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HomeMy WebLinkAbout0105 ROLLING HITCH ROAD - Health 105-R611ing Hitcli Road;Centerville s ��� �aEt:Yt'tEpc m/ eao aii � Z UPC 12543 No. 53LOR HASTINGS, MN J r1 ` No. a�-� . 1� F,L��i Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for -Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade 0 Abandon( ) Complete System ❑Individual Components Location Address or Lot No. [®rJ EZc3CGt�jC7,6�1 a'T4j4 Rb Owner's Name,Addr ss,and Tel.No. pmm Assessor's Map/Parcel [9�, (p j 0_1w �0-5 Q[a�aC U J&t+C-r f b✓ Vl�S' Installer's Name,Address,and Tel.No. "1 97"7 Designer's Name,Address,and Tel.No. _502-a73••-037`7 -Y_T &-3 awL CoD ;3� rAic { PA41f—si Type of Building: e�.7 !/ Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building P6sl 060T l&V No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3,10 gpd Design flow provided -3 3 5p,15 gpd Plan Date QC 9 e 30. '}01 9 Number of sheets I Revision Date Title f o 5 ROLU N G Rule- { RCS C(RJ78Qj-)t"C Size of Septic Tank 1 ,5o® (" A Type of S.A.S. (oZ) Description of Soil CCA&ic Skxl((gI 3,3Y / 9R5 RAU Nature of Repairs or Alterations(Answer when applicable) X AgQA6C=� RaL 1?cAAl Date last inspected: Agreement: The undersigned agrees to ensure the construction anWmaintenance e afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental ce the s e no/peration until a Certificate of Compliance has been issued by this Board of Health. n%% �u�� Signed Date Application Approved by__K1 Date Application Disapproved by Date for the following reasons Permit No. I-� f/J Date Issued �j�° 1+ AV..,.' 1`1 ^. n,P-; Wt7 F F h v ` No. -V �L ` Fee r 'ter Entered in computer: C= THE COMMON EALTH OF MASSACHUSETTS P Ye!` r, PUBLIC HEALTH DIVISIO OWN OF BARNSTABLE, MAS3ACHUSETTS 8 Y l�I ILAt10TY :fD IsposaY Opstem Construction permit , - Application for a Permit to Construct( ) . Repair(�) Upgrade(�f Abandon( ) Complete System El Individual Components ir � Location Address or Lot No< Q Owner's Name,Address,and Tel.No. Assessor's Mao/Parcel �„ . �Vl� �Ru4N 0 '� V ru Installer's Name,Address,and Tel.No. : %027—Wn-it$"?`7 Designer's Name,Address,and Tel.,No,,.502-273.E-03 7 t:Z098b'XT A 1O I VAA/ TC.C UFO Ocz TIC 14 CA&M-oft Hwy C Type of Building: Dwelling No.of Bedrooms Lot Size $,` } sq.ft. Garbage Grinder( ) Other Type of Building AES[ No.of Persons Showers( ) Cafeteria( ) ,Other Fixtures Design Flow(min.required) gpd Design flow provided .3 Sy gpd _1 Plan 30 'A®I cl Number of sheets'- Revision Date 2 Title . {O S Rouj w Ci k1 m Stze of.Se tic Tank p f `s0® ElyU!S Type of S.A.S. Sp !� * y` ell Description of Soil_ Coo4asa Ax�( 3�`P y, Nature of Repairs or Alterations(Answer when applicable) �"j K"��L �E ) $�j&(L CVj SE071 C du R1 -0 D-Qso 1 L Tb pax: PCAA/ Date last inspected: .Agreement: . `� ... / The undersigned agrees to ensure the construction and maintenance o h afore described on=site sewage disposal system in .g accordance with the provisions of Title 5 of the Environmental Code and ao�"to ISlace'the s stem'n,operation until a Certificate of Compliance has been issued by this Board of Health. Co( e ` Signed j" Date Application Approved by Date Application Disapproved by Date If for the following reasons Permit No. �,��r f J� Date Issued r THE COMMONWEALTH.OF MASSACHUSETTS , BARNSTABLE,MASSACHUSETTS `. , Certificate of Comoliante THIS IS TO`.CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(x) Abandoned( )by.• r "O �`f �QRt�. /.mil///! �f, at it) L4 A,)6 . ffi j<q R � /4 l-�'`haskbe'e constrii ted in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer R0WXr 0 (DURL dj Designer #bedrooms Approved design flow 3" gpd r The issuance of this permit shall not be'i`onstrued as a guarantee that the system will fu cfi`ornas desi ed. Dater Inspector 41 No. �(f� r (! f' `" Fee . . v THE COMMONW,VEAETH OF MASSACHUSETTS M PJBLIC HEALTH DIVISION=BARNSTABLE,MASSACHUSETTS -: ]Disposal Opsteln ,Construction Permit Permissionis hereby granted to Construct("J ) - Repair( ) Upgrade(x) Abandon( ) System located at 16K _ Q C (1 k4! ifY1b mil) V and as described in the above Application for Disposal System-ConstrudibnVermit. The applicant recognized his/her duty to comply with,!- Title 5 and the following local provisions.or special conditions: 1 - Ov. Provided:Construction must be completed within tliree ears of the date 4this permit., Date 1 .Approved by Town of Barnstable Regulatory Services Richard V. Scali,Interim Director aAntvsenBLX KAM � Public Health Division �+ a Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 8-19-21 Sewage Permit# '2OZI Ur(m Assessor's Map\Parcel 192/65 Designer: JC Engineering, Inc. Installer: Robert B. Our Co., Inc. (RBO) Address: 2854 Cranberry Hi hway Address: 363 Whites Path East Wareham,MA 02538 South Yarmouth,MA On `1tt3 ILI ; RBO was issued a permit to install a (date) (installer) septic system at_105 Rolling Hitch Road hag d on a_design drawn by (address) JC Engineering,Inc. dated 6-30-21 (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i fiance with the terms of the I\A approval letters(if applicable) j„lOr q. r X"L Gs� CHURCHILL,�. Cr s nature) CIVIL .h AP (D ner's Signature (Affix De p Her PL SE RETURN TO ARNSTABLE PUBLIC HEALTH D SION CERTIFICATE 9F_COIYIPLIAhLCE_�VILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU, Q:\Septic\Designer Certification Form Rev 8-14-13.doc eg ♦x r V Commornwea th of Mos3aChusetts .John Grad Executive Office of Ernirormental Affairs D.E.P. Title V Septic hispector Department of P.O. Box 2119 Environmental Protection Te 108) 5 MA U2�36 (508) 5G4-6813 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Z 3 PART A CERTIFICATION 47 106 Rolling Hictch Rd.Centerville Address of Owner: M RF Property Address. 4R O er Date of Inspection:2119197 (If different) 3 Name of Inspector:John Gracl Waldron 1 Company Name,Address and Telephone Number: T O Hp�Tlgg�F99, CERTIFICATION STATEMENT 6 I certify that I have personally inspected the sewage disposal system at this address and that the information report 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: X Passes This inspection Is based on criteria defined In Title V _ Conditionally Passes code 310 CMR 15.303.My findings are of how the system Is _ Needs F rther Evaluation B the Local Approving Authority Performing attartime of theInspection. a longevity does Y PP 9 tY not Imply any warranty or guarantee of the longevity of the Fells septic system and any of its components useful life. Inspector's Signature: Date: 2/27197 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 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: Check A, B,C,or D: / A) SYSTEM PASSES: X I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any 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 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 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 11115195) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 105 Rolling Hlctch Rd.Centerville Owner: Waldron Date of Inspection:2119197 _ Sewage backup or breakout or high static water level observed in the distribution box is 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 leveled 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)DETERMINES 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 of water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and is within a Zone 1 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 volatile organic compounds indicates that the well is free from pollution for that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal or less than 5 ppm. 3) OTHER 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 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 in 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 cesspool. SAS is in hydraulic failure. (revised 11115195) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 105 Rolling Hictch Rd.Centerville Owner: Waldron Date of Inspection:2H9197 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). Numbers 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 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. 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. E] LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria: 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 requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further Information. (revised 11115195) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: 105 Rolling Hlctch Rd.Centerville Owner: Waldron Date of Inspection:2J19197 Check if the following have been done: X Pumping information was requested of the owner,occupant, and Board of Health. X None of the system components have been pumped for at least two weeks and the 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. n/aAs built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was Inspected for signs of breakout. X All system components,excluding the Soil Absorption System,have been located on the site. X 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. X The size and location of the Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 11/15195) 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 105 Rolling Hlctch Rd.Centerville Owner: Waldron Date of Inspection:2119197 FLOW CONDITIONS RESIDENTIAL: Design flow: 0 gallons Number of bedrooms: 4 Number of current residents: 1 Garbage grinder(yes or no): Yes Laundry connected to system(yes or no): Yes Seasonal use(yes or no): No Water meter readings,if available: Iva Last date of occupancy: n1a COMMERCIAL/INDUSTRIAL: Type of establishment: n1a Design flow:0 gallons/day Grease trap present:(yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: n1a Last date of occupancy: n1a OTHER: (Describe) n1a Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System has not been pumped In the last two years. System pumped as part of inspection:(yes or no)Yes If yes,volume pumped: 1200 gallons Reason for pumping: Maintenance. TYPE OF SYSTEM Septic tank/distribution box/soil absorptions system X Single cesspool x Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records,if any) X Other(explain) overflow cesspool APPROXIMATE AGE of all components,date installed(if known)and source information: 25 years Sewage odors detected when arriving at Ahe site:(yes or no) No (revised 11115195) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 105 Rolling Hictch Rd.Centerville Owner: Waldron Date of Inspection:2119197 SEPTIC TANK: (locate on site plan) Depth below grade: n1a Material of construction:X concreate_metal_FRP_other(explain) Dimensions: n1a Sludge depth:n1a Distance from top of sludge to bottom of outlet tee or baffle: n1a Scum thickness:nfa Distance from top df scum to top of outlet tee or baffle:nla Distance form bottom of scum to bottom of outlet tee or baffle:n1a 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.) Na GREASE TRAP: (locate on site plan) Depth below grade: n1a Material of construction: _concrete_metal_FRP_other(explain) Dimensions: rda Scum thickness:n1a Distance from top of scum to top of outlet tee or baffle:nla Distance from bottom of scum to bottom of outlet tee or baffle:n1a 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.) Na (revised 11115195) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 105 Rolling Hictch Rd.Centerville Owner: Waldron Date of Inspection:2119197 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: n1a Material of construction:_concrete_metal_FRP_other(explain) Dimensions: n1a Capacity: n1a gallons Design flow: n1a gallons/day Alarm level: n1a Comments: (condition of inlet tee,condition of alarm and float switches, etc.) n1a DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: n1a :Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box etc.) n1a PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc.) n1a (revised 11115195) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 105 Roiling Hictch Rd.Centerville Owner: Waldron Date of Inspection:2119107 SOIL ABSORPTION SYSTEM(SAS):X (locate on site plan,if possible; excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: n1a Type: leaching pits,number: n1a leaching chambers,number:n1a leaching galleries,number: n1a leaching trenches,number, length: nla leaching fields, number,dimensions:nta overflow cesspool,number:6'x6'block Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) The overflow was empty at the time of the inspection It is structurally sound.Shows signs of being 314 full. CESSPOOLS:X (locate on site plan) Number and configuration: two Depth-top of liquid to inlet invert: A:V13:5' Depth of solids layer: A:1' Depth of scum layer: A:2• Dimensions of cesspool: both 6'x6' Materials of construction: both block Indication of groundwater: nfa inflow(cesspool must be pumped as part of inspection) n1a Comments:(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.) Main cesspools and all components are structurally sound.Recommend pumping system every year for maintenance. PRIVY: (locate on site plan) Materials of construction: n1a Dimensions: n1a Depth of solids: rda Comments:(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation,etc.) n1a (revised 11115195) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address' 105 Rolling Hictch Rd.Centerville Owner: Waldron Date of Inspection:2119197 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' f� AA 33 ��51 �� uy 0c DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts (revised 11115195) 9 TOWN OF BARNSTABLE LOCATION IC6 C-0C.,L N)G- 41 TC,J+ a . SEWAGE# VILLAGECCgMT X_.VI[_LE ASSESSOR'S M/A1P&PARCEL INSTALLER'S NAME&PHONE NO. _� ( U, Q.,e C5$l4-J SEPTIC TANK CAPACITY 1 0e) LEACHING FACILITY:(type) CtEAn NW—S (size) 7.0.3 K l(o•S NO.OF BEDROOMS 3 OWNER 1e-t A,,-3 ELIZ A 90DA DEVE - PERMIT DATE: 'j l I_� COMPLIANCE DATE: ¢3 ( I Z 1 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) 2 Feet FURNISHED BY 1� Q�"j' L OCAQ_ Cp 2 34 1 3fi 1 3 32.3 91•10 9 3o.8 41.1 L-J6 c(o xq•S c1S.5 . g 54.8 23.4 ,- 3 q , TOWN OF BARNSTABLE LOCATION (( �Qp(� -3& 141�f a SEWAGE# ZDZ( Z(p(p VILLAGE T�V_I[..C"E ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. f~E -,f Q. Q-e (5 13 I -71 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �ar,J. CdAa,)g S (size) Zp.3 K l(o•S NO.OF BEDROOMS 3 OWNER -�e t Ae+J -4 L17 A$LETIA —D E VEX PERMIT DATE: ^( COMPLIANCE DATE: ¢3 I(�17 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility I 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 f1ZQ( '� a. OtAX— Co A B 2 34.1 36.1 3 32.3 9(•(0 A 9 30.8 41.1 CIO �15 S 1 1- G 54.8 23.4 3 q FINISH GRADE OVER D-BOX= 69.5't ' h P NI F p T.O.F. EL.= 70.0't FINISH GRADE OVER CHAMBERS= 69.0 - 69.5 I�AL NOT P fPROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. OVER SYSTEM 3/4" TO 1-1/2" DOUBLE WASHED 1• UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE STONE TO CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL OUTLET TO WITHIN 6"OF F.G. r 4 SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS CODE AND ANY APPLICABLE LOCAL RULES. FINISHED GRADE 69.5 t (MAX.) MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) 2" OF 1/8"TO 1/2" DOUBLE WASHED f @FOUNDATION = VARIES (-5" DIA. OUTLET(S) STONE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 21"MIN. ACCESS 9„ MIN DESIGN ENGINEER. COVER (3 TYP.) 36" MAX. TOP OF SAS = 66.63' PLACE RISERS ON ALL 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROP. SCH. 40 9" MIN. CHAMBERS WITH PIPED I PROP. SCH. 40 36" MAX. 65.80' 36"MIN. �� SYSTEM UNLESS OTHERWISE NOTED. PVC SEWER PVC SEWER BREAKOUT EL= 66.30 INLETS TO WITHIN 6 OF ff6' FINISHED GRADE4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN � ' 2" DROP MIN. _ , ! ELEVATI N = ' FOR A DISTANCE F P RIM M SLOPE @ 1% 3 DROP MAX. 3 9 L-6 t ! O 66 30 O 15 AROUND THE E ETER OF THE SAS. UNLESS AMIN.SLOPE ,% PROVIDE WATERTIGHT o 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF * 4" PVC IN FROM JOINTS (TYP.) o o �`�' O THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 67 5 t (B) 14" 66.25' SEPTIC TANK 4" PVC OUT TO = = = O 0 0 0 0 o LEACHING FACILITY o0 0 0 �b o0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. ' N TEE oo o o 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 66.50 48 OUTLET TEE 66.17' IUI N. 66.00' 2 0 00 0 o 0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK o 0 C� 0 o 0 00 o00Po FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS TEES TO BE CENTERED GAS BAFFLE 6 CRUSHED STONE NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH DIRECTLY UNDER RISERS OVER MECHANICALLY o AND DESIGN ENGINEER. 28.0' OFFSET TO FND 5 COMPACTED BASE VAR I_ 8 5' (n,p) VA Vq 4 83' VA 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. SEE BENCHMARK ELEVATION AS 6" CRUSHED STONE OUTLET DISTRIBUTION BOX { VARIES SEE PLAN - i (TYP.) SHOWN ON PLAN. TO BE INSTALLED ON A LEVEL STABLE { ) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION OVER MECHANICALLY BASE. FIRST TWO FEET OF OUTLET r GROUNDWATER ELEV.= < 58.00' COMPACTED BASE 63.80 VARIES (SEE PLAN) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT PROPOSED 1 ,500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES 10'-61 WIDTH 5'-8" DEPTH 5'- rr 2 - 500 GALLON CHAMBER, s MIN. LENGTH CROSS SECTION VIEW TYPICAL CHAMBER PROFILE CHAMBER END VIEW � TO THE DESIGN ENGINEER. • (Dimensions per 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. ELEVATION PRIOR O ANY WORK &C 6tI-` I! IG I TANK H�Ut" IL� ACME/Shorey) Dl� l R16 I KJ b(),x ut,rAIL H-10 CHAMBER DETAILS NOTIFY ENGINEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING �- REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM SWING-TIES ' �, .. TF T PIT I APPROPRIATE AUTHORITY. - , •� p�• Ubl PERC NO. 21-163 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED DESCRIPTION HC-1 HC-2 - F-, cf l; ZONE 1 t8f1C INSPECTOR: David W. Stanton (BOH) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR SEPTIC COVER IN (1) 38.3' 30.T -- \ -. "� %:° ' '. �` �' r = EVALUATOR: Michael Pimentel, EIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. �_._• � == �, �-� Y C.S.E. APPROVAL DATE: Oct. 27, 1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. SEPTIC COVER OUT(2) 34.3 36.2 ...--' , { © 1 DATE: June 10 2021 �") f (a 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE CORNER OF STONE (3) 37.1' 45.3' - X-X'X-'y ` ~`.� "`< lJ ,j l' r\.�' �`\`. 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. --..._u---X X X .r b �.. -T�.,,�.,,, s: . w �, �t TEST PIT CORNER OF STONE (4) 25.5' 36.9' MAP 192 FENCE X-XX-X 7 '• ` '�,Y' 'w ', ( ` REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, LOT 106 - X- X-X--X-'-X- x69. I ' - \ ry ELEV TOP= 69.00 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). CORNER OF STONE 5 16.T 36.2' _X • • !! ,,. !' ! •..' < ' O 'X X •• ``'�,�r I (/, �� ; , t F: L ELEV WATER = 58.00 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN CORNER OF STONE (6) 16.1' 48.3' 'X . '' �' O' ' ',�' SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. X X- l t q�� :p. f , (7 PERC RATE _ < 2 min./inch CORNER OF STONE (7) 35.8' S7.5' X� x69.3 " 1 ;`�0�. � ' ty ' ti•'ti..� - „ „ 16. PROPOSED PROJECT IS LOCATED WITHIN: } DEPTH OF PERC 32 -50 N81° 45' 18"E k :. �C� ' / ;�• i• ( , ; ASSESSOR'S MAP 192 LOT 65 - TEXTURAL CLASS: YAN 1 149.74' '� . - _ _ - 7 -» {.�, 1 �• • • , !� k t'_ S: I OWNER OF RECORD: BRIAN J. DEVER& ELIZABETH A DEVER R t X TP 2 P ,, I~~ } „rl• ' • - ! . '� • -" ADDRESS: 105 ROLLING HITCH ROAD Cz ' •� �. rp . • „ CENTERVILLE MA 02632 1 % 1 "Tp 7) x69.3 x 65.4 ` � ,O f » --' 0 69.00 0 69x2 20.3' MAP 192 ' -- • '• » ' • r . ` "` �} A Loamy Sand FEMA FLOOD ZONE X • LOC C ��I 6„ 10Yr 3/2 68.50' (6} 69x0' LOT 230 "' • C S PROPOSED TWO(2) '•� • �,\\ E COMMUNITY PANEL# 25001C0561J X 500-GALLON LEACHING • • ' ) CHAMBERS w/STONE ` �` ' • » `• •�' . •s f r!I B Loamy 10Yr 5/6 d 17. DEED REFERENCE: BOOK 28776, PAGE 134 GAS GAS qs -> . . , • • 18. PLAN REFERENCES: 1.) PLAN BOOK 236, PAGE 127 2.) PLAN BOOK 364, PAGE 34 XS9.4 � � • • _. � +� a�'� •err � ' ► jrj 32" ' GpS I�.-_15.1 'v: i . i »C`i .; • 66.33 N . •r . ? !" c 1 g• ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. I co E • . . -� Perc 1 _. GAS \\. J • • . . / HC-1 m c ' ; �-=%• ; • j 50 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 20" } � /! • ...tC • •, + ! w ` '''' ' FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY I (5 0- 12.3� 3) FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. m x69.6 o t1 • * + `ii (4 I! • n° . ` • 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A m I \` TOF=70.0t 2) 1 ! �3 II 1+ a \. , , V C Coarse Sand DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A 01 I �, X !I „ ` k ` '• • 2-5Y 6/6 REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. I ( PROPOSED ,r �/ . l • . . • •. (5-10% gravel) my O x69.6 1 INSPECTION PORT 22. OWNER/APPLICANT/ CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL I REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. rn I ! INV.(B)=67.5'f 1) x PROPOSED LOCUS PLAN 23. IN ACCORDANCE WITH 310 CMR 16.401 -15.405,THE FOLLOWING LOCAL UPGRADE APPROVAL zL DISTRIBUTION BOX -11 MAP 192 x69.3 { f - - IS REQUESTED IVER n20 0 310 CMR 1 FOR THE SETBACK FROM THE SAS T LOT 65 #105 28.0' X SCALE: 1 - 1000 ( ) ( ' - ') O HOUSE FOUNDATION. 15,668t S.F. EXISTING 132" 58.00 3-BEDROOM X i DWELLING x No Mottling, Standing or Weeping Observed PROPOSED 1,500 nF�irK..w DATAIi _ A LEGEND I CP GALLON SEPTIC TANK , PERC NO. 21-163 Benchmark , 50xO' EXISTING SPOT GRADE x NUMBER OF BEDROOMS (EXISTING) 3 INSPECTOR: David W. Stanton (BOH) t B.H. Corner i -- -- - 50 - - -- EXISTING CONTOUR Q r Elev. = 70.00' HC-2 x NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pimentel, EIT, CSE rn A rox. MSL � jx69.5 x69.8 Oct. 27, 1999 O PP x i C.S.E. APPROVAL DATE: p �� DESIGN FLOW 110 GAUDAY/BEDROOM -� 50 PROPOSED CONTOUR r June 10, 2021 \B H x TOTAL DESIGN FLOW 330 GAUDAY DATE: 50 PROPOSED SPOT GRADE - TEST PIT#: 2 / a DESIGN FLOW x 200 660 GAUDAY G CID / X -i �`�- EXISTING CESSPOOL TO BE ELEV TOP= 69.20' GAS EXISTING GAS LINE = n=. U I x69 6 / x m PUMPED, FILLED w!SAND & N USE PROPOSED 1,500 GALLON SEPTIC TANK 0/H/W EXISTING OVERHEAD UTILITIES (� w D / I m ABANDONED (TYP OF 3) Cd ELEV WATER= <58.20 t ; x z0) 0 iNV.(A)=68.0't c, / x rn o N n PERC RATE = W W EXISTING WATER LINE J o I M CRAWL \` PROPOSED // x � _ O v I ' u �1 DEPTH OF PERC -a TEST PIT LOCATION ©` CLEAN-OUT m I INSTALL 2 - 500 GAL. CHAMBERS w/ STONE TEXTURAL CLASS: I 1 1 �' z 1 Co "x MAP 192 m� LOT 228 SIDEWALL CAPACITY � O O O PROPOSED 1,500 GALLON SEPTIC TANK I Z\ \ >c (PERIMETER) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY 0 69.20' PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE o x (73.66') (2' ) ( 0.74 GPD/S.F.) = 109.0 GAUDAY q Loamy Sand / \ x 6„ 10Yr 3/2 68 70' O PROPOSED DISTRIBUTION BOX PATIO I BOTTOM CAPACITY O PROPOSED 500 GALLON LEACHING CHAMBER c� ` 1 i Loam Sand I -PAVED DRIVE- GARAGE (FOOTPRINT AREA) (0.74 GPD/S.F.) = GAUDAY B y i \ I (306.1 S.F.) (0.74 GPD/S.F.) = 226.5 GAUDAY 10Yr 5/6 ,( 32" 66.53' I NOTES: I \ \ TOTALS: REV. DATE BY APP'D. DESCRIPTION 1 \ � I 1.) MAGNETIC MARKING TAPE SHALL BE \ PLACED ALONG THE TOP EDGE OF EACH TOTAL NUMBER OF CHAMBERS 2 ? PROPOSED SEPTIC SYSTEM UPGRADE I / TOTAL LEACHING AREA 453.4 SQ.FT. j SEPTIC SYSTEM COMPONENT. TOTAL LEACHING CAPACITY 335.5 GAL./DAY j PREPARED FOR: I � / I 1 2.) CONTRACTOR SHALL VERIFY SOIL C Coarse Sand ROBERT B. OUR CO., INC. xT _ i CONDITIONS IN THE LOCATION OF THE 2.5Y 6/6 i I rn - ` -- PROPOSED LEACHING FACILITY TO ENSURE (5-10% gravel) 1 n � CONSISTENCY WITH TEST PIT DATA SHOWN LOCATED AT m r �' ON THIS PLAN. REPORT TO ENGINEER AND 105 ROLLING HITCH ROAD LOCAL BOARD OF HEALTH IF SOILS ARE NOT CENTERVILLE, MA 02632 CO ! CONSISTENT WITH TEST PIT DATA. i S87° 34'45"E \ t / 110.94' I 3.) PROPERTY IS LOCATED WITHIN THE 132 SCALE: 1 INCH = 10 FT. DATE: JUNE 30, 2021 I ` " 58.20' ESTUARINE WATERSHEDS. 0 5 10 20 40 FEET No Mottling, Standing or Weeping Observed P��N °F MAss 4.) SWING TIES SHOWN ON THIS PLAN ARE o �, JOHN L. PREPARED BY: MAP 192 PROVIDED ONLY AS A COURTESY FOR THE RESERVED FOR BOARD OF HEALTH USE CHURCHILL JR. H JC ENGINEERING, INC. INSTALLER. INSTALLER SHALL VERIFY C L LOT 107 SWING TIE MEASUREMENTS IN THE FIELD No. 41807 2854 CRANBERRY HIGHWAY PRIOR TO INSTALLING THE SYSTEM. r EAST WAREHAM, MA 02538 SITE PLAN CONTRACTOR SHALL NOTIFY ENGINEER IF � 5O$,273.0377 MEASUREMENTS APPEAR TO BE INCORRECT. i SCALE: 1"= 10' ? J I Drawn By: MCP Designed By:MCP ` Checked By: JLC JOB No.5762