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HomeMy WebLinkAbout0516 SKUNKNET ROAD - Health 516 Skunknet Road Centerville A= 169015001 SMEADR No. H163OR UPC 10259 smead.com • Made in USA J49F,cvct,�, T `� kQ �7Lgi¢J` 0 0 i No. )-00 1 0? LI :� Fee /6 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for BispoSal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(V�Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. S'f 6 5 k.k n-r if 14044 Owner's Name,Address,and Tel.No.2&6,., Assessor's Map/Parcel 16 9 / S ®f ( SAI-C Installer's Name,Address,and Tel.No.��pew Designer's Name,Address,and Tel.No.�T-C. Ge.�,rr'OVA.70.3�� -L-7 63 -7 I Type of Building: Dwelling No.of Bedrooms 3 Lot Size 2-1., 0 8- ± sq.ft. Garbage Grinder( ) Other Type of Building S C j L-e cX No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 J J.` — gpd Plan Date 9—S Number of sheets Revision Date Title 51& 5i Size of Septic Tank f tZoo �Z91 CxcS�i Type of S.A.S. S_CJ"etr_.is B�oj Description of SoilQ Nature of Repairs or Alterations(Answer when applicable) f_kkstfm 10%o® S rY C,, h Z [Z2 C ro Date last inspected: lwq% Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signedd Date Y' 51-2.600r Application Approved by ` Date Application Disapproved by Date a for the following reasons co Permit No. g00q — Z2 Date Issued wi• 'v..r.-+. «,. .''r "`y"Y :!?r t+¢•.+..T; r .. r- -....,,ate y __�.. .7"r«.r-r..:v: ., ..... .. bk T s.t goo 00 C r s No. ti."' _ d Fee Entered in computer: THE COMMONWEALTH OF MASSACHU$ETTS PUBLIC HEALTH DIVISION -_TOWN OF BARNSTABLE, MASSACHUSETTS Yes r 4 2pplitation for ]Disposal �Wpstrm Construction permit Application fora Permit to Construct( ) Repair(V(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. S((, 5 k,r,.,kn•e if goA 4 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1 h 9 / 5-»O 1 �,( ' Installer's Name,Address,and Tel.No.& . .� Designer's Name;Address,and Tel.No. �c (30K-74 3 63 ZKS{Gr/�.r�aarrr ff4�.y L'+ram. ,I i , E'.41r w4 r14,9* Type of Building: Dwelling—No.of Bedrooms Lot Size Z'70 1) ± sq.ft. Garbage Grinder( ) Other Type of Building S i �k J-e lr k No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 3 c) gpd Design flow provided 3 gpd Plan Date ��` -2d 0 9 Number of sheets Revision Date Title 5110 Size of Septic Tank 100o cfsl 1 Cx�ski� Type of S.A.S._ '6T%A e vjj toil Description of Soil _ .>D%,q,,,, � Nature of Repairs or Alterations(Answer when applicable) iF(\S,Trn ►oc�o �, r;( Date last inspected: '2,009 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date Application Disapproved by Date J for the following reasons To Permit No. 00� _ Date Issued Lr�-o cl _-_-___.__---____.______________________._--_--____-_.---___-_-.--__-.__---__,__----___-.__-_--_.----__-_--.-_-----_-_----_.-_-_----._-----_.----_ F .� .... THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Qtertifitate Of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(k) Upgraded( ) Abandoned( )by C106qN4,A,',' J-4- 0N�V�ry�,')e, r ,r � �� at 5 l ce $ tG� .�k.�¢ `��..a has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. a 0041"b g� dated Ll� . Installer C-�� .p-c C� `�b �' `� Designer #bedrooms_ Approved design_�ow�) , c, k7 1-e . 4 `�Vgpd The issuance of this f errrmi sha11 not be construed as a guarantee that the system will function as designed. cr � Date I ► ) (} Inspector A,/ �v ----- ------------------(----------------------------- - ------= ------ --------- No. � v01 _ 68q Fee THE COMMONWEALTH OF MASSACHUSETTS T PUBLIC HEALTH DIVISION ar BARNSTABLE,MASSACHUSETTS MispOsal &Pstent Construttion i3ermit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at I� �'t�✓�`��y / 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 � 601t �, �. Approved by TOWN OF BARNSTABLE LOCATION l c� SEWAGE# Cyr--tL►"�'L+Lv�II VILLAGE C eA 14 r o Lt ^ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. C ct{I��dp ��f- , V Z 1 VO 2 SEPTIC TANK CAPACITY %Ut)d 9af Niv Si" .tvo LEACHING FACILITY:(type)120) )3 Dt,4(size) /y,Z y Z,S, z NO. OF BEDROOMS 1 OWNER r PERMIT DATE: COMPLIANCE DATE: 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 L aching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY 1 R� Y3,S AI u,.s �« hq .43", ALe AI2,3 g4 �aY iP E3"� yL �lu Sy l �g .t�'•3 �r<< S"S• I ��u "7�,s 1! .1 TRANS. NO.: CITY/TOWN: Centerville APPLICANT: Capewide Ente rrp ises ADDRESS: 516 Skunknet Road, Centerville, MA 02632 DESIGN FLOW: 330 gpd REVIEWED BY: DATE: �I N/A OK NO GENERAL „ 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 and provided) X soil absorption system(required and provided) 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 S k fo S yV mk,w..1- �d Sheet 1 of 7 4 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)[1]) 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 15.0001 X System components not> 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] X Address 5 1(0 5 nKo cj, i(La Sheet 2 of 7 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<I 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 �N1uItiCampartmentTanks ` �` '�'� �"` z :. Required when other than single-family dwelling or flow>1000 gpd [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 sib 5VQnypeA- �_d 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 15.211(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 Endcaps 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) X ,m DS�TRIBI7TIONB.OX n a a � .. Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] 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 sum 6" [310 CMR15.232(3)(e)] X Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] X P(7MPCAMl3�RS rf . 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 51(o S Ku n kt q e.k- VA Sheet 4 of 7 N/A OK NO SOT ABSO�P AS')�G�NERA , Calculations correct? X 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] Required separation to groundwater? [310 CMR 15.212)] X Aggregatespecified 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(l)[4] and Guidance Document] X f 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 1'minimum- 4' maximum. [310 CMR 15.253(1)(b)] X 2' sidewall credit maximum [310 CMR 15.253(1)(a)] X In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)1 �TRF� CHES 310 C1VIR152�51 .�, � M � Width T minimum 3' maximum [310 CMR 15.251(1)(b)] 100 feet- maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] 9) gpc o I` 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)(f)] X Bottom area used in calculations only [310 CMR 15.252(2)(i)] X Address 516 S y wi Win e t Sheet 5 of 7 N/A OK NO DID TFE�L TNYOL" 1� %' `y 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)] 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 ..r Graven ess,Sy l 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 ternattve�Septtc Sysfem,[,I/A AppravalLetters, �' �� '� `' ��� �`� � �` 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 �Lll S rye 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 51b Sheet 6 of 7 111itrWIA, sensitive�lreais F N/ OK NO \ ,a Is the system in a Designated Nitrogen Sensitive Area(Zone 11 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 15.2901 X Address 51(o S k i n kcvi e.F- (L d Sheet 7 of 7 Submit b Email HIGH GROUND-WATER LEVEL COMPUTATION Date: April 8, 2009 Site Location: 516 Skunknet Road, Centerville, MA 02632 Permit: Owner: Robert &Theresa Packard Phone: Contractor: Capewide Enterprises Phone: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. (depth is in feet below land surface) Date: 3/27/09 8.2 mm yy teet below Is STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: A) Appropriate index well SDW-252 B) Water-level range zone D STEP 3 Using monthly "Current Water Resources Conditions" determine current depth to water level for index well. 03/25/09 47.1 mm/yy STEP 4 Using Table of Potential Water Level Rise for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine water-level adjustment. 3.0 STEP 5 Estimate depth to high water by subtracting the water-level adjustment (STEP 4) from 5.2 measured depth to water level at site (STEP 1). NOTE* Tables 1-9 "Potential Water-Level Rise" are attached as worksheets to this file. monthly index well data: www.capecodcommission.org/wells.html Potential water-level rise, in feet, for us with Table 6 index well Sandwich SDW-252 WATER LEVEL ZONE A ZONE B ZONE C ZONE D 45.9 0 0 0 0 46 0.1 0.2 0.2 0.3 46.1 0.2 0.3 0.4 0.5 46.2 0.3 0.5 0.6 0.8 46.3 0.4 0.6 0.8 1 46.4 0.5 0.8 1 1.3 46.5 0.6 0.9 1.2 1.5 46.6 0.7 1.1 1.4 1.8 46.7 0.8 1.2 1.6 2 46.8 0.9 1.4 1.8 2.3 46.9 1 1.5 2 2.5 47 1.1 1.7 2.2 ib 47.1 1.2 1.8 2.4 47.2 1.3 2 2.6 3.3 47.3 1.4 2.1 2.8 3.5 47.4 1.5 2.3 3 3.8 47.5 1.6 2.4 3.2 4 47.6 1.7 2.6 3.4 4.3 47.7 1.8 2.7 3.6 4.5 47.8 1.9 2.9 3.8 4.8 47.9 2 3 4 5 48 2.1 3.2 4.2 5.3 48.1 2.2 3.3 4.4 5.5 48.2 2.3 3.5 4.6 5.8 48.3 2.4 3.6 4.8 6 48.4 2.5 3.8 5 6.3 48.5 2.6 3.9 5.2 6.5 48.6 2.7 4.1 5.4 6.8 48.7 2.8 4.2 5.6 7 48.8 2.9 4.4 5.8 7.3 48.9 3 4.5 6 7.5 49 3.1 4.7 6.2 7.8 49.1 3.2 4.8 6.4 8 49.2 3.3 5 6.6 8.3 49.3 3.4 5.1 6.8 8.5 49.4 3.5 5.3 7 8.8 49.5 3.6 5.4 7.2 9 49.6 3.7 5.6 7.4 9.3 49.7 3.8 5.7 7.6 9.5 49.8 3.9 5.9 7.8 9.8 49.9 4 6 8 10 50 4.1 6.2 8.2 10.3 50.1 4.2 6.3 8.4 10.5 50.2 4.3 6.5 8.6 10.8 50.3 4.4 6.6 8.8 11 I own of kiarnstaple Regulatory Services Thomas F. Geiler, Director M"WL Public Health Division ��. Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Offict. 508-862.4644 Fax; 5QJ-700-6304 10tAller & csiener. erti cat, iot7 Farm Date. Desigper: tne��cin T'r��._—.__.. . Installer: Address; 2.6.E 1 ,(rov- 0tccr� 0 Y1wc�--- Address: On _ w6�4 ee was issued a peralit :,o install a (date) (installer) septic systern at l lG SKvn K\n e r based on a design drawn by (address) �� �. f rtcj(J►��Ce �, i nc., dated �—. �L,L- . (designer) -_�....._..�_�_ ✓11, certify that the septic system referenced above was installed substantially accordinf; t,;) the design, which may include minor approved changes such as lateral relocation of thf.: distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes greater than 10' lateral relocation of the SAS or any vertical relocation of any componcr, of the septic, system) but in accordance with State & 'Local Regulations. Plan revision: or certified as-built by designer to follow. (.iS1SCilller'6 SIgnaC.ul-e ) i 4 b.;7 S � 1 --- (Uesigr►er's Si esigrier's unpMere) PLEASE RET O BARNSTABLE PUBLIC HE NT T' D ISI C IFI Il t fBUIL BT AB THANK YP�J "V SI Q Certilic;a m Fonn L920 2LZ 809 DN I NA3N I DNAOr WO 20: 60 600Z-9 1—ZJaU Town of Barnstable P# Department of Regulatory Services -LA571 BTABLAi Public Health Division Date z63p 200 Main Street,Hyannis MA 02601 FD ;� W Date Scheduled— Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: Son L. < hu:G�i(` CSC, C Witnessed By: 1 LOCATION& GENERAL INFORMATION Location Address ((o SKvAK nefi 4.Acj Owner's Name L�tn} er✓�11 ` ��_ Address S/(� Assessor's Map/Parcel: j ocl/,9( S J�v 1- / Engineer's Name e4jve" ,�. ie✓ �� NEW CONSTRUCTION. REP/AIR V Telephone# Land Use %es e Sid:o W.I Slo 2- 5 Y P ( ) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ---it Property Line 2 I-Oft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) a uk"`ob�" Depth to Bedrock 7 120 (ogs Depth to Groundwater. Standing Water in Hole: 19 I �°�S Weeping from Pit Faced Estimated Seasonal High Groundwater e to 3 �g 5 ad;�SFe d DETERMINATION FOR SEASONAL HIGH-WATER TABLE Method Used: DyecFU�nseryaltvy� Depth Observed standing in obs.hole: g.9 in. Depth to soil mottles: M/A ln. Depth to weeping from side of obs.hole: VIA in, Oroundwater Adjustment 3 Index Well# SDw Reading Date: 3-25-0 Index Well level `/7 I Adi,factor 3.0 Adj.Oroundwater level PERCOLATION TEST Date 3-17-e9 Thne j,,304%.. Observation Hole# / Time at 9 Depth of Perc Time at 6" _ Start Pre-soak Time @ /1:5 3 Aq Time(9"-6") End Pre-soak l2.D S elf Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) At Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTICIPERCFORM.DOC `DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA), (Munsell) . Mottling. (Structure,Stones;Boulders. Consistency,°k 6riwn D-1. A LS /0yr3/2- 0 P, s�6 - 2�-�S L s 2,nbly — 68 -12o c-2 F-M S 2.5 Y `A. _ lac DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) 6- !o R LS lUio3�2 �6-28 - 2�-�� C-i Ls 2.5Y6/y - 0-(20 c_2 its 2.�Y6/e 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) DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other t Surface(in.) (USDA) (Munsell) Mottling (Structure,.Stones,Boulders. onsi ncy.° 5 Flood Insurance Rate May: Above 500 year flood boundary No_ Yes _ Within 500 year boundary No✓ Yes Within 100 year flood boundary No✓1 Yes ` Depth of Naturally Occurring Pervious Material out the v throughout h Does at least four feet of naturally occurring pervious material exist in all areas observed th . area proposed for the soil absorption system? --- If not,what is the depth of naturally occurring pervious material? _ Certification evaluator examination approved by the q�7 I certify that on, b (date)I have passed the soil Department of Environmental Protection and that.the abo a analysis was performed by me consistent with the required trai ,exper'sea d exp scrib 10 CUR 15.017. G Signature Date / Q..\SEMCVERCFORM.DOC 4 k Town of Barnstable garnstable U*Umicacity w Regulatory Services Department Public Health Division m r° 200.Main Street, Hyannis MA 026.01 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 03/02/09 Robert and Theresa Packard 516 Skunknet Rd. Q Centervil le,, MA FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at;516 Sku.nknet Rd., Centerville, was last inspected on 07/05/2006,by Sean Jones of William E. Robinson Septic Systems a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "Septic system.is in hydraulic failure" The deadline for repair 07/12/08 has past. We, The Department of the Board of Health, have not been informed that you have taken any steps to bring your failed.system into compliance. Therefore, you are ordered to repair or replace the septic system within 60 days from the date you receive this notification. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter, within seven(7) days after the day this order was received. Failure to repair/replace the septic system within,the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S., CHO Agent-of the Board of Health Town of Barnstable Barnstable P Regulatory Services Department , rAcaC' L.Q. 9 Public Health Division r�or " 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 ,]c./ Thomas A.McKean,CHO 0 l� 03/02/09 Robert and Theresa Packard 516 Skunknet Rd. Centerville, MA FINAL ORDER ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at, 516 Skunknet Rd.Centerville, was last inspected on 07/05/2006, by Sean Jones of William E. Robinson Septic Systems a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: "Septic system is in hydraulic failure" The deadline for repair 07/12/08 has past. We, The Department of the Board of Health, have not been informed that you have taken any steps to bring your failed system into compliance. Therefore, you are ordered to repair or replace the septic system within 60 days from the date you receive this notification. You may request a hearing before the Board of Health, a written petition requesting a hearing on the matter, within seven (7) days after the day this order was received. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH �nn 7"17 Thomas McKean, R.S., CHO Agent of the Board of Health -s COMMONWEAL'111 01" IVMASSACIIUSL'1'1'S uxui,IVL OFFICE OF 'NVIRONMEIT1'AL Al.LAIRS ' DEPARTMENT 01'' L' NVIRON11IENTAI, PROTECTION TITLE 5 OFFICIAL INSPECTION 1�ORM-NOT FOR VOLUNTARY ASSESSPIU,NTS SUBSURFACE SEWAGE DISPOSAL SYSTEM 1,Ojol PART A CERTIFICATION Property Address: 516 Skunknet Road ` Centerville Owner's Name: Robert Packard Owner's Address:— �1 (� S vnteoef ce 4cr,,,1 A=3a Date of Inspection. 71S aoot Name of Inspector: (please print) Sean Jones CompanyNamc: t'IlllIaIn Mailing Address: L_ Robinson Septic Service P O Box 1 0t39 Centerville 1.111 Telephone Number:_(SOf31 775 rt7 7r CERTIFICATION STATEMENT I ecnify that 1 have personally inspected the sewage disposal system at this address and dial the information reported below is true,accurate and complete as o training and experience in the proper fun f the linie of the inspection.Tile inspection was performed based on Illyction and mauilenancc of on site sewage disposal systems. 1 ani a I' approved system inspector pursuant to Section 15.340 of Title 5(310 Ct11It 15.000). 1-he system UE : Passes _ Conditionally Passes ____�t�ecds Further Evaluation by the Local Approving Authority b �/ rails Iuspcctor's Sigiiaturc: Dulc: 00 6 'lie system inspector shall submit a copy of this imp llEf)widiui JO days of completing this insp lion report to the Approving Authority(Uoard of Healtti'or ection. if die system is a shared system or has a design now of 10,000 gpd or greater,die inspector and tide syslcm owner shall submit the report to tic appropriate regional office of die 711c original should be scut to the syslc au(liority. m owner and copies sent to tlic buvcr,if applicable,and the appiovinl', auth Notes and Conunen(s Se �c ,S S{ep.. . �° �i�S /nsQCG'�'1o� b-fCrzusC Jf4,.$ [S Ou[r-!a,.clod. "This report only describes conditions at ill finie of inspection and under the conditions of use at that time.This inspection does not address I'O" the syslcm will perform in the future under (lie same or dif(crcul conditions of use. Title 5 Inspection roan 6/15/2000 page I Page 2 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSI'EC FION FORM t. PART A ' CERTIFICATION (continued) Property Address: 516 Skunknet Road Centerville Owner: Robert Packard Dale of Inspection: Inspection Summary: Check A,B,C,I)or E/ALWAYS complete all of Section 1) A. System Passes: / V b I have not found any infunnation which indicates that any of die failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated arc indicated below. Comments: B. System Conditionally Passes: /v I A One or more syslcm components as described ur the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by Lite Board of Ilealdl,will pass. Answer yes,no or not delcnnulcd(Y,N,ND)in the for the following statements. If"uot determined"please explain. 111e septic tank is metal and over 20 years old' or die 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 wide a complying septic tank as approved by the Board of Ifealth. '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. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipes)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of I Icalth): broken pipc(s)arc replaced obstruction is removed distribution box is leveled or replaced ND explain: Thc system requucd pumping More Ulan 4 tunes a year due to btukm Or obstlttited pipc(s).1 he s)'Slclll will pass inspection if(%vidl approval of the Duard of Ilcalth): broken pipc(s)arc replaced obswction is rtmovcd ND explain: ]'age 3 of I I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSUIU'ACE SENVACE UISPOSAL SYSTEM INSPEICfION 1,01ol PART A CERTIFICATION(conl'uucd) Property Address: 516 Skunknet Road Centerville Owner: RobertPackard Dale of Inspection:� /S 3t�b C Further Evaluation is Required by (tic Board of Ileahb: Conditions exist which require further evaluation by the Board of I lealdi in order to determine if(lie syste"i is failing to protect public health,safety or die environment. 1. System will pass unless Board of Ilealtb determiues in accordance with 310 CNIlt 15.303(i)(b) that the system is not functioning in a manner which will protect public health,safely and line environment: _ Cesspool or privy is will""50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Z. Syslcm will fail unless tiie Board of health(and Public Water Supplier,if any)determines (hat the sys(em is functioning in a manner(ha( protects the public health,safety and environment: The system has a septic tank and soil absorption Syslcm(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ____ The system has a scplic tank and SAS and the SAS is within a Zone I of a public water supply. The Syslcm has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ 111e system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more front a private water supply well•• Nictliod used to detemiine distance "This system passes if the well water analysis,performed at a DEl'certified laboratory, for colifonn bacteria and volatile organic compounds indicates that die well is free from pollution from that facility and lac presence of re iri is nitrogen and nitrate nitrogen is equal to or less than 5 ppnr,provided dial no olhcr failure criteria are (riggered. A copy of(lie analysis must be attached to this form. 3. O(licr: v , I'Jgc 4 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENT S SUUSUIVACE SLWACE DISPOSAL SYSTINi INSPECTION FORM PART A CL:IITIh1CATION (continue) Properly Address: 516 Skunknet Road Centerville _ O%vuer: Robert Packard Date of Inspection:� ov6 D. Systcm Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the fullowing for all inspections: 1'c Nu ---y _xBackup of sewage uitu 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 ari overloaded or clogged SAS or cesspool _ A Liquid depth in cesspool is less than 6"below invert or available volume is less than '/,day Iluw Required pumping more than 4 tinies 41 the last year NOT due to elugged or obstructed pipe(s). Numbc, of times pumped_ _ Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of ccsspool or privy is withui 100 feel of a surface water supply or tributar}•to a surface / water supply. V Any portion of a cesspool or privy is widrin a Zone I of a public well Any portiun 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 dean 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the we11 water analysis, performed at a DEI' cerlilicd laboratory, fur colifornt bacteria and volatile organic compounds indicates (fiat lite well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate utlrogen is equal to or less than 5 ppin, provided that mo other failure critct is are triggered. A copy of the analysis must be attached to (his form.( P (1'cs/No)The system fails. I have determined that ot►c 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 liealth to determine what will be necessary to correct the failure. E. Large Systems: NIA To be considered a large syslcni the system must sen-e a faci!ily with a design iluty of 10,000 gild to 15,000 gpd. YOU must indicate either"yes" or"no" to each of the lollou ing: (11ke following criteria apply to large systems in addition to the critct is above) yes no Ole system is within 400 feel of a surface drinkuig water supply the system is within 200 feet of a uibutary to a surface druiking water supply the sysicni is located in a niuogcn sensitive area(Intetini Wellhead 1'rutectiun Atca—IWI'A)or a mapped Zone II of a public water supply well If you have aiissvered"yes" to any questiui ui Sexiuin C the system is euusidcied a sipilli m thicat,or answered "ycs" in Section D above the large sysicm has feikd.11ie ow-nc'r or Operator of airy large system considered a significant Qucat under Section I:.or failed tinder Section 1) shall upi•.rade the sysicm in accordance with 3-10 CNIR 15.304.1hc syslcni olkmer Should contact Ill.,• apprupriatc regional oflt.c of the Dcparnncnl. Page 5 of I I -- OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SENVACE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 516 Skunknet Road en ervi e Owner: Robert Pac ar Date of Inspection:_ 7� ��ODb Check if the Following have been done. You must indicate' es"or"no"as to each of the followin : l-cs No r _ Pumping information was provided by the owner,occupant,or Board of Health / ✓ Were any of the systein components pumped out in the Previous two p weeks 7 --�,/las the system received normal flows in the previous two week period? Ilavc 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 fire facility or dwelling inspected for signs of sewage back u ✓ g p' 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 ins ected for the e htion of tile baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum 7 ✓ _ Was the facility owner(and occupants if different from o%vlier)provided with informs maintenance of subsurface sewage disposal systems? information on life proper The site and location of(lie Soil Absorption System(SAS)on the site has been delernined based on: 1'cs no Existing infor-malion. For example,a plan at the Board of Ilcalth. __ ✓ Determined in the field(if any of the failure criteria related to Part C is at issue a roximation of distant is unacceptable)13 10 CMR 15.302(3)(b)J Pp e 5 I'agc 6 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSUIUME SENVAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFOIMATION Properly Add ress:51 6 Skunknet. Road Centerville Owner: Robert Packard Date of inspection: FL01V CONDITIONS ` RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x N of bedrooms): 33D GM Number of current residents: 3 Does residence have a garbage grinder(yes or no):N3 Is laundry on a separate sewage system(yes or no):Na [if yes separate inspection required] Laundry system inspected(yes or no): ,�JA Seasonal use:(yes or no):ND Water meter readings, if available (last 2 years usage(gpd)): 2005 — 65,000 Sump pump(yes or no): n!'a 2004 — b9,000 Last date of occupancy: CurreA� COMMERCIAUINDUSTRIAL Type of establishment: Design flow(based on 310 CMRt 15.203): Ppd Basis of design flow(seats/persons/sgft,ctc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):— Non-sanitary waste discharged to the Title 5 systen►(yes or no):_ Water meter readings,if available: Last dale of occupancy/use: OTl1Elt(describe): GENERAL INFORMATION Pumping Records Source of information: Ptx) J 0'.r- a 6 Was system pumped as part of the inspection(yes or no): !,La If yes,volume pumped: gallons-- }logs• was quantity purnped dctcmdncd7 Reason for pumping: Tl'lyE OF SYSTEM ,/Septic tank,distribution box, soil absorption system _Single cesspool _Overflow cesspool _privy _Shared system(yes or no)(if yes,attach previous inspection records, if an),) _lnnovative/Allcmative(ecluiology. Attach a copy of the current operation and !naintenance contract (to be obtained from system owncr) _Tight tank _Attach a cop)•of the DER' approval —01her(describe): Approximate age of all components,date installed (if known)and source of information: 5P4-,C j /$ Wcrc sewage odors detected when arriving at the site (yes or no):✓J/0 1'af,c 7 t-f I 1 OFFICIAL INSI'I;CTION FORM -NOT FOR VOLUNTARY ASSI:SSIIIL;N-1'S SUIISURFACI;SIaYAGL DISPOSAL SYSTL'61 INSI'l•:C-PION FOK51 PART C SYS•1 M INFORMATION (cunluwcd) Pruperly Address: 516 Skunknet Road Centervi e Ossocr: Robert Pac ar-d -- Date of Inspecllon:_ °7�S�aoolb BUILDING SEVER(Iucatc uM site plan) Ucpd►below glade: Ia/r Materials of eonswction:_call uvn ✓4p pVC_ogler(explain). Uistancc fluor private seater Suppl)•►sell ur SCILIivn liar._ _ ----'----- Cu111me1n1(oil condition of wults,vcIIIu%,cvidcncc of ICal,age,etc.). J o�..1� c rc a✓_ ,,, SL•1'TIC TANK; ✓(Ivcalc on sitc.plan) Dcplf►below grade:_3 f,latcrial of conslruaivn: ✓cunuctc natal (ibcrglass l,vl)cdIylcnc _uQlcl(cxplain) — — If tat►l.is metal list agc:_ Is age cunl"unlcJ b)•a Ccllificalc of Cungrliance Ocs ur Iruj: —(attach a cupr„I ccttificalc) _ Uimcnsium: /Dpt0 G4/1o�ls SluJgc Jrydh: p" -- Uistancc Ginn lop of sludge to bvncnt�of vullcl Ice ur balllc: Scu►n Ihickluss:_ — Uistancc (roll►tup of scum to It'll of outlet Icc or bafllc. _ — Uistancc f►vn►butivm of sccnll tv butrom of outlet ice ur balllc. Ilu%v%%crc dimclIsiuu nn s dcicirrcd. _ upP�o r,.ce kl Prro� CV,IIn►CnIS(oil pumping reevnunC►tdinvns,inlet and vullcl Ice U ball lc eunditiL.n, s1111oulal intcglit)•,liquid Ir%cl-, as rclalcd to vullcl invc1l,cvidcncc pi Icakagc,ctc ): .1AI'L 6.s� �aEFlc In.kS ,%�fr.c!_ T 17e LvA (?,vz 1 L—ele r by .v Pao was �„ urrc -b�.H GIICASC 711A1':_(Iucatc un site plan) DC1101 bcluw grade:_ Material of conslruclivn: curluClC 1110a1 Ilbcll;lass__puljc111)Icnc utJtcr ---- II11CI1SIUIIs: --`- Scum IIIICknC_ DIStancc front It'll of scum Iv IVII III gullet tcC of balllc: _ Dwimc from bUIIU111 of SLUM It)bLitt,.int vl vullcl Icc or balllc -- I)atC of last pumping: - l-onuncnls(un punq►ulg tccnnuncndatum:,u11Ct arnl u1111c1 ICC yr b.►Illc tu11,111w.1, Slluctul,11 ur1c�,1u�, byunl Ir�LI. a;rClatcd to vullcl ussCrl.C%It1CnLC of ICakj[.C, CIL ). 7 'age B of I I OFFICIAL INSUCI'ION DORM — NOT FOR ti'UI,UN l'Alll' ASSt;`S�II;N 15 SUBSURFACE SEWAGE' DISPOSAL SYS'1-I:A1 INSPEC-PION I OItAI I'AICI* C SYS-1161 ►NI�URA1A'1'ION(continued) PropertyAddress: r��ti Skun_knet Road Owntr: d Dolt of Inspccl oo: 7 S` a�'o TIGIIT or HOLDING TANK: /J h(tartA roust be punytcd at lint of in ,sl ecttnn)(lucate on site plan) Uepllt below Palle: Material of construction:__cunuete_ructal —libuglass rulyetitylerte Olhcr(cxplain). Uintcnsiunr. ------- Capacity: allvns Design Flow: gallons/Jay Ararnr prescnt(yes ur no): 1 Alum level: Alum in svulkin urdcr bale of last punipurg: b (yes ur nu).Dole (eundiliun of alarm and (luat sssildcs,etc.). + UISTIIIUUTION UOX: ✓ (if prescnt must be uputcd)(Iucalc on site dan r ) I)cpth of liquid lcvcl above uu,ict iiovcrt: 3 ra CunvnutU(nine if bus is Icvcl and disttibuuun to outicrs canal,ally cvidcnce of;ulids cart-•uver,any cvidctrce of ` Ieakag iniv of Out of bux,etc.). bDX w4s /f�i l !, L vs ,rls llfc�_ nclr� a•a hGd ( „-fr,— 1A 1'UN11'CIIAN1ULIl:N'(lucate un site plan) Pumps in%rulking Order(yes Or nu)._ Alarms in 1%.Olking order(yes ur nu): CullilltCnll(nulc condition of punt r clwnt(-cr t tmJrlu,n I ill a�- ,I unq , and nutcnantc I I s etc. a Pagc 9 of I 1 -._. ._.... OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SENVAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORl1•IATION(continued) Property Address: 516 Skunknet Road Cen ervi e Owner: Robert Pac ar Dais of lnspcciion; 7 S aOD 6 SOIL ABSORPTION SYSTEP1 (SAS): (loca(e on site plan,excavation not required) !1!0"1 t_o caa-ut a r coccs,va.�-ul• " If SAS not located explain why: ✓75�wy. yWS 02 5AS's Jt t f eo'Ls is Gvi to a d-6ait bo w�s Type _ PosS41r a IBkC(+ •y-rv'Cti 7 ll sc o leaching pits,number:_ leaching chambers,number._ leaching galleries,number:_ (caching trenches,number,length: leaching Gelds,number,dimensions: overflow cesspool,number: innovative/allcmative system_1"}pc/name of tcclutology: Conuncnts(note condition of soil,signs of hydraulic failure,Ievcl of ion ! etc.): l Jam p soil,condi- tion of vcgelatwn, CESSPOOLS: N/ sspool musi be pumped as part of inspection locate)( on site plan) I ) Number and configuration: Depth-top of liquid to inlet urvcn: Depth of solids layer:_ Depth of scum lamer. ----- Dimensions of cesspoo _ Materials of construction: - Indication of groundwater inflow(yes or no):_ Conuncnts(note condition of soil,signs of hydraulic failure, level of ponding,condition of egelalioll,etc.): PRIVY:AII� --- }• (loca(e on site plan) Materials of construction: Dimensions: Dcpth of solids Conuncnts(nuts conJit�Soil, signs of hNJraulic failure, Ies•el of prpnJing,corulition of vegetation,etc.): 9 rage 10 Of I I . OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 516 Skunknet Road _ Centerville Owner: Robert Packard Date of Inspection: 7 S 3�6 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including tics to at least two permanent reference landmarks or benchnsarks.Locate all wells within 100 feet.Locate where public water supply entersilic building. I 3 f d - I RA F1 t G- 1 : d2' t 4-2 = 13_0 ; !7- /-�- 3. 3317 � Page 11 of I 1 OFFICIAL INSPECTION 1`0101 —NOT FOIL VOLUNTARY ASSESSMENTS SUBSURFACE SELVAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 516 Skunknet Road Centervi e Owncr. Robert Packard Date of Inspection: SITE EXAp1 Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine ti►e high ground water elevation: Obtained from system design plans on record-If checked.date of design plait reviewed: Observed site(abutting property/observation hole within I50 feet of SAS) Checked with local Board of I Iealth-explain: Checked with local excavators,instalicrs-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: ro d nv{ wa Er1 Pi�G✓q�w wGs .vo y- dt 14 c ,., d �r r vtn,.�,..� II Town of Barnstable OF 1HE Tp� do Regulatory Services sAxrrsrnBze Thomas F. Geiler,Director 9� MASS. �•� Public Health Division ArFD MA'S A Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 13, 2006 Mr. Robert Packard 516 Skunknet Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5 The septic system owned by you located 516 Skunknet Road, Centerville, MA,was last inspected on July 5th, 2006 by, Sean Jones certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system has"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: System is in hydraulic failure You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder, please feel free to contact the Barnstable Health Department. BARNSTABLE HE TH DEPARTMENT Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health 71 9/ V 40 i ...._....... I � © f S- 00 Fps.. . .......... . THE COMMONWEALTH Of!' MASSACHUSETTS BOAR® OF HEALTH 5� I 1 I ......... Town..................OF.......B rnstable .................. 51 ApplirFation for Ilispos al Works Tonstrnrtiott thrmit ix- Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: ......Skunknet Roac...--.Centerville----------------- --•----I,ot-1-----------.........------------------•-------------•---•--•---------------- smll jlt ion-Address Barnstable or Lot No. James K. �l W Vetorino Bros. owner Barnstable Address ............................... ...._ Installer Address Size Lott. Type of Building 711 a..............Sq. feet r ; U "'Dwelling—No. of Bedrooms..........-..............................Expansion Attic P9 Garbage Grinder Yc') �a Other—Type of Building yp g ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ................................................. -----------------------•----------------------•----•-------•.....------.......----...... W Design Flow.......... .........................gallons per person per day. Total daily flow___----_3 3 a........._............gallons. WSeptic Tank—Liquid capacitykj99R..gallons Length................ Width................ Diameter---............. Depth.. x Disposal Trench—No. .................... Vidth.................... Total Length.....................Total leaching area.k8? €t. Seepage Pit No---_--------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin tank ( ) '-' Percolation Test Results Performed by... _.._a'.... .` .................... Date_._.��.r a®��p W . ----....• ... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-__----____._.______.__. fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•--•---------•--•---••-----•---•-•--•--•-------....-•••----------•••---•-••.....---•------ ............................. O Description of Soil.._Q..�.. --5---------\ c?a�rn S� ' ��. ....... •-•-----.--- v ............................ =5 ---3='�----------._ ---------------------------- /,0 ... 1 � -... 5�`^ UW �� ----- ----••-------•------•---•s?'�L��s °` ' -----------................................................................... 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 Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate_of Compliance.has.been..issued..by the board of health. - - _ _ Signed.... -Application Approved By---.----. / - ///(� _/ Date %-------------------------- ------ C ..1......... Date Application Disapproved for the following reasons-------------------------------------------------............................................................... . ..........................•••----••.........------------•---•-------............•--••---•-•-••------- Date PermitNo......................................................... Issued-....................................................... Date t THE COMMONWEALTH"OF MASSACHUSETTS BOARD OF HEALTH ...._-- Town-------------------OF.....Barnstable Appikatilan for Disposal Workii Tonstrnrtiun amit Application is hereby made for a Permit to Construct (y, ) or Repair ( ) an Individual Sewage Disposal System at: `, ..Skunknet Road.... ..-Centery.Clle ....._Zot 1•---•••-••..............•-•--••••---------•••---......._.............._--_... o ation-Address or Lot No. James F. Sni n Barnstable • ..... .._.._......p.. •- ............................................... •...••••••-----•--.._................-•---------•----••-•••-••••-•----•••-•--------.............-- w Vetorino Egos". Owner Barnstable Address Installer Address UType of Building Size LoP-7-1 %,1...............Sq. feet �-. Dwelling—No. of Bedrooms............3...................zw-.....Expansion Attic VO) Garbage Grinder 190) `4 Other—T e of Building ............................ No. of persons....................... Showers — Cafeteria QI Other fixtures ................................. W Design Flow......... .GO.........................gallons per person per day. Total daily flow__._._....33.p.......................gallons. 9 Septic Tank—Liquid capacityl00-0...gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area............ 's . Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area. _...... �Ec' Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed - --------------- Date__..��},r , .p..._. Test Pit No. 1................minutes per inch Depth of Test Pit........................ Depth to ground water........................ (sl Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' ......................................................-..................................................................................................... 0 Description of Soil-_-,~, ....._ .,r_ ........... _-c4:1. ------_--. _�_�. --- ------------•-_----- W ) ---- --------------------- -� ---------------------------- -----•-----•--.... U Nature of Repairs or Alteratio nys—Answer when applicable...........................:...........................:........................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT s S 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed ...........................' s . ...... ................... ----- '�.. t 1 �-"Ta'�r�d •� Application Approved By....................... Application Disapproved for the o re'asb7ris' '/i .............................................................. ............................ ....................•-•------•-------•---•--•---•-••-----•--•-----=------------------.......---------------••-----•-------•------•--------•----•------------------------------- ....................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..... ocm.........................OF......Sarnstabl.o....................................... fo wrtif iratr of faumpiiFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (g) or Repaired ( ) by.......Vetorino-Brothers••-•-••••-•- _ In taller ��� --------------------------------••----------••---•- at._------.Lot_.l___Skunknet -Road. Centerville 'Ras been installed in accordance with the provisions of TITIL ; 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No_ _ _____ __33----......._....... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL CDRSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIOJ(V SATISFACTORY. DATE......-...2 -......../... ... Inspector... 1-----__----_••••---------------•------••--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tol"m ``'`s ` ; Barnstable No..... ___ ...... FEE. (9/1.z z - ,�........ DisposFal Worko 0-Pnntrwtion umi# Permission is hereby granted-.......VetOr].ri0 Brothers - --- • to Construct ( X ors Re it (( ...an I divi uaI Sew a is osal System at No 1�0 ..........a.. et )?ttOal., enters I y . . --•--------------••--••---.........------.....----•-.....----•---------••-•--•----••••••-•- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... DATE-----\7--=� =---U r } FORM 1255 HOBBS & WARREN. INC., PUBLISJkERS v \ \ 4� 7� ° , a Z T I I a.0 t � E SLGV�v. b � [-} V. -14 �V6, DA1 FLovAf= 3XIIC>= 330e>PD. >=a� :SE�:;'rl6-r4N<'= 33�v>115a/p=495, 6•-D. , .�-AM�s U5� I�pa GAL.., �EAG1-I FIELt7-USE Z P-04DIPFv�,©5�5. I-aT" .L�� f=tV� Gc�eNE25 V !L1^AG GF-NTE.t2-Vie--i_G:-�B;A2N.57412, .F') MA.�, 4 r f3 l.0 5 = 1 FPD. G45 --rAtl. 9 1 19 1 B A N Y E.I t,1 G . �srro M RZ E� = z.88 s F �Iz-xR�}) �1.v, _ ,Z� 6,PD, 1ZE.b1'�'T`E2+=t7 l-ANC✓` .�v�.'�l��ot25 o EeVtLL-FIMl� D DISC©��� t-1 S t ac=L. t >J E_ 4. 5 ct _ . 00 C,Oral FJ55cZS r A. N't 24-348 T-ram F•Nr>, 1 95�9C 6 / 1-1— GAL. a+91.. 4 w F/NC.J4�/Sv u I►tJ INV. - pPTtc l 7 l39S EL6l/ NJ 1} br 3 q -I%� µi"tHE3> .3.0•�.� ..�rre�/.96'�" :27r.�F'QS9L S/.s��'1 Gt/9?'E�ELEILL_B�• S PROVIDE PRECAST CONCRETE EXTENSION TOF= 32.6't 5" DIA. OUTLET(S) 4"SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER BIODIFFUSERS= 32.5' - 32.1' GENERAL NOTES RISER WITH CONCRETE COVER TO WITHIN 6" REMOVABLE WATER-TIGHT COVER& RISER SLOPE @ 2% MIN. OF F.G. OVER INLET AND OUTLET COVERS. INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION F.G. OVER S.T. EL.= 30, FINISH GRADE OVER D-BOX= 32.4'± ACCESS BOX TO WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE 2"SCH. 40 3"OF F.G. (ONE PER ROW) CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 30.8'-F FINISH GRADE OVER P.C. EL-= 30,8' TO D-BOX 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 9"MIN. f 36"MAX 9"MIN. - DESIGN ENGINEER. 36"MAX. 9 MIN. PROVIDE 9"MIN. 4"SOP. 30.00' 2"PVC TEE I 36 MAX. I WATER-TIGHT 36"MAX. TOP OF SAS/B.O. = 31 .33' 3- 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL _=- 2" DROP MAX. SYSTEM UNLESS OTHERWISE NOTED. SLOPE @ 2�o min. 6 3 3"DROP MAX. g�� 40 PVC JOINTS(TYP) __. 4"PVC OUT �- sLOPE @�%min. 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN '� CONTRACTOR ' 10" I - ELEVATION = 31.33' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS i 14" TANK TO BE WATER-TIGHT TO LEACHING SHALL VERIFY SIZE -� 48" INV. Uu i - AND WATER-PROOF FACILITY T1 08' t 13" A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF AND CONDITION OF LIQUID 29 0,+ . . (TYP.) 7 13"(TYP) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. EXISTING SEPTIC LEVEL 28 90' O 0.59 F ° TANK INLET TEE 1" 4h + 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. P I - OUTLET 31 .17' � 6�.j 31 .00' 30.8 ' - 30.25' laid flat 2.875'(34.5")_� 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. CONTRACTOR SHALL 22"ZABEL FILTER TEE ) (TYP.) 7- LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 5.0' VERIFY CONDITION OF MODEL#A1801-4x22 6"CRUSHED STONE 24.3T 28.65' 6"CRUSHED STONE FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING TEES w/GAS BAFFLE OVER COMPACTEDABASE LL OVER MECHANICALLY (TYP.) 4'MIN. 14.375' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH AND REPLACE AS LENGTH 8.29' WIDTH 5.46' DEPTH 5.63' COMPACTED BASE REQ'D NECESSARY 20.0' (TYP FOR ALL ROWS) AND DESIGN ENGINEER. EXISTING 1000 GALLON PROPOSED 1000 GALLON 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 34.00'ESTABLISHED MONOLITHIC PUMP CHAMBER TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= * 26.15' BIODIFFUSER (END VIEW) ON A NAIL IN TREE AS SHOWN ON PLAN. TANKS SHALL BE INSTALLED ON A LEVEL STABLE BASE BASE. FIRST TWO FEET. OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. 20 - BIODIFFERS (PROFILE) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT EXISTING 1 ,000 GALLON SEPTIC TANK & CROSS SECTION VIEW "Adjusted GW level based on Cape Cod Commission Technical Bulletin 92-001 (revised 2006) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES LEVATONPRTRTOAN VERIFY WORK& PROPOSED 1 ,000 GAL. MONOLITHIC PUMP CHAMBER DISTRIBUTION BOX DETAIL 20 - ARC36 (#3613BD) BIODIFFUSE.RS TOTOINTSHE H ENGINEER. ELEVATION PRIOR TO ANY WORK& 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE NOTIFY ENGINEER IF NOT TO SCALE NOT TO SCALE NOT TO SCALE -- - --- - - STRUCTURES SHALL BE MADE WATERTIGHT. BUOYANCY CALCULATIONS SWING-TIES (SCALE: 1'=20' ` P r TEST PIT DATA 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING INSTALL 1-1/4 PVC TO HOUSE. JOINTS TO BE MADE , . PERC NO. 12511 REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM WATERTIGHT.WIRE PUMP AND FLOATS TO SIMPLEX ` jj r APPROPRIATE AUTHORITY. PUMP CHAMBER: DESCRIPTION HC-1 HC-2 r' /j ���� All INSPECTOR: Donna Z. Miorandi, R.S. CONTROL PANEL No. 1-CC2 NEMA-1 MFG. HOOVER INSTRUMENTS. HIGH GROUNDWATER EL-= 26.15' PUMP CHAMBER IN (1) 32.8' 49.4' .' ! ' , + M EVALUATOR: John L. Churchill, Jr., P.E. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS TOP OF PUMP CHAMBER EL. =3000' + • Nov. 1997 LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE . NEMA 4 JUNCTION BOX CORROSION RESISTANT& HOISTING CABLE 7 x 19 STAINLESS STEEL �" C.S.E. APPROVAL DATE: BOTTOM OF PUMP CHAMBER EL. =24.37' PUMP CHAMBER OUT(2) 36.3' 44.7' + • THEY SHALL WITHSTAND H-20 LOADING. LIQUID-TIGHT CABLE CONNECTORS SUPPORTED 1/8" DIA. /1,760 LB. STRENGTH + • , • DATE: March 27, 2009 „ WATER DISPLACED=(26.15 -24.37)x 5.46 x 8.29 =81 C.F. .ti,� ,. CONNECTORS SUPPORTED BY 1-1/4 PVC CONDUIT, WEIGHT OF DISPLACED WATER-81 C.F. x 62.4 LB/C.F. =5,054 LBS. BIODIFFUSER CORNER(3) 63.3' 40.2' �ti + • • , �wf8 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. JOINTS TO BE MADE WATERTIGHT 2"BALL VALVE w/ UNIONS SCH- 80 PVC - BIODIFFUSER CORNER(4) 78.2' S9.7' „ . • , ELEV TOP TEST PIT#: 1 31.40' GEORGE FISHER CO. MODEL NO. 560 WEIGHT OF H-10 1,000 GAL. MONO. PUMP CHAMBER= 10,554 LBS. � » ` ` 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE • •• • = SOIL COVER= (30.8'-30.00')x 5.46'x 8.29' =36 C.F. ^ /J • , * •• MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. 13" ,. WEIGHT OF SOIL ABOVE CHAMBER=36 C.F. x 120 LB/C.F. =4,320 LBS. d '`• • • 6 3 2 SCH. 40 TO D-BOX BIODIFFUSER CORNER(5) 87.6 58.9 ZONE 2 l� . * ELEV WATER= 26.15 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, 10,554+4,320 = 14,874 LBS. > 5,054 LBS.; THEREFORE ACCEPTABLE _ -- �"// • + 10" "SCH.40 TEE w/CLEAN-OUT CAP �.._ _ _ __ _ BIODIFFUSER CORNER(6) 74.6' 38.9' I - ` • + ` ' PERC RATE= 3 min./inch FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 5'-7.5" T TANK TO BE WATER-TIGHT Al-ARM ON ) ,� , " 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN 4'-6.5" T AND WATER-PROOF UMP ON ' / s ,� * } DEPTH OF PERC= 42 -60 • SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. PUMP 0%i 2" BALL CHECK VALVE SCH. 80 PVC 100 ''` • ' "" + TEXTURAL CLASS: 1 16. PROPOSED PROJECT IS LOCATED WITHIN: MAP: 169 LOT: 15-01 •„P.S.I. FLOWMATIC MODEL No. 208S HC-1 +� i "� • - 0 � • • ` ++ JI HB�C Illy OWNER + 0" 31.40' OWNER OF RECORD: ROBERT J. &THERESA L. PACKARD (2)WIDE ANGLE CONTROL FLOATS 1/4"WEEP HOLE IN DISCHARGE PIPE #516 lI �'' A Loamy Sand ADDRESS: 516 SKUNKNET ROAD (BARNES 073618) " f" _ - - - 6" 10Yr 3/2 30 90' CENTERVILLE, MA 02632 1: PUMP ON/OFF 120 ACTIVATION 2 SCH.40 PVC DISCHARGE PIPE EXISTING 2: ALARM ACTIVATION BARNES SE411 PUMP 0.4 H.P., 115 V, 3-BEDROOM B Loamy Sand FEMA FLOOD ZONE C 2" DISCHARGE PASSING 1-1/2"SOLIDS DWELLING 10Yr 5/6 COMMUNITY PANEL# 250001 0015 C OR EQUAL TOF = 32.6'± T2) " 28" 29.07' .•ti C-1 Loamy Sand .rC8r1 � --�-- � 17. DEED REFERENCE: �s 42.. ,� 2.5Y 6/4 27.90' MONOLITHIC PUMP CHAMBER ' ', - Perc -s. E.S.H.G.Wfa 63" 26.15' BK. 14919 PG. 251 1 ,000 GALLONO I + ' 63 +` 18- PLAN REFERENCE: DECK gg" 25.73' PLAN BK. 339, PG.49 m (3 •+ . (a �* i 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 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 I� a 4) . �* * C-2 Fine to Med.2.5Y 6/6 and FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. ----- (6 ° __ r..; ° + c"y. •� `'. 32 \ o - g�„ Observed G.W. @ 99" 23.15' �- MAP 169 ° PLAN - SCALE:/ PARCEL 93-03 ° 5) LOCUS SCALE: 1"= 1000' 120" 21.40' / APPROXIMATE LOCATION OF EXISTING _ ____._.__.__ _____ __ _._ __ _ / DISTRIBUTION BOX TO BE ABANDONED DESIGN DATA TEST PIT DATA LEGEND EXISTING 1000 GALLON PERC NO. 12511 Sg 50x0 EXISTING SPOT GRADE W 8o?62gA SEPTIC TANK TO BE UTILIZED NUMBER OF BEDROOMS (DESIGN) 3 INSPECTOR: Donna Z. Miorandi, R.S. AS PART OF THIS DESIGN I 110 EVALUATOR: John L. Churchill, Jr., P.E. - - 50 - -- EXISTING CONTOUR DESIGN FLOW GAUDAY/BEDROOM 10 0 _- __.__- �30 C.S.E. APPROVAL DATE: Nov. 1997 � PROPOSED CONTOUR TOTAL DESIGN FLOW 330 GAUDAY DATE: March 27, 2009 O / DESIGN FLOW X 200 % = 660 GAUDAY 0/H/W EXISTING OVERHEAD WIRES MAP 169 t�2 PARCEL 15-01 APPROX. GAS LINE LOCATION TEST PIT#: 2 W W 4Cl t� (TO BE VERIFIED) ' USE EXISTING 1000 GALLON SEPTIC TANK - EXISTING WATERLINE ELEV TOP= 32.40' 2 27,118 S.F.± APPROX. WATER LINE APPROXIMATE LOCATION OF EXISTING SAS ELEV WATER= 26.15' GAS - EXISTING GASLINE LOCATION (TO BE VERIFIED) TO BE ABANDONED INSTALL 20 - ARC 36 (#3613BD) BIODIFFUSERS PERC RATE - TEST PIT LOCATION 28_ _ _ _ � � �� (_ SYSTEM CAPACITY DEPTH OF PERC= (TOTAL L.F. OF BIO'S&COUPLINGS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD EXISTING 1,000 GALLON SEPTIC TANK *_ �28��-'-) 30 \S / SHED `28� ' (100')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING/DAY TEXTURAL CLASS: 1 GA / O PROPOSED 1,000 GALLON MONOLITHIC PUMP CHAMBER s � + TOTALS: w w _ �. S PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE GA TOTAL NUMBER OF BIODIFFUSERS: 20 A " Loamy Sand 32.40' S ROPOSED 1000 GALLON TOTAL NUMBER OF COUPLINGS: 0 10Yr Sand PROPOSED 2"SOLID SCHEDULE 40 PVC PIPE GAS_ GAS #516 o MONOLITHIC PUMP CHAMBER TOTAL LEACHING AREA: 480.0 6" 31.90' Q ��w GAS ' : 07 TOTAL LEACHING CAPACITY: 355.2 B Loamy Sand � PROPOSED 5-OUTLET DISTRIBUTION BOX W _� EXISTING ua o 10Yr 5l6 GAS�`30 w w`�- w 3-BEDROOM \ oN 28" 30.0T PROPOSED ARC 36 (#3613BD) BIODIFFUSER DWELLING 25 O m�. NOTE: X( TOF = 32.6'± EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE C-1 Loamy Sand DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER 2.5Y 614 3p-- "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED REV. DATE BY APP'D. DESCRIPTION �iy�►✓ �` �- DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED JULY 23, 68" 26.73' -- - -- MAP 169 ` , MAP 169 2008). TRANSMITTAL NUMBER=W000052. PARCEL 15-02 Sg90 DECK 31x4 �._ oo PARCEL 19 75„ E_S.H.G.W_@ 75" 26.15' PROPOSED SEPTIC SYSTEM UPGRADE C ?g PREPARED FOR: 2ss0�s"E TP 1 3�x . DOSING & STORAGE REQUIREMENTS 31.4' �' �, m Fine to Med. Sand CAPEWIDE ENTERPRISES PROP. 20 - 13"HIGH ARC 36 DESIGN FLOW: 330 GPD C-2 2.5Y 616 (#3613BD) BIODIFFUSERS 32- 388, 200. ! DOSING REQUIRED: 4 CYCLES /DAY LOCATED AT A4. j 330 GPD/4 =82.5 GAUCYCLE 516 SKUNKNET ROAD 111" Observed G.W. @ 111" 23.15' CENTERVILLE MA 02632 DISTANCE REQUIRED BETWEEN PUMP ON AND PUMP OFF FLOATS: 120" 22.40' PROPOSED TP 2 MAP 169 DISTRIBUTION BOX 82.5 GAUCYCLE = 250 GAUFT = 0.33 FT/CYCLE SCALE: 1 INCH = 20 FT. DATE: APRIL 8, 2009 o �• (USE 0.35'TO PROVIDE FOR BACKFLOW) o 10 20 ao so FEET NOTE: PARCEL 15-03 `PROPOSED INSPECTION PORT �HOF � T, '� ' �+ U, (TYP OF 5) STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GAL. r s - -- ----- -------_ - 1. MAGNETIC MARKING TAPE SHALL BE STORAGE PROVIDED ABOVE WORKING LEVEL: 500 GAL. ��° C fl °'F PREPARED BY: 0 "�K`'"" Benchmark JC ENGINEERING, INC. PLACED ALONG THE TOP EDGE OF EACH \ o SEPTIC SYSTEM COMPONENT. Nail in Tree v�� Elevation =34.00' --, 2.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP A rox. M.S.L. m EAST WAREHAM, MA 02538 APPROVED ZONE 2 & THE ESTUARINE WATERSHED. SITE PLAN 508.273.0377 SCALE: 1"=20' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.1586