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HomeMy WebLinkAbout0061 STRAWBERRY HILL ROAD - Health 61 Strawberry Hill Road Centerville A=246-039 r• A/ SMEAD No.2•153LOR UPC 1Z534 .m d com • wa.to USA AM), MMOWWWW IOIFI a� swxtsm wwwwaoow�a I. L L No. �� Fee tG / THE COMMONWEALTH OF MASSA`CHUSETTS Entered in compu r: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTA'BLE, MASSACHUSETTS 01ppliLatlon for Vsposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( andon ❑Complete System ❑Individual Components Location Address or Lot No. // Owner's Name,Address,h and Tel.No. Assessor's Map/Parcel �cel q lJ 0 0 ©ICJ�, (— Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. SCD-�7 F�ZAk*__ Miss G 19e" Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil ,r Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o ealt . Signe / Date � Application Approved byllv ! Date Application Disapproved by Date for the following reasons Permit No. Date Issued . t• {:* ,/.L No. � (� �� {' Fee V-- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:' Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for disposal 6pBtem conBtrUction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( bandon ) ❑Complete System ❑Individual Components Location Address or Lot No. r Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2-L-1 V 0 Y )j tT /l\) / Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Diu,k)K_ I AJass C P� Type of Building: ` Dwelling No.of Bedrooms IL Lot Size sq.ft. Garbage Grinder( ) i t{` Other Type 9f Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures`/.. l Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil {• I Nature of Repairs or Alterations(Answer when applicable) 1 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board rr,7!—� SigneDate Z Z� / Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THI S TO C^E/RTIFY,that the On-site Sewage Disposal system Constructed( ) f Repaired( ) Upgraded( ) Abandon by M�s�j Q CO v'3 L1 '4-�/ J at STn P�� 9$ a I L-— ZIQ has been constructed in accordance with the provisions of Title 5 and the lor Disposal System Construction Permit No. )-Q//- 7 7 dated v // Installer Designer #bedrooms rt F Approved design-flow Al gpd The issuance of this pe t s a n co trued as a guarantee that the system will ct o as de d n, C Date Inspector ,, = = __ ----=---- =-_------ ------------ - --------------- No. D Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Zisposal 6pstem Construction j3ermit Permission is hereby granted to Construct( ) Repair( ) Upgrade sn( ) Abandon System located at (U �7�1 0 tfhS-t i 1�,/l LLB E 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:Col. conkus pleted within three years of the date of this permit. �,o Approved by , No, Fee QE COMMONWEALTH OF MASSACHUSETTS Entered incom ter: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 4plitatlon for Disposal 6petrm Construction 3pPrmit Application for a Permit to Construct( ) Repair(t/) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. tv( S k-eZ,,+"el—(tit «R wn-erp's•Name,Address .Tel.No. Assessor's Map/Parcel Installer's Name Address,and Tel.No. Designer's Name ddress,and Tel.No. tk 3 v kt 31 Type of Building: `' Dwelling No.of Bedrooms Lot Size 2�JT sq.ft. Garbage Grinder(I Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3�) gpd Design flow provided 3(.o gpd Plan Date kO [,kG l I i Number of sheets Revision Date Title Size of Septic Tank S Type of S.A.S. Description of Soil (V\Ce-)i, J S�,✓�" W (dv��� } e _ '} Nature of Repairs or Alterations(Answer when applicable) 0�0_rp cc, U_ CP &S n 014 , in b �i Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f Health. g rJ Q Date Application Approved by D Date Application Disapproved by Date for the following reasons Permit No. Date Issued V — 1, / & THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(11-�' Upgraded( ) Abandoned( )by C1 L<, at 6 ` S 1r✓C,- J (xr"1.1 i ki�.d � as beL "ultptjlerd�ina�' ce with the provisions of Title 5 and the or Disposal System Construction Permit Nod Installer VL �GO�k Crrl� Designer #bedrooms ? Approved design flow �(',6 gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. �. Fee J� 0 i a com Entered in ter: ' E COMMONWEALTH OF MASSACHUSETTS p xt. PUBLIC HEALTH,DIVISION - TOWN.OF BARNSTABLE, MASSACHUSETTS r 2pprication for Vsposai 6pstem Construction Permit i Application for a Permit to Construct( ) Repair(t/) Upgrade(()`b don)) ❑Complete System ElIndividual Components Location Address or Lot No. (o( 5 ram+b cr M14 tA c�i t Own is Name,Address a ,.Tel.No. Wets V0 . h- VIC01r\ GX Assessor's Map/Parcel Installer's Name Address,and Tel.No. Designer's Name ddresSs, Tel.I�Tot S cC_0 K `` S} o k ILI V(3 Z Type of Building: ^Dwelling No.of Bedrooms J- Lot Size 2 sq.fr. Garbage Grinder(/I", Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 y gpd Design flow provided 3 (.o gpd Plan 'Date \O (,,p k N Number of sheets Revision Date Title r( Size of Septic Tank S�V Type of S.A.S. �� A) s 0� � �-I� CG14c, 4nit- Description of Soil M E ej .�.�,� s r�� w t'"O v rN r- Nature of Repairs or Alterations(Answer when,applicable) .p G. C e e, Y t P �,s aQj� 1�5 G r_,.. =T�1 11 X. t Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f Health. a gn d C Date Application Approved by _ f� Date Appl tion Disapproved by Date /f r the following reasons v-� u Permit No. lr Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance 'r THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(f/� Upgraded( p'E =?`Abandoned( )by , CC kA �. N.at (-Ail �� as betai�co s bu ed in ac o ance 1 with the provisions of Title 5 and th�isposal System Construction Permit N d ed Installer CO\t V Designer . S �1t._ l _ t' i #bedrooms r Approved design flow� ( (�? Pr. gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. ` Date °_ Inspector -_f --------------------.I -------------------- ---------- - ---- 1 -9 --------------------- ----------------------------------------------------- No. �. Fee__Xn2 ""_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal 6pstrm Construction Permit Permission is hereby granted to Construct( ) Repair( VI/ Upgrade( ) Abandon( � ) System located at S e-,(, ..s y U R U/ �� l `� /? G AJ ''% 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. 1 Provided:Construction m st bcomplete/witin three years of the date of this permit. Date ( Approved by 1/ Y ' ' y TRANS. NO.: CITY/TOWN: S 7.;icne_-r- APPLICANT: ADDRESS: lo/ S7x �aS -4� L L DESIGN FLOW: 330 gpd R'VIEWED BY: DATE: N/A OK NO 'GENERAL N Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for �. components) [310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for / upgrades]- ifnot, a'variance is required[310 CMR 15.412(4)] ✓ Location of impervious surfaces (driveways,parking areas etc.) / [310 CMR 15.220(4)(d)] - Location all buildings existing and proposed 310 CMR / 15.220(4)(c)] ✓ Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] - System Calculations [310 CMR 15.220(4)(f)] daily flow septic tank capacity(required and provided) soil absorption system (required andprovided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and proposed contours [310 CMR 15.220(4)(g)] Location and log of deep observation Boles (existing gra.derel. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and.(i)] Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] Percolation test results match loading rate? [310 CMR 15.242] Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR / 15.220(4)(n)] V Address Sheet 1 of 7 Location of every water supply, publi N/A OK NO c and private, [310 CMR A 15.220(4)(k)] ✓ within 400 feet of the proposed system location in the case' / of surface water supplies and gravel packed public water supply �/ within 250 feet of the proposed system location in the case ✓ within 150 feet of the proposed system location in the case of private water supply wells ✓ 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)] Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.21l(1)[1]) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction / activities within 5 ft. of lot line) [310 CMR 15.220(3)] ✓ 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)] Test hole adequate to demonstrate four feet of suitable material? ✓ [310 CMR 15.103(4)] Test Holes adequate to confirm.adequate groundwater separation? [310 CMR 15.103(3)] Benclunark within 50-75' of system. [310 CMR 15.220(4)(q)] Materials specifications noted? [various sections of 310 CMR 15.000] System components not> 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] e/ r� Address 210 D a g Sheet 2 of 7 N/A OK NO r Size OK? [31.0 CMR 15.223(l)] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter[310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR / 15.228(1)] F/ Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15:227(2)] 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)] 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)] Three access covers (inlet and outlet must be 20" or greater) - / middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1000gpd, / two for systems >1000 gpd [310 CMR 15.228(2)] All at-grade.covers secured to unauthorized access? [310 CMR / 15.228(2)] ✓ > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] ✓ H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.211] Multi Conpaxtnent Tanks �g �u� �� ;isnz`x`' :„S:'t=��'. .,;a'' `s-#'.,'�'—i„„ �q-,. i',r Required when other than single-family dwelling or flow>1000 / gpd [310 CMR 15.223(1)(b)] V First compartment 200%daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and(3)] "U" pipe through or over baffle,outlet of each compartment with gas baffle or approved filter[310 CMR 15.224(4)] r, Address ? ( �3 Sheet 3 of 7 N/A OK NO BUILDING SE;W�R ADkQTHER PYPTN � ' n' ' ��1 �` ;a Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.211(1)[l]) Cleanouts required/provided ? [310 CMR 15.222(8)] c/ Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] Slope of sewer line not less than 0.01 (1/811/f1:) 0.02 preferable / [310 CMR 15.222(6)] ✓ Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] Siphon problem/(leachfield below pump chamber) Endcaps or vent inanifold specified? 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)] Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) DIS'I'112I$t1I=IO Stable compacted base [310 CMR 15.221(2) and 310 CMR 15.232(2)(a)] 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)] Riser if deeper than 9" [310 CMR 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sump 6" [310 CMR15.232(3)(e)] Watertight cover if<2000gpd);waterproof manhole if>2000gpd / [310 CMR 15.232(3)(d)] V Capacity(emergency storage above working--design flow)? J310 CMR 231(2)] Proper setbacks [310 CMR 15.211 (same as septic tanks)] Watertight 20-in ini ium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible(not too deep with piping, disconnects accessible) Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and(8)] Stable Compacted Base[310 CMR 15.221(2)] Buoyancy calculations needed ?Provided? [310 CMR 15.221(8)] Address Z4- 0 3 Sheet 4 of 7 N/A OK NO SOTI,ABS'ORPION SYSTEMS SA £ E12AI1 &` a Y $ rX Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] ,Required separation to groundwater? [310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or / >36" deep) [310 CMR 15.241] ✓ Inspection ports specified and within Yfinal grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and / Guidance Document] GAI�LER7ES,PITS;CCT�AMBER,S�:31Q''�M��5 2�3 �X� �" �'� � 5 Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate 1' niinimurn- 4' maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] ha bed configuration,CCation, inlet every 40 sq. ft. [310 CMR 15.253(6)] LClA..) Width 2'minimum 3'maxunum [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] �. .: ...- yvp,. s• i �Fs• ..rr c ':'"...tg x,.y, ,am � s ��.,e y�,....� f +„t T` s a r minimum 2 distribution lines [310 CMR 15.252(2)(a)) Maximum separation between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)(g)] Separation between beds 10'mmimun. [310 CMR 15.252(2)(0] Bottom area used un calculations only[310 CMR 15.252(2)(1)] Address big Sheet 5 of 7 N/A OK NO DID zM 1 u� t sh # Y eta Pressure Dosed System ? Provided pump and piping / calculations as required [310 CMR 15.220(4)(r)) Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] If used in gravelless system -make sure jet is directed as not to scour soil interface [Guidance Document] hispections 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)? Impervious barrier and/or retaining wall ? [Guidance Document] Impervious barrier installation must be supervised by designer[310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] Side slope not exceed 3:1 ? [310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] Ga�elless� ysteritll� n% lter ` � Y3 1. �P..t".:..,.i,. ,_.._.,. ,�..�...•"�' -+�: �.. C" i,r...�u. s':crsti��"—'�<z..2`ggi Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge / to scour soil interface ✓ K k Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? . Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance Are the variances listed on the plan ? [310 CMR 15.220 (4)( )] RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] New construction or increased. flow proposed- [Refer to 310 CMR 15,414] Address 2��/G 3 Sheet 6 of 7 N/A OTC NO .N "'Ta � F F k fR' .{ P w Y5 fY S'P S/rtrogerTS'errsrtayeflreas� �� .?�<�.� b� kSY 33L� �i"74 4���( NC•�Y ��t.,y.,« S a. 3 N 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] ' Is the system proposed on the same lot as served by private well ? ,[310 CMR 15.214(2)] Are the iutrogen loads proposed in compliance? [310 CMR 15.216(1)] 112isceTtatzeous Pumping to septic tank ? [310 CMR 15.229] Shared System [310 CMR 15.290] r r y Address Z7(o�b 3 Sheet 7 of 7 Town of Barnstable p# Department of Regulatory Services A a' Public Health Division ) 1 Muss Date rE16 9.MX<�1� 200 Main Street,Hyannis MA 02601 tt /w Date Scheduled 1 Time Fee Pd. ►goal Suitability osa Assessment or Se �Is _ .f p Performed.By: st.pt�-6,3 � Witnessed By: L LOCATION& GENERAL INFORMATION Location Address �, C krc_ r t `i�' Owner's Name �' • �`\ O N�� l `•V VC R j,_k.0 V Address lO Cv '����J`C� �� 1 2 V C Assessor's Map/Parcel: 1�/� Engineer's Names NEW CONSTRUCT Telephone# ION REPAIR ` C' 15 Fr-C) Land Use: '.tnS 1 A t- Slopes(`7�) ���" Surface Stones 0 9 o: Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line y t ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) I °b Parentmaterlal(geologic) OU'rt`)�S f f Depth to Bedrock Z�'+ H Depth to Oroundwater. Standing Water in Hole: ®�0 Weeping from Pit Rce Estimated Seasonal High Oroundwater �� DETERNENATION FOR SEASONAL HIGH WATER TABLE Method Used: VIS4 5 Depth Observed standing in obs.hole: ®�� �In, Depth to soil mottles: ln. Depth to weeping from side of obs.hole: 4— In, Groundwater Ad ustment fr. Index Well# C,0 Reading Date: 01#1 Index Well level '?,,_ Adj.fxCtor Adj.droundweter Leval&e '/ PERCOLATION TEST bate .®to Time J11.011 Observation Hole# Time at 9" - - Depth of Perc �i Time at 6" Start Pre-soak Time Q Time(9"- End Pre-soak Rate Min./Inch /-7- Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) 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:\SEPTIC\PERCFORM.DOC DEEP.OBSERVATIONHOLE, LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil- Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones;Boulders. i ten�y %Gravel) S Pwy'lu ids to-te o- ye. DEEP OBSERVATION HOLE LOG Hole# Z Depth from Sell Horizon Soil Texture Soil Color Soil Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. o si e %G ve Z. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other ti Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co i to cy,%Gravel) y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil.Horizon Soil Texture Soil Calor Soil Other. Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Consi t n Flood Insurance Rate Man: Above 500 year flood boundary No `_ Yes Within 500 year boundary No Yes ' Within 100 year flood boundary No�Yes h Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? `f W5 If not,what is the depth of naturally occurring pervious material? Certification Lq�I certify that on (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 trainin ertise and experience described in 310 CMR 15.017. Signature Date Q:\S13PTIC\PERCF0RM.D0C 1 r. A� !� I TC ACCESS COVERS MUST BE WITHIN INSPECTIOl1r 9" MINIMUM. INVERT ELEVATIONS : DES I GfV CR I TER I A : GENC RAL NO TES S 6" OF FINISH GRADE PORT 3 ' MAXIMUM COVER 96.64 FIRST 2 TO INVERT AT BUILDING: 93. 75 DESIGN FLOW: 2 BEDROOMS. DESIGN FOR BE LEVEL INVERT IN SEPTIC TANK: 93. 55 3 BEDROOMS MINIMUM AT 1 /0 G. P.D. PER I. THIS PLAN /S FOR THE DESIGN AND CONSTRUCTION INVERT OUT SEPTIC TANK: 93. 3 _ BEDROOM EQUALS 330 G. P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. t DIAM p/fg LEAN SAND BACKF I L L INVERT IN DIST. BOX: 93.27 C o AROUND AND 2' OVER CHAMBERS INVERT OUT DISH. BOX: 93. ! NO GARBAGE GRINDER 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS 933 / 93. 3 1 / - G°S J 92. 1 INVERT !N LEACH CHAMBER: 93.02 SET. SEE SITE PLAN. 93�75 BAFFLE 93. 27 D SEPTIC TANK REQUIRED 3 OUTLET /0 HIGH CAPACITY INFrTRATOR BOTTOM OF LEACH CHAMBER; 92. / 330 G. P.D. X 200% - 660 GAL . J. ALL CONSTRUCTION METHODS AND MATERIALS AND CHAMBERS IN TRENCH FORMATION ADJUSTED GROUND WATER: 87. I D-BOX SEPTIC TANK PROVIDED: 1500 GAL. MIN. MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1500 GAL OBSERVED GROUND WATER: 83.6 CONFORM TO MASS. D.E. P. TITLE 5 AND LOCAL SEPTIC TANK 6" CRUSHED STONE OR BOTTOM OF TEST HOLE *l: 83. 3 SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. COMPACTED BASE INDEX WELL MIW 29, ZONE C DESIGN PERC RATE l 5 MIN/INCH N - _ PROFILE .' Nor TO scALE AUGUST 2011 READING-6. 3 '. AD,1-3.5 ' SOIL TEXTURAL CLASS - I 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT LOADING RATE - 0. 74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 330 GPD / 0. 74 GPD/SF - 446 S.F. REQUIRED THAN 3• IN DEPTH SHALL BE CAPABLE OF W/TH- \ , yIAE STANDING H-20 WHEEL LOADS. aEE PROVIDED: l0 HIGH CAPACITY INFILTRATOR CHAMBERS. 62.5'x 7. 79 SF/FT - 487 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR 487 S.F. x 0. 74 - 360 GPD APPROVED EQUAL . 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED PRECAST CONCRETE OR APPROVED POLYETHYLENE. ' 7• q0 , BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE W I ` �� OUTLET. ho AREA-24. 568+ S. F. 7. BEFORE CONSTRUCTION CALL "DIG-SAFE BRB/D/SK FND I-888-DIG-SAFE AND THE LOCAL WATER DEPT. FOR LOCATION OF UNDERGROUND UTILITIES. SRB/DISK FND m Y pR1vfl � � 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE 1500 GALLON o // CONSTRUCTION INSPECTIONS. SEPTIC TANK _ BAI-COR CONC S TEP i CATCH BASIN ' EL-96.22 , 1 �_ N , ► 9. EXISTING CESSPOOL TO BE PUMPED DRY AND D-B ' ; �l BACKF I L L ED. ` r I � f 1 l0. ALL UNSUITABLE MATERIAL (A d B HORIZONS) ENCOUNTERED BELOW THE INVERT OF THE LEACHING FAC I L I TY TO BE REMOVED FOR A DISTANCE OF 5 ' AROUND AND REPLACED WITH SAND /N ACCORDANCE C � WITH TITLE 5. 10 HIGH CAPACITY II I I TP*2 TP*1 - e Q I NF I L TRA TOR CHAMBERS I p STD0r 11�� h SOIL REMOVAL S 1 ---SEE NOTE 10 N 24 ' �S•SS.40 �• , 20\,K' S7., CA4DE E EL EC HHM � �K 0 IO 20 40 _ SOIL TEST P I T DA TA INDICATES �_ INDICATES �'" �f✓� PERCOLATION OBSERVED wl TEST GROUNDWATER TP1 Ps/3408 TP +2 0' 96. I C- HORIZON TEXTURE COLOR 94 3 HORIZON TEXTURE COLOR S E V P T / C S Y S / M L� c S / � /. Q LOAMY Q LOAMY 6 S TPA WBERR Y H / L L ROAD - "A FP 246 . P,4 RCEL 39 SAND 2/212 SAND 2/212 ;0 95. 3 4' 94. 0 p LOAMY 0YR p LOAMY I0YR S A R IV S TA S L E" . < WE-S T H Y,4 /V/V / S P Q R T ) M/L� L7 SAND 416 D SAND 4/6 24 94 1 24- f- 92.3 F' REP,4 RED OR MED/UM !OYR c / MED/UM IOYR • o 1 SAND 6/6 SAND 6/6 LEGEND /-AEI/ / /V O NE / � M CB CONCRETE BOUND „ 46" -W- WATER LINE S C,�1 L E / 2 0 O C T L OL'(JS�` H'RDAD �_ � -OG GAS LINE � A G L- E S U R V E Y I N 0 � 1 N C c,IATwILLEVBEAC---- rl (` i 28' 83.6 923 F2ou t e 6A V OHW- OVER HEAD WIRES LIGHT POST �� = Ya rrrmou t hpo r t , MA 02675 NO WATER -E- UNDERGROUND ELECTRIC LINE �fi i�� I 1 �� 5 O 6 � 3 6 2-8 1 3 2 120' 86. I 132" 83. 3 � � ��� �1 508 432-5333-T- UNDERGROUND TELEPHONE LINE ���/ ! { f A DATE: SEPTEMBER I6. 2011 -CTV- UNDERGROUND CABLEV/SJON LINE CENTERVILIf HARBOR L TEST BY: STEPHEN HAAS + 40.4 SPOT ELEVATION � Y WITNESSED BY: DAVID STANTON -40- - EXISTING CONTOUR L O CUS MAP PERC RATE: l 2 MJN/1 NCH aG-10 PROPOSED CONTOUR JJOB NO: l l - l 04 F l EL D:CFW/EEK CAL C: SAH/CFWf_CHECK: CFW DRN: S,4H