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HomeMy WebLinkAbout0045 WATERSIDE DRIVE - Health �'45 Waterside Drive T Centerville A = 207 160 L-V W,4-Te vd i a 6 -1> R?'VA- Page 1 of 1 C -pw-�e✓�� ILe R�MoUev L�^-i� REMO Pei wiTH New U Ec.eikj A Nv RAiLr Ot TO ca�E x a 6M0 L e,xiJ7-n -DoCks ee 14L) siA 11jr http://townofbamstable.us/sketches 18/14648_15146.jpg 2/7/2019 Commonwealth of Massachusetts ' Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 45 Waterside Drive Property Address ^ S Paul Farmer l/ Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important:When filling out A. General Information - forms on the computer,use 1. Inspector: only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC Company Name r� P.O.Box 763 Company Address Centerville Ma. 02632 Brun City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number ' B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of,the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 4/02/2008 _ Inspector's Signature Date77 j The system inspector shall submit a copy of this inspection report to the Approving Authorityl-(Board of Health or DEP)within 30 days of completing this inspection. If the system=fsl a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system own�I r shall submit'the report to the appropriate regional office of the DEP. The original should be sent to the systeowner and copies sent to the buyer, if applicable, and the approving authority. > rn ****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. 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 1.5.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper working order at the present time. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 45 Waterside Dr.•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment:, ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/z 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. 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �nM 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ •❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will.be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 i Commonwealth of Massachusetts L W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes" or"no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not . available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems?. f The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ . Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � M 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection D. System Information. Residential Flow Conditions: Number of bedrooms (design): S Number of bedrooms (actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2006:46,000 g ( y g (gpd)): 2007:53,000 Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): 45 Waterside Dr.-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: System installed 12/09/2004 Were sewage odors detected when arriving at the site? ❑ Yes ® No 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town . State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the leaching chambers. Septic Tank (locate on site plan): Depth below grade: 2 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No ------------------------------------------------------------------------------------------------------------------------- Dimensions: 1500 Gallon Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle 30" Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 8„ Distance from bottom of scum to bottom of outlet tee or baffle 16" How were dimensions determined? Measured 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection D. System Information.(cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump septic tank every 2 years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears to be structurally sound. Grease Trap (locate on site plan): . Depth below grade: feet 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: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: , ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): 45 Waterside Dr.-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank (cont.) Dimensions: Capacity: gallons Design Flow: gallons per day .Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert No Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box is Ievel.Box has 2 outlet laterals with equal distribution.No evidence of solids carryover.No evidence of leakage into or box. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 45 Waterside Dr.-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is Centerville Ma. 02632 4/02/2008 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® 4-500 LC 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.): Sandy dry soil.No signs of hydraulic failure.Leaching chambers were dry at time of inspection.No stain lines visible. 45 Waterside Dr.-03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size ® Zoom Out J Ir J a; lIn ! !! ! �t � I l `l I � 1 1 11 1 \ 1 \ I I r \ I I r / I - , t •11i , hh 9 _ y �3 .4 4 C. ll T1, 2 S _ I 0 20 Fe t. Set Scale 1" = 20 I Aerial Photos (`—,,inhf 9005_9nO 7 Tn,un of P—nefohin RAA All rinhtc rocorv, h ttn 7//www.town.barn Stahl e.m a..us/arci m s/ann geoann/man.asnx?nronertvID=207160&mane... 4/2/2008 Commonwealth of Massachusetts - W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 45 Waterside Drive Property Address Paul Farmer Owner Owner's Name information is required for Centerville Ma. 02632 4/02/2008 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of LC 20' feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 9/13/2004 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built Card ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-000-01 plate#2Annual ranges of groundwater elevations. 45 Waterside Dr.•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 • Town of Barnstable THE Tp� yip ti� Regulatory Services Thomas F. Geiler, D' r r rector BARNSTABLE, � e 1 ��� Public Health .Division AjFp�,�A Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 This septic system inspection report was completed by a private inspector who is certified by the State of Massachusetts, Department of Environmental Protection. Although the Town of Barnstable Health Division received the original/copy of this report; this Division does not warranty the functionality of the septic system in the future not does this Division agree with any technical observation s and interpretations contained within this report. In addition, by receiving this report the Town of Barnstable Health Division does not automatically approve the number of bedrooms listed within this report. The actual number of bedrooms approved at a particular property would-be listed on the "Disposal Work Construction Permit". If you should have any questions regarding this report, please contact the certified Septic System Inspector who conducted the inspection. C_ _ TOWN OF BARNSTABLE LOCATION 1415 W4k, SEWAGE # VILLAGE ASSESSOR'S MAP & LOT li INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY r O S) LEACHING FACILITY: (type) 't �'^L� Q.�L� (size) NO.OF BEDROOMS E BUILDER OR OWNER - PERMITDATE: Lalaz� 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 t Edge of Wetland and Leaching Facility(If any wetlands exist ` within 300 feet of leaching facility) Feet G AfAGe \� i 1+' � O i 6 r� No. / �I d r Fee THE COMMONWEALTH OF MAS6ACKUSETTS- Entered in computer: r r Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for Mioogal *Proem Construction Permit Application for a Permit to Construct( . )Repair(�)Upgrade( )Abandon( ) ❑Complete System Individual Components Location Address or Lot No. y Cj t j(A vtAe CLC. Owner's Name,Address and Tel.No. Ci.t4mY l h < Noi I -03,P rYIw Assessor's Map/Parcel _ ` L4!5 A}' /`j� &. 01110-7 Installer's Name,Address,and Tel.No Designer's Name,Address and Tel.No. P4, a®)( CIa(D Vic; cr.,-,y CQYI �,�qi S 333� t7ZDj Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when a plicable)OM i I,5c'�,0 c%l 6 G'l �, -A fl Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss d b th Bo f Health. Signed Date Application Approved-by Date kv f Application Disapproved for he following reasons Permit No. D 0 0 —to y2 Date Issued !- No. I "% Fee 0 THE,COMMONWEALTH OF MAS91ZHO�ETTS - "» Entered in computer: 61-01, PUBLIC HEALTH`DIVISION =TOWN OF BARNSTABLE., MASSACHUSETTS Yes Zfppricaltion for Migool *pgtem Construction 'Permit Application for a Permit to Construct( . )Repair O Upgrade( )Abandon( ) O Complete System O Individual Components 1 Location Address or Lot No. 45 W a W CC.;t .(' Owner's N me,Address and Tel.No. Assessor's Map/Parcel � ^ ' � yCWV �1 L Cot' Installgr's Name,Address,and Tel.No. Degigner's Name,Address and• No. S`% a7-6-0 .10'1 6LW rrllb� QJAd 6h • J,C.. o ` i pj k to(v act c.►�n C t t'>v1vaH CsunkX1,G Ott\• �So� j)75 2n% wv re lam, Via Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) ! Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Rep rs or Alterations(Ans er when,a•plicable)drn r 2.X1 Sf tX�6, } <„ 'S • �R� 0AI 1500 a� Mn ?tp1C "_XK , r5Tc`i Yl -6ox c_n3 Ll 5oO oh r� , Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is edEM Board-of Health. Signed � 6(_KD Date �Q-�-• P,i q Application Approved by ow. 4S> ✓? S Date U Application Disapproved for the following reasons Permit No. 0 G '� Date Issued 14 13 tl L- 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 D Ya w rn 6 or ,,b© 4 n— at 1445 ='Uc��-U'c- CQ..iN v Q lo, has been constructed in pc��dance with the provisions of Title 5 and the for Disposal System Construction Permit No. 12 dated /3 0 Installer Designer n The issuance of s empat shall not be construed as a guarantee that the sy em will umction desig e Date ' t Inspector No. U® ------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi.5pont *pftem Con!6trurtion Permit Permission is hereb granted to Construct( )Repair( x,Upgrade(. Abandon( ) System located at 45 Wad -�'• 1� 1 1 1,6 " and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction ust be completed within three years of the date of this pex^mi . Date:_ 3/U �7 Approved by f 1 `TOWN OF BARNSTABLE LOCATION ' ' SEWAGE # �© VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME.&PHONE NO. � SEPTIC TANK CAPACITY r LEACHING FACILITY: (type.) D (size) I NO.OF BEDROOMS BUILDER OR OWNER PERMTFDATE: V 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility)- 0 �? I LE, r . a I L DEC-13-2004 01 :21 PM JCENGINEERING 508 273 0367 P. 02 1,ow n of Barnstable ~ Regulatory Services 1 4 Thomas F.Geiler,Director t1"91 Oil Public Health ]Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office; 508-862.4644 Fax.- 508.790-6304 In,sta er Dg0% sir_Gertillcation Foam Date: 9 i _ Designer:. T�:f v, Pf ~i�i Installer: ,,I;� Min cervjG(.r Address: �� ��^IIu+, 'r[ l�i; '��'�� ' Address: &6yx . l.J U r^r.Il U vy, �YI'�61 I.'�..) �1._. ....S.,S.;l•t7.c r U'; 1� ��� 11�G� on nK vas issued a permit to install a (date) (installer) septic system at `�� i�.:e_(, r 1 V c }&n fc r u,l l t based on a design drawn by (address) T C l;h r I r. dated r 4,..r1 6 r i U( 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, S,J ahSAfr.�icrr .)ySlrnr !'clot.,}s � 2 nw,y (l.r, hu�5� A�iSy31'"n ,, t,:rnponcrk+f 16k,QrOd 6 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 y) gn ..a ...,..... revision or ' Regulations. Plart r - of the septic system but in accordance with State&Local eerttfied as-built b desi er.to follow; - CNURCMILL (Installer'3 - ature) CML (Designer's ature) (Afii esigner's tamp Here) LEA 5E RET TO BARNSTABLE PUBLIC HEALTH DIVI 'ION. CERT FICATE OF Comm, IANCE 'ILL NOT BE ISSUED LiNTIL BOTH THIS FOR1�I AND AS- BUILT C AlitE RE IDEA BY THE B STAB PUB—LIC HE TH DIVISION, TxA _x YOu q Healtwseptic/Designer Certification Forth L 0 C A T 10 N ,61� .y� SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS �8UILDER OR OWNER DATE PERMIT ISSUED 6 DATE COMPLIANCE ISSUED T �I G,A/L 1 A � �r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - . �x�� *�^� iiiipaaal Works ���/omitr4�rtiou» ����utu4 Application is hereby made for a PermitAConstruct or Repair an Individual Sewage Disposal r re � Dwelling- - of Bedrooms ..........................Expansion Attic AO Garbage_ Grinder ` ' Other—Type of Building ............................ No. ofpersvoa---------.---' Showers ( ) -- Cafeteria ( ) Oth Lxtures Septic Tank—Liquid capacity/ gallons Length----)............ Width.t/�........ Diamcter..�J. Z Other Distribution box ( ) Dosing tank ( ) '- Percolation Teat Ileaoltu Performed bv-----.--..-----_---..------------.-_ Date-----_-----_------. Icut Pit No. l------'mioutcaycciocb Depth of TestI`it--...---'-' Dey8ztv ground water.... ................... 0-4 44 Test Pit No. 3................minutes per inch Depth of Test Pit.................... Depth to ground water........................ '- '---------'--'-----'''-----------'-----------'------'-------------------- 0 Description u6 Soil..................................................................................................................------_'..--------_------ -----`---''--`---'---------------`---------------------'----'''------`---------------------`--`------ -----_-.................................................................................................................................. U Nature of Repairs nr Alterations--Answer when applicable---.----_-'-_.---.--.---'-'------'-----.-- � __--'--------___..__'-'_-.-_----_----_____-_-_--_----_--''--.----'--'._----.----'_-------- � ''g'-_'_-'. The undersigned agrees to install the uforedescribmd Individual Sewage Disposal System in accordance with the provisions ofIZTL 12 5of the State Sanitary operation until a Certificate of Complianc - s en iss y t o health. ----- ........ Application Approved ^ ........................................... � ...�.......--'..8��------- Appuca000uisappro` /or the following reasons:..................................................................... .......................................... - . ............ ' .....................' Date | � Permit Date L" •............... ... F��S.... ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................ ...............OF................................. Applirotion for Dispo,aal Works Tonstrnrtion thrmit Application is hereby made for raa;Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal 1. . Loa$t'oriAddress or Lot No. •---.-. --•- ._....!.._?� ....ti �.;.� s!' l`'"�..... ....... I x k 14 - ow Addre s Installer Address UType of Building r*� Size Lot............................Sq. feet Dwelling—No. of Bedrooms'.......:.+��•�...........................Expansion Attic AO Garbage Grinder ( ) Other—Type T e of Building .._.___.. No. of � YP g ------------=------ - ------•----------Persons•-----------...._.----------•Showers ( ) — Cafeteria ( ) d Oth fixtures .------•-------•--•------ - - . W Design Flow_______ gallons per person per day. Total a'y flow.__..r;.....................................gallons. WSeptic Tank—Liquid capacity A gallons Length....C .... Width............... Diameter__ ....._. Depth................ x Disposal Trench—No..................... Width......_............. Total Length.........._......... Total leaching area....................sq. ft. Seepage Pit No.......f----------- Diameter....... ' ... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date-----....-•--------------------------• Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................................................................................................................................................ O Description of Soil........................................................................................................................................................................ U --•----------•--••-•---•-•-•----------•--•--------•••------------------------------------•---•----------••--------------------------.------•------------•-------.--.------------•----------------------- 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 TITt,% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance n issu by th o of health. Application Approved By •-l/ ---•••.............. // / r . _ t e Application Disapprov/df/the following reasons-------------------------------------------------------•------•----------------•-----------•---•-------------._ .............r------------------------•----•---•-••--••----•.....•-------•---------.........--•...------•-----------••--•••---------------••••-••------•---•--------•---•----------•-••----....._------ f Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF................................................. (Intifiratr of Tontplianrr THIS. TO CERTIFY, That the Indivival Sewa Disposal Syste constructed ( or Repaired ( ) by-•--�:�:-� ... '�z.0 = :'1-�/1f�j � - ----------------•-----•----•---------•- ,/''� / - f " y�v Gfi f 1 Inst er has been installed in accordance with the provisions of TICI _ 5 of The State Sanitary Codas _ Ibed in the application for Disposal Works Construction Permit No.Y`I_-• j_ f................... dated_.. 1...................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION S�TISFACTORY. DATE............................................ --_J.S nS�........ Inspector...................Li. ............................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �V No..................... FEE ................. or � �on��rnrtt' n rruti# Permission is b granted-------------,-�--- =-`- �� ' st-..�� -------..----•--- to Construct ( x e air (�)/�a indiv,'rfnal'_Sewage D'sposal�System atNo. ---- ------- -------•• .-- ..... ......' .... .�................. ---------------•----------•------•--------•----•-------•-------•---•-•-•--......... Street as shown on the application for Disposal Works Construction Permit '="___, Dated.... s�'t -------- -- ------ � / Board of Health DATE............... �- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS /ate v,� . • ;3 �I DhIL. Ft.OW +F IIO Y. - 30 G.q D '� ♦• �I o .49GQ. .$EPT1GT� o _ ,• o f uss- :1oo0 O G At-•vj I3' Ste ` ow � 01'SP�SAL-' • e• L Iti It3y SF .rc Z•S m 33o G.P.ca �qp a�� ;, , ; � �} � TtsYAt►+ . �ESI6N a%4%4 P.D. -t-iprrA�-- PAIc•�(F't.otl�I = S30 P�2GoLATIoN RATE�1 IN ZMiN o�L� 5 ._- - ,,� � •� �., :�• ZN OF•,Q•tC ` ` .a w•+r . tg OF.M,t r♦P` 'icy - ZZ-• ' zG ALAN a RICHIARO w. /9 1 A. ��, i ' IONES � _ IG/.� a��;� ♦ ,t { BAXTER SU G1G' G•�4 oFr Ts,,vr 7.3To P FN°_ ' Hot_ //l /B3 � G. G ' •Y [.,¢, _ s' IwV- ' Ioou GQ0 dad L. DIST. INS GAL. .?,?. 3 0ox .3Z• / . PTIC. ' ALG ,6L-hc�v • •• -•• ' 7NV. iNY. - • 1 .i " Z'7 : C69-TIFIGo PI-oT PL.AW f ,. yo'►l�.e*ma`s L O C 4-t_I o rJ Ho•. 5GA.LE SCALE /.,�� • SATE fj�/�8�? . E F 6 26N GE. 1' CERTIFY -fN�T THE ►�� 'mil ,ON0WtJ _ i N6•R60w: GOMPLY!S VJITN'[Hrm S t cF-i LIN E loCoT Auo s6�'TeAGK R.6.Q01Q-9:MENT� oF -cN� G•c. :.3Z29 b j "(OWN Or- AND If, Nv'-r_ LOGXT 0*WITHInI� TN6 frLoop Pt_v.►N •PAT&J&,.;-� I<w.+.Q 1 1 L✓ , '��-� �- B AxT E cz e N Y E 1 N C. R•EGISZr--QEr'v`►.ANo5uMYrlwlo;DeS 'Teals PL KI I IJOrr an5r-zo OW A.IJ OSTic¢.VILLFs • A55• t T ' =tr �o� _ _ ..�r TOP OF FOUNDATION = 101 .08' FINISH GRADE OVER D-BOX= 100.2' o FINISH GRADE OVER CHAMBERS= 100.5' - 100.0' REMOVABLE CONCRETE COVER 4 SCHEDULE 40 PVC MIN SLOPE 1 /o FINISH GRADE OVER TANK EL.= TO WITHIN 6"OF FINISHED GRADE PVC VENT PIPE WITH CHARCOAL FILTER CAST IRON FRAME 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE GENERAL NOTES FINISHED GRADE 100.0' 5 DIA. OUTLET(S) PLACE CAST IRON FRAME& " _ &COVER TO GRADE @ FOUNDATION = 100.0' COVER ON ALL CHAMBERS 2"OF 1/8"TO 1/2"DOUBLE WASHED STONE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION 20"MIN.ACCESS COVER } EXISTING 12"MIN. 1 ADJUST TO REQUIRED GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE PVC PIPE (TYPICAL FOR 3) 36"MAX " 97.20' TOP OF SAS = 98.20' W/MIN. 2 OR MAX.4 ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. PROPOSED 4" 36"MAX 9"MIN. BRICK COURSES OR EQUIVALENT 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD 12 MIN. 36"MAX. BREAKOUT EL = 97.70 DIMENSION WITH REINFORCED OF HEALTH AND THE DESIGN ENGINEER. SCHEDULE 40 PVC CONCRETE COLLARS. MIN.SLOPE@1% 6" 3" 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL 3" DROP MIN. 3" 9" PROVIDE WATERTIGHT BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. " TS (TYP.) ��� 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN '* 10 14" 97.70' 4 PVC IN FROM 0 o00 = = O = o ELEVATION =97.70' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS 98.25 SEPTIC TANK 044 OUT TO o �o A 40 MIL GEOMEMBRANE LINER IS PLACED AT LEAST FIVE FEET FROM S.A.S.AND THE TOP j , �) NG FACILITY T oo 6E o OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. I 97.94 � 2' o o0 0 o0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 48" OUTLET TEE 97.39' 97.22' ono op o0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 10.6' 22"ZABEL FILTER RUSHED STONE o0 0 0 0 0 0 o o 0 cp 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO MODEL#A1801 HIP(GAS ER MECHANICALLY - BACK FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR BAFFLE ON BOTTOM) COMPACTED BASE 4.0-, 4.0� INSPECTION. SYSTEM IS NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING BFE-93.8'± 5 OUTLET DISTRIBUTION BOX 8.5 4.0 4 9' 4.0 APPROVAL FROM BOARD OF HEALTH AND DESIGN ENGINEER. 6" CRUSHED STONE TO BE INSTALLED ON A LEVEL STABLE 42.0' (NP•) 8. ELEVATIONS BASED ON ASSUMED DATUM OF 100.00' OBTAINED FROM A OVER MECHANICALLY < 90.20' NAIL IN PAVEMENT ON WATERSIDE DRIVE AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET 95.20' GROUND WATER ELEV.= 12 9, PROPOSED 1500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION 4 - 500 GAL. H-20 CHAMBERS CHAMBER END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE LENGTH 10.5' WIDTH 5.66' DEPTH 5.58' CROSS SECTION VIEW 5 MIN. AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY *CONTRACTOR TOREPIPE SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL(H-20) TYPICAL CHAMBER PROFILE CHAMBER DETAILS DISCREPANCIES TO THE DESIGN ENGINEER. EXISTING BASESMENT PLUMBING NOT TO SCALE NOT TO SCALE NOT TO SCALE SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE - - - -_ STRUCTURES SHALL BE MADE WATERTIGHT. TEST PIT DATA 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR N *, ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH * •� I DETERMINATION FROM APPROPRIATE AUTHORITY. 0' ' /f ' ' INSPECTOR: Unwitnessed ° ' •• // • + • ' • 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS MAP 207 _ « +� 0,0 ! ;= SOIL EVALUATOR: Michael Pimentel, E.LT• OTHERWISE NOTED ON PLAN. LOT 156 MAP 227 • • DATE: 8-11-04 rry . . ' • `` 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND ' �. • * * TEST PIT#: 1 FINES. LOT 162 . MAP 207 ti .`'�„ ELEV TOP= 100.20' LOT 157 4' �� ELEV WATER <90.20' 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF PERC RATE _ <2 MIN/IN LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN DEPTH OF PERC = 26"-44" ACCORDANCE WITH 310 CMR 15.255(3). II ,. • :i �� « 11 �` "\ TEXTURAL CLASS: 1 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN ` D '�, SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. B.M. 0" 100.20' 16. PROPOSED PROJECT IS LOCATED WITHIN: Fp � � � \OFPgV DRIVE EDGE OF SHRUB LINE Nail in Pavement I . Topsoil Loam ASSESSORS MAP 207 PARCEL 160 WATERSIDE F Elev. = 100.00' I , , 4" 99.87' OWNER OF RECORD: PAUL H. &RUTH P. FARMER MFN�_ / (50'WIDE LAYOUT) � (Assumed) i ..T. _ { �� C��- q Loamy Sand ---`�''a r • j 10YR 3/6 ADDRESS: 45 WATERSIDE DRIVE ^'A+* �� • I 7" 99.62 CENTERVILLE, MA 02632 0.- - - u- ' • � s �! B Loamy 7 5YR 5/8 FEMA FLOOD ZONE C, B, &A10(EL 11) EXISTING UNDERGROUND UTILITY BOXES / _ 100 EXISTING UNDERGROUND UTILITY BOXES `` I / � AS SHOWN ON COMMUNITY PANEL# 250001 0008 D edum Perc C1" M2 51Y 6 6and 17. PLAN REFERENCE: 0 44 96.53' / 3.044s "n 1. l_.C. 32290EiSTING LEACHING''PIT TO'BE PUMPED AND ` Q ~,+�, PROPOSED WATERLINE TO BE 10 FEET (MIN) AWAY ` REMOVED ALONG WITH SPOILED SOIL � �- - `� � • °•~ _ Cli FROM PROPOSED SOIL ABSORPTION SYSTEM • . ,�, 18. DEED REFERENCE: G --- o I ° ` N PROPOSED PVC VENT WITH CHARCOAL FILTER • Q'• �,r •' M } . 1. CERTIFICATE#94733, L�L�CUraEhIT#326C21 : .u. • Y7 �lt I C2 Coarse SarotS EXISTING WATERLINE TO BE REMOVED P1,ND gg 6).__- 5) • ••• /r ' 2.5 Y 6/6 10.2' = == - 10.5 PROPOSED 4-500 GALLON H2O LEACHING CHAMBERS. CONTRACTOR - , ... ��� 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. REPLACED TO NEW LOCATION AS'SHO�WN == _ ~� -=====- SHALL RESTORE EXISTING PAVED DRIVEWAY, LANDSCAPING, AND ` s • • *� �; • �h �• i�� 20 ONLY _ i • O O SPRINKLER SYSTEM TO ORIGINAL CONDITION OR BETTER. �, r PROPERTY LINE INFORMATION IS APPROXIMATE, ONLY. THIS PLAN IS TO BE USED =-==:. FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY 94 _ -- PROPOSED H-20 DISTRIBUTION BOX FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. ` - -------------'--::---- ~-= -- GARAGE f _ x (3 PAVED 120" No Mottliing Observed 90.20' 21. NO VARIANCES OR WAIVERS REQUESTED FOR THIS PROJECT. Cn --EXISTING DISTRIBUTION BOX TO BE REMOVED. 92`-" 10 DRIVEWAY (2 4 LOCUS PLAN ov o\ �O ci3 100 C. ' XISTING 1000 GALLON SEPTIC TANK TO BE SCALE: 1"= 1000' MAP 207 o B N O 10.51 0 5 BRI UMPED, CRUSHEQ, AND BOTTOM TO BE f (1 90, _j>. WA --HC1 _ PUNCTURED IN ACCORDANCE WITH TITLE V. LOT 159 #45 PROPOSED 1500 GALLON SEPTIC TANK LEGEND EXISTING 7 HC2 88 n 5-BEDROOM 9$ CONTRACTOR SHALL INSTALL AN EJECTOR PUMPING SYSTEM DESIGN DATA EXISTING CONTOURS DWELLING FOR BASEMENT BATHROOM FACILITIES PIPING LOCATED TOF= 101.08" UNDER BASEMENT FLOOR AND REPIPE EXISTING PIPING TO i 02 PROPOSED CONTOURS 86 NEW INVERT ELEVATION AS SHOWN ON SEPTIC TANK PROFILE. NUMBER OF BEDROOMS (DESIGN) 5 102 PROPOSED SPOT GRADE 100'WETLAND OFFSET DESIGN FLOW 110 GAUDAY/BEDROOM 84 DECK �" '`' ^ E/T/C TOTAL DESIGN FLOW 550 GAUDAY EXISTING UNDERGROUND UTILITIES Co 24.24' \ o �Z"o DESIGN FLOW X 200 % 1100 GAUDAY _• � \ �- CO _ --- W ------- EXISTING WATERLINE --82` \ \ \ \ \ . 92i USE PROPOSED 1500-GALLON SEPTIC TANK TEST PIT LOCATION MAP 227 MAP 227 �'90- LOT 174 LOT 173 80_ \ \' \ \ O O PROPOSED 1500 GALLON SEPTIC TANK �- - 88\ INSTALL 4 - 500 GAL. CHAMBERS (H-20) MAP 20T 86-- 4"SOLID SCHEDULE 40 PVC PIPE LOT_t6l� SIDEWALL CAPACITY Al 1�\ VS-F. ± - JgA� - ❑ DISTRIBUTION BOX rr o (0 37 A4_ (LENGTH +WIDTH)(2)(2' HIGH) (0.74 GPD,/S.F.) - GAUDAY TB�N \ \ \ - �g2-� (42'+12.9') (2)(2') (0.74 GPD/S.F.)= 162.5 GAUDAY DO 500 GALLON LEACHING CHAMBER 74_ \ y BOTTOM CAPACITY MAP 207 78- LOT 93 \ - ( LENGTH x WIDTH ) (.74 GPD/S.F.) = GAUDAY 72 \ 76-- (42'x 12.9') (.74 GPD/S.F.) = 400.9 GAUDAY --- ---_ REV. DATE BY APP'D. DESCRIPTION -- -- -- 74-- _ _ PROPOSED SEPTIC SYSTEM UPGRADE 70 `-72- TOTALS: PREPARED FOR: DESCRIPTION HC1 HC2 WF#5 WETLAND LINE _ WF#4 - --__ --1-70- PAUL FARMER SEPTIC TANK (1) 28.3' 12.0' N88°30'52"W TOTAL NUMBER OF CHAMBERS: 4 85.56' � '� - - WF#2 W F#2A TOTAL LEACHING AREA: 761.4 SQ.FT. LOCATED AT #3 W F SEPTIC TANK(2) 32.2' 20.0' \ '1­11 TOTAL LEACHING CAPACITY: 563.4 GAL./DAY 45 LEACHING CORNER(3) 28.7' 49.1' � �s T�ND��WF#1A CENT/ERV WATERSIDE MA 02632 LEACHING CORNER(4) 39.2' 27.8' 8\ , \68 MAP 207 ` \'� LOTS 91 TO 02 LEACHING CORNER(5) 48.7' 40.7' WF#� RESERVED FOR BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: SEPTEMBER 13, 2004 LEACHING CORNER(6) 40.7' 57.4' WF#3A 0 10 20 40 80 FEET JOHN L s PREPARED BY: CHUP,CHIt-L m,J R. JC ENGINEERING, INC. IVIL *WETLAND FLAGGED BY DAVE PICHETTE No 413o� 2854 CRANBERRY HIGHWAY EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 SCALE: 1"=20' 1�Q f Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.693