HomeMy WebLinkAbout0119 TERN LANE - Health E
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SMEAD
KEEPING YOU ORGANIZED
No. 12534
2-153LOR
SUSTAINABLE FORESTRY MIN.RECYCLED
INITIATIVE CONT ENT 14
Certified Fiber Sourcing POST-CONSIMER
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s"120o
MADE IN USA
GET ORGANIZED AT SMEAD.GOM
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No: Fee vU
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es
01ppfitation for Misposai *pstem Construction Permit
Application for a Permit to Construct( Repair( ) Upgrade( ) Abandon( ) 16complete System ❑Individual Components
Location Address or Lot No. ►1 a Z 0 Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel �/ �/� xetvrQ (fewp re.
IInnsstallllee�r's Name,Address,and Tel ,/
•.No. ?(; _V��� Designer's Name,Address,and Teel.No.
Lr:7" O&A.O SC�.�t/�1� �l� jOrAiZeQ�tr
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures -7
Design Flow(min.required) gpd Design flow provided Y� gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank y `CJ Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
q""Xq-, S 21,C6 C44,, wAo� d
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 of Heal
Signe Date ✓�Zy
Application Approved by _ Date 3 20 .-% C
Application Disapproved by Date
for the following reasons
Permit No.�:2 0 ' 0-7 Date Issued 3
TOWN OF BARNSTABLE
L4LOCATION ZAI SEWAGE# ?-Oil 0¢9
VILLAGE n ✓° `� ASSESSOR'S MAP&PARCEL 212 - a Zv
INSTALLER'S NAME&PHONE NO.
SEPTIC-TANK CAPACITY
LEACHING FACILITY.( e) L f 6 (size) /O 3 9
NO.OF BEDROOMS 3
OWNER 1c.�f,C� /rt/� z✓
PERMIT DATE: 3 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 Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
1� !
r��} / , � ,1 ♦IQ} ��, f�� I .
u f (� Fee /
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE; MASSACHUSETTS
es
apputati0ll'Jor Veposal *pstrm Construction Permit
Application for a Permit to Construct( +) Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components ,•
Location Address or Lot No. 7 h-1 2 O
if'/ Owner's Name,Address,and Tel.No.
!
j t
Assessor's Map/Parcel 1f )70✓0 4.^e �C�9?r �6c l�l�G!� kdmv
Installer's Name,Address,and Tel.No. W11 � � :Designer's Name,Address,and Tel.No.
00 SP, �rA; rrh�t.t r 2./r is
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) 3 d gpd Design flow provided 3 3 gpd
Plan Date 'i Number of sheets Revision Date
Title
* Size of Septic Tank f Type of S.A.S. 3 C. �sa r�.�s9S /:-, S rt-{jy`•
Description of Soil
{1 �
Nature of Repairs or Alterations(Answer when applicable) ,,A✓e W � -
ro �C✓�i'Y� �S l . �� L li Gc ,k+c+/S ��. j �fo vt,�
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 of Health.-?
Signe Date ✓"" �"��1
Application Approved by (��-� (,�„; r�1_ (% e_S Date
Application Disapproved by f Date
for the following reasons
Permit No. 7 a i� v l - 0 Date Issued � o�0" !
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( r.)'r Repaired( ) Upgraded( )
Abandoned( )�by..�� ,� !^-11 -V-tl Pr
at �F /Ct i^ �- .z�C: �cr f'1+t, r/1 r//ehas been constructed in accordance
with the provisions of Title 5 and a for Dis osal System Construction Permit No. c
I�j"0 f 7dated } — .2 o
Installer /O,�14 e < / � i �� 7.0 Designer A h�r i+��'l►� �✓J t t�� �z yj
m �
#bedrooms Approved design flow gpd
The issuance of this permit
shall not be construed as a guarantee that the system wile�on as designed.
Date A!( /�� Inspector �-fi
-------------------------------
No. (1�� Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal *psttm Construction Permit
Permission is hereby granted to Construct( Repair( ) Upgrade( ) Abandon( )
f v Gb? el r r�l
System located at
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:Constructionlmust be completed within three ears of the date of this permit.� � � / P Y P ` �
Date 5 -4 r, Approved by _ `!�-�''4� i�'t; V``. ?,
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/ _____ �__,_ wa a Permit# '� _� s`1V Zi Z
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Se g c'7 '0Assessor' �ap\Prcel
Destnerw-1 e c fi''1 e 7�,
.�}ee
t2� InStalle
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f date) � £ Installer) �� r3
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SC()tiC-SyStr'n13t .l /✓l :. '`; C. i°s_tM, `
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- (iddre� i dent rt drawn ,3
ba,ed on g b}
b
✓t t¢rt'pr �� t Zi d b �" t`J�G t..j
t ° P1 �a, t-"- ' !t
s desran )a
1N date ry ` \ 1 i ,
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-1, I certify tl}a , Ie�Sepuc §1ystem referenced"above was�inslille,'8'ubstanttall y aet 0tdttig to
tlae design �hith tnay include rnrhor apl?iave,,d;changcs"`such as lateral relocation tithe
dt5trtbutton box and/or septic tanl< S1 out (if regtili-ed) was inspected and the soak
«ere found sattsfa�tory
,
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P
I certif, that't}ae y „sl)ttc system telerencecl abouty.� a, tnstatlecl with`aria or clan res. i c
greate> than {) late ral r, gcaribn of the St S ot.alay�rert cal aeldcatipzi a 'any;4oni)oz ent
of the tieptte systert�) buE tnaecordanee�utth State 8c Local RegitlatrQi%s Paai�•xe�tsrcisa of '
" `� cei 41--.d as b elt bY, designer to €ollow Shii' �out;(if`required)w'0 inspected and the wily /
�,ete touitd satisfactory: '
/ /
°" / ' 1 certify that,the tystern ze£erenced above;was constructed an tivtth the tcrins
o'f'the TtiA approv llet plae�tble)
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s(rt ap
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b'"/ / : / 3�� �� 'G ` r r 3 33 3
'A �, 9 r
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rx :y 3 i7 '- _YT ! J z C 4 !�C ] 37�
(Installer's Sighatute) tacEK"t
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(Destgiter ,s Stgnattue) (Attu Designe eac}.
I'LE SIS RETURN. TO BARNSIABI r I'UI3I IC HEALTH )IVfSiON 'CERCXI~fCAI'I
OE C'!::75 NCB '4�'ILi i�`OsT BE ' ' ' -ED UNTIL BOTH THIS FORM:AND :AS
TiUl U CA"ftD RI ,�, RE T . LD IiY TILE BAI2!TSTA. .1 PUBLIC HEAT TH.DIUTSION
f ?�[H-�,.A ._YOL
/ Stptr�J�sagFleG Getttfza�ttoh Foz�ri Rev S I 1 d
r:
Iti ou 3i 3
Engmeeis note F"zs certification+s hmtted to an as bu�li tnspectiansa�sys em romponeiifs as s'Catteo.cnor'to baektill:Tho' e enc)meet:d- not�supervtse�edn�truc9gn of the system Thean„alier'asswneS�Ges onsib�,, or"I m
r Y ati -atanals yuor t ransastp hacki$iHng
r
' to specified grades'Nnih proper comp ep,r aid::`ettmg rs6isl 9vers as s4.. .. z lire de'stgn plan;
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ft,");1�-;--:!:",:�I�1"
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— .-_
Town of Barnstable pit 15 9':A 5
• owe ��
Department of Regulatory. Services. �t?
8T"r� Public Health Division Date
�•
ZOO.Main Street,Hyannis MA 02601 a
QED MA{A y,Y
Date Scheduled �I ` Time 00
Fee Pd.
Soil Suitability Assessment for Se Disos�z `�'
Performed'.By: �e K✓' r✓ n �-f 5 Lt'Z
Witnessed By:
LOCATION& GENERAL INFORMATION
Location Address j I? re.-re. � Owner's Name 19 P)n Ay I m e�
Ce vt�e�/ ll X Address l 1 9 Te►�n 61 0 e
p 2t 2 -BZo Ce �-e►.,� !l� M
Assessor's Ma /Parcel: �! Engineer's Name L wee(r v/�S (�d
NEW CONSTRUCTION REPAIIL Telephone# LJ_7-7_S z.t 7
Land'Use'_ASf-,5&q -_A Slopes(95) Z Surface Stones ✓lfcJy�t
Distances from: O en Water Bod ?' ?�='J ft 'Possible Wet Area rd.d 1S P y ft !)sinking Water Well 7 ft
Drainage Way C,a ft Property Line ft Other ft
SKETCH:(Street name,dimensions of jot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
/ `
�Y _..
c\
t
Parent material(geologic) Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: `e y 02�i Weepin.g from Pit Face
:Bt,imated.Seasonal High Groundwater �r-7 Gv-\ -&L -3 q-,Iw
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: —in.in, Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# "Reading Date: Index Wellievel—_,,,,,,,,,,_ A($rActor—•Adf,.ClroutidwaterUvel—;
PERCOLATIO.N'TEST Dste- Thne .�
Observation
Hole# 1 Time at 9"
Depth of Perch Time at 6"
5 �
Start Pre-soak Time i? 'rime WI.6")
End Pre-soak
2
Rate Min:/Inch
Site Suitability Assessment: Site'Eassed V Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Bole Data To Be Completed on Back-----------
*If percolation test into 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 OBSERVATION HOLE LOG Hole#_ _
Depth from Soil Horizon Soil Texture Soil Color Suit Other
Surface(in.) (USDA), (Mansell) Mottling' '(Structure;Stones;Boulders..
n i tenc % ravel
28-lam
I ,
DEEP OBSERVATION HOLE LOG Hole
Depth from Sol]Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) -,(Munsell) Mottling (Structure,Stones,:Boulders.
Consistency.% ravel
C. Z-5-T 5 3
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
Surface(in:) (USDA) .(Munsell) Mottling (Structure,Stones,Boulders.
Consi ten ra
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes.
Within 500..yearboundary :No�'�+ 'Yes
Within 100 yearflood boundary No. If Yes
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? 1
If not,what is the depth of naturally occurring pervlo' us'n�aterial?;
Certification
I certify that on (date)i have passed the soil evaluator examination approved by the
Deparunent;of Environmental"Protection and that the above analysis was performed by me consistent with .
the:required trainin expertise and experience.described:in 1&0& 15.017.
' J
Signature Date ,
Q:\S,EPTIC\PERCFORM.DOC
TOWN OF BARNSTABLE
�1
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C ,OC ;�'I'IOIeT /;�z SEWAGE # i
VILLAGE ASSESSOR'S MAP & LOT r.2/eZ•— 0.2
INSTALLER'S NAME & PHONE NO. � �`S �, Z2 A�O
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) Gc� (size) "O-x
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes �/ No
5 �-
r
No.�?2:. �.� Fps.
THE COMMONWEALTH OF MASSACHUSETTS C7 tO
BOARD OF HE T
/Z/. .��.................OF .S.. . . .. ----- . .................................
Appliration for Bhip as al darks Tan.��rnrtarrn rrntit
Application jise f� made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
r '.at: _ �_ .1 °................................................• � . ..�.
c on-Addreess� !/ or Lot No.
... ....... ..... .... ........A.0
W Owner- Address
,.a ----------------------------------------- �--- • -Z&1le-------•-------------------------------------------------
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures .---•-••-•----•--•----•--•-•-••---•-•--•----•--•----.....---•----•--•----------------•-•--•-••----•--................................................
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.-_---_____-_-_______._.
rxq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
94 •-------------------------------------------------
•------
•-•----------------------------------------
---------------------------------------------------------
0 Description of Soil........................................................................................................................................................................
x
U -•-•••••••••-•-•-•••-•--••-••••••-----....-•--------•------•-•...............•••---..........------•.....-------------••-•-•-••-----••-•--•---•-----•------...........................................
•----•-•---•----------------------------------------•-----------------•---------------------------------•..... ---------------------------------------------------------•-
U Nature W
airs or Alterations—Answer whe livable._ _ c__._`__.._.. ...._.. 1v
Agreement:
The unders=agreestohe aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TI'i!L- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be0* s h oar f health.
Signe . -- . • �!r
Date -
Application Approved By•••-- .C.-,�.��
Date
Application Disapproved for the following reasons:..................-••-•-•------•-------------"-...............==...............................................
--------------------•-----...------•--•-----•--......-------•-•------•--•-------•------.....------........._.....-•------------------------------------------------------••-----------------•-------
Q Date
PermitNo.......... 7-•----4.-. -------------- Issued_.......................................................
Date
6,
No.......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD, OF HEALTH
...... .... O
. ...... .. . . F . . . ..................................
Apphration for Bi_qposal Works Tonstrurtion 1hrmit
Application,jv'hereby made for a Permit to Construct or Repair Y"a�njIndividual Sewage Disposal
System at-
.............. .............=........................................ ...................
4-
f .....=
on-Address ------------- or Lot-No...........................................
............................... ..................................................................................................
......................... .Z
Owner Address
......................................... ............... I............................................................
Installer Address
Type of Building Size Lot------------------_-------Sq. feet
U
Dwelling—No. of Bedrooms...........................................Expansion Attic Garbage Grinder
Other—Type of Building ............................ No. of persons.......__.__.........__._... Showers Cafeteria
Other fixtures
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
P4 Septic Tank—Liquid capacity............gallons Length................ Width.__............. Diameter--._--__-__---_- Depth....._..........
Disposal Trench—No..................... Width.....____........__. Total Length....._............._ Total leaching area--------------------sq. f t.
Seepage Pit No..................... Diameter................____ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
4 Percolation Test Results Performed by.......................................................................... Date.----------..........................--
Test Pit No. 1................minutes per inch Depth of Test Pit--_-------------__-- Depth to ground water...._..._____...........
44 Test Pit No. 2................minutes per inch Depth of Test Pit...___........__._.. Depth to ground water..-___............_____.
0 9 ......................................................................................................................................... .............
Description of Soil...................................................................................................................................................
�4 ....
U ........................................................................................................................................................................................................
W
.......................... ............................ .................................................................I............................................................... .....
U Nature of, epairs or Alterations—Answer when-applicable. ----
------------------------------------ ----------------- . ...........I
.............1--....... ...................... ...........................................................T
Agreement: _1 7
/X
The undersigned ag 7 rees 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
be
operation until a Certificate of Compliance has
p pen,is5ug�d r,y the-board 7of health.
Signed ................ ........ .. ....... ;i./
.............................. ................................
lip, Date
Application Approved By.............. 4—
----------- ..........
Date
Application Disapproved for the following reasons:................................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo.---..... Z........Z...K_5 -------------- Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD,,-,OF HEALTH
7**"' .......................... .......... ...........................
Tntifiratr of (tompliattre
THIS IS- ;;,g' CERTIFY -hat the Individual Sewage Disposal System constructed or Repaired
y- --b ............;........................................................................................� ............................................
-----
...........
at...... Installer .r
Z..............
..................... . ............................................
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No--------5_�.2.-.-46> dated---.._-_-------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRY\ED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.......................7t.....1 `6 �0 11
............................................. . Inspector...................... --------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD -OF HE7ZH/
................. ........4PL__.1.....
_OF.... .... ...........
No.........................
FEE'...
Permission is hereby granted...... II17 52 -;"--7.M...............//��
...........................................................................................
to Construct ox-Repair ��an Individual Sewage�sposal Sy t
at No..... j ....... .... ..
-........... .......
7" Street
as shown on the application for Disposal Works Construction Permit No..ZZ: /,S_Dated..........................................
...................... _ -------O.-A— .................
DATE................ Board of Health
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
-- 97--EXISTING CONTOUR N
x 100.98 EXISTING SPOT GRADE
TBM-' 97 PROPOSED CONTOUR 9b
BULKHEAD CORNER W EXISTING WATER SERVICE L00�
EL.=47,61 G EXISTING GAS SERVICE o `�
50.66 -�/�,{+ OVERHEAD WIRES
o •- WETLAND LINE. & BUFFER
51.59 Iv"- o
Y ls.z70 WETLAND FLAG
R=x20.011
STRIPOUT BOUNDARY L=31
WETLAND SYMBOL
STRIPOUT TO "C" HORIZON so.o6 4a., ., > ; , - TEST PIT CC.
SEE NOTE 11 �I BENCHMARK a° a LOCU
LEGEND j 'r)°6!e ROpdP°;nt07OMB / Or�
MAGNE77C NAIL SET x 48.eo. I d� :49,40 '. 47.44
EL.=47.59 p��n ,� LOCUS MAP
�� x so,9s `rcP NOT TO SCALE
49.36`� 1 ��• p, ^
PK SE
HCL
514 �� 47.59CIV
o ` \� \ x 49,0 46,94 00 GENERAL NOTES:
4 . \ .`:�:.:., `
o / •- .:''` " 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
SHED PAVED.:'.:". .'':..'\, ?� 4 CB EAL
,..;o • 4.77 42.57 BOARD OF HEALTH AND THE DESIGN ENGINEER.
\` .\\ � O 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
a ,38 kMEWAY,.''':,:;:.:, \ • 42.4�
PK SET OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
\`''A�o <1 \gAZ�a 47,24 �\ LOCAL RULES AND REGULATIONS.
N 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT. BE BACKFILLED PRIOR
42.T6 O S7. C�
47. 3 �� �'\ 42,16 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER.
Z % 03N $7.73 y ? \ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
0. FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
N 1100, XP-1 TP-2 x 44.Q5 \�� 3�37 40.19
ENGINEER BEFORE CONSTRUCTION CONTINUES.
0 0 �D,A� ` \\ : / ��� B ` S 5. ALL ELEVATIONS. BASED-ON NGVD.
s w 43.01 ` BH �� \ �OS�, 6. THE .DESIGN ENGINEER IS .NOT RESPONSIBLE FOR THE FAILURE OF
�j
47.6 PROPOSED' � �` � /\ \ ?O' f THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
41.1 �j SEPTIC TANK �y\ �3 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
CESS ❑L 1\� 46.53 /EXISTING x 46� o 9 R�2 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
43 j
AO N HOUSE(#119) l m
�J LOTS 33 & 34� 46.7 O t°+ t 1 1 3j1 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
24,000±S.F. Ex. SEWER T.O.F=47.82E �� .92 1
2.42 L 1 1 1 37. O 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
INV.=44.12t CELLAR. FLOOR I
x 90.00� � _ EL.=40.8#' � AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
/[ DIRECTED BY THE APPROVING AUTHORITIES.
45.31 x ENCLOS INV.=43.10E yy
EX. SEWER
N`g63�9'S0'- ` 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
Z` I xt40 I ®36 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
I•�y 50. • x 41.57 \ ss4aai POlZCH 46� 47S // ` 37.98 CONSTRUCTION. '
c 40.57 .Northerly part of `�� S' �\� /� /i x� \ \�. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
�I Lot Reserved for Drain ge \ 0� DECK , IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
N on original record plan
+.40.71 ___ _ r �62• �T
--� � gF Mq 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
u�+. Jo AREA 969fS.F. x 94z `. x 44.62 6�5 5 Q\\� SS9C INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.
N i \ '
o O COMBfNED AREA WITH - \ Nam ' �`` yG
� �� \ �` o PETER T. ✓' 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
p c�.LQTS 33 & 34=30,969 SF _ -- -�� _ NOT CONSIDERED TO BE A PROPERTY LINE SURVEY.
_ McENTEE
40. rn ,SPIKE �g �- ELfGE OF L V.W. 41 . � Q, i v CIVIL "' 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC
/ 37.89- 5 IVW4 .��\
+ lvw lows IVW4 '� - IV �� No. 35109 SYSTEM COMPONENTS NOT SHOWN ON THE PLAN
f,�J,,�/ 37.6 11L VW III, 37.15 3IV 3
,I IVW7 = w R£GISTE��ISOLA PARCEL ID: 212-020
TED
37.40 x 6 vi b
.e1 VEGETA TED �
r l�N 86 lr 109.10, wETLAND lit w 136.65 PLAN REVISION 10/17f 19 �� PROPOSED SEPTIC SYSTEM UPGRADE PLAN
lvwa '40'03" E
x 40.05 37.61 Add area of drainage Lot as 119 TERN LANE CENTERVILLE MA
o, described on Deed Bk 1304 Pg 950
c*1 Prepared for: Dibuono Sewer & Drain, 35 Content Lane, Cotuit, MA 02635
EXISTING CESSPOOLS OWNER OF RECORD
TO BE PUMPED, FILLED Engineering by: SCALE DRAWN Job. N0.
WITH SAND & ABANDONED ALYMER, ANN M Engineering Works Inc. 1"=30' P.T.M. 118-19
PLAN REVISION 3f 1�19 J & A TERN REALTY
Y TRUST s
TANK LOCATION 119 TERN LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
CENTERVILLE, MA 02632 (508) 477-5313 2/15/19 P.T.M. 1 Of 2
NOTE: TO PREVENT BREAKOUT, FINAL GRADE
'S SHALL NOT BE AT, OR BELOW, EL.=41.3
FOR A DISTANCE OF 15' FROM THE EDGE
SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S.
INSTALL RISER & COVER OVER ONE CHAMBER (MIN.)
OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE
AND SET TO WITHIN 3" OF FINISH GRADE TO SERVE
T.O.F.=47.62t AS AN INSPECTION MANHOLE.
F.G. EL.=46.0f F.G. EL.=47.6t F.G. EL.=43.7f F.G. EL.=42.7t -40.5'
8.
L = 48'
L = 41' L = 30'(MAx:) �0� `` N AS SHED
S=1% (MIN.) @ S=1% (MIN.) @ S=1% (MIN.) �� 0 S�
4"SCH40 PVC . 4"SCH40 PVC 4"SCH40 PVC
e" 2" LAYER OF 1/8" �� O� ` /
®O® TO 1/2 DOUBLE F cV�
1o"I 14" 6 12" I I WASHED STONE
INV.=43.15 48• LIQUID OR APPROVED FILTER FABRIC) �` Jl %MM
LEVEL GAS BAFFLE3.5' 3' 3.5' .� `%
INV.=41.30 PROPOSED INV.=41.13 3/4 -1 1/2" � 1
EFFECTIVE WIDTH = 10' DOUBLE WWASHED '
INV.=42.90 D-BOX INV.=40.80 �` �`
STONE
PROPOSED SEPTIC TANK USE 5 LC-6 LEACHING CHAMBERS IN SERIES
WITH 3.5' OF DOUBLE WASHED STONE-ALL AROUN
INSTALL NEW SEWER, AT,
OR ABOVE, INV.=44.10 H-20 RATED
TOP CONC. ELEv.=41.97 S.A.S. LAYOUT
--_ -BREAKOUT
NOTES: INV. ELEV.=40.80 E3 E3 E3 O E3 E3 E3 ELEV.=41.30
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE i ®®®®®®®
INVERTS. PRIOR TO INSTALLATION. BOTTOM ELEV.=39.80
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 3.5' 1 5 x 6' = 30' 3.5'
TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 37'
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN PERVIOUS MATERIAL a• rcnoacour I
310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. 1
3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEA 20' ou coves
CHING SYSTEM SECTION I
ESTABLISHED G.W., EL=34.8 I
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE WAQUAQUET LAKE -
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 4'KNOCKOUT
SEPTIC SYSTEM PROFILE 14• KNocKOUf I .
I I
I 4• KNOCKOUT
SOIL LOG L__ 72„ _
DESIGN CRITERIA DATE: FEBRUARY 1, 2019 (REF. P#15,893)) PLAN VIEW
SOIL EVALUATOR: PETER McENTEE W1542
NUMBER OF BEDROOMS: 3 BEDROOMS WITNESS: DONALD DESMARAIS IRS HEALTH AGENT ______ N ______
SOIL TEXTURAL CLASS: CLASS I ELEv. TP- 1 DEPTH ELEv. TP-2 DEPTH I E3 Ea E30 ® ® ® I 2" I. ® ® ®
42.9 A LOAMY SAND 0" 43.0 A LOAMY SAND O INVERT i
DESIGN PERCOLATION RATE: <2 MIN/IN
Ea E3 E3 E3 E3 E3 E31
10YR 4/2 10YR 4/2
DAILY FLOW: 330 G.P.D. 42.2 B 8" 42.3 B 8" I- 72 I I- 36'
DESIGN FLOW: 330 G.P.D. LOAMY SAND LOAMY SAND
GARBAGE GRINDER: NO-not allowed with design 40.6 C 28" 40.5 G 10YR 5/8 10YR 5/8 SIDE VIEW END VIEW
30" WIGGIN LC-6, OR EQUAL, H-20 LOADING
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF u PERC LEACHING CHAMBER
.74 GPD/SF 32"/50"
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY MED. SAND MED. SAND
PROPOSED D-BOX: 1 INLET,, 3 OUTLETS, H-10 RATED 2.5Y 5/3 2.5Y 5/3 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 5 LC-6 LEACHING CHAMBERS IN SERIES WITH
3.5' OF DOUBLE WASHED STONE-ALL AROUND 34$ "'LAKE W 34 $ HIGH
H.w. _ 119 TERN LANE, CENTERVILLE, MA
SIDEWALL AREA: (10.0' + 37.0') x 2 x 1' = 94.0 SF 34.2 sTLAK G.W. _ 104" 34.2 sroc. G.W. _ 105" Prepared for: Dibuono Sewer & Drain, 35 Content Lane, Cotuit, MA 02635
Engineering by: SCALE DRAWN JOB. N0.
BOTTOM AREA: 10.0' x 37.0' = 370.0 SF
32.9 120" 33.0 120" N.T.S. P.T.M. 118-19
TOTAL AREA:........................................................... 464.0 SF PERC RATE: <2 MIN./IN. Engineering Works, Inc.
STANDING GROUNDWATER, EL.=34.2 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED -SHEET .NO.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(464.0 SF) = 343.4 GPD ESTABLISHED HIGH GW, EL.=34.8 MAX. LAKE WATER SURFACE (508) 477-5313 2/15/19 P.T.M. 2 Of 2
-- 97--EXISTING CONTOUR N
1 x 100.98 EXISTING SPOT GRADE - J
7BM-1 ¢ 97 PROPOSED CONTOUR 9h ti Cif ® 4�
BULKHEAD CORNER W EXISTING WATER SERVICE Doi Jt hid
EL.=47.61 2 G EXISTING GAS SERVICE '?
50.66 F -�H.W.---OVERHEAD WIRES o
-�--- WETLAND LINE & BUFFER g
1�'� 51.59 115. WETLAND FLAG
R=x2 0, WETLAND SYMBOL
0 III,
STRIPOUT BOUNDARY - o ? \ s ab
STRIPOUT TO "C" HORIZON 50.06 L=31 42,. - TEST PIT
SEE NOTE 11 I 1 4 BENCHMARK LOCU k;
c
LEGEND cj `I^nobte Pont 1okeWpod Or
1 s 49,a Roo
7en4-1
MAGNETIC NAIL SET x 48.80 49.40 47,44 a
EL.=47.59 x s0.9�a tS� �� LOCUS MAP
0 49.36�, 1 d'�. 1 NOT TO SCALE
0
PK SE
45.14 47,59 �� / \ Cj-
; __ \ ,46- .�.. GENERAL NOTES:
�i �� ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
\\ ? 44.77 42,57 BOARD OF HEALTH AND THE DESIGN ENGINEER.
SHED VED.:: �`: cB EAL
o \ �_9 . 42,4 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
a ,38 klVEWAY:
O�p`,:. �� \ PK SEr OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE
- t 47,24 I LOCAL RULES AND REGULATIONS.
\ TO INSPECTION&47. 3 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
CIF, N AND APPROVAL BY THE BOARD OF HEALTH AND THE
\
DESIGN ENGINEER.
\ T 47J3j ? \ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
w t 00 6 \ �' ' FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
o J 1 ��P_1 TP-2 l x 44e5 \\ >> • k a 7 40.19 ENGINEER BEFORE CONSTRUCTION CONTINUES.
o O �� 1B 1 5. ALL ELEVATIONS BASED ON NGVD.
O ` BH '� � \ \ S SOS 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
43,01
�\ �PROPOSED 47.6 1 /\ \ 720., E THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
-' 41.1 �j` SEPTIC TANK ,19. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
cessL I� \ a 46.53 /EXIST/NG x 46� o �\ \ R� 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
/ a3z ` �\ e� qCN HOUSE(#119) �0+1 I� Iry m �3J, 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
LOTS 33 & 34 EX. SEWER T.O.F.=4782t �� ,92 1 1 G 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
24,000fS.F. I /NV.=44.12f /CELL4fZ FLOOR L 1 I 37.
x a2.a2 90,p0' \ �`� r 1 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
_ EL.=40.8t o I I 1 DIRECTED BY THE APPROVING AUTHORITIES.
45,31 x EX. •SEWER }1'
�I FEj NV=43.16± 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
gvF --- PORCH I /� xt40 I ®36. THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
50• ,� SSPOOL � cT 46. / t / 37.98 CONSTRUCTION.
x 41,57 4421 W 7 �y 75
40.57 •/ , DRAINAGE LOT \� p // // I x� \` 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
e DECK / / \ \ IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
IN REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
+.40.71 ------- .--- 62 c�0" 5_ 0 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE
�i x 39aZ` - \\ x 44.62 ��5 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL.
x 39.03 �� P��� 0F MArs9c 13. THIS PLAN IS TO
NOT CONSIDERED BO BE USED
A PROPERTY LINESTEM SURVEY.RPOSES ONLY AND
_ -- _ 1 ti
'SPIKE 8 -EISGE OF I.V.W. 3 gyp,, '� i o PETER T. F, 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC
37.89 _�� • \
+ IV IVW5 IVW4 MCENTEE SYSTEM COMPONENTS NOT SHOWN ON THE PLAN
37,6 dll, 36.98 1�Ir 37.15 �• �� l c�� CIVIL
/ • 1VW7 ISOLATED IVW3 No. 35109 PARCEL ID: 212-020
.� 37,40 x 36.8 VEGETATED 36.83
d d WETLAND IVW5 SA
36.65
x 40.05 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
/
� IVWB'
37.61 EXISTING CESSPOOLS ` 119 TERN LANE, CENTERVILLE, MA
3/
/ f TO BE PUMPED, FILLED Ge 1� `r Prepared for: Dibuono Sewer & Drain, 35 Content Lane, Cotuit, MA 02635
.20GJ WITH SAND & ABANDONED j,I ��^' OWNER OF RECORD
_ / r_ l�✓^�` Engineering by: SCALE DRAWN JOB. N0.
J� 1 1"=30' P.T.M. 118-19
.-Lf��l"`� (�.rP�"�i.� UdPJ /1�� ('c,,..•72".-� ���� d� �j���� � 0� ALYMER, ANN M TR
�d PLAN REVISION 3/19/18 J & A TERN REALTY TRUST Engineering Works, Inc.
V�`� 119 TERN LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
c J � '� TANK LOCATION I
_ 69pcl u �� i`M tV dll, 5. 1 CENTERVILLE, MA 02632 (508) 477-5313 2/15/19 P.T.M. 1 Of 2
NOTE: TO PREVENT BREAKOUT, FINAL GRADE
SHALL NOT BE AT, OR BELOW, EL.=41.3
FOR A DISTANCE OF 15' FROM THE EDGE
SEPTIC TANK PROPOSED D-BOX OF THE PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED S.A.S.
INSTALL RISER & COVER OVER ONE CHAMBER (MIN.)
OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE
AND SET TO WITHIN 3" OF FINISH GRADE TO SERVE
T.O.F.=47.62t AS AN INSPECTION MANHOLE.
F.G. EL.=46.0t F.G. EL.=47.6t F.G. EL.=43.7f F.G. EL.=42.7t ,� 40.5'
% O
L = L = 41' L = 30'(MAX.) ; A�O �� BOA SHED
S=1% (MIN. ` SS
S=1% (MIN.) ® S=1% (MIN.)
4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC
a' 2" LAYER OF 1/8"
10"I E3 O EM TO 1/2 DOUBLE
14" ? s" 12" 1 I WASHED STONE
INV.=43.15 48" LIQUID (OR APPROVED FILTER FABRIC)
LEVEL
GAS BAFFLE
J ' INV.=41.30 PROPOSED INV.=41.13 3.5 3 3.5 -3/4"-1 1/2"
INV.=42.90 D-BOX INV.=40.80 EFFECTIVE WIDTH = 10' DOUBLE WASHED
USE 5 LC-6 LEACHING CHAMBERS IN SERIES , /
ONE
PROPOSED SEPTIC TANK
WITH 3.5' OF DOUBLE WASHED STONE-ALL AROUND
INSTALL NEW SEWER, AT,
OR ABOVE, INV.=44.10 H-20 RATED
TOP CONC. ELEV.=41.97 --- _ -BREAKOUT S.A.S. LAYOUT
NOTES: INV. ELEV.=40.80 E3 EM EM O E3®E3 ELEV.=41.30
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE I ®®®®®®® I
INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=39.80
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 3.5' 5 x 6' = 30' x 3.5'
TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 37'
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN PERVIOUS MATERIAL ---------- ---------
310 CMR 15.221(2). 5' MIN. ABOVE G.W. 4" KNocKo I
(MIN.) j 20" OWL CovErt I
3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION 1 1
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE ESTABLISHED G.W., EL=34.8
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. WAQUAQUET LAKE M
SEPTICSYSTEM PROFILE ,4"KNOCKOUT 4• KNOCKOUT
I I
L--------- 4" KNOCKOUT ---�
SOIL LOG 72" - -I
DESIGN CRITERIA DATE: FEBRUARY 1, 2019 (REF. PW154
,893) PLAN VIEW
SOIL EVALUATOR: PETER McENTEE
NUMBER OF BEDROOMS: 3 BEDROOMS WITNESS: DONALD DESMARAIS IRS HEALTH AGENT
------ ------ - -
ELEV. TP- 1 DEPTH ELEv. TP-2 DEPTH ® ® ® ® ® ® ® 2" ® ®
SOIL TEXTURAL CLASS: CLASS I 12
1 1 I I
42.9 A LOAMY SAND 0" i 43.0 A LOAMY SAND 0 INVERT I ® ® ® ® ® E3 Ea
DESIGN PERCOLATION RATE: <2 MIN/IN
10YR 4/2 10YR 4/2
DAILY FLOW: 330 G.P.D.
42.2 B 8" 42.3 B 8 r 72" � r' 36" l
DESIGN FLOW: 330 G.P.D. LOAMY SAND LOAMY SAND
GARBAGE GRINDER: NO-not allowed with design 10YR 5/8 I 10YR 5/8 SIDE VIEW END VIEW
40.6 C 28" 40.5 C 30" WIGGIN LC-6, OR EQUAL, H-20 LOADING
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF �.74 GPD/SF PERG LEACHING CHAMBER
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 32"/50I
MED. SAND � MED. SAND
PROPOSED D-BOX: 1 INLET, 3 OUTLETS, H-10 RATED 2.5Y 5/3 . 1 2.5Y 5/3 PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 5 LC-6 LEACHING CHAMBERS IN SERIES WITH ;
3.5' OF DOUBLE WASHED STONE-ALL AROUND 34.8 HIc�HKE.w 34 s HIIG�HKE.W. 119 TERN LANE, CENTERVILLE, MA
SIDEWALL AREA: (10.0' + 37.0') x 2 x 1' = 94.0 SF 34.2 STDG. G.W. _ 104" 34.2 STDG. G.W. _ 105" Prepared for: Dibuono Sewer & Drain, 35 Content Lane, Cotuit, MA 02635
BOTTOM AREA: 10.0' x 37.0' = 370.0 SF Engineering by: SCALE DRAWN JOB. NO.
32.9 120" 33.0 120 Engineering Works, Inc. N.T.S. P.T.M. 118-19
TOTAL AREA:........................................................... 464.0 SF PERC RATE: <2 MIN./IN. 9 g
STANDING GROUNDWATER, EL.=34.2 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(464.0 SF) = 343.4 GPD ESTABLISHED HIGH GW, EL.=34.8 MAX. LAKE WATER SURFACE (508) 477-5313 2/15/19 P.T.M. 2 Of 2