?./. ?` .. •��.ti .:........_..... Owner Address .......----•-------. Installer Address Type of Building 1.�Size Lot... <. -: Sq. feet Dwelling—No. of Bedrooms.............. ............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . ---------------------- W Design Flow.............0 .................gallons per person per day. Total daily flow................ _...........'�_�a-.'��:' __.............gallons. WSeptic Tank—Liquid capacity/.494'?___`gallons , Length.e. _'!'t.__- Width._i!5C.�!.. Diameter................ Depth-.:5.`: ..' x Disposal Trench—No..................... Width............_..__-- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........ -------- Diameter..�.•.�. ....... Depth below inlet....f ^_:........ Total leaching area.-._!5'5_C_C_.sq. ft, Z Other Distribution box (�)� Dosing tank ( ) aPercolation Test Results Performed by .F-• _.A._.4f .,�,E,•-)............... Date.... � Test Pit No. 1.... ' ..minutes per inch Depth of Test Pit... Depth to ground water_. !l _........ w Test Pit No.'2...��::�"Z-minutes per inch Depth of Test Pit....r Yr✓'._`.. Depth to ground water....n.O ....... O Description of Soil..- ` _ t'?...:...._.. ._ . `��i'-`" .4. 9_s,-��.. W .._. --------------------------------•------•------•-•--------•-•-••-----.....------••-•-•------.........---•--•-----------------------•--•-•........... .--------- •-------------------- ----------------- U Nature of Repairs or Alterations—Answer when applicable........................................................•...................................... ----.....---•-••---------------•--......--•---••----------...-----.....----.....--------•-------•-------.....----------------•-....-•-----•--...----...------.........-•------...........•--••••__..•-•- Agreement: , The undersigned agrees to install ,the_aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.Z 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliances)VTFen issued-by the board of-health. ` ,.. .... !� / /Y Application Approved BY l ''..:............ {•-----•-----••-•----•--- Application Disappr ed r e following reasons:........................... Date ...--•---...-•-•----•---... -------------------------------------------------_.-----.......---------•-•---------------...--------•----•---._...------... -•-•----•------- Date PermitNo......................................................... Issued........................................................ Date • :s r r t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1` ! �- �. -_ � � �` �ler#ifirtttr of f�unt�rli�tnr�e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( r-)or R p ired ( ) by........ :t.a..-----..4....:........ �_..c��`;�,..r'>',� � �R-'J----------------.....--------------------------------------------------....----.......--------- Installer at........;1./?7......` =......!s+� C `7'1!�-��c' -`' '�?-, J =. r-..IL 11ce c:7� ----•-------•-- •------------ has been installed in accordance with the provisions of T TLC r of The State Sanitary---- IIe a, described in the application for Disposal Works Construction Permit No.. <Z_ •?.................. dated---1,✓!�r__Y ........................ THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRUE U RANTEE THAT THE 1 SYSTEM WILL../ � ION SATISFACTORY. DATE....�d -- ------•-------------••-----••-----------. Inspector .......: ------•• -------------------------•------•--•---.....--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 77 Disposal Works Tonstrnrtilan .er ' it Permission is hereby granted.. ... '� '�:: �.�'��'���`a-���� '� ....................................... to Construct ( —")--o—r -Repair ( ) an Individual Sewage Disposal System ..� at No........ _ "?. `:...-:!Zn...... (-:l• ��1. 1 L �4?,2'' Street as shown on the application for Disposal Works Construction Permit :O:�� . ^.. ...___: D ed...... .... 'r'y ..................... ... •- •-•••----•--- .......---•-••-•-.....•-•---•-•••-.................... - Boar of Health DATE.. .:............... " ... --- ------ FORM 1255 HOBBS r& WARREN, INC.. PUBLISHERS - � - � . 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(SEE NOTE#21) 2 OF 1/8 TO 1/2 DOUBLE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE , F.G. OVER TANK EL. = 38.8'± 5" DIA. OUTLET(S) WASHED STONE CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 38.8 ± 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 9"MIN. TOP OF SAS = 35.98' PLACE RISERS ON DESIGN ENGINEER. PROPOSED 4" 9�MIN. 35.15' 36" MAX. CHAMBERS w/PIPED 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL -EXISTING 4' _ r, 36 MAX. ' INLETS TO 6"OF SEWER PIPE --� 1 SCH. 40 PVC BREAKOUT EL = 35.65 �� SYSTEM UNLESS OTHERWISE NOTED. Fi; �" " SEWER PIPE _ FINISHED GRADE 6 3 3" DROP MAX ' °0 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN _. 2" DROP MIN 3 9 MIN.SLOPE@ 1% L 12 ± PROVIDE WATERTIGHT o 125 o 000 C%qo ELEVATION = 35.65' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A ! 13" 4" PVC IN FROM JOINTS (TYP.) O p 00 0 op 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF !'� 14" *36 2'+ SEPTIC TANK 4" PVC OUT TO -� p p o o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE O LEACHING FACILITY 1' pp coo 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SPECIFIED DROP BETWEEN o0 0 0 f INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL 12" 6" , p p p p p op o0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET TEE 35.70 MIN. 35.53 -1' oo o p o 0 CD � 00 0 000 0 000 00 0 0� o o po ��� ' o oo� o0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK ao o0 AND CONDITION OF EXISTING TEES GAS BAFFLE 6"CRUSHED STONE - FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY 2.0' (TYP.) 2.0' 3.0' (TYP.) 3.0' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 3.0' AND DESIGN ENGINEER. 5 34.0' 8. ELEVATIONS BASED ON APPROXIMATE MEAN SEA LEVEL DATUM. BENCHMARK ELEVATION OF OUTLET DISTRIBUTION BOX GROUND WATER ELEV.= < 28.00' 9 0� TO BE INSTALLED ON A LEVEL STABLE 33.15 40.00' ESTABLISHED ON CORNER OF A BRICK STEP AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET 5' MIN. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK CROSS SECTION VIEW 5 - LC-6 CHAMBERS 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. _ --�- 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING INV• �/ 045 ..50� # • , ' TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM "gyp too ' a + PERC NO. 14730 APPROPRIATE AUTHORITY. M 00 11 ' •, ; INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS '* EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE SWING-TIES Olt • • '� a6 C.S.E.APPROVAL DATE: Oct. 1999 •,, THEY SHALL WITHSTAND H-20 LOADING. • •MAP 228 DATE: June 26, 2015 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. � � � •� . � PARCEL 177 DESCRIPTION HC-1 HC-2 t o J.. '� " r e • 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM AND UNSUITABLE MATERIAL + TEST PIT#: 1 IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL CORNER OF STONE (1) 29.3' 28.1' r • r + ' ELEV TOP= 39.00' UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER • (! • ;ti i� UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). CORNER OF STONE (2) 25.0' 60.0' # • • � ��� M • • • � « It V ELEV WATER- < 28.00' j • •♦ « 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN CORNER OF STONE (3) 32.9' 62.8' + • « • . «� PERC RATE _ <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 1 EXISTING 1,000 GAL. SEPTIC TANK TO CORNER OF STONE(4) 36.3' 33.5' �S • ! � 1e • •4?, BE UTIL17_ED IN THIS DESIGN „+ DEPTH OF PERC = 33"-51" 16. PROPOSED PROJECT IS LOCATED WITHIN: CY) )t N,2o00,00"W PROPOSED DISTRIBUTION BOX • • , �� . TEXTURAL CLASS: 1 ASSESSOR'S MAP 228 BLOCK 178 LOT 1 o .. ' �,�1� , « OWNER OF RECORD: KRISTINE E. KEY • I « t� • 0"00 39.00' ADDRESS: 16-566 KEAAU-PAHOA#2-372 - a MAP 228 / / i f • '` KEAAU, HI 96749 BLOCK 177 * Fill PARCEL 001 • W " FEMA FLOOD ZONE X 16,730 S.F.± z . ;.P. • _" 12 Loamy Sand 38.00' / ' Q LOCUS ' A 10Yr 3/1 COMMUNITY PANEL# 25001C0564J Benchmark �� iw ❑iH w --- � �� ^ � �o r, 16" 37.67 17 DEED REFERENCE: BOOK 10766, PAGE 124 Cnr. Top Brick Step B Loamy Sand Elev. =40.00' • E Approx. M.S.L. HC-1 1"OA 2) 3) / _ _ �„ •• 10Yr 5/6 18. PLAN REFERENCE: P.B. 190, PG. 143 -39- 33" 36.25' 2 / ;.- • PercT 19, ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. OAK ' 51" 34.75' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY Tti O ROPOSED INSPECTION PORT �� ''� ; •� FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY #127 �J 39 � P 1 * FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. Med. to Coarse Sand EXISTING `�� / %� Q� " Ua •� C 2.5Y 6/6 21. A 4"PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A 3-BEDROOM `� 15„ ,`� / ROPOSED 5 LC-6 LEACHING - !` ' - ti �^�y�"'` DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A OFEL39 Oq� 3°' �� 11" OAK r CHAMBERS w/AGGREGATE REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. LOCUS PLAN /_� SCALE: 1"= 1000'� 132" 1 28.00' �CtO' o / / No Standing, Weeping or Mottling Observed - O DESIGN DATA TEST PIT DATA LEGEND r �40 PERC NO. 14730 / `� r�S• , /<v� INSPECTOR: David W. Stanton, R.S. 50xO' EXISTING SPOT GRADE / NUMBER OF BEDROOMS (DESIGN) 3 `� EVALUATOR: Michael Pimentel, E.I.T.DESIGN FLOW 110 GAUDAY/BEDROOM - 50 _ EXISTING CONTOUR ^ EXISTING LEACHING PIT TO BE PUMPED, C.S.E.APPROVAL DATE: Oct. 1999 HC-2 X^ TOTAL DESIGN FLOW 330 GAUDAY June 26, 2015 r� PROPOSED CONTOUR 36' REMOVED OFFSITE AND REPLACED WITH DATE: -38 / / CLEAN COARSE SAND PER 310 CMR 255(3) DESIGN FLOW x 200 % = 660 GAUDAY TEST PIT#: 2 F701 PROPOSED SPOT GRADE USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 39.20' G ELEV WATER < 28.20' El/H/W - EXISTING OVERHEAD UTILITIES = \� \ EXISTING DISTRIBUTION BOX PERC RATE = _W_W_ _ EXISTING WATER LINE INSTALL 5 LC-6 LEACHING CHAMBERS W/ AGGREGATE - GAS EXISTING GAS LINE BIT. DRIVEWAY / / --� DEPTH OF PERC = SIDEWALL CAPACITY TEXTURAL CLASS: 1 TEST PIT LOCATION % (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY � 0 EXISTING 1,000 GALLON SEPTIC TANK \ GqS f (34.0'+9.0')(2 ) (2' ) (0.74 GPD/S.F.) = 127.3 GAUDAY � `off 0" 38.80' PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE Aso oo, \ \ / �o ��-- � BOTTOM CAPACITY Nis-20•00„ \ G �co tiv ,/ (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY Fill 13 PROPOSED DISTRIBUTION BOX W -36- �- / v� �1 (34.0'x 9.0') (0.74 GPD/S.F.) = 226.4 GAUDAY � 12" Loamy Sand 38.20' \ 35 - / '4 <v 16" 37.87' \ / TOTALS: Loamy Sand / 5 B 1 OYr 5/6 \ Q TOTAL NUMBER OF CHAMBERS REV. DATE BY APP'D. DESCRIPTION - _ ---- \ s \ / 4 TOTAL LEACHING CAPACITY ACITY 353.77 GAL./DAY AL. MAP 228 TOTAL LEACHING AREA 478.0 DAY 33 3s.45 PROPOSED SEPTIC SYSTEM UPGRADE BLOCK 178 � � � � PARCEL 002 i PREPARED FOR: Med. to Coarse Sand CAPEWIDE ENTERPRISES C 2.5Y 6/6 LOCATED AT NOTES: 127 RIVER VIEW LANE 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC CENTERVILLE, MA 02632 SYSTEM COMPONENT. SCALE: 1 INCH 10 FT. DATE: JULY 8, 2015 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED 132" 28 20, o 5 10 20 ao FEET = LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. ! v No Standing, Weeping or Mottling Observed `jh of r REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH - n 4 PREPARED BY: JOHN L. TEST PIT DATA. RESERVED FOR BOARD OF HEALTH USE JC ENGINEERING, INC. CHUR HILL JR. 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS. i41L 7 2854 CRANBERRY HIGHWAY GI EAST WAREHAM, MA 02538 SITE PLAN _508.273.0377 SCALE: 1"= 10' Drawn By: JC Designed By:MCP Checked By:JLC JOB No.3144