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HomeMy WebLinkAbout0143 MAIN STREET (CENT.) - Health W .Main Street Centerville A = 208 — 153 IN I 5MEAD® No.2-153LOR UPC 12534 smead.com • Made In UBA � % N P Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: 'L� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippliCation for Mispo8al 6pstent Construction Vprmit Application for a Permit to Construct( ) Repair( ) Upgrade(* Abandon( ) UComplete System ❑Individual Components Location Address or Lot No. 434 MAW '-r G°fjJ l L C Owner's Name Address,and Tel.No. Assessor's Map/Parcel p g y ki_ A AVE G)W< jKe&V PA Installer's Nam e Address,aCd�Tel.No. S_O�S-t�Tj��y7T DTC e6)s )Name, x Address,and Te1�N&o ,y(��y'd�-7 a v 03"j'� Type of Building: . . ht✓� 1?�z YLot Size �� sq.ft. Garbage Grinder Dwelling No.of Bedrooms M J 3 ( ) Other Type of Building PMtb t At_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3393 gpd Plan Date 1 �a Number of sheets Revision Date Title 1 q3 HAW 4a � <26- _eR j Size of Septic Tank 51>0 Type of S.A.S.��� &k_ t✓�il{Ltl —S Description of Soil ���� pfAK) Nature of Repairs or Alterations(Answer when applicable) "Z)�. &t5tJ b4—.V L506 G;&(, _<A9rjZC, F PO. 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 Enviro tal Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of ealt Sig d Date Application Approved by - Date tT Application Disapproved by Date for the following reasons Permit No. � , �� Z Date Issued -- .,,..:....-r r ...ram ..,..� .._. ,.��.. _ .. ::.�• __ _ __. _ ._ ... .. r, No. �r- -'/ i Fee ./ �. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t..✓'' PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 21ppfication for MisposaI{*pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) [Complete System ❑Individual Components Location Address or Lot No. 114,4 MAIO.5 'd`&-fL445 Owner's Name,Address,and Tel.No. O6I�N mac[-Y�R Assessor'sMap/Parcel p g _93/1664RIEETA AVE t-4)0fS72X PA Installer's N-TeAddr�ess�aC�Tel.No. '.S4$~C� 7` ?7 Designer'sC. �NAddress l,�Te1IN�o. , 'p$ eVT -l'3 77 Type of Building: 4,/1/P"J V v a Dwelling No.of Bedrooms M03 Pt� t1Tt,rs YLot Size ,`7�S sq.R. Garbage Grinder( ) Other Type of Building PMtb6-7,J"t't•AL No.of Persons• Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided ' .339 t 3 gpd Plan Date Q Number of sheets Revision Date Title {43 MOW)1) S`tabIR:r <2&1P_ePV14LA5 Size of Septic Tank Type of S.A.S.(;L) �560 G aci3t S Description of Soil �"i '�&>AAS6 S O (0 "r f$ POW Nature of Repairs or Alterations(Answer when applicable) OC2a;2 ao -60k, Ira,) SCE . h{-�6 offA i tC tvr l Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disp sal system in accordance with the provisions of Title 5 of the Environnmmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health./- Sign Date Application Approved by Date [; ' r a Application Disapproved by Date for the following reasons Permit No. t Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance f THIS IS.TO CCERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded Abandoned( )by �G�} 1.� C>U i- d Q at 1 T3 kA-(K) STILT CAJ76.V/4Z& has been constructed in accordance / t with the provisions of Title 5 and the for Disposal System Construction Permit No sy 3-7dated Installer PLD& W_-r 13 Designer #bedrooms 3? Approved design flow_�.� and N The issuance of this permit shall not be construed as a guarantee that the system will ctiod as designed. /� ^ Date Inspector_ it ,vV f C -- ---- --------- _---- _ _ ----- - No. I Fee ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located at 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 complje�tyed within three years of the date of this permit t. Date ' l i Approved by I• � 1 - Town of Barnstable Uwe'Oj�.� Regulatory Services . Richard V.Scali,Interim Director `* ums aLL 61MPublic Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 8-25-21 Sewage Permit# 7-021 - 30"1 Assessor's Map\Parcel 208/153 Designer: JC Engineering,Inc. Installer: Robert B. Our Co.,Inc. (RBO) Address: 2854 Cranberry Highway Address: 363 Whites Path East Wareham,MA 02538 South Yarmouth,MA On 8lit, RBO was issued a permit to install a (date) (installer) septic system at 143 Main Street based on a design-drawn by (address) JC Engineering,Inc. dated 8-11-21 (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (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. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i iance with the terms of the I\A approval letters(if applicable) F v Cf1URCHI LL JL (Installers nature) CM! �t A� OAF (D ner's Signature (Affix De i p Here) PL SE RETURN TO ARNSTABLE PUBLIC HEALTH D SION. 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:\Septic\Designer Certification Form Rev 8-14-13.doc TOWN OF BARNSTABLE LOCATION 143 1M&I� S i SEWAGE# Z02(- 3o 7 VILLAGE CC- IJ LVL LLL� ASSESSOR'S MAP&PARCEL 4 15 INSTALLER'S NAME&PHONE NO. c-E?vEL?- 13. OCR Sob - 8 8 77 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 5Q24p\. ►, g 'size) Z8 x 10.03 NO.OF BEDROOMS .3 OWNER JQ PERMIT DATE: f3 1 I Z COMPLIANCE DATE: Z� Separation Distance Between the: t' _ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility [ H .T 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 ����' �� CLX2. 0Q_ LA D q 5 .o 3 � Iq•� 3l.lp � '!� 2. Zo.9 3�1.9 '� 22•� t9.$ 19•S 19.3 TOWN OF BARNSTABLE LOCATION►"' l�� MAV\ •� ` SEWAGE# VILLAGE CtAIGrUljtt, ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I Ot7t7 LEACHING FACILITY. (type) P I` (size) / /4'a 0 NO.OF BEDROOMS . f OWNER PERMIT 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHEDBY I/%-SPf T'lnn J , For (P a. 0C a Fool�r a as- 3 33 �S LOCATION SEWAGE PERMIT NO. -VILLAGE INSTA LLER'S NAME i ADDRESS bta- N U IyL�DE R OR OWNER / DATE PERMIT ISSUED DATE COMPLIANCE ISSUED F /owICTAok er /000 i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE.,OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: .143 Main Street ` Centerville. MA 02632 (1+� ��� Owner's Name: Kathleen Litchfield J I Owner's Address: Date of Inspection: June 2, M09 Namebf.Inspector:.(Please Print) James M. Ford Company Name: James M. Ford P Y Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: .(508) 8624400 CERTIFICATION 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 the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage,disposal systems. I am a DEP approved system inspector pursuant to Section 15:340 of Title 5(3.10 CMR"15.000).The system: Passes. Conditionally Passes N eds Further Evaluation by the Local Approving Authority F s Inspector's Signature: Date: June 2, 2009 The system inspector shall sub it a copy.of this inspection report to the Approving Authority(Board of Health or DEP)within 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 DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes_and Comments ****This report only describes conditions at the time of inspection and under.the conditions of use at that time. This inspection does.not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 143 Main Street Centerville. MA' Owner: Kathleen Litchfield Date of Inspection: June 2, 2009 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health;will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements_. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a.complying septic tank as approved by the Board of Health. *A metal septic tan_k will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old.is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution,box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken.or obstructed pipe(s). The,system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 143 Main Street Centerville, MA Owner: Kathleen Litchfield Date of Inspection: June 2, 2009 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is.not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public.Water Supplier,if any)determines that the system is functioning in a manner that'protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliforn 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,provided that no other failure criteria are triggered. A copy of the analysis must be attached.to this form. 3. Other: 3 Page 4 of I I OFFICIAL INSPECTION FORM--NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 143 Main Street Centerville, MA Owner: Kathleen Litchfield Date of Inspection: June 2, 2009 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool _ ✓ Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow _ ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No . (Yes/No)The system fails. 1 have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to detennine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gPd 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) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone Il of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 143 Main Street Centerville, MA Owner: Kathleen LitchTeld Date of Inspection: June 2, 2009 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ _ Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received nornal flows in the previous two week period? _ ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? j ✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ _ Was the site inspected for signs of break out? ✓ _ Were all system components; excluding the SAS,located on site? ✓ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid;depth of sludge and depth of scum? ✓ _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been detennined based on: Yes No ✓ _ Existing information. For example, a plan at the Board of Health. . ✓ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 143 Main Street Centerville, MA Owner: Kathleen Litchfield Date.of Inspection: June 2, 2009 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Number of current residents: 2 Does residence have a garbage grinder(yes.or no): n/a Is laundry on a separate sewage system(yes or no): Wa [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): pd Basis of design flow(seats/persons/sgft,etc.): 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/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of infonnation: Pumped in 2008-per owner Was system pumped as part of the inspection(yes or no): If yes,volume pumped: gallons--How was quantity.pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank, distribution box,soil absorption.system Single cesspool Overflow cesspool Privy Shared system(yes.or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of infonnation: Date of installation 712180 per as-built.card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL.INSPECTIONYORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 143 Main Street Centerville, MA Owner: Kathleen Litchfield Date of Inspection: June 2, 2009 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line:. Comments(on condition of joints,venting, evidence of leakage,etc.):' SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 13" Material of construction:. ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 izal. Sludge depth: 21' Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness`. .2" 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: 10" How were.dimensions determined:. Measwing stick Comments (on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.). The tees were present. The liquid level was even with the outlet invert There did not appear to be any si ns of leakage The inlet cover was to grade. GREASE TRAP: None (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: Continents(on pumping recoimnendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM,-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 143 Main Street Centerville, MA Owner: Kathleen Litchfield Date of Inspection: June 2, 2009. TIGHT or HOLDING TANK: None (tank must be pumped 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(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments (condition of alarm and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is,level and distribution to outlets equal, any evidence of solids carryover;any evidence of leakage into or out of box,etc.): The D-Box was normal. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Conunents(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 f Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 143 Main Street' Centerville, MA Owner: Kathleen Litchfield Date of Inspection: June 2, 2009 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1-6'x6'1000 Qal. H-20 leaching chambers,number: leaching galleries,number: leaching trenches,number, length:, leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments (note condition of soil,signs of hydraulic failure, level of ponding, damp soil,condition of vegetation,etc.): T17e Pit had 3.5'of water on the bottom. The scirnt line was at the same level There did not appear to be an);signs offailure. The cover was 12."below grade.and The bottom to grade was 9' CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Continents (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Cornments (note condition of soil, signs of hydraulic failure,level ofponding, condition of vegetation, etc.): 9 Page 10 of i l OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 143 Main Street Centerville, MA Owner: Kathleen Litchfield Date of Inspection: June 2,.2009 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 0 a as ►� 3 33 �S 10 I _ — Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 143 Main Street Centerville, A Owner: Kathleen Litchfield Date of Inspection: June 2, 2009 SITE EXAM Slope Surface water Check.cellar Shallow wells Estimated depth to ground water 20+1- feet Please.indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of.Health-explain: Topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: . You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours neaps the'mUs were showing approximately 20'+1-to ground water at this site. This report has been prepared onlyfor the septic systenz and components described herein. This.septic system has been . inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system.will function properly in the fixture. There have been no warranties or guarantees,either expressed, written or implied, relating to the septic system,the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 No....... �.....� Fss ...��'. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH s-� ..........OF..... ... .J. �......................� App iration for Mi-spnsa1.: orks Tontitrnrtiun jJrrmit Application is hereby made for a Permit�to Construct ( ) or Repair an Individual Sewage Disposal System at .,�. .� .. ... ........ _...------•-----•---..... ......................................... iLoc i y-Ad es or Lot o. �4. �. .. �GI .. -•...... ........ ..... --...... �� � ....................................... O' ner - .- dyes i.p Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4. Other fixtures ---------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.........._......... Total leaching area....................sq. ft. Seepage Pit No..........:---------- Diameter.................... Depth below inlet.................... Total leaching area...........;......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 Description of Soil----------------c � s --- .-- � - C---1 - .._..._.........._...... -.._._........ x W ••---•----------------------•-----•---•---•----••---•-••-•----------•------•-----•......------.._..-------- ••--•---------•---ij................---------- U Nature of Repairs or Alterations—Answer when applicable.. _ _ _ = �. ....................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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. g / ?L h .. 'tom\ Y '/i - 6' 1:?Vls�-ra_ Si ned----�-- --,.• - --- --�),fit_ � ,/----- - Date ApplicationApproved By....................................A.......---------------------•--------.............--_... .................................. Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------......................... ..................................•----------------•-----•------------------•-.-----•-------•---.......-.........................................................-----------------------•------------ �.' r Date �j J PermitNo......................................................... Issu_ -_/.__.-••--•-._.d4................. Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA No......... FEs............................� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH :...'.......' ........................................ Appiiration for Eligpnsai Works Tonstrnrtiun Famit Application is hereby'made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: .............: -- _..:----......... ................................................... --•-•••--•---------•---•..........---.....•-•••---.........----•----------•--.....-•------......._ Location-Address, / or Lot No. - - ..- •• ... .... = ........................... Owner Address _ Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a'4 Other—T e of Building .............. No. .of ersons....................._.._... Showers Other—Type g --------•--•-- P ( ) — Cafeteria ( ) dOther fixtures -------------------------"-""-"-"---•--......-•---•"---•-----.....--------------------•---••----------........_._...---•-----..._•-----.........._... W Design Flow............................................gallons per person per day. Total daily flow...................__....._.........._......gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+' , --------------- ------- f--- :........._•--� :----•-•••-•--•---•---------•-- -•----•---------- •-------------------------------------- O Description of Soil................... '. x ......................... . -•--...-• ----------=--_....•-•-•----------- V .._..._..--••--------••-•--•-•---------•••••--••-----•-•--------------------------------------------------------------•.......-•--------•---_-•_.. W U Nature of Repairs or Alterations—Answer when applicable.................. .......................................................................... a Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed. � , r 'd..................... Date Application Approved By---•---•---•............ .......f:.: ., Date Application Disapproved for the following reasons:.............................................................................................................. .................................•-•-----.............---------...__.........---------........---------.....------•----------•----------------•-•---•----------------•-•-----•-•--------.-•--••-••------- Date M' PermitNo.............................. Issued_------------•-----•------------ - ---------------•-------------.. ---• ;r Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OP*HEALTH d .. r Tntifiratr of T antpitttnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System .constructed ( ) or Repaired ( - ) by '..._... _ -• ----•-• _:....------•---- ---------------- ----------•-_.... -•-•.......--------- I i Installer s s!• , has been installed in accordance with the provisions of T ' = 0 1' ` of he State Sanitary Code as de„'�,cribed in the f�'Q application for Disposal Work"Construction Permit No ___-_--__�' - ............. dated..- " ---- _____................... THE .ISSUANCE OF''THIS CER'PIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector....................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 } � f No..........:.............. FEE._..................... Dispastai Works T-1hano#rndiatt rrnti# Permission is hereby granted..........................: �..f ._1__.1.+_ fir_:./.......r..._._._-� to Construct ( ) or Repair O an Individual Sewage Disposal System ff Street -nn as shown on the application for Disposal Works Construction P- it No_____ __ ____ Dated...... "_ '..�ff'0...._•..•__ .� ••----••--...._••---. DATE....771.76RC) oar of-----------------------•--•--.............. B d health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ' 4 I_, _...... _-. - .,.. T.O.F. EL.= 40.2't FINISH GRADE OVER D-BOX= 38.9'f FINISH GRADE OVER CHAMBERS = 385 - 39.5' PROP. VENT WITH CHARCOAL FILTER TO ABOVE GRADE rj F N F R AI..,.. N OTF S f PROVIDE EXTENSION RISER 1 REMOVABLE WATER-TIGHT COVER OVER SLOPE /°2 MIN. OVER SYSTEM 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION o WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= 4" SCHEDULE 40 PVC MIN SLOPE 1% INSPECTION PORT WITH ACCESS 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. RISER TO WITHIN 6"OF FINISHED GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL 38.0' - 38.5' FBOX TO F.G. (SEE NOTE#21} 2 OF 1/8 TO 1/2 DOUBLE WASHED STONE f� FOUNDATION = 39.5'f � CODE AND ANY APPLICABLE LOCAL RULES. F511 DIA. OUTLET(S) 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PROP. SCH. 40 24"MIN.ACCESS 9" MIN. i 1 TOP OF SAS =36•QQ' DESIGN ENGINEER. COVER(3 TYP.) 36" MAX. � 3.5' MAX. P�CCHAMBERE RISERS OS WITH N ALLi 3. 4" SCHEDULE 4 PVC PIPE WITH WATER TIGHT HALL BE PVC SEWER 9" MIN , SEE GEN. , ULE 0 C R GHT JOINTS S USED IN DISPOSAL PROP. SCH. 40 36" MAX. 35•00 NOTE 22 BREAKOUT EL. = 35.50 INLET PIPES TO SYSTEM UNLESS OTHERWISE NOTED. PVC SEWER WITHIN 6"OF F.G. � 14't - 4"SCHEDULE 40 PVC - 2" DROP MIN. 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN I MIN.SLOPE ,% 6" 3" 3" DROP MAX. 31' 91' L-20't ELEVATION = 35.50' FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE SAS, UNLESS A MIN.SLOPE(�1% PROVIDE WATERTIGHT " 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF f 4" PVC IN FROM JOINTS (TYP.) O �� o `- *3,$,Q'-' 13" � 0 � 0 0 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. li-,, 14" 35.75' i SEPTIC TANK 4" PVC OUT TO o 0 0 0 �COtln@t' oo = = = = = = = �o o o 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. * � � LEACHING FACILITY o0 3$2 ± INLET TEE I o0 0 °° l 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 12 6 2 = = = = 0 = = o� 0 °° � 0 o� 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 36.00' 48 OUTLET TEE 35.40' MIN. 35,23' oo °° o 0 00 � FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. i TEES TO BE CENTERED o D O D O L. o 0 0 0 0 o C ON. SYSTEM S GAS BAFFLE 6 CRUSHED STONE I o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH DIRECTLY UNDER RISERS OVER MECHANICALLY (TYP.) 10.0' OFFSET TO FND 4.0' 3.0' I 4.0' (TYP.) AND DESIGN ENGINEER. COMPACTED BASE 8.5' 4.83' 28 0' ' "�' 3.0' 3.0' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. SEE BENCHMARK ELEVATION AS j 6" CRUSHED STONE 5 OUTLET DISTRIBUTION BOX SHOWN ON PLAN. OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV= < 27.50' 10.83 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION COMPACTED BASE C BASE. FIRST TWO FEET OF OUTLET PROPOSED 1 ,500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 33.00' 2 - 500 GALLON H-20 CHAIVII ER6 5' MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES LENGTH 12'-0' WIDTH 6'-2" DEPTH 6'-0" CROSS SECTION VIEW TYPICAL CHAMBER PROFILE CHAMBER END VIEW TO THE DESIGN ENGINEER. *CONVERIFY EXISTING (Dimensions per ELEVATION PRIOR TO ANY WORK& H-20 SEPT K PROFI L. I ! ' L ACME/Shorey) X 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE �-20 D1�.1� j � �� ��" - ����IL H-� '" CHAMBER DETAILS � NOT TO SCALE NOT TO SCALE _ 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM -�._--mod - r �• • ., , ,; -•r. . . TEST PIT DATA ;\� • 1, APPROPRIATE AUTHORITY. SWING-TIES d ��' • • • • • i • � • • • • PERC NO. TPT-21-217 \ l �•: • . • 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED '• ,: J.• ' ° �` • , •• • •© • p �_ INSPECTOR: Donald Desmarais(BOH) UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR DESCRIPTION HC-1 HC-2 I Y , ® y• • :C). EVALUATOR: Brian Wallace, EIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. TANK COVER IN (1) 13.1' 31.1' \��(> Q a C) C.S.E. APPROVAL DATE: Oct. 23, 2019 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. TANK COVER OUT 2 19.T 34.5' • '• ` . .• d• • ,� DATE: August 2, 2021 O i1 \ \O .• � • ` ,s_ �, ri, 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE �! 60 •�� • . '�• j �� TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. CORNER OF STONE (3) 19.0' 28.T ,� \ \y �� i �\ • �- 26 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, \ \� o. • + >, �� ,`- Pc ELEV TOP= 38.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). CORNER OF STONE 4 8.2' 23.0' O \ ' I " ` 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN @@ChwOOd � t ! �' +'( � • . ELEV WATER= < 27.50' ( CORNER OF STONE (5) 28.1' 10.7' �o N� \ \ �O I l ` '� •o �6 f, 4 } .. �+� ' PERC RATE _ < 2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. I O �` f •• 16. PROPOSED PROJECT IS LOCATED WITHIN: CORNER OF STONE (6) 32.9' 20.3' � ��,\ \ G � • •. � ,+ � � 1 ,;� � li�. . - \ l Z 4 • y �, �� DEPTH OF PERC - 36 -54 MAP 208 �� \` \ ` c« .�� •• J/ ` • ' 1\ ( ASSESSOR'S MAP 208 LOT 153 a� t�` \ f9 �� r % e •� • !! • :11 ; TEXTURAL CLASS: I - - /i. i• �- OWNER OF RECORD: JOHN D. MEYER LOT95 o�p�0 \\. \\ OG ' - ���' �� ia` • l/i f r • •i �• ADDRESS: 936 MARIETTA AVENUE �� �� c • . = • / r LANCASTER PA 17603 \` • , • • • ` I 0,� 38.00 Loam Sand LOCUS =� _ `y� `\• ' / A y FEMA FLOOD ZONE X \ 1�1 • .. 10" 10Yr 3/4 37.17 MAP 208 )! , J * "?, w {. f , r >> • COMMUNITY PANEL# 25001CO564J p • • " . , , ., • • oil i. ,j Loamy Sand LOT 153 EXISTING CBN -. • >P,,.�r, % ' / '} ,'. - _, a I` B 10Yr 4/6 17. DEED REFERENCE: BOOK 23912, PAGE 298 5,785t S.F. I 1 (NON-LEACHING) • �" �A� Q rt ,. y' (some boulders P�',i' .�' • � / •• • • � ri _ , j &cobbles) 18. PLAN REFERENCE: PLAN BOOK 259, PAGE 88 �/- 36" 35.00' - � �', ' • ' ' � . �;,j I 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. Perc \\ � a 0?:; •'� + (, 'f` ^=. ', f 54' 33.50' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY ' '�, .w.. c ,- ' 5/ 4 EXISTING 1,000 GALLON ��f � • � � � \` � - .� .� �'� � J� FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY U.P. i SEPTIC TANK TO BE �1`• • ,r a• ; 1 f � j � FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. PUMPED. REMOVED& -_. 21. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A �, REPLACED w/CLEAN _�f '. �1 i �, w ' � � .i .� Med. to Coarse Sand 0/H/ vP �P \ '�"� p 'r� • • C 2.5Y 4 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A W SAND PER 31 D CMR 255(3) - / �;, � t �� ; �. 5/ /M •. (some boulders& REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. � O /W O '+ , ; 0�\G �; _ � _�-��..�- Z,. � .t`.- � _ L • r ;,r'`, l '�� cobbles °D //W %' \ ) 22. OWNER/APPLICANT/ CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL a v� CRAWL ' \ I REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. N FL,EL.=36.3' \ o \ PROPOSED TWO(2) LOCUS PLAN 23. IN ACCORDANCE WITH 310 CMR 15.401 -15.405, THE FOLLOWING LOCAL UPGRADE 500-GALLON H-20 LEACHING APPROVALS ARE REQUESTED FROM 310 CMR 15.211 & 15.221(7): a 'L o 0o GPD #143 \ 2O l \ CHAMBERS w/STONE 126" (1•) A 1.9 WAIVER (10.0' -8.V) FOR THE SETBACK FROM THE SAS TO HOUSE CRAWL SPACE EXISTING \ �` SCALE: 1 = 1000 27.50' (CRAWL FLOOR IS ABOVE TOP ELEVATION OF H-20 SAS). 2-BEDROOM (2.) A 0.5' WAIVER (3.0' - 3.5') FOR THE MAXIMUM COVER OVER THE H-20 SAS. DWELLING / HC-2 PROPOSED 4" SCH. 40 PVC VENT, No Mottling, Standing or Weeping Observed / EXACT LOCATION PER OWNER -- /'' 5) \ DESIGN DATA TEST PIT DiA i-� LFGFI PERC NO. TPT-21-217 \ 3 TOF=40 2'_+ H INSPECTOR: Donald Desmarais(BOH} 50x0' EXISTING SPOT GRADE �� �� E EXISTING CBN NUMBER OF BEDROOMS (EXISTING) 2 \HC-1 ' INV =3R2 �: �0 __0 o (NON-LEACHING) NUMBER OF BEDROOMS (DESIGN) 3 (MIN. PER TITLE 5) EVALUATOR: Brian Wallace, EIT, CSE - 50 V _- -- EXISTING CONTOUR MAP 208 BUSH CIO. C.S.E. APPROVAL DATE: Oct. 23, 2019 50 PROPOSED CONTOUR _ � '� c9 `Z � \ DESIGN FLOW 110 GAUDAY/BEDROOM � LOT 154 1 j f v 17 5 \ EXISTING LEACHING PIT TOTAL DESIGN FLOW 330 GAUDAY DATE: August 2, 2021 Q 50 PROPOSED SPOT GRADE �. TO BE PUMPED, FILLED 4) (6 'A TEST PIT#: 2 GA _ EXISTING GAS LINE 'AiL�G� \ w/ SAND & ABANDONED DESIGN FLOW x 200 = 660 GAUDAY ELEV TOP= 38.50' USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV WATER= < 28.00' 0/H i EXISTING OVER HEAD WIRES (1 ` 39 / �\��� PERC RATE = W "' EXISTING WATER LINE PROPOSED ` _38 ~ TP 2 �` G�P��� \\ DEPTH OF PERC = TEST PIT LOCATION 1 '�. - -39- _ '1 INSTALL 2 - 500 GAL. CHAMBERS w/ STONE TEXTURAL CLASS: I CLEAN-OUT I 38x5' BUs., - -I O O O PROPOSED 1,500 GALLON H-20 SEPTIC TANK (3 �' PROP. , % a \ SIDEWALL CAPACITY - A _ ,v Op � H-20 � \ (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE 2) o c�� D-BOX / `� 0" 38.50' PROPOSED INSPECTION PORT , o. o�ti (28.0' + 10.83') ( 2 ) ( 2' ) ( 0.74 GPD/ S.F.) =114.9 GAUDAY A Loamy Sand 4� TP 1 �g5 �\ 10" 10Yr 3/4 37.6T PROPOSED 1,500 GALLON ''�� �, 1 O PROPOSED H-20 DISTRIBUTION BOX H-20 SEPTIC TANK-� ti MAP 208 M \ BOTTOM CAPACITY Loamy Sand {J PROPOSED 500 GALLON H-20 LEACHING CHAMBER 38x0�- LOT 154 / (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY B 10Yr 4/6 I / (28.0' x 10.83') (0.74 GPD/S.F.) 224.4 GAUDAY (some boulders & cobbles) \ 36' 35.50' co �. / TOTALS: REV. DATE BY APP'D. DESCRIPTION TOTAL NUMBER OF CHAMBERS 2 PROPOSED SEPTIC SYSTEM UPGRADE Q- TOTAL LEACHING AREA 458.5 SQ.FT. Benchmark TOTAL LEACHING CAPACITY 339.3 GAL./DAY PREPARED FOR: Nail in Pine Tree Med. to Coarse Sand �G Elev. =40.00' C 2.5Y 5/4 ROBERT B. OUR CO., INC. NOTES: / Approx. MSL (some boulders& cobbles) LOCATED AT 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. 143 MAIN STREET 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE CENTERVILLE, MA 02632 PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT _.-._.__.___-_ _--------- __ _.-_-_.____.__.._ DATA SHOWN ON THIS PLAN, REPORT TO ENGINEER AND LOCAL BOARD OF 126" 28.00' SCALE: 1 INCH = 10 FT. DATE: AUGUST 11, 2021 HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. OF o 5 io 20 ao FEET No Mottling, Standing or Weeping Observed P�tN kASs9 3.) PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS ONLY. RESERVED FOR BOARD OF HEALTH USE _ _ JOHN L. yG� PREPARED BY: CHUROLL JR. h JC ENGINEERING, INC. CI IL 4.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY NO. > 1807 2854 CRANBERRY HIGHWAY FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS IN THE FIELD PRIOR TO INSTALLING THE SYSTEM. CONTRACTOR SHALL EAST WAREHAM, MA 02538 NOTIFY ENGINEER IF MEASUREMENTS APPEAR TO BE INCORRECT. SITE PLAN 508.273.0377 SCALE: 1" = 10' Drawn By: MCP Designed By:MCP Checked By: JLC JOB No.5827