HomeMy WebLinkAbout0173 SETH PARKER ROAD - Health 173 Seth Parker
Centerville
A= 147—094
8 M EAD®
u"Im"
mnoa&mm • wd.In tom►
TOWN OF BARNSTABLE
LOCATION \1 3 Se,l . C- \err Q J SEWAGE# 200�1- Z Z-
VILLAGE Qe VzruLklx ASSESSOR'S MAP&PARCEL /1/7 -
INSTALLER'S NAME&PHONE NO. CG21ew 4-t £',{ y Z P <1029
SEPTIC TANK CAPACITY 1000 14 !o
LEACHING FACILITY:(type) 11l-tQt�(size)�
NO.OF BEDROOMS 3
OWNER W 1�1�a✓►1 �ywL
PERMIT DATE: '1 -Z 2 - 09 COMPLIANCE DATE: - Z. 3 - 2A0S
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
A I �6
A3 . 33-9
A-N ae.n
i ,t
No. 2-col- 2 2-3 Fee /D 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS YeS
2pplitation for MispOSal *pstrm COnstCuttion 3pPrmit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑ stem Complete Sy
stem y ❑Individual Components
Location Address or Lot No. Sit 14 PA 2 t<dal 0L0 Owner's Name,Address,and Tel.No.Lo 5s"`rr(4
Czn der
Assessor's Map/Parcel S y'7 Q
Installer's Name,Address,and Tel.No.Cjftwq,'cG E12*toPiSe,,-5 Designer's Name,Address,and Tel.No.
Cam,Tz.. ®1 r_ �n •�
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size O 2 4 sq.ft. Garbage Grinder( )
Other Type of Building $o ,e.�vw�� No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 2-S® gpd Design flow provided gpd
Plan Date 9"Z 1— 7.0Cc Number of sheets i Revision Date
Title ri -6 5(jt-1 ?4d'te.�r ,,
Size of Septic Tank ► L6OO Type of S"A.S. 17i+n 21eSS e/ fr�i��,dAq� 3 6
Description of Soil
® yC d� 2$d
Nature of Repairs or Alterations(Answer when applicable) Ei�.t s i L� T y"AA. Tb Agu.) - 13'a)o.
T. T- es t �
Date last inspected: Zpwn,
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 Hea
Signed Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. Z dD 2 23 Date Issued 7 ' 2 Z^ 26 O
- - - -- - --- --
No. 2.d O 1 Fee hO d 7
THE COMMONWEALTH OF MASSACHUSETTS ' Entered;ncomputer: V"
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftpYication for Disposal 6pstem Construction Permit
Application for a Permit to Construct( ) RepairK Upgrade( ) Abandon( ). ❑Complete System ❑Individual Components
Location Address or Lot No.��3 a t �i P����c t�z (2�) Owner's Name,Address,and Tel.No. d �l,Y4w, 5rv,{3'Q
C,en (fI AL\
Assessor's Map/Parcel 144-7/9 Y,
Installer's Name,Address,and Tel.No.if Ww,c;1,e E1 ft Designer's Name,Address,and Tel.No. 3
rc) l��rG 7 ?rlo` � 2Ga 41 LJ, „�jarrw
Type of Building:
11
Dwelling No.of Bedrooms Lot Size O 2-i sq.ft. Garbage Grinder( )
Other Type of Building 5 ii'yy\4L No.of Persons 'Showers(t ) Cafeteria( )
Other Fixtures
1
Design Flow(min.required) C) gpd Design flow provided 3 -3-7• (4 i gpd
Plan Date r?-Z t- "mask Number of sheets I Revision Date
Title 1-1 3 SET N �Ad 4a
Size of Septic Tank 5 i t 1000 Type of S.A.S. 51 on e I e S6
Description of Soil
ECM G 1 (0) 1-6
Nature of Repairs or Alterations(Answer when applicable) l,.t
a To 5 Tr);W�ip C
t =
Date last inspected: 72.C)-o
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 Heath.
Signed `' Date
Application Approved by V Date d
Application Disapproved by Date
for the following reasons
Permit No. OD 2 2 3 Date Issued 7 — 2 2— OO o f
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 GA 01- �i �rh �s, P t.L �-
r
at 1"1 1 5 E T N P4 C t C t3 ( has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit NoZZA- ZZ 3 dated 1 " Z Z— Zoo!1
Installer Designer NC-C to(ka�I nc
#bedrooms Approved design flow , 3.�O t,, gpd
r
The issuance of this permit shall not be construed as a guarantee that the system will nctii /as designed
Date (� ! Inspector ,/ CI
-- -------------- - ----No. Fee
2 may_ 22� -
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS
Bisposal Opstem Construction J)ermit
Permission is hereby granted to Construct( ) Repair.(yam) Upgrade( ) Abandon( )
System located at 1-7 3 5 E T M �C+a VLC ( 0-o'01d r
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 must be completed within three years of the date of this permit.
Date -7 Approved by �'
TRANS. NO.:
CITY/TOWN: Centerville
APPLICANT: Capewide Enterprises
ADDRESS: 173 Seth Parker Road, Centerville
DESIGN FLOW: 330 gpd
REVIEWED BY: - DATE:
N/A OK NO
Legal boundaries denoted [310 CMR 15.220(4)(a)] X
Street, Lot, tax parcel number and lot number noted on plan [310
CMR 15.220(4)(u)] X
Locus Provided [310 CMR 15.2204(t)] X
Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for
components) [310 CMR 15.220(4)] X
Easements shown [310 CMR 15.220(4)(b)] X
System located totally on lot served [310 CMR 15.405(1)(a) for
upgrades]- if not, a variance is required [310 CMR 15.412(4)] X
Location of impervious surfaces (driveways, parking areas etc.)
[310 CMR 15.220(4)(d)] X
Location all buildings existing and proposed 310 CMR
15.220(4)(c)] X
Location and dimensions of system components and reserve areas.
[310 CMR 15.220(4)(e)] X
System Calculations [310 CMR 15.220(4)(0] X
daily flow X
septic tank capacity(required andprovided) X
soil absorption system(required andprovided) X
whether system designed for garbage grinder X
North arrow [310 CMR 15.220(4)(g)] X
Existing and proposed contours [310 CMR 15.220(4)(g)] X
Location and log of deep observation holes (existing grade el. on
each test) [310 CMR 15.220(4)(h)] X
Names of soil evaluator and BOH representative [310 CMR
15.220(4)(h) and i)] X
Location and date of percolation tests (performed at proper
elevation?) [310 CMR 15.220(4)(i)] X
Percolation test results match loading rate? [310 CMR 15.242] X
Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] X
Observed and Adjusted groundwater(method for adjustment
given or indicated) [310 CMR 15.103(3) and 310 CMR
15.220(4)(n)] X
Address 173 Seth Parker Road, Centerville,MA Sheet 1 of 7
N/A OK NO
Location of every water supply, public and private, [310 CMR
15.220(4)(k)] X
within 400 feet of the proposed system location in the case
of surface water supplies and gravel packed public water supply X
within 250 feet of the proposed system location in the case X
within 150 feet of the proposed system location in the case
of private water supply wells X
Location of all surface waters and wetlands located up to 100 ft.
beyond setbacks listed in 310 CMR 15.211 and any catch basins
located within 50 ft. [310 CMR 15.220(4)(1)] X
Water lines and other subsurface utilities located [310 CMR
15.220(4)(m)] (if water line cross see 310 CMR 15.21l(1)[11) X
Profile of system showing invert elevations of all system
components and the bottom of the SAS [310 CMR15.220(4)(o)] X
Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] X
Stamp of Registered Land Surveyor(required if construction
activities within 5 ft. of lot line) [310 CMR 15.220(3)] X
Test Holes adequate (two in each of the primary and reserve
unless trenches as permitted in 310 CMR 15.102(2) or as
approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] X
Test hole adequate to demonstrate four feet of suitable material?
[310 CMR 15.103(4)] X
Test Holes adequate to confirm adequate groundwater separation?
[310 CMR 15.103(3)] X
Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] X
Materials specifications noted? [various sections of 310 CMR
15.000] X
System components not> 36" deep (unless Local Upgrade
A roval or LUA requested) [310 CMR 15.405(1(b)] X
Address 173 Seth Parker Road, Centerville,MA Sheet 2 of 7
i
N/A OK NO
Size OK? [310 CMR 15.223(1)] X
Inlet tee located ten inches below flow line [310 CMR 15.227(6)] X
Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR
15.227(6)] X
Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] X
Note regarding installation on stable compacted base [310 CMR
15.228(1)] X
Separation between inlet and outlet tees (no less than liquid
depth) [310 CMR. 15.227(2)] X
Inlet/Outlet elevations at least 12" above high groundwater
(except as described 310 CMR. 15.227(5)) or permitted for
upgrades under LUA [310 CMR 15.405(1)(k)] X
Minimum cover 9" (Tanks buried more than 9" must have risers
on all openings and on the d-box) [310 CMR 15.2228(1) and 310
CMR 15.232(3)(f)] X
Three access covers (inlet and outlet must be 20" or greater) -
middle access at least 8" (by 7/07) [310 CMR 15.228(2)] X
Access to within 6 " of grade - one port for systems<1 000gpd,
two for systems>1000 gpd [310 CMR 15.228(2)] X
All at-grade covers secured to unauthorized access? [310 CMR
15.228(2)] X
> 10 ft from building foundation [310 CMR 15.211 1)] X
Buoyancy calculation Required/Done [310 CMR. 15.221(8)] X
H-20 Where appropriate? [310 CMR 15.226(3)] X
Setbacks from resources [310 CMR 15.211] X
Mil#iomprmelf `dI1kSr ,,, ... 0,
Required when other than single-family dwelling or flow>1000
d [310 CMR 15.223(1)(b)] X
First compartment 200% daily flow; Second compartment 100%
daily flow [310 CMR 15.224(2) and(3)] X
"U" pipe through or over baffle, outlet of each compartment with
gas baffle or approved filter [310 CMR. 15.224(4)] X
Address 173 Seth Parker Road, Centerville,MA Sheet 3 of 7
N/A OK NO
Located at least ten feet from any water line. 310 CMR
15.222(2)] X
Disposal piping at least 18" below water line (when water and
sewer cross, see 310 CMR 15.21l(1)[1]) X
Cleanouts required/provided ? [310 CMR 15.222(8)] X
Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] X
Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable
[310 CMR 15.222(6)] X
Proper pitch on all runs? (.005 within gravity-distributed trenches
and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] X
Siphon problem/(leachfield below pump chamber) X
Endca s or vent manifold specified? X
Size and orientation of discharge holes specified? (not smaller
than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310
CMR 15.252(2)(h)] X
Materials specified (310 CMR 15.251(5) specifies various pipe
types allowed) FX
Stable compacted base [310 CMR 15.221(2) and 310 CMR
15.232(2)(a)] I X
Splash plate or baffle tee required on inlet/provided? (when
pressure sewer to d-box or steep pitch of gravity sewer) [310
CMR 15.323(3)(a)] X
Riser if deeper than 9" [310 CMR 15.232(3)(f)] X
Inside minimum dimension 12" [310 CMR 15.232(2)(b)] X
Minimum sump 6" [310 CMR15.232(3)(e)] X
Watertight cover if<2000gpd); waterproof manhole if>2000gpd
[310 CMR 15.232(3)(d)] X
�.. � -
Capacity(emergency storage above working=design flow)? [310
CMR 231(2)] X
Proper setbacks [310 CMR 15.211 (same as septic tanks)] X
Watertight 20-in minium access manhole at least 20" MUST BE
TO GRADE [310 CMR 15.231(5)] X
Service components accessible (not too deep with piping,
disconnects accessible) X
Alarm floats - alarm on circuit separate from pumps specified? X
Exceeds two units must have two pumps operating in lead-lag
mode. [310 CMR 15.231(6) and (8)] X
Stable Compacted Base [310 CMR 15.221(2)] X
Buoyancy calculations needed ?Provided? [310 CMR 15.221(8)] X
Address 173 Seth Parker Road, Centerville,MA Sheet 4 of 7
N/A OK NO
S IZ ABSORPT�Iy N S''STEM SAS) 1
Calculations correct? X
4 feet of naturally occurring material demonstrated? [310 CMR
15.240(1)] X
Required separation to groundwater? [310 CMR 15.212)] X
Aggregate specified as double washed [310 CMR 15.247(2)] X
System Venting required/provided? (system under driveway or
>36" deep) [310 CMR 15.241] X
Inspection ports specified and within 3"final grade? [310 CMR
15.240(13)] X
Breakout requirements met? (No violation of breakout elevation
within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and
Guidance Document] X
L�LEES,,;P>� S,C'HZ ,RCS 30' �R > .253 .,; ��r
� .;
Chambers and Gal. in trench configuration supplied with inlet
every 20 ft. [310 CMR 15.253(6)] X
Each structure with one inspection manhole(if>2000 gpd must
be to grade) [310 CMR 15.253(2)] X
Aggregate I' minimum- 4'maximum. [310 CMR 15.25 (1)(b)] X
2' sidewall credit maximum [310 CMR 15.253(1)(a)] X
In bed configuration, inlet every 40 s . ft. [310 CMR 15.253(6)] X
'1C RE�TCI�3ES310%CMRI :2 '
OP ZZ,
Width T minimum 3' maximum [310 CMR 15.251(1)(b)] X
100 feet-maximum length [310 CMR 15.251(1)(a)] X
Minimum separation 2x effective depth or width whichever
greater(3x if reserve between trenches) [310 CMR 251(1)(d)] X
Situated along contours [310 CMR 15.251(2)] X
Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] X
minimum 2 distribution lines [310 CMR 15.252(2)(a)] X
Maximum separation between lines 6' [310 CM R15.252(2)(d)] X
Maximum separation between lines and outside of bed 4' [310
CMR 15.252(2)(e)] X
Aggregate depth below discharge pipes 6" minimum, 12"
maximum. [310 CMR 15.252(2)(g)] X
Separation between beds 10' minimum. [310 CMR 15.252(2)(0] X
Bottom area used in calculations only [310 CMR 15.252(2)(i)] X
Address 173 Seth Parker Road, Centerville,MA Sheet 5 of 7
N/A OK NO
Pressure Dosed System ? Provided pump and piping
calculations as required [310 CMR 15.220(4)(r)] X
Pressure dosing required on all systems>2000gpd or alternative
systems under remedial approval [310 CMR 15.254(2) and I/A
Remedial Use Approvals] X
If used in gravelless system -make sure jet is directed as not to
scour soil interface [Guidance Document] X
Inspections once per year(systems<2000 gpd) or quarterly
(>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] X
Construction in fill -Did the plan specify that the fill shall meet
the specification of 310 CMR 15.255(3)? X
Impervious barrier and/or retaining wall ? [Guidance Document] X
Impervious barrier installation must be supervised by
designer [310 CMR 15.255(2)(b)] X
Retaining wall must be designed by Registered Professional
Engineer [310 CMR 15.255(2)(a)] X
Side slope not exceed 3:1 ? [310 CMR 15.255(2)] X
Breakout requirements met? [310 CMR 15.252(2) and
Guidance Document] X
At least 5 ft. from impervious barrier to edge of SAS (10 ft.
recommended) [310 CMR 15.255 2)(e)] X
Check DEP Approval letters for credits and design conditions X
If used with pressure dosing do not allow pressure discharge
to scour soil interface X
Was DEP Approval Letter provided and/or have you
reviewed the letter for conditions? X
Is the technology being properly applied and does it meet all
DEP Approval Conditions? X
Is there a note on the plan regarding the requirement for
perpetual maintenance agreement? X
Any alarms involved on separate circuits X
Did the applicant submit an operation and maintenance
manual? X
Has applicant submitted a copy of a maintenance X
aaancter r „ c _
�
Are the variances listed on the plan ? [310 CMR 15.220
(4)(q)] X
RLS Stamp necessary on plan if a component is within five
feet of property line [310 CMR 15.412(4)] X
New construction or increased flow proposed- [Refer to 310
CMR 15.414] X
Address 173 Seth Parker Road, Centerville,MA Sheet 6 of 7
N/A OK NO
ltroge�insltive1Yeas > `y
�: i ,.. .,
Is the system in a Designated Nitrogen Sensitive Area(Zone II for
a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and
310 CMR 15.216 - also refer to Policy regarding upgrades of such
existing systems] X
Is the system proposed on the same lot as served by private well ?
[310 CMR 15.214(2)] X
Are the nitrogen loads proposed in compliance? [310 CMR
15.216(1)] X
Pumping to septic tank ? [ 310 CMR 15.229] X
Shared System [310 CMR 15.290] X
Address 173 Seth Parker Road, Centerville,MA Sheet 7 of 7
'1 own of barnstabme
Regulatory Services
an'�Fea�, i 'rhhnnas F. Geiler, Director
MAD`' P Public Health Division
Thomas McKean, Director
200 Main Street,Hyannis, MA, 02601
Office: 509-862.4644 Fax 50g•7P0.6304
Installer & ll signer Cerlj i cat on Form
Date:
L)esi Baer: 0 ee.cit►=0 Installer: C 0e.w, _
Address: 263 Y Cfc"%pCw l Ni hWcn 3
- � _. _.:. _.._.. Address: O t0K T-7 6 3.._.� ...,_-
r�,5+ �l Imo.
On �2-oo1 t���s was issued a
(date) (installer) permit to install a
septic system at 1`7 3 )Min based on a design drawn by
..
dated 0I 2 I 1ov
v� I certify that the 4r;ptic system referenced above was installed substantial) a ,
the design, which may include minor approved changes such as lateral relocation lof'hts
distribution box and/or septic tank.
'l certify that the septic system referenced above was installed with major change»s (i.e
greater than 10' lateral relocation of the SAS or any vertical relocation of any cornponen-.
of the septic system.) but in accordance with State & Local Regulations. plan revision or
certified its-built by designer to follow,
Kµ of M
ler's Siena _ � u '
i.v„
1
(L�estgncr's i e� ." PYK esign®r's t nip HeP ej
PLEA "ru T AR-NW.P. PT I E AT IV SI CERTIFICAIF
UE COMPLIANCE II, OIITT
I U
BUILT F 0D S-
THANK YO L C HAL H D VIs UN,
Q Health/Septic./Designer Cartificatiun i-onn
T0 'd L9£0 £LZ 809 DNIZ133NIDN33f wu sZ: 0T 600Z-so-Dnt:i
t
ASSESSORS MAP NO: -1_ t" _
we .
PARCEL N0: 09 44
No. - Fica............................_
THE COMMONWEALTH OF MASSACHUSETTS
�/ BOAR® OF H EA T
AlipfirFatiou for Biopniittl IVorkg Tomitrurtion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
1 Ili System at:
... ....... ...... A ....... ........ ... ............. ............ �-... . �---.....-- --------...------------------.....------.
..... .....L -Address or o.
...... .. .. . ..•••••• -- --•-••---•--------------------------------.
Ow Address
a .............. • -••••. ••---. ---_ --------------------------- ---------- -*'! ' ...........................................................
Installer Address /
U Type of Building Size Lotq feet
Dwelling—No. of Bedrooms........................._ Expansion Attic ( rb agder—
Other—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( )
Q' Other fixtures - -----------------------------
W Design Flow..............' - k..................gallons per person per day. Total daily flow.--....... ............gallons.
WSeptic Tank—Liquid*capacity/ allons Length-------_------- Width................ Diameter---------------- Depth___-___--___.---
x Disposal Trench—No. ... ............... Width.................... Total Length.................... Total leaching area_-_____-.___._____--sq. ft.
Seepage Pit No.--OX-S.. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed by Date........................................
aTest 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.....................
a •-••••••-••-----------------•••••-••••-•---•-•••-••-----••••••••-•----•...........-----..__.........-•-•-----•------•------•-•--•••.........................
0 Description of Soil....................................................................................................................................................-----•-------------
"4
U •-•••-•••••••-••-•••--••••-••-••••••---...-••--•••••••-•••••••--•--------------•--••••--•--------•••-••----•---•------•----•••••--•-----••-•---•-•-•••----•--••-••-•------••••......--••••......--..---•
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'T'LE
p 5 of the State Sanitary Code— The undersigned f er rees not to place the system in
operation until a Cet nce has een issue by the bo a th.
r /!f�
Signed -•-- ----------------------------•-
lDate
Application Approved By..:.••-• .••--••-•.......L�� ..... b ` L----- ---••-•••..........................•_... ••--••-
Date
Application Disapproved for the following re ns:----••••••••--••-------•••..........•-••-•--•••••••••••-••••-•••----•-------••-•-------•-••-•-•.................
--------------------------------•----••--------------------••-----------....-------•------.....-----------•••••-•---•••-••••••••. ------------------------------ -------------------------------
e� Date
Permit No................. ...... .. .::.J. Issued............... .............
Date
L
No.-Y b--------- Fps....: . '...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH.
..----..-, G` P`3 s .........OF........° +°.. %.. ...............
App iration for Bispoii al Workii Tonstrnrtinn lirrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at j
fr Locattio Address{ F g" orf.Lot*,90.
_ __..... a' !r" '............... j- ._-�"�._6.r--...................... ........ ..�e+.ti:.! _ff' �.. Yt'^'.:^.!af.=: ..........................................
Ow Cr Address
.............
Installer Address I.
U Type of Building Size Lot !` .. ....�_'._..Sq. feet
HI Dwelling—No. of Bedrooms............................................Expansion Attic ( y'—1..) Garbage Grinder 01 j
aOther—Type of Building ________•__-_•_-__.•-__•---- No. of persons............................ Showers ( ) — Cafeteria ( )
p' Other fixtur -
-
W Design Flow........ .. ...............),n-_-gallons per person per day. Total daily flow............_......�____.._.............gallons.
WSeptic Tank—Liquid capacityJl _ _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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
(s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+' ••-----------•-•-••-•-------••--••-••--•-•--•------•--•-•..................•---•------------..------.........................................................
0 Description of Soil....................................................................................................---------------•----------------------------------------------•----
W
VNature of Repairs or Alterations—Answer when applicable...............................................................................................
--------------------------------------------------------------------------------------------------------------------------------------------•-••-------•-----------.......•-••-•----••--............•--.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
nTm
the provisions of 1-:zi of the State Sanitary Code— The undersigned full-I:er agrees not to place the system in
operation until a Cer ificat OComygance has been is ued by the .p_ar_(L4°3� Ith `r
Signed.........
Date
Application Appro�ed By........ -�1•�-•-•---- Ions:
..--••--• ��................................. -D-t.L-•--•-.
Date
Application Disapproved for the following --••--••-•-------------------------•---••-----•---•-•-•---•---•--•-•-•-----•--......•-••--••-•-••-••----••--•--
..-••-•••••---•-••••••--•-•-----••-•-••.....-•-.._..•--•----••--•••---•---•--•..................•----•-•.•-••---•--------•---••••---•-••----•--•--•-•--------•---•---•-------•------••--•----------•----
Date
PermitNo......................................................... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF..... .,. . ................................ .....
Tatif iratr of ft omplianrr
b THIS IS TO OCR the id al Sewage Disposal System constructed >4 or Repaired ( )
has been installed in accordance with the provisions of T i T W: j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No----- ............ dated-.... U_— ...................
THE t
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............................. .................... Inspector........------------- •-- ----------------------------------------------•---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 99HEALT
y 2�
......../,1110!1.11111.111..M....OF...... ...................
1�r0...................••... FEE...��
'Dispoli ff
ks nnitrnr�ion rranit
Permission is hereby granted....... ••.--•- -•---•-Q'..tc.......................-------•-•-•--••-----------. -
to Construct or Repair ( ) a Indivi al Sewage Dis o System
_ ,�
�� "� ,. .�-�. - ----------------------c.�..............................................................
Street G
as shown on the application for Disposal Works Construction er�it NOt'__�y DateU.. ... ...........
_.....lures'. . ------ -- 'H"eal t'2
7 Board of Health
DATE........... ..........•-••-••.
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
1
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No 2973
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�acA�_.F�,cltT�}ii`I1'HE. '�'>-aai�i��>� TN�s R.a� is Ntsr�3n5tu oNRN INSTRUMENT
5uF\\rCY AN1) THE 0FFSEY-S SiAO N -5HZ)ul.-D Tg4T
13E U-Eq -ra ESTM3US a N 'I... -t' LINES.
Town of Barnstable
Department of Regulatory Services n
r Public Health Division Date
MASS
1 3 �1� 200 Main Street,Hyannis MA 02601
Date Scheduled V Time Fee Pd. UO
Soil Suitability Assessment for Sewage Disposal
Performed By: MI6Aye,l ?imenktA 1 tits cif, Witnessed By: J
LOCATION& GENERAL INFORMATION
Location Address 1„�3 JE s �tp Owner's Name, Ski,rf
C en}Gcv i tip 4 N 1t Address 5. YKA t`1
Assessor's Map/Parcel: (y 7/C>
Z E Engineer's Name 4Sc 615 I,t oLr i^5 1;1C•
NEW CONSTRUCTION REPAIR LO Telephone# 50 8-273 '0 3,!v
Land Use XrC Gamily I rcide Al (dt( Slopes(%) 't'Z Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line 710 ft Other ft
SKETCH:(Street name,dimensions of lo4 exact locations of test holes&perc tests,locate wetlands in proximity to holes)
sec 4 4{ r�d p e�✓1
Parent material(geologic) t9tr!W A51A Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: 13 y 4bS s Weeping from Pit Face 7 t 3 y k bSs
Estimated Seasonal High Groundwater ( gd}usft.d
DETERNIINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: 7 3 y_ in. Depth to soil mottles: 7 i 3.Y
Depth to weeping from side of obs.hole: -7 in, Groundwater Adjustment ft.
-"Index Well# Reading Date: Index Weli level�,-,,,,tea Adj;factor- Adj.Groundwater Level
PERCOLATION TEST Dgte 7-20-1) Thne //A/1
Observation
Hole# Time at 4"
Depth of Perc 213-34 Time at 6"
Start Pre-soak Mme @ IA 11 RM — - Time(9"-V) J `
End Pre-soak
Rate MinJlnch 4 2
Site Suitability Assessment: Site Passed V/ Site Failed: Additional Testing Needed(Y/N) Al
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
r ***If percolation test is to be conducted within 100' of wetland,you must first notify the.
E Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPT10PERCFORM.DOC
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
O_y
Y-28 t3 LS y�Y r •576
M-C 2.5 Y�/� L.00 s.e-
DEEP OBSERVATION HOLE LOG Hole# 2-
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,% el
y-�8 3 c s 0Y r �/b -
20 -13 N-C-S 2.5,1 "ho Looses
9
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency. o Gravel)
{
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,
Flood Insurance Rate Man: Vol
J
Above 500 year flood boundary No— Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No— Yes
Death of Naturanv 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? �S _—
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on 10"2.7'9.9 (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 ex erience described in 310 CMR 15.017.
Signature
Date 7-ro -d 9 .
Q:\.SEPTICIPERCFORM:DOC
f
�5 TOWN OF BARNSTABLE
LOCATION r:�*-o6 r_ c),r4r-% SEWAGE # CQ
VILLAGE_ ( ��� , ASSESSOR'S MAP & LOT 141'1'9
f
INSTALLER'S NAME & PHONE NO. POk+- 0Lk
SEPTIC TANK CAPACITY I Q 0D
LEACHING FACILITY:(type) �6"� (size) �r kf
NO. OF BEDROOMS PRIVATE WELL O UBLIC WATER
BUILDER OR OWNER CVlaf v�rf:u
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: 12�I�^7
VARIANCE GRANTED: Yes No
.r
A- SESSGR'S MAP NO.f LI �� -PARCEL 9
LD CAT ION SEWAGE PERMIT NO.
/ `/
VILLAGE
G
INSTA 1. 'S NAME ADDRESS
BIIiLDER QR OWNER
DATE PERMIT ISSUED
DAT E C 0 M P L I A N C E ISSUED
�l
�G
f1119
No........................ Fzcs...� �'-_...... •THE COMMONWEALTH OF MASSACHUSETTS 4J
BOARD OF HEALTH
74 .............OF...... .......... .. . --- ---------------------------------
Appliratiuu for BiuVuanl lVorkii Tuuutrurtiuu Prrmit
Application is hereby made for a Permit to Construct A or Repair ( ) an Individual Sewage Disposal
System a � '...........................
.__ ....---•--................................................. •--- ...................... ........................................
.......
Lo Address Lot*
-. �' .. ..............
Owner Address
a •-------•----•••••••--••-••-•.._.-_-_.•-•---•-•-•-._�.-�_ ,n. ------------------------------------------------------
Installer Address �o
Type of Building Size Lot_,1,6/._d _---Sq. feet
V Dwelling—No. of Bedrooms______ Expansion Attic (_-O� Garbage Grinder (-/;oO
�+
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures -------------------------------------------------------------•••-•••-••-••------------- ---------•-- .......
��._. _ o
w Design Flow______+____ __ ____________gallons per person per day. Total daily flow--------------------------------------------
WSeptic Tank—Liquid'capacit� �_gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No_ ____________________ Width_____.____...__.__._ Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No......C_c^_A Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water........................
0-4
(X4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 ._..------•-•-----------•-----•...............•------•----...._..----......_-•••••••-•-••---•------•.........................................................
0 Description of Soil.......................................................................................................................................................................
x
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 iT'TT.au.
p `}of the State Sanitary Code— The undersigneOftrther agrees not to place the system in
operation until a Certificate of pli hasl,een iss d y the bQ2.rd iealth.
---- -•-. --- _•-- •----•-•••-•-•••-•---••---•-••-•-•----•- -•- ... •p-
ApplicationApproved By-•••--------•--• .............. ........................................................... ---•._.....��aG-�
Date
Application Disapproved for the following r ons:----••-------•-•-•---------•----•------------------------•-•-•----------------.................................
--•........................•-•-•---•-----.._..--•-------------•----------...------------.......--•---------••-•••--•••-•-•-•-•--••-- -----------------------------------------------------------•--
<an> Date
PermitNo--------- ...........(_.��-_ __. Issued.......................................................
Date
No. 512....... -• FEs.. ........
THE COMMONWEALTH OF MASSACHUSETTS —7 `V M
®AR® F HEA TH
.. ` ta.....:.........OF..--. .......�:*-�:: ..._: - ��------------..........._
Appliratinn for Dispntial Works Tonstrurtiun Frrmit
Application is hereby made for a Permit to Construct ,(� or Repair ( ) an Individual Sewage Disposal
System ,'iellf,°
. e f
LoaNMM Address, �r � ¢�' or Lo 0 o t ,g
................ � f t" 'i •...- ........•_• .........._ `.,t,..r.. -�'.� ._.........C_.�e�„A�..............
_». -__ _-__...
►�.✓ Owrer,. Address
- -•-- .-
Installer Address -rt"
Type of Building Size Lot• ._*_ _Sq. feet
V Dwelling—No. of Bedrooms.____- ________________________________Expansion Attic ( i) Garbage Grinder ( 0
Other—Type T e of Building _______________ No. of ersons.___________._._____.__...__ Showers
W YP g -•--•-------- P ( ) — Cafeteria ( )
P4 Other fixtures _________________________________
d p<; = -•--•----------------------
W Design Flow_____ _ _________________gallons per person per day. Total daily flow............................................gallons.
1x Septic Tank—Liquid*ca.pacit `._.:____gallons Length................ Width................ Diameter................ Depth................
W Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
x
3 Seepage Pit No.....`t_ Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
W
H Test Pit No. 1----------------mmutes per inch Depth of Test Pit.................... Depth to ground water........................
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
P4 ------•----•-----------•---•----•---•-••---••••-------•-----------•------•----.......••--•••-_-••---........................................................
0 Description of Soil........................................................................................................................................................................
x
V
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 T i: I T j of the State Sanitary Code—The undersigned`,rurther agrees not to place the system in
operation until a Certificate of pl' e has been issued,,by the board of health,,./ /
::I'�S .... `..°,c.,�
-- �i
} lN.el� Signed - •----------------= - ..._
.. --•--••-----... •-•-� D e
Application Approved BY-•--•-----___f._�?�._�__-----.... G�•=��?r��1....................... --•-----.�_'__�U__�.��'
Application Disapproved for the following r�sons_______________________________
..................••---------_•............•--•--•••---•---._Date..............
...._...._•-•••••---------------•-...-•--•-•••-••--••--••-----•--•---•-••------•---...-•----------._...--•----------•-----------------------•----••-------------------•-•-----•--- .....................
Date
Permit No.........................................................
Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. ... .........oF......: :Pr"Y�..tQ .....:�?'�: .�:=......._...
Trrtifiratr of Toutpliatta f
THIS T CERT t the Individual Sewage Disposal System constructed or Repaired ( }
b ..... • ------------------------•- .... .. .
....................................... Installer
has been installed in accordance with the provisions of i j ofVhe State Sanitary Code as die-c-ibed in the
application for Disposal Works Construction Permit No.__ _!_:__`1J?_____________________ dated....... �....................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YI•IE
SYSTEM WILL./FUNCTION SATISFACTORY.
DATE--------------- ................................ Inspector....--------- .......................................................
�C� THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
of
P J D FEE .6 ........ ....__.............
Disposa
_Xcz
Permission is hereby granted______________T..
_ � �_.....__.___(fit _ '--.:_
to Construct) or Repair ( an Individual Sewag Disposal System
J
at No•--••-•-•--•......•-•---L�r..-•--G--6 _t<�:�:: _f == - --------- .... _...4
Street
76
as shown on the application for Disposal Works Construction Permit No..u__ ._I_z' Dated__________ _"_-- ...............
-•--••----_--•-••-_-----•----...... -"_ _____ ___________ •' ........
�,
DATE---------- .-_ 7................................. Board of `th
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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LL5uRvEY AND THE OFFSETS SHovYN sHZ)uL-D T�14T
•` V E us Et? -Z-a ESTA.$1-15H LO
A9 A il,9 19
_ -DESIGN DATAS Hc`T
SINGLE_. FAMILY — 3 BEDROOM
NO . GARBAGE DISPOSAL
DAILY FLOW 110 x 3 = 330 G.P. D. v
SEPTIC TANK = 3 3o x 154. = 49 S" G.P D.
USE 1 000 GAL. TANK
DISPOSAL PIT — USE (1 ) 800 GAL. PIT WITH 31nr SToQ-
SIDEWALL AREA = 13,5- S.F
13 5S S.F x 2.5 = 3 3 43
G. P. D.
BOTTOM AREA 113 S.F. -
113 S.F. x 1.0 = 113 G.P.D.
TOTAL DESIGN = 45-/ G.PD.
TOTAL DAILY FLOW = 330-G.PD. s�
PERCOLATION RATE °o I" IN 2 MIN. OR LESS
_ o ,
FUC14ARD
A. Pi
°
U �
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TER ,
24848 SULLIVAN
Vi
No. 29?33TS
vA
TEST HOLE P- 411.5' �
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4-
3�-c F G. 3 .o' F. G. = �� '�: TOP FND.z 4.2
711"+ 7171—,W , s ■ ! aar /: /.•/i/:/, i V77711777F-4 /.• • .
( 4" SCHED.40 �� - ,P.V.C.) INV. '
D s INV.
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o SULLIVAN A, jl
No. 29733 MXTMNU 24W
i;
Z,,`-67
f
DESIGN DATA ;,i �
SINGLE- FAMILY — 3 BEDROOM
NO GARBAGE DISPOSAL
DAILY FLOW z110 x 3 = 330 G.P. D.
SEPTIC TANK = 33o x Ms . = 495' G.PD.
USE 1000 GAL. TANK
DISPOSAL PIT — USE (I ) 600 GAL. PIT- wtTFI 3'or sT-otyc
SIDEWALL AREA = 135- S.F
135- S.F. x 2.5 = 336 G. P. D.
BOTTOM AREA a 113 S.F.
13 S.F. x 1.0 = //3 G.P.D
TOTAL DESIGN = 46'/ G.PD, F®� }�(�►v
TOTAL DAILY FLOW = 330•G.PD. �cE
PERCOLATION RATE S 1" IN 2 MIN. OR LESS Sf"IcET '2FUCHARD
A.
/: Pi TER
? No. 29733
TEST HOLE P- 4I(o5 ?-V'41
4.- Z1 - SS
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E?ZOKJ CoPIPLYS WITH THE SIL)CL.ItiE '`C&1517�:D �!LD Sv2vE(oi2
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:oCATED w ITH iN3 17.1E FL-cob PLA)'Q. APPLIcHQT• ALAi\j S1NIA LL
n 7 4l� -) PLAN IS N1b'T bASCD C� /1►y !NS I �u.�ov►ENr
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B� OSEC� To i�-STI-\Rsusl-1 L'sF ✓►k)cs , —
TOWN OF BARNSTABLE
LOCATION L O—r 6G:!r rocKec Pd SEWAGE
VILLAGE �h/��� �,Il� ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. �. culz
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS- PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER x f
DATE PERMIT ISSUED: 9
DATE COMPLIANCE ISSUED_ /
VARIANCE GRANTED: Yes No
s
i
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PROVIDE PRECAST CONCRETE 4"SCHEDULE 40 PVC MIN. SLOPE 1 % GENERAL NOTE S
T.O.F. EL.= 39.2' EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-BOX= 38.4 FINISHED GRADE OVER BIODIFFUSERS = 38.4 - 38.7
COVER TO WITHIN 6"OF F.G. OVER SLOPE @ 2% MIN.
INLET AND OUTLET COVERS. REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION
FINISH GRADE
RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 38.8 ± FINISHED GRADE OVER TANK EL. = 38.3' 5"DIA. OUTLET(S) 3"OF FINISHED GRADE CODE AND ANY APPLICABLE LOCAL RULES.
2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER.
EXISTING 4" PROPOSED 4" 9"MIN. 9"MIN.SEWER PIPE SCH. 40 PVC PIPE 36"MAX. 36" MAX. TOP OF SAS B.O. 35.79- ' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL
/ -_
SYSTEM UNLESS OTHERWISE NOTED.
' L6-}-� 3"DROP MAX " 9„ PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN
2 DROP MIN 3 y MIN.SLOPE @ 1 11 JOINTS (TYP.) ELEVATION =35.79' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A
101# \ E�4" PVC IN FROM 1.08' V(TYP)
40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF
14" `\ *35.8 SEPTIC TANK 4"PVC OUT TO 0.59' (TYP.) f7.13- 13, THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
LEACHING FACILITY
5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM.
CONTRACTOR CONTRACTOR SHALL 35.57' MIN. 6" 35.4' 35.3' 34.71' (LAID LEVEL) 2.875'(34.5")--I (STONELESS SYSTEM) I 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET TEE -7
AND CONDITION OF EXISTING TEES 5.0' (TYP.) ! 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK
22"ZABEL FILTER 6"CRUSHED STONE TYP.) ' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS
TANK NECESSARY COMPACTED BASE
EXISTING SEPTIC AND REPLACE AS MODEL#A1801-4x22 OVER MECHANICALLY ( 20.0'(4 OF 5 ROWS) 5 MIN. 14.375' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
15.0'(1 OF 5 ROWS) AND DESIGN ENGINEER.
5 OUTLET DISTRIBUTION BOX (SEE SITEPLAN) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 39.00' ESTABLISHED
TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV= < 27.53' ON A CORNER OF CONCRETE PAD AS SHOWN ON PLAN.
BASE. FIRST TWO FEET OF OUTLET
EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
19 - BIODIFFERS PROFILE BIODIFFUSER END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT
CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES
"CONTRACTOR TO VERIFY EXISTING Q n TO THE DESIGN ENGINEER.
ELEVATION PRIOR TO ANY WORK& SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL 19 - 13" HIGH ARC 36 (#3613 B D) BIODIFFUSERS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT.
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
TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
•
* • t • � APPROPRIATE AUTHORITY.
�j • * PERC NO. 12644
�, �� £ * •,� ; ,'" INSPECTOR: David W.Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE
EVALUATOR: Michael Pimentel, E.I.T.
THEY SHALL WITHSTAND H-20 LOADING.
C.S.E. APPROVAL DATE: Oct. 1999
13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
_, DATE: July 20, 2009
1\ ' • TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE
�� „ ` ! ELEV TOP- 38.T MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY.
�� y -Cre rry f i REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY,
ELEV WATER= < 27.53' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).
�
w -1 r �� 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
0) wCl
P` PERC RATE _ <2 min./inch
`� !��Q �p�� �( s ZONE 2 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
DEPTH OF PERC = 28"-46"
16. PROPOSED PROJECT IS LOCATED WITHIN:
co Y �OG�� + ;► .Ir- + TEXTURAL CLASS: 1 ASSESSOR'S MAP 147 PARCEL 94
O ��� r n rry - OWNER OF RECORD: WILLIAM AND FRANCES SMITH
aINSPECTION PORT obclN� -� ► 0" 38.7' ADDRESS: 173 SETH PARKER ROAD
�_:Ijis �629� 10 4 Fill 38.37
B.M.
CENTERVILLE, MA 02632
_ I
19-13" HIGH ARC 36 BIODIFFUSERS B.M.
Cm. Conc. Pad 23 . FEMA FLOOD ZONE C
1� I Elev. =39.00' ! 'ti t • •' • Loamy Sand COMMUNITY PANEL# 255210 0015 C
Assumed rr * B 10YR 516
4-,: ` 17. DEED REFERENCE: BOOK 6494, PAGE 285
PAVED
$ - • • * 18. PLAN REFERENCE: PLAN BOOK 386, PAGE 94
w �9s DRIVEWAY I �, . " • •* Perc `" 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
EXISTING LEACHING PIT
.� !! ! 46" '' 34.87'
TO BE PUMPED AND r'S 6 \c9 3 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
�/ ` - _ FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
FILLED WITH CLEAN SAND- �' 38x7 �' • '�% sO I 39F _ FOR USES OF THIS PLAN OTHER THAN
1p •, ITS INTENDED PURPOSE.
M-C Sand
TP 2
38x7 Loose
Q 2.5Y 6/6
�h 3 C9s \ N�
B IC
GO
O O / EXISTING 'T `'' - -- _ - .►
� W r`
D ��O /39 GARAGE
m w LOCUS PLAN
r \ �/ SCALE: 1" = 1000'
0 -n " 0 ��� 134"1 27.53'
rn z m \ #173 �; ! No Mottling, Standing or Weeping Observed
�, "'d�\ EXISTING /
\ � 3-BEDROOM DECK TEST PIT DATA
37 DWELLING DESIGN DATA LEGEND
TOF=39.2' / PERC NO. 12644
INSPECTOR: David W.Stanton, R.S. 50x0 EXISTING SPOT GRADE
-36 i�iG NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pimentel, E.I.T. 50 EXISTING CONTOUR
�c DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E. APPROVAL DATE- Oct. 1999
EXISTING `� - r� PROPOSED CONTOUR
/ TOTAL DESIGN FLOW 330 GAL/DAY
SEPTIC T TANK FJ�iC / DESIGN FLOW X 200 % = 660
1000 DATE: my 9
\ GAUDAY E/T/C EXISTING UNDERGROUND UTILITIES
\ TEST PIT#: 2
USE EXISTING 1000 GALLON SEPTIC TANK ELEV TOP- 38.7' W W EXISTING WATER LINE
o \F, / MAP 147 INSTALL 19 - 13" HIGH ARC 36 (#3613BD) BIODIFFUSERS ELEV WATER= <27.53' Eq� EXISTING GAS LINE
roc PARCEL 94 PERC RATE =
19,002 S.F.
(3 SYSTEM CAPACITY DEPTH OF PERC- TEST PIT LOCATION
25
(TOTAL L.F.OF BIODIFFUSERS&COUPLINGS)(4.8 SF/LF)(0.74 GPD/SQ.FT.) TEXTURAL CLASS: 1 EXISTING LEACHING PIT= GPD LP
(2 (95.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 337.4 GAL. LEACHING/DAY
EXISTING 1000 GALLON SEPTIC TANK
0" 38.7'
HC-2-,"" TOTALS: 4„ Fill 38 37' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
,� 1) TOTAL NUMBER OF BIODIFFUSERS: 19 Loamy Sand 0 PROPOSED DISTRIBUTION BOX
TOTAL NUMBER OF COUPLINGS: 0 B 10YR 5/6
TOTAL LEACHING AREA: 456.0 SQ.FT. PROPOSED 13" HIGH ARC 36 (#3613BD)BIODIFFUSER
\v,
TOTAL LEACHING CAPACITY: 337.4 GAL./DAY
28" 36.37'
REV. DATE BY APP'D. DESCRIPTION
HC-1
NOTE: PROPOSED SEPTIC SYSTEM UPGRADE
EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE M-C Sand PREPARED FOR:
DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER 2.5Y 6/6 CAPEWIDE ENTERPRISES
"MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO C Loose
ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST
MODIFIED JULY 23, 2008). TRANSMITTAL NUMBER=W000052. LOCATED AT
NOTE: 173 SETH PARKER ROAD
1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE CENTERVILLE, MA 02632
TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. SWING TIE MEASUREMENTS 134" 27.53' SCALE: 1 INCH = 20 FT. DATE: JULY 21, 2009
2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE HC 1 HC 2 No Mottling, Standing or Weeping Observed 0 10 20 ao 8o FEET
DESCRIPTION
LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE BIODIFFUSER CORNER(1) 24.8' 40.9' � JOHN L. c v PREPARED BY:
CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. RESERVED FOR BOARD OF HEALTH USE o CHUR HILL JC ENGINEERING, INC.
REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS BIODIFFUSER CORNER(2) 37.7' 51.0' 1L , 2854 CRANBERRY HIGHWAY
ARE NOT CONSISTENT WITH TEST PIT DATA. BIODIFFUSER CORNER(3) 48.5' 41.2' EAST WAREHAM, MA 02538
3.) PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2. SITE PLAN BIODIFFUSER CORNER(4) 39.3' 27.9' 508.273.0377
SCALE: 1" =20' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.1657