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HomeMy WebLinkAbout0048 WARWICK WAY - Health 48 Warwick Way (. Centerville - A = 148 070 TOWN OF BARNSTABLE LOCATION 09 wDY W SEWAGE# o �" Y VILLAGE (f,N !er V;Ile ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. k Z4 J®,f • ;'0' q •f 0 of' SEPTIC TANK CAPACITY / 6 0 0 g"wl c ai a LEACHING FACILITY:(type) gyp%;re- (size) 2 Z f, NO.OF BEDROOMS OWNER N L i Y ' N a PERMIT DATE: /,7-A0,fig COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) IVA Feet FURNISHED BY �wr Or 6 ^ ey Y - 3� 3 -q3 7 7- �z C-,7 �_ �y No. d Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: X L" PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y eY 01ppliCation for Disposal 6pStem Construction Vermit Application for a Permit to Construct( ) Repair(4 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. w�. (�� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �'e.� t�v /�� %✓l/� QJ'1.Z3 *�c�/c' 8,�q�r j,���r Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. rer �'it� i+y^�i�ee- f Type of Building: Dwelling No.of Bedrooms Lot Size 61" sq.ft. Garbage Grinder( ) Other Type of Building /c e f, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) j gpd Design flow provided S gpd Plan Date qI,� Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described bn-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health . S' ed Date ,,;O r -- Application Approved by 1 Date Application Disapproved by Date for the following reasons Permit No. ) ��C'1 i Date Issued I No.� �O I r Fee ,! THE COIV MOlt WJALTrff6 F MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION - TOWN OF BARN ,TABLE, MASSACHUSETTS 01ppfication for Misposaf *pst4em!:construction Permit i Application for a Permit to Construct( ) Repair(v/ Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ' (� Owner's Name,Address,and Tel:No. yp w W,P /, w l / Assessor'sMap/Parcel Ce, h> ltMe Af/f 0;'70 NJfe Ong /.lD Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. r Kv� oi fow..r�lf� � ®l'- X �P'r PD�II//or'/�'/ �/✓�/pC!//rf Type of Building: Dwelling No.of Bedrooms Lot Size / �'1 sq.ft. Garbage Grinder( ) Other Type of Building l!. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ? U gpd Design flow provided a�l S gpd Plan Date /1,k y Number of sheets Revision Date Title Size of Septic Tank N/��- Type of S.A.S. rr, n , /,. f to Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in - accordance with the provisions of Title 5 of the Environmental Code and'not to place the system inJbperation until a Certificate of Compliance has been issued by this Board of Health. S'gned Date / - Application Approved by Date Application Disapproved by Date for the following reasons Permit No. -�� Date Issued --------------------------------------------------------------------------------------------------------------------------------------- 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 at /i t. 4, /has been constructed in accordance 1 with the provisions of Title 5 and the for.'isposal System Construction Permit No�I� dated Installer / �,s r r!n i Designer #bedrooms Approved.design flow -73 3e3 gpd, _ The issuance of this permit shall not be construed as a guarantee that the sy ter will�fu cti n as designed. Date �o� a� / Inspector ---------------------------------------=----------------------------------------------------------------------------------------------- No. �- I Fee /D V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNST'ABLE,MASSACHUSETTS Misposa[ 6pstem Construction Permit ~^� Permission is hereby granted to Construct( ) Repair(y) Upgrade( ) Abandon( ) System located at ri g, �/ i 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 com leted within three years of the date of this permit. Date / b} I� l Approved by\ 4 Town of Barnstable Regulatory Services Richard V. Scali,Interim Director snxNsrnete. MASS. �0$ Public Health Division 039. Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 29 Sewage Permit# Assessor's Map\Parcel / 4 Designer: ����/� W%9114- Installer: /` ✓ �, c/�//� l/� Address: WO ` Address: J�.n e�IG� 4YA,7, q 1 S 4✓' e e, In/�• o� Y lr On N2 ko Zov� was issued a permit to install a (date) (installer) ' septic system at V,4 Cf h &L,- i I e- based on a design drawn by (address) n dated az Pet 124111,6 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was conStructec ; with the terms of the IAA approval letters (i applicable) `` Bey STEPHEN G� �^ D. MATSON � CIVIL (Installer's ature No.46345 Q A\FS CISTER,�^�� ��ordnL E� ( esigner's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc 1 V TOWN OF BARNSTABLE LOCATION h1ar wir It 141 . SEWAGE# j '°"01 S VE LAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY_ tfy,Llih i LEACHING FACILITY:(type) �0) 11,e,1 z3z,, P (size) 1,9) .3 9e .3 2 NO.OF BEDROOMS `3 R OWNER Andu 1 ima rind PERMIT DATE: COMPLIANCE DATE: y' -�e Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility vNlo /L 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 L-aching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY R� /v• a i3l �3�u RZ Sys"" 8Z �.s•U A 30 B3 aa•0 /tv 3 Z ,o 6y va,o y /fiS' yz '2 r i ' t No. 200-I '- � y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppYication for bisposai 6pstem Construction permit Application for a Permit to Construct( ) Repair(✓) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address o of No. W WA,"o Owner's Name,Address,and Tel.No. (�,6 .T o ti Assessor's Map/P el, Installer's Name,Addr .No. 14 0�{� �n�e� Designer's Name,Address,and Tel.No. rrKg �� %� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building S•� ��. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 O gpd Design flow provided � � gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 6GrIAl�s5 1 f-&-1 , Description of Soil y ),a" Nature of Repairs or Alterations(Answer when applicable) C"1 4k, t 00` 5-M fiw n-3-S Date last inspected: ZOD9 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date q^t,, ' Leo, Application Approved by a Date y-G Z00! Application Disapproved by Date for the following reasons Permit No. 400q -'O�] S Date Issued y to- ZdO� No. 2 O 0 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS f prication for Misposal 6pstem Construction 3permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address o of No. 4/ Wq,,,y i . Owner's Name,Address,and Tel.No. L p Assessor's Map/P ela S 'm6 Installer's Name,Addre5s3 G 1.No. rnP ,' �: r`r�yr� Designer's Name,Address,and Tel.No. c.(tig (4 Z C1 O Type of Building: Dwelling No.of Bedrooms !! Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 5 `n t tv - \ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided_ . (off C gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. �T uha.(er5 i ieM�a Description of Soil p )fin ' t � i Nature of Repairs or Alterations(Answer when applicable) a .ca 4, Date last inspected: 7009 " Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in # accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe I �,. � Date q"G - L o o if v Application Approved by ,. r° Date��l - - Z 0 O 4( . Application Disapproved by Date for the following reasons Permit No. Z O cam( "6 -]S Date Issued 00!j 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 C-4ND le \ (.(..L at !4 9 w f-V IAA is w 4�, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.2 o o 9-619 dated L/ (o/b Installer s J- LZt ( P.,t,SC f Designer BAxVE� t� E yt bedrooms Approved design flow\ gP 3 3o d The issuance of this permit shall n be construed as a guarantee that the system all fun/ct n as design)e`d(, Date 1 Inspector / (�/ ►�,���/J i ---------------------------'---I------'------ ----- --- - - -•-------- -- - -----�------- ------- ------------- No. Zoo 1 - () 1.5 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION=•BARNSTABLE,MASSACHUSETTS Misposal bpstent Construction i3ermit Permission is hereby granted to Construct( ) Repair(Vill' Upgrade( ) Abandon( ) System located at WIN 11 r.2wn�-t a/u ► �(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 A Piz i Approved by /c •S 1 i G 04/10/2009 11:15 FAX 5084283928 CAPEWIDE 002/002 APR-10-2009 11:06A FROM: T0:815094283928 P.2 Town of Barnstable Regulatory Services � g Y Thomas F.Geiler,Director •AMMA214 Public Health Division ` •`� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: o Sewage Permit# e9.o f' Assessor's Map/Parcel lye Installer&Designer Certification Form Designer: �TIM Oy yr C hS'1,AeoL%-, Installer: e^ftF w I tad'.f5hfil?CPA3IFT Address: ��a !; Mtn Address: Q.o.8 �fo3 (�-r.N.3 Wl/�•9112 6 y p C[�??r$�l t c.�,a:+��PLO 7- On R t-4 11001OB W 100- dam. was issued a permit to install a (date) (installer) septic system at IS Wft—Wlc.ic.�� based on a design drawn by (addr ) E - eera. dated y' OZA a esigner I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of.the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory, l�l o ' i�7C1<51 rl�` S�YfLC. !G UFO fe-9-jITC-rX7 I certify that the septic system referenced above was installed with major changes (i.e. g� 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 lations. Plan revision or certified as-built by designer to follow. Stripout(if requ' �q ected and the soils were found satisfactory. o`er STEPHENG�, D. MATSON s ller's attire) CIVIL y .o No.46345 a• �GI 8 T sS�aMAL ECG (De gner's Signature) (Affix Des tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT B BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q\office fmmAdesignercertification formAoc a n IVC ' boo� 4 X T J ---+ _._..__..-___�_4 - _ Y --------.. } I � 1 I , i i oF� Town of Barnstable P# Department of Regulatory Services s Public Health Division WAM Date 1639. �� 200 Main Street,Hyannis MA 02601 M f Date Scheduled Time Fee Pd. —/O-- Soil Suitability Assessment for Sewage Dis os l R-7 o Performed By: Witnessed B : OANPI J LOCATION& GENERAL INFORMATION Location Address Ll q w yq.rw i Owner's Name j4 e)j)f e L ryi u4/i n Address S � Assessor's Map/Parcel: 1 �l 40-70 / Engineer's Name r lw i d.�e, 6z,i�/bort xs NEW CONSTRUCTION REPAIR Telephone# S—DS `i/Lg`l oa Land Use Rini t ���(11�( Slopes(%) i 0 o Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands i`n proximity holes P Y to ) Parent material,(geologic)G ac,rTL Lt " Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER'TABLE Method Used: Depth Observed standing in obs.hole: V�� _ in. Depth to soil mottles: e`r"L- in, Depth to weeping from side of obs.hole: Groundwatr r Adjustment ft. Index Well# Reading Date: Index Well level Adj,factor— Adj.Groundwater level,,,e PERCOLATION TEST Date ro Thne Observation Hole# �2 Time at 9" � yl Depth of Pere - Time at 6" Start Pre-soak Time @j �,3� _ 'lime(9"-6") End Pre-soak Rate Min./Inch Z wl� ih Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/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:\SEPf 1C\PERCFORM.DOC Zoak-o7s- DEEP.OBSERVATION HOLE LOG Hole#_L Depth from Soil Horizon Soil Texture .Soil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency.% ravel 5�wv' tog W. o 2 h 1A erva khhYlly aVS—LE �t L 0lr� V51 v�c2 F76015Lr hk Y. Lox Z,og� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) . Mottling (Structure,Stones,Boulders. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ons' to t Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary Nol , 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? N If not,what is the depth of naturally occurring pe vious material? Certification I certify that on 0 (date)I have passed the soil evaluator examination approved by the De artment of Environmental Protection and that the above analysis was performed by me consistent with . P the required trainfng,expertise and experience described in 10 CMR 15.0172 Signature Date )� Q:\SEPTI0PERCFORM.DOC P 0� r rP J 0 a - N -Yj - b� s J c- s , Cf1 r � i t sr} o _I -- ------------ Propose Use ---- urrent Use BUILDER INFORMATION Name �� A f\60 Telephone Number �Y Address '1� 3 G � License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS S L ING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE � DATE DATE 5/13/05 48 Uaaw.ick Clay 8 PROPERTY ADDRESS - ' Centeay.i2.ee . 'a Razz 02632 c? a On the above date, th"eptfc system at the address above w48 Inspected. This system consists of the following:. CQ 1. 1-1000 gaiion zept.ic tank., ' ' 2.- 1- Dizta.igut.ion B-Ox., 3.1 1-1000 ga. eon .2each.ing ,p.it o { Based on inspection, I certify the following conditions: 4.- 7h.is .ins a 7.it2e Five SePt.ic System (78Code) 5. The 6e/2t.ic �syhtem is . in /2ao/2ez woak.ing oadea at the /2ae sent time., SIGNATURE r_ Name: Robert A. PaoIMI Company.: Joseph P Macomber & Son Inc . Address: P. Q.-Box 66 Centerville Mass 02632 Phone: 508-775-3338 or 508-775-6412 -JOSEPH P. MACOMBER & SON;: INC� Tanks-Cesspools-4eachfieWs pumped ,&-•.Installed Town sewer-Connections P.O. Box 65 Centerville, MA.02632-0066 775.3330 . 7.5-6412 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OPPIGE OF E1'MR6rNM NTAL AFFAIRS DEPARTMENT OF*9NVIR0IMNTA1. P1t0TtrTION . Y 3: • TITLE 5 OFFICIAL INSPECTION FORM—.NOT FOR VOLUNT-ARYMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART•A CERTIFICATION Property Address: 4 8 Id a s w.i cO k P a u___ /'nn�'n n i BYO /Vr/ Owner's Name: Iaeae Ca iaz is Owner's Address: Date of Inspection: 5/9 3/0 5 = Ropke2t %ao �ini-. . , Name of Inspector: (please print) ._ x. ...__.-__. 2 chi : Company Name:„ter —p.:f7acome�t' & .sipn Lac. ✓�A Mailing-Address: en e/t.v e, 7 a.eb.•02632' Teiephone Numb-r: Co CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system,at this address and thathe.informadon reported below is true;accurate and complete as of the time of the inspection.The inspection-wet performed based on my training and experience in-the proper funetion and maintenance of on'*e sewage disposal systems.I am a DEP approved system inspector pursuant tome tion.15340.of-Title 5(31.0 CMR,15:•000). The system: XXXX Passes -Conditionally Passes Needs urther aluation.by the Local Approving Authority s f, Inspector's Signata-re: � �' �" 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-ft system ovrnvc and copies sentto the buyer,if App(ica6te,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspectidirand 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. nave 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT:FOR VOLUNTARY ASSESSNMNTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ' PART'A CERTIFICATION(continued) Property Address: 48 Ualtmick ldau en eay.e e Owner• Z2ene Laza.6za Ditto of inspection: 4/2 9/0 5 Inspection S.timmary: Cho& AiltC.,D or B./Af.VVAY'S complete all of Stetion;D A. System Passes:��eh /V0 I have not found any information whicli inAkates`thafany 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: Septic '3u�stem �� .gin Pope z wd2king 'oadea at the R2e'zen.� time., B. System Conditionally Passes: NO One or more system components•as described in the"Condi0on2l:Pass"!section need to be replaced:or. repaired.The system,upon completion of-the replacement or repair,as approved by tho Board of Health,will pass. Answer yes,no or not determined(Y)N,ND)in-the for the following statements.If`°ndt determined"please explain. NO •.The septic tank is'metal.and over O years old*or the septic dank.(whether•metal.or not).is-Wacturally unsound,exhibits substantial!infiltratim or exfiltration.or•tank•failure is iinent:System.will pass iaspeetion•ifthe existing tank is replaced with'a complying septic•tanlcasApprQved by.the':$oard 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: ' ND explain: N 0 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 inspgetion•if(with approval of Board of Health): broken pipes).are replaced. . obstruction is removed J 'distflbtif bnboils leveled'or,replaced ND explain: iV The system required pumping more than 4 tunes a year due to broken or obstructed pipe(s),The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: page 3 of 11 ©T ' O�'ICIAL ACTION FOR11'I NSy ST T M—INSMCT16N RMTS SUBSt1�ACE g Vf�; GIg D.ls OS S CjZR,TIFICA RPN'(eoritiwed) : Property Address: 48 U a a w.i c k 0 owner:.Z2 ne C tiasaazi Date of Inspection: C. Further Evaluation•is,Req aired by the Board of Health. 'chre pirefiuther•.evahtation�by.theBosrd:°�'Health=in•orderto;dete�iineifthesystem�� No Conditions.exist wlu q or the environment, is failing to protect public health,safety that the 1• System will Mass unless Board-oiHee��hhich�vtll protecat public health,safetth y tbe.eaYironment: system is.not functioning ill-a marip ; n o Cesspool or privy is within,50 feet of asurface water stated wetland or a salt marsh. n oo Cesspool or privy is within 50.feet of a bordering e$ ea•that the 2. System will fail unless the Board oY Health(thy Ub i�jealthrsaf safety and envir)onmentttin s function in a manner.that prot p em i S s st f a Y , _ I n o The system has a septic tank and soil absotption-system•(SAS):.and the$AS is within 100 eeto surface water supply or tributary to a surface water supply. -has aseptic tank and SAS and the,,SAS is-within a Zone 1 of.a,public watePsupply. n o The system The system has a septic tank and.SAS andthe SAS is wtthm350 feet of a private water.supply �• n_ Y tic and SAS and tho'SAS is less than 100 feetbut 50 feet oF:niore frog►a no The system has a sep ' taztk v_.-3 u 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 conform eA is al to or.less than 5 ppm,provided that Mother bacteria and volatile organic cotiipounds indicates that the well is free from pollution from that facility an the presence of ammonia nitrogen an°dnitrate he tr0� test b attached to.t b form. failurecrkeria are triggered.'A copy 3, Other: i Page 4 of 11 OFFICIALINSPECTION FARM—NOT�F©R.iVOL;-UNTARY.ASSESSMENTS SUBSURFACE SEWAGEMISPOSAL SYSTEM:I NSP.ECTION-FORM : PART::A C.ERTMCA'I`IO1`T(continued) Property Address:4 8 Nu Z w i c k Id a y Cente2v.itee Owner: Z2ene C2.in s.ia Date of Inspection: 4121105 D. System Failure.Criteria applicable to all systems:. You must indicate"yes"or"no"to each of ahe:followirig;for all inspections: Yes No _ X Backup of sewage..into facility.or systemcomponent due_to overloaded:or clogged SAS.or cesspool Y' Discharge.or:.ponding.of effluent to the surface-of the ground or;suxface:waters due to anoverloaded or clogged SAS or cesspool X Static liquid level in the distribution box above.outlet invert due To,an-overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less-than.6"below invert or availablevolume is less than'h.day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. _ X .Any portion of cesspool or privy is within 100 feet of a surface water supply.or tributary to a surface water supply. X Any portion ofa-cesspoolor..privy is withina,Zgpe i.of apublic well... _ X Any portion of a cesspool:or privy is within.50 feet of private water supply well. �— X Any portion of a cesspool orprivy is less.than 1.00 feet but greateuthan.5.0;feet from a private water 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>facflity:and:the presenco of itmmonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy ofthe analysis must be attached:ta this foram..) NO (Yes/No)The system fails.I have determined thavone ormore=o€the..above.failurc crterio exist as described in 310 CMR-15.'303,therefore they 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 taeility with-a,design flow of 1,0i000 gpd to 15�000. gpd• You must indicate either"yes"or"no"to.each of the following: (The following criteria apply to large systems in.addition to the criteria above) yes no _ X the-system is within 40,0 feet pfa surface drinking water supply — X the system is within 206 feet of a utary to a surface drinking water supply _X 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. A Page 5 of 11 OFFICIALINSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SLtSUR:FACE SEWAGE DISPOSAL:SYSTEM INSPECTION FORM PART 9 CHECKLIST Property Address:4 8 Ya z w.i c k. ld rc y Cente/Line Owner: Toone C2 ia.3.iu Date of Inspection: 4/2 I-/-0 5 s"or"no"as>to each.of the following: Check if the following have been done.You must indicate"yes". g Yes No X Pumping information was provided by the owner,occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of thy. -mspection? X Were as built plans of-:the system'obtained and examined?(If they were not available tote as N/A) X Was the facility or dwelling inspected for signs of sewage back up? X — Was the site inspected for signs of break out? X Were all system components;4"' uding the SAS,located on site? X _ 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? X _ 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 X Existing information:For example,.a plan at the Board of.Health. " _ X 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)] 5 Page 11 Pag f , OFFICIAL INSPECTIO�i::)�`—ORM`—NOT FOR VF3.LUNTARY ASSESSMEI�!1TS SUBSURFACE-SWAGE DISPOSAL--SYYSTEM SPEETION:FORM � PART.0 SYSTEM:INFORMATION Property Address: 4 8 0 a a w i c k Udu- cenlgaviUg Owner: Zaene- C t ' Date of Inspection:_ FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design).3,, . Number of bedrooms 4ptual): 3 3 X�.�0'=3 3 0 gl2d DBSIGN flow based on-310 CM15.2.03(for example:-I I0 gpd z#•6tbedrootns): Number of current residents: .: 1 Does.Tesidence have a garbage grinder(yes or no): n o Is laundry on a separate sewage.system(yes or.no):.n o [if y..es separate inspection required] Laundry system inspected(yes or no)n o Seasonal use:(yes or no):no 2 0 0 3=2 8" 0 0 0 ga.�.�o n,3 %D 7 6., 71 Water meter readings,if available(last 2 years usage(gpd)): 2 0 0 4=42 0 0 0 Ga on %'[7=115 06 Sump pum (yes or no): no Last date of occupancy: R a e 3 e a t COMMERCIUSTRIAL Type of esta.. t: N R: .�.. Design flaw. $d on310 CMR 15.203)% apd- Basis.of""' i" ow(seats/.persons/sq%etc.): Grease trappresent(yes or no): Industrial waste holding tank present.(yes or no):— Non-sanitary waste discharged to the Title 5 system•(yes or no): Water.meter readings,if available: Last date of occupancy/use: OTHER(describe):. GENERAL INFQRMATION . Pumping Records N,4 ^ Source of information: Was system pumped as part of the inspection(yes or no): cue If yes,volume pumped:l 220 gallons--How was quantity pumped determined? m e a z u a e d Reasota for.pumping: TYPE OF SYSTTM • X Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool —Privy Shared system(yes or no)(if yes,attach previous inspection records,if aay) _Innovative/Alternative.teclinology.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 known)and source of information: Instateed 11128183 Ro eat Ora. • I Were sewage odors detected when arriving at.the site(yes or no):rzn 6 - Page 7 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:48 Vaawick Iday . Centeay.iiiye Na Owner: Ilene Ca.ias is Date of Inspection: 4/21/0 5 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_cast iron X 40 PVC_other(explain): Distance from private water supply well or suction line: 2 0 f Ze e t Comments(on condition of joints,venting,evidence of leakage,etc.): �o int�s ¢RReaa t igh , Vented thorough house vent-, SEPTIC TANK:LQlocate on site plan) 1000 ya i i o n Depth below grade: 4" Material.of construction:X concrete metal,_fiberglass_polyethylene _other(explain)If tank is-metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) Dimensions:8' 6"LX5 ' 8"KX4' 10"bl Sludge depth: t a c e Distance from top of sludge to bottom of outlet tee or baffle:t a a c e Scum thickness:Z a a c e Distance from tOi of scum to top of outlet tee or baffle:t a a c e Distance from bottom of scum to bottom of outlet tee or baffle: �2 a c e How were dimensions determined: m e a s u 2 e d Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural irate as related to outlet invert,evidence of leakage,etc.): gnty,liquid levels PumI2 tank evelig Z ea2-6., Iniet 9 outiet teee aae .in p&ce Pi u id Qeve��s aae noama g., Tank !A .stauetuaa�P zoun GREASE TRAP: Nglocate on site plan) Depth below grade: , Material of construction:_concrete_metal fiberglass_polyethylene,_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: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Gaeaze taap .iz not Rae.sent , Titla S Trion,-Mnn T7nrm F/i G/7nnn 7 Page 8 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS �S<'ic�6S:XF ACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 48 Wa2wick Vay Lent Owner t le2e Ciz is sa.i Date of Ibspection; 4127105 A TIGHT or HOLDING TANK;NO ("must be pumped at time of inspeiction)(locate on site plan) Depth below,grade: Material of construction: concrete metal fiberglass—_—polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm'in working.order(yes or no): Date of last pumping: Comments(condition of alarm and float-switches,etc.): 7.igh.t o2 hoid.ing .tankz ate not Pag.6 nY DISTRIBUTION BOX:Ye-3 (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.): /3ok .is eeve.e.- Box ha.s 2 Qate2riP.c. No , .;r4n.A n4 ep-P,rrr ,.,,aay ove2., o2 .DO-e7kn /O %n nn nI) n.'z Qn,y PUMP CHAMBER: NO(locate on sife.plan) Pumps in working order(yes or.no): Alarms in working order(yes or no): Comments(note condition of pump chamber,condition of pumps and appurtenances,etb.): M r 17m0. n.4 Agg.9 8 . Page 9 of 11 OFFICIAL INSPECTION FORM—'NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FARM PART C SYSTEM INFORMATION(continued) Property Address: 48 Ua2w i ck Oa • en e2v.i.2.�e Owner:Z2ene (ff iaz..ia Date of Inspection: 4/21/0 5 n SOIL ABSORPTION SYSTEM(SAS):_.(locate on site plan,excavation not required) If SAS not located explain why: Located .see aaa n 10 - Type X leaching pits,number:. 1 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.): Loamy to medium .sand.. No .signs oP lal&Le., Vege a .c.on c s rzo2ma�. CESSPOOLS: NO (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 or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Ceps/2oo ez ate not 2e.sen.t PRIVY: NO (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.): PlLiV,11 -is not ice.sen 9 Page 10 of 11 OFF�C� 4DN'-11 .INSPUGT10RM9-NOT IFOR•�V•OLUNTFA�3�AS3ES5�VIENTS , SU - gURFACE,8E AGEM19FOSAL SYSTEn`.INSLEC' 30N FQRNf PART C SY.,STE-M)F-MRA'ATION(icbntinixed)- Property, Address: Owner: Date of Inspection: SKETCH OF SE'WAGE•DISPOSA,L SYSTEM Provide a sketch of the sewage disposal system including ties to at lea t twoply eaten the building. dmarks or benchmarks•Locate all wells within 100 feet.Locate where publ pp, N • r W 10 _ Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS - SUBSURFACE SEWAGE DISP OSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: .48 W a l tt v zc Owner: Z2ene C/L.Ca,6-l.a Date of Inspection: 4/21/0 55 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: -NO Obtained from system design plans on re checked,date of feet of SAS) plan reviewed: u le.3 Observed site(abutting property/observat o..n hole withinChecked with local Board of Health-explain: 0 , ; Of rn,?d n o Checked with local excavators,installers-(attachdocumentation) 0 fit¢/t n�ti a&.2 a.,ma.,u!s t e,y Accessed USGS database:explain. 12 You must describe how you established the high ground water elevation: 11 11,3ed : Ca Re Cod Comm ,s.� on !dates 7agie COdtou/" 4nd l uE~Qie JJate2 Su�/s2y 41e92 /toad toted con a2eaz mapv, Se t 99 55 J(lat e2 2ebOLL2Ceb O GCe cape Co eomm ib Gon., Leaching nn Pit —I • ;eet y Groundwater`Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method Therefore,the vertical separation distance between the bottom`s of the leaching pit and the adjusted groundwater table is feet. CS 170 11 I y'tntnrn.�ntrr�•t•r~sermrns++.ts•tt*asen+mnir'te7.►Jtrrtt't7+•ttGt'tttrrtlti1'tm'�rtmetterA WARD-OF HEALTH OF BAI4 N� S7R/31,r._.� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D•- CERTIFICATION rt•7T.St}}fl'71R1f17r•1 iftfl •7R!•!+r•'•Tt••1t'�.•� "'_'"" ''•"*_�ttr-.TTmr+nn*��+�+�* ^ -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED , STREET ADDRESS 48 Oaaw.iek Yay Centeaii,Po, ASSESSORS MAP, BLOSK AND PARCEL # 148-041 Ilene Ca.iaz is OWNER' s NAME PART D - CERTIFICATION NAME OF INSPECTOR /2o&e� Pa.o-$xni ' J COMPANY NAME 0se/2h '. Nacomle)?I' Son Inc COMPANY ADDRESS _Box 66 Centeay.i ie Na z' 02632 street Town or city. State L1P COMPANY TELEPHONE ( 508 075 - 3338 FAX ( 508' )790 1578 CERTIFICATION STATEMENT I •certify that. I have personally .inspected the sewage disposa-1 system at this address and that t}i.e information reported is true ,. accurate-, and omple to as of the time o:f �insp.ection • The inspection was performed and any recommendations regarding upgrade, maintenance , and repair are consistent with my trainil,ig and experience in the proper function and maintenance of on- site sewage disposal systems � �� ►►i Check one: XXX Systeoi PASSED Tile inspection which I have conducted has ,not found any information which indicates that the system fails to ' 'adequate ly protect .public health or the enviro.pment as defined in 310 CMR. 15. 303, Any failure criteria - r,)ot evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The i r nspection which I have 'con acted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C -- FAILURE CRITERIA of this inspection f rm. 5/3/0_5 Inspector Signature' � ~� Date On copy of this certi,fi.cat-ion must -be provided :to the .pWNER, the. BUYER where applicable )) and the IIOARD OF HEALTH. , * If the inspection FAILED., the owner .or operator shall upgr:ade.'the system. within o'ne year of the date of the inspection, unless. allowed or requ.i;red otherwise as provided in 3.10 CMR 16 , 3Q6 nartd.doc l'OCAT �IN. g SEWAG PERMIT NO. Vi: LLACE GPI 06/04 111le INSAL ER'S NAME i ADDRESS CA B U I L D E R OR OWNER N ZJOJI� DATE PERMIT ISSUED %-DATE COMPLIANCE ISSUED y i7 a ks No... .. 17.� Fxs....��.....�............. THE COMMONWEALTH OF MASSACHUSETTS ;k ? � BOAR® OF HEALTH o. ................OF............ ................. Applirafiun for BiupuuFal Works Toutitrnr#inn ramit Application is hereby made for a Permit to Construct ()40 or Repair ( ) an Individual Sewage Disposal System at: /rt9 GJ/C ..... . .. !e........... .....w - Cc °T�Y-----------------------------------•-. ---- ..... L Address 0 - ` a . Owner -- ddress2 ----------------- ----------- .............. ------ -----------------.......-.- ....------.----- --.----a Installer ddress Q Type of Building Size Lot.. .o..t ...Sq. feet Dwelling—No. of Bedrooms..............` _.___.._._._.___.__.._.__Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g --------•----•----•--------- P (. ) — Cafeteria ( ) I Q Other fixtures ...... :::.....•----------------------------- R: Septic Tank—Liquid capacitylOOOgallons per L ngth__..P.__...__.yWidth.....�y.._.. Diameter.__..O gallons. W Desi n Flow............... :57............. gallons person per day. Total daily flow----- t 3,.. ._ W Disposal Trench—No..................... Width..............__..._ Total Length..___..... .........____..--._.._._...... Total leaching area ft. x • Seepage Pit No......./_A,-______- Diameter..... �_t.r_. Depth below inlet....... Total leaching: P.D, Z Other Distribution box (fie) Dosing tank ( ) ►a Percolation Test Results Performed by......G-?.�-_-_—..... _�-L E ,.. NG e Date..1O--:_�3..:` _ .... Test Pit No. 1...":�'.Z-...minutes per inch Depth of Test Pit__/.01 ""'..__. Depth to ground waterA)&7•__115�.A-)<--0''J7-- Qr GT4 Test Pit No. 2................minutes per inch De th of Test Pit.................... Depth to ground water______`e. p .(.` --------- t-------------- - - -------- O Description of Soil--------------- -•----- I�° .. ----------------------------...-- -----•--...------.--.........--- x V •-------------------- -------------•-•---•-•-•------------•-----•-------•-------------------•----------------- W UNature of Repairs or Alterations—Answer when applicable................................................................................................ ------------------------------------------------------------------------•---•----------_.....---........•--------------------------•-----••.•-----••-----•-----•-----•...._.......---._....------ Agreement' Th ti dersigned agrees,to install the aforedescribed Individual Sewage Disposal System in accordance with the pr i " us of iITIE 'of the.State Sanitary Code e un ersigned further agrees not to place the system in d ope o t' fi of Compliance has been ' su t e oard of health. s -- °-- . ---- -----------------------------------••- - --------------- App'c .l Approved By................ ----• -•-------------_...................................................... � . ------------ Date App cation Disapproved fort f o wing reasons:................................................................................................................ .............................................................................................................................------------------...---•------•--------------------•-•---•-•-------•----- Date �_ '�-�._.".___•---------------- J F , .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1.4.41."..............OF........... F-..r Allp irattion for Diiposaal Works Tonstrnrtion thrutit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at: - eft 1 c GcJ�iY Lr�T �1 . ............. Location-Address or Lot No. Owner Address W Installer Address Type of Building Size Lot.Z,16...r_Z Z-7 Sq. feet aDwelling—No. of Bedrooms............... .....__........_._......_.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .----•--•-----------------------------------------------------------------•--......----------•--•----••------------•---...._-•------•-....---••------• w Design Flow.............__' ;.......................gallons per person per day. Total daily flow.........3.3.0.......................gallons. WSeptic Tank—Liquid capacity/DCO..gallons Length....8_!..... Width.... _!..... Diameter---------------- Depth.. !------- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......I............ Diameter.___ Depth below inlet._.._l._'....... Total leaching Z Other Distribution box ()<) Dosing tank ( ) '"' Percolation Test Results Performed by__._Lq _.__ .___ .�.-- t2. Z/J :. Date.«... .................... �4 Test Pit No. ___minutes per inch Depth of Test-Pit_/_'iv�tG_. "..... Depth to ground waterer T".............. fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......... .............. ODescription of Soil...................................................................................................................................................................... x U ......-•••••---•---••-•--•-•--•--------------•---.....-----•---------------.........•-•--•----•-••-•••---------•-•---•--------••--•••-------••-...-------•-•-------------•--------•--....----•--•-------- w U Nature of Repairs or Alterations—Answer when applicable............................................................................................... •-------------•-----------------•-----------------•-----•--•------•-----------------------..........--•---•--•-------•-•-•-••----••-•-••--•---•-•••-----••--••-•-•••---•---•----•-----••-------•-------. Agreement: Th )dersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the pr vi 'Ions of TITIZ- 5 of the State Sanitary Code he undersigned further agrees not to place the system in OP ti n ' ifi of Compliance has been • su dhi,.oard of health. Si ....... -a-- ••-- -•----•------------------------••-----•--•---- -- - -- - ....-------- ate Ap >c i Approved BY = --------------- •------- -.......... ----------•-- �yjj llate Ap ication Disapproved for Ithe f of wing reasons----------------------------•--------•--------------------------------------------------------•-•-•••--....._.._. ---------•----------•------------------•--------------••---•-----••-----•----•-----•---•-•-------•--••-•-•------....•---••--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifirate of TontpliFatta S IS TO CERTIFY, That the Individual Sewage Disposal System constructed�r Repaired ( ) 1 Installer at-------- ----- � f. -_.Z-�{,=�.;. .......... •� ----------------... ---------------•--- ---------- ---- --- - ----- has been installed in accordance with the provisio TITL, 5 of he State Sanitary Cod s d ribed in the application for Disposal Works Construction Pe No. ___�. ��_..__._.. datedr�(.1 ._lf_�!,%__________________ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRU S A GUARANTEE THAT THE SYSTEM WIL FU, TION SATISFACTORY. DATE......1 a-2 Inspector •-------------•----••--••••--------------•-------•---••-...-•---•-••••--••-•- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALT ,,,,�,,, / - FEL�/d................ Raposal o k (11C #.r ion antic Permission is hereby granted......................................... -------•--•••-------•----------•••---.........••----...............-•-..._.. to Construct a/f-or Repair ( ) an Individual Sewage Disposal System at No Street as shown on the application for Disposal Works Construction Permit __________________ Dated.._.._____.........._......_.............. —7' Board of Health DATE.............../ ............. .................................... FORM 1255 A. M. SULKIN, INC., BOSTON o o t_. 4�,i T L_q16-4_.+ TO �F FOrJ Q• IO �-- -- 1 N _ H �i • o F o !� x � F� l0q u. • _ - 09, �> oo 1 — �-- / o2• do 94 ti0T& - E X 7-C-AJ D H L L A PP 4- B L.E --- ------- existing ground Profile � VE �2T Sc �9C.E___ /" H)AA/ OLE COVERS T-O w/TH/AJ Prof a le-o — o—o—o — Pr PO'S�d c�rovnd O / • _ /O o /2'" OF F/AlI5/--IED GLADE . EO A D`� S#R-r C O� ( r-ni n r»urn A4"" Per fo o-f� / / ^ � � of /B •- /2 washed si'one IAJ __� —� `I/VT ♦ 0 0 D O h 2..�- ° . T D/ST BOX ° ° G' 6 5urnp o /000 GRL. SEPT/C Tr9tiI�C Z of 314~ 41 ° ° \ / /::f? LS LOT / /- _O" LE-f� CH PlT DE- 5 Gti T� 5T /-�' OL � LOB B ED'e o OM HOUSE DATE io- r 3- E33 _ TESTGcJ�LLEAe Cri o d r L� P w /-r" S 5 : sJ. JA C,; v 43 / z9e,7'l' BQrn 5�ca ble _ M r AJ.Ii,v c f-1 B0a d- H e �. �`, ��(�'/� � o ,`. F L O (✓�/ i2 A T E �_� �'— G,9 L.S.;�D r9� rJ fD-r�,�.; S E-)7/C Tf�N AC o x /. .S = 4 q S # i TEST HOLE / 7"ES7- HOLE- s C- _nova GAL. TAAJkL \ D \r� ��LL �F ` LEACH p!-r: LoA�"► -- t7 (ice ►` F\ ����y \ �� t f E -24 FF• DEP'7'H (o . O 5/DE1,Vi94-L = /a?. 9S. F. �2. � ) = 49g• 8 G. r-> D B OT TOM = S F• r , G � c 8�i. (o i. oLj. 6115E. -�- LEi9CH .o/ T q9.o /4 ` /vO /,.,,ATE. �wGnuNTEBE D / C&Rr/FY Tf•-lp-r THE 5UILDiA-IG I T-� �' t/`J A--) C_._ /"7 /`./ f je0RO5ED ON 7 -14& GAE?oUAJD ?9S $H O CAL/AJ O N T'Hl S PL A/�! DOES P p ie : LOT 4 / --`Z P L A �v ?O Q k' 3 S o Pra G E S 5 CONA0,21-7 7'0 7-1-4E- f3U14.Dl A/G sET- B A C,� O F .T�E /•LJ r9 ,2 !�J! C K G�J r9 �-' 7'0/.v/V OF' £'Aj.s-r1.9$L C E r`rTE ' V/ L L E P,e P Fa,e E D Fo,2: 5 SGFF�L E : AS SHo�/N LJf�TE :t 0c--r0BE� /4 / 983 EVEREEt H. �, Ir C... KLEV / V I C— o / .ii{N /�J UPI, H1W Y: H GIST SCALE ' / SoNo su / /n e /� vafion BLDG• SErf.3AC,L / .:fir, ,? o• o o x St q o. o o Proposed e /e vatron MO vT SS. C o n to u r-.s -�c r c> 20 f'f.s / de /a i9GF'A20 VE D --� Pr-oPoS�d con-fours rear- ro B0�r2v of HEALTH 8/- / /3 SEPTIC SYSTEM CONSTRUCTION NOTES: SAL NOTES 1. ALL SYSTEM COM PONENTS S44M BE INSTALLED IN ACCORDANCE WITH TITLE V OF THE STATE SAWTARY 1) THE INTENT OF TI#S PLAN IS M DESIGN A SEM SY51E11 REPAIR AT LOCUS. 1MIS PLAN IS NOT M BE CONSTRUED AS A PROPERTY LINE OR EXISTING CONDITIONS SURVEY nr{ CODE DATED 4/21/06, AS AMENDED THRO(/GH THE DATE OF THIS PLAN, A ANY LOCH. RULES A . - R:,•. `` °t REGULATIONS APPLiGIBLE. 2) LOGXIS AREA S COMPRISED OF: czar sT !9 2. ANY C94NGE TD THiS PLAN MUST BE APPROVED IN WRITING BY THE ENGINEER. ELEVATION INFORMATION ZONE 90R'S WP 148 PARCEL 070 s it MUST NOT BE CHANGED WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. THE PROPERTY LINE NNEM97ION IS AS SHOMIV PER THE DEED RECORDED AT THE BAIMIABLE COUNTY REGISTRY 3. WHEN EXCAVATION FOR SAS iS COMPLETE, PRIOR TO INSTALLATION, NOTIFY DESIGN ENGINEER FOR r-I ►; OF DEEDS N PLAN BOOK 350 PAGE 55, DATED ,LANUARY 30, 1981. INSPECTION. 4. WHEN IS COMPLETED, PRIOR TD BACKnLLING, NOTIFY THE BQARD OF HEALTH AGENT 3) owNE� MYc AND DESIGN ENGINEER FOR �. urtar 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4' SCHE D 40 PVC;. UNLESS OTHERWISE NOTED HEREIN. 4 PROJECT BENpENRK ' e 5t 5. EXCAVATE UNSURABLE MATERIAL AS NOTED, TO THE 'C HCXt1ZON' , FORA HORM DISTANCE OF 5' BOUI+D FOUND HOLE SOUTH EAST CORNER OF PROPERTY SURROUNDING THE TEACHING FIELD, AND REPLACE WITH CLEW SAND PER 310 CMR 15.255 TO THE TOP �• ' / ELEVATION OF THE SKIS. ELEV. = 55.48' / / 10 5 DOSING CONDITION NFOWTION IS FROM AN ON THE GROUND SURVEY, PERFORAED BY BAXTER-•W �, 6. OF � G� / INSULATE ALL PIPES AGAINST` FREEZING As REQUIRED WFIEN LESS THAN 3 COVER. ) / N ENGINEERING ON MARCH 19, 2009 AND FROM CIS NFORAMTION OBTAINED FROM THE TOM OF BARNSTABLE CIS ..ru{ 7. THE SEPTIC SYSTEM DE5'fGIV DOES iNCLUDE GARBAGE GRINDER DISPOSALS. DEPARIT�E1Vf. THE GIS NfORAMTION S APPROXMAIE: IF ANY EXISTING INIFORUR14U110N SHOMIN IS DETERMINED 1D BE ��p IRRIGATION CONTROL Box (�� ,� �� NiACCURATE OR N CONFLICT WiTH THE DESIGN, THE CWRAC10R SFMll CONTACT THE DN(I W MUEDNTELY FOR c / �"� ,f �� i,)j 8. � THE CONTRACTOR SHALL CONTACT W SAFE (AT 1-M-DiG-SaAF'E) MID U`MJTY COMPMMES TO �V�11�AND POSSIBLE REDESIGN. 5 LF - 4 SCH. 40 j PVC O S=1.OXY / / �� r _ -- ' J �� J \� - COLOR DETOWNE THE DC4CT LOCATION BOTH HORIZONTALLY ANLOICATE ALL DMINIG UTILITES; AT VAST 72 HOURS BUM THE START` OF �DV�UC ALLY, OF ALL THE 6) CMII A�ITY PMEL N IMBEi: 250001 W15 C OF THE FLOOD NVSURANC E RATE MAP DEFIES TENS WA AS LOCUS MAP NOT TO SCALE ' 1 / / ---- s EXISTING UTXM BEFORE THE START OF ANY WORK THE L.00ATNON OF EXISTING UNDERGROUND UTILITIES ZONE G AREA OF MNMAL FLOODING. I 1 ARE SHOWN IN AN APPROXIMATE WAY ONLY. MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND FIVE 5 LF M 4" SCR. 40 APPROXIMATE LOCATION NOT BEEN INDIIEPENDIENXY VERIFIED BY THE OWNER OR ITS REPRESEJNTATTVE THE CONTRACTOR AGREES TO 7) PVC O S=1.OXN X OF SEPTIC COMPONENTS BE MY RESPONSIW.E FOR ANY AND ALL DAMAGE'S WINCH MIGHT BE OCCASIONED BY THE CONTRACTOR,$ •SiTE IS NOT WITHIN AN A.C.E.C. L. EN C. (AREA OF CRITICAL CONCERN). EXISTING SEPTIC SYSTEM To BE FAILURE TO LOCATE THE UTILITIES EXACTLY. F' ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION. PUMPED, ABANDONED, REMOVED AND THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDIESM AT UTILITY • SITE fS NOT WITW AN AREA OF ESI1MA1m HiAB1TAT OF RARE WIDLFE PER PROPERLY DISPOSED OF OFF SITE CR05.SINGS, VERIFY IN FIELD THE LOCATION / INVERTS OF EIECiRIC, GAS, TELEPHONE & DATA/COMM AND p MAP OCTOBER ,1 2006 'ESIiMAIED HYIBITATS of RATE WLDLJFE' RELOCATE F' CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR j SHALL PRESERVE ALL UNDERGROUND UTILITIES AS REQUIRED. FOR USE WITH THE W WETLANDS PROTECTION ACT REGULATIONS (310 CMR 10).' r T' 2 / / \ •SITE DOES NOT CONTAIN A GERTiFLED VERNNL POOL PER NMESP AMP OCTOBER 1, 2006 t� 12 » 4' SCH. 40 9. THE PROPOSED UiXITY SHOWN HEREON ARE SCHEMATIC:. FINAL LAYOUT SHALL BE AS 'CERTIFED VERNAL POOLS' IV O S=1.Ox 0 r \ �. 4' DETERMINED BY THE APPROPRIATE UTILITY COMPANY. c� PROP r \ PVC O S=5.65x� -i1 -SITE IS NOT WITW A PRIORITY WMT PER NHESP MAP OCTOBER 1, 2006 'PRIORITY S 1500 \ CONNECT PROPOSED PIPE �� NN�� Nti �S 00 HABITATS OF RARE SPECIE" FOR SPECIES UNDER THE MASSACM1SETi5 ENL1tANGERED SEPTIU; YANK 1 TO EXISTING OUTLET �o SPECIES ACT. REGL UATIONS (321 CMR10). / r 5NGo • SITEISNOTWMAZONEN ) 41- \�° (M�E1111EAD ZONE OF CONTRIBUTION) DOSING SEPTIC SYSTEM NNFORWTIiON OBTAINED FROM THE TOWN OF BARNSTABLE AS-BUTT CARD /83-969, DATED 11/28/83 RECEIVED ON APM 11, 2009. • EXB W ELECTRIC LNN,/SERViCE $MOWN ON TM PLAN WAS LOCATED BY DiGSAFE P o� ON 3131109. DOSING WATER SERVICE SHOWN ON THIS PLAN US PROVIDED BY C-O-MI WATER 1 DEPARTMENT, FAX 0410 MARCH 25. 2009, SKETCH DATED II/s/a . DOSINNG GAS SERVICE SHOWN ON IM PLAN WAS PROVIDED BY NATIONAL GILD RECIVED i ) APRIL 1. 2009. r } 10, o . o / FF� GcF 1 � � N FINISHED GRADE I VO� c�Q ES �cF i 36"MAX.-9"MIN. N COMPAC`EDLL.� y s �s I / �� / 'TOP OF CHAMBER o s 2» LAYER DOUBLE WASHED STONE 1/8» TO 1/2 . .. 4 s PIPE INVERT / \ 801L LOOS - DATE 813V09 SOY. LOGO - DATE S/S N OR GEOTE)MLE FABRIC PER 310 CMR 15.247 CLEAN SAND y - EFFECTIVE o / PER 310 CMR Y> <; DEPTH F { �� / GcF BARNSTABLE BOH AGENT: / DON DESMARAZIS, IRS 15.255SOIL EVALM6 BENCHMARK: CB/DH FND EL- -55.48' TEST PIT 1 TEST PR 2 ; SECTION o� // ON G.S.E. 56.0 " G.S.E. - 56.0 NOT TO SCALE10YR 2 1 ; SANDY LOAM PLASTIC LEACHND CI'IAIi ��°� S r / / AP ' / AP : 10YR 2/1 ; SANDY LOAM LEACI#�1(1 TRENCH CR0887SECTM (TYPICAU ���°� r r �y // /r / » OM 55,6ZI " FILL SAND W SITE LOCATION: ADS-BIODIFFUSER 160OBD (ORI EQUAL) � 'I � r r �'� I / B1 ; IOYR L/4 B ; 1OYR 5/6 LAY-UP LENGTH 76 PER UNIT oA r // ( GRAVEL) SANDY LOAM 8 ELEV 55.33 20' ELEV 54.33 48 Warwick way, Centerville Ala 82 ; 1OYR 3/4 C ; 1OYR 5/4 i \�y PREPARED FORFILL (SAND LOAM W/ COURSE SAND RESERVE AREA RESERVE AREA 9c r p r J'�,� ��P\t�� / 40" (ELEV 52.67) ORGANICS) CAPEWIDE ENTERPRISES 120- (ELEV 46.0) ,g 2.8' -' tLs�� � �P � c ; 1OYR 614 P.O. BOX 763, CEWMRVILLE, Ma 02632 2 DUST. LINE IN DUST. LINE IN r Not* g�/ COURSE SAND W 5 N t310DiFFUSER 1600� (OR 5 N 810DIFFUSER 1600BD (OR r � OF ILT LQAM) $08�428-4028 LEACHING 128' (EV 45.33)D BOX VL:ACHINc CHAMBERS rM r / � NO WATER OBSERVED TO 120 Tm NO WATER OBSERVED PERC o 48 ELEV 52.0 REPAIR PLAN FOR I- 31.67 I- 31.67 TO 128 . ELEV 45.33 ( ) I .� RATE- 2 MIN/IN ON-SITE SEWAGE DISPOSAL SYSTEM PLAN VIES / CLASS I SOIL NOT TO SCALE / I CEFMFY THAT ON 7 10 07, 1 HAVE PASSED THE SOIL EVALUATOR EXAMINATION �( \ / / BAx:TER NYE ENGINEERING & SURVEYING PROFILE \\, " APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE F TYPICAL SYSTEM n � ABOVE ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED Re Professional Engineers and Land Surveyors NOTES: tNC2T SCALE // / c TRAINING, AND EXPERIENCE DESCRIBED IN 310 CMR 15.017 $� Y 1. ALL MATERIALS SWILL MEET H 20 La1DING REQUIREMENTS IF FUDGED / / 1 78 North Street-3rd Floor' Hyannis,Massachusetts 02601 WITHIN 10 FT OF A ROVI�MAY OR DRIVEWAY. \ / SIGNATURE DATE ��(3 1 Phone-(508) 771-7502 Fax - (508) 771-7622 LEACHNG AREAREOLMEMENTS HOFallgs k TOP OF nMSH ROOR SET Fwwes er oovERs TO wmOi - NITROGEN LOMNG LIMITATION: NA s FTLC EXIST. GRADE _ 57.0 RESIDENTIAL: 3 10 0 10 . 20 M o N o M GRADE MR �wc _ sQ5 MAL DESIGN FLOW x 110 GPD/BEDROOM SCALE IN FEET o.46345 0 �� = 330 GM 1 =10 c/STE�� SET FRAME COWER TO WmTIN 6' � 6I01DE DYER GARBAGE GRINDER (NOT INCLUDED) = N/AOF F*M GRADE. NSERS �ss�o N n L E�G� C SCH 40 PVC 3• MN. COVERS SHALL BE WATERTIGHT �� ��� _ �0 (CLASS 1 Lr 21r S»5.t� (t.CX MN AIMED) COLIPABIEO Fu. INSTALL ONE M4sPEr;rION Parr N PERC RATE _ <5 MIN. INCH ° 2 tFM4'SCH 40 PVC 41s-1.Ox FMSTm GRADE D. BOO! = SILO Ir(min) Car / ) a ASSUMED EXIST. !r MRACCORDANCE WIITH INv our = 55.97 Nv N- 54.5 10' rl. '(na>� CarMANUFACTURERS LiAR = 0.74 GPD/S.F: IN MW PRIOR TO 5 » BIODFFUSER 1 e008o (OR CONTRACTOR TO VERIFY oa- Y LAYER DOUBLE WASHED STONE RECOLAAE<+Or►T1oNS MIN. LEACHING AREA OF SAS. REOUIRED: / / 330 GPD 0.74 GPD S.F. - 446 S.F. MIN. DATE: 04/02/09 o CONSTRUCTION SEE � - F�PER 310 dR47 �) / / QASS BAFRE 5 LF»4 SCH 40 PMC �1.0 TOP LF�YCHM CHAMBERS GENERAL NOTE �. 0 14' 1Y F�Isr r OO +•sal 40 PC PROPOSED SYSTEM: N rmNFORCED CONCRETE +•S BASE �SHEI) . LM+. SAL 40 PVC GINNER WN• 53.9d LEADING O MBERS/TRENCH CONFiGUR TM 5 044MBERS PER TRENCH: } Nr N- 5 1 SAS. 2 TRENCHES O 31.67' L x 2.8' W x 0.942' D i ,. sLRIP . aur• s� d " B0'r EFFECTIVE AREA: 1.67(2.83' + (2 x 0.942)) x 63.3 = 498ou sF '- i, 0b GALM Q E-COtrpARnM01f SEPTIC TANG N0. BY DATE REMARKS TOTAL EFFECTIVE LEACHING AREA - 498 SF ROTONDo snSOo OR EauAl UNSurA 5.E SOILS, IF ENCOUNTERED BELOW +' �+ SYSTEM DESKIGIVV CAPACITY = 498 SF x 0.74 GM/SF SF = 368.5 GPD DRAWING M1M8ER TO BE INSTALLED ON A tEVEI.STABLE ON STONE � THE PEAS•TDNE ELEV (TOP OF SAS). SHALL 8E / SEPTIC ` m NSPET�ED a�wEn D16TiE9Uiit�N eox REMOVED TO THE mC H0�0N• AS 0D NO OWUNDWATTR 70 °� 4'S' S07M TANK SIZING: 330 GPD x 200% 660 GAL 0:\2009\2009-011\CML\PLOT\2009-011-SEP.DWG - SEE coNsrRucTION NOTE /s HEREON. USE 1500 GALLON TANK MIN. M BE NSIMM ON A LEVEL STABLE BMSE 2 OUnEiS FAMU m JOB #2009-011 o f FF E �; GENERAL NOTES SEPTIC SYSTEM CONSTRUCTION NOTE& ` 1) THE INTENT OF THIS PLAN IS TO DESIGN A SEPTIC SYSTEM REPAIR AT LOCUS. THIS PLAN IS NOT TO BE 1. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V OF THE STATE SANITARY CONSTRUED AS A PROPERTY LINE OR EXISTING CONDITIONS SURVEY. CODE DATED SEPTEMBER 9, 2016, AS AMENDED THROUGH THE DATE OF THIS PLAN, & ANY LOCAL RULES & REGULATIONS APPLICABLE. 2) LOCUS AREA IS COMPRISED OF ZONE RC WITH GP OVERLAY 2. ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY THE ENGINEER. ELEVATION INFORMATION ASSESSOR'S MAP 148 PARCEL 070 ,., MUST NOT BE CHANGED WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. E s THE PROPERTY LINE INFORMATION IS AS SHOWN PER THE DEED RECORDED AT THE BARNSTABLE COUNTY REGISTRY 3. WHEN EXCAVATION FOR SAS IS COMPLETE, PRIOR TO INSTALLATION, NOTIFY DESIGN ENGINEER FOR OF DEEDS IN PLAN BOOK 350 PAGE 55, DATED JANUARY 30, 1981. �rr E € � � E � INSPECTION. 3) OWNER: ANDRE LIMARINO _. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, NOTIFY THE BOARD OF HEALTH AGENT AND 48 WARWICK WAY ENGINEER FOR INSPECTION. CENTERVILLE, MA 02632 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4- SCHEDULE 40 PVC. UNLESS OTHERWISE NOTED HEREIN. 4) PROJECT BENCHMARK . ®a 5. EXCAVATE UNSUITABLE MATERIAL AS NOTED, TO THE "C HORIZON" , FOR A HORIZ. DISTANCE OF 5' CONCRETE BOUND/DRILL HOLE FOUND SOUTH EAST CORNER OF PROPERTY • SURROUNDING THE LEACHING FIELD, AND REPLACE WITH CLEAN SAND PER 310 CMR 15.255 TO THE TOP ELEVATION OF THE SAS. ELEV. = 55.48 ,SNP 5) EXISTING CONDITION INFORMATION IS FROM AN ON THE GROUND SURVEY, PERFORMED BY BAXTER-NYE EE 6. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN LESS THAN 3' OF COVER. ENGINEERING ON MARCH 19, 2009 AND FROM GIS INFORMATION OBTAINED FROM THE TOWN OF BARNSTABLE GIS DEPARTMENT. THE GIS INFORMATION IS APPROXIMATE IF ANY EXISTING INFORMATION SHOWN IS DETERMINED TO BE 7. THE SEPTIC SYSTEM DESIGN DOES NOT INCLUDE GAR13AGE GRINDER DISPOSALS. P4. IRRIGATION CC3NTRClL BOAll INACCURATE OR IN CONFLICT WITH THE DESIGN, THE CONTRACTOR SHALL CONTACT THE ENGINEER IMMEDIATELY FOR REVIEW AND POSSIBLE ,, REDESIGN. � 8. CAUTION: THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OF CONSTRUCTION. THE 6) COMMUNITY PANEL NUMBER: 250001 0015 C OF THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS LOCUS MAP NOT TO SCALE 2-500 GALLON #1 �� CONTRACTOR SHALL DETERMINE THE EXACT LOCATION, BOTH HORIZONTALLY AND VERTICALLY, OF ALL ZONE C, AREA OF MINIMAL FLOODING. PRECAST CONCRETE EXISTING UTILITIES BEFORE THE START OF ANY WORK. THE LOCATION OF EXISTING UNDERGROUND UTILITIES CHAMBERS WITH 4' '•'•• / 5r� ARE SHOWN IN AN APPROXIMATE WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND HAVE 7) ENVIRONMENTAL INFORMATION: OF STONE AROUND •'•' •'•' / NOT BEEN INDEPENDENTLY VERIFIED BY THE OWNER OR ITS REPRESENTATIVE THE CONTRACTOR AGREES�TO BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTORS PER MASS GIS OLIVER AS OF 12/20/2018: :• :: / FAILURE TO LOCATE THE UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN INFORMATION, 41 LF N 4" SCH. 40 THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY FOR POSSIBLE REDESIGN.AT URLITY SITE DOES NOT APPEAR TO BE WITHIN AN A.C.E.C. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). CROSSINGS, VERIFY IN FIELD THE LOCATION / INVERTS OF ELECTRIC, GAS, TELEPHONE & DATA/COMM AND . •'' ' / EXISTING SEPTIC TANK USED RELOCATE IF CONFLICTING WITH PROPOSED INVERTS PER THE ENGINEERS DIRECTION. THE CONTRACTOR SITE DOES NOT APPEAR TO BE WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE AS MAPPED ON 10 LF N 4" SCH. 40 / ,,�' SHALL PRESERVE ALL UNDERGROUND UTILITIES AS REQUIRED. MASS GIS OLIVER PER NHESP "ESTIMATED HABITATS OF RARE WILDLIFE" FOR USE VWTH THE MA WETLANDS PROTECTION ACT REGULATIONS (310 CMR 10)." BOX �' �, ` 9. THE PROPOSED UTILITY' CONNECTIONS SHOWN HEREON ARE SCHEMATIC. FINAL LAYOUT SHALL BE AS EXISTING SEPTIC SYSTEM TO DETERMINED BY THE APPROPRIATE UTILITY COMPANY. SITE DOES NOT APPEAR TO BE WITHIN A PRIORITY HABITAT AS MAPPED ON MASS GIS OOVER PER NHESP ' ••'•'•'•'•'� BE PUMPED. ABANDONED, r"r/ UTILIZE EXISTING " " ' '''. ''':'' ''' �y� 16 ��� i'/ DREMOVED AND ISPOSED OF OFF SITE PROPERLY '' BUILDING CONTRACTOR TO VERIFY tx i��� R�qS PRIORITY HABITATS OF RARE SPECIES FOR SPECIES UNDER THE MASSACHUSEITS ENDANGERED SPECIES ACT, ............." \ FIELD '` ti �4 4a REGULATIONS (321 CMR 10). SITE DOES NOT APPEAR TO CONTAIN A CERTIFIED VERNAL POOL AS MAPPED ON MASS GIS OLIVER PER NHESP "CERTIFIED VERNAL POOLS." SITE DOES NOT APPEAR TO BE WITHIN A WETLAND RESOURCE AREA AS MAPPED ON MASS GIS SYSTEM. SITE APPEARS TO BE WITHIN A STATE APPROVED ZONE II GROUNDWATER RECHARGE PROTECTION AREA. SITE APPEARS TO BE WITHIN A ZONE OF CONTRIBU71ON TO A SALTWATER ESTUARY (BARNSTABLE B.O.H. REG. 360-45). 8) UTILITY INFORMATION: t �O . EXISTING SEPTIC SYSTEM INFORMATION OBTAINED FROM THE TOWN OF BARNSTABLE AS-BUILT CARD 183-969, DATED 11128183, RECEIVED ON MARCH 11, 2009. • EXISTING ELECTRIC LINE/SERVICE SHOWN ON THIS PLAN WAS LOCATED BY DIGSAFE / ON 3131109. 10 . EXISTING WATER SERVICE SHOWN ON THIS PLAN WAS PROVIDED BY C-O-MM WATER ADJUST COVER TO DEPARTMENT, FAX DATED IMARCH 4 2009, 'SKETCH DATED 1118183. 3" BELOW GRADE G r J I / ¢ ``'� . EXISTING GAS SERVICE SHOWN ON THIS PLAN WAS PROVIDED BY NATIONAL GRID RECIEVED 9" MIN.-36" -' '"� 4,® �,� � t APRIL 1, 2009. MAX. COVER �12p 2" PEASTONE OR GEOTEXTILE FABRIC is ;5:z'7:ri.:;;+ '+: •`'N'i .;y;. .' .'s � ;t a '"� o s :' ., r._• •' _' _ ;.- 4- 1 M" DOUBLE I :.r.aS:iad''ri:.'•+:,n+.{? i::'l; ",i�'j;s:,�*tir� : *•,� rr' i'� WASHED NE EFFECTIVE DEPTH _ i..r.. i 4 : ,:•w• C ..: .. • I L� ..•,:� '.; b : t '! . r..f.i�w' .fi�;�i't:y1...�:,'i 4:,fry,-.i:�+: _ 4.8 4 1b� ,� P / CONCRETE LEACI' NG CHAFER DETAL I SOL LOSS - DATE 3/3V09 A9L-_LOSS - DATE 3/3V09 (H-20) �. NO SCALE � `� BARNSTABLE BOH AGENT: DON DESMARAZIS, RS y / SOIL EVALUATOR: STEPHEN MATSON PE " " 100" �` , �' ''�`- -. _ �' // BENCHMARK` . TEST PIT 1 TEST PIT 2 / /D , 4 (8 H-20) \ EL =55.48 " G.S.E. = 56.0 " G.S.E. = 56.0 1 0� 4 f r / Ap ; 10YR 2/1 ; SANDY LOAM Ap ; 10YR 2/1 ; SANDY LOAM °' L � � 4" ELEV 55.67 4" (ELEV 55.67 61 10YR 5/4 B . /6 ® ® ® ® ® ® ® N t� ~�, f,-'fs f / FILL (SAND LOAM W/ SANDY LOAM SITE LOCATION: 8 ELEV 55.33 GRAVEL) 20 (ELEV 54.33 T-Tp rr B2 ; 10YR 3/4 C ; 10YR 5/4 48 Warwick Way, Centerville Ma 102" cab r'/ ,f'"� FILL (SAND LOAM W/ COURSE SAND PREPARED FOR " ORGANICS) " ` � 40 (ELEV 52.67) 120 ELEV 46.0 f ,lam ,�ti ,�-' ( ) 48 Warwick Way, Centerville Ma 4.0 4.0 � C ; 10YR 6/4 }': �;� COURSE SAND %OCKETS :Vi(ASHED. STONE . 4 0 , • s r,- �0�. OFT LOAM) 128" (ELEV 45.33) 12.83' ,' 8.5' NO WATER OBSERVED NO WATER OBSERVED TO 120" TITLE TO 128; ELEV 45.33 PERCRATE482 (MIN IN ELEV 2.0) REPAIR PLAN FOR 2 CHAMBERS / �� ` / 4.0 : •." , r '.:: CLASS I solL ON-SITE SEWAGE DISPOSAL SYSTEM / Q I CERTIFY THAT ON 7 1%7, 1 HAVE PASSED THE SOIL EVALUATOR EXAMINATION APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE 25.0' BARTER NYE ENGINEERING & SURVEYING ABOVE ANALYSIS WAS PERFORMED BY ME CONSISTENT WITH THE REQUIRED \`� TRAINING, EXPERTI E AND EXPERIENCE DESCRIBED IN 310 CMR 15.017 PLAN OF SOL ABSORPTION SYSTEM WITH / Registered Professional Engineers and Land Surveyors 600 GALLON PRECAST LEACHNG CHAMBERS / SIGNATURE DAT[ ' -A2zi 78 North Street - 3rd Floor, Hyannis, Massachusetts 02601 N0 scaF Phone - (508) 771-7502 Fax - (508) 771-7622 TYPICAL SYSTEM PROFILE `\ � LEACHING AREA RE UIREMENTS �"OFPA NOT TO SCALE �1 NITROGEN LOADING LIMITATION: NAMAMEW NOTES: `� ` RESIDENTIAL: 3 BEDROOMS 10 0 10 20 EDDY W. 1. ALL MATERIALS SHALL MEET H-20 LOADING REQUIREMENTS IF PLACED x 110 GPD/BEDROOM CIVIL Imo.4��1 i WITHIN 10 FT OF A ROADWAY OR DRIVEWAY. / �/"" MP OFOOR FLOOR M= 59 GARBAGE GRINDER NOT INCLUDED = NIA SCALE INS FEET TOTAL DESIGN FLOW = 330 GPD EXIST. GRADE = 57.0 SET FRAME do COVER TO WITHIN 6" ( ) / 1 -1 O OF FINISH GRADE. RISERS &LL COVERS SHALL BE WATERTIGHT PERC RATE _ <5 MIN. / INCH (CLASS i) FlNLSFIED GRADE OVER EXISTING TANK = 56.5 LIAR = 0.74 GPD/S.F. °' FINISHED GRADE OVER D. BOX = 56.0 EXISTING SEWER PIPE Wpo " .MIN. LEACHING AREA OF S.A.S. REQUIRED: CONTRACTOR To VERIFY MAXIMUM GRADE OVER LEACHING SYSTEM - 56.0 330 GPD 0.74 GPD S.F. = IN FIELD PRIOR TO 3' N. WITHIN 3 OF FINISH GRADE N . " 9" (min) Cover INSTALL ONE INSPECTION PORT TO / / - 446 S.F. MIN. CONSTRUCTION a ASSUMED EXIST. 6" MIN. 41 LF-4* SCH 40 PVC OS-2.71x 10 LF-4* SCH 40 PVC OS-0.5X 2 OF�-� DOUBLE 36 (max) Cover ENSURE PROPER PIPE PROPOSED SYSTEM: DATE: 04/02/09 INV OUT = 55.97 12" FIRST 2' (TO BE LEVEL) WASHED PEASTONE ELEV-53.92 CONNECTION BETWEEN - MIN. SCH 40 �) WITH 40 OF STONE R PRECAST CONCRETE ORES ONE ABEENDS 20 LAODING CONTRACTOR TO VERIFY INV OUT-54.32 r OR FILTER FABRIC " IN FIELD PRIOR TO CONTRACTOR 'I'0 VERIFY IN 2" 4' SCH. 40 PVC C�B� TOp ALL CHAMBERS (4 1 N J CONSTRUCTION SEE FIELD PRIOR TO CONSTRUCTION INV IN 53.21 :► ELEV-53.75 I L-4-CONCRETE LEACHING CWWBERS GENERAL NOTE #5. E[6" SUMP OUT- 53•0+ ' SCH SIDEWALL AREA: 25' + 12.8)2 x 2' DEPTH = 151 SF 14 GAS BAFFLE . , a .. . r•� CHAMBER INV "''.. ( > >) _ 1� SDM 12 21/18 REVISED SAS 0 a • »Y .r.•. N o IN= 53.0 '.' O O O O O + O BOTTOM OF BOTTOM AREA: (25 x 12.8 ) - 320 SF 7CHAMBER do STONE TOTAL EFFECTIVE LEACHING AREA = 471 SF N0. BY DATE REMARKS UNSUITABLE SOILS, IF ENCOUNTERED BELOW EL = 51.0 DRAWN BY: SDM DESIGNED BY: SDM ICHECKED BY: DRAWING NUMBER �,� TAW6E SHED THE PEASTONE ELEV (TOP OF:SAS), SHALL BE 5' MIN A• - 1>4" SYSTEM DESIGN CAPACITY = 471 SF x 0.74 GPD/SF = 348 GPD EMTM BASE REMOVED TO THE "C HORIZON' AS REQUIRED + I-DOIJBLE WASHED STONE o BOX - SEE CONSTRUCTION NOTE #5 HEREON. No Groundwater Observed O Elev. 45.33 SEPTIC TANK SIZING: 330 GPD x 200% = 660 GAL 0:\2009\2009=011\CIVIL\PLOT\2009-011-SEP.DWG g EXISITNG 1000 GALLON TANK ADEQUATE TO BE INSTALLED ON A LEVEL. STABLE BASE SOL A0808"M SYSTEM (SAS) LEACHNS CHAFER MMAU 2 OUTLETS REQ,IRM JOB #2009-011