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HomeMy WebLinkAbout0338 WHITE OAK TRAIL - Health 338 WHITE OAK TRIAL, CENTERVILLE A= 192 246 I UPC 12543 1-14r No. 53LOR Ponh CO� HASTINGS,MR No. 3 Fee /(/C�cia . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:A— PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Mispo8af 6pstrin Construction 3permit Application for a Permit to Construct( ) Repair( p Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.33� Z U tL T Owner's Name,Address,anda,,Tel.No. &w 0- S Assessor's0102- Map/Parcel CA 2-- ZA G Installer's Name,Address,and Tel.No. )'6 S4 d,, Designer's Name,Address,and Tel. o L` ••. Pt� %,,A 1Rosw.� Ivor ®1G a t t 2 cro5f U t-o,.� Type of Building: Dwelling No.of Bedrooms ..3 Lot Size 7 3y 3 sq.ft. Garbage Grinder( ) Other Type of Building Res je"tt 6 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33O gpd Design flow provided ?u6. gpd Plan Date 7 -Z Number of sheets /� Revision Date Title P�,,5k S 40L2 ��5 M LIrd 4r J Size of Septic Tank Type of S.A.S. er 1 9t Description of Soil "" �. �� L( , q Nature of Repairs or Alterations(Answer when applicable)n.e Lr SA-5 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. J;� Si -`-ate Date I'/� 1 `/ JJ Application Approved by v Date ZrL 3 0"? Application Disapproved Date for the following reasons Permit No. 0�(3 Date Issued L /x-3/-Z:V, 9 .� _ ',s. .. ., ... r ...w�:,.✓`iy« ,r`+a,ye-. .�+R}•s.�, ri' •v^ - .. ,.;�,"..... .. .r."!.y ,4,.'�� "^.•.'ti.r��- ;r.,,^�M�: Fee 0. No. 2018 �-- . 3 Entered n computer: THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pprication for Bisposai 6pstetn Construction Permit A lication for a Permit to Construct Re aii U "`ra, Abandon pp ( ) p ( ) pg ( ) ( ) El Complete System ❑Individual Components Location Address or Lot No.33 o w k,4e Q A is T ra, 1 Owner's Name,Address,and Tel.No. K,, c,r,A C k.1JS �t�� s. ,`u �4 � � 3 Qa� �f t��t_,t4c 02G32 Assessor's Map/Parcel a a Installer's Name,Address,and Tel.No. )L Designer's Name,Address,and Tel.No. Z\lb l •n An,.+_ 9,,X \rNw t� �nA- a G�.S l 0055f(, J r C',j t'P, /►V j Z:4 Z''uo •,�,r W 1caWt:1S5•. Ei7� C l Type of Building: Dwelling No.of Bedrooms Lot Size -7 sq.ft. Garbage Grinder( ) Other Type of Building `,; �� �,, ( No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) r) gpd Design flow provided gpd Plan Date 7 -Z-j - I Number of sheets % (( Revision Date ((�� Title YC�Jna�e,k �110 � <1 <1r`^I �}PACC4r0A P1Gr� Size of Septic Tank l uj,.t, ` Type of S.A.S. `t 1 ^ � !o,'- Description of Soil (,Cl. c/ — /( T 'I SF r( / /oa,/✓v°e 4 -7 q —4 K (Y/ �p / �l/*ulit2fj Ant �� 4a1 7 /°f t �(�n� r 1. �! `f ! 14 ca Nature of Repairs or Alterations(Answer when applicable) ().p l.r :5A S N, Date last inspected: Agreement: l 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. SStand& ..�.�'"'S °1/�"-�--...� Date Application Approved by 4.� / //f _ Date JZ 3 2�d� a Application Disapproved by' V Date for the following reasons Permit No. Date Issued Z 1) THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired O Upgraded Abandoned by f at �•ry Cl c�I( i t has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.201$- OY3 dated Z/73// ?or 13 Installer f�rA 546,, Designer r"1A.#Pu W,rI <. rAi #bedrooms S Approved design flow .. 14n ,"t gpd The issuance of this permit shall not be construed as a guarantee that the systemwill on as"")es'igned. Date / O Inspector .. �..,,.� . -------------- No. 7 ()-1 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted;to Construct( ) Repair(4 �U}pgra1de( ) Abandon( ) System located at �(+�. t N IC I r r i L:, ,Y e,o L AA 12,63Z and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date 1 23 I Zn( Approved by Town of Barnstable �pF TFIE Tp� �P o Regulatory Services Richard V. Scali, Interim Director BARNSTABLE. _ NIA SS. i439. a Public Health Division �p ,0m ATE°r"t�t° ThWmas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-464-4 Fax: 508-790-6304 1 Installer S Desi=ner Certification Form Date: \; ` Sewage Permitft2016—0'�- Assessor's VlapTarcel ITZ- Designer: !�—ri� k ,n�) Wo rL/%s rj C Installer: j5ar.P. �e 0 Address: !Z W, C rb s,-(�e w `ill Address: Zt ta.l w r,e s F-O 4 On ZO i �✓"¢�� �• ��- _ was issued a permit to install a. (date) (installer) septic system at WVti-tIP- 011� ` C-C— —: based on a desiin drawn by Fe -e r "i, iM C-6,+�-ce TC (address) 1 t k,.--bu /W C , dated (designer) I certify chat the septic system referenced above was installed substantially according to the desinn, which may include minor approved changes such as lateral relocation of th.e distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. ,greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision. or certified as-built by designer to follow. Strip out (if required) �,vas inspected and the soils were found satisfactory. I certify that the system referenced above was constructs Vance with the terms of the RA appro ral letters (if applicable) iAOF PETER T �! McENTEE CIVIL (Installer's Signature) No.35109 ,P (Designer's Signature) (Affix Designers, tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF C0-N2 PLI_ANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. ' C,ASeptic\Designcr Certification Form Rev 8-I4-13.doe �ss�s . -- •Town of Barnstalile Deparfinent.of Regulatory Services r i LA Public Health Division Date - 200.Main Street,Hyannis MNQ A 02601 t ! ' Date Scheduled C'` Tithe LL/ ..Fee Pd. .lV 0' L�o :x • +�t Soil. Suitability Assessment for Se e Disposal Performed tly: 1 c�F�Y f°t C C-�Tec SE, 15! Z., Witnessed By: LOCATION-&GENERAL INFORMATION Location Address '3-3 �f W k;�r_ 0,{� -rh Owner's Name jZ �k d .0 t' j S11 / Address --3-'ffWlai'f'G._CktfCTrf..)Ct++tP.i�'Vtl�. 01,0 0 Z63 Z Assessor's MaplParcel: t 92�2v6 Engineer's Name ENyt,hee,r;'_',t,Jerrks 111C. NEW CONSTRUCTION REPAIR. C/ - Telephone'# 5og 4 71-s 3 13 Land Use; Slopes(% 1 t - ) �— "� Surface Stones d^}O r'� t Distances from: Open Water Body _'ft Possible Wet-Area CM ft 'Drinking Water Well 7's`'ft Drama e Way ^t l G �✓ g y�V ��' ft Property f,ane �ft . Other ft SKETCH:.(sucet name,:dimensions of lot;exact locations of-test holes&perc tests,locate wetlands fn proximity to holes) 4-1 . c 3 `''�� Parent material(geologic) Depth to:Bedrock� P Depth to Groundwater.Standing Water in Hole:'' Weeping from pit Fine J't1un. Estimated Seasonal High Groundwater 31 DETERMINATION FOR-SEASONAL HIGH WATER TABLE Method Used: Depth Obsmed.standing in obs.hole: lb. Depth to Soil Motu,": Depth to weeping from side of ohs.hole: in, Groundwater Adjustment fr Index Well# Reading Date: lndex:Well level,.,,,. Adi,thctor,, , Adj.tlroutidwaterlAvcl— PERCOLATION TEST Date_ Ttine Observation T(I Hole# time at§° Depth of Pert 2-� 1(p Time at 6" Statt Pre-soak 11me©: . e� 'lime(9114") End Pre-soak !$` Rate Min:Jtnch. — Site Suitability Assessment: Site Passed SitgFaiied: Adtlitional Testing.Needed(YIN) Original: Public Health Division observation Tole Data To Be Completed.on Back **If percolation testis to be.conducted within 100' of wetland,you must first,notify the Barnstai be Conservation Division lit least one(1),week prior to beginning. Q:\S EPTICTE.RCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# P t Depth from Soil'Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munseil) Mottling• (Structure,Stones;Boulders. nit ravel Swh c)a 10 Yf'Z. lz 1.0 Y(r-S/ � 0 /v`i l >Lou 1 Y1Z - �-_ bi G L a 5Y DEEP OBSERVATION-HOLE LOG FAole# —z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface.oa.). (USDA)' (Munselq' Mottling (Structure,Stones,aouldgrs. nsi Sit rave 6o I 2 tG - S i`I t—las c YIz S_13 ALI— DEEP OBSERVATION HOLE LOG Hole# Depth.from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsclq Mottling {Structure,Stones.Boulders. on is ngy.%Gravell DEEP OBSERVATION HOLE LOG Hole# - it Color , Soil Other oil Texture So ` Horizon s `from Soil Depth Suiface(in.) (USDA) (Munsell) MOttltng (structure,Stones.Boulders. Consi [en ra _ Flood Insurance.Rate Map: Above 500 year flood boundary No Yes, Within 500 year boundary No Yes Within 100year flood boundary No Yes Moth-of Naturally Occttrring Pervious Material. (! Does at least four feet of naturally occurring pervious'inaterial exist in all areas observed.throughoutahe. area proposed for the soil-absorption system? If not,what is the.depth of naturally occurring perviaus material's ,_ == Certiftcatioet I certify that on ( f I r (date}I have passed the soil evaluator examination:approved`si the DepartmenVof Environmental Protection and that the above analysis was performed by�me conistenCwith the required trai ing,expertise and experience described in�14 CMR 15.417. Signature C—•-- Date Q;<S,EP'f'ICIPERCFORM.DOC l TOWN OF BARNSTABLE 0 ��" LO(:ATION 33 9 f 021t p--CC•, SEWAGE #2XJ19 CJ ' VILLAGE G P_:\"� "SJ A ASSESSOR'S MAP & LOT G INSTALLER'S NAME&PHONE N0: � r U C SEPTIC TANK CAPACITY �' +O LEACHING FACII tfy: (type)`LLeGh wL D g0AM (size) Sh (4 NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: 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 leachinin��lity) Feet y Furnished b ��' ?Q t i- - COMMONWEALTH OF M SSACHliSETTS _ 0 1998 EXECUTIVE OFFICE OF ENVIRONRIENTAL AFFAIRS DEPARTMENT OF ENviRoNMENTAL PROTECTION ONE "INTER STREET. BOSTON I�L4 021UE (617J 292-�:iUU TRUDY COX II Secreta ARGEO PAUL CELLUCCI DAVID B. STRLI- Gover or Commissicn Z SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM M 1 PART A ALI 6 CERTIFICATION Property Address: 33 b Name of Owner Address of Owner: �JY'RVWt�. Date of Inspection: Name of Inspector:(Please Prim) c - L,c, I E D E CI VC) am a DEP a proved system inspector pursuant to Section 15.340 of True 5(310 CMR 15.000) Company Name: _Gt L4-I-('( 1�1q y C Mailing Address: _ it//9- U 2-6'LE `1 Telephone Number: ��o�' g - /Lk- CERTIFICATION STATEMENT 1 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: Passes Conditionally Passes Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature.4_ t 1. 2ae" Z 1 Date: ` q The System Inspector shall submit 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 cvJC>.�u- , Sry pv,nn,p�,ti S�a rti i•—� i . -�� ,��,. • q l Yv J �i ( r Sly s W t l(t (�1G_-�-c1 �P`-��r�.x,•pv` c N �`�`V`�� . revised 9/2/98 page Ioru s. r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A _ CERTIFICATION (continued) IrWerq Address: Wb,•\t Cx.. JwUS,Z�tS Date of Inspection: I INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: A— 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. COMMENTS: �j W \\ C B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N. or ND). Describe basis of determination in all instances. If "not determined", explain why not. _ 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. _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(si 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 times a year due to broken or obstructed pipelsl. The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed revised 9/2/98 Page 2orti SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A — CERTIFICATION (continued) Property Address: Owner: Date of Inspection: 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 stem is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 C R 15.303(1)(b)THAT THE SYSI IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SA 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 m sh. 21 SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC TER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEfv FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEAL AND SAFETY AND THE ENVIRONMENT: _ The system has a septic tank and soil absorption syste (SAS) and the SAS is within 100 feet of a surface water supply tributary to a surface water supply. _ The system has a septic tank and soil absorption sy em and the SAS is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption s stem and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption ystem and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water alysis for coliform bacteria and volatile organic compounds indicates tha� well is free from pollution from that facility a the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine dist nce (approximation not valid). 3) OTHER revised 9/2/98 Page 3or11 Mi F' ' Y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (corrtinued) _ Property Address: Owner: Date of Inspection: 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 31 CMR 15.303. The basis f, determination is identified below. The Board of Health should be contacted to determine wh will be necessary to correc Yes No Backup of sewage into facility.or system component due to an overloaded or c gged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface wat rs due to an overloaded or clogged cesspool. Static liquid level in the distribution box above outlet invert due to an ov rloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volu a is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to c gged or obstructed pipe(s)• Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy i below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a s face water supply or tributary to a surface water su Any portion of a cesspool or privy is within a Zone I of a ublic well. Any portion of a cesspool or privy is within 50 feet of private water supply well. Any portion of a cesspool or privy is less-than 100 eet but greater than 50 feet from a private water supply wel acceptable water quality analysis. If the well has een analyzed to be acceptable, attach copy of well water anz coliform bacteria, volatile organic compounds, a monia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either "Yes" or "No" to each of the followi g: The following criteria apply to large systems in addi on to the criteria above: The system serves a facility with a design flow o 10,000 gpd or greater(Large System) and the system is a significant tl health and safety and the environment because ne or more of'the following conditions exist: Yes No the system is within 400 feet of a urface drinking water supply the system is within 200 feet of a tributary to.a surface drinking water supply the system is located in a nitr gen sensitive area(Interim Wellhead Protection Area- IWPA) or a mapped Zone 11 water supply well) The owner or operator of any such system sh 11 upgrade the system in accordance with 310 CMR 15.304(2). Please consult the Ic office of the Department for further informa ' n. revised 9/2/98 Page 4oftt SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST — I Pro Address: Owner: cl�vLS Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and-the system has been.receiving rwrmnl 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 back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components, excluding the Soil Absorption System, have been located on the site. 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. — Existing information. For example, Plan at B.O.H. 1N _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) t� 115.302(3)(b)) - _ The facility owner (and occupants,if different from owner) were provided with information on the propermaintenaa"-of SubSurface Disposal Systems. revised 9/2/98 P.ycSofII t dl SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM \ PART C \ SYSTEM INFORMATION i 'ro ddress: 331p t►�h�T--� ��L Owner: $4.l Date of Inspection: fi t,,Z-LI loj i b FLOW CONDITIONS RESIDENTIAL: Design flow: 30 g.p.d./bedroom. Number of bedrooms (design):_ Number of bedrooms (actual): Total DESIGN flow 3,50 Number of current residents:_ Garbage grinder(yes or no): iJ Laundry(separate system) (yes or no): N ; If yes, separate inspection required Laundry system inspected ( es r no) Seasonal use (yes or no): N Water meter readings, if available (last two year's usage (gpd): tJ p4VC�fAcy� 11S�_ Sump Pump(yes or no): tJ Last date of occupancy:IJu�t_/%j COMM ERCIALfINDUSTRIAL: Type of establishment: Design flow: qpd 1 Based on 15.203) Basis of design flow Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION . PUMPING-RECORDS and.source of information: NO rLk-crCzc� S w►XA- 0w0-.e-vt- o w r-+t� System pumped as part of inspection: (yes or no)_C/Q If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM _ Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other APPROXIMATE AGE of all components, date installed lif known) and source of information: t- �1 t�t U A 0 Ws.xrC.. Sewage odors detected when arriving at the site: (yes or no) tj revised 9/2/96 Pegc6(if ll, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address: 334a Owner: *Zo y-��ee.4-S Date of Ins=-.n: X'.l-.XL-, ` 1 BUILDING SEWER: (Locate on site plan) v 1 Depth below grade: L Material of construction:_cast iron 40 PVC_other (explain) Distance from private water supply well or suction line LJ'. Diameter LO Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: 'f-'s (locate on site plan) II Depth below grade: Material of construction:Aconcrete_metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance_ (Yes/No) Dimensions: k DU[]!Et Y! 1 Sludge depth: !A %I 1 Distance from top of sludge to bottom of outlet tee or baffle:��( Scum.thickness: 611 v Distance from top of scum to top of outlet tee or baffle: 14 - Distance from bottom of scum to bottom of outlet tree or baffle:- How dimensions were determined: 'omments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relati to utlet invert, structural integrity, evidence of leakage, etc.) TVt Z t GREASE TRAP-_P It ) (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal _Fiberglass _Polyethylene_other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments: (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.) revised 9/2/98 Page 7ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (contirwed) — 'roperty Address:33-0 Owner: Date of Inspection: TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade:_ Material of construction: _concrete_metal_Fiberglass_Polyethylene _other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order: Yes_ No_ Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: S (locate on site plan) Depth of liquid level above outlet invert:`'"�l 6011, U-c Comments: ( ote if level and distribu 'on is qual, evident of solids carryover, evidence of leakage into or out of box. etc.) PUMP CHAMBER: V"-V (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order(Yes or No) Comments: (note condition of pump chamber,•condition of pumps and appurtenances, etc.) revised 9/2/98 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) 'roperty Address: 33C.", Owner: ett� Date of Inspection: SOIL ABSORPTION SYSTEM(SAS):-*"S (locate on site plan, if possible; excavation not required, location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits, number:LOX leaching chambers, number:_ leaching galleries, number:_ leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number:_ Alternative system: ` Name of Technology: � Comments: (note condition of soil, gns of hydrauli�failure, level of ponding, damp soil, Condit o egetation, etc.) �� G Q� e� k ry To r W Ne CIS JIIAA�t — No r 1 trL�- CESSPOOLS:L^O (locate on site plan) Number and configuration: •Depth-top of liquid to inlet invert: Depth of solids layer: )epth of scum layer:. Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Yevise6 9 /2. /98 9(If II SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C CC SYSTEM INFORMATION (continued) property Address�33U Jwner: Date of Inspection: 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) � 33� 2 3 y A3- 30 revised 9/2/96 Page 10ofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) roperty Address: � �`�� -�""'�' Owner:Q-I,c�eaa_C Date of Ins Opection: NRCS Report name C� Soil Type_NO - Typical depth to groundwater USGS Date website visited No Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope %->v Surface water t-)u Check Cellar -R-S Shallow wells t-,0 Estimated Depth to Groundwatert2o'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 ' Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) revised 9/2/98 Page tlofIt TOWN OF BARNSTABLE LOCATION .... ��l 7 SEWAGE # LAGE OOLJJ" ,I L4 ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY f ow g& LEACHING FACILITY: (type) I (size) 11901 NO.OF BEDROOMS dtA BUILDER OR OWNER DATE: 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) P P, Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 f6Ct of aching facility) �T Feet Furnished by J tP 33 AL- b3- a� 3 116Q 339' �9a -a�16 LOAION SE AGE PERMIT NO. �-3 -In A INS A lL R'S NAME i ADDRESS 3Uf. DER OR OWNER DA T P ER III IT I S S V E D DATE COMPLIANCE ISSUED r N �� tiD No.. ......•--• THE COMMONWEALTH OF AAASSACHUSETTS BOAR® OF HEALTH ....._�j�—�Al..........OF...... .�.'`./ /.S.....................................................�� Appliration filar Diipusal Varkii T onstrurtion Prruat Application is hereby made for a Permit to Construct (k) or Repair ( ) an Individual Sewage Disposal a ....._Y...s.� ...a fyt/•y-.... ... :.........�Ix. .. � . - � � � ,^A CL ---•-- L ..JJ. .✓ ...••.�. Locatio� ddress �/ a .............: � /, ` oJ/rl� qp...... .....1. - .. ...._ Owner Address ._.... .K-- ntalle r ..... ... . Address /.lam., rr�� Type of Building Size Lot.: s,.IZ/....Sq. fee U �..� Dwelling—No. of Bedrooms............................................Expansion Attic , Garbage Grinder (f � 4 Other—Type T e of Building ___.... No. of persons............................ Showers Ga YP g --------•--...-•----- P ( ) — Cafeteria ( ) P4 Other fixtur W Design Flow..................................gallons per person e_rrda�y. Total daily low..........___ _.____.. _.__��Qe .6 : .. lions. WSeptic Tank—Liquid capacity � gallons �ngth .4..... Width._.. ....... Diameter............... ......... Trench—No......_______________ Width__. .._._ Total Length..._ :: _r_.__.Total leaching area_ .....sq. ft. 3 Seepage Pit No........ ......... Diameter._. ....._..._. Depth Vlow inlet...... ........... Total leaching area.:j_....sq. ft. Z Other Distribution box ( /) Dosing tank jW 0 aPercolation Test Results Performed by ..•......................... Date..... a Test Pit No. 1.....:.. ......minutes per inch Depth of Test Pit.._....16........_ Depth to ground water.._..A -�.G_ fX Test Pit No. 2................minutes per inch Depth of///Test Pit.................... Depth to ground water........................ O _ ______ _y______. ._.__.^ V ....... __________ ..._. Description of Soil........................ a�'.. .. f/ U ----••-•-----•------------------------------- ------------------ ------------------------ ----------------- •--------------------------------------------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'I'LL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance 4sl, issued by rd of health. n Zfl�/ ........................ Date........ .._. Application Approved By.... __. ; - --�.� ............... ..••---•• f z. <��. Date Application p rove for the following reasons-----------------------•----...--------------...-------------------------------------------------•---•-•----•.... ---•-••--------•------•----------•----•--•-----•-------------------------------•------------------------------------------------------ J Date PermitNo......................................................... Issued....................................................... Date No.. .................... �� _a Fes$........v.y....... THE COMMONWEALTH OF NASSACHUSETTS BOARD OF HEALTH oF.:.... ....:�.�1.5...T�...�j...�-�..............•- Allp tration for Elispoii al Works Tonarurtion Vrrmit Application is hereby made for a Permit to Construct (V)1 or.Repair ( ) an Individual Sewage Disposal syso " -- .E3.. l/ �i..r.- '....��..... vil,1 �Q 7-7 �e v r�i L�e ....- •--- _.... ...--••-••. ---• ..........-•................... / Locatio ddress or Lot No. Owner Address ! w M�! s ' / ......................•--............----- ---..... � Installer Address Type of Building Size Lot.02.dl I.....Sq. fee U Dwelling—No. of Bedrooms....... ..•........•...............Expansion Attic p Garbage Grinder aOther —Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fi tur s ..._. . W Design Flow.........•......_©� .gallons per perso ,er �y. Total ily flow............ _______________ Ions. WSeptic Tank Liquid ca gallons ngth Width ------- Diameter.----------•-... De ......-- B it Trench—No..................... Widt ..__.. Total Len th..-. __ _. Total leaching area. ft. x g g q Seepage Pit No........ ......... Diameter.._ ._._.._._..... Depth elow inlet..:_.._.._____. Total leaching area.................. ft. Z Other Distribution box (�) Dosing tank (Ay b 1� �-4 Percolation Test Result Performed by..l_''__<.. _�!Y l=_. Y____..._�.................... Date..... �j T ....... �j Test Pit No. 1..._.:P---_---minutes per inch Depth of Test Pit.._....6.......... Depth to ground water....Ty_Q..�_W fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----------- ............. O Description of Soil---------------- chi'�-i.............. ... .....--- l�� f/P. .._,._ x --..........•-• /••. ----...................................................... V -------------------------------------------------•-•-----------------------------•------------------------------------ •----------------------------- 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 T IT I:,Z' 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en issued by the board of health. f ned . •................................... Application Approved B ._.. .... ` .................. "' `� � PP PP Y ---•--- ----------------------------------------- Date Application Disapproved for the following reasons:--------•------------------------------------------------------------- -----•---------------••--------•--••---- fl .................I..__.........._....j_.................. �........................................I. Date PermitNo......................................................... Issued....................................................... Date ` THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH a-'J...�..........O F......... .................................................... (In ifiratr of ToutpliFaita THIS I�-W CERT FY, That the Individual Sewage Disposal System constructed �) or Repaired ( ) =-� ' -------------------•---•--..-•--...--••--•------•.......-••••-............._............-•-••- at............9 e-� 60 4t.x 0_G Instally�•- � l� "- ---------•-•----------•-----------------------%�'— --•--------- has been installed in accordance with the provisions of T�°� 5 of The State Sanitary Code as described in the . application for Disposal Works Construction Permit ................. dated----------------__--------_-.- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................•---.............../.-.011-0----------------- Inspector.....�//................................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF. X�..,��.... ..�i��. 4_1✓ 8i39L � No. ..................... FEE. ,P........ Dispa.0 ark '1an#rnr#inn rrntit Permissi ris hereby granted....... �p... ............. ................................. .............................................................. to Constrix�to v or.Repair �-.-a Individual 2. ewa e Disposal S stem at No.... O.Zi 1.1 -� Street as shown on the application for Disposal Works Construction it No......................)ated. ------------- .............. ........... B rd of Health DATE ----------------•-•---.....--••••••-•-•-••-••----••--- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS a n'k Z — 100——EXISTING CONTOUR �o MOSfh N LCP 32373 / x 100,98 EXISTING SPOT GRADE eOd Ln �1 W EXISTING WATER SERVICE oy G EXISTING GAS SERVICE a° U UNDERGROUND WIRES c �� o TEST PIT �a voQ g 5y ,nor 68,01 BENCHMARK A �� LEGEND \`\ s �3 �z" W LOCUS MAP LOT 68 124•00, \ NOT TO SCALE \ 23,931±S.F. \ \�T�CKADE'BEN \\ 68.89 \\ CE \ x \� O \ SHED \ 4{ . \ 69, \\ I I \\ \\ 69.22 x J 0TP-2 11 ti \ 69. I\�TP-1 \ \ 69.05 I T. 9.84 y \\ \ 69 68,91 69.44 .95 I?I \ � x ICI �� o w \ co ICI O 00 \ \ 1 / x 7kQ4 IoI �n o\ \ I"t ) lCL "o 0 00 \ + /. . .70,24 I .1 °p x 67,4 to \\\ \ 69.64 x 20' l I / cb �i I 169.76 \ ❑ I 1 I+ EXISTING SEPTIC TANK I C` SPA TOP OF TANK, EL.=68.75 EXISTING 70.34 l INV 67 40f(verify) I I I HOUSE(#338) l x 41.23 � II I TO.F=71.Of1 BENCHMARK 1 x CORNER/BOT. STEP 68,45 B M/ / / EL.—_ 70.92 T / / / 70.9 _ �-`69, 6 shr. - - EXISTING LEACH PIT PUMP, FILL WITH SAND 69,36 70. LAMP AND ABANDON. I / x G' J •P I / GARAGE 69.99 o� I I68.13 70 20 `PAVED': : : -. ` \ "'DRIVEWAY 4 x 68.68 ° 00 00 o M z; CB \ \\ 69.28 60.15 \ \ 0\ �o \ \ x x ;. . \ \ 9,69 ►� \ \ 69.110 \ lg 63. 0 x � 68.99 Al21• 68.92 39., F 68.87 ; .. Q ... 68.70 B 9.27 O OF .32 p MAsx 0 g o PETER T. G� O McENTEE V Q; v CIVIL w 0 No. 35109 r, 61-4 zc(�� 00 V) 67.65 O OWNER OF RECORD Cti CHILDS, RICHARD J 338 WHITE OAK TRAIL CENTERVILLE, MA 02632 PARCEL ID: 192--246 Engineering by: SCALE DRAWN Jog. No. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. 1"=20' P.T.M. 119-18 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET No. 338 WHITE OAK TRAIL CENTERVILLE MA (508) 477-5313 2/21/18 P.T.M. 1 of 2 1 Prepared for: ACC Construction, 10 Peep Hole Rood, Centerville, MA 02632 ;a NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.=66.32 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT COVER SET TO 6" OF GRADE T.O.F.=71.Ot CHARCOAL i VENT F.G. EL.=70.2t F.G. EL•=69.8 to 70.2t EXISTING F.G. EL.=70.3t F.G. EL.=69.8t MAINTAIN 2% GRADE MIN. OVER S.A.S. SET REBAR FOR LOCATING L = 10' L = 2' ONE 2'SET LEACHING TRENCH WITH INSPECTION 'S=1% (MIN.) p S=1% (MIN.) 4 SC40 PVC 4"SCH40 PVC s SCH 40 PERF,_PVC DISTRIBUTION LINES PORT H" 10"I 6'a. 2' EFF. EXISTING 48' LIQUID DEPTH LEVEL ADD SLOPE OF PERF. PIPE = 0.5% GAS BAFFLE INV.=66.70 PROPOSED INV.=66.53 INV.=67.40t D-BOX INV.=66.32 64' EFFECTIVE LENGTH INV. EL=66.00(END) EXISTING SEPTIC TANK SOIL ABSORPTION SYSTEM (PROFILE1 MAINTAIN 2% GRADE (MIN.) OVER S.A.S. NOTES: 2" LAYER OF 1/8"-1/2" DOUBLE WASHED STONE (OR APPROVED FILTER FAj23 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BREAKOUT ELEV.=66.82 INVERTS, PRIOR TO INSTALLATION. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO INV. EL.=66.32 3/4"-1 1/2" DOUBLE GRADE ON A MECHANICALLY COMPACTED SIX WASHED STONE INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=64.00 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING r 3 i 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL ONE 2'x3'x64' 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. LEACHING TRENCH AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. NO G.W. EL: 58.9 - SEPTIC SYSTEM PROFILE N.T.S. SOIL ABSORPTION SYSTEM (SECTION) GENERAL NOTES: SOIL LOG 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: FEBRUARY 20, 2018 (REF 15,595) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL EVALUATOR: PETER MCEIS PE E#1542) OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH -310 .CMR 15.405(1)(b): 1) A 3' variance, depth of cover, for 6'(max.) cover over S.A.S. 69.9 A 0 70.1 A 0 11 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR SANDY LOAM SANDY LOAM TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 69.6 10YR 4/2 4" 69.8 10YR 4/2 4„ DESIGN ENGINEER. B B -4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SANDY LOAM SANDY LOAM FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 67 4 10YR 5/8 „ 68 1 C1 10YR 5/8 30 C1 ENGINEER BEFORE CONSTRUCTION CONTINUES. 24" 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. SILT LOAM SILT LOAM 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 10YR 5/3 10YR 5/3 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 66.4 C2 42" 66.3 C2 46" HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. M-C SAND PERC M-C SAND 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 2.5Y 6/4 28"/46" 2.5Y 6/4 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 61.9 C3 96" 62.0 C3 97 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE M-F SAND M-F SAND DIRECTED BY THE APPROVING AUTHORITIES. 2.5Y 7/3 2.5Y 7/3 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 58.9 132" 59.1 132" THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING PERC RATE <2 MIN/IN. "C" HORIZONS CONSTRUCTION. NO GROUNDWATER ENCOUNTERED 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 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN EXISTING DESIGN CRITERIA HOUSE(#338) j O.F.=71.Of NUMBER OF BEDROOMS: 3 BEDROOMS / SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 330 GPD DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not allowed with design Tp h Q LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF tiOUs 6 rV), _ Fc 64, as-_"- EXISTING SEPTIC TANK: 10004GALLONFCAPACITY OR'LFQ aaaa TRENCH_,aaa-'�-9' Q PROPOSED PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 0 0 ~ INSTALL ONE 2'DEEP x 3'WIDE x 64'LONG LEACHING TRENCH WITH U) STONE AND SCHEDULE 40 PERFORATED PVC DISTRIBUTION LINE STOCKADE FENCE SIDEWALL: 2 SIDES & ENDS/TRENCH x 2' x 67. ...........= 268 SF BOTTOM AREA: 3' x 64.................................................... = 192 SF TOTAL AREA:..................................................................................460 SF SEPTIC LAYOUT DESIGN FLOW PROVIDED: 0.74 GPD/SF(460 SF) = 340.4 GPD Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. N.T.S. P.T.M. 119-18 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. 338 WHITE OAK TRAIL CENTERVI LLE MA (508) 477-5313 2/21/18 P.T.M. 2 of 2 Prepared for: ACC Construction, 10 Peep Hole Road, Centerville, MA 02632 I_. 13ed1-vo rrn 4 / �f /5'� Z744 LA •Cat 68 "`erg, oo ,�e�sl�r, t� 077.:�'124rk(y Z—/L)T7 0. Si 0,0 a � �Y v� a 0 24,6 /oo© I X e,21•h P 2L- 40 ,t t s s.�inwn o h . C'. `�17 3Z,5 7.5 OF � a 4 - FRANK yG� CONEW N ,Q tb. 6232 �lSTER� M,a Suw or A#4Sj FRANK rvrn WINERY `3" t, � Ph. 6673�0 r CIS paw UND Fl 6',CV 7 eC V /O ,d' /3` /S � 4 r6 `��!A' /}fo pr®x�,•rql �/a��a MAN.K crNERv 5 SON ST. 46�'Uyy �1=9 / I IN