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0006 WHITE OAK TRAIL - Health
6 'VVhite Oak Trail A= 191 - 068 Ex SMEAM No.63LOR UPC 12643 smead.com • Made In USA 6 lq/- �sr. , CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1926 1875 Route 28•Centerville, MA 02632-3117 508-790-2375 x1 • FAX: 508-790-2385 John M. Farrington,Chief Martin O'l_.MacNeely,Fire Prevention Officer Philip H.Field,Jr.,Deputy Chief Michael G.Grossman,Fire Prevention Officer January 20, 2011 TO: Mr. Thomas McKeon Director, Health Department Town.of Barnstable .200 Main Street Hyannis, MA. 02601 In accordance with 527 CMR 1.06(6), the Centerville-Osterville-Marstons Mills Fire/Rescue Department brings to your attention the following potential health code violations for your review and/or interpretation of same. NAME/BUSINESS: Residence ADDRESS: 6 White Oak Trail, Centerville OBSERVANCE: During a recent emergency response, responding crews observed the dwelling full of storage and debris and possible unsanitary conditions. Michael Grossman Fire Prevention Officer C.O.M.M. Fire District CC: Donna Miorandi "Commitment to Our Community" ;r No. y ` V ICJ O Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ' ftplitatlon for Misposal 6pBtem ConstrUrtion Permit Applic tron for a Permit to Construct( ) Repair(41/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Localn Address or Lot No. C, Whl r-r, 0&/,L /ACr Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 19 1 - 0 G�3 R010 fle,y el> Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 5M...z d0-gS-3y Lc m45 r 5"31 Type of Building: Dwelling r No:ofBedrooms y Lot Size,✓��7 sq.ft. Garbage Grinder( ) Other Type of Building Aee> /?,V-1 t l t No.of Persons Showers( ) Cafeteria( ) Other Fixtures t' `Design Flow(min.required) i.J gpd Design flow provided !YS q, gpd Plan Date / Number of sheets 'Z Revision Date Title L Size of Septic Tank /`) /1 -/0 Type of S.A.S. ie' � �,�/ C�j�✓y/�� �,-/(J Description of Soil Nature of Repairs lorAlterations(Answer when applicable) ✓, �`� / y H- 1© 41_r6¢/G ii bvx C/ u Sou -h .� ✓� ��,S�G�d7.✓" nor Ali ate 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. Si 1 �— Date I- Application Approved by Date (� Application Disapproved by Date for the following reasons Permit No. o l o Date Issued —t t� No. �/'�1 q ' o ICJ o Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: . PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS YeS qq 01ppYitation for Misposal Epstein Construction erinit -. Application for a Permit to Construct Repair(/Upgrade Abandon LA Complete System y" Individual Components Locat*an Address or Lot No. o ff,'ft, T/Cr Owner's Name,Address,and Tel.No� Assessor's Map/Parcel (Gl " (�� ;. Installer's Name,Address,and Tel.No. �, Designer's Name,Address,and Tel.No ka may ' �o,N� T 3C 500-y,9U�1s3 z . Z`.r y i�r ri S wa+rlG 5 �c -�✓ 5 3 r 4 ,. Type of Building- "' ~ - 1owelling '10-..of Bedrooms Lot.Size c/'e sq.ft.: Garbage Grinder:( ) Other Type of Building /doe,/C4,V`/c No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) q yo gpd Design flow provided �>��r— gpd Plan Date Number of sheets '2 Revision Date Title Size of Septic Tank f<}-670 h -/U Type of S.A.S. ��,�L����y �. _�U Description of Soil Nature of Repairs or Alterations(Answer when applicable) (,// u <-�,, /��i�✓ Lf_ rn T /<o ate 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 r—Tdmpliance'has been issued by-this-Board of'Health: signed/_ Date - ;L- Application Approved by Date 2 —15 2 ' Application Disapproved by Date for the following reasons Permit No. 2-.a( 1 (} 0 Date Issued -----------------------------------------------------------=---------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance ..T`HIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(!�� Upgraded(_ ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.c�Ot''- 666 dated Installer 11' Designer K,,10 #bedrooms ` Approved desi n flow k1 gpd The issuance of this permit shall n t be con tru d as a guarantee that the system will,f mn tion• desi ,:ed y� y (( r -- Date c c3 '1 Inspector ---------------------------------------------------------------------------------------------------------------------------------- No. C7 C C� 66 Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal ,pstem Construction Permit Permission is hereby granted to Construct( ) Repgairr(( )/r _ Upgrade `�( ) pAbandon( ) System located at to V v� t/ l I cam-- _ and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permi Date a� / r / Approved by Town of Barnstable pf'THE Tp Regulatory Services Richard V. Scali, Interim Director * BARNWABLE, 9$ MASS. q Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: ©� ' ��1 - I�( Sewage Permit# 9QJ Assessor's Map\Parcel / ©G>� Designer: ���;,�ee�';n War-its, (n� . Installer: A , Q fc t)b1 1,)c Address: IZ W, Crt,ssc-,e w `t 4 Address: �r2s�'at[�`Q 1MI� 026�ty CP�tiZ°�U�l/�' /�Ic O;�ry�3� On - i f%( ,` was issued a permit to install a (date) (mstatler) septic stem at ll p Y ��.���--P �c;��( �f�e,� F� f 111 `f based on a design drawn.by (address) GOO 1 n c 1 eic . Wo,-Lu C , dated (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. Strip out (if required) was inspected and the soils were found satisfactory. I. certify that the septic system referenced above was installed with major changes (Le. greater than 10' lateral, relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructe nce with the terms of the I\A approval letters (if applicable) -IN OF PETER T. �WTEE � CIVIL taller's Signature) NO.I s 9 RFe�st¢ ° C (Designer's Signature) (Affix Designers tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Scptic\Dcsigncr Certification Form Rev 8-44-13.doc { i 1 TOWN OF BARNSTABLE LOCATION_�'., (AI n l p ocl I Cal: SEWAGE# -QC VILLAGE fro r U i�l`f'� ASSESSOR'S MAP&PARCEL %q/ OC,y INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /6-00 LEACHING FACILITY:(type) cl�'-C)O OnAl C hnn (size) %:2,8 NO.OF BEDROOMS OWNER PERMIT DATE: g- - ?j—I Cj COMPLIANCE DATE: Separation Distance Between the: A)0rJ 0 C,,f f1m e Maximum Adj�sted Groundwater Table to the Bottom of Leaching Facility © C 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 COT S, CQLi b11 �Cc�C - iw,s 2 I �FII E l Town of Barnstable P# Department of Inspectional Services 'UMASS.`�' " Public Health Division M^�• Date 039. OrEp Mp1 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 ~' ;Y Date Scheduled Time Fee Pd. ;i r � Mfr Soil Suitability Assessment for Sewage DisposaljW Performed By:pe"f"e Witnessed By: 7,,D' 11LOCATIONst&GENERALiFORMATION. j Location Address (� W J( f4 j Owner's Name �Oer� 7 PS C-C,4 �-c V`V t O a Address Assessor's Map/Parcel: 101 0 PCs Engineer's Name Cag vvice/1N� 0011CS i Engineer's Email: PC 'CrMC 44-e' @�Irx, ce NEW CONSTRUCTION REPAIR ✓ Telephone# Land Use C' Slopes(%) Z �j_,� qq //_- Surface Stones Distances from: Open Water Body 0 ft Possible Wet Area�ft Drinking Water Well /J Drainage Way �� ft Property Line 3C 1"ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of est holes&perc tests,locatewetlands in proximity to holes) 1b t Parent material(geologic) Depth to Bedrock Ajar-c Depth to Groundwater: Standing Water in Hole: /t/C14x- Weeping from Pit Face Estimated Seasonal High Groundwater 1 Z DETERMINATION FOR SEASONsAL 4HIGH3 W{ATER TABLE A,,_. Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level _ PERCOLATIONWTESTj !Date Tie Observation / s Hole# —I Time at 9" ` 7 Depth of Pere JG� L Time at 6": V 40 Start Pre-soak Time @ (3 Time(9"-6"):. End Pre-soak t� Rate Min./Inch Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- i ***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'Application Forms\PERCFORM 2018.doc i ' i I DEEP OBSERVATION HOLE LOG' Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) ;' DEEP OBSE_RVAT�ION:HOLE,>;L'OG`IS. Hole# �r Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) 0-7 A L_06� 1U7/4 `I'/z DEEP'OBSERVATION HOLE>LOG' Hole?'# Depth from Soil Horizon :Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) i i DEEP OBSERVATION IIOLE'LOG: Hole# r Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) Flood Insurance Rate Map: p Above 500 year floodboundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No A Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring.pervious material exist in all areas observed throughout the area proposed for the soil absorption system? X-) If not,what is the depth of naturally occurring pervious material? Certification , I certify that on 1 Q (date)I have passed the soil evaluator examination approved by the Department of Environmental Protectlon and that the above analysis was performed by me consistent with the required training, expertise and experienced cribed in 310 CMR 15.017. Signature Date Q:\Application Forms\PERCFORM 2018.doc e4 -e- I,,-- T04 �l�S /cv �/SG�i✓ roo""tc `� ` 114 le< Ile r f Q9 g l �y TRANS. NO.: CITY/TOWN: '3aM 3"t e APPLICANT: %>, ADDRESS: Co W W i 1-e Oc,t ?-e-.�.,)(, DESIGN FLOWN: - 44-O gpd REVIEWED BY: (fie N\��ri l-e DATE: N/A OK NO GENERdAI F; ' Legal boundaries denoted [310 CMR.15 220(4)(i)l t✓ Street, Lot; tax parcel number and lot number'noted on plan[310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204 t Plan proper scale? (:1"=40'.for plot plans, I."=20' or fewer for components) [310 CMR 15,220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [3I-0 CMR 15.405(1)(4) for upgrades]-if not, a narianee is re uired [31.0 CMR 15.412(4)] Location of impervious.surfaces (driveways,parking areas etc) ✓ 310 CMR 15.220.(4)(d)] Location all buildings existing and proposed 310 CMR 151220(4)(c)] Location and dimensions of system components and reserve ✓ areas. [310 CMR 15.220(4)(e)] System Calculations [310 CMR 15.220(4)(f)] daily flow septic tank capacity (required and provided)_/ soil absorption system (required and provided): whether system designed for garbage grinder </ North arrow [310 CMR 15.220(4)(g)] Ex isting and ro osed contours[310 CMR 15.2200)(9)] Location and log of:deep observation holes(existing grade el. on each test) 3.10 CMR.15.220(4)(h)] u Names of soil evaluator and.BOH representative [310 CMR 15.220 4 h and( ] Location and date of percolation tests (performed at proper elevation?) r310 CMR 15.220(4)(j)] Percolation test results match loading rate? 310 CMR 15.242 Certification statement b Soil Evaluator[310 CMR 15.220(4)0)]. Observed and Adjusted groundwater(method for adjustment given or indicated) [3.10 CMR 15.103(3) and 310 CMRa 15.220(4)(11)] Address Sheet 1 of 7 � Y N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in,the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed s stem location in the.-case within 150 feet of the proposed system location in the case of private water supply welds Location of all surface waters and.wetlands located up to 1.00 ft. beyond setbacks listed in 310 CMR 15.111 and any catch basins V/- located within 50 ft. [310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR f 15 220(4)(111)] (if water line cross see 310 CMR 15.2.11 0 1]) Profile of system showing invert elevations of all system components and the bottom of the SAS 310 C.MR15.220(4)(o:) Stain of designer [310 CMR 1.5.220(l and 310 CMR 15.22Q 2 ], s Stamp of'Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 1.5.102(2) or as approved for an upgrade under LUA at 3.10 CMR 1.5.405(1) k] Test hole adequate to demonstrate four feet of-suitable material? [310 CMR 15.10.3(4)] Test Holes adequate to confii�rn adequate groundwater separation? [3,10 CMR 15.103(3)] Benchmark within 50-75' of system 310 CMR 15.220 4 ( Materials specifications noted? [:various sections of 310 CMR 15.000] System.components not> 36"deep(unless.Loca1 Upgrade jApprovalor LUA requested) [31,0 CMR 15.405 1(b Address Sheet 2 of 7 i N/A OK NO. S>E,PTIC�T�ANK Size OK? [310 C.MR 15.223(1)] _ Inlet tee located ten inches below flow line [310 CMR 15.227 6)] Outlet tee 14" or'14" +5" per foot for increase ft depth[310 CMR 15.227(0)] ] Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] ,✓ Note regarding installation on stable compacted base [310 CMR 15.228(l)] Separation between inlet and outlet tees (no less than liquid. depth).[310 CMR 15.227(2) Inlet/Outlet elevations at least 1.2"above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA 310 CMR 15.405(1)(k)] Minimum cover 9" (Tanks buried more than 9"must have risers on all operungs and on the d-box) [310 CMR 15.2228(l)and 310 CMR 15.232(3)(f)] Three access covers (inlet and outlet must be.20" or.greater) - ✓, middle access at least 8" (by 7/07)` 310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1.000gpd, two for systems>1000 gpd [31.0 CMR 15.228(2)] All,at-grade covers secured to unauthorized.access? [310 CMR 15.228(2)] ✓ > :10 ft from building,foundation [310 CMR. 15.211 1)] ✓ Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20Where appropriate? 310"CMR 15.226(3)) r—� Setbacks from resources [310.CMR 15.211] M:ulhq�Compa�rtment Tanks, �:' Required when other than single-family dwelling or flow>1000 d. 3.10 CMR 15.223 1 (b)] First compartment 20.0 o daily flow; Second compartment 100 0 Al daily flow 310 CMR 15.224(2) and 3 ] "U" pipe through or over baffle, outlet of each compartment with gas baffle or a pproved filter [310 CMR 15.224(4)] Address Sheet 3.of 7 t N/A OK NO Located at BUILDING S,ER AND O�IIER�IPING �' .Y least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least l 8" below water line (when water and sewer cross, see 310 CMR 15.21.1 1 1 Cieanouts required/provided 2 310 CMR 15.222(8 Thrust blocks specified in force mains?310 CMR 15.221(6)(c)] Slope of sewer line not less than 0,01 (1/8"/ft) .0.02 preferable [310 CMR 15.M(6)] Proper pitch on all nuns? (.005 within gravity distributed.trenches and beds) [310 CMR 15.251(9) and 310 CM:R 1.5.252(2)(c Siphon problem/(leachfiel.d below pump chamber) t/ Endca s or vent manifold specified? Size and orientation of discharge holes specified? (not smaller than.3/8"not larger than 5/8") [310 CMR 15.251:(8) and 310 CMR 15.252(2)(h)] Materials specified (31.0 CMR 15.251(5)specifies various pipe / types allowed) i/ VISTRIB 7TION.>BgOX Stable compacted base.[310 CMR 15.221(2)and 310 CMR 15,232(2)(a)] Splash plate or baffle tee required.on intet/.provided? (when ressure sewer to d-box or. steep itch of avi sewer) [310 p p p bn' tY ) E CMR 1'5.323 3 (a' Riser if dee er than 9" 310 CMR 15:232(3)( Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sump 6" [310 CMR15:232(3)(e) Watertight cover if<2000gpd); waterproof manhole if>2000gpd [31.0 CMR 1.5.232(3)(d)] PUiVIP C1;IAIlZIiERS Capacity(emergency storage above working-design.flow.)? [310 CMR 231(2)], Piro er setbacks 310 CMR 15.211 (same as septic tanks)]. Watertight20-in minium access manhole at least20"MUST BE TO GRADE [310 CMR 15.231;(5 Service components accessible.(not too deep with piping, AI A-, disconnects accessible) f-t Alarm floats- alarm on circuit separate from pumps specified? Exceeds two units must,have two pumps operating in lead-lag mode. 31.0 CMR 15.231(6) and �`] Stable Dorn acted Base 310 CMR 1.5.221 2 ] Buoyancy calculations needed. . Provided.. [310 CMR 1:5.221 8: Address Sheet 4 of 7 i NIA OK NO SOIL AB�`ORP�']�IO1V�S�z�S�TEMS,(�Aa)`GENERAL, Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 1.5.240(l)] Required,separation togroundwater? [310 CMR 15.212) Aggregate s ecified as double washed [310 CMR 15.247(2)3 f System Venting required/provided? (system under driveway or >36" dee 310 CMR 15.241] Inspection ports specified,and within 3"final grade?.[310 CMR 15.240(13)] Breakout'requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15,211(1)[4] and Guidance Document] GALERIES;PITS,CIAMB)GRS, „310 CMR,15 2,53 Chambers and.Gala in trench configuration supplied with.inlet f every 20 ft. [310 CMR 1.5.253(6)] Each structure with one inspection manhole (if>2000 gpd.m is.t be to ade 310 CMR 15.253 2 Aggregate.P minimum- 4'maximum. [3 10 CMR 15.253(1)(b)] 2' Sid ewall credit maximum 310 CMR B,253 1 a)] In bed conf uati.on, inlet every 40 sq. ft. [310 CMR 15.253(6)] / TRENCIi1S 31�CM)I21S 25i< Width 2'minimum T maximum [310 CMR 15.251(1)(b)] 1.00 feet-maximum.length.[310 CMR 15.25](1){a)] Minimum separation 2x effective depth or width whichever .fA greater(3x if reserve between trenches 13.10 CMR 251(1) d] �" Situated along contours [310 CMR 15.251(Z) Breakout OK? [310,CNM 15.211(1)[4] and Guidance Document] BEll>SAS NlaximVy"m of bed1or field SOOU d) minimum 2 distribution lines [310 CMR 15.252(2)(a)] Maximum separation between lines 6' [3.10 CM RI5252(2)(d)] Maximum.separation between lines and outside of bed 4' [310 CMR 1.5.252 2 (e)]. Aggregate depth below discharge pipes 6" minimum, I Z" maximum. [310 CMR 15252(2)( )] Separation between beds 10' minimum. [310 CMR 15.252(2)(f)] _ Bottom area used in calculations only [310 CMR 15252(2)(i)] Address Sheet 5 of 7 N/A. OK NO n T>a>�)PLAN auwo>iE, s Pressure Dosed System ? Provided pump and piping calculations as required 310 CMR 15.220 4 r t/ Pressure dosing required on all systems>2000gpd or alternative systems:under remedial:approval [310 CMR 15.254(2).and I/A Remedial Use.Approvals] If used in gravelless system:make sure jet is directed.as not to scour soil interface Guidance Document Inspections once per year(systems<2000 gpd) or quarterly (>2000 pdgood to note on plan [310 CMR 15.254 2 d] Construction in fall -Did the plan specify that the fill shah meet the specification of 310 CMR 15.255 3 ? Impervious barrier and/or retaining wall? [Guidance Document] Impervious barrier installation must be supervised by designer[310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer 310 CMR 15.255(2)(a)] Side slo e not exceed 3:1. ? 310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] At least 5 ft. from;impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 2 (e Gra<velless System[I/A fpproval Letfersj Check DEP Approval letters for credits.and design.conditions If used with pressure dosing do not allow pressure discharge to scour soil interface Alterntrtcve Se tze S stem /A t1 rwal Letters < 3 , Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for A perpetual maintenance agreement? l� Any alarms involved on separate circuits Did the applicant submit an operation and maintenance manual? Has applicaut submitted.a copy of a maintenance Yaraances Are the van anees,listed on the plan? [310 CMR 15.220 (4)(q) RLS Starnp necessary on plait if a component is within five feet of property line 310 CMR 15.412(4)] New construction or increased flow proposed- [Refer to 310 CMR 15.414] Address Sheet 6 of 7 i 9 NIA O.K NO Is the system in a Designated Nitrogen Sensitive Area.(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 1.5.216 - also refer to Policy regarding upgrades of such G existing systems] +V� Is the system."proposed on the same lot as served by private well ? [310 CMR 1.5.214 2 '-./ Are the nitrogen loads proposed in compliance? [310 CMR 15.216.(1 1Vlisxellur:eous Y; Pumping to septic tank ? [ 310 CMR 15.229 Shared System [310 CMR 15.290.] Address Sheet 7 of 7 e Masth N ti Qa god Ln •a �y Q o a`°� war ` CP 323� c � o 3 D x 100,84 tie Z� �r LOCUS LOCUS MAP EXISTING CESSPOOLS Y LOT 1 1 TO BE PUMPED, FILLED WITH NOT TO SCALE SAND AND ABANDONED 24,267 ±SF ——100——EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE Val EXISTING WATER SERVICE ' --e.H.btu-OVERHEAD WIRES I TEST PIT ��J � x 99.34 BENCHMARK / 14C 100.67 x 101,00 / LEGEND x 10 2,3 2 Ire �`��. ' BENCHMARK � 00o BULKHEAD CORNER x A102,35 �:.A O ,� EL.=100.62 101.44 x OFO TIC-1 O > TP-21 -102.19 1 1 J GARAGE—N., 400, o x 102,43 �4 W PRO 100,91 O SEPTIC I,✓� o PATIO 101,59 �9 � �� TANK O_ r I 101,75 x M /1 11 ,, 101.21 101.54 EXISTING-'ti` SF bh 100,62 Z HOUSE(#6) 9� F� 101,22 —T.O.F.=101.6t �` x(100,11 +'99.24 c� 101,23 Q� 101.44 ,CA-0 J w + J01,19 I �� L05 So Q , x �I I 100,91;*- ' 100.88 100.59 1 I a :• 100.53 I / I + 100,70 � + �00,23 I , �{ m x 100,15 T+_LO0,02 x 100,15 O 99.72 1 —— I + 99.87 U d x 97,01 T 1 � x 98163 gU99.39 / 97.15 r CBSEAL S 15*11'30" E ~ x 99.39 . 98.79 98 35 edge of pavement 97.68 97,44 OLD STAGE ROAD rPETER PARCEL ID: 191 -068 o . PROPOSED SEPTIC SYSTEM UPGRADE PLAN CIVIL 6 WHITE OAK TRAIL, CENTERVILLE, MA CIVIL "' No. 35109 OWNER OF RECORD . RfG/S1 Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632 HATES FAMILY INVESTMENT TRUST E' \ Engineering by: SCALE DRAWN JOB. NO. HAYES, ROBERT S & EDITH TR Engineering Works, Inc. 1"=20' P.T.M. 109-19 P.O. BOX 767 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET MARSTONS MILLS MA 02648 I�Qq�� N0. J (508) 477-5313 1/26/19 P.T.M. 1 Of 2 r 1 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=97.50 SEPTIC TANK FOR A DISTANCE OF 15' FROM THE EDGE PROPOSED D-BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F.=101.6t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT F.G. EL.=100.9t F.G. EL.=100.5t F.G. EL.=100.5t F.G. EL.=100.5t MAINTAIN 2% SLOPE OVER S.A.S. ;OPOSED L2 = 14' L = 20' L = 22' S=1% (MIN.) Ca? S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SjM CH40 PVC 2" LAYER OF 1/8" TO 1/2"6" DOUBLE WASHED STONE 1a"I n aaaSaaa (OR APPROVED FILTER FABRIC) 14 2' EFF. aaaaaINV.=98.25 48' uQUID DEPTH aaaaaaa -3/4" TO 1-1/2" DOUBLE LEVEL WASHED STONE ADD INV.=97.77 4' 4.8' GAS BAFFLE D-BOX INV.=97.60 INV.=98.00 EFFECTIVE WIDTH = �12.8:� 3 OUTLETS INV.=97.00 PROPOSED SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN CONNECT TO EXISTING SUITABLE SEWER H-10 RATED PIPE AT HOUSE, SEWER-1 INV.=98.9t SEWER-2 INV.=98.7t TOP CONC. ELEV.=97. BREAKOUT ELEV.=97.5050 INV. ELEV.=97.00 ease NOTES: aaaaaaaaaaa aaaaaaaaaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & BOTTOM ELEV.=95.00 INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. 4' 3 x 8.5' = 25.5' 4' 2 D-SEPTIC TANK & BOX SHALL BE SET LEVEL AND TRUE 4' OF NATURALLY OCCURRING PERVIOUS MATERIAL EFFECTIVE LENGTH = 33.5' TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED 5' (MIN.) ABOVE G.W. STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=88.5 = LEACHING SYSTEM SECTION 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE GENERAL NOTES: SOIL LOG DATE: JANUARY 14, 2019 (REF 15,880,) 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL EVALUATOR: PETER McENTEE PEE#1542) BOARD OF HEALTH AND THE DESIGN ENGINEER. WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS ELEy. TP-1 DEPTH ELEy. TP-Z DEPTH OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: 100.5 A 0 100.6 A 011 -310 CMR 15.405(1)(b): LOAMY SAND LOAMY SAND 1) A 7' variance, S.A.S. to cellar wall, for a 13' setback. 99.8 10YR 4/2 100.0 10YR 4/2 B 8, B 7,. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR - -TO INSPECTION AND APPROVAL BY-THE -BOARD OF HEALTH-AND THE _ LOAMY SAND LOAMY SAND DESIGN ENGINEER. 10YR 5/4 10YR 5/4 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 98.0 30" 97.9 32" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN C C ENGINEER BEFORE CONSTRUCTION CONTINUES. PERC 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 30"/48" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF F-M SAND F-M SAND THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 2.5Y 6/4 2.5Y 6/4 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 88.5 132" 88.6 132" DIRECTED BY THE APPROVING AUTHORITIES. PERC RATE <2 MIN/IN. "C" HORIZON 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NO GROUNDWATER ENCOUNTERED THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ,EXISTING NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. HOUSE#6)) 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN T.O.F.=101.6f GARAGE DESIGN CRITERIA NUMBER OF BEDROOMS: 4 BEDROOMS `32.9• SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN �9,, -�---�6'. - T O DAILY FLOW: 440 GPD T h DESIGN FLOW: 440 GPD i PROP. S.A.S. i 0 GARBAGE GRINDER: NO-not allowed with design -_________ 1 LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF .74 GPD/SF SEPTIC LAYOUT PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED USE 3-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 6 WHITE OAK TRAIL, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 33.5') X 2 = 185.2 S.F. Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 33.5' = 428.8 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 614.0 S.F. Engineering Works, Inc. N.T.S. P.T.M. 109-19 DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 1/26/19 P.T.M. 2 Of 2