HomeMy WebLinkAbout0055 THISTLE DRIVE - Health 55 Thistle Drive
Centerville P
A = 171 072
No. 4210 1/3 ORA
Pendaflex'
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No. d� 3— Fe`5 0. 0 0
' THE COMMONWEALTH OF MASSACHUSETTS Entared in co.P ter:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Zipprication for Oiopool byztem Conotruction Permit
Application for a Permit to Construct( . )RepairXX)Upgrade( )Abandon( ) O Complete System ❑Individual Components
Location Address or Lot No. 5 / i,6 e 2 z v e Owner's Name,Address and Tel.No. David S.i i v a
Cente.ev.i.eie, Na s�3. 02632 55 7h.i,6 .ie D,,z ive
Assessor'sMap/Parcel n 1 -7 Cente2v.i.Q.Qe, Ma,3,6. 02632
Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No?0 8—2 7 3—0 3 7 7
a. P. Nacom&e,z & Son Inc. aC Cng.inee2.ing, Inc. 2854 C2ange22y
Box 66 Cente2v.iiie, (jazz. 02632 Highway Cant Ua2eham, (jazz. 02538
Type of Building:
DwellingXXX No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Desdipti*of.&$,Sar d_y loom In p v mv_di im Aci d In my / ' im r-oa,?Av iand.
Nature of Repairs or Alterations(Answer when applicable)a d d i n g two 500 g a e i o n teaching
chamgea.6 to the ex.ist.cng 6e/2t-ic �3yztem. 2 'XI2. 'X '
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 Certifi-
cate of Compliance has b iss ed b o d d ealth.
S19 n re,d Date 10/14/0 3
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
,�--_------ ---�—
®--———————— —— O —————--
��3— �� Fee
THE N
�'' �►- THE COMMONWEALTH OF MASSACHUSETTS Entered-in-corputer:
- PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZIPprication for Ziopoal *pgtem Construction Permit
Application for a Permit to Construct( . )RepairXX)Upgrade( )Abandon Complete System O Individual Components
Location Address or Lot No. i b t o l i v e Owner's Name,Address and Tel.No. D a v.i d S.i e v a
Cente2vi-eie, blase. 02632 55 Th.ietie N ive
Assessor's Map/Parcel
_ '7 Centeavi—Pie, (7a.6.6. 02632
Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 Y8 Designer's Name,Address and Tel.No. — 7 3
J. P. Nacomge2 8 Son Inc. C Eng.ineea ing, Inc. 2854 Cnangea2y
Box 66 Centeay.iiie, Naee. 02632 fl.ighway Eaet 1daaeham, 0aee. 025388
Type of Building:
w DwellingXXXNo.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No,of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day, Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Desdfipdo4jof4SviVe7n.du foam #_o p-line md.ium stand to medium coa.tee Band� f F
ri
Nature of Repairs or Alterations(Answerwhenapplicable)adding two 500 gateon -feach.ing
chamgeRe to the ex.iet.ing eent.ic eye em. '
Date last inspected: '
a
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 Certifi-
cate of Compliance has been issued b -thi Boar�OHeal th. % t(� i,
S'gned / Date 10/9 4/03
Application Approved b Date 10115,/,:2
Application Disapproved for the following reasons
Permit No. oLaG —75 C. Date Issued 1011510 ,3
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired,(XX)Upgraded( )
Abandoned( )by ;. P• Macorngez 9 Son Inc.
at 55 7hiet ie Dit-ive Cente2v.i. to Naee. has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 2-a 03 S0 0 dated 1 ci r S Ira17 ;
Installer �& ioT g66`T) � �,,,, rn�, DesignerfC Eng.inee/ta ing Inc.
r The issuance of this p rmif shall not be construed as a guarantee that the system w"1fau esi ned.
Date Inspector
� y 3
1
- — —�G�/— -- ---m --- __— --------------$—
No. ` 00
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
M-5po-5ar bpttem Construction Permit
Permission is hereby granted to Construct( )Repair Upgrade( )Abandon( )
Systemlocatedat 55 7h.iet.ye DRive Ceni_e2v.iif8, tTaee.
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.
Provided:Construction must be completed within three years of the date- of this e t.
Date: )CS J ��A) Approved by'
r
i'
TOWN OF BARNSTABLE
LOCATION e 129 SEWAGE # -2 BCJ 3—S-0�
VILLAGE C C-Al f e R V,$LL E ASSESSOR'S MAP & LOT 1 s
INSTALLER'S NAME&PHONE NO. ,�: W A C n fit :e
SEPTIC TANK CAPACITY A 6 e D
LEACHING FACII.ITY: (type) 1:— V R Z 4 V 4L Z s (size) 2 S"-/3 - 2
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 0/2A-ZgCOMPLIANCE DATE: d ®�
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
i
j Furnished by
4b
+ fio /
I
�6�--_mil �-1---�--
TOWN OF BARNSTABLE
_LOCATION J-' ` /f Ill51,z e /7 X SEWAGE # -2 60 -S-o
VILLAGE C C-,y re A V<ZL e ASSESSOR'S MAP & LOT
-INSTALLER'S NAME&PHONE NO. .T-,�../YI A C
SEPTIC TANK CAPACITY A 6 o D
LEACHING FACILITY: (type) I— O It v gy,QZ l s (size) 2,�-/3 - .�
NO.OF BEDROOMS
BUILDER OR OWMIVO-3
PERMITDATE: 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
-I: I
i
i
G's O
_ 1
�j TOWN OF BARNSTABLE
;LOCATION 55 ' ° '( 0 fit- SEWAGE#
VILLAGE �,C� ' U.��� ASSESSOR'S MAP&LOT
INSTALLER'S NAME&PHONE NO.SEPTIC TANK CAPACFFY /I ou l C m 1
LEACHING FACILITY: (type) � �Jl"�' (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMUDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 ,
AA 34
DEC 2 0 1995
commonwealth of Massachusetts-
-Executive Office of Environmental Affairs _ _. John Grad
D.-E.P. -Title V Septic Inspector
-D ._.
epartment of P.O.-Box 2119
- P .Environmental Protection Teaticket, MA 02536
-q - - (508) 564-6813
WBllam F.Weld /
Gossmor -
Trudy xe
BecrNa Y t:o EOEA
David B. Struhs
Commissioner _ -
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A -
CERTIFICATION
Property Address: 55 �� ; �e nCJ�llo Address of Owner:
Date of Inspection: iC \`S��i5�. (If different)
Name of Inspector:
Company Name, Address and Telephone Number:
CERTIFICATION STATEMENT
I certify- that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate
and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and
maintenance of on-site sewage disposal systems. The system:
_asses
_ Conditionally Passes
_ Needs Fu her valuation By the Local Approving Authority
Fails
Inspector's Signature: ! �{. Date: \
The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this
inspection. If the system is a shared system or has a design, floe of i0,000 gpd or greater, the inspector and the system owner shall submit
the report to the appropriate regional office of the Department of Environmental Protection.
The original should be seni to the system o%%ner anti cope: ben! tv the buffer, if applicable and the appro.ing au;`,orit).
INSPECTION SUMMARY:
Chec 6A , C, or D:
A] SYSTEM PASSES:
I�of found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303.
Any failure criteria not evaluated are indicated below.
B] SYSTEM CONDITIONALLY PASSES:
One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair,
passes inspection.
Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not)
_ The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is
imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as
approved by the Board of Health.
(revised 8/15/95)
One Winter Street • Boston,Massachusetts 02108 • FAX(617)SWI049 a Telephon•(617)292-5s00
Printed on Recycled Paper
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued). - -
Property Address: - - - -
Owner
Date of Inspection: - -
B] SYSTEM CONDITIONALLY PASSES (continued) - - - -
Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed
pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval,of the
- - Board of Health): -.
broken pipe(s) are replaced
obstruction is removed
distribution box is levelled or replaced
The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass
inspection if(with approval of the Board of Health):
broken pipe(s) are replaced
obstruction is removed
C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
public health, safety and the environment.
1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER
WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh.
2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT
THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
1ne �%sten, nar a >eUuc tan'. anu �uii db5orpuon system unu is vv il„i ;vim feet tC, a 5ujdCE a
surface water supply.
-The ha, a septic tank and soil absorption system and is within a Zone I of a public water supply well.
The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well.
The systen, has a septic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water
supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is
free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5
Ppm
D] SYSTEM FAILS: _
I have determined that the system violates one,or more of the following failure criteria as defined in 310 CMR 15.303. The basis
for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct
the failure.
Backup of sewage into facility or system component due to an overloaded or dogged 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.
(revised 8/15/95) 2
i
SUB
SURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM .
_ _
PART A -
CERTIFICATION (continued) _
Property Address: -
Owner:
Date of Inspections --
D] SYSTEM FAILS (continued): -
Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. _
Requfred pumping more than 4 times in the last year NOT due to clogged-or obstructed pipe(s).
Number of times pumped
Any portion of the Soil Absorption-System, cesspool or privy is below the high groundwater elevation. -
Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool or privy is within a Zone I of a public well.
Any portion 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 than 50 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for
coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen.
E] LARGE SYSTEM FAILS:
The following criteria apply to large systems in addition to the criteria above:
The design flow, of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety
and the environment because one or more of the following conditions exist:
the system is within 400 feet of a surface drinking water supply
_ the system is within 200 feet of a tributary to a surface drinking water supply
_ the,system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone 11 of a.
public water supply welli
The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program
requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.
(revised 8/15/95) 3
t
a - - -
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
— - PART B
CHECKLIST
Property Address:
Owner.
Date of_Inspection: �a,\11711-1g5 `
Check if the following-have been done: -
�mping information was requested of the owner, occupant, and Board of Health.
L.�-<one of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates
during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection.
f�s built plans have been obtained and examined. Note if they are not available with N/A.
_1,J4,re facility or dwelling was inspected for signs of sewage back-up.
I_"e system does not receive non-sanitary or industrial waste flow
j_,.TKe site was inspected for signs of breakout.
,All system components, excluding the Soil Absorption System, have been located on the site.
the septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or
tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum.
_,,-The size and location of the Soil Absorption System on the site has been determined based on existing information or
approximated by non-intrusive methods
if rliftPrPn' irn n o"ne,! were orovided with information on the proper maintenance of Sub-
Surface Disposal System.
(revised 8/15/95) 4
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
_ PART C
SYSTEM-INFORMATION -
_ S1V _-
Property Add ess: 55 -
Owner: �t �lYl - - -
Date of Inspection: -
_ - FLOW CONDITIONS - — -
RESIDENTIAL:
Design flow: DQU allons _
Number of bedrooms:
Number of current residents: _
Garbage grinder (yes or no): QS
Laundry connected to system �pes or no):L�1"CS
Seasonal use (yes or no): �\VCa 'n g
Water meter readings, if available:
Last date of occupancy
COMMERCIAUINDUSTRIAL: (��A
Type of establishment:
Design flow:_gallons/day
Grease trap present: (yes or no)_
Industrial Waste Holding Tank present: (yes or no)_
Non-sanitary waste discharged to the Title 5 system: (yes or no)_
Water meter readings, if available:
Last date of occupancy:
OTHER: (Describe)
Last date of occupancy:
GENERAL INFORMATION
PUMPING RE RDS and source of information:
��{ CAS `,Ck..,t �-Cf``GQ� aCwis y'entSQ. 0
System pumped as part of inspection: (yes or no)
If yes, veierne punned gallons
Reason for pumping:
TYPE OF SY5UM
eptic tank/distribution box/soil absorption system
single cesspool
Overflow cesspool
Privy
Shared system (yes or no) (if yes, attach previous inspection records, if any)
Other(explain)
APPROXIMATE AGE of all components, date installed (if known) and source of information:
Sewage odors detected when arriving at the site: (yes or no)
(revised 8/15/95) 5
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
- PART C
SYSTEM INFORMATION (continued)
Property Ad ress: 5
Owner: C,_<\'
Date of Inspection:
SEPTIC TANK:L----- -
(locate on site plan)
Depth below grader
Material of construction: _ ncrete metal _FRP—other(explain)
- Dimensions: 5'�;t. S'7" L.)L4 1 101 -
- Sludge depth: 1
Distance from top of sltdge to bottom of outlet tee or baffle:��If
Scum thickness: Ln
Distance from top of scum to top of outlet tee or baffler
Distance from bottom of scum to bottom of outlet tee or baffle:_
Comments:
(recommendation for pumping, conditions of inlet and outlet tees or baffles, depth of liquid level in relation to ou-(�l.e(t invert, structural
integrity, evidence f lea etc.) Je �- A\ a1 !'UL r Q.(��
r� . `
GREASE TRAP:E 1` 1
(locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _FRP —other(explain)
Dimensions:
Scum thickne».
Distance from top of scum to top of outlet tee or baffle:
vista^C�- from bottom ni cram M hortom of outlet tee of baftte
Comments:
(recommendatMn"for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural
integrity, evidence of leakage, etc.j
(revised 8/!5/95) 6
y.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
_ PART C
SYSTEM INFORMATION (continued) -
- Property Ad� s: 5S -
Owner:
Date of Inspection:
TIGHT OR HOLDING TANK:L q, -
(locate on site plan) - -
Depth-below grade: -
Material of construction: _concrete _metal _FRP —other(explain)
Dimensions: -
Capacity: gallons
Design flow: gallons/day
Alarm level:
Comments:
(condition of inlet tee, condition of alarm and float switches, etc.)
DISTRIBUTION BOX:
(locate on site plan;
Depth of liquid level above outlet invert:
Comments:
mote n levei and dntrwuuun „ eyudi, e. dcj,ce Gt sol'�d, carr,�,cr, e\ dence of leakage into Or Out of box, etc.)
PUMP CHAMBER:—fW:�
(locate on site plan)
Pumps fn working order.(yes or no)
Comments:
(note condition of pump chamber, condition of pumps and appurtenances, etc.)
(revised 8/15/95)
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address:
Owner: ���
Date of Inspection:
SOIL ABSORPTION SYSTEM (SAS): -
(locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods)
If not determined to be present, explain:
Type.
leaching pits, number:_U ((_Q Lkcioc`C1
leaching chambers, number:= -
leaching galleries, number:
leaching trenches, number,length:
leaching fields, number, dimensions:
overflow cesspool, number:
Commerus�(note ondition of soil, signs of hydraulic failure, level of ponding, Condition of vegetation,etc.) �GL iT \. A
CESSPOOLS:
(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Ind:cation of ground.-,,.:c-
inflow (cesspool must be pumped as part of inspection)
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
PRIVY: C1
(locate on site plan)
Materials.of construction: Dimensions:
Depth of solids:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)
(revised 8/15/95) 8
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION .FORM
PART C
-` SYSTEM INFORMATION (continued)
Property A tress: rj 5"(�C\ a �'�• -
Owner: �Y� -
Date of Inspection:
SKETCH OF SEWAGE DISPOSAL SYSTEM: -
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
Ld
AA `
At �t
c
DEPTH TO GROUNDWATER
Depth to groundwater: 1� feet
method of determination or approximation: \
(revised 8/15/95) 9
TOF =100.86' PROVIDE PRECAST CONCRETE EXTENSION 5" DIA. OUTLET(S) FINISH GRADE OVER CHAMBERS = 98.5' - 99.0' GENERAL NOTE S
RISER WITH CONCRETE COVER TO WITHIN SLOPE @ 2% MIN. OVER SYSTEM 1• UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
REMOVABLE COVER METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE
6"OF FINISH GRADE OVER OUTLET COVER ' � FINISH GRADE OVER D-BOX-99.1 O' 4"SCHEDULE 40 PVC MIN SLOPE 1% 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES.
FINISH GRADE @ FND. EL.= 99.4' - 100.8' FINISH GRADE OVER TANK EL.= 99.9 - 99•6 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
OF HEALTH AND THE DESIGN ENGINEER.
20" MIN. ACCESS COVER 12"MIN. TOP OF SAS - 96.03' PLACE RISERS ON ALL CHAMBERS 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL
(TYPICAL FOR 3) 36��+ - TO 6"OF FINISHED GRADE
36"MAX. 9"MIN. BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED.
EXISTING 4 95.20 36"MAX. BREAKOUT EL - 95.70' 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN
ELEVATION =95.70' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS
SCHEDULE 40 PVC
MIN.SLOPE , 6" 3" 2" DROP MIN. 3" 9„ PROVIDE WATERTIGHT A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF
02 3" DROP MAX. JOINTS (TYP.) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
b " 4" PVC IN FROM1i = = = O opt O o0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM.
14 97.55 SEPTIC TANK 4' PVC OUT TO �bo 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
LEACHING FACILITY T o100 0 0 0 0 0 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN
INSPECT ALL o0 0 0 o SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO
TEES AND OUTLET TEE 95.50' WHIN• 95.33' 2 o o o BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH.
48" REPLACE IF o 0 0 0 8. ELEVATIONS BASED ON ASSUMED DATUM OF 100.00 MSL OBTAINED
NECESSARY GAS BAFFLE 6" CRUSHED STONE o0 0 _ o FROM A NAIL IN A PINE TREE AS SHOWN ON PLAN.
7
OVER MECHANICALLY 4'
6.0' COMPACTED BASE 4' 8 5' - I 4.0' 4.0' 9• CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
4.9' THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE
6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 25.0' (TYP.) AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY
OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE < 88•15' DISCREPANCIES TO THE DESIGN ENGINEER.
COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET 93.20' GROUND WATER ELEV.= 12.9' 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE
EXISTING 1000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 2- 500 GAL. CHAMBERS 5'MIN. STRUCTURES SHALL BE MADE WATERTIGHT.
LENGTH 8•5' WIDTH 4.$� DEPTH 5.58, CROSS SECTION VIEW 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR
OSSSECBOX DETAIL TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW ZONING REGULATIONS. OWNER/APPLICANTISTOOBTAINSUCH
SEPTIC TANK PROFILE DISTRIBUTION NOT TO SCALE DETERMINATION FROM APPROPRIATE AUTHORITY.
NOT TO SCALE NOT TO SCALE 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE
�- h cj ,�* TEST PIT DATA THEY SHALL WITHSTAND H-20 LOADING.
� , + +�,+�`• �..,F �� I 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND
DESCRIPTION HC 1 HC 2 • "" FINES.
,.. +� + , f t ' •• 'O AGENT: N/A 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND
D-BOX (1) 55.0' 32.9' f�+
-'� �\ ,. ��Q • „ +• � EVALUATOR: Samuel Philos Jensen UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF
<• 4. I ' +' DATE: August 27, 2003 LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN
CHAMBER COVER(2) 52.1' 45.1' ; • . • COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN
58.8' 40.1' LO ��OZ. + TEST PIT#: 1 ,
ACCORDANCE WITH 310 CMR 15.255(3).
CHAMBER COVER(3) 1 �- • • + 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
• ELEV TOP= 98.15
'k �'` • • . + • ` ' SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
�(XN " t4 + • , , ' ' ELEV WATER= > 10' BGS
f=
Q� , *• • ! . 16. PROPOSED PROJECT IS LOCATED WITHIN:
/J ' % . • PERC RATE _ <2 MIN/IN ASSESSORS MAP 171 PARCEL 72
' C' - ' �j [t "'r``'• + . . DEPTH OF PERC- 29"-47" OWNER OF RECORD: DAVID & DONNA SILVA
ja
�` • + • '11 ",!;++ •� • • ADDRESS: 55 THISTLE DRIVE
TEXTURAL CLASS: 1
i � � :�'li �`� " • �► CENTERVILLE, MA 02632
co 00
0 98.15' FEMA FLOOD ZONE C
• ( Sandy Loam AS SHOWN ON COMMUNITY PANEL# 250001 0015 C
A 10YR 34/2
Q C' ' D yam, ` ; • * 7" 97.5T 17. PLAN REFERENCE:
ct • �` M . 1. PLAN ENTITLED"SUBDIVISION PLAN OF LUMBERT MILLS IN CENTERVILLE BARNSTABLE,
B Sandy Loam MASS. FOR PETER G. SHEAFFER ET AL"DATED MAY 28, 1971, SCALED AT 100 FEET
EXISTING LEACHING PIT W .. Cranberry "� I 10YR 6/8
TO BE PUMPED AND 4, � -',,,y , B0$ ', `, � ! TO AN INCH. PLAN BOOK 247 PAGE 84.
FILLED WITH CLEAN SAND \ 4,/ '�• 2. PLAN ENTITLED SUBDIVISION PLAN OF LAND IN CENTERVILLE, BARNSTABLE, MASS.
d ' 25" 96.07 FOR GEORGE M. FRANKLIN AND JAY L. FIALKOW"DATED NOVEMBER 12, 1980,
`` `-;, / • i 29" 95.73' SCALED AT 50 FEET TO AN INCH. PLAN BOOK 350 PAGE 55.
EXISTING 1000 GALLON--\ 90� 1 .. ='--- �--�-- - - Perc 3. PLAN ENTITLED"SUBDIVISION PLAN OF LAND IN CENTERVILLE BARNSTABLE MASS.
P 148 SEPTIC TANK - T �`, �' ;t J I 47" �" F-M Sand 94.23' FOR PETER G. SHEAFFER", DATED SEPTEMBER 1973, SCALED AT 60 FEET TO AN INCH.
2.5Y 6/6
MA C-1 ° PLAN BOOK 281 PAGE 72.
PARCEL 21 VQC' �� a . r D rry 10-20/o Gravel
18. DEED REFERENCE:
N/F PAVED 89" 90.73' 1. BOOK 10111 PAGES 236
7O0 DRIVE
BISHOP, ET.AL. `QQ SO \ �p� 4 _ ,d 19• ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
vP �o o�, .per � ., 23 �'" J • � � M-C Sand 20- PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
PROPOSED ,p0� p�� 9���� C-2 2.5Y 7/4 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
DISTRIBUTION BOX °5� O VPr' J `` FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
5-10% Gravel
'� ADO \ \
PROPOSED 500 GALLON LOCUS PLAN-
LEACHING CHAMBERS HC 1 LP
' 120 88.15'
"
�00 (, #55 �00 \ SCALE: 1 = 1000
\ "
\ EXISTING Fpc� DESIGN DATA LEGEND
AP 148 /�/ ` 3DDRONG EXISTING CONTOUR
M �`-7,A rO' ` 9\ \9G� 50 PROPOSED SPOT GRADES
PARCEL 52 r' TOF= 100.86'
OCONELL SHED \9 PATIO �"" ��'
PROPOSED CONTOUR
\ C NUMBER OF BEDROOMS(ASSESSORS) 3
\ NUMBER OF BEDROOMS (DESIGN) 3 EXISTING OVERHEAD UTILITIES
DESIGN FLOW 110 GAL/DAY/BEDROOM
C 2 EXISTING WATERLINE TOTAL DESIGN FLOW 330 GAUDAY EXISTING UNDERGROUND CABLE
MAP 171 - -= TO BE SLEEVED 10' DESIGN FLOW X 200 % = 660 GAUDAY EXISTING WATERLINE
EITHER SIDE OF SEPTIC USE EXISTING 1000-GALLON SEPTIC TANK EXISTING GASLINE
PARCEL 72 _ =- L I lsdl� rRncSWG
15,000 S.F.± `'S == \O�
(2) PROPOSED 900
TP D6� LONG SWEEP (TYP.) TEST PIT LOCATION
(3) c'� ,`h� �O CB (FND/HELD)
o 5� ,���' INSTALL 2 - 500 GAL. CHAMBERS EXISTING 1000 GALLON SEPTIC TANK
�p � 98.15
EXISTING LEACHING PIT TO BE SIDEWALL CAPACITY
18"OAK 4"SOLID SCHEDULE 40 PVC PIPE
PUMPED AND FILLED WITH CLEAN
SAND (LOCATION APPROXIMATE) (LENGTH! +WIDTH) (2)(2' HIGH) (.74 GPD/S.F.) = GAUDAY ❑ DISTRIBUTION BOX
MAP 148 26" PINE INTERIOR PLUMBING TO BE REROUTED (25.0'+ 12.9') (2)(2') (.74 GPD/S.F.)= 112.1 GAL/DAY
AND TIED INTO EXISTING SEPTIC TANK 500 GAL. LEACHING CHAMBER
PARCEL 53 BOTTOM CAPACITY
N/F
KELLIHER � MAP 171
� CEL 73 ( LENGTH x WIDTH ) (.74 GPD/S.F.) = GAUDAY
PAR
CE (25.0'x 12.9') (.74 GPD/S.F.) = 238.6 GAUDAY REV. DATE BY APP'D. DESCRIPTION
CONSTANTINE PROPOSED SEPTIC SYSTEM UPGRADE
TOTALS: PREPARED FOR:
B.M. DAVID S I LVA
Nail in Pine Tree
Elev. = 100.00' TOTAL NUMBER OF CHAMBERS: 2
LOCATED AT
Assumed TOTAL LEACHING AREA: 473.9 SQ.FT.
TOTAL LEACHING CAPACITY: 350.7 GAL./DAY 55 THISTLE DRIVE
CENTERVILLE, MA. 02632
RESERVED FOR BOARD OF HEALTH USE
SCALE: 1 INCH = 20 FT. DATE: OCTOBER 10, 2003
MAP 148
0 10 20 40 80 FEET
PARCEL 54 r-th � PREPARED�c
N/F
CHUUCHiLL f JC ENGINEERING INC.
`��'
MAY INSTITUTE INC. Jft
CIVIL 2854 CRANBERRY HIGHWAY
No 41807
EAST WAREHAM, MA 02538
SITE PLAN 508.273.0377
J
Drawn By: DS Designed By:DS Checked By: JLC JOB No.536
SCALE: 1" =20'