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Home My WebLink About0102 ROSEMARY LANE - Health 102 Rosemary Lane Centerville A= 147-007-014 /// S M E A D No.2.153LOR UPC 12534 snNd com • Made In USA tom,J) 1 iWza- OSFIMWOMMIMM WMM5wQLwNwa=7MM �11100MY i Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ; 102 Rosemary Lane Property Address r , Edward Mareb Owner Owner's Name / '' information is Centerville V MA 02632 1/11/17 g 7 required for every page. City/Town State Zip Code Date of Inspection r y Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Brett Hickey use the return Name of Inspector key. B&B Excavation Company Name 14 Teaberry Lane Company Address Sandwich Ma. 02644 City/Town State Zip Code (508)477-0653 S113747 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ ds Fuirther-EAluation by the Local Approving Authority s 1/17/18 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 13) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 ' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 { Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 I Commonwealth of Massachusetts Ll Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well., ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: '*This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: I D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or El ® tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool.or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] The system is a cesspool serving a facility with a design flow of 2000gpd- ❑ ® 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. i t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,,depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 i III t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ' M 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d see below 9 ( Y 9 (gP ))� Detail: 2016 = 75,000 gal 2017 =65,000 gal I Sump pump? ❑ Yes ❑ No Last date of occupancy: current 4 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner O.wner's Name information is required for every Centerville MA 02632 1/11/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) I Last date of occupancy/use: Date Other(describe below): General'Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy t ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2011 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): ' Depth below grade: 1'6"feet f Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): At time of inspection building sewer appeared to be in good working order with no sign of leakage. Septic Tank(locate on site plan): 611 Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallon Sludge depth: 311 ,3 ! t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 33" Scum thickness 2" r Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 14" How were dimensions determined? measured Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): At time of inspection septic tank appeared to be in working order with no sign of back-up.Liquid level equal with outlet invert. Tank is not in need of pumping at this time but should be pumped every 2 years for maintenance. Grease Trap (locate on site plan): i Depth below grade: feet Material of construction: r ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑other(explain): I Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 102 Rosemary Lane Property Address Edward Mareb Owner Owners Name information is required for every Centerville MA 02632 1/11/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Lt5in. 3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is Centerville MA 02632 1/11/17 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): At time of inspection d-box appears to be in working order with no sign of carryover. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: (2) 500 gal ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): At time of inspection leaching was dry and appears to be in working order with no sign of hydraulic failure. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction ; Indication of groundwater inflow ❑ Yes ❑ No i t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): i t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 ,. Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is Centerville required for every MA 02632 1/11/17 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: 3. ® hand-sketch in the area below ❑ drawing attached separately 8� • ly' Az•33; BZ•1S A3.3'�� 83•'�TI r_ Zoe+r fi A4-ys SBq t5ins•3/13 Title 5 Official Inspection Form:Subsurface$swage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is required for every Centerville MA 02632 1/11/17 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: f 11' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 9/6/11 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Plan on file at BOH. i 1 Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 102 Rosemary Lane Property Address Edward Mareb Owner Owner's Name information is Centerville MA 02632 1/11/17 required for every page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 ]DIICfICl[b OBS]E][�VATION Depth fro �]f®L { LOG S _—_ _— �• m Soil lhtrizon ]�j[®]e _' .r Surface(in) Soil Texture Soil Color (USDA)_. Soil• Other (Mansell) Mottling (Structure,Stones';Boulders, Con istenc ra el y., t of•:I z -A /0DF ' �9/fs I f /'IINVV DEEP ®-BS1ER VATION HO' L E ]LOG Dcprh from Soil licrixon T Hole # 2— Surface(in.) Soil Texture Soil Color X (USDA) i (Mansell) Soil O al r Moltling (Structure,Stones, pofflders, Consis enc %C avel 10 DEEP OBSERVATION HOLE L®� Depth from Soil Hinton S ][�®��# _-- Surface(i❑), Soil Texture ' (USDA) oil Color. Soil (Munsgll Other Moftling (,structure,Stones,Boulders. • Consistency 9a prwell .. DR IEP 013S]ERVA7 ION HOL +' Depth fiom , Soil Horizon � ®�x Hole#. Surface(in.) Soil Texture Soil Color (USDA) _, 5°ll Other (Mansell) M"ling (Structure,Stones;Boulders, , Cons' tency °�6 t7ra �l a , 6Voodl rnso9II'a ace]Rate Map. Above 500 year•flood boundary No yes Within Y 500yenr.boundary _ -No - -- �.L/ es r Within 100 year flood boundary No Y yeg _ Depth ofNtaturallyi c, (!LII in terial Does at least four feet of naturally occurring pervious mat5HHl exist in all areas observed throughout the area proposed for the soil absorption system? ' If not, what is the depth of naturally occurring ht'rvious nlenria17l CL'¢Hf---aeRtlan /� t I certify that on ! (date)I have passed the soil evaluator e xammation approved by the Department Of Environmental.)<'rotection and that the above analysis was performed by me consistent with the required training, expertise and experience described in10 CMI2 15.017. � t Signature y� Date l t . It t Q:WEPTICTERCM R M.DOC Town of Barnstable Department of Regulatory Services �n l ➢ BARNBTAE4E 4 Public ][� afl ll� DavASi®Ill Date t1�11km 200 Main Street, Hyanuis MA 02601 9 Date Scheduled_ l / 71n1e' Fee.—, � `oil Suitability Asse�'s�•p�ent f°o�° ag Id�isp�(��1� I crYonnud day: / t(J\CZ W 7C Witnessed By.: -" LOCATION �� ENERAL TLIN '0FIXATION Location Address Owner's Namea �e� ►�„/��C 4e7. / Address Assessor's Map/Parcel: I' 7/�—T wy, Crigineer's Namc b'0 Vj NEW CONSTRUCTION REPAIR Telephone IF Land Use.. 1 Slopes(%) �� Surface Stunts �— Distance's From: Open Water Body—ft Possible Wet Area IL Drinking Water Well ft Drainage Way rt Property Line 51iu1 � ft Oilier It SKETCH., (Street came,dimensions of lot,exact locations of lest boles do pert tests,locate wetlands-1 6 n proxinuty to Boles) 1 � i n latid E'/ l a Parent material(geologic) Y>V1—WJ1�j � �� Dcplh 10 Rtltb'oek >-Loa Depth to Groundwater: Standing Water in Hole: Weepilig Hain Pit 1711013 Estimated Seasonal High Groundwater D ET ERNHI�Tr�TION FOR SEASON AIL HIGH WATICUR TABLE It_E � Method Used: Depth Observed standing in obs.hole: --J� In, Deptll to 5QII moId.n: Depth to weeping from side of obs.hole: _„e,In. C7YUUI1dWIlteY AdJaslhlent.a.�..m...R.��It. Index Well A Reading Date: Index Well 1p\,nl _ Ad,k f6.10oi- Adl,Groundwater UY0 I li�A�. LAJlJtO,l'V A,JI.Ur,5r0. Observation e [-Hole# I 'Crate at 9" W _ Depth of Pere Tlnip al 6" _ Start Pre-soak Time @ Time(9"-6") End Prc-soak Rate Min./Incll Site Su labi 't e c i e 'e eil Sit Failed: Additional Teslirt-,Needed(Y/nl) � / l II Ass ssm nt. 5 L k ss e � o Y —� Original: Public Health Division Observation Hole Data To Be Completed on Back----------- 'I"*lf percolation test As to be conducted within 100' of YVeItta nd, you must first➢Jtotlty the. .Barnstable Conservation Division at least one (1) Week pricir to begdHnll h.lIg. Q:\SCPTIC\PCRCF0RM.0OC TOWN OF BARNSTABLE a LOCATION tPosrnaru [.,y SEWAGE# c;o// ' 33 7 _VILLAGESen4crVi1/G ASSESSOR'S MAP&PARCEL /4/7 - �•/y i INSTALLER'S NAME&PHONE NO. .(3 �'J3 EX e a V cJ;0 oV 'J'77. OG S 3 SEPTIC TANK CAPACITY /ODD 9a LEACHING FACILITY:(type) SDOgca) c)%a.. 16)(size) )3x 2S'X 2 NO.OF BEDROOMS 3 OWNER DC 1% Its QT r b f PERMIT DATE: COMPLIANCE DATE: /D • !Sl-// Separation Distance Between the: " Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility .3 Feet Private Water Supply Well and Leaching Facility(If any wells exist on �' L 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 1 A) A3 •� ' f-Ro.N r ,63- 2T 2 a A4-9 "7S°' Bq 3 �� H No /� THE COMMONWEALTH OF MASSACHUSETTS FEE �__`�__ BOA OF HEALTH 7 O OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) - (]Complete System 0 Individual Components D 2. O tma(N1 L,n.-e o P�,� ocatio Owner's Name cD i�-t1 sa ri cP t `7 Irk 10 2_ �Q �. it C-ni,-t �IWap/ a el#� �ddress T ( � 1 �.A ( ( Ins�l�er'sNa 1r igne Telephone# Telephone# n Type of Building: 1� ( Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) 3-3 0 gpd Calculated design flow gpd Design flow provided gpd Plan: Date Number of sheets �_ Revision Date Title S�+e- Pion Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date�1 Inspe tions IO J h 1 FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 { y}..r` ..� f . �, Y'�xr•* .. -^^f`-..��'��`/...�.--.... ..,,Y-aaJ°S+rva.,;:'ir.ry ,'�.r. ^-�'R'*3 "n•,,,,,,�.._r::�:-., I 0 //-- 35 od NO THE COMMONWEALTH OF,MASSACHUSETTS FEE r'" a B O A RyD OF HEALTH#e, -6, APPLICATION FOR DISPOSAL-SYSTEM CONSTRUCTION PERMIT Application for Permit to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) - []Complete System ❑Individual Components Lan ocation� _ Owner's Name -Map ly1 �9CCe ! 7 14 1U� OSer�ry � n fer�iecv �Il� Iota / a el# - Address Ij �� Ad 1p ' i O/s_Gj�edv Nsa yT- (1C.7��4 \�!L �gres � C r ��a MoUt LX) ,60O1-1-7-7 ' Telephone# Telephone# 1 Type of Building: C�e5 f r-U nLA- Lot Size Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures U rr�� Design Flow(min.required) 3-3 gpd Calculated design flow gpd Design flow provided gpd Plan: Date,_ Q 1 IGI 11 Number of sheets Revision Date Title f l d- i ra ) * 5,4 P I r In Description of Soil(s) Soil Evaluator Form No. Name of SoilkEvaluator t Date of Evaluation 1 DESCRIPTION OF REPAIRS OR ALTERATIONS r /( 14'rr 1 } The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date InspeCtions l i FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 --T---Y --`No. J `�' � THE COMMONWEALTH OF MASSACHUSETTS FEE Q��Y Y ��nsTa. �t BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) )Q Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed( ),Repaired(y),Upgraded( ),Abandoned( ) by: (C -KL -vafIU at has been installed in accordanc- with the °visions of 310 Cam/R 15)) (Title 5) and the approved design plans/as-built plans relating to application No ' / dated / ] // Approved Design Flow 330 (gpd) Installer Z06tC -C G I LCO U Designer:Daw p (rt—C--Q- InspectoGVDORL-..� � Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. j FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 THE COMMONWEALTH OF MASSACHUSETTS FEE Abe) lorn BOARD OF HEALTH `DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair (/ ) Upgrade ( ) Bandon ( ) an individual sewage disposal system at I d G f mt)s!1 Ld f2� 3 01 11P as described I in the application for Disposal System Construction Permit No. P //— -33 dated Provided: Constru1ctio sha be completed within three years of the date of�his /re ini' . 11 local conditions must be met. Date /o 7,I ) Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARREN PUBLISHER PUBLISHERS- BOSTON FROM :down cape engineering inc FAX NO. j15083629880 Oct. 18 2011 11:08AM P1 ��%• u`d�P •�(� � 'T`Jil'GD��71�E:;�y ��t�''ii��;}^, �ey�,m.C:liA}Y. y�\ WIM `•::,!Craa>RGr?_;y a.]{�.�}Fruza�a 10�![�.11�lralta, Ibnnm.a.4vn' --- ?.00 N113iuu 34.R•ra7~.,Byummi:a,ATA.d6'P,60ll. (]Rice: 508-$6 4644 Fax: 508-790-6J04 Tu.stLfi9 ejr F,G;Des PilaeL'B".�>('l�ihia�nifbeuan k+'�Jrflfl>I r r� r- Date: Pe7mifi# C9Qf(`� / Ali cry aJ�r' �1��1>�,`B' fl cca �7 r �y b��n ;olla�m (.. � _. l� ✓i ry )<�n�9:;u1_Rm>1: /6 W&H i,;:(iud a perms L fo iuS011 0 `ll1:3(',aUc w) scrPtic sy:;tcaaa rt a 410(e. L414 based ou a dcsioj_t drawn by (ad •css) i _ I crrlii:y rJ1.at the. re:EiTOUO. .i .above tivws installed subN(m1Y5aJ1.y 2ccr,r kuc, to the Crsifm ,y include rrUa�� oved hin 1fthe , � uhf u dislrib-aflan ijnx md/o.r. sel7tic tt;slk, J. reTdit tbst the suu.1'ir' system refe.Tuncud above wail irL;:;te.911fft with Tm> jor rJzan.g.y — pmatea- tL}iu 1.0' zlrml rclocatibn ofthe SAS or any veft;ctal reloc.a-ion of Lilly ooukjlollt;u` of tan septic, system.) but iu,.j.ccryrai,ce with Si(aL(, 1L. Local .Tterg'al:tions. Nau rcivisi.on. or ccalLied. as-bLi It by desirne r LLB tollum �-�N OF MA S .fJANISLA OJALA (1t151:z1.:ra:'s uiglJ�:h:FC) ! ri CIVIL �^ No,46502 ' 0 P CL GFs �a NAL �aG E S I r C1�1'S�i1 J'_'f111'e( c(A:E�%,s l�e,;,i�uer. s ,:taurP )v;�'9_(�t TO t;A.BNST'A-W k Pa)HYlf,p(r; ;6LILL�J:,:4'1(D: 6luVIlr_Ila�J`1- a�EYt'A'Li16': T UP--- - - — ��iaidn'PLalal:�Ta:L No'i 't.0+ TSf�-LJEIF.�ilt'.a't1- 'BOTH 'I.'Il1k8 i;'gPId1�d A.FdJP .A�3TJIUY B.AU D ANI" p E+C]U:LV ejl B ']l'P�AF:lfi1li��•J.:f�1��1L1E 1F1C1IlTg,gt'TAIl_�P:;h'1Hf]fDJf3�lf ll�1`!. 1354191< DUE. fr,:T-TanithlSf•.plirJf3e,�i�;'1r,F(�C7t1fAC3t107Ff�nrl:l-2(i•04.don down cape engineering, inc. SIEVE SOILS ANALYSIS 102 Rosemary Ln Centerville.xlsx DATE OF REPORT:9/18/11 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 102 Rosemary Lane, Centerville, MA LOCATION: DCE Testhole 1 8.5' depth SIEVE ANALYSIS Weight Sample(Grams): 176.7 SIZE :WEIGHT RETAINED : % RETAINED % PASSED --------------' (sum)------------ -------------------- 1" 0.0: 0.0%: 100.0% ------------- ------------------------------------------------I------------------ 3/4" --------- ---------- oA- ------ - 0%0�---------100_0% 1/2" 0.0: 0.0%: 100.0% --------------------------------------------------------------------------------- 3/8" 0.0: 0.0%: 100.0% --------------e..._----.....---.....-----Y---------------------r------------------ #4 0.0: 0.0%; 100.0% --------------•--.....__....__._.------------------------------'------------------ #10 10.9:. 6.2%: 93.8% #20 --- - -- 31.4A-------------17 8%; ---- 82.2% #40 67.6; 38.3%; --------------f••------------------....__Y---------------------f""""-------_""-•- #50 89.0: 50.4%; 49.6% ----------------------------------- --v---------------------• - ---- #80 130.8: 74.0%: --------------� --- ...............------------------------------------------- #100 148.9: 84.3%: 15.7% -------------- --------------------------A--------------------- ------------------ #200 173.6: 98.2%: 1.8% -------------= -- ---------------------------------------------------------- PAN: 176.7: 100.0%: 0.0% ------------- ------------------------------------------------------------------- SAMPLE: : 176.7; NOTE: TEST ON PASSING#4 ONLY, 9% RETAINED ON #4 <45% O.K. I RESULTS: SOIL CLASSIFIED AS AASHTO A-3(GRANULAR, COARSE SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK #100 0%-20% OK #200 0%-5% OK SAMPLE MEETS TITLE 5 FILL SPECIFICATION >98% SAND 1i OFMASsq c RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MINAN. MATERIAL DANIELA. yam NONCOMPACTED 10 OJALA SOIL DESCRIPTION: MED SAND,trace silt 0.74 GPD/SF MATERIAL CIVIL No.46502 &c/s T E �Q�`� SS/ONAL ENG �OZ TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOTZ�7 Od7 60Y INSTALLER'S NAME & PHONE NO.00,/ 4ZO3J7 e'DrUST SEPTIC TANK CAPACITY /aLYJ �22 LEACHING FACILITY:(type) !:�;�fi�JCgl (size) S °ae,=7e1 NO. OF BEDROOMS PRIVATE WELL O UBLIC WATE UIL OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes 0 ��Lim THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratilan for DigV asal Workii Toustrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: _ / . . GS E✓. . ---6� G- --'— --------------------------------------------- --------- Location-Address - or Lot No. y -Cs-c%1� � Lc_U7r �iS�:CvJ_----------------------------'---------- ......----� ...... Owner Address o`TT1---_--.c ei6Ns_it .;,.— �'� ------'�` ��S M-B...... ,.a Installer Address d feet Type of Building .,. Size Lot___________________________S q. U Dwelling_No. of Bedrooms........... Attic "( - ) Garbage Grinder ( ) `-� Other—Type of Building No. of ersons._________e................ Showers — Cafeteria P4 YP g- ------------------------ persons ( ) ( ) Pa Other fixtures ------------------------------------------•--- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. , WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter_--______.______ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( )- Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--___-__-____-_____-,_-. L= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ PG •---O Descriptionof Soil----------_----------f---L----f-- --...................................:........................ U ...................•--•..........------------------"-----•-•-•--------•-•....._...---------------- W x ---------------------------------------------------------------------------------------------------------------------- ------•---•-----•••-----------------•------•----•------•----------------------... 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 TITLE 5 of the State Environmental Code—T- R tied further ag es not to place the system in operation until a Certificate of Compliance h s been . sand of ined -•--- -------- ... � 1 �To �,� ---�r2��,��- -'Dare Application Approved,BY ---------------------------------------- Application Disapproved for the following reas6n.. ' .................................---------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------- ----- ---- ----------........... --------------------------------------------------------------------------------------------------------- ------------- ------- Permit No. ..... ,rf •,(/-�'; �W� Issued - — �--Dare .. / •=.r::_ - Dace l-r xo.. ... THE COMMONWEALTH OF MASSACHUSETTS \` 7 BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disposal Works Tonntrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal ' System at: d /- Location-Address or-Lot No. AJ --------- -._ fr. ._.l .�. ._ Q-1 j -� Owner Address :.............................. ........ ✓N !L C S.......... Installer Address d Type of Building ,, Size Lot___________________________Sq. feet Dwelling=^No. of Bedrooms_________________________________________Expansion Attic ( ) Garbage Grinder ( ) pa,°I Other—Type of Building ____________________________ No. of persons__________ .............. Showers ( ) — Cafeteria ( ) QI Other fixtures--------------------------------- - a : Design Flow____.1__.__:_____1'_______________________gallons per person per day. Total daily flow............................................W ' WSeptic Tank—Liquid capacity'...........gallons Length................ Width................ Diameter............_.__ Depth................ s x «Disposal Trench—No.____:k_'.............. Width.................... Total Length.................... Total leaching area.........._.........sq. ft. Sgepagey Pit No _________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z -Other-lj.Atributioin box ( )' Dosing tank ( ) '-{ Percolation Test Results Performed bY..........................................-...............-•------------- Date........................................ Test Pit No. 1...,.............minutes per inch Depth of Test Pit.................... Depth to ground water_________________..____. 44 Test Pit No. 2................minutes per inch Depth of Test Pit_................. Depth to ground water........................ G4 .. ........................................................................................................................... -.. ODescription of Soil........................I.... _._.P...! .-------:.....-----•-------•--•-......-----------------------"-"..........----------------____--•-•---•----•--•------------- W -U ----------------- --------------------••••----............------•---...-----------------._...--••--------------------•-•------••-•---•-•----•-•--------••---•••------------------•••--•-----------•--- W VNature 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 Environmental Code—je dersigne4further agrees_ not to place the system in operation until a Certificate of Compliance has..been she board of/Signed -----t��r /�-, � 1c -1 7- L O TT Date ApplicationApproved BY -----------_6 - ---------------------------------------------------------•-------....................................... ....................................... . .- — Date Applcation Disapproved for the following reasons- ---------------------------------------------------- --------•-----------.......------.........--------------........._....------------ !< ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------ Date Permit No .... /` --------------- Issued ......... ....`....... ------ "k Date r A" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C9edtfirate of Compliance ' tTHIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by �...- .T .�,..:J.-r-T �1�:.�7 � �`v - ,�E ............-- ------------- at ! 5.... +.c S ....................................................... ----------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No- .--- AS X-�°^-..�f1.....�•�... dated........ ..," �G� s THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B CONSTRUED A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................ -'.....l-......... f../................................ Inspector ---............. ---------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / TOWN OF BARNSTABLE No.. �'�l FEE... ...... Disposal Worrkp Tanstrudivit rrrntit Permission is hereby granted.--------�`' .. ----_.._.. ................................•- ��'!�-�-s��------�a�--'fit-�-.... to Construct ( ) 0 Repair ( �,�t�i Individual Sewage Disposal Syst at No.. �!? .........../._ __ � �_ 2 -/-�• , �.-. .................... �. Street as shown on the application for Disposal Works Construction Permit No.J�/_'R Dated.__:_4_�___r._F_-:_:��-_.- ---------------------------------�v� --------------•-------•-------------••----------- DATE. '-- - � ------------------- Board of Health FORM 36508 HOBBS 6 WARREN.INC_.PUBLISHERS ALL SYSTE SHALL SYSTEM PROFILE MARKED WITHCMAGNETICTTAPE OR BE NOTES PROVIDE IF NECESSARY, WANRTIGHT (NOT To SCALE) COMPARABLE MEANS FOR FUTURE LOCATION. O �r ACCESS COVERS TO WITHIN 6 OF FIN. GRADE 2" PEASTONE OR GEOTEXTILE CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS ASSUMED �yo td \ TOP FOUND. EL. 39.7' FILTER FABRIC OVER STONE 2. MUNICIPAL WATER IS AVAILABLE MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM 37S � � � I Locus z PRECAST H-plo. BLOCKS OR 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. RISERS (TYP. PRECAST RISERS 2'0 4"�SCH40 PVC MORTAR ALL PIPES LEVEL 1ST 2' I 4. COMPONENTS H-10 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO IrENDS (TYP-) INV'S EL 33 5' SIDES 35.5' H- 10 .... F ➢ .°➢ J P .. ` ".. .. .e - .eaeovoe oopeeoeo EXISTING 14"J� 4 TEE SEPTIC TANK TEE36.62f' ° ° ° ®®®® ®®®® ®®®® 5. PIPE JOINTS TO BE MADE WATERTIGHT. (RE-USE)** 000000000000" 0°0°0°0° 000000 �000°000° O O O O 0 0 O O GAS BAFFLE::: ° °° ° ® �� ®mil®OCr-�0®L7 ° ° O O O„0„0_ °° ° ° ° ° ° o°o rya®® :00000000 °°°°°°°° ° ° ° ° 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH 35.02 34.85 °°°°°°°° °°°°°°°° 31.5' MASS. ENVIRONMENTAL CODE TITLE 5. 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN.H-10 500 GAL. LEACHING CHAMBEF BY ACME PRECAST OR EQUAL.01 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO AL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED vn BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25.0' X 12.83' u COMPACTION. (15.221 [21) - - (�% SLOPE) (9•6% SLOPE) 26.0' BOTTOM TH-1*** 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. NO GROUNDWATER FOUND NOT TO SCALE FOUNDATION- EXIST. SEPTIC TANK 20' D' BOX 14' LEACHING 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED FACILITY WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION LOCUS MAP *THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL **INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT OBTAINED FROM BOARD OF HEALTH. UTIL111ES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON H-10 SEPTIC TANK IF NOT SUITABLE 10. CONTRACTOR SHALL BE RESPONSIBLE FOR 'CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ASSESSORS MAP 147 PARCEL 7-14 OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK. LEGEND 11. EXISTING LEACHING FACILITY` SHALL BE PUMPED AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 100.0 PROPOSED SPOT ELEVATION 12. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE REMOVED 5' BENEATH AND AROUND THE PROPOSED +100.00 EXISTING SPOT ELEVATION LEACHING FACILITY. 100 PROPOSED CONTOUR SYSTEM DESIGN. 100 EXISTING CONTOUR �\ GARBAGE DISPOSER IS NOT ALLOWED DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD y - USE A 330 GPD DESIGN FLOW LOT 14 SEPTIC TANK: 330 GPD (2) = 660 �•� 23,790 t SF y **RE-USE _EXISTING 1000 GAL. SEPTIC TANK o (2, LEACHING: TEST HOLE LOGS `, EXIST. DWELL. �9 SIDES: 2 (25 + 12.83) 2 (.74) = 112 GPD \ TOP FNDN. _ELEV. 39.T BOTTOM 25 x 12.83 (.74) = 237 GPD 1 `�\ ENGINEER: DANIEL A. OJALA, PE I \� W TOTAL: 472 S.F. 349 GPD WITNESS: DON DESMARIS \\ \\ \ \\ USE (2) H-10 500 GAL. LEACHING CHAMBERS DATE: 9/14/11 < 2 INCH \ '� (ACME OR EQUAL) MIN \ \ 38 v v \ �0. ,y WITH 4' STONE ALL AROUND PERC. RATE _ / \ �� J 0� 3 `w\ + \ �,y� �\\\ CLASS I SOILS P# 13404 \ I ELEV. ELEV. � \ .. � \ APPROVED DATE BOARD OF HEALTH MA off 37.5' 0" 136 37' \ \ �rr� 1 C 1 18" °A 3 � TITLE 5 SITE PLAN FILL FILL �P ` \\ AND / / of ` 3 G p rb OF 60 60 32.0 D WETLAND 32.5 BORDERING VEQETATE 34 3 A q 4 CAUTION: Q LS LS \\ r // GAS LINE 76.,1. 34 ,/ 102 ROSEMARY LANE 1 OYR 3/2 1 OYR 3/2 66 32:0 66 31.5 i- BENCHMARK CENTERVILLE MA 5' REMOVAL OF UNSUITABLE SOIL REQUIRED CATCH BASIN '� v� \ // AROUND PERIMETER OF LEACHING FACILITY, EL 33.7' PREPARED FOR \ / DOWN TO SUITABLE SOIL LAYER. REPLACE B B \ // WITH CLEAN MED. SAND, TO MEET LS LS \ /✓ SPECIFICATIONS OF 310 CMR 15.255(3) Q G� B&B/MAREB „ 10YR 5/6 10YR 5/6 6 �Y 90 30 90 29.5 � 0 j DATE: SEPTMBER. 16, 2011 C C I ` OF { off 508-362-4541 i�,FT s q�x �� ASs9 fox 508 362-9880 M/FS M/FS �a DANIEL E c�N oaf DANIELA. cy�s 2.5Y 6/4 2.5Y 6/4 a A. OJALA ~" 138" 26' 138" 26.5' NODAL CIVIL � a down cape engineering, inc. N �� Cl VIL ENGINEERS ca Sle: 1"= 20' '%' �J :.; T' �� . NO GROUNDWATER ENCOUNTERED �, ��-�� LAND SURVEYORS t •U N 1 939 Main Street - YARMOUTHPORT, MASS. 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. DCE 11-209 11-209 B&B_MAREB.DWG