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HomeMy WebLinkAbout0047 WARWICK WAY - Health 47 Warwick Way Centerville P TOWN OF BARNSTABLE LOCATION H7 Warwit`c SEWAGE# © t 1 ' 3(.7, RVILLAGE Cm/tAvt �tt ASSESSOR'S MAP&PARCEL 1gF —SS INSTALLER'S NAME&PHONE NO. �[�/�zu,rl/Q D✓t�-U S�» J 77 SEPTIC TANK CAPACITY /JU U /t r LEACHING FACILITY.(type) bt)� tyre-,,?(ot A-,o (size) 1/,5- 695' NO.OF BEDROOMS .�OWNER Lk rJr S o _ PERMIT DATE: to-7,3- 20� COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility vooll 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 6Qa&J10(&_ �y2. �flY1 �j LLB F Y Al 3qS rri as�s 37 -r,o Sys d y,o 3a2.q �y 33 d t � N , Feeo.Zo�'— 3 6 "' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4phration for vsposaf 6pstrm const union vermit Application for a Permit to Construct( ) Repair( ) Upgrade(X Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 47 wAm.4ji cx wA,4 Owner's Natpe,Address,and Tel.No. Cyr f#.Le ;I 06- J 6 V c&Ji4 L cdo&6 Assessor's Map/Parcel 1LJR 0 5S5 W A:QVA '-4 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.$0a- 1'7 CBIf'Gt+L7tD� &'0ratSVQlQM Jam. _-rc_ eL4C1 R/ FjC_e tSS Type of Building: Dwelling No.of Bedrooms 3 Lot Size ` 5,000 sq.ft. Garbage Grinder( ) Other Type of Building R es No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 fj gpd Design flow provided -@., gpd Plan Date i o-a4-i i Number of sheets Revision Date Title � 1 IA142 �tEiC, WA Cft.E1F1'u 99 Size of Septic Tank 10pn Type of S.A.S. Ao ARC, '31 O t0 bt1=US&9ekc Description of Soil SG'E PLA&J i'keb 1(1,%AAu&r {xz> P Nature of Repairs or Alterations(Answer when applicable) 1/yE r XiSS[�'T000 C, (__ Mtg 1� M �1c �LP�o>GTp �.® sae I� rairpll=pus c� rc `� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Hea . Signed Date i O-0�5 t� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 7io it 6 Z Date Issued .Zo 00 No.Z Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for Misposal 6pstem Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade( _Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. 47 W,4L1A)1 QuC W14N Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel 14210ss 4-1 w4t�Qv_ WA14 CevToe-v1co Installer's Name,Address,and Tel.No. 5ol<S Designer's Name,Address,and Tel.No.SO%-1,13 -031-1 CAvekA > ai-kratgAs6S v-C. z'C eWX1"9A"#/ae 153 d<)^cuGtej -ST' PEA, MA I A G C4 Type of Building: it Dwelling No.of Bedrooms Lot Size !000 sq.ft. Garbage Grinder( ) Other Type of Building R No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3$*:5,, -CO. gpd Plan Date ( 0-a4 Number of sheets I Revision Date Title 141 to KRwt d _ LAJAM G�im 7" 9e\1I LL_E Size of Septic Tank (OOU GAL.- Type of S.A.S.-clo APP,'30 O tC biFUSS Description of Soil SGE pc4w /'4eb Nature of Repairs or Alterations(Answer when applicable) El:yIST'm-6 n�-r.*,r. M Ahax_) D 1roK Ty to AQQQ. 3(a W--to 8 toDiFL W04C t o ri ') (LwpIC,� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Hea ! r Signed Date t O•o"t�i t 1 Application Approved by Date O 7-3 20 l Application Disapproved by Date for the following reasons Permit No. 1 - 7J G Z Date Issued ����' Z.o f t 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 CAP�MG G�TZZ &7!�' 4XX4 at 41 4 d1;LCo�(Q,L Lx 4kY CeW719V/uAjr has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.70 t r ;Gz dated Installer �-APEZ A>G: E Y2lS 3 t..taC' Designer T(, &46adO&S-Xi06t #bedrooms 3 Approved design flow 3 S 15,;X. and The issuance of this permit shal not be c trued as a guarantee that the s stl m'will tio'�af' desi ned. Date p / ZV g Inspect r, E —~ ---------------------------------------------------------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal .p8tem Construction permit Permission is hereby granted�to�Construct( ) Repair( ) Upgrade(A) Abandon( ) System located at �4-7 //QrlZWl<.,e— (/ de-mT'ERV 1 LL C and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date lab: 19 / Z- u l 1 Approved by ( �A% � Town of Barnstable Regulatory Services Thomas F. Geiler,Director "Aft ' Public Health Division 63 nuns Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790.6304 Date: i c_27- 11 Sewage Permit# c t- S k4")­ Assessor's Map/l':trcel `/� .55 Installer&Designer Certification Form Designer: S_ C�Er,5t,neecCo5 , ThC. Installer: Cnecw;& �.�Fer�clszS Address: ztis 1 cr.%0e.cry Iac.;tnwc�y Address: 153 Cc,4v.v o% =r z i 6*L i -r �Ast waretn r1 A 625,38 5o6-173-63 77 On to-z 5-Zokt Ci1e w,,kj, CA C,'Q,Cs43 was issued a permit to il,stall a (date) (installer) septic system at y7 Warwcr k Way based on a desizgit drawn by (address) -:S C erifjzneexo(1 -, 7NG_ dated "t Cr 21 2011 (designer) I certify that the septic system referenced above was installed suhstuii rally according to the design, which may include minor approved changes such as latera 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 n:sjor 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 & Local Re"ulation.s. Plan revision or certified as-built by designer to follow. Stripout (if required) w` Spt cted and the soils were found satisfactory. IM OF JOHN L. ' CHURCHILL 5 (in er's Signatu JR. )` NAL 419 4tE0- S O signers Signature (Affix De gn- �,7 ; I�i Here) P E RETURN TO ARNSTABLE PUBLIC HEAL DIVISION. CERTIFICATE OF COMPLIANCE 'WILL NOT BE ISSUED UNTIL BOTH THIS i 0RM �VD AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEA TH DIVISION THANK YOU. ciAoft"Ice formsWesignercertirication form.doc Town of Barnstable P# I LJ Department of Regulatory Services J UMMSTAB i Public Health Division sv+� Date (� 200 Main Street,Hyannis MA 02601 Date Scheduled / Time Fee Pd. . 40 Soil Suitability Assessment for Se a e Disposal Performed By: M 1.c�aek Witnessed By: LOCATION&GENERAL INFORMATION Location Address Owner's Name . �? w�•rtw tcJ� watt Cer►.��l(< sJi^,.• / Address t!'7 W4V%A1iU L4jA,y Asscssor'sMap/Parcel: 1 t{ �,�� , / Engineer's Name (S,`k,-/„�Z.. JC,EYljtheer(%j NEW CONSTRUCTION ((( REPAIR t/ Telephone# 7� k L J0'8 273-0 3 77 . Land Use:-- wtth�s Slopes(96) 6 " ( Surface Stones r Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line y t 1 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) See akl-Clued plan Parent material(geologic) L tw°$� Depth to Bedrock Depth to Groundwater. Standing Water in Hole: 7 IL(b+bss Weeping from Pit Face Estimated Seasonal High Groundwater 7 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: f)i ceG� Obs er V a}co-A Depth Observed standing in obs.hole: 7 12(0 In, Depth to soil mottles: In. Depth to weeping from side of obs.hole: in, Grtlundwater AdJustment f[. Index Well# Reading Date: - Index Well level __=_ Adj,thctor- Adj.Groundwater Level, PERCOLATION TEST bate 10-21-11 Time I t;06 4r Observation _ Hole# I Time at 9" 11i „ n Depth of Pere" tJy Time at 6" 11' Start Pre-soak Time @ I I,I y Art 'lime(9"-6") End Pre-soak i('21 A H Rate Min./Inch �'(.off i Say 2- Site Suitability Assessment: Site Passed Site Failed: J Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# I _ Depth from Soil Horizon Soii Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,'Boulders, onsistenCy.%'Gravel) P L 5 311 Q LS 10yr -`4 - - 3t0- 12(o G H-c 5 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.%Gravel) y-8 A - $-3b 6 LS (0Yr1/(. — 36-12(0 G N-GS 2 3 `P '% C .5% race DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co i to cv.%Gravell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones'.Boulders. Co itn Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No.✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Ye 5 If not,what is the depth of naturally occurring pervious material? ` Certification (date)I have I certify that on I!)-2 "q 9 passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,exper' e and erience described in 10 CMR 15.017. Signature Date Q:1S.EP'MMERCPORM.DOC COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS . DE � � RONMENTAL PROTECTION JUL 0 12004 22. TOWN OF BARNSTABLE HEALTH DEPT. TITLE 5 OFFICIAL INSPE ftur:'FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION iAAP 1 Property Address: 47 Warwick Way "ARCEL 5 Centerville Owner's Name: Lawrence & Randra Reach Owner's Address: Date of Inspection: Name of inspector:(please print) Wi 11 ' am _ .Rob' nson Sr. Company Name: William E. Robinson Septic Service Mailing Address: P 0 Box 1089 Centerville, MA Telephone Number:_(508) 775-8776 CERTIFICATION STATEMENT 1 certify that 1 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 o[Title 5(310 CMR 15.000). The system: bl Passes Conditionally Passes Needs Further Evaluation 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(Board of Heanhvr 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. Notes and Comments ****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. Title 5 Inspection Form 6/15/2000 page 1 II t Page 2 of 11 y OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued). Property Address:. 47 Warwick Way Centerville Owner. Lawrence & Sandra Beach Date of inspection: Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. Syste asses: 1 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: B. S tern Conditionally Passes: ne 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. Answer ye ,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. The s ptic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,a ibits 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 sep'c tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating th t the tank is less than 20 years old is available. ND explain: Ohs rvation of sewage backup or break out or high static water level in the distribution box due to-broken or obstructed ipe(s)or due to a broken,settled or uneven distribution box.System will pass inspection if(with approval Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND exp in: e system required pumping more than 4 times a year due.to broken or obstrtxxled pipe(s).The system will Pass insp ction if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND expl in: i +- Page 3 of l 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:_ 47 Warwick Way Centerville Owner: Lawrence & Sandra Beach Date of Inspection:, 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 fail g to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(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 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the syst m 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 front a rivate water supply well'' Method used to determine distance 'This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform b cteria and volatile organic compounds indicates that the well is free from pollution from that facility and e presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other f 'lure criteria are triggered.A copy of the analysis must be attached to this form. 3. 01 her: tl Page 4 of I l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 47 Warwick Way Centerville Owner: Lawrence & Sandra Beach Date of Inspection: D. System Failure Criteria applicable to all systems: You inust 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 day flow 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. 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 f et from a private eater supply well with no acceptable water quality analysis.(This system passes if the well water analysis, performed at a DEP certified laboratory,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,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails. 1 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. Large Systems: o be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 d. u must indicate either"yes"or"no"to each of the following: e following criteria apply to large systems in addition to the criteria above) yes no die 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—I WPA)or a mapped Zone 11 of a public water supply well If you ve 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 vwn:•r or operator of any large system considered a significa t threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. a system owner should contact the appropriate regional office of the Department. 4 I i Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 47 Warwick Way Centerville Owner: Lawrence & Sandra Beach Date of Inspection: Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No/ 1/�Pumping information was provided by the owner,occupant,or Board of Health 1/ 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? ✓ Havc large volumes of water been introduced to the system recently or as part of this inspection? VWere as built plans of the system obtained and examined?(If they were not available note as N/A) 2— Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? v — 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 the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no/ _ _✓ 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(3)(b)] S Page 6 of i l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 47 Warwick Way Centerville Owner:Lawrence & Sandra Beach Date of Inspection: — '0 FLOW CONDITIONS RESIDENTIIAL Number of bedrooms(design):. 5 Number of bedrooms(actual):_ DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms):�d b Number of current residents: Does residence have a garbage irinder(yes or no): L . Is laundry on a separate sewage system(yes or no):4,oo [if yes separate inspection required] Laundry system inspected(yes or no):/6 o Seasonal use:(yes or no):V� jb' Water meter readings,if able(last 2 years usage(gpd)): 2 0 0 3 83,000 Sump pump(yes or no): /-0 2002 — r 0 Last date of occupancy: COMMERCIIAL/IIADUSTRIAL Type of establish me Design flow(based 310 CMR 15.203): gpd Basis of design flow seats/persons/sgft,etc.): Grease trap present es or no):_ Industrial waste hol ng tank present(yes or no):_ Non-sanitary waste ischaiged to the Title 5 system(yes or no):_ Water meter readin ,if available: Last date of occup cy/use: OTHER(describe): GENERAL INFORMATION Pumping Records , Source of information: /'u }� Was system pumped as part f the inspection(yes or no):/,U If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYP OF SYSTEM Septic tank,distribution box soil absorption stem rP Y _ cesspool Single g 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) _Tight tank _Attach a copy of the DEP approval _Other(describe): Approximate age of all components,date installed(if kn wn)and source of information: �g g3 nJa' �f - . Were sewage odors detected when arriving at the site(yes or no):✓� 6 r Page 7 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:- 47 Warwick Way Centerville Owncr: Lawrence & Sandra Beach Date orinspection: BUILDING SEWE (locate on site plan) Depth below grade: Materials of const lion:_cast iron 40 PVC—other(explain): Distance Gotn priv to u ater supply well or suction line: Comments(on con ition of joints,venting,evidence of leakage,etc.): SEPTIC TANK; �(locate on site plan) Depth below grade: Material of construction:_concrete.—metal . fiberglass_polyethylene _other(explain) If tank is metal list age:— Is age confumed•by a Certificate of Compliance(yes or no):_(attach a copy of certificate) , Dimensions: Sludge depth:_ u— V 1 Distance from lop of sludge to bottom of outlet tee or baffle: _ Scum thickness: J— '/ Distance from top of scum to top of outlet tee or baffle: _ Distance from bottom of scum to bottom f outlet tee or baffle: ;VL— How were dimensions determined: 6 u k!-1- b Comments(on pumping recommendations,inlet and outlet tee or battle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): A GREASE TRAP: (locate on site plan) Depth below grade: Material of construe on:_concrete metal fiberglass_polyethylene_other (explain): _ Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or.baffle: Distance from bo tom of scum to bottom of outlet tee or baffle: Date of last pum ing: Comments(on umping reconunendations,inlet and outlet tee or baffle conditio:,structural integrity,liquid levels as related to ou let invert,evidence of leakage,etc.): 7 Page S of I 1 _V OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Warwick Way Centerville Owner:_ T.awrPnrP & Sandra Beach Date of Inspection: C —d5--o tz TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concr to metal fiberglass_polyethylene other(explain): Dimensions: Capacity. Ral ns Design Flow: gal ns/day Alarm present(yes or no): Alarm level: Alarm in work g order(yes or no): Date of last pumping: Comments(condition of alarm and (lo t switches,etc.): DISTRIBUTION BOX: �ofprcsent must be opened)(locate on site plan) Depth of liquid level above outlet invert. 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.): PUMP CHAMBER: (locate on site p ) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump cha 'er,condition of pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Warwick Way en ervi I I e owner: Lawrence & Sandra Beach Date of Inspection: 4 —/'O—O!Z SOIL ABSORPTION SYSTEM(SAS): C/ (locate on site plan,excavation'not required) If SAS not located explain why: T'p leaching pits,number:_ leaching chambers,number: 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.): CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and confi uration: Depth—top of liq id to inlet invert: Depth of solids la er: Depth of scum lay r: Dimensions of cc spool: Materials of cons ction: Indication of gro dwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of c struction: Dimensions: Depth of solid Comments(n tc condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): 9 Page 10 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 47 Warwick Way Centerville Owner: L ndra Beach Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. A, 33 10 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:47 Warwick Way Centerville Owner.Lawrence & Sandra Beach Date of Inspection: SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: 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: Teo a�l 11 NoJ.............. Fms.... �............... THE COMMONWEALTH OF MASSACHUSETTS 40-1 BOARD OF HEALTH ------------------OF.............................. App iration for Disposal Works Tonstrnrtinn Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: -- ` ' Location-Address or Lot N .................................................................................................. ......._............•--------•-^-••-......----•----....-----•---•------------........---......•-- W Owner Address •-----••...........................................•-----.........-----------...._..-•--^---..... --......_..........---------.........-----•----•--...---....------.....-••-•-•--•-------•-•••••-• .. Installer Address UType of Building Size Lot............................S . fe t Dwelling—No. of Bedrooms............ ............................Expansion Attic ( ) Garbage Grin r a14 Other—T e of Building .............. No. of ersons._...__.........._...._.____ Showers ) YP g -------------• P ( ) — Cafete ' d Other fixtures W Design Flow_._...._.._.�i-9�__........................gallons per person per day. Total daily flow............ .............gallons. W Septic Tank—Liquid capacity/4.0jgallons Length._.. '_._ Width—... Diameter.....:.......... Depth....r--------- x Disposal Trench—No..................... Width-...._..._.._.__.__ Total Length..................._ Total leaching area....................sq. ft. Seepage Pit No........../......... Diameter...�dr.�. Depth below inlet..j9:�::-2.._.. Total leaching area <a-_sq. ft. Ste✓ c�� Z Other Distribution box Dosing tank ( )� � 7 '-' Percolation Test Results Performed by.._. s .!___�...............=____.__L ..�_. f a L �Date �6 Test Pit No. 1_. __: iinutes per inch Depth of Test P . ` Depth to ground water....... fTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................ .---__-_ M --•------•-•••••-•-•--••-••-•••---•--••------•--•••-•••......................•-••••---•_•-- xDescription of Soil----ram ------1 7i�? "�e!.1 'sQ.---•�Z - - - - -....................... V ...............••••••-•--•--•••---•--•---•-------.....•••••••••--•-••-•-------••••••-----.......--•-•-••••-----•---•-•---•-••-•••-----•-••-•--•-•----•--•- W ---------------------------------------------------------------------------------------------------- ----------------------•---------------------------............................---•••••-•--••••--- U Nature of Repairs or Alterations—Answer when applicable------------------------------------------- ..........•----------------•----....----------------------•------•----------------•-...._._.......---•-•-----------------------------------•.......................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'111 5 of the State Sanitary Code The u dersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed b th board of health. ed... ....... ...••. •••-•...---•••--•---...•=••-••...............•- Application Approved By................... ••••• •----...•--••----••-..::..••-••••-•-•-••-•-•-----•............... ---- l0 2 ---•-----•--- Date- -----•----- Application Disapproved for a oBowing reasons: -•-----------------------•----------------------------•-----------------------•------------------••••--•---••-- ....................•------...-------•--...--------------•-------•-----••--•-----•--------------------....__.._.......•........---------------------•-------------------------------------------........ Date PermitNo......................................................... Issued_....................................................... Date i 2..........! ..... f. Fps 1, .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ .............__._..............OF....................._............_..... AVVliration for Disposal Works Tonstrurtiun Prramt Application is hereby made for a Permit to Construct ( ) or Repair (L.d�an Individual Sewage Disposal System at 15 Location-Address or'Lot No. ......................^.......................................................................... ............................................. ............................................... Owner Address W Installer Address Type of Building Size Lot........................1....Sq. feet g— .....1-1 Dwelling No. of Bedrooms.......... ..................:.......Expansion Attic (� ) Garbage Grinder ( ) p, Other—Type of Budding --•- " :oo p rsons............................ Showers ( ) Cafeteria ( ) Other fixtures t ................................ --......... W Design Flow...... „9.::: � *..__gallons per person per day. Total daily flow___..... ....gallons. WSeptic Tank—Liquid capacityfgt_�.Vallons Length-__- .+... Width... _.'.. Diameter................ Depth--_ -------- x Disposal Trench—No..................... Width............. Total Length.................... leaching area....................sq. ft. Seepage Pit No........../-______- Diameter...e GQe._15.. Depth below inlet.._._ ..... Total leaching area.. +sq. ft. Z Other Distribution box ( )'" Dosing tank aPercolation Test Results Performed by--- •.!'" Date...z .. Test Pit No. 1..- '__. nnutes per inch Depth of Test Pit ..t4���''_ Depth to ground"water+r--- __z .$_.-e t:c 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •---•-----•------------------------•---......-----••---••---•--•-•-••••.....-••--•-•-•--•-- 0 Description of Soil---- ``•-....... ``'"% � +' ....... _---------•--------------------------------------------------- x w UNature of Repairs or Alterations—Answer when applicable............................................................................................... ......... ---•----------------------------------------------------------------------------------------------• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place.the system in operation until a Certificate of Compliance has been issued by the board of health. Ign.e.................................................................................. ............. go) ate Application Approved By....`•• :! =n- =-----------------•-•---•---------••---...........-•--••......••._•----- / +^ ............... Q S3'dte Application Disapprove . or e following reasons-............................................................-................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... �rr#ififtt r of f�nnt�rli�anrr � THIS IS TO CERTIFY That the Individual Sewage Disposal System construct ) or Repaired ( ) ---------- Installer has been installed in accordance with the provisio s of TITLE 5 of The State Sanitary Cf�e as escribed in the application for Disposal Works-Construction Per rto. _.^ .__ __-____--------•------. THE ISSUANCE OF IS CERTIFICATE SHALL NOT BE CONSTRUE® GU RANTEE THAT THE SYSTEM WILL F N SATISFACTORY. DATE... Inspector ... ..... ----•-••------------------- THE COMMONWEALTH OF MASS HUSETTS BOARD OF HEALTH . �� OF................................. O......................... JE........................ RAW) lark �lanratilan Trani Permi ion is hereby g;a -=-----------------------------••---•..... to Constr ) or pair ( a Individual S rage sp sal System atN ................... f'�Wj We— ------------•-•----------------------------- -- �'S�- 1. 2ermit Street �+ .... as shown on/thhepplication for Disposal Works Constru No..................... e - - ... __ .__ ..................... .................................. -------- joard of Health DATE..� ----•---•------------------------------•----••-•---• - FORM 1255 A. M. SULKIN, INC., BOSTON r Y, �1 LOCATION ` y'7 SEWAGE PERMIT NO. Lot 26 Warwick 83-473 VILLAGE Gti?�''2� I N S T A LLER'S NAME i ADDRESS Robert B. Our Co. Inc. Great Western Rd. North Harwich BUILDER OR OWNER Louis Gordon DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� S� QG w� ��� I� i �� , , e T.O.F. EL.= 55.9'± INISH GRADE OVER D-BOX-- 54.5' 4" SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER BIODIFFUSERS= 54•5' - 54•8' GENERAL NOTES PROVIDE EXTENSION RISER INSPECTION PORT WITH SLOPE @ 2% MIN. WITH COVER OVER INLET& REMOVABLE WATER-TIGHT COVER OVER 1• UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION ACCESS BOX TO WITHIN 3"OF METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE OUTLET TO WITHIN 6"OF F.G. RISER TO WITHIN 6"OF FINISHED GRADE F.G. (ONE PER OUTER ROW) @ FND. EL.= 55•0'±' F.G. OVER TANK EL. = rjrj.2'-F 5" DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. I 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 1 DESIGN ENGINEER. PROPOSED 4" 9" MIN. 9" MIN. EXISTING 4" 36" MAX. 36"MAX. TOP OF SAS/B.O. = rj1 •$$' 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PVC SEWER PIPE SEWER PIPE _ { SYSTEM UNLESS OTHERWISE NOTED. -�- PROVIDE WATERTIGHT 3"DROP MAX 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6" 3" 3" 9" L = 19'± 2" DROP MIN M IN-SLOPE JOINTS (TYP.) ELEVATION = 51.88' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 10" 4" PVC IN FROM 1.08' fN " 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 14" SEPTIC TANK 4" PVC OUT TO 0 9, r A - (TYP.) 7.13"(TYP) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. LEACHING FACILITYaim + 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. ^ ^ CLEAN SAND6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. CONTRACTOR CONTRACTOR SHALL 51 .67� IN. 6 51 ,5' 51 •39� 50•8' (laid flat) 2.875' (34.5") SHALL VERIFY SIZE 48" VERIFY CONDITION OF 5.0, (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE 6" CRUSHED STONE (TYP.) 11.5' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY 5' MIN. NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 25.0' AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 55.00' ESTABLISHED L- TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV= < 44.0' BIODIFFUSERS (END VIEW) ON TOP OF BULK-HEAD CORNER AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. BIODIFF'UbER6 (FjKUF'ILI=) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT (BY ADVANCED DRAINAGE SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES CROSS SECTION VIEW TO THE DESIGN ENGINEER. SEPTIC TANK PROFILE ARC 36 `#3613E! - BIODIFFUSERS *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR D I S [ iw t5 ETAI L \ 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE _. � 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA APPROPRIATE OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM w f4 • ; r . PERC NO. 13443 APPROPRIATE AUTHORITY. + � ; • + ,, ",' i "' INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED UNDER PAVEMENT DRIVES OR TRAVELED WAYS IN WHICH CASE �7� • ' . EVALUATOR: Michael Pimentel, E.I.T. THEY SHALL WITHSTAND H-20 LOADING. C.S.E. APPROVAL DATE: Oct. 1999 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. �' • + ~ � + ${ DATE: October 21, 2011 ZONE 2 • • TEST PIT#: 1 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE • • • + MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. '` t +► +` ; ! f` , �� ELEV TOP= 54.5' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, �� # '+ « • `; •�d° ELEV WATER= <44.0' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). SHALL NOTIFY DESIGNJ F ANY DISCREPANCIES 0 { + +� • ' J' / PERC RATE _ < 2 min./inch 15 SI°TE CONDITIONSNTRACTOR FROM THOSE SHOWN NPRI OR TO CONTINUATION OF WORKFOUND IN A J/ M � f Q HC o .Y., • f� DEPTH OF PERC = 36"- 54" 16, PROPOSED PROJECT IS LOCATED WITHIN: a o �� \� + • ,y� TEXTURAL CLASS: 1 ASSESSOR'S MAP 148 PARCEL 55 M 11 1 tl - YO / , + + r OWNER OF RECORD: JOHN AND DINA LYONS 0 /-' HC 1 (2) ,, �.� 'erry i1 }"j ADDRESS: 47 WARWICK WAY zLOCUS 0" 54.5' Q �C/-'' { g y `• Fill CENTERVILLE MA 02632 a P`� ���/� " ,:, 9 �� • 4" 54.17' ,�` (1) G`L V''Jul p�Q j�'�� Loamy Sand � • � ' A 10Yr 3/1 53.83 , FEMA FLOOD ZONE C `l° �O (3) ' `\ M 8" COMMUNITY PANEL# 250001 0015 C t'^ _• _+ I B Loamy Sand ! 17. DEED REFERENCE: DEED BOOK 19697, PAGE 317 roll rf°y 10Yr 5/6 (4) �►G ' i � q 11� •s 36" 51.5' 18. PLAN REFERENCE: PLAN BOOK 350, PAGE 55 5 0 • SWING-TIES SCALE. 1 -20 i i ,, .� I f,� �J Il .`'',y` Perc 54 50.0' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION, 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY ✓--�'� / \ MAP 148 DESCRIPTION HC-1 HC-2 �'� } • + i ,� i J} FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY o oo, MAP 171 t 1 `li '+ / Medium -Coarse Sand FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. PARCEL 55 PARCEL 100 BIODIFFUSER CORNER(1) 21.1' 32.7 �r C 15,000 S.F. ± �, a/ BIODIFFUSER CORNER(2) 31.0' 21.0' (<5°o gel) BIODIFFUSER CORNER(3) 39.7' 32.5' a c9 �� BIODIFFUSER CORNER(4) 32.6' 41.0' LOCUS PLAN SCALE: 1" = 1000' 126" 44.0' #47 \ No Mottling, Standing or Weeping Observed f \ _ .__-- - . _ __ . STING 3-BEDROOM \\ Benchmark DESIGN DATA TEST PIT DATA LEGEND DWELLING 1 ° Corner Bulkhead PERC NO. 13443 TOF = 55.9'± o Elev. = 55.00'Approx. M.S.L. INSPECTOR: Donald Desmarais, R.S. TOF-55.9 \ EVALUATOR: Michael Pimentel, E.I.T. 50x0 EXISTING SPOT GRADE f \ NUMBER OF BEDROOMS (DESIGN) 3 C.S.E. APPROVAL DATE: Oct. 1999 - - - 50 - EXISTING CONTOUR MAP 148 i DESIGN FLOW 110 GAL/DAY/BEDROOM DATE: October 21, 2011 PARCEL 56 TOF=56.6 OWN e \\ \ TEST PIT#: 2 - 50 PROPOSED CONTOUR P,� TOTAL DESIGN FLOW 330 GAL/DAY j®tea C G \ �\ o = 660 ELEV TOP = 54.7' E/T/C - EXISTING UNDERGROUND UTILITIES DESIGN FLOW X 200 /° GAUDAY sod DECK \ ELEV WATER= <44.2' GAS EXISTING GAS LINE USE PROPOSED 1,500 GALLON SEPTIC TANK a \ _ 01.� QP�\� o I SHED PERC RATE� � W W - EXISTING WATER LINE . MAP 171 DEPTH OF PERC = EXISTING LEACHING PIT TO BE PUMPED AND h/ 1 PARCEL 80 TEST PIT LOCATION FILLED WITH CLEAN, COARSE SAND &ABANDONED INSTALL 20 - ARC 36 (#3613BD) H_10 BIODIFFUSERS TEXTURAL CLASS: 1 O O O EXISTING 1,000 GALLON SEPTIC TANK PROP. INSPECTION PORT / Tp 1 �/ 10000 SYSTEM CAPACITY 0" 54.7' WITH ACCESS BOX TO / s 25� 54x5 (TOTAL L.F. OF BIO'S)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD GRADE (TYP OF 2) PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE 54x7 EXISTING 1,000 GALLON SEPTIC TANK TO (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING/DAY Fill PROP. TOTAL 20 ARC 36 (#36136D) �56 a� BE UTILIZED AS PART OF THIS DESIGN 4^ Loamy Sand 54.37' E3 PROPOSED DISTRIBUTION BOX BIODIFFUSERS IN A FIELD op A PROPOSED DISTRIBUTION BOX TOTALS: A 8„ 10Yr 3/1 54.03' Q PROPOSED ARC 36HC (#3616BD) BIODIFFUSER CONFIGURATION �y� TOTAL NUMBER OF BIODIFFUSERS: 20 Loam Sand TOTAL NUMBER OF COUPLINGS: 0 B y � 10Yr 5/6 TOTAL LEACHING AREA: 480.0 51.7' REV. DATE BY APP'D. DESCRIPTION TOTAL LEACHING CAPACITY: 355.2 36" PROPOSED SEPTIC SYSTEM UPGRADE MAP 171 NOTE: PREPARED FOR: PARCEL 82 EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE Medium-Coarse Sand CAPEWIDE ENTERPRISES DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C 2.5Y 6/6 "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED (<5% gravel) LOCATED AT DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED JANUARY 11, 2011). TRANSMITTAL NUMBER=W000052. 47 WARWICK WAY NOTES: CENTERVILLE, MA 02632 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. 126 SCALE: 1 INCH = 20 FT. DATE: OCTOBER 24, 2011 " 44.2' 'vA OF MASS 0 10 20 40 80 FEET No Mottling, Standing or Weeping Observed ` A�yG 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF --- _____ ' �' JpHN L. °�'� PREPARED BY: THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST RESERVED FOR BOARD OF HEALTH USE CHu C`v'L I JR' ��*'- JC ENGINEERING, INC. PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL N0.41 7 2854 CRANBERRY HIGHWAY BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. P°�Rf ' EAST WAREHAM, MA 02538 3. PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2 AND ALSO SITE PLAN - _5.08.273.0377 _ WITHIN THE ESTUARINE ZONE WATERSHED. SCALE: 1"=20' Drawn By: MCP Designed By:MCP I Checked By:JLC JOB No.2089 Toff o,� Fov A . 114 -- -- -- / Sox ------ --- ---- -- -- -- - -- - _ _ - ------ -- ----- -- --_ _ - //a ---- -- --- ---- - - ---- /c8 G'x6 LEF9cH P/ �" Jo�oO / ---— _. _ _ _ %0 -- -� -- - -,-,�,�; � � 108.75 /_48_ _ J .00 Me /02.Gb ---- ------- ---- --- 94 -- - ------ ---_- -- ------ --- - ----- - ------ - ---- -- ---------+ ------ —--- -- - --- _ ------- _ _--- - -- -— It/O TE ____- MANHO� E cLovE,25 �O t.�J�H/�1 0 A-/ V C- 2T SC ,9LE /" = /O -o — o— o—o — Pr-oPo �d ground P�of� le /2" OF Fi�/ISNED SCHED. 40 ? V. C. 012 EQUf3L Pr/C (r InIrnurn 14" per -,Coo-�-) 2 of �e - xa washed Shone 'SANK-r o e e T D/,57" BOX , ° 4'dia. ° V , o ° /DOO GAL. SEPT/C T/9AJA(f of 3�4 -�� ° ° ' -- - wa s,4,c d sf o ne ° ° ° , o LE-/9CH F> DATE : � - - TEST CDC) Cr)o O• f.r�f. A2L AL <,9 TEE' ��u l rii L 0 LA./ ,c2 ATE �'�J GALS./D�9Y D ATvM c' T t� /9•, q /�W i �o // 0 �� 5E PT/C Tf�N,� ��� x / 5 = 4q5 TEST HOLE #/ TEST HOLE• Z FF. D I ,A. \ �<<• / EFF DEPTH �o ' Q/. /Og.7 SUBv✓L 2 v S/DC- !.vr9LL =Lam.[..=LS. G. P. D.. _SEF 71E-5-r B OT TOM = .C� S. F. � � _ '� } LO` T 2 E M E T.�TOTf�L = 5���• G. Fes. L�. 77J L , 96. a , 44 � 1 � I cE,2T/F Y THfiT _7 HE 5U/L DIAJO / T� _ E / /A G & Q L / P.2OPOSE D OA./ THE G0eoU/vD �5 vv A J $/-40 &4,/A/ OAJ TH/S PLA/`/ DOES �O�2 : f - 2- %- L- fH�! 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O oO exlSt/ nq e /evot on BL D6. 5e7-13IQC,� O O O = pr-opoSe d e /e va+Ion A2E QU/,2E ME N7-S M O Cl/ T H /"I 19 S S. n 13 C o n to u,-s --o- - - -- proposed cOn-four•S BOf�,G�aD O� HEALTH re _ _ # Y / / � 7"oR, of Fou D . 114 - - — -- //2 i c 8 z yAlt Y 1 DG /o ,00 --- -__ - ,.�,-•.ram _ __— .— _ i.� -+--- 1118 +" E z> .5 /0,676 160 02,co - ---------- ----- 94 - --- - --- - -- __- - _ --- --- -- -- ------ ------ -- --- - ------- -------� ------ - --- ----- - ------ - --- — ----- - -- /(/O T-E - ------ exrstrnc� around proFi /e �-+ ExTErIJD ALL APPL /CABLE —e — o—o—o — pr-o�,os�d 9rovnd pr ofrle H0�2/Z Sc�9LE : / ' _ /O' C� 7 OAJ - V E ,QT SC 9LE / /O' /")ANHOLE COVERS TO 6-0/7- /WAJ /2" OF Fi�vrSHE � G �2ADE . scHED. 4o PV. c. oe --- FI- EQUAL7T0 SEPT'/C �minirnurnX4" p&r foof� 2 of /e - �2 washed S�on� �—� —/N — L ll�� ° o D/5T. Box G'dra. ° . p b O � • n /000 Gi9L. SEPT/C T�til>< of 3�4Y- /�V ° ° • / -- -- c.�astied stone ° o GE�9Cf ! 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