HomeMy WebLinkAbout0176 TERN LANE - Health 176 Tern Lane
Centerville
A= 212-017-001
0
a M E A D
No. 2-153LOR
UPC 12534
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CERTIFlED
SDURCW(3 VJWIKSHPROGRANLORD
No. 2O D, 'D� Fee J
BOARD OF HEALTH `
TOWN OF BARNSTABLE
01ppYtcation jfor Yell Construction Permit
Application is hereby made for a permit to Construct( ), Alter( ), or Repair( ) an individual well at:
Location-Address Assessors Map and Parcel
Owner Address
,Ihstaller-Driller J Address
Type of Building
Dwelling
Other-T pe of Building No. of Persons
Type of Well Capacity
Purpose of Well
Agreement:
The undersigned agrees to install the afore described individual well in accordance with the provisions of the
Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the
well in operation until a CertificateA Compliance has been issued by the Board of Health.
Signed
Date
Application Approved By s ( G
ate
Application Disapproved for the following reasons:
ff Date
Permit No. Issued
Date
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed(,.4,1 Altered( ), or Repaired( )
by
7_044zx . j J 7Installer
at ' /
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Prote tion
Regulation as described in the application for Well Construction Permit No. I/`')-o(q- v)1- Dated 6 z
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
No. 1N ?V Fee ✓
BOARD OF HEALTH
TOWN OF BARNSTABLE
2pprication jfor Veft"Construction Permit
Application is hereby made for a permit to Construct( ), Alter( ), or Repair( ) an individual well at:
Location--Address Assessors Map and Parcel
Owner Address
W
,Installer-Driller Address
Type of Building
Dwelling
Other-Type of Building No. of Persons
Type of Well Capacity
Purpose of Well
Agreement:
The undersigned agrees to install the afore described individual well in accordance with the provisions of the
'Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the
well in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed A
Date
Application Approved By �'� /•�.?t��
C/ Date
Application Disapproved for the following reasons:
Date
Permit No. LA) }C, y ? �` Issued
Date
ee____vo—___o_o—_m`_—____m_e__________v______________m__ee®mo—Qemae_---e__—_e__a-------_---e_4e______a
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed(A,K, Altered( ), or Repaired( )
by l ,P�� r-0,y ��
Installer
at
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. l!".�o r&1- U?1 Dated
t f �
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
---------- -_.___ ___w_________w-------------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Velt Courtruction Permit _
No. V' -� d 0 a Fee
X
Permission is hereby granted to 6Z C w (I I_,ell
Installer
to Construct M, Alter( ), or Repair O an individual well at:
No. / �6f _0 f/K
Street
as shown on the application for a Well Construction Permit No. O (C-' U�_ /)Dated 06b
Date (b J1 I/ °1 Approved By `� �,� 12e
o
'TOWN OF BARNSTABLE
LOCATION 0 6 ^�r Y\ \c PiL SEWAGE# 10 3 o O 4`(
VILLAGE Oert�t,t 11A ASSESSOR'S MAP&PARCEL A 7
INSTALLER'S NAME&PHONE NO. y2
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) ap 3,o O SP (size) 6°S Y _
NO.OF BEDROOMS
OWNER J!\, h u•r a h
PERMIT DATE: a [�1 2®lc� COMPLIANCE DATE: 3 Zo to
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility NO 13 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 E%� ��J-GI C.LL
a
� � s
7
At 3i 96,0
ft2
A3 . 47.0 (33 U
c,`7.0 9 U s
b$= 2 1 13�- sy, S
s�� y
3
1
No. �U l o _ G 1 Fee UU
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppricatiou for �hgpogar �&p5tem Conaruction Vermit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Xcomplete System ❑Individual Components
Location Address or Lot No. VU Owner's Name,Address,and Tel.NV
Assessor's Map/Parcel ?, / 1 (p 1•p^ n �,Ott cq;n J��� ikh
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
CI-P,e w•\Je C r,Se 1 s�vv_A_ n L3 "u f(< Sp
(ls—o ,-u .rt le) od S—o \2 w{s r Cro s s E e.\c) C
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size 61 a. •L4;1 @ sq. ft. Garbage Grinder ( )
Other Type of Building (Z 12 S No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided 3 3 6 gpd
Plan Date " l 1 t 0 Number of sheets ol° Revision Date
Title
Size of Septic Tank \S t)0 \-���� Type of S.A.S. �('.y 'Y S
Description of Soil
i
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 Bo f Health.
Signed Date i - 2,010
Application Approved by Date ,? —/ 7^/o
Application Disapproved b Date
for the following reasons
Permit No. P-U (6 0 qV Date Issued a ^(-7 —rCU
No. )G I u ' G 11t ` ks" OU
t' Fee
THE COMMONWEALTH OF MASSACHUSETTS. Entered in computer:
PUBLIC�HEALTH•DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes]
n • ,
ricatton for'Migpa al �&p!wm Construction permit
Application for a Permit to Constrdct( ) Repair Upgrade( ) Abandon( yComplete System ❑Individual Components
Location Address or Lot No. U Y\ �q r A Owner's Name,Address,and Tel.NQ �
cw- ,t4 1•,/(•t C,+ rn uY Fn��d en SO 5 T
Assessor's Map/Parcel a 1 a _ ( '7, 1 (a c ti n �G y\SL C'-
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
R cw�dp �r� rt$pSt 6� Cr-,£' + nv� t� wu!l[ S
v II-=o./64 L) 2c� (I a 5(_0 I Q w r s i C r o s s �,e
r Type of Building: ?
Dwelling No.of Bedrooms J /Lot Size a a .�(r> sq.ft. Garbage Grinder ( )
Other Type of Building 2 P ) No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) J.3 w gpd Design flow provided 3 V gpd
Plan Date - I 1 I J Number of sheets a Revision Date
Title
Size of Septic Tank N 5 t)y \'t �> Type of S.A.S. �. 5` 1e .3 Z S unx (c S S
Description of Soil S A t4 p
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 Bo rd�of Health.
Signed Date '
Application Approved by (k, Date ,7 —
Application Disapproved b}� Date
for the following reasons
Permit No. U 1 o G LJV Date Issued a — -7 u
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (✓) Upgraded ( )
Abandoned( )by Jne()r w V)v P,,�-1.��7✓1 3-e )
at 1 V(Ny\ \V_f\-A- has been constructed in accordance
with the provisions of Title 5 and
the for Disposal System Construction Permit No. l V -o VV dated
Installer l 441 a w t e/,t Designer _ r Q1�nQ y�p w Ck(t C S
#bedrooms 3 Approved des"R flow gpd
The issuance of this p it shall not be construed as a guarantee that the system wttll�fun ti1*1 khesigned.
Date (� Inspector
No. l L/
Fee j
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
X"'Ui5pool *pgtem Cow5tructiou Vermit
Permission is hereby granted to Construct Repair ( ) Upgrade ( ) Abandon ( )
System located at 1-7
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions. '
r
Provided: Construction must be completed within three years of the date of thisr penmhi+l{
Date -- ( � — (� Approved by ( I �`�' I f
17/2010 16:33 5084775313 ENGINEERING WORKS PAGE 01
Engineering Works Inc.
Civil Engineers
12 West Crossfleld Road,Forestdale,MA 02644 Tel/lax (508)477-5313
FAX COVER PAGE
il11 � 1
To: � W-v`S Vf.,b(.x � gcl�/I � 3' No. of sheets:
Fax: 5-C F - 7g0 - (03o1f
From: C- Date: ra !"r 1 U
Re: 1"7 G
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J t s � �G 7—,ern
LG
03/03/2010 07:52 5084775313 ENGINEERING WORKS PAGE 01
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
{ Public Health Division.
t0s� Thomas McKean,Director
200 Alin Street, Hyannis,MA 02601
Office: 508-862-4644 Fax, 508-790-6304
Date: 10 Sewage permit# )L oio -oyy Assessor's Map/Parcel Z
Inotg1ler &Des' Certifiotion FiLnn
eQ(� -,a.`c1e.7wri ses
Designer: vt ��r fv-!,, , 1 VX C • Installer:
Address: n W, Cr&4 s-(:�--1 to 0-c� Address: --
l�v��
On at-kJ —Z®ro � OL &4"- (I i�as issued a permit to install a
(date) (installer)
septic system at l7(P Ln Cc r, cc-;rJ L based on a design drawn by
(address)
'�th-er').'�l C..£r►l�c f dated kk 10
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Stripout (if required) was inspected and the soils
were found satisfactory.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system)but in accordance with State &Focal Regulations. Plan revision or
certified as-built by designer to follow. Stripout (if required) was inspected and the soils
were;found satisfactory.
ZN OF R4gs�
PETER T.
Staller's Si Lure) McEN.TEE N
CIVIL
(Designer's Signature) (Affix Ae j$ )
P E O BARN TABLE LIC AL 211VIS
CEMI IN
O C
F CO L T BE L IC
T C ARE 1'
Y
q;\oPRce fonmWmignamatiflcation formdoc
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Town.of Barnstable r# 2
' Department of Regulatory Services
aa ,ar,�srs i Public Health Division Hate Vzl 0 to
MAMI
tbs91:n�� 200 Main Street,Hyannis MA 02601
Date Scheduled CIb�
Tune q
� �-- �-� ()� ., Pd,
Soil Suitability As for Sewage Disposal
Performed By: � �� � Witnessed By: ✓i~ P I/V• c S
LOCATION&GENERAL INFORMATION
Location Address Owners Name
l�C '
o Teen LV\ Pe�iel o�o,� M c 1>z1?.4.
Qn4e,(���C Address
Assessor's Map/Parcel: 21?.-O \-7 CSC) Engineer's Name
NEW CONSTRUCTION`` REPAIR �_ Telephone# 5_d9 --Li'7?—5-3 13.
N�S�r�y��-v(n 1 5-6 8 —-7-3-7— LA-7 (ILand Use Slopes(�)_ Surface Stones
Distances from: Open Water Body ? E�U ft Possible Wet Area___Z�ft Drinking Water Well"fit SZ7 ft
Drainage Way l �� ft Property Line 1 ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Parent material(geologic) u1 V J�rv<r�� Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: �j Lian Weeping from Pit Face
Estimated Seasonal High Groundwater t
DETERARNATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: In: .
Depth to weeping from side of obs.hole: __in, Grourdwatcr s djustinent�...e,,., _„e.�.ft.
Index.,Vcil# Reading Date: Index Well level � Adj,fhetor, Adj,Groundwater Level
,,,m
PERCOLATION TEST Date, '!hne,, .
Observation
Hole# Time at 9"
Depth,of Pere U Time at 6"
Start Pre-soak Time® �� �UYI$. (S M�'Pime(9"-6")
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed Site<Failed: Additional Testing Needed(Y/N)
i
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.OBSERVATION HOLE LOG Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structured Stones;Boulders:
Cormistcncy: vl
DEEP OBSERVATION HOLE LOG Hole# 2
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.2 Dray .
M
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency, Ci e
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Flood Insurance Rate Man: /�(
Above j00 year food boundary No_ Yes '_Y`_
Within'500year'boundary No _ Yes
within 100 year flood boundary No-K— Yes
Death 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? �S
If not,what is the depth of naturally occurring per ous material?
Certification AM J
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 requited trainin xpertise and experience described in 310 CNM 15.017:
i
Signature Date 1 2— 2 I
Q:WEVnMERCFORM.DOC
f� � N
y
100.00 Benchmark Set 9hti°
Back L t. Cor. TOP Step LANE
°�a^EL-.=�1-04.57--AsSUmed>100,56 ---___ TERN98.28 N 1
99,89 of99,14pavement ,3a g1 a g �I
100,76 100,91 101.04 100,88 —� 99,97 Edge -_ ----------- A 71 /V '< �i 2
LD
_ _ _______ E m o z
--- N 86 102,23
103,44 A=15 06' 103,55 X 103,23 140.68' 01,89 _ ---'' LOCU
----- - T103,82 103,52 19 100,24 %� A^r)oaIe P°�t�00'0od a
_ ,--0-----32' _ / 100.75
XJr84. � �04�16
\`�_ �:? �ptOPOSEDt_.A __� \ ��\ Paved LOCUS MAP
TP-1 co r-- -`"�-- �, o Drive \
— —�— 104 L^�,C1 4, \ _ 102,59 i `� NOT TO SCALE
t07,111p \ 103,77 X ` 101,04 %� `�\ --98-- EXISTING CONTOUR
x 105,89- 10 ,37 6 \ 101,28 �� x 100.98 EXISTING SPOT GRADE
X.. •X _ 105,25
N, am+ PROPOSED CONTOUR
106,2ei over an —W EXISTING WATER SERVI
CE106,98 \x 07`0 TOF1�.�2106,07
TEST PIT
ORA__ GE EXISTING �r BENCHMARK
HOUSE(#176)
X. LEGEND
TI&7N TO EXISTING E
Do �� SEWER, INV.=98.St C Lot B(31
\
o 1�0 \ ' FIELD VERIFY TOF=10&86 T'\ 22,422f S.F.
X 112.61 x 11113x. 109,94 X 0.51f AC.
--`�X 11,95 \ ( j 1 \; Map 212
X\�110.52 "� ��\ \� Parcel 17- 1
EXISTING CES.5Pi90LS
TO BE REMOVED OR pFJMPED & FILLED--,
W/SAND DEPENDING ON PROXIMITY TO
PROPOSED S.A.S.(SEE NOTE`41) X 108,65��
112,67'\11\
111.81 �` \' '
106,77
Shed
245.54'
112, S 86 58'04" W
r_ ���P��� OF �gsSq�yG
GENERAL NOTES: + o PETER T. i�
McENTEE
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 223 CIVIL
BOARD OF HEALTH AND THE DESIGN ENGINEER. 35109
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS � 0
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 7, WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. ' OWNER OF RECORD 9 RfG ZE efi�`�
LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: PENDERGAST, M. ELINOR TR
—310 CMR 15.405(1)(b): 8. THERE ARE NO POTTABLE WELLS WITHIN 150' OF THE PROPOSED S.A.S.
1) A 3' variance to the 3' maximum cover requirement, for 6' of Z 176 TERN LANE
max. cover over SAS. SAS shall be H-20 and vented. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS CENTERVILLE, MA 02632
2) A 2' variance to the 3' maximum cover requirement, for 5' of AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
max. cover over septic tank. Septic tank shall be H-20. DIRECTED BY THE APPROVING AUTHORITIES.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PROPOSED SEPTIC SYSTEM UPGRADE PLAN
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 76 TERN LANE, CENTERVILLE, MA
DESIGN ENGINEER. CONSTRUCTION.
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS Prepared for: Raymond Pendergast, 2577 W Viewmont Way W, Seattle, WA 98199
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND P Y 9 Y
ENGINEER BEFORE CONSTRUCTION CONTINUES. REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). Engineering by: SCALE DRAWN JOB. NO.
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 1"=20' P.T.M. 232-09
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. Engineering Works, Inc.
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. (508) 477-5313 1/1 1/10 P.T.M. 1 Of 2
M
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL:98.3
FOR A DISTANCE OF 15' AROUND THE 3-4" POLYSE L OUTLETS 22"
PERIMETER OF THE S.A.S.
SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 4'1- 4"
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT
OUTLET AND SET TO 6" OF FINISH GRADE
F.G. EL: 104.3(MAX.) Al
T.O.F. COVER SET TO 6" OF GRADE CHARCOAL 1-4" POLYSEAL INLET_
EXISTING VENT
F.G. EL: 105.0± F.G. EL: 104.5±
C14
MAINTAIN 2% GRADE (MIN.) OVER S.A.S.
4 L 5'± L 2' L 6'(MAX) INSPECTION
@ S=1% (MIN.) 17
@,S= . (MIN.) @"S=l% (MIN.) PORT -14"
4 SCH40 PVC 'SCH40 PVC 4 SCH40 PVC CROSS SECTION PLAN VIEW
0 N - WIGGIN PRECAST CORP
3" DB3H20
101 14 1 INVERT
NVERTT�o - - ---- ------ - - ---- SPECIFICAIQn
INV.=98.451'L[I 48" LIQUID 1.)CONCRETE STRENGTH 5.000 PSI 0 28 DAYS.
LEVEL ADD 2.) CEMENT, PORTLAND TYPE 11 PER ASTM C150-81
GAS BAFFLE INV.=98.17jvRQpQ= INV.=98.00 3.)) REINFORCEMENT PER ASTM C1227-93
I NV .7. INV.=98.20 D-BOX INV.=97.94 13 ROWS OF 5 UNITS AT 6.25*/UNIT) + 0.7' WEDGE 32.0' 4. 15" RISER SECTIONS AVAILABLE
4"
ADD
BAFFLE I
.SIM am W'2ik�W , (H-20) SOIL ABSORPTION SYSTEM (PROFILE) D-BOX-
M PROPOSED SEPTIC TANK ESTABLISH VEGETATIVE COVER
TIE IN TO EXISTING SEWER AT (H-20) BACKFILL WITH CLEAN NATIVE OR 75"
LOCATION
PERC SAND TO TOP OF CHAMBERS
OCATION SHOWN ON PLAN
I V 98
NV.=98.5 (FIELD VERIFY)
BREAKOUT EL.=TOP EL.
TOP ELEV.=98.33
NOTES: INV. ELEV.=97.94
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=97.00
INVERTS, PRIOR TO INSTALLATION. 2.83'
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 5' MIN. ABOVE BOTTOM OF I I . 76"
TRUE TO GRADE ON A MECHANICALLY COMPACTED T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=8.5'
SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN EXISTING SUITABLE PROFILE
310 CMR 15.221(2). NO G.W., EL=92.0 a MATERIAL
3) INSTALL INLET & OUTLET TEES AS REQUIRED. USE 3 ROWS OF 5-16-(H-20) ADS BIODUFUSER UNITS
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE SEPTIC SYSTEM PROFILE WITH NO SEPARATION BETWEEN EACH ROW & NO STONE
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. TYPICAL SECTION N 16"
N.T.S. N.T.& 11.2"
DESIGN CRITERIA I ------- -------
OSED S.A.S. i SOIL LOG 34"
L 010I
0
NUMBER OF BEDROOMS: 3 BEDROOMS 00 1-- -- --- ------- - DATE: DECEMBER 29, 2009 (REF# 12,800) SECTION END CAP
SOIL TEXTURAL CLASS: CLASS 1 SOIL EVALUATOR: PETER McENTEE (SE#1542)
DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DAVID STANTON-HEALTH AGENT 16"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT
DAILY FLOW: 330 G.P.D. 54 9. .6. Elev. TP- I Depth Elev. TP-2 Depth MODEL 16" HICAP_
DESIGN FLOW: 330 G.P.D. 6- Over q 104.7 A SANDY LOAM 0" 104.5 A SANDY LOAM 0" LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT
GARBAGE GRINDER: NO 10YR 4/2 10YR 4/2 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY
104.0 8" 103.8 - 81, EFFECTIVE LENGTH
LEACHING AREA REQUIRED: (330) = 445.9 S.F. .91 GARAGE/ B SANDY L.CAM B SANDY LOAM SIDE WALL HEIGHT 11.2" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE.
.74 10YR 5/6 10YR 5/8 OVERALL HEIGHT 16"
PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY, H-20 RATED 101.0 44" IL
100.7 46" OVERALL WIDTH 34" 4640 T UREMAN BLVD
orcs HLIARD, OHIO 43026
PROPOSED D-BOX:: 1 INLET, 3 OUTLET (MINIMUM), H 20 RATED C C 48" 13.6 CF
PERC CAPACITY Y (101.7 GAL)l ADVANCED DRAINAGE SYSTEMS, INC.
USE 3 ROWS OF 5-16" (H-20) ADS BIODIFILISER UNITS E 60"
M-C SAND M-C SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN
W/NO STONE AND EXTENED 0.7' W/ CONTOURED WEDGE2.5Y 6/4 10YR 5/6 176 TERN LANE, CENTERVILLE, MA
BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.70 SF/LF OF UNIT) SAS LAYOUT
(BIODIFFUSERS) 15 UNITS x 6.25 LF x 4.70 SF/LF = 440.6 SF Prepared for: Raymond Pendergast, 2577 W Viewmont Way W, Seattle, WA 98199
(CONTOURED WEDGE) 3 ROWS x 0.7' x 4.70 SF LF = 9.9 SF Engineering by: SCALE DRAWN JOB. NO.
92.2 Engineering Works, Inc. NTS P.T.M. 232-09
TOTAL AREA = 450.5 SF 154" 92.0 154
PERC RATE <2 MIN/IN. ("C" HORIZON) 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74(450.5 S.F.) = 333.4 G.P.D. No GROUNDWATER OBSERVED (508) 477-5313 1/11/10 P.T.M. 2 of 2
N
. 100.00 Benchmark Set 9htio ��, (C
Back L t. Coy. Top Ste I A A I� �� Y
EL.=104.57 Assumed L H I v o^100.56 TERN 99 89 1 98.28 a Ln
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99.14povement 8� ' 00 2
100 76 100.91 101.04 100.88 99,97 Edge °f A'3a
R,g6. m o
103,44 N 86 51'10" E
A=15 06' 103.55 x 103.23 1 140.68' 101,89 ' 102,23 J o a Locu
7
T 103.52 100.24 + = An
no 19 no po.nfuokewooy ar
32' - 100,75 0 °.
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X1r84, � r
_ Paved x 104,1IS
PR*OPOSEDD .A• __ LOCUS MAP
TP-1 00 r _�---r -i--��--� 4. Drive ;
104 � 102,59 NOT TO SCALE
107.11 103.77' x .I U 101.04 98 EXISTING CONTOUR
x 105,89 10 .37 106 101,28 x 100.98 EXISTING SPOT GRADE
X..x X �' 104 PROPOSED CONTOUR
106,2� 106.98 x x overhang - 105,25 N'�,�+ -Wy EXISTING WATER SERVICE
x
FQge 0 7.;�0 106.07 TOF=105.32Nor TEST PIT
GARAGE EXIST/NG BENCHMARK
v x HOUSE(#176) LEGEND
TIE IN TO EXISTING E \
Oo SEWER, INV.=98.5f C Lot B \i
co FIELD VERIFY TOF=108. M T 22,422E S.F.
x 112.61 x 111,1�. 109.94 x 0.51E AC.
x 11,95 xUQB. Map 212
x 110. 2 Parcel 17- 1
EXISTING CESSPOOLS
TO BE REMOVED OR PUMPED & FILLED
W/SAND DEPENDING ON PROXIMITY TO
PROPOSED S.A.S.(SEE NOTE 11) x 108,65
112.67
111.81 106.77
Shed 245.54'
- S 86 5804, W
� OF MgsSq�ti
GENERAL NOTES:
o PETER T.
McENTEE
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL o
BOARD OF HEALTH AND THE DESIGN ENGINEER. CIVIL
U 3
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
5109
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 7, WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. OWNER OF RECORD
LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: S G�
-310 CMR 15.405(1)(b): 8. THERE ARE NO POTTABLE WELLS WITHIN 150' OF THE PROPOSED S.A.S. PENDERGAST, M. ELINOR TR
1) A 3' variance to the 3' maximum cover requirement, for 6' of 176 TERN LANE
max. cover over SAS. SAS shall be H-20 and vented. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS CENTERVILLE, MA 02632 1
2) A 2' variance to the 3' maximum cover requirement, for 5' of AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
max. cover over septic tank. Septic tank shall be H-20. DIRECTED BY THE APPROVING AUTHORITIES.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PROPOSED SEPTIC SYSTEM UPGRADE PLAN
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 1 76 TERN LANE, CENTERVILLE, MA
DESIGN ENGINEER. CONSTRUCTION. I
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND Prepared for: Raymond Pendergast, 2577 W Viewmont Way W, Seattle, WA 98199
ENGINEER BEFORE CONSTRUCTION CONTINUES. REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). SCALE JOB. NO.
1 Engineering by: DRAWN
5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 1"=20' P.T.M. 232-09
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. Engineering Works, Inc.
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0.
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. (508) 477-5313 1�11�10 P.T.M. 1 of 2
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