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0079 WATERSIDE DRIVE - Health
79 WATERSIDE_ DRIVE, CENTERVILLE A=227172 IH J� crc a�oy F Nop, 3LOR J`� HASTINGS,MN TOWN OF BARNSTABLE LOCATION �9 W�'� lD� D�lV� SEWAGE# VILLAGE CEtJTM— V/Lt r— �ASSESSOR'S MAP&PARCEL dt�- t`7 X INSTALLER'S NAME&PHONE NO.C.AVG.Jit>t U. V 8tZ7 SEPTIC TANK CAPACITY U tl® GAc,&.04 LEACHING FACILITY:(type)C� _ !b �"- size) ��,9 x�� NO.OF BEDROOMS OWNER M tCt Ae-L 4—'R,00i fJ PERMIT DATE; 3 01—a®l tp COMPLIANCE DATE: "Q©L f P . Separation Distance Between the: 1�►O (jc,l�, Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility eet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) N L4 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachingA facility) 1J Feet FURNISHED BY CAPE Wk0r-_ _kM6XPA 454 �� A- V k-Z : 40 q N -6 55.3 ' Li ® 2 5 1N B-4 = 35.5° 6 0 8-b = y91' No. `'✓ Fee_� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplitation for Disposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(A Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 19 "7C-'A'j-,t0,C 1 RUI'� _ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel a V.7 l,7;;k, 7 5 WAT&� SAVE D-ur �IJT C CE Installer's Name,Address,and Tel.No.SQ 1' q"11-Re?'7 Designer's Name,Address,and Tel.No. 501?-;t.73--40377 <Z-40G7x3rDE eVTeW_P4IsG9 CSC- ZC CNN'&frpe_tK,1LJC,, Zve_ 1.!A3 S .$Sc�T 85 CRo4tJa j �` �tJr9��tirR+�. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building R6;6 jj lT i A-L, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 30 gpd Design flow provided 3` 9.4 gpd Plan Date Number of sheets Revision Date Title 7 q tvA TES'I E M l0E J"•_� Size of Septic Tank <.00 O Type of S.A.S.S,�, .5-6n - a4o4jk'6 F;!_S Description of Soil L0*6"'-1 150440 (¢ (p�i M 0 g�,5iE: -syt-gib 5?4u Soc T Caf4j Nature of Repairs or Alterations(Answer when applicable) U,5 & 1.<L — ) 6CG¢fj..W 6c4TIC, `C K Mao !4-a o n-a a x TO OSba E—. K<or Et-,za GP�.t Qc�ZS c�ETrI Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt Sign Date ' oZ Of Application Approved by Date / Application Disapproved by Date for the following reasons Permit No. �F3/to " C��� Date Issued A d No. �Y �✓ 1 ._'._. a Fee U . � � Entered in computer: -THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN OF' BARNSTABLE, MASSACHUSETTS tftpliration for isoos t1"ps'tern Construction Vermit Application for a Permit to Construct( ) Repair(A Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.-7 q kA7 Etr*tDE t>i4 vj� Owner's Name,Address,and Tel.No. <c&/'rt"`RVtZk M I C44A6t, fi (AwAc-( . cKO]V/r/ - Assessor's Map/Parcel a a7 17 a, 75 14Ji4 (b;6 )-k1u 69.0THt.V!LkE Installer's Name,Address,and Tel.No.509-q-" 887-7 Designer's Name,Address,and Tel.No. 50R-;L-T S-037'7 C�o6wrDE E�76�l�6Z15E$ G.C.(.. G"6/)vE-V4 0rX ZVC- ! Krc tr7tGl�C. S MrESs{P ;" d85 C.lto4N$ G, /.tJ74 *1� Type of Building: - Dwelling No.of Bedrooms Lot Size ((o�.30 s-r sq.ft. Garbage Grinder( ) Other Type of Building ?Z ipC_�1T i/Q-C_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 JO, gpd Design flow provided ✓�9,� gpd Plan Date A-I L4-a O/16� Number of sheets Revision Date Title l Q WA TES'!D/_ M t/ Size of Septic Tank I QO Q Type of S.A.S.(1 Description of Soil L..0*&U1-1 WP (p - l� 5 -�. Nature of Repairs or Alterations(Answer when applicable) USE l�Z'fY�a,�P > QJ_iw 5is-ITIC 'rAw K K)EbJ 14-a Q n--t3 O K moo GALl-orJ 14-Z d W tTri Or— A6&F(cG� Su �av mlxlE Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date agp Application Approved by Date ,) / J Application Disapproved by Date for the following reasons � 0 Permit No.��/& _. 6 S.;- Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of (Compliante THIS IS T&?6(JL)[D6 TIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by G-147W9_S13f U-C at /9 I/(JAT"E=-tZ5rDt- I)-#_, (jt(JI LIB has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No_--.2C 4-C ated Installer (k,1D& EQjD2DQ.l,C5j Designer ZrC F-, �/�/ t,(,,� -2raVG #bedrooms 3 Approved design flow n 33d gpd The issuance f this permit shall not be construed as a guarantee that the system will cttb as designed. D Pate I I I In Ins ector �. , -----------------------'-------------------------------------------------=----------------------------------------------------- ------ No. ` i 6 5 Fee 110 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal ,pstem Construttion Permit Permission is hereby granted to Construct( ) Repair(x) Upgrade( ) Abandon( ) System located at /7 lac)r4 z S' 6 W r yc, �z'�ey/1_1 ' 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. t Provided:Construction must be comp bted within three years of the date of this permit. Date Approved b, 0 B03/14/2016 08:44 5082730367 :4604 P. 001/001 %E Town of Barnstable Regulatory Services Thomas F. Geiler,Director * _ Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit# -1©i6'05a Assessor's Map/Parcel' Z 2.7 17 Z i Installer&Designer Certification Form Designer: Installer: Gnpew;cle �r�Eer�cisz� Address: 2851 C rcxwbecry Address: 1 3 Comm e.rc('ct 1 Streit r�o1 wa(6t)c,rn _1A a_1539 _ HosNee NA .0LG .x�-a�3o377 - On 3 l"J0f(p Cape,J.de [MEereclSes was issued a permit to install a' . (date) (installer) septic system at 7 q wa+er 5CA4L (W e. based on a design drawn by (address) G EnSt�e.ectnS , Tine_ dated Ma�e� Ili 2�j(E, designer) 1 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. V 1 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. Stripout(if required) ected and the soils were found satisfactory. YM Oi JOHN L. r CHURCHILL inst ler's SiglAture) 1vIL 41W esigner s SignaturF (Affix De g Here). P ASE RETURN TONSTABL PUBLIC HEAL DIVISION. CERTIFICATE OF COMPLIANC W LL NQJ_AE S U BOTH THIS FORM AND AS- BUILT CARD AR1,RECEIVED_BY 1HE_13ARNSTA$LE PUBLIC HEAI..TH DIVISION. i THANK YOU, q:\oflice forrns\designercenifrcadon form.doc I Town of Barnstable P# / . 9S 2- Department of Regulatory Services : .�nrtaruarr� Public Health Division Date MASS. 200 Main Street,Hyannis MA 02601 Date Scheduled y Time � � `'�� Fee Pd. Soil Suitability Assessment for Sewage Disposal :1 Performed By: AA K4rrL P1rN(;rUrel. ' .l•T C.$E Witnessed By: i LOCATION&.GENERAL INFORMATION location Address P O( �E�7CKS,i�C Owner's Name r'(tCf'{o4E.�, E CAt$t=C.C•Q•ONt IJ <_4(5�JTl YtC.Lty Address 7 [ W-4TE�CDF1)2,G:� Assessor's Map/Parcel: .. r � - CAPi✓wt�C ���� C�.G �a7 77�— v Engineer's Name NEW CONSTRUCTION REPAIR Telephone# S-b'6"(k7 7 `7 ,50.8-273-0 3 77I Land Use• RESi 06V..r14L "WAJ Slopes 96 3-Q�% rJ/q P ( ) Surface Stones Distances from: Open Water Body >t5o ft Possible Wet Area iW ft Drinking Water Well >/ao ft Drainage Way °� ft Property Line > ro ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands f'n proximity h'to holes) SZE ArrgcHEo .strt P�qN P Parent material(geologic) UufwgSN Pu91N Depth to Bedrock ISO.~ Depth to Groundwater. Standing Water in Hole: [$0 Weeping fraln Plt Face `emu M Estimated Seasonal High Groundwater > °_,V DETERMINATION FOR SEASONAL HIGLI WATER TABLE Method Used: 'DIQEGr 01666614 04 Depth Observed standing in obs.hole: s t 50• In, Depth to soil mottles, ts0 in, Depth to weeping from side of obs.hole: > 150 in, Oroundwater Adjusttnent Index Well-# Reading Date: Index Well level_ Adf,factor AtU.Groundwater Level, e PERCOLATION TEST Ditto Zlr° « Thno 1'6,4gAro Observation Hole# t Time at 9" Depth of Pere �`"$y~ Time at 6" Start Pre-soak Time @ ro'(14M _ Time(9"-611) End Pre-soak [t9 I9 Ar>I ^ Rate Min./Inch PG 2 Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:kSEPTICU'ERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# 1 2 Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,,Boulders. o is tency.96 Oravel) J 13 [OAM4 9N0 /d YR 5/� ^ NP- ISo" C NCO.-CA04 S 2.5 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.j (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten %Graych DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Con stency. Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes, Within 100 year flood boundary No. 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? If not,what is the depth of baturally occurring pervious material's Certification I certify that on Ou . 1491 (date)I have passed,he soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,exper'se an xperience described in 10 CMR 15.017. Signature Date .2 2Y-16 Q:1S.EVnCVERCFORM.DOC AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION 27 e-ZV`i1Shf a;/ SEWAGE# 7vf VILLAGE c-',YLZ4�kC ASSESSOR'S MAP&LOT PLI I2a cr INSTALLER'S NAME&PHONE NO. W /; LA,,Co SEPTIC TANK CAPACITY /awn GEC LEACHING FACILITY:(type) 41/T (size) /--�' 45;9L_ NO.OF BEDROOMS 3 BROWNER AIX A.'-z4,&4r '1-ZeSoev PERMUDATE:_ COMPLIANCE DATE:_- Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility :�U'� Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 74G, /Q� 9: SCAr� LuALw' a� � k[BarRa. http://issgl2/inrranet/Propdata/prebuilt.aspx?mappar=227172&seq=1 1/15/2016 TOWN OF BARNSTABLE LOCATION 79 ���slvy ae SEWAGE # VILAGE, ASSESSOR'S MAP &LOT 7 INSTALLER'S NAME&PHONE NO. 14 d G�,vGo SEPTIC TANK CAPACITY /may GAS LEACHING FACU-=: (type) (size) k> C-�L NO.OF BEDROOMS 3 ,MZ R OWNER 411A AeX&22,v PERMITDATE: _I 4 o' COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility �� Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by uG• / yy i R �� h GA.�I�,C h/rcx�f �'�9 . S'L�T�£' lu/-IGcf' �_ �� w o: - �, ,� a� � i°/9D� �. ' 76�__ ... •_ASS,-TSSOR'S MAP NO. PARCEL tLJOC'ATION # j SEWAGE PERMIT NO. I,, t . d VILLAGE -� Can k INSTALLER'S NAME & ADDRESS I U I L D E R OR OWN ER d J DATE P'E3RM'IT ISSUED DAT E COMPLIANCE ISSUED LOT NO. : I y ADDRESS:_ -D2 OWNERS NAME: 1n'1 C yJ I I i VAS y SEWAGE PERMIT NO. : W(o-7o7 NEW: REPAIR: DATE ISSUED:_ DATE INSTALLED: �6 INSTALLERS NAME: Cb INSTALLATION OF: I Ov0 lc-wch WATER. TABLE :oI.o�E- FINAL INSPECTION BY: � DRZAWING OF INSTALLATION ON REVERSE SIDE : i ~1r b a, Y \t i b f 1 ASSESSORS MAP NO:.' ' IMP PARCEL NO.: No.�..`=704 Fz$......'75:........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...........................OF.-.. .'s ...... ........................-......................... Appliration for Di-qVuiial Workii Ta notrurtivaa rnmit Application is hereby made for a Permit to Construct (*) or Repair ( ) an Individual Sewage Disposal System at • -p,} 104 to l�ua s►c`e l�r�uc� C 1 ......-......................•------•--------•--.............--•••--•-••-......•------- ...................... ...................- --•CY► .I ,.l��� .,_.l�,rsmnas .......... ..or •N•-o---...-- Location-Address Po:Qo -------------------------------------------- -- _ ht ..... L........................... Owner Address ..-A ..... -----------•-----------------•••-•--•-----•-••.... •�6°----•-.din S� �mI c»i.�a►o.......;.... Insta:ier Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...............................n4n......Expansion Attic ( ) Garbage Grinder ( ) .-I Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... .. W Design Flow............................................gallons per person per day. Total daily flow----........................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No.................... Width.................... Total Length.................... Total leaching area---------...........sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_-___-_____-__--•--_-__. �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth,to ground water......-................. 0 -- ODescription of Soil........................................................................................................................................................................ x U W ----------------------------------------------------------------------------------------------------------------- -- . -----•-••------•-.. . -A n U Nature of Repairs or Alterations—Answer when applicable-��±V+�c_-__�OoQ1tx-__ 4. ...�_.1ol�D __._.__. GjR.Q ¢tac t--�►'t'..Sxl_ ane� Z Qi� Est--r ce ir -----------------------------•------------------------------------................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1 i i� p m5 of the State Sanitary,Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued bj the board of health. ed ---------------------- ---------- Application Approved By................. .. .......��..................... ` Date Application Disapproved for the following reasons:................................................................................................................ •-------•-•----------------•-----....------------------------•-------------•-----•---------•--------------•--•----•-•---•--------•-•---------•-•-•-.................................................... Date PermitNo...........................................I............. Issued__- .................................................. Date No�.� 4 Fim ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR^`D';� OF HEALTH _ h --- -------- .........OF.............ps i ..... Applira#inn for Disposal Workii Tnnstrnrtiun Funfit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: i G Q ...i ....._---.....--•-•-.......-•--••------•----•-----------•-•-•......................... --•� +.... •luG e�SIC�P riUL. it erhl� ---------•-_..... ............. Location-Address h 4 1 f N ta .1 Ep .. .. ... a ............................................. . o. ............................ Owner Address -------------------------•................... Installer Address UType of Building Size Lot............................Sq. feet r—r Dwelling—No. of Bedrooms................................ ....._Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------•-----------------•----••-------•••-• - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Wti Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter_--_--__-.--_- Depth................ x Disposal Trench—NTo..................... Width.................... Total Length.................... Total leaching area_--_-_-.._------__•-sq. ft. Seepage Pit No----------_--------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by---------------------..................................................... Date........................................ W Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--__-..-----_-_-_____-_. f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_..................... a -••••---•-----•-•-------------•--•--------•---•-----•-----•-•--------••---------•--•----------•.•---......................................................... 0 Description of Soil....................................................................................................................................................................... W , U W ------------ - -------- ........................ U Nature of Repairs or Alterations—Answer when applicable. �?.1, ��.___10Q ?_._ �. _. � _ !G-'°--toms (n rs -Qq k ..Ler-Cl i cad L-t.:rlean _Q..1 l l pie. e? I a?�`y filin ^�i r V Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of TA ITL*; }of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issuedb the board of health. �- ------Signed,.-M ! s..+c� °...-_. �a✓�rcit . ""............... /c .: fir...... �'�----• `' (/ Date S Application Approved By.....--'---��!... .- .....-•------•---........-• � .' --�=-- ---Z Date Application Disapproved for the following reasons:................................................................................................................ •---••-•------•----••--•..............•-...---------••-••----------....---------•-------•......------•----•----•----------•-••----•--•------•------•••-----•------------------•-----•-•----•----------•- _ Date PermitNo---. __....".0_9...----•-•--. Issued_...................................................................... ------•--- Date t�I� S THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........eac>,.'1..................OF.......' .Ccrn;...a?!4?.�el#............................................. Tatifiratr of Tompliatta THINS TO CERTIFY, That the Individual Sewage Disposal System constructed �)(..) or Repaired ( } by-------------------- vN----•-•-•-------••----------------------------------------------------------•------.---.--..---•---------•------•--•---•-----•---•---------------------------- Installer r has been installed in accordance with the provisions of "'T"' 7 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No ---����---- dated------- ------------------ ..................... THE ISSUA CE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT ifHE SYSTEI I WILL UNSATISFACTORY. rXDATE............. .•--•••••.. _._, .--...-•-•-••-----•------••-•...------. Inspector--• -•-' •--------••-•-•-•----------....------------------.....-------•------••-- l fi (� y THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `—� C�' l3w7i...............0�....: Grfr7w.�cmtt7�e_ ��......1...../ FEE. ........................................................................... Disposal Mar s Tnnstr ion unfit Permissionis hereby granted.--------.. /�CC�.1�..--------•-•-----------------------------------•----------......------•-----...............---•-•. to Construct (* or Repair ( ) an Individual Se. rage Disposal,System• . street as shown on the application for Disposal Works Construction Permit -N-�O . _.����D��ated._ /_. : ......... -------------••.......... G C! -- ---- -•--- �� Board of Health DATE.............. - --- - ---�--�f----�-�-- •---- FORM 1255 H & WA REN, INC.. PUBLISHERS CERTIFIED SEPTIC SYSTEM REPORT 112, 1 LOCATION Tc 79 WATERSIDE DRIVE �- MAY 3 119 CENTERVILLE, MA 02632 " 96 MAP 227 PARCEL 172 LOT 10 PREPARED FOR SELLER MR. ROBERT A. PETERSON 79 WATERSIDE DR. CENTERVILLE, MA 02632 BUYER MR. & MRS. MICHAEL CRONIN 8 GLOUSTER ST . , UNIT 8 BOSTON , MA 02115 PREPARED BY HILLIARD HILLER P .O . BOX 250 CENTERVILLE, MA 02632 508-778-1472 I I i Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection: WNYsm F.VMd Trudy Co:e GOM M. Briny. Ar9w.Psul,CMlucel David B.,Struhs LL GWAWar COR1�1O10�� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART A CERTIFICATION PropeityAddeae 79 6-e , 7Tk:e S'/pE V e, G,C1--r e4"XWG_ Address of Owner. Date of Ie�spsotion:� �a���t (If different) Name of-Inspector. �f/LG/fii2� �`IIGG,EQ Company Name;Address.and Telephone-Number.:. Teo CERTIFICATION.STATEMENT I certify thA.L have personally inspected the sewage disposal system at this address and that the information reported.below is.true, accurate and complete as of the time,of inspection. The inspection was performed based.on my training and experience in the proper function:and maintenance of on-site sewage disposal.systems. The system: _LzPasses- Conditionally Passes Needs.Further Evaluation.By the Local-Approving.Authority, Inspector's Sig utw cz � l/ Date::., The System.Iaspedor shall submit.a.copy of this inspection.report.to the:Approving_Authority within.thirty(30)days;of completing;this: .. I ction,Ifthrsystem is;a shared.system.or bar:a-design flow of 10,000 gpd.or greater;,the inspector and`the system.owner shall sabmit.tbe- sepw to,the:appropriate:mgional of5ce:of-the Department.of Environmental-Protection.. The anginal:shooWbrsent to,the-system,owner.and,copies.sent to the-buyer, itapplicable,and.the,approviag:authority: IN8P1=ON;SU1Ekf"Y: Check A,B,C;,.orD. A] SYSTmPASSES:: I bm;sot found any information which.indicates:that the system violates,any of the:failure criteria:as defined.is 310 CMR 15.303. Any,ldura:eriterianor.evaluate&are indicated below;- B) SYSTEX CONDMONALLICPASSES:_ Ow or norm sywam_oomponents;need.to be replaced.or-repaired.. The system..upon.completion.of the replacement.or-repair,p essn_ Indicalw,. r,a%.ornotdatermined.(Y,'N.or ND). Describe,basis,of determinAtiom in.all instances.. If"not.detarmined: explain why aotl I'hwm"irtonk is:.metaL.crse oed_atru=mlly t1T.=cL.aho vs mbstaatml.infilt art or.emMbsdm..or.tank.f&we,is.. imminent The.my.temwill:paa inspection if the existing-septictank.is-replaced.with a ponforming-septic tank as.,apprwed brthr'Board o£ffialth . (revised:ll70/95). l OeetftrStreet~ o. Boston;.Massachusatts.02108 a FAX;(617)556-1049 w. T0160one,(617)29Z-36pp. Permed omaeeyded Paper ; SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A ' CERTIFICATION (continued) Property Address 79 wATS/�o.� �O/1 G�•�J �/d�l�� Owner. AIR. V7oxf,e S -9 Date of.Inspection: BJ SYSTB,M CONDMONALLY PASSES(continued) Sewage backup or breakout or high static water level observed in the distribution box it due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. The system will.pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution.box is levelled or replaced The system required pumping,more than four L times a year due to broken or obstructed pipe(s). The system will peas, inspection if(with approval of the Board of.Health): broken pipe(s)are replaced obstruction is removed_ C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist.which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A ]BANNER WHICH.WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is.within.50 feet of a.surface water Cesspool or-privy is within 50 feet of a bordering vegetated wetland or a salt marsh. S) SYSTEM.WILL FAIL.UNLFSS-THE".BOARD OF HEALTH (AND PUBLIC WATER.SUPPLIER..IF'APPROPRIATE) DWERMINES THAT•THE SYSTEM'IS FUNCTIONING:IN A MANNER.THAT PROTECT THE PUBLIC HEALTR"AND SAFETY AND THE ENVIRONMENT:. The system.has.a.septic,tank and:soil absorption system and is within 100 feet to a.surface water supply or tributary to a surface water supply. The system has a septic tank-and-soil absorption system and is within a Zone I of a public water supply well. The system.has aseptic tank and soil.absorption system and.is within 50 feet of a.private water supply well- _ The system has:a septic tank.and.soil:absorption system and is less than 100 feet-but 50 feet or more.from a.private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that.the.well:is:free from pollution.from.that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or,less.than 5 ppm 3) WI'SER (revi sod.11/03195) Z SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address Owner. Date•of Inspection: DI SYSTEM FAIIS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure: Backup of sewage into facility or system component due,to an overloaded or 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 1/2 day flow. Required pumping more than 4 times in the lastyear-NOT due to clogged or-obstructed.pipe(s). Number of times pumped Any portion of the Soil.Absorption_System, cesspool or privy is below.the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zane I of a public well. Any portion of a cesspool or privy is-within b0'feet7of a private:water supply well.- Any-portion of a.cesspool or privy-is leas than-100 feet but-greater-than 50 feet from•a private-water-supply well.with no aoceptabl&water quality analysis. IS the well has.been analyzed-to be acceptable,attach,copy-of well water,analysis for., coliform.bacteria,volatile organic compounds, ammonia nitrogen.and nitrate nitrogen. El 1 ARGE.SYFIVA FAILS: The,following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd.or.greater(Large System)and the system is a significant.threat to public health and safety and the environment because one or.-more of the following-conditions exist: the system,is within 400 feet of a surface drinking water supply the-system is within.200 feet of a tributary to a surface drinking'water supply the system is located.in a nitrogen sensitive area(Interim Wellhead Protection Area(I:WPA) or,a.mapped,Zone IT of a..public: water supply well) The owneror•operstor of any such.system shall bring the.system and:facility into full.compliance with the:groundwater treatment program. requbunints,of 314 CMR.5.00 and 6.00.. Please consult.the•:local.regional.office of'the,Department for,further-information.. (revised. t/03/95') 3=. , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 79 Date of Iaspaotion; Chselt if the following have been done: Pumping information.was requested of the owner, occupant, and.Board of Health. ZNoae of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period.. Large.volumes,of water have not been introduced,into the system recently or as part of this.inspection. _�_As built plans have been obtained and.examined. Note if they are not available with N/A. /The facility or dwelling:was inspected for,signs of sewage backup. e system does not receive non-sanitary or industrial waste flow f the site was inspected for signs of breakout. AAll system components; excluding the Soil_Absorption System, have been located on the site: obi LRT• ld.�yS ZThe septic tanOmanholgd-sow uncovered,.opened, and the interior of the septic tank was inspected.for condition.of.baffle baffle I SL or toes,material of construction,dimensions,.depth..of liquid,,depth.of sludge,depth.of scum.. vThr Site,and.location:of.the Soil Absorption.System.on the site has been.determined.based on costing;information or appsammated.bynon-intrusive:methods..,. . �Tbe facility owner(and occupants,if different from owner)were provided with information on the proper.,maintenance of Sub-- SurLcr Disposal.System. •. ter:_ .. � .. . (revfsW.11/03/95) 4. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 79 Owner. "14 Date of Inspection:. FLOW CONDITIONS RBRIDENTIAL Deaign flow:�llona Number of badm=: 3 Number of cww t residents: o�- Garbage grinder(yes or no): ` is Iimmdry o mnMed to system(yes or no):.yjf5 Seasonal usr(yes:or no): Y, S Water meter reading,if available: /'I9S— 9 w� GAY /�F�r — 8 3. � �� s3 SS G•r L Last date ofbcaipanry: ICIW SZA-rLf COMMERCIALANDUSTRIAL- T�pe of establishment: Design fio�w. - gallons/day-Grease.trap.present: (yes or,no) Industrial..Waste.Holdiag:Tank.present: (yes•or no)_ - Non-unitary waste.discharged-to:the Title 5 system:.(yes or no) Water,meter:readiag;-if available: Last.date of aceupancy: O'PEXR-.(Dumibe) % Last datwof.-o=q ancy: GENERAL INFORMATION PUMPING RECORDS and source of information: N� ��'GorzllS �T OP�r/ System.pumped.as,part of inspection: (yes or no)�Xl> If.'yw"velusni pumped: _-_gallons. 8sason:for•pumping TYPE,OF.SYSTEM:._ _ 6,-, Septie.taais/dieenbution bWaoii absorption.system. Gingle-compool. Overflow ceaspooT Privy. Sbarsd"system(yes or•no) (if yes,.attach previous inspection records; if.any) i Other(explain) APPBOIDIATS;AIiE of all-components,date,installed.(if.known)and.source.of information: Sewage:odor Attected_when arriving,-at the site: (yes:or-,no) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION (continued) Property Addeess:. Owner. /71�', Date of Inspection: s/ate/9G sEPTIC TANX- Qocate on site plan) Depth below grade: Material of construction:`concrete_metal FRP—other(explain) . Dimensions: " 51 e� ,o Sludge depth: AR Dirtazm from top of sludge to bottom of outlet tee or baffle: ao� Scum tl;icimess: ;2, Distance.f mm top of scum to top of outlet tee or bafile:�_ , Distance from bottom of scum to bottom of outlet tee or baffle: 13 r Comments: (recommendation for-pumping,condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural.integrity, evidence of leakage, etc.) oA/GY cGriZ D _ f14D �/ALOrlvA✓ ,4/9,lT,g GGI� L.at//�ivG ?� /,/iG/zT iJ/-�A/G/UG� fI t�l/f 3/ 6/L GC(/�i? v dU7'G�T L� ff O .f.' LOo GO d GREASE.TRA>? (locate on cite.p Depth below grade: Material of construction:—concrete,_metal._FRP_other(explain) Dimension: Swm.thirlm�as: . Distance bow top of scum.to top of.outlet.tee or baffle: Distance,feam bottom of scum.to bottom of:outlet tee or baffle: (recommendation.for pumping,condition of inlet an&outlet,tees or bafIIes, depth of liquid level in.relation to outlet invert;.structural.integrity, evidence ofleakage,etc.) (nevi set 11/03/95) g. i } SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 79 zw/ G��rur�,tdlGG Owner. Date of Inspection: TIGHT OR HOLDING TANK (loads an site plan) Depth below Veds: Material of ao wWmtion:` oonarete_metal._FRP_other(explain) Dimension: Capacity: . sallons Design ilow:_gallonslday Alarm level: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) DISTRIBUTION BOX:: _ (locate on site plan) Depth of ligtud.Lvel above outlet invert: Comments: (note if:level.and.distribution is equal,.evidence-of solids carryover, evidence of leakage into or•out'of box;etc:) mat' Go ti 'Amy 7PUMP H�4� L✓Jf� �o �/�E J��/�.a Tl� Pomp in workag order-(yes or no) Casnoents: (note condition of pump chamber,condition.of pumps and.appurtenances, etc.) (revised 11/.03/95) T' i SUBSURFACE SEWAGE.DISPOSAL SYSTEM INSPECTION FORM - PART C SYSTEM INFORMATION.(continued) , property Address: 79 c�.�1E2siot ,did ��,Ufk',C✓'C.c,� Owner.. Date.of Inspeotion: 5l�/ SOIL ABSORPTION SYSTEM (SAS):L/ Qooste an situ plan,if posarbls;szcavation not required,-but may be approximated by non-intrusive methods) If not,determined to be present,ezplain: ,Type: - leachrng pits,number:_ Issciiiag chambers;.number:_ T 1whia8 galleries, number: lascizing-trenches,.number;length: _ - lsaehing fields, number;dimensions: overflow cesspool,.number: Comments:(note condition of soil, signs of hydraulic failure, level of-ponding, condition of"vegetation etc.) Ae" .5/4v 'ape CESSPOOLS:.-' ESSPOOLS:. (locate on,site:plan) Number and configuration. Dspth-top:of liquid:to.inlet.invert Dipth•.ofsolids layer Depth of-scum.layer. Dimsasions:of.'ossRMI: Nataials,ai:`somst:vetioa: Iadiostia w of.groundwater: — "iafbiF(aeiipool-inust•be pumped:as pa of"inspectionY Comments:(note-eomdition.of soil,,signs_of hydraulic failure, level,of ponding;,condition of vegetation,etc.) ... . . PBIVYLA. (loeatwi site plan) materials:offIcamatructibli._ . ,r w ._ _ ..._ w M-.. s Dimensions: Dspthafsolids��..-,...t,._.........-M __._,•..... .......... .,........<,_.._..._.._.... ,. _t_ .,._. .. ..____ .. - Cammsats::(note,eandition:ofsoiL signs.ofhydroulic:failure;level of-ponding;-•conditionof-vegetation;,etc.) 04*fsed 11/0/95.) g, ,.1 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(oontinued) ProputyAddrac 79 Gri�'Tic�/l5/D6 p!I `/ C� '�Cl//GGrF Owner. fj/�.. 'Ile Date of•Inspeotioa:. 8I0ME OF SEWAGE DISPOSAL SYSTEM: ieelu le tir to at least two permanent references buukrarks or benchmarks - locate all.Well within.1001, fi?ovT I PIT 7k;, �LE�TQ/G DEPTH.TO GROUNDWATER, Dop&toV wha stw- a .. ssst>yod.ofa.a :arappiammticn: 6fis2ys�.°�G.� ` G!� s6�,�.>s Tfl,r� �' Ga:�.2yrt f S/rY^ TM.✓.�tC �'S T/t�l9L e-,dwr W ova 13�.tivo T7sE /fi�/s/-' ' (,revised"11703%95) ••` - 9.< +FINISH GRADE OVER D-BOX= 84.8' ' _ PROP. VENT WITH CHARCOAL FILTER TO ABOVE GRADE G E N E I�AL NOTE S T.O.F. EL.= 93.7 ± - FINISH GRADE OVER CHAMBERS = $5.1 85.5 3/4"TO 1-1/2" DOUBLE WASHED PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2/o MIN. OVER SYSTEM STONE TO CROWN OF PIPE OVER OVER INLET& RISER TO WITHIN 6" OF FINISHED GRADE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH C FINISH GRADE OUTLET WITHIN 6" OF F.G. 4" SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS METHODS SHALL BE IN ACCORDANCE VATH TITLE 5 OF THE STATE ENVIRONMENTAL OF DOUBLE WASHED @ FND. EL.= 92•0 ±' F.G. OVER TANK EL. _ $$.rj'_$Qj•Q ± r5" DIA. OUTLET MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21)S) STONE GE OR EOTEXTIXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. - 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PROPOSED 4" 3.90' MAX 1 TOP OF SAS= $Q.rjQ' PLACCHAMBERE RISERS S WITH N ALL DESIGN ENGINEER. EXISTING 4" 5.00' MAX INLET PIPES TO 6 OF 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE -^-� SCH. 40 PVC 4" PVC TEE SEE NOTE 22 79.50' SEE NOTE 22 " ' - SEWER PIPE � BREAKOUT EL= BO.00 - FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED. -" 3" DROP MAX - ��. 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6" 3" 2" DROP MIN_ 3 9' L-15 - PROVIDE WATERTIGHT ELEVATION = 80.00' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A ' MIN.SLOPE @ 1% o 0 13" 4" PVC IN FROM JOINTS (TYP.) oo�� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 14" \�*83,Q'± SEPTIC TANK 4" PVC OUT TO 0 0 O 0 0 0 O 0 0 o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 00 CONTRACTOR TO PROVIDE • LEACHING FACILITY pop o 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SPECIFIED DROP BETWEEN - op 0 0 0 0 0 0 0 0 0 0 INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL OUTLET TEE 79.92' MIN.12" 6 79.75' 2' op ❑ 0 0 p pp 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48 VERIFY CONDITION OF \ 00 0 0 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK ANDS CONDITION ONDIE ON OF EXISTAND RING TEEACE AS GAS BAFFLE 6" CRUSHED STONE p 0 0 000 oo FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS OVER MECHANICALLY o _ NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE AND DESIGN ENGINEER. 3 8.5' TYP 4.0' OUTLET DISTRIBUTION BOX ( ) 4.0 4.83' 4.0 8. ELEVATIONS BASED ON AN ASSUMED DATUM. BENCHMARK ELEVATION OF 86.72, ----- -- TO BE INSTALLED ON A LEVEL STABLE 25.0' (TYP.) ESTABLISHED ON A NAIL SET IN PAVEMENT, AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET 77.50' GROUND WATER ELEV= < 72.30' 12 83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EPIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT EXISTING 1 ,000 GALLION CONCRETE SEPTIC TANK 2 - 500 GALLON H-20 CHAMBERS 5' MIN.. �,j y/�i�lr� ��"�� `�j��j 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES CROSS SECTION VIEW "`CONTRACTOR TO VERIFY EXISTING SEPTIC' TANK PROFILE H-20 Dig � ��I . `DN BOX DETAIL TYPICAL CHAMBER PROFILE LJ_20 CHAMBER DETAILS TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK & NOT TO SCALE NOT TO SCALE �1 NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONIC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. -=` 1 '! TEST P I A 11 REGULATIONS.DETERMINATION OWNER/APPLICANT IS TO OBTE AS TO OAIN SUCH DETPLIANCE IERMINATION FROM TH DEEDED OR ZONING NOTES: T DAT * a. ;* #i ' yam'('; APPROPRIATE AUTHORITY. r f PERC NO. 14952 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH ! i � '+ ' r , ' �� - - + INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SMALL WITHSTAND H-10 LOADING UNLESS LOCATED SEPTIC SYSTEM COMPONENT. �� .� „ - ,} �•+l;i - ' 1► ' F 1;, UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR , , EVALUATOR: Michael Pimentel, EIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE ffy;.y�r. �` ' - f -'` * ' C.S.E. APPROVAL DATE: Oct. 1999 ti4 r ■ a "� • PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIIT DATA ' * .� ,.iN 1 1I i" •I '• 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF f. .j��+ �.� * , � r __-"�' DATE: February 10, 2016 SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. - � . ` +■ 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE ' +�� �' i� .,•, * ° �ti■ _.. TEST PIT#: 1 A FOR. F N ALL SIDES OF LEACHING FACILITY. 11 . MATERIAL IN AREA BENEATH AND O 5 T O L S S O C G _ _ y;; +;' -,rr ' ELEV TOP= 84.80' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, �1. 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS ONLY. t t f" � '` .- -s°='"•��.�f' ' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). ELEV WATER= <72.30 r �__ '_ 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN T� w � ,r4r ■ # ; **!` Ei , '`) �t/� +// PERC RATE _ < 2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ('So, fir! r •` ■ y`°y� w/ of Benchmark N r _'` �.�• r * '" s . 1 OF Q ' , r DEPTH OF PERC = 66'-84" 16. PROPOSED PROJECT IS LOCATED WITHIN: - 1 <q y Nail in Pavement M ,/ 4 � '` T - o �` f•• . `,�' g {„a\,.`¢,� i t ¢ TEXTURAL CLASS.- 1 Our) Elev. - 86.72 m '� -'"- ASSESSOR'S MAP 227 LOT 172 �p \ Assumed Z " - -" - y+�■ .� ) � ? OWNER OF RECORD: MICHAEL J. CRONIN & LAUREL CRONIN " .- TRANSFORMER PADS // FpGF a .�+ - 4� s�_, "■ Ptr, jI '� Y / v / O\F pq U ',I, �;�'-ti -4!`,•,¢ ��-t � ��'� �� r "� � *' �' � 0" 84.80' V ` ADDRESS. 79 WATERSIDE DRIVE CENTERVILLE, MA 02632 EX. LEACHING PIT(LOCATION / J� PROPOSED 4" PVC VENT; LOCATION t7l:-�Itk PER SEPTIC AS-BUILT ON FILE rb \ TO BE DETERMINED HY OWNER �. r_ .; '; i 1 y �•,�!QCb �, a _Ilt �' , �. . FEMA FLOOD ZONE X AT BARNSTABLE BOARD OF J / / f - ) �:. • - ' '', HEALTH) TO BE PUMPED, { Fill COMMUNITY PANEL# 25001 C0564J FILLED WITH CLEAN, COARSE / / _ R4 _ / } 4 .?� 17. DEED REFERENCE: L.C.C. 141231 / SAND, AND ABANDONED y �` �1> > LOCUS'� `°-� 18. PLAN REFERENCE: L.C. PLAN No. 32290-E / 16" OAI I. , �, _ Y o X86.5 \.�� , ;•. r =�� �1 # - . ,, 66 79.30' %�> "�',� i """ Perc Loam Sand 19. ALL DISTURBED AREAS SHALL BE RES70RED TO ORIGINAL CONDITION. \ 13" OAK / • wJ 4 � �.• r .■r■.. B 84" 10Yr 5/6 77.80' \ v'', 4 , . �=-;ti „ 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY / 3 16" OAK B6 �/ t ; i,.�- + rr: *` + � 86 77.63 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY 41 \ s. �. .-y � -�-- �" �- FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. I / PR. INSPECTION PORT \ �r • • •t} .r r,'.,. +s. ":- 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A n / / PROPOSED \ ^o• X85.8 Med.-Coarse Sand DEPTH OF THE BOTTOM OF THE SAS AIND EXTEND TO WITHIN 3" OF FINISH GRADE. A / H-20 D-BOX \ 1 C 2.5Y 6/6 REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. ' EX. D-BOX TO BE �' I \ /(2) 14" HOLLY (3) ��tk LOCUS PLAN 22. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE ABANDONED I , �\ / \ LP _ 5 , APPROVALS ARE REQUESTED FROM 3�10 CMR 15.221 (7): SCALE: 1" = 1000' 150" (1.) A 2.00'WAIVER (3.00' -5.00') FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. (4) 72.30' (2.) A 0.90'WAIVER (3.00' -3.90') FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. ' \ , / No Mottling, Standing or Weeping Observed X> o� DESIGN DATA - TEST PIT DATA LEGEND EX. TANK TO / I \ tih'', / - _ PERC NO. 14952 BE UTILIZED IN \ Cl \ \ \86 �P`� Tp INSPECTOR: David W. Stanton, R.S. x50.O' EXISTING SPOT GRADE THIS DESIGN \\ \ 84x8 / NUMBER OF BEDROOMS (DESIGN) 3 ^ / EVALUATOR: Michael Pimentel, EIT, CSE - - - 50 - - -- EXISTING CONTOUR \IN, 88\^ O / (2) g // // DESIGN FLOW 110 GAL/DAY/BEDROOM 50 PROPOSED CONTOUR C.S.E. APPROVAL DATE. Oct. 1999 N \ \ / / TOTAL DESIGN FLOW 330 GAL/DAY DATE: February 10, 2016 \ - - 660 50 PROPOSED SPOT GRADE DESIGN FLOW x 200 % - GAL/DAY TEST PIT#: 2 1 3 = I \ � TP 2 tk' \ D ?8' TP 2 / PROPOSED 2-500 GALLON USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 85.00' -- GAS EXISTING GAS LINE H-20 LEACHING CHAMBERS 92 \ W PLK ELEV WATER = <72.50 i\ � X85.3 // w`�' - E/T/C EXISTING UNDERGROUND UTILITIES WITH AGGREGATE �\\ c� \� / (1) / " PERC RATECb = W / � \N o / INSTALL 2 - 500 GALLON H- 20 CHAMBERS _ MAP 227 _ �\ I DEPTH OF PERC - EXISTING WATER LINE PARCEL 173 ( I ��� W/ AGGREGATE TEST PIT LOCATION VSy � X85.5 � I '�Q� � -� SIDEWALL CAPACITY TEXTURAL CLASS: 1 (Ty _QP \ _ 82 (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAL/DAY - �� 0', EXISTING 1,000 GALLON SEPTIC TANK w (25.0'+ 12.83') (2 ) (2' ) ( 0.74 GPD/S..F.) = 112.0 GAL/DAY 0" 85.00' PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE (HC-1) / O \\ BOTTOM CAPACITY ❑ PROPOSED H-20 DISTRIBUTION BOX co X85.7 \ (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAL/DAY M 04 ` (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAUDAY �O PROPOSED 500 GALLON H-20 LEACHING CHAMBER CO �' #79 � \ � \� Fill r- o � EXISTING '\ \ 18" OAK \�v TOTALS: 3-BEDROOM (HC-2)i' \ 2 REV. DATE BY APP'D. DESCRIPTION DWELLING TOTAL NUMBER OF CHAMBERS --- - -- ---- TOF- 93.7'± / \� TOTAL LEACHING AREA 472.2 SQ.FT. 66" 79.50' PROPOSED SEPTIC SYSTEM UPGRADE +�' TOTAL LEACHING CAPACITY 349.4 GAL./DAY MAP 227 B Loamy Sand PREPARED FOR: 10Yr 5/6 PARCEL 171 86" 77 83' CAPEWIDE ENTERPRISES / Med.-Coarse Sand LOCATED AT C 2.5Y 6/6 79 WATERSIDE DRIVE MAP 227 CENTERVILLE, MA 02632 PARCEL 172 � wry. WIN -TIE SCALE: 1 INCH = 10 FT, DATE: FEBRUARY 24, 2016 16,305 S.F. ± =ryN 150" 72.50' 0 5 10 20 40 FEET DESCRIPTION HC-1 HC-2 No Mottling, Standing or Weeping Observed ��H w , MI PREPARED BY: CORNER OF STONE (1) 32.3' 33.0' RESERVED FOR BOARD OF HEALTH USE f Cf UR H+i JC ENGINEERING, INC. CORNER OF STONE (2) 28.8' 36.T �� VIL . 41 2854 CRANBERRY HIGHWAY CORNER OF STONE (3) 53.8' 60.1' EAST WAREHAM, MA 02538 SITE PLAN CORNER OF STONE (4) 55.7' 57.9' � t ��,�� ` J � 508.273.0377 SCALE: 1" = 10' Z�L�Ilj1 Drawn By: BSM Designed By:MCP Checked By: JLC JOB No.3391