Loading...
HomeMy WebLinkAbout0321 WHITE OAK TRAIL - Health 321 WHITE OAK TRAIL, CENTERVILLE A= sum. mectc�� = fill U 12'14 LP2OC , HASTINAS.YN 1 C" No. ��� Fee /� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftpl tatlon for Disposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3A 1 (,�µtT��,q� qt(,L°`�g Owner's Name,Address,and Tel.No. ' CC-EVE Wtusokl Assessor's Map/Parcel 3:;14 t,Wt _ 0A1r---(-tA(L LeeLhQW(L&J5' -Installer's Name,Address,and Tel.No. SD'g-iP 7-$$7 7 Designer's Name,Address,and Tel.No. 502_a73_03-7-7 &VC-Lo(bs �t�St� C4--i 3G E7u �� G. � 4&catkJ -, t�4 ern Type of Building: / Dwelling No.of Bedrooms Lot Size (p,oZg I 4— sq.ft. Garbage Grinder( ) Other Type of Building PE�,Cp1 DLM P-fr No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) V gpd Design flow provided 5 5 .DL_ gpd Plan Date C) 021 -.10► 1, Number of sheets I Revision Date Title -3,)LI WbfI376 otw_ nAjL GC1J7E;_Vt (� Size of Septic Tank l 100CJ Type of S.A.S. 10 (0-ba uS 6c ARC_;Y.'W Description of Soil COALS r tq_��( . S6 P(-4&) Nature of Repairs or Alterations(Answer when applicable) VS Ej)oS'tt taCo�` lb- SoK To ao Ak�, 3 f2 N-av At PAIFFI 3O!g� lAJ F16 D tD F(G 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. Swwd Date C1 -;Z4--,201;a Application Approved by Date 7-(o p 1 Z Application Disapproved by Date for the following reasons Permit No.,00(-?,_-- Date Issued q(��1� /� r XI ~� TOWN OF BARNSTABLE LOCATION f Whj 4e, -ce k T,-ni SEWAGE# 2-O P Z' Ic i s VILLAGEC-e vi 4tr ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. A}erPr[SeS LI-Q, 50-07-M77 SEPTIC TANK CAPACITY Jam® LEACHING FACILITY.(type) Ar, 3raHr-) (size) NO.OF BEDROOMS .� OWNER_C le V C,, W; 130V1 PERMIT DATE: I—24- Zot Y— COMPLIANCE DATE: Separation Distance Between the: .vc G^DvAdwo.+e✓' Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility G�s�.^vcc(�f Id6`. 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 a 300 feet of leaching facility) /�s/� Feet FURNISHED cm13a6' Ae :O6.5 q —3-a6. 4° A— = Yf. _ 3=36, 7 Q a e Qv 6 30 I 7j'I 8 '' y r Fee4�0 No. , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,'MASSACHUSETTS Yes application for Misposal *pstrm Construction 3permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon-( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3A 1 W41T5( C`0�r Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �C.� C t-eU Imo. W It_-SO rJ _ � o13;L 3:14 w1+1 - oar-tQA1t­ dfVT -kJ(Lc,.L, F Installer's Name,Address,and Tel.No. 5U94-77—S8? Designer's Name,Address,and Tel.No. 502_a73-037-7 S3 �tFAE� t ASS ,cerE+��1�4+rn Type of Building: Dwelling No.of Bedrooms a Lot Size L 4 ag' sq.ft. Garbage Grinder( ) Other Type of Building _er t'p©LM P,- ,,,,, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) oZ;110 gpd Design flow provided 3!;5 ,_., gpd i Plan Date Cj -021 --d1p!,1 Number of sheets Revision Date Title 3a l W IT' 04y- TT¢/k- CE9J7G_?V t LLg Size of Septic Tank ( ,U dU Type of S.A.S. O coal iCFVs C AkC36 W Description of Soil ('21CA F cp .36 ii SEE P(-411) ' ..r Nature of Repairs or Alterations(Answer when applicable) U$I✓ EK,1 S��(L tam _M IJ 6k,) b` By_To ao Aoa,3g?kW 14-20 AI bkFF.SB' !A-) 4- F16zip c ic_ 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. ii Sljzmd Date 9 - ;24-20I a Application Approved by Date Application Disapproved by Date for the following reasons' Permit No.G_0.(Z_ Z9 R Date Issued ------------------,------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( X) Upgraded( ) Abandoned( )by' C6Qlf3EU-N a E &7P'Z.PdQ 6e_'5 at 3 a 1 0)14r7 r 6/4K -7g1 t.. Gt bt�t�2V I U g has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No:h�_ dated Zi4 ZeO 1 Z. Installer GMac,{C�� (4, Designer c.. #bedrooms Approved design gpd The issuance of this p r/m�i't all not �e co strued as a guarantee that the system ill funch n i ed. Date �(J Inspector - - - - -- -- -- - Fee No. tZ..- -- -®©� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem eoustruction Permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at _;;Li LJ 4(Tt.; 04tz- `i'ek t_ ` CE�J T-Zr 1�11l c,.G. 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:Co structi n must be completed within three years of they date of this permit. Date q 7,0 / Z Approved b1 ,' L!f 'r :�. Town of Barnstable Regulatory Services Thomas F. Geiler,Director MAM Public Health Division I Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 509-862-4644 Fax: 508-790-6304 Date: /0 - 8- (Z- Sewage Permit# ZOtZ" Zl� Assessor's Map/Parcel 19 2 f L 3 z Installer& Designer Certification Farm Designer: 5 C En JW)ee.ctn! , -rvi C. Installer: C0Vcw',& 611Eer ffcse.s Address: 2r54 ecmnoeccY Ikghwoy Address: _63 Co— c;�qL Sr �4eW wQreWnow► KA o2�3�' VUI�� ►�►�.✓� 5oti-173-as 77 On �" —2�W C• ��Z� pi'rS was issued a permit to install a (date) —(installer) septic system at 321 W�r1i �2 D a'k 'C foi based on a design drawn by (address) ThC_ dated SePIe'"ber 21, 2-012- (designer) v 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. 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. t>,OF - JOHN L... CHURCHILL ns ler's Signatur I\AL esigner s Signature (Affix De gn Here) P ASE RETURN TO ARKS ABLE PUBLIC HEAL DMSION. CERT CATE 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:1offlce rormsWesigncreertirication forrn.doc • or Town'of Barnstable P# 3 Departinent of Regulatory Services J Public Health Division Date /� / , SOS 200 Main Street,Hyannis MA 02601 Date Scheduled'—______ -Tune ° Fee Pd, k ,,Soil Suitability Assessment for S e Disposal Performed By: ote-kiae'1 eimenlc-[ i rIT GSc Witnessed By: I -LOCATION& GENERAL INFORMATION Location Address c Owner's Name C L.CtlC C.Sot�P'x,t+i-e1E o r+r tt T a,4•t e. Ce�'T, , ` Address •3 7U Lv44[TE oil lt'r1Z.. Assessor's Map/Parcel I qa ! 3 Engineer's Name -�tPF.(s� NEW CONSTRUCTION REPAIR _ 5G (012c?�(�q Telephone# S'OS-4 71 _ `2 Land Use: 56�91e Fcm (� lt�',I�i y�� Slopes 96) _ 5a£�'273-d 37 7 P ( l ' Z Surface Stoaes Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way _ ft Property Une 7�© ft Other — ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Saz­ -Uc,6a P L� Parent material(geologic) Depth to Bedrock 4 ' Depth to Groundwater. Standing Water in Hole: 7 12-0�55 Weeping from Pit Face Estimated Seasonal High Groundwater 7 (Z 64� -5 DETERAuNA,TION FOR SEASONAL HIGH WATER TABLE Method Used: EX000 db SecgcV( vt Depth Observed standing in obs.hole: 7 (2(p la, Depth to soil mottled• Depth to weeping from side of obs.hole: in, Groundwater Adjustment . ft. Index Well# Reading Date: _ Index Well level �. Adj,f'actor � Adj.Groundwater Level ,,,o PERCOLATION TEST bate 9-20-12_ Time 11;b 3a Observation Hole# - Time at 9" Depth of Pent 3(O- 5 V' The at 6" 1 Start Pre-soak Time @ W 6 3 el„+ - Time(9"-6") - End Pre-soak I(.%U 8 CwA Rate Min:/Inch 1-2- Site Suitability Assessment: Site Passed Ye Site Failed: Additional Testing Needed(Y/N) N 0 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:ISEPTICVERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# i Z Depth from Soil Horizon Soil Texture .Sdil Color Soil Otlrer Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. ten v.96'Gravell 6-20 16 ZS IoY� 54 2 � C_i 2.5 'Y 112. 3 6 C-2 G S. 2. 3 1 30% Ya✓e.l tc�ty DEEP OBSERVATION HOLE LOG Hole# Depth from Soll Horizon Soil Texture Soil Color Soil - Other Surface(in.) ([USDA) (Munsell) Mottling (Structure,Stones,Boulders. gmaLrLLeiiQy,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consist oncy,%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon 'Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistancy. Flood Insurance Rate Mau: _. Above 500 year flood boundary No_ Yes Within 500 year boundary Nom Yes ' Within 100 year flood boundary No.✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? Yt;S If not,what is the depth of naturally occurring pervious material'? Certification I certify that on /b-2-7-?9 (date)I have passed the soil evaluator�examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and exp 'ence described in 10 CMR 15.017. Signature . Datt; 9"21- Z Q:\S.EPMCkPERCFORM.DOC r RECEIVED S E P 2 2 2000 COMMONWEALTH OF MASACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFF IggWN OF BH DNS TABLE DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET BOSTON MA 02108(617)292-3500 TRUDY COXE Secretary DAVID B.STRUHS ARGEO PAUL CELLUCCI Commissioner Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Address of Owner: CIO NOONAN REALTORS 618 RT 28 YARMOUTHPORT R Date of Inspection: 9118100 Name of Inspector: JOHN GRACI 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: SEPTIC INSPECTIONS Mailing Address: P.O.BOX.2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 •t cEgTIFIGATION STATEMENT 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 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: X Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails Date:9118100 Inspector's Signature: The System Inspector shall su mit;a copy of:this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. NOTES AND COMMENTS "The inspection is based on criteria defined in Title V code 310 CMR 15.303.My findings are of how the system is performing at the time of inspection.N inspection does not imply any warranty or guarantee of the longevity of the septic system and any of its components useful life." THE SYSTEM PASSES TITLE V INSPECTION.RECOMMEND PUMPING THE SYSTEM NOW AND EVERY ONE TO TWO YEARS FOR PROPER MAINTENANCE. S E P 2 2 2000 TUw N Ogam NST SAL Fi DEFT, ; revised 912/98 Pace 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9/18/00 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: X I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. 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 o the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If"not determined",explain why not. nLa The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. nLa. Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s)o 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 nLa The system.required pumping more than four 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 i n� revised 9/2/98 Paoe 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9/18/00 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 IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM I; NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of 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 AND SAFETY AND THE 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 aseptic.tank and soil absorption system and the SAS is within a Zone I of a public water supply well. . _ The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, The system has a septic tank and soil absorption system and the SAS 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,Method used to determine distance n/a (approximation not valid). 3) OTHER n/a �F revised 9/2/98 Pane 3 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9/18/00 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: I have determined that one or more of the following failure conditions exist as described 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. Yes No X Backup of sewage into facility,or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped nta. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X 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. If 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. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: 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: Yes No X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412). Please consult the local regional office of the Department for further information. revised 9/2/98 Pape 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 321 WHIM OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner: ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9/18/00 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X _ Pumping information was provided by the owner,occupant,or Board of Health. X _ None 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. X As built plans have been obtained and examined. Note if they are not available with N/A. X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout. X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were;uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X Existing information, For example,Plan at B4O,H, X _ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)1 5.302(3)(b)) X _ The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. 1. _S. revised 9/2/98 Paoe 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9118/00 FLOW CONDITIONS RESIDENTIAL: Design flow: 110 g.p.d./bedroom Number of bedrooms(design): 2 Number of bedrooms(actual): n/a Total DESIGN flow: 220 gpd Number of current residents:0 Garbage grinder(yes or no):NO Laundry(separate system)(yes or no): NO If yes,separate inspection required Laundry system inspected(yes or no): NO Seasonal use(yes or no): NO Water meter readings,if available(last two year's usage): n/a gpd Sump Pump(yes or no): NO Last date of occupancy: 9/2/00 COMMERCIAL/INDUSTRIAL .l Type of establishment: n/a Design flow: n/a gpd(Based on 15.203) Basis of design flow: nla Grease trap present:(yes or no): NO Industrial Waste Holding Tank present:(yes or no): NO Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings. if available: n/a Last date of occupancy: n/a OTHER: (Describe) n/a GENERAL INFORMATION PUMPING RECORDS and source of information: n/a System pumped as part of inspection: (yes or no):NO If yes,volume pumped n/a gallons Reason for pumping:nla TYPE OF SYSTEM X Septic tank/distribution box/soil absorption system _ Single cesspool _ Overflow cesspool _ Privy _ Shared system(yes or no)(if yes. attach previous inspection records,if any) _ I/A Technology etc.Attach copy of up to date operation and maintenance contract _ Tight Tank Copy of DEP Approval Other: n/a APPROXIMATE AGE of all components,date installed(if known)and source of information: 1981 Sewage odors detected when arriving at the site:(yes of no): NO SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM revised 9/2/98 Paoe 6 of 11 PART C SYSTEM INFORMATION(continued) Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF..MARY ROGER REALTY TRUST Date of Inspection: 9/18/00 BUILDING SEWER:X (Locate on site plan) Depth below grade: 16" Material of construction: _ cast iron _ 40 Pvc X other(explain) Distance from private water supply well or suction line: n/a Diameter: n/a Comments: (condition of joints,venting,evidence of leakage,etc.) THERE IS TOWN WATER SEPTIC TANK: X (locate on site plan) Depth below grade: 8" Material of construction: X concrete_ metal_ Fiberglass_ Polyethylene_ other explain: n/a If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NO Age: n/a Dimensions: 1000G L 8'6"H 5'7"W 4'10"" Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle: 31" Scum thickness: 2" N Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 16" How dimensions were determined: MEASURED 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.) , THE SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND.RECOMMEND PUMPING THE SYSTEM NOW EVERYONE TO TWO YEARS. GREASE TRAP: _ (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_ Fiberglass _ Polyethylene_other Explain: n/a Dimensions:n/a Scum thickness: n/a. Distance from top of scum to top of outlet tee or baffle: nla Distance from bottom of scum to bottom of outlet tee or baffle n/a Date of last pumping: n/a 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.) n/a revised 9/2/98 Paoe 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 321 WHITE OAK'TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9/18/00 TIGHT OR HOLDING TANK: _ (Tank must be pumped prior to,or at time of, inspection) (locate on site plan) Depth below grade: n/a Material of construction: _concrete_ metal_Fiberglass _Polyethylene _other Explain: n/a Dimensions: n/a Capacity: n/a gallons Design flow: n/a gallons/day Alarm present: NO Alarm level:N/A Alarm in working order: NO Date of previous pumping: n/a Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n/a DISTRIBUTION BOX:X (locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) THE DISTRIBUTION BOX IS STRUCTURALLY SOUND. PUMP CHAMBER: _ (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): NO Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n/a revised 9/2/98 Paoe 8 of 11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9/18/00 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: n/a Type: leaching pits,number:(1)1000 GAL 6'X 6' leaching chambers,number: (n/a)n/a leaching galleries,number: (n/a)n/a leaching trenches,number,length: (n/a)n/a leaching fields,number,dimensions: (n/a)n/a overflow cesspool,number: (n/a)n/a Alternative system: n/a Name of Technology: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE LEACH PIT IS STRUCTURALLY SOUND AND APPEARS TO BE FUNCTIONING PROPERLY.THE PIT HAD I'OF LEACHING LEFT AT THE TIME OF THE INSPECTION. q CESSPOOLS: _ (locate on site plan) Number and configuration: n/a Depth-top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer. nla Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: n/a inflow(cesspool must be pumped as part of inspection)NO Comments: (note condition of soil,signs of hydraulic failure jevel of ponding,condition of vegetation,etc.) n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) n/a F, flit C i revised 9/2/98 Paoe 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9118/00 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) TA AA B tl ACIe 36 �&- 136 f revised 9/2/98 Paoe 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 M192 P232 Name of Owner ESTATE OF MARY ROGER REALTY TRUST Date of Inspection: 9/18100 NRCS Report name: n/a Soil Type: n/a Typical depth to groundwater: n/a USGS Date website visited: n/a Observation Wells checked: NO Groundwater depth: Shallow_ Moderate_ Deep_ SITE EXAM _ Slope _ Surface water _ Check Cellar Shallow wells Estimated Depth to Groundwater 12 Feet+ Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property,observation hole,basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records. Checked local excavators, installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHARTS-12+FEET r. revised 9/2/98 Paoe 11 of 11 1, TOWN OF BARNSTABLE LOCATIONl `�✓�LI�J �C.II.� SEWAGE # VILLAGE ASSESSOR'S MAP & INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) No.OF BEDROOMS C BUILDER OR OWNER (�( PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 5cQee4 Peclt L> gQ AA�f Af_ I�L N 13 5L �3e �� Flcs..S ... � 4y THE COMMONWEALTH.OF M,ASSACHUSETTS BOAR® OF HEA T 1... .. ................._0F......... ..a.r) ..t a- .................. Appliration for Diovoii al orko Tonotrurtion rrutit Application is hereby made for a Permit to Construct (tZ) or Repair ( ) an Individual Sewage Disposal .S..y. / ...... . L Address ...... r- , Owner Add ` � .......... In taller Add ss U Type of Building Size Lot A-f.� ....Sq. fee Dwelling—No. of Bedrooms.._..... ............................Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) A4 Other fixtures w Design Flow........... .. ..................gallons per person�er day. Total daill flow............. ___�' ...D_..._...._._gallons. WSeptic Tank—Liquid capacity/90fggallons Length.�_r�._. Width..6......... Diameter................ epth... x Disposal Trench—No..._..... Width....... Total Length...... _..y......Total leaching area....................sq. ft. ._ Seepage Pit N43........�.......... Diameter...... ............ Depth below inlet.... Total leaching area.-Q�. ..�.sq. ft. Z Other Distribution box (�) Dosin tank (/ o ��' e a Percolation Test Results, Performed by-N,e2 .= ._....... ..._..�� ..�..................... Date_.r� .... ..__.-. Test Pit No. 1.....�. Z....minutes per inch Depth of Test Pit------............ Depth to ground water... ._PJ... .. fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' ... --- .................................. O Description of Soil................ -•---..._..__... . -_V_- ' x w V Nature of Repairs or Alterations—Answer when applicable.......................................:....................................................... . -----------•----------------------------••••------- Agreement: The undersigned agrees to install the afoi-edescribed Individual Sewage Disposal System in accordance with the provisions of iITI LZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issuekbyt ar o lth.Si ne "f ,�°ate Application Approved BY ... -----• ... -'.. Date Application Disapproved for the following reasons:------•------------------------------------------------------•-----------------------------------------------•-- --------------•------•--...........•--------•--....------•-------•-------....----•---------•--------•-•------------------------------------------------------------------------•-......-----•------..... Date PermitNo......................................................... Issued------..........------ ............................. Date L0 - AT ION � / � SEWAGE PERMIT N0. 3 Q C VI �. L E d INSTA L� ER'S NAME i ADDRESS WCA-1.4 BUILDER OR 0 WNJUER DATE - PERMIT I S S U E D DAT E COMPLIANCE ISSUED �•/��� r S t t R �N 914 472/ 4 S NO....................._ -' FEB..........................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD ' F ........------.....OF........ ...a. ) .. -.. '.......6-.-. .................... ApVliratiou for Disposal Works Tonstrnrtinn Frrutit Application is hereby made for a Permit to Construct (v) or Repair ( ) an Individual Sewage Disposal S st�} 4'1'411 / , Ce y .�.l l.�.G....... ^a� s'd 77 ?�-PVv GC e L n-Address / --•-------..................... :; --------------------------. caner a Address /'! • ��S w I staller - Address // d Type of Building Size Lot!�t_ -----Sq. fe Dwelling—No. of Bedrooms........c .............................Expansion Attic �� Garbage Grinder X)o `4 Other—T e of Building ............................ No. of persons............................ Showers — Cafeteria Other fi ur ..... /�j r,hw Design Flow................_.... ../........_..gallons per personp,�er day. Total daily flow____.__......<,/ ............_....gallons. WSeptic Tank—Liquid capacity/ P:Pgallons Length ._ .... Width.-6......... Diameter________________ Depth...��_:�.:_.. x Disposal Trench—No..................... Width. __.�_ _........ Total Length....... _::r..... Total leaching area....................sq. ft. Seepage Pit No..._....I......... Diameter...... Depth elow inlet...._�>_............ Total leaching area.-G7 4.�_.sq. fi. Z Other Distribution box (�) Dosing tank (N O '-' Percolation Test Results Performed by. �?..l�_. .5'V _�� �' Date..! d 7 a .. 6 •� •----------•--- __. ....... Test Pit No. I.....�-----minutes per inch Depth of Test Pit.................... Depth to ground water.--._..P_............_.. fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ......• ----------- - O Description of Soil ................... - "rt� ------. . . - - G V. ... ._.._... .............. x . ---• ... --------�•••-•-••••-•-•-•-•--••••-••••••.........................••--•--•-•••-- w UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------•---------------------------•-----------------•--------------------------------•--------------------•-•---------------------•-----------------------........................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLfJ 5 of the State Sanitary Yde— The undersig-ag.d further agrees not to place the system in j operation until a Certificate of Compliance has bee issued by e boar alth. / --� ' i7� - ce'i ' ApplicationApproved By........................ •••.......... . ..............•.---.----.----- ------ --------••------------- ---- Date Application Disapproved for the following reasons-------------------------------------------------------------------------------•---------'••••••--........------ ..........................•--------------------------------.......-------•------------.......--------------•...•-••-•............•------•--••......-----.............................................. Date PermitNo......................................................... Issued.............•..-•------............................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O EA T ..........................................OF............................ Tntifiratr of T-am rlianrr .,�-- THI.�I� TO C F , That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ---------------------------------------------- at--•-•-•••--••-•-•••••---•-•••--•••-••••-••-•---•----•-••-••--•-•_-•---...•-••-•---•--•••--••••---•-•-...--••----....-•--••••-••-•-•-••-•--•-••--•--•-••-•............................••......---•-•--- has been installed in accordance with the provisions of y F> The State Sanitary Code'as described in the application for Disposal Works Construction 'Permit No----------------------------------------- dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. ............................ .:L 7 Zl� Inspector_...._... '4---�.-•---------------------•-•--- j THE COMMONWEALTH OF MASSACHUSETTS 1 - ..` t BOAR cFV CGS s+� -...........OF. .............. 3 No .................... FEE........................ Disvos#yor nstrnrtion Virrmit Permissiah-Is hereby granted--_------------------------ -----------•-----------------------------•-•-----•-------•--------------.-----------•-•--•--•----------.----- to Constru r� gpair ( air TnAlvide S&e. ge L? W yste;e atNo......... ........••••--•••-•••---••••--••-••--•-••--•••-•-•••-•--••---••....••.••••-••----------•---•-•••••••-•-••••••---••••••-••---•-••••-•••-•-•••••-•-•-••-•----•••------.. Street as shown on the ap lication for Disposal Works Construction Pe I it-No___ ___________ D e0!._. ....__._.____.._..._......._..._._.. �r•-• vw%C................................................... l DATE_ d................................................. Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i ,3 l3G d y o ,lam,o a rd eye a Z'`t�/i '17 'V 0 7-7 C077-14-YM t:HIP -5- a� � 1 /log R�� ��,, Ff N A k ors '--l1QV79 n .J Qa '4 0 _ o � p � OF A14 i �oo FRANK f% U CONERY rIONAL% �� i OF l �V FRANK �'+ G 1p0 � CONERY N � Q4 ~ ,A Na 6232 3 G�A J ✓p JPl `I C�9Trr �__.W_ ,_. E`- �,..f —•- .. �_ e-7� _.-.-.M �ir�./� �G c�gA q `IUD SUS J y , - -� 9S E'i7 0 -88 PLAN of LAND 9 �._`. 1 CEA/T 4eR V /4.,.E MASS. - - - - - --- -- OWNED BY IAI ��•- 14 i �, va e l ss FRANK CONERY 5 TRENTON 5T. 77 / ne HYANNIS, MASS, 0=1 W-G1CTMiED 00-IMMSI @ LJIND SURViYOR SCALE t IN -20 FT. Xlo7 T/f'/ T.O.F. EL.= 67.28'± 4"SCHEDULE 40 PVC MIN. SLOPE 1 INISH GRADE OVER D-BOX= 65.6 '�' FINISHED GRADE OVER BIODIFFUSERS= 64,9' - 65.8' GENERAL NOTE S f PROVIDE EXTENSION RISER SLOPE @ 2% MIN. INSPECTION PORT WITH WITH COVER OVER INLET& REMOVABLE WATER-TIGHT COVER OVER 1.ACCESS BOX TO WITHIN 3"OF UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OUTLET TO WITHIN 6"OF F.G. RISER TO WITHIN 6"OF FINISHED GRADE F.G. (ONE PER OUTER ROW) METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 66.4 ± F.G. OVER TANK EL. = 66,1 ± 5"DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. - } 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. PROPOSED 4" 9"MIN. 9"MIN. EXISTING 4" 36"MAX. 36"MAX. TOP OF SAS/B.O. = 62,93' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE PVC SEWER PIPE SYSTEM UNLESS OTHERWISE NOTED. -, 3" DROP MAX " PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6 3 2" DROP MIN 3 9 _ L = 23± JOINTS (TYP.) ELEVATION =62.93' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A MIN.SLOPE @ 1% 10" 4" PVC IN FROM 1.33' 16 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 14" *64.23��' SEPTIC TANK 4" PVC OUT TO (TYP.) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. LEACHING FACILITY 0.90' n10.7 (TYP) o CONTRACTOR TO PROVIDE i6- 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. MMIE TIT 1E �T SPECIFIED DROP BETWEEN I ni INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL 12" 6" 62.5' �- 61 .6' laid flat 2.875'(34.5")_- 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET TEE 62.77 MIN. 62.6 ( ) (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES 5'0' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS I GAS BAFFLE 6"CRUSHED STONE (TYP.) 5'MIN. 11.5' EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY REQ'D NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 25.0' AND DESIGN ENGINEER. 1 5 OUTLET DISTRIBUTION BOX (TYP.) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF BOASBE E IFIRST TWONSTALLED OFEET OF OUT LET GROUND WATER ELEV.= < 55.0' BIODIFFUSERS (END VIEW) 66.00' ESTABLISHED ON A NAIL SET IN AN OAK TREE AS SHOWN ON PLAN. PRIOR TO CONSTRUCTION EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK PIPEs-ro BE LAID LEVEL. BIODIFFUSERS PROFILE ) 9 THROCONTUGH DIG SAFE AT ECTOR SHALLI SFY T 72 HOURS PRIOR OALL UTILITYN COMMENCING WORK ON SITE AT CROSS SECTION VIEW (BY INFILTRATOR SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN ENGINEER. "CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL ARC 36HC (#3616 B D) BIODIFFUSERS (H-20) 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT, NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA `� •� s REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM f « a PERC NO. 13748 APPROPRIATE AUTHORITY. • ( INSPECTOR: Donald Desmarais 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS EVALUATOR: Michael Pimentel, EIT, CSE LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE f ZONE 11 L���on(ting f C.S.E. APPROVAL DATE: Oct. 1999 j THEY SHALL WITHSTAND H-20 LOADING. Shir DATE: September 20, 2012 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. MAP 192 TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. PARCEL 235 CB/DH(FND) •' ELEV TOP= 65.5' ! REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, , �.. ,�y + Ale ELEV WATER= 55.0' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). •� • • 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN • * PERC RATE _ < 2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. D " • + DEPTH OF PERC = 36"-54"MAP 192 16. PROPOSED PROJECT IS LOCATED WITHIN: ti PARCEL 234 M �� • « a • « LOCUS �'* TEXTURAL CLASS: 1 ASSESSOR'S MAP 192 PARCEL 232 Z , • " ' . �► •7 OWNER OF RECORD: CLEVE WILSON Benchmark �j , # . ■ "« 0 65.5'Spike in Tree * . Elev. =66.00' * � * , « " Fill 65.33 ADDRESS: 321 WHITE OAK TRAIL CENTERVILLE, MA 02632 Approx. M.S.L. • • w * ` 3� A 2 Loamy Sand 10Yr 3/1 FEMA FLOOD ZONE C + � Loam N88°40'19"W � • , * * a '" '� COMMUNITY PANEL# 250001 0015 C I 134.57' " 6 65.0 i STOCKADE FENCE : «a • • + �` I;WI S B y Sand I m . « • ' t 10Yr 5/8 O 17. DEED REFERENCE: CERTIFICATE 177610 O • * a " w • l /' 24 63.5' PROPOSED INSPECTION PORT gHED \ '• * « „ if C-1 Loamy Sand 18. PLAN REFERENCE: LAND COURT PLAN 32373-1 WITH ACCESS BOX (TYP OF 2) cn T + + a a 2.5Y 7/2 GRASSED CRUSHED 6 36" 62.5' \12 , , 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. AREA ( STONF��O pAV WAY ` • ,� « i « • �'• Perc ' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY gpNE N �, LL . a•:• a • a « � 54 Coarse Sand 61.0' MAP 192 I 1 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY y LSA \2� _ + • • a 2.5Y 7/2 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 30 GARAGE �?`, r * + * * • C-2 30°/a Gravel PARCEL 233 W 9 5 3� 0 V+, w 1 co CONC. ��' t� + ' • '� • 66" 60.0' o co Tj g TP 1 PATIO m - j 2 x- 65x5' #321 MAP 192 r M-C Sand sS x 'I n�% CB/DH(FND) �� �� LOCUS PLAN C-3 2.5Y 6/6 PROP. TOTAL 20 ARC 36HC � Gravel _ EXISTING PAR G ?iI /o (#3616BD) BIODIFFUSERS (H-20) i =__ NO PARCEL 232 5` ..� IN A FIELD CONFIGURATION x r 91 BSMT.'' 2-BEDROOM 16,281 S.F.± w '' SCALE: 1"= 1000' irx x' ` FIREPIT �.�� , DWELLING �wiw �� 126" 55.0' TOF =67 TP 2 LSA .28'± i iw s " t w w� w No Mottling Weeping or Standing Observed _x X x_ r� 65x5 FULL w�-w GAS-GAS----GAS--- �A _ ------ --------------- - x� DESIGN DATA TEST PIT DATA LEGEND /. BSMT. 15AS GAS � r I 11 It GRASSED 1 PERC NO. 13748 AREA 1 � INSPECTOR: Donald Desmarais 50xO' EXISTING SPOT GRADE EVALUATOR: Michael Pimentel, EIT, CSE - 50 -- EXISTING CONTOUR .\ �66 NUMBER OF BEDROOMS (DESIGN) 3 DESIGN FLOW 110 GAL/DAY/BEDROOM C.S.E.APPROVAL DATE: Oct. 1999 50 PROPOSED CONTOUR PROPOSED DATE: September 20, 2012 DISTRIBUTION BOX �\ TOTAL DESIGN FLOW 330 GAUDAY - - EXISTING UNDERGROUND UTILITIES N80°p747,,W TEST PIT#: 2 EXISTING LEACHING PIT TO, BE 180.94' r e DESIGN FLOW X 200 % = 660 GAUDAY ELEV TOP = 65.5' - EXISTING TELEPHONE LINE PUMPED, FILLED WITH CLEAN COARSE SAND &ABANDONED F / m USE EXISTING 1,000 GALLON SEPTIC TANK ELEV WATER= 55.0' W___ EXISTING WATER LINE MAP 192 EXISTING 1,000 GALLON SEPTIC TANK _ PERC RATE _ - GAS EXISTING GAS LINE PARCEL 230 TO BE UTILIZED IN THIS DESIGN DEPTH OF PERC- INSTALL 20 - ARC 36HC (#3616BD) BIODIFFUSERS (H-20) TEXTURAL CLASS: 1 TEST PIT LOCATION i SWING-TIES SCALE: 1" =20' SYSTEM CAPACITY - EXISTING 1,000 GALLON SEPTIC TANK MAP 192 DESCRIPTION HCA HC-2 (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD 0" 65.5' (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING/DAY 2" Fill 65.33' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE PARCEL 231 BIODIFFUSER CORNER(1) 20.6' 20.1' A Loamy Sand O PROPOSED DISTRIBUTION BOX BIODIFFUSER CORNER(2) 31.6' 31.2' TOTALS: 10Yr 3/1 6" 65.0' TOTAL NUMBER OF BIODIFFUSERS: 20 j BIODIFFUSER CORNER(3) 44.8' 35.9' B Loamy Sand � PROPOSED ARC 36HC(#3616BD)BIODIFFUSER(H-20) I TOTAL NUMBER OF COUPLINGS: 0 10Yr 5/8 BIODIFFUSER CORNER(4) 37.9' 26.7' TOTAL LEACHING AREA: 480.0 24" 63.5' - - - - _ TOTAL LEACHING CAPACITY: 355.2 Loamy Sand i REV. DATE BY C-1 APPP _D DESCRIPTION 2.5Y 7/2 - � ---- -- 36" 62'5' PROPOSED SEPTIC SYSTEM UPGRADE NOTE: PREPARED FOR: EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE Coarse Sand (4) DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C-2 30% Gavel CAPEWIDE ENTERPRISES (3) "MODIFIED APPROVAL FOR GENERAL USE" ISSUED TO INFILTRATOR SYSTEMS, INC., DATE OF ISSUANCE OCTOBER 3, 2003 (LAST MODIFIED 66" 60.0' MARCH 14, 2012). TRANSMITTAL NUMBER=X235253. LOCATED AT M-C sand 321 WHITE OAK TRAIL HC 2 C-3 5%G a/vel5Y 66 CENTERVILLE, MA NOTES: 126" 55.0' (1) SCALE: 1 INCH = 20 FT. DATE: SEPTEMBER 21, 2012 0 10 20 40 80 FEET 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC 2 No Mottling, Weeping or Standing Observed <� i SYSTEM COMPONENT. O HC 1 JOHN L. 5cv PREPARED BY: RESERVED FOR BOARD OF HEALTH USE --' cHuhcHi���R. `� JC ENGINEERING, INC. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED � iL LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. 1 ?80 2854 CRANBERRY HIGHWAY REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH c T EAST WAREHAM, MA 02538 TEST PIT DATA. \5 E o ; SITE PLAN 508.273 0377 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHED. SCALE: 1" =20' Drawn By: BMB Designed By:BMB Checked By:JLC JOB No.2310 i__