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HomeMy WebLinkAbout0101 VICTORIA STREET - Health 101 VICTORIA STREET, CENTERVILLE A= UPC 12534 No.2-153LOR HASTINGS, MN Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is CENTERVILLE required for MA 02632 7/14/12 every page. Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. l"`When filling out A. General Information When forms on the I computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. DOUGLAS A BROWN INC Company Name P.O. BOX 145 Company Address CENTERVILLE MA 02632 rawCitylrown State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails t ❑ Needs Further Evaluation by the Local Approving Authority --- 8/1/12 InspectoriPSignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ms•09/08 Title 5 Official I'V: ce Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts ,ONO Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. Cfty/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM IS ONLY 3 TRS OLD INSTALLED IN MAY OF 2009 B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 T Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name required for is CENTERVILLE required for MA 02632 7/14/12 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,•'` 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is CENTERVILLE required for MA 02632 7/14/12 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well*". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 m provided that pP , P no other failure criteria are triggered. A copy of the analyses must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments '( 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required 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 SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. pp y ❑ ® Any portion of a cesspool or privy is within a Zone 1 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 IT analysis. his Y system passes if the well water analysis, performed at a DEP certified laboratory,for fecal colif orm bacteria indicates ab sent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system-owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ 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 II of a public water supply well If you have answered"yes" to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on th e r p oper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r� 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is CENTERVILLE required for MA 02632 7/14/12 every page. City/Town State Zip Code Date of Inspection D. System Information Description: SYSTEM CONSISTS OF A SEPTIC TANK D-BOX AND S.A.S INLET COVER OF SEPTIC TANK IS UNDER DECK Number of current residents: 4 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if avail last able 9 , ( 2 years usage (gpd)): Detail: 2010-----289 2011-----303 Sump pump? ❑ Yes ❑ No Last date of occupancy: CURRENTLY Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-09108 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is CENTERVILLE required for MA 02632 7/14/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: OWNER SAID PUMPED IN 2011 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): l5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: S.A.S INSTALLED IN MAY OF 2009 TANK ORIGINAL Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑ cast iron ❑ 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: 3 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: VARYING LIGHT Lt5i---OM9108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness LIGHT CLUMPING Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? WOODEN POLE Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene El other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•09ro8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments •''r 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09= Tide 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is CENTERVILLE required for MA 02632 every page. Cityrrown of 2 Date State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): BOX HAS RISERS , SPEED LEVELS IN PLACE Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ 'No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 VICTO RIA ST Property Address MORSE Owner Owner's Name information is CENTERVILLE required for MA 02632 7/14/12 every page. Cltyrrown State Zip Code Date of Inspection D. System Information (cunt.) Type: ❑ leaching pits number: ® leaching chambers number: BIODIFFUSERS ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): NO SIGNS OF FAILURE AT TIME OF INSPECTION Cesspools (cesspool must be pumped as part of inspection) (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 Indication of groundwater inflow ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments .a 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(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.): t5ins-09/08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official a Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. Citir own State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts w m Title 5 Official Inspection Fora Subsurface Sewage Disposal System Form p y Not for Voluntary Assessments °M '< 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7/14/12 every page. City/-own State ZipCode Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: GREATER THAN 5 feet Please ind icate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: JULY 2011 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. l5ins•09/O8 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 101 VICTORIA ST Property Address MORSE Owner Owner's Name information is required for CENTERVILLE MA 02632 7114/12 every page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Assessing As-Built Cards ��� Page 1 of 1 TOWN OF BARNSTABLE LOCATION j ` SEWAGE# cpX 9 —d rj q VILLAGE I ASSESSOR'S MAP&PARCEL / e' INSTALLER'S NAME&PHONE No. �f;L" T-A SEPTIC TANK CAPACITY i/ LA t f�. LEACHING FACILITY:(type) �lr (size) i/, I A NO,OF BEDROOMS OWNER U !6 PERMIT DATE: COMPLIANCE DATE: 5 c O'� 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 Y g a 11.3 I< B 1:1 - ��' 1��far lI z f Paa ..lh ttp://www.town.bamstable.ma.us/Assessing/HMdisplay.asp?mappar=148049&seq=1 7/30/2012 TOWN OF BARNSTABLE V LOCATION 10 1 r f SEWAGE# kW9 J + � VILLAGE f 9t'�° I 1 ' ASSESSOR'S MAP&PARCEL Q g INSTALLER'S NAME&PHONE NO. a `i- A SEPTIC TANK CAPACITY _I( -�X l s f t l!; LEACHING FACILITY: (type) `I tt - s *10r JI-V(size) %�, 3 X 5j, NO. OF BEDROOMS , OWNER AA, re PERMIT DATE: a© ®a/ COMPLIANCE DATE: 5/,�L WO 7 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 Li � � Ito 13 i57 `t CA a Ala� P e 5 No. .J i / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: C/ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplicattou for �Dtgoal i§pgtem Con0tructton Fermat Application for a Permit to Construct( ) Repair( --Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No./p1 IV o Gte im sr e*e­,1e/vl)I e Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 62 6 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. r- el r v-%j 0-40,4 77 3 S So8-�/ov- rr s� Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building 1r Uug Y No.of Persons y Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) :? 3Q gpd Design flow provided Jq ,$ gpd Plan Date 7j /0 9 Number of sheets _%_ Revision Date Title pp Size of Septic Tank /(700 EY/,�A Type of S.A.S. j3t0&4 ys&o Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 AIS 1-,A N ru! S 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 �olth. Signed A Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. R0209— Date Issued 3 No. Fee - �_ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for �Digpogal 6pgtem Con0tructiott permit Application for a Permit to Construct( ) Repair( <_Ullp�g'rade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. p� v t!fp+'I1. 57 (P�+f/v t�)f Owner's Name,Address,and Tel.No. /t/j p is C Assessor's Map/Parcel I Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �U✓SIGS 4 g"Cfn/ 2' r/i^-f L✓Gr�'S Sl. i 1/77- S�1�j Type of Building: Dwelling No.of Bedrooms ... 3 Lot Size a sq. ft. Garbage Grinder ( ) 1 1 �s.�Vs Other Type of Building f1 u u t,P No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) O gpd Design flow provided �� /_u, gpd Plan Date a 4 /p y Number of sheets 01- Revision Date Title i Size of Septic Tank _/Uf�(7 r X I STM/t Type of S.A.S. F)tO6, Description of Soil I Nature of Repairs or Alterations(Answer when applicable) 1 �A j y _ i I Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in 1, accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed r Date G I Application Approved by rrn Date Application Disapproved,by: Date for the following reasons Permit No. a d�� Date Issued o� THE COMMONWEALTH OF MASSACHUSETTS i BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (t,/) Upgraded ( ) Abandoned( )by I-)C1�),` A ( l"),J at 1 01 0 a A Oe l(f �)1 C,­.A P/ t.,1 ,c has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Owq—059 dated 3 �0 Installer J �d G < A 1c,«i rJ Designer ,ur,h)-e r°r N c W of)r S #bedrooms ^- Approved design flo�w L gpd The issuance of this permit shall no be construed as a guarantee that the system will unctiorias designed. Date l a 0 Inspector t- ——————l!-�—————/'———— ————————— ———————————————— No. 2 v "057 Fee_ to 0 , THE COMMONWEALTH OF MASSACHUSETTS I PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwigogal *pgtem Cott�g,truction Permit Permission is hereby granted to Construct ( ) Repair ( ✓°) Upgrade ( ) Abandon ( ) System located at 10 1 y, 1 v/ to C,mom+ ery ,1�,e and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date 01v Approved by I i 05/23/2009 05:11 5084775313 ENGINEERING WORKS PAGE 01 Town of tastable RegWaw ry S ekes nwou F.Geier,Dhvcwr P He Mvn noway McKean,Manor 20.0 Malt:Weet,Hyannis,,MA 3, 01 'Office. Fax: 508-790.6304 IaaMer.&Roma COMIM a .R9p� 5'�23I t'1 sews Par t# , . 1+9 _00 � Asa�aor•a M�F�� • •.�.x�,.k. /.�a Inver: �. /a . j�vraea•1 K.� Add: Adtles: D ZCQ yy Cc►�-i-e�r�l Lam, tILA 0 263 Z. A-,G was issued a,p.4rmit to install a BCRpc. l o I 1! cl-oYc� Sfi basal on a 4.91 t ftwa•by (address) �e.i-ems Mr- &*e'r. (PF dated 6er) t c 7-ft the.septic e3+stem refar=ced.above was inst011ed s� tov icf�:may include Mirnor approved cha s sued as-18 o the ;mac and/or peptic tank. I t the septic system referenced above was installed with yr cbmS, (i.e. T.0 lateral relocation of the SAS or any vertical relocation of any C. runt but in accordance with State do Local Ugglations. Pkm r +®lva or s bunt by desi ner to follow. LUUj Wz�i:g 09 Z v P� yW !s ) (Aif > aca) Q:Halts/kPUVDm Pff Certification Form 3-2"Hoo LOCATION S° � SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS hl�l(f Al SUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED `�� // r LvT c �8 No tw --� t Fms ..rr.......... x THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...........................................O F............................................... Ally iratiun for Biipnual Workii Tonstrurfivit j1prutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System ....!1/... .zz a............ _._ ..... ------- �..� _.....---•--•-------- Location- .dress o ..............�/ t wne Address .•• . ---•..........................•..... •-----...-------------•-••------••-------••--•............------...............................••• � Installer Address UType of Building Size Lot_,l �c .-'.Sq. feet Dwelling—No. of Bedrooms......... ...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria Q' Other fixtures ------------------------------• . •--•--------- W Design Flow............ ____________________gallons per person per day. Total daily flow__.__._..._.._____-��--�-I-----_-_--__gallons. WSeptic Tank—Liquid'capacit}/Ch�I.P.gallons Length___�........ Width....%....._ Diameter________________ Depth..... �._. x Disposal Trench—No. .................... Width.........j.__...... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------f....._._.... Diameter.../ •_ .... Depth below inlet... ,__ ______ Total leaching area.. � .sq. ft. z Other Distribution box ( � Dosing tank ( ) "/` 5 6 Percolation Test Results Performed by....... _.__ __. ' _ ... ../'� Date_._______.___.... W Test Pit No. 1---�_4.4:minutes per inch Depth of Test PitZ.115.....__ Depth to ground water- Test Pit No. 2---:r!!!�:.—.minutes per inch Depth of Test Pit,,�S!Y --- Depth to ground water----�"A.°,0.4F7� x O Description of Soil--------- :__`__............. ` ?,i~ ------- `�---•-- ? __ 1- . ............................... U ---------------------------------•--•-----------------------------------------......-------------------------------•--•-------------------------.................................................. UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ------------------•------------------------------------•---•-------•---•---••------••--•---------------------------------- Agreement: +: The undersigned agrees .to install the aforedescribedeOThdividtial Sewage Disposal System in accordance with the provisions of iI LL L .5 of the State Sanitary Cod _ e dersig ed further agrees not to place the system in operation until a Certificate of Compliance s e by t e b of health. vSigned.... ..... . ... .. .. .. ............................................. ---------•------•----•-•------ ` Da e wApplication Approved By------. .. .... ---• . -- .-• ............................... ..... 2- Date �s Iii cation Disapproved for the following reasons:................ Date PermitNo......................................................... Issued........................................................ Date No. '.2.-.�: ... - • . Fss..�� ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... ....................OF...............I.............. .... Appliratiun for Disposal arks Tun,�trurtiun rrutit Application is hereby made for a Permit to Construct ( Repair ( ) an Individual Sewage Disposal System at: Location-Address or` A ww_ »...._. _ --- ---------------------•- -------- �'1 __._.._.._.._..........._....__ wn Address W a "9�rbc+.e_... A_ ;_.: u .................... � Installer( Address UType of Building Size Lot/ ......Sq. feet Dwelling—No. of Bedrooms........3............................----Expansion Attic ( ) Garbage Grinder ( ) p`,,, Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) a � Other fixtures .................... W Design Flow.............` ......................gallons per person per day. Total daily flow.............. -~'` ._..____._.__.gallons. WSeptic Tank—Liquid capacity�2��..gallons Length__.......... Width__--- --__- Diameter---------- ----- Depth_...%'_._._.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No....f............. Diameter..Z°� �...... Depth below inlet. ::_A Total leaching area.... ...sq. ft. Z Other Distribution box Dosing tank ( ) '''` �,-•r?a Percolation Test Results ' Performed by..... _----s�_---......... Date.....2 Z,. ............... Test Pit No. 1.::�.. ..minutes per inch Depth of Test Pit VY... ".. Depth to ground 44 Test Pit No. 2.:-`=_.. -:..minutes per inch Depth of Test Pit�Xy._..... Depth to ground water..'v_v_ a ----•--••-•----••-------•---•--•..............•---•-•-•-....••••-••---•••-------.....--------•-_...----...-•----..........--••- O Description of Soil----- ------....<-- - " . ,�. =--- '' l� x w UNature of Repairs or Alterations—Answer when applicable...................... .......................................................................... -----•------------------------------------------•---------•-------------------------.....------•--...----------------------------------------------.._..-----------------------.._...--•------..._•-•--- Agreement: The undersigned agrees to install the aforedescribed dividual Sewage Disposal System in accordance with the provisions of TITS 5 of the State Sanitary Code e u ersig d further agrees not to place the system in operation until a Certificate of Compliance s_been,,is•stte '_by he bo. f health. Signed...... . . --- --•--------- - ------------- Date......... Application Approved By..... .. ... --....- � � a� � ���-------------- Date Application Disapproved for the following reasons:--�.--•-•-..�°`--------------------------------------------------...................................... .........-•----------------------------------------•---------.......------•------•-------....-------•---------•---•••••.••-••-•--•••-•---••-----•----•-------•-•••--••-••----•......•---••-•--•-------- Date Permit No......................................................... Issued......... ... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F..................................................................................... (�rr�ifirtt�le of t1�u�t�rli�nrr � THIS I TO CERTI&Y, That the Individual Sewage Disposal System constructed ( ) or Repaired by-•------•---�j------ : . .......7----------------------•-----------------------------------------.........._---------------------------------------------- J� Ins alley at has been installed in accordance with the provisions of TIT 1Z' 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ............ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... ' u=-- Inspector----------------------- ............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH FEE....,3 f............ �t��ruu�al urk�AC�un��riun frrnti� Permissionis hereby granted.......,&,...... k ...............-------------------------------------------------------------------•--•--•-•-•-•....... to Construc v) or Repair ( ) an Individual Sewage Dispqsal System at No.......... ........... ±�.�. -----------------•----------•------------------------------------------......---'---- Street as shown on the application for Disposal Works Construction yPeermit No..................... Dated.......................................... C ...........1. ...... 'i..�.-�r-�'a�..� --------- /� {� ¢ rd of Health DATE ,/------------ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS u �1v11�e- Oak «.. S� 6—.A J,e,,w6 - i f ; � lii f : I i 1 I. i � I l : I ' : : _ - M RANGE MICRO D.W. COOK TOP HOOD REFRIDG LEGEND a(%c Ra Ben chm ark,- Set _ - gg -- EXISTING CONTOUR � 7p�\ \ Top of Sonotobe (white) x 100.98 EXISTING SPOT GRADE -'n' Ra nGt Ra EL.=102.70 (Assumed) Pre` s• Preo °s \ N 60 46'18" E , h U UNDERGROUND WIRES ockade fence 38 ' " / G EXISTING GAS SERVICE ;act Ra LOCUS 101.4 x VENT 102. 100.00 ---- Q� S. PreO ALL LINES \ I i W EXISTING WATER. SERVICE St ----- 1.3' l ---; I t 4j� TEST PIT eh ` W q'GtO`O r--T------r--T--� 1102.71 X 'S - Mer'a r < IS WING 1 I � BENCHMARK o� L° Cb ern°ra Aroma j P OPO ECIS A_ 1 n°ry f-_- I -- -- -- -- 10� X 1-SET-, Q� o Rose �o �o�' -r-- ---I may{ -- Ou�c00 13---I TP-1 TP-2 \ a i J u x 102.76 `102. 0 LOCUS MAP 103.28 x NOT TO SCALE oDECK 3TO BEI PU PED, FILL D W/ y SAND & ABANDONED GENERAL NOTES: \ 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 100.9 x ' BOARD OF HEALTH AND THE DESIGN ENGINEER. EXISTING SEPTIC TANK PATlO \ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS TOP OF TANK, IC TANK 1 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE INV. OUT)= K, EL. _ LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: ( Z I -310 CMR 15.405(1)(b): DECK 1) A 1' variance to the 3' maximum cover requirement, for 4' of N I x 101.73� max. cover. S.A.S. shall be H-20 and vented. to ,01 101.43 x , 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR } icket fen e_ Z I TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. N I o /EX/STING GARAGE \�O 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING HOUSE (#101) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. TOF=101.83f 1' 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. J \ 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF :ZE \ THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF \ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION, \� 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. x 10138 x PA Tl0 p� 101.35 1J 1.2 . 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 101.09 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS ` AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE I DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY J LOT 15 0 _U THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING S.F. CONSTRUCTION. 5,000f $. c D 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS Map 148 � o a 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). - - - - Parcel 049 OF R4S 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE `S,9cy INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 20'x20' o PER T• GJ 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND G7 /Lr^ IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. Drainage I ! AR McEl Tr N Easement \ \ U CIVIL 100.53 / I 100.00' - �c U No. 35109 HYD _ _ R£cis�ER�° �Q PROPOSED SEPTIC SYSTEM UPGRADE PLAN s�'x _ t FFSS aL 101 VICTORIA STREET, CENTERVILLE, MA �100 V c9l h edge of pavement �� �j�2�d� Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 Catc boson � oo' oo' 100 1 OWNER OF RECORD . Engineering by: SCALE DRAWN JOB. N0. � � 1 CHARLES & KARI MORSE 1"=20' P.T.M. 113-09 VICTORIA S TREE Engineering Works, Inc. 101 VICTORIA STREET 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. ` CENTERVILLE, MA 02632 (508) 477-5313 3, 2/09 P.T.M. _1 Of 2 l NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE I SHALL NOT BE < EL:98.3 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. 21 5-4" POLYSEAL OUTLETS INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT CHARCOAL 2" 2" 1-4" POLYSEAL INLETS OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE T.O.F. 1. ' VENT EXISTING F.G. EL.=101.6t F.G. EL: 102.0f F.G. EL 11 2.3(MAX.) ff MAINTAIN 2% GRADE (MIN.) OVER S.A.S. iv r O O LO in INSPECTION L 37' L = 7'(MAX) PORT ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 6" iv To View a 11.3" TO P D-VOX Section EXISTING 48" LIQUID INVERT LEVEL ADD GAS INV.=98.37 PROPOSED INV.=98.20 4 ROWS OF 5 UNITS AT' 6.25'/UNIT INV.=98.80t �� INV.=97.94 i,. EXISTING 4 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) EXISTING SEPTIC TANK 1 ESTABLISH VEGETATIVE COVER BACKFILL WITH"t LEAN NATIVE OR 75 PERC SAND TO TOP OF CHAMBERS NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BREAKOUT=TOP STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). TOP ELEV.=98.33 2) INSTALL INLET & OUTLET TEES AS REQUIRED. INV. ELEV.=97.94 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM ELEV.=97.00 II III IIIII�I AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 2.83' 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 5' MIN. ABOVE BOTTOM OF 76 - INVERTS PRIOR TO CONSTRUCTION. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' EXISTING SUITABLE PROFILE NO G.W., EL=91.5 MATERIAL SEPTIC SYSTEM PROFILE WITH OWS NO SEPARATION BETWEENAEDCHIROW &ENOUNITS STONE TYPICAL SECTION 16" N.T.S. ".T.a 11.2" I---___3_1.3'_ -_____-I SOIL LOG 1 34" � DESIGN CRITERIA 1 PROPOSED S.A.S. i DATE; FEBRUARY 26, 2009 SECTION END CAP L4i SOIL !EVALUATOR: PETER McENTEE PE NUMBER OF BEDROOMS: 3 BEDROOMS ------------•--- WITNESS: DONNA MIORANDI R.S. HEALTH AGENT 6"" HIGH CAPACITY (H-20) BIODIFFUSER UNIT SOIL TEXTURAL CLASS: CLASS I 2.0, �, ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH DESIGN PERCOLATION RATE: <2 MIN/IN MODEL 16" HICAP 102.5 A 1 0" 102.5 A 0" DAILY FLOW: 330 G.P.D. LENGTH 76" SANDY LOAM SANDY LOAM I NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DESIGN FLOW: 330 G.P.D. 10YR 4/2 10YR 4/2 EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 102.0 6" 102.0 6" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. GARBAGE GRINDER: NO �' DECK B I B SIDE WALL HEIGHT 11.2" O {� SANDY LOAM SANDY LOAM OVERALL HEIGHT 16" LEACHING AREA REQUIRED: (330) = 445.9 S.F. '�' v 10YR 5/8 10YR 5/8 74 99•7 - i ', 34" 99.8 0 32" OVERALL WIDTH 34" mmuiuww 4640 TRUEMAN BLVD EXISTING SEPTIC TANK: 1000 GALLON CAPACITY { 36.. 13.6 CF ® HILLIARD, OHIO 43026 - CAPACITY 1 1.7 GAL ADVANCED DIRAIW s INC. PROPOSED D BOX:: 1 INLET, 4 OUTLET (MINIMUM), H 10 RATED PERC ( 0 ) E SYSTEMS, 48" PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 4 ROWS OF 5 - 16" (H-20) ADS BIODIFFUSER UNITS W/ NO STONE FOR AN S.A.S. WITH DIMENSIONS 11.3' x 31.3' DECK M-C SAND M-C SAND 101 VICTORIA STREET, CENTERVILLE, MA (HIGH CAPACITY INFILTRATORS MAY BE SUBSTITUTED) / 2.5Y' 6/4 2.5Y 6/4 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 SIDEWALL AREA: NOT APPLICABLE BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF OF BIODIFFUSER) 91.5 13 Engineering by: SCALE DRAWN JOB. NO. 2" 91.5 132' Engineering Works, Inc. NTS P.T.M. 113-09 20 UNITS x 6,25 LF x 4.7 SF/LF = 587.5 SF S.A.S. LAYOUT PERC RATE <2 MIN/IN. ("C" HORIZON) G 9� 9 DESIGN FLOW PROVIDED: 0.74 x 587.5 = 434.8 GPD N'0 GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 3/2/09 P.T.M. 2 Of 2 OF //4 - L e / !4. O 450k C-a / - - ii0.4o OQ wHsHED =r'owc e xrstrnc� c�roUnd P.-o�'ile - -o -- - -- o— - HO2/Z Sc�9LE : / " = /O - -- - S T / JAJ vE 2T Sc �9LE / P oPoSe'd 9ro un d Pro f i l e SCHED. 4C ' C 0,2 f LOIn/ r EOUfHLTD .`'°==' T;c Cr»in rnurn I per- -f'oo-f-) 2 of wash)&& 54one D/ST. BOX ° jV 4 di a.. o ° o /ooa GAL. SEPTIC TH�'k_ of /44-/� i • e ° — ------ ----------- — -- [.tea shed 5'f o ne ° ° . ° //157 S D� 00 G /V --- - - - T� S 7- O L_ E- L_ O G - DFaT . =111113 -T-F -_ .7 _ f O NC• . AT_& �' TtiESS ,2 A7"E _3DATC/M •''� , � � ` — � '4 SEPTic T�7iv,�, �-o x /. 5 = 49S TEST HOLE #/ TEST 1-40LE2 USE- /12(2o GAL. TFiA./A:-- o0.1 \� 1,3 o S/Z:)c- ALL = /97. �\ Q. - �ZoBOTol TOM 7-07'i9L ea z USE. LEFacN P� T / c E,2T/FY ��T THE 8U/LD/�lG / T-E _ E G E- P L Pi20PO5ED CA,/ 7-14C- G,eOUn/D FPS $HOwti/ OAJ '; S F'L ,,:::�A/ DOES ,cp,e : LOT / S �' / LF7�� Oc�/c a �'FiGE: S CONF0.21" TCj ,,-A4E BU/L D/il/G SET- V/C"rC� ET B F-�CA--:� A2E• Q cv c E/`MEA./T"S O,, TNE- CE^J-r A ' V/ 4- MF� S s E D Of M4Ssq� EYFREFT H ti� S e�L E : A5 SNownJ DATE / / `? HFNCKLEY / / V l (/�J �r �/ No 1787 / .5 C ."9 L E / _ �O ' if ' f 2 '''�P 4�e1r5 UR,� r . a L L E— Q O OO tron BLDG SETB ,9C,� 0 0 0 - Propose o e /e vccf ion �2E C7PU/,2 NTS YA l2 M O U T H - — (exist/ r) contour--5 ,y,aPeOVE 0 con-t-ou/-S S / de = / v — - - FOSS.