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0304 OAK STREET (CENT./W.BARN) - Health
304 Oak Street 194-001.012 Centerville an UPC 12534 No.2_ 1�OR MAYTIIIO! SIN n T � /� e No. ®� - "" Fee Q CA THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppfitation for Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(V Upgrade( ) Abandon( ) ❑Complete System V11ndividual Components Location Address or Lot No.3O 04 K St��r``(,i'�jj.�, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel �� ��'l W V11 �wtt r L K Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Qui►gA' �-xctwkNr t Saki M K ` iKo 1�4) 57,1-30b Type of Building: 2 r Dwelling No.of Bedrooms 3 Lot Size jq6 sq.ft. Garbage Grinder( ) Other Type of Building 6 1 r�A(j No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �J� gpd Design flow provided 3 s 3 gpd Plan Date 11v, Jig Number of sheets Z Revision Date Title St + b-Wage_ k bar p�► L4 uc`I, W Size of Septic Tank J Type of S.A.S. 2. SW ONL) ,Q Description of Soil I Nature of Repairs or Alterations(Answer when applicable) t1�.(� r � IcLu JAW 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 L^"viro ental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of H Signed Date - Application Approved by Date Application Disapproved by/,**' Date for the following reasons Permit No. 2" 1 U !7(j Date Issued �l `4 No. .� d f�r � as .,,�p Fee A 00 Entered in computer: od THE COMMONWEALTH OF MASSACHUSETTS p yes PUBLIC HEALTH DIVISION -TOWN 6F BARNSTABLE, MASSACHUSETTS. ftplitation for Misposa Optrm (Construction permit Application for a Permit to Construct( ) Repair(1�� Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No.3-q Ott K j 51 (c(I P� cqn�l (Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: t Dwelling No.of Bedrooms ` Lot Size QLl , _ sq.ft. Garbage Grinder( ) Other Type of Building S i r,,�o i w-r, ill Lto No.of Persons ' Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided J`�3 gpd Plan Date �i Li. I N Number of sheets 7-ff Revision Date Title C. � ���. 06ti�tl v �Q+ &�Lf 0(!�'. of Size of Septic Tankl _ +,Lto Type of S.A.S. Z ko ".Or (: .(� C ,� rr•" Description of Soil SCk.V- �l� Nature yf Repairs or Alterations(Answer when applicable) 1,(� RAJ bM kK , 2 SQ04cc(tnk ,.- W 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. Signed ,Z Date t-1 � i 9 Application Approved by Date � � �j� Application Disapproved by! Date' for the following reasons r Permit No,. D19 !o Q li! Date Issued / 1?,01 `' No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for Disposal 6potem ConstrUttion Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued aT w 4� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpfication for -MisposillOpttem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Natureof Repairs or Alterations(Answer when applicable) a 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 byths,Biiard of•Health r asigned/ - "" "^�., Date p Application Approved by tr ,T . Y Date Application Disapproved by Date s* for the following reasons ` Permit No. Date Issued --------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired V Upgraded( ) Abandoned( )by at 30+ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer �� t X���� Designer. PA,/ .Q1 ry( #bedroom ?i Approved design flow gpd The issuance of this petrm/it shall n`otpbe�construed as a guarantee,that the system will functio,a=desigmed. Date L 1 1 �! b "' I"�Iri pector �� ��` `'� - .-- - --. - //- - - - ->-- - - - ------------------ - , .t�l�'���(O Fee --- ---------------- ------------------- No ttloo THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION— BARNSTABLE,MASSACHUSETTS Zisposal 6pstem Construction permit Permission is hereby grantedd7ttoConstruct( ) Repair( Upgrade( ) Abandon( ) System located at 4 / —A K � {,( 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 ���{// j/ Approved by Town of Barnstable Regulatory Services Richard V. Scali,Director MAM Public Health Division 039. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Date: 4/%9 A S Sewage Permit#�Wyfp" O�6 Assessor's Map/Parcel Installer&Designer Certification Form Designer: �A 5' 5 y Jae L nP— Installer: Q(,,N/✓ �26G4 4)7DN Address: -T7;> 6,..V (r7 Address: �� �����U G-'� l3aVP 451 On 4- G- 2 U I �L rAIi✓ was issued a permit to install a (date) (installer) septic system at �0¢ 49 based on a design drawn by (address) l J �✓'�. -g41A WV dated (designer) 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. Stripout (if required) was inspected and the soils were found satisfactory. I certiA, 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) was inspected and the soils were found satisfactory. I ertify that the s stem referenced above was constructed ' fiance with the terms of e ppro le ers (if applicable). ,— DAVID D. FLAHERTY, JR, I ler' ignatur ) tab. 1211 � t (Designer's ignature (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- .BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doc TOWN OF BARNSTABLE p �i LOCATION �� �1 fi�P.f SEWAGE# Z 6! 9—V qb VILLAGE Vl I Ie- ASSESSOR'S MAP&PARCEL INSTALLER'S NAME.&PHONE NO. u IhhC PVIA �� �9- �' SEPTIC TANK CAPACITY Q. / LEACHING FACILITY.(type) -SO ��" (size) i Z NO.OF BEDROOMS OWNER O PERMIT DATE: y�� O COMPLIANCE DATE: �/ h Separation Distance Between the: -7 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility p .® 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 Faci ity(If any wetlands exist within 300 feet of le facility) Feet FURNISHED BY Rcp ExIs rNG Ho usE Al : H 11 pa-=8.(a ° A3 z,3 q Aq- ° W ° v�n�- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist-at the end of the form. Important:When filling out A. General Information forms on the I (t D13 computer,use 1. Inspector: only the tab key to move your David D. Coughanowr, IRS cursor-do not Name of Inspector use the return key. Eco-Tech Environmental Company Name 4Q 43 Triangle Circle Company Address n1 Sandwich MA 02563 City/Town State Zip Code µ =i 508 364 0894 1328 C�l �` p Telephone Number License Number V1:yY� ry b B. Certification certify;that I have personally inspected the sewage disposal system at this address and that the r 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 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority ^k(1). � P .� 10/16/2008 Inspector's Signature Date The system inspector shall submit 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. "'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. I t5ins•09/08 Title 5 Official Inspection Form:Subsurface(-4sal System•Page of 17 , P Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)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 tank 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. ❑ Y ❑ N ❑ ND (Explain below): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is Centerville MA 02632 June 22 2010 required for , every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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 t5ins•09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 3 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22 2010 every page. City/Town State. Zip Code Date of Inspection B. Certification (cont.) 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 coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate "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 99 P ❑ ® 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 Y2 day flow t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22 2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 1 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I 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 determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. 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 II 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. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments GSM 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection C. Checklist 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 normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ 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 determined based on: ® ❑ 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 gpd t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22 2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ❑ No Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage(gpd)): 33 gpd Detail: 2008-2009 Sump pump? ❑ Yes ❑ No Last date of occupancy: 1 year ago Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection Do System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ 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)and a copy of latest inspection of the I/A system b system operator under contract P Y Y Y P ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Age: 25+ years-system installed in 1985- Board of Health permit#84-1134. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints,venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 8.5 ft x 5 ft x 6 ft(1000 gallon) Sludge depth: 3 in t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 31 in Scum thickness trace Distance from top of scum to top of outlet tee or baffle 10 in Distance from bottom of scum to bottom of outlet tee or baffle 14 in How were dimensions determined? Design plan Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): A thick layer of septic scum was observed on top of the concrete outlet tee. At time of system repair, tank should be pumped dry and checked for structural integrity, and a new PVC outlet tee should be installed. Grease Trap (locate on site plan): Depth below grade: feet 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:p g Date t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GSM , 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (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 per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert at outlet invert 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.): A heavy layer of solids was observed in sump. Sidewalls and inside cover of d-box were covered with septic scum, and a black staining, consistent with prolonged effluent contact, was observed at the cover interface. This staining, along with the scum observed on top of the septic tank outlet tee indicate past hydraulic overload of the leach pit. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•0/0 9 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ 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.): No surface flow or saturated soils were observed at the time of inpection. However, evidence of past hydraulic failure was observed in the distribution box and the septic tank. Dwelling has been unoccupied for several months. Cesspools (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 ❑ No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins-09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately $AcK r3 q t5ins.09/08 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope Surface water w❑ Su ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 30+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed. 12/11/84Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: You must describe how you established the high ground water elevation: Approved design plan on file with the Board of Health shows bottom of system to be 4 feet above the bottom of a witnessed test pit in which no water was encountered. Town of Barnstable GIS Department records indicate that the property is over 30 feet above groundwater table. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 304 Oak Street Property Address Sally A. Syrjala Owner Owner's Name information is required for Centerville MA 02632 June 22, 2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 axe Town of Barnstable P 4t 1 a Department of Regulatory Services Public Health Division Date a o FO��AIK�,� 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. (JQ t Soil Suitability Assessment for Sewage ispos Z - - - - - f _ Performed By: Witnessed By: ) 1"v, d LOCATION& GENERAL INFORMATION Location Address o 4 oet k S Owner's Name ���1-1 t 'A1 ,� CeYV"� eP tll �(el 04A Address '30 6vik , ff— Z CeNl<erv+ Assessor'sMap/Parcel: (�(( I Engineer's Name Nvi'o D cot y"low NEW CONSTRUCTION REPAIR V Telephone# S-016 3.o- os e Land Use �� eN�'+(/l� Slopes(` ) v Surface Stones 50 me Distances from: Open Water Body 10 0-t ft Possible Wet Area I b ft Drinking Water Well 0_1+ ft Drainage Way ft Property Line I- �ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&.perc tests,locate wetlands in proximity to holes) 770_�_<C70LML 117 NN W3 Zo .-,❑ 30 6 ®® U)(D m-1 /� W/ � wJ < ZCD / I Q SOH WW ❑ FW / 3 1, t-3 zzZW / Z r< UWZoo�� �\ f to � wmc�_ OAK STREET Parent material(geologic) P P0�yL1� �Vt t►'�9S 1 Depth to Bedrock 'A 0 (9- Depth to Groundwater. Standing Water in Hole: f' Weeping from Pit Face No h C Estimated Seasonal High Groundwater See DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: See A"bove Depth Observed standing in obs.hole: in, Depth to soil mottles: itl. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. . Index Well# Reading late: Index Well level Adj,factor, ,, Adj.Groundwater Level PERCOLATION TEST Date fl xq 110 MM0 16 A M Observation ,� Hole# /1 Time at 4 Depth of Perc �(� 1 M Time at V , 0' 00 Start Pre-soak Time @ 10',03 time(9„.6„) .06`40 End Pre-soak t 0.1 Rate Min./Inch 3 m Pt Site Suitability Assessment: Site Passed . Site Failed: Additional Testing Needed(Y/N) "r 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. 0&9I7ICtPERCFORM.DOC SOIL TEST L O G DATE TEST: 29. 2010 SOIL EVALUATOR: DAVIALUATOR: DAVID D. COUGHANOWR. R.S. WITNESSED BY: DAVID STANTON, HEALTH DEPT PERC NUMBER: 12984 NO TEST PIT 1 PAARENOTUNDWATE MAATERIA ENCOUNTE PROGLACA LED OUTWASH PERC AT 66 In - 3 MIN/INCH IN C SOILS + ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 88.50 0-5 0 SANDY LOAM 10 YR 3/2 NONE FRIABLE 5-10 A SANDY LOAM 10 YR 4/4 NONE FRIABLE 10-34 B LOAMY SAND 10 YR 4/6 NONE LOOSE 85.67 34-138 C MEDIUM SAND 10 YR 6/3 NONE LOOSE 77.00 NO TEST PIT 2 PAARENOTUNDWATE MAATERIA ENCOUNTE PROGLACA LED OUTWASH 3 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 88.60 0-6 0 SANDY LOAM 10 YR 3/2 NONE FRIABLE 6-12 A SANDY LOAM 10 YR 4/4 NONE FRIABLE 12-36 B LOAMY SAND 10 YR 4/6 NONE LOOSE 85.60 36-138 C MEDIUM SAND 10 YR 6/3 NONE LOOSE 77.10 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones,Boulders. ConsistencL%Oravell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munselp Mottling (Structure,Stones,Boulders. Consistency. Flood Insurance Rate Mau: Above 500 year flood boundary No— Yes Within 500 year boundary No jv/ 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? N65 If not,what is the depth of naturally occurring pervious material? Certification I certify that on WO d 1 k l (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me con ' o Mq the required training,expertise and experience described in 310 CMR 15.017. Q�, ._�/— G/29 ZO( � DAMyak Signature �i '�"v - Date � D. N • ;COUGHANOWR �O �'CENSEO Q- i� EV Q.\SEV nCPERCFORM.DOC No. Ot �— Fee THE COMMONWEALTH OF_MASSACHUSETTS Entered in computer: o PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppYication for Mi,5poor i�p5tem Cowaructiou Permit Application for a Permit to Construct O Repair(,, Upgrade O Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. ®Gh`� S t Owner's Name,Address,and Tel.No. ®� erv, ► C siuy 4,w�°S R� , Assessor's Map/Parcel _1 '� �9( P"A S'� L po�ery i lie Installer's Name,Address,and Tel.No. I�(,1`�(t'[i(r S c;C 14V471 Designer's Name,Address and Tel.No. - SS 019 7 4 I Gl�1 QC ��h[L✓I Gil �� j Type of Building: ��//(( i Dwelling No.of Bedrooms Lot Size `-l`L 174 sq. ft. Garbage Grinder (N) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 7,/C Design Flow(min.required) 30 gpd Design flow provided lW7• gpd Plan Date f oly 4, 7,4 10 Number of sheets L Revision Date Title Set4go�PSDD�5v5yeAl P1.14 p Size of Septic Tank 1000 Type of S.A.S. •4% 8 i✓ Gf���'✓s�� n Description of Soil -roppls ` 7#b!;R I Nature of Repairs or Alterations(An�swer�when applicable) P V Pip � �' � /01 q l cm Ck �l 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. SiAP4 Date Application Approved ==> Date ? I o Application Disapproved by: Date for the following reasons Permit No. 2D6 Date Issued .. r�< •.fir . i No. ti Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplcation for Migpogal *pgtem Construction Permit Application for a Permit to Construct( ) Repair(Vf Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 30¢ 0� S Owner's Name,Address,and Tel.No. e of v, 1((° sill Y Syr 51,7 Assessor's Map/Parcel ' Q _)"Z 3 N 0q� �� e wirry I'lP I ii,d�C p� Installer's Name,Address,and Tel.No.sVZ`f 5 X(A VAT46 Designer's Name,Address and Tel.No. �`S�R �!<;S 5-9". '��cU Div 1 C N;`���' �✓t d ,Cev b eIZO� 1.. e Type of Building: Dwelling No.of Bedrooms Lot Size `T`C`71 sq. ft. Garbage Grinder (N) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 30 gpd Design flow provided �f0� � gpd Plan Date 1011 �, V[0 Number of sheets L Revision Date I Title Se w Nisok S;We l Y/Ir►1 Size of Septic Tan �k 1)0 n ' Type of S.A.S. Ar6 8l Description of Soil �8psr� Nature of Repairs or Alterations,(Answer when applicable) P D 1MQ . t �jc%S f I h t Aj { mill D - ga>c� Rlod,��� sPr Ss-s�P�► Date last inspected: Agreement: r 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. SS1 ned Date Application Approved by L Date Application Disapproved by: for the following reasons Perms"No. ®I b '" ! Date Issued (� THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO.CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (Upgraded ( ) Abandoned O by at V 6( cel41©r✓,I t e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. G)o 10•— 9C)7 dated //�7 b U Installer Designer Nl/I 4 0. 0�1C-4,qjfA ,y. #bedrooms 3 Approved design flog 330 gpd I The issuance o this permit shall not be construed as a guarantee that the system will fu cf o as desgned. Date � In Inspector I �� s / I ---- - No ,r�'"�Il ---- _ --_ �---- ----�— , ..---- -- Fee ------ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5po5al *p,5tem Construction permit Permission is hereby granted to Construct ( ) Repair ( � IUpgrade ( ) Abandon ( ) System located at :so+ QCIA Gf CPq&Ory and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Constructlmust be completed within three years of the dateCb is p rtYtit. Date 7 // bo Approved TOWN OF BARNSTABL,E LOCATION �07' O�/[ _S'� SEWAGE# (y VILLAGE_jCEj� g1LLE ASSESSOR'S MAAP�&PARCEL .M)Qq Q Ia INSTALLERS NAME&PHONE NO.ZfJzf9F SEPTIC TANK CAPACITY I om ` E-Al572A) 3 LEACHING FACILITY (type))4-a O T 10V 1 FFU5olz S (size) NO.OF.BEDROOMS UP ITS 0AC11 12OLU OWNER:I,L`f 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 FURNISHED BY f e �f-16Ale 14 005E O� _ �z o C, 0 A I ' Town of Barnstable Regulatory Services Thomas F. Geiler,Director • e�uwsr�Ht.E • 0.19. ,,� Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form Date: p Designer: 134v110 0 , C VCjghHUwQ R.S. Installer: Address: 43 TRIWGJ LC Ci2CX Address: �'j 75ATZV55 SANOWWW, N 02563 5 1Q(4)\C W O,2S-63 7 o On / ©14�jvf0�SCAiIA *—was issued a permit to install a (dat ) (installer) septic system at �)0 9' da<< ��'f��-� based on a design drawn by (address) Oqi v; D• 6oagh4i0wr, dated "T of y 1�I zo l o (designer) Icertify 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. 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. � �ZN OF lblA moo`' DAVI yGs o D. Installer's Si a e- " COUGHANOWR N ( P )" No. 1093 ��GISTBR�o NITARk (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. N` _ e o0 Fl BAR SxNK pANs y Dt , i C� p rc------------ o , i j I - ----- —---- - ----- I j I VA Z i a , I i i I i I � I i I II , ,I i _.—-- -------- — I F i oQV, FRAM=Nc�- , I I i i i i I 2461 40 , t i I i I I I i CAN -BETE „ . 1 4 3 I I f f IC4c I � I � e j ; I f 1 j li i i i I � 1 , i ( I I le�t. ;GoW—AET�.._t 4 i I _ , -- I , i I o_ T_ ���Ar�o ►2 I I � �I � I � SFt►N V L ES � � 2X6 Ga.�A R �� RGaF SHB'a4Tr lV-j _ t ; 1 I I I` Utz_9"y (Oaf 1 (�1MLL - �jF EFAT-47.Wr 6 SHAKE, I I 1 1 j ` i 7U5 E. a� ps= covice-T E a ,4, 30" �ttsr"ooT I THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH J.................OF.......Diupuu . �LJ� 'C Appliratiun for ll Works Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --........#3 Y.....Q. 1c-5- -C6r+-..1 .......®! ...................................................... Loc -Address r Lot No. tt�l1LYFo _._ !.W..•--------------------------- ...............6 &1.@Kgt1 .............•................................. Owner ---•.--Ad- e s a e T..---..•.�- ......()�,......................................... � ....._...`- ................ Installer Address `��� U Type of Building Size Lot... ''I_ �� f q. eft Dwelling—No. of Bedrooms_-- _-_-_E Other fixtures .-- xpansion ttic (+/f Garbage Grinder ( q, a aOther—Type of Building ..____l��'_...._..._.. No. of persons...... _ .__.___.._._ Showers — Cafeteria A;4) } --------------------------------•--••••-•-•--•----•--•-•-----•----------...-••---•....•...................................... W Design Flow.......... ...........................gallons per person �r dly. Total ly flow-------33.0-..-.-_----__---_---gallons. WSeptic Tank—Liquid capacity s _gallons Length_." �.. Width_ .._ ..a�._ Diameter___ //�____ Depth x Disposal Trench—No...W ......... Width: :............ Total Length.. .......... Total leaching area.�q. ft. Seepage Pit No........I------------ Diameter.....I ......... Deptly below inlet.......6......... Total leaching area...RO;✓'_..sq. ft. Z Other Distribution box (✓) Dosing tank (/V•� aPercolation Test Results Performed by................ ................. _". ..... Date......... _' �._..._._... Test Pit No. 1.... ._..minutes per inch Depth of Test Pit... Depth to ground water._1_ -------- LL, Test Pit No. 2..4 -___minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 .....----------a----------- .._.. ..._......._........._..._..__ ............._................................................................... O Description of Soil..............Q-_.,'._-••-•-•.. '—ft .4 Zd �i L V .....•--•••-•-------•----••-•..................;.:J-_- >�I.�.-- 'Q.------••-•-------•-••--------------•.._.....-•-•--•••-•-•----••-••--•----•-•-•--•-•••••. W .....-------------------------------- ----------•------ -------------------------------------------------------- ----------------------------•-------...-------•-••-•-••-........--...... U Nature of Repairs or Alterations—Answer when applicable.----------V.�=------•----------------------------------------------------------------- .. -•- --••••---•---••-•--•-•-••-••---••---••-•••--•---•--•-•---••--- Agreement: The a ers gned agrees to instal the aforedescribed Individual Sewage Disposal System in accordance with the provis• ns 'ITLL 5 f e e Sanitary Code— The undersigned further agrees not to place the system in operatio unt a t o iance has been is ed by t e b health. Ite to A. lication A ro ed By.............................. ----• -------- •---.•...... ......... ..•------ Applieatio isapproved for the following reasons-----------------------•--------•---------------------...------------------------•-----------•-••--•---•-......_. -----------------------------•--.....---...--•---...-------------•---.......----------.......---------------••••---•••••-•-•••••••••-•-••-••-••-••••----••--•-•.-•-••-•-•-----•---••-----•--•-------•-- Permit No---------------4 1.1 Issued-......-.--_-_--- - I .!.l .fit Dat '•------- - - --- --- - - W_ -------------- - LOCATION SEWAGE PERMIT 010. Oak . A� /---5 VILLAGE � INSTA LLER'S NAME & ADDRESS bo L' O e U I L D E R OR OWNER c 3 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED i ,-BACK Now --.,._....1......./ Fs .;: ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ .......----•.----......OF................---....................--------.......................................... App ration for Disposal Workii Tatuitrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................_...- - ........... ....._. -• ...- ....................................................---------------------------------------------- Location-Address or Lot No. ......................—.......................................................................... ............................................* ----••••---- -•••-----------------.------- ..----- W Owner Address a ........................•--•--•----•-•----••-------•••------•----•................................ ---...-•-------•......---•----••--•...._........-•----............................................ Installer Address UType of Building Size Lot---_--_-------------------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building .............. No. of ersons_....................__.___. Showers a Other—Type g -------------- P ( ) — Cafeteria ( ) d 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 ( ) �.-4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_..................... 0 P4 -•-•-----•••-•-••-----•-••--••--•-•----........•-•------•-----.....•----••--•---•-•••---------••----......................................................... Description of Soil................................................................................................................................... x U w x •--••-••--••----...•--•-----•-----•-•-•----••----••-•------•---•------•-•--•-•--•---••-----.-••-•------•-••-••------•--••••--------•----•---•--•-•••------•--•--•---•------••-•---•--•----------------- 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 been issued by the board of health. Signed.........................................` - Daty,.. Application Approved By-•--•""` : �..-(, -`!S"'? o =��-•--_---.- ----• 1_� ..C� ate Application Disapproved for the following reasons:--••••-•••-•••----•-••••••------------••----•---••-----••-••--•-••......--•-••••---•......-- ....•--....•-•--- -•-------------------------•........-••---------••------••--•--•-•-•-----•...----.........-•-•------......_....•------•-.....--•-----••-••••••--•---••••-••---••-•---•••----••--•----•-••-•---••••••-•-•- • Date Permit No. C ..... Issued 'e D THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................................I...OF..................................................................................... (Entif irtt#r of Tlamphaurr THI IS TO CERTIFY, That the Individual Sewage Disposal System constructed ()(j or Repaired ( ) Instal at. — ..i..5-----.....�.:t]<..--------�..T.---<----V.i-1 �----------------------------------•------------------------•-•-------------------- has been installed in accordance with the provisions of TITLE! 5 of The State Sanitary Code as de_cribed in the application for Disposal Works Construction Permit No...... L�--"_�.�.: dated_....._I_Vi.l1%?ri................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCT ON S TISFACTORY. DATE .... S-15 ...--•---•................... Inspector........---V --...---......-•---•--- / THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH FEE... ? .......... �rk� �,a�a�#rirrat rr�ti� Permissio� is hereby granted------... (--•------•-.....•••------.---•--•---••---•••--•-•..............•--•-•---••-••-••-•-••----•-•----•..........-•••••-••••-•- to Construct ( :r) or�Repair ( )_a Individual Sewage Disposal System Street �,,, r as shown on the application for Disposal Works Construction Permit Nd�`°i..__!�:-3� t Dated....�-_ lc.. ...................... ,•--�,. ........... ..... Y...................................... DATE....... . Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON � o >1 o�o g yy, 39� sr� o 00 v �kA `&A 9 e4 tiry. Vku N 1 li H OF MgSS� OF &I n p � ALBERT G j ROBERT ern BRUCE r y Al ��Op 6 ZL6RE: _ u� ! k z LEGEND � ' I ' EXISTING SPOT ELEVATION OxO ZONc far CERTIFIED PLOT PLAN ,.EXISTING. CONTOUR -- 0 - - - Lor 15 0.9/c FIN1,SHE-D SPOT ELEVATION . 0.0 F.INVS.HED CONTOUR 0 . / o`,exw+r4 AAPPROdED = BOARD OF HEALTH All � ��,l =��� ,4 53fru< � 1 ,M ASS. . . DATE AGENT SCALE, /" yo ' DATE, /.z � s� ti �OREOGE ENGINEERING CO. IN CLIENT Mc �F-�N I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0. aG BUILDING SHOWN ON THIS PLAN � - IVIL LAND '� '7 CONFORMS TO THE ZONING LAWS EN'G' INEERS SURVEYOR DR.BY: E W OF BARNSTABLE , MASS. 712 MAIN STREET CH.;BY, 13,E ' >r H Y A N N I S, :M A S S. / a- '-�''�.-v': x, N... SHEET_L_OF D TE REG. LAND SURVEYOR !'�/N /1107"E / -17-He ' -;-MeSEP7"/C T-AiV/C OR L�AGN//KG Al T A.r:E MORE TH.si-eV 24"OlA A4 E7.E e CONC kt-.F ,C- COP>E& K------ SNA L L &IF I&MOV45147- 7`0 Al R A®,E.�A N �"PPlC Pf Pam' tlE•4VY CAS7"/AO/V Coei�R .51;6-q � � I�.E 41Sco E,c? /�fla. P/TCf� I j"/N UR/✓,'OVA Y 1 Aleet- 2% Af�a. CONCRe�TE A ; O AeE CO VE'A' CL EAN .SA NO ER Q, 4~Cs//95T p� _ /2�r�LAYA s M lfS olV PIP- o ' - - Q ,.a O` u p P p Q O /r JAk PITON e o a . o .. • ® e p ° WA SHPD S72J/YE D/ST. P--x P-/`: S1=PT/C TANS o e e r • . ♦ • e e a ® b m 4 BOX p ® r � • ♦ Ord a ,•� ° ♦ a ! C o f?D a I o r�F-ocr 7Vg e ° e •• 314 - �2 ,: , r r • DEPTX ' s r r vP 1` Avi—=D .STONE . o • • • e p p P PI@'EG95T SE�Pr4fFE. J PA—I r�'9b G<? �/��� a`m• e o s • e • • r e e 'o P/7 DR E4ulV, j. /IVl/4wRT 4M EVAT/ONs INYEIR7- A7' &VII DING Q t t�; FT ` G 3' FT D/.4/�t: rE, lNLE7• !�' TA/VK /4 0.7;.fT, /Z F7 O/�41s9. �f G� E 7�BUL.4�-J®A/� E7 104171L 7"SE'PT/C TANK ! o S'FT. - I /NLET DISTe�/ ION BOX t c�,Z IC?. C;RDu1VD. ia(�17�E1z 7"AOLE DtlT6ET®f3 P1 /®L/T/ON AQX 14 0,OFT SECT/Q/�I C3'P /A/! T LE.4CiTlflf€ i�IT 139:7 fT eS� ✓A�G�;: /�`I��i$�. �$''.57'�/� ?A841L.AT140/E✓ L CH11VC �®�" 0114ER[.T,/B N A VCALE �4~ s !` 0 DIES/6N CRl TEM/A ®f Afx-N5l jj ty V Al41M 8,ER OF®EDRO®AfS 3 D/NIENs/ON C F7: !u!'N Gam+,qaAG.F 15�P0.%iLelWr NoIV�f SOIL. LOB � 5�®/z 7-n7.4LG.41-14AY. SOIL TFST #! .SOIL T.EST 2 / r Nu/S98ER G4#r L0,4ctJiaD.j4D/ fZZ l43:7! EY O S®/LTEST'L� A7Eof .S!®E eLEACMdAIG PER P/7' /S -.Z RES414-7 0d/7'/1✓ESSED d!' i k' ®OrroAfL-&74CglNGpER�'/r 3 $Q. ��' - o'' L ..�a F►E!$CQLAwo" )egro,*/ Mii+�,/fNCN !� TOTAL L ACHING AREA `� .SoP. 'FT. Sc-; s OIL- AENC'OLAS/ON RA7,E 2 MJN�lNCil�l a RRSORVE4A AC°,&!!N6AREA ?_t�� SQ. FT U 7 r t, .,. �. XA O t c7, .`� s f `r ALBER y G� 2 XD EYE 1;3'/. 7/ /► A/�l S `tlYA'Nl9, /►? .5. { D..{« FrS1p L E�6 '�.'' L.l.EiVT O DstTE: r~ nR. � /ve�'��esve�l��?��/r r�T�R �!t!E'vtl/�t�' � �✓'�, g¢. r' .. ,::e.. ...,;ice:. ..-.<... ... _......s ...-. ,,. ,r.. Lw..Z.. ..y ..� �y�I.-6'�i,�C �M^i�rr'Y •'7' d4 ate.. .?' -�S rx _ s >S"' z,� x.s � :ya ,.1.. 7 .�.r.. r!�. „{ w� 'ss.�+,'v. .,�.� y.•" .�.F:�•".vt-• - 4. _ t ..... .-_ "�.''"_ �<'..... 4 .. +' _.,:_-7 +_.,1:. ,9. F ,;.=s`} 4 +••x�T+ w* �x P f .ik'." L ''�r fti- S :4. .�":`k� ��t•r s+! r...:u..a•r<'t ate. , ,.n,> •: .s ,.e _ _ _ _ _ _.:°".'&,"`u`4„�ffir'.`�''. _ .-_ �:.- ..- �i","'aaNT,�^M Y'°StiYrsPrn'rRe,.'MAfF.'�ne+r-•�n•'".'�V:"ar�.+,.n . y vk ,{;L.^ 4�'F- ..t,..:-� T ,1., 6+A".S"$Yevnm• Knhevev.z�"ed.,s-t,�^nrnds•ar-•mM.'�+heu... ,:-a:.-.-�—....-.. , LOCUS DATA ,{ LOCUS CURRENT OWNER SCOTT OAKLEY N LYNNE OAKLEY BENCHMARK: PLAN REFERENCE 400-30 �;�oF *a. ; TOP OF CONCRETE STOOP.. ELEV=88.71 p�� �o�' EDWAfD DEED REFERENCE 24720-291 STq A• ' GF�, STONE , .ZONING DISTRICT RF �q� b No. 2 9s0 r PROPOSED p�T G/S �S PROPOSED VENT LOCUS MAP FLOOD ZONE "X" NOT TO SCALE: °a H-20 /��' D-BOX ASSESSORS MAP 194 18-0103 G00a �0 1 SHED PROPOSED PARCEL 001-012 �� lRE P 13'x25' SAS , (2) 500: GALLON OVERLAY DISTRICT ZONE II -,2b _ ` H-.20 LEACHING 0 r E p CHAMBERS LOT AREA 44,396f S.F. 6�2Gy� 0 3 l_O T 11 Aco PROPOSED LIMITS N S I TE & SEWAGE o of EXCAVATION I o 5' OVERDIG z P# REPAIR PLAN GAR. WITHIN 5' OF OLD N - � SYSTEM. #�04 SHED TF \\ // Tp cc 7- #304 OAK S// 1 L L / / EXISTING IN R=149.29'. \ :: 3 BEDROOM _ L=13.11' DWELLING CENTERVILLE, MASS LOT DATE: MARCH 26, 2018 00 PROPOSED i LOT 1 SA 16A OWNER APPLICANT: 8 44,39 _ 6f \ \ s SCOTT & LYNNE OAKLEY \ j 304 OAK STREET N. _ GENTERVILLE, MA 2 � �� � —' ---{ — _ 1 _ N 508- 420— 4894 3 84 SHEET 1 OF 2 82 PREPARED BY: s a EAS SURVEY, INC. � \ �\ �-� J P. O. BOX 1729 q�8s3.9e R �2 SANDWICH MA 02563 �� 2 '°. 0 30 45 60 PH. (508) 888-3619 CELL (508) 527-3600 fo~' GRAPHIC SCALE: EAS.SIJRVEY@YAHOO:COM 1 INCH 30 FEET SYSTEM DESIGN RAISE COVERS TO WITHIN 6" OF FINISH GRADE TOP OF FOUNDATION ELEV. 89.68 FINISH GRADE VENT D-BOX CENTER CHAMBER RISER pESIGN..FLOW FINISH GRADE RAISE TO WITHIN 6" 3 BEDROOMS AT 110 GPB/D 33-0 GPD �= EXISTING ELEV. 88.5 OF FINISH GRADE / ELEV. 89.0 ELEV. 89.0 \\ \ N ELEVATION 89.4 REQUIRED SEPTIC TANK �� 3.7' COVER / VENT 45'C�S=0.02 8'C�S=0.02 TOP ELEV 85.75 330 x_2 _ _____660 GAL. j SCH 40 - 4 PVC -+r -- 4" PVC SCH 40 O pO OO o o O pO pO o EXISTING SEPTIC TANK = _1500 _GAL. INV.= MIN-3 MAX EXIST. 10"TEE 14"TEE INV.= O O o o �00 O O SIZE OF LEACHING FACILITY REQUIRED 85.90 0 0000 0 0p i� STRIPOUT TO f `t* INSTALL 6" O p 00 o o p O p O p C2 HORIZON �p``e 5'-7" GAS BAFFLE 3 OUTLET PER 310CMR DESIGN PERC RATE _ «____MIN./INCH 4'-61/z 4'-1" LIQUID LEVEL H-20 DB3 TWO 5'-0"x8'-6"x3'-0" CHAMBERS 15.255 LONG TERM APPL. RATE_�•74_GPD/S.F. INV.= EXISTING INV.=85.00 \IINV.=84.75 d INV.=84.83 ui SIZE OF LEACHING SYSTEM PROVIDED: 82.75 S.A.S. (13.0' x 25.0')L o o 46 330 _ 0.74 SF GPD = 4 S.F. MIN. REQ. PARTIAL STRIPOUT 4 / EXISTING 1,000 GALLON TANK ELEV, 77.0 USING H-20 CONCRETE LEACHING CHAMBERS TO REMAIN ' WITH 4' OF STONE ALL AROUND O0 0 0 O O o o O O0 O BOTTOM (13.0' x 25.0') = 325 S.F. p p p Q o p p p SIDE WALL (13.0' + 25.0') 2x2 = 152 S.F JOB.# 18-0103 CONSTRUCTION NOTES: O 0 O 0 O o o Q 0 00 0 477 S.F. 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND 477 S.F.x 0.74 G/SF = 353 GPD SITE Bc SEWAGE ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING ---4.0' 5.0' ---I--4.0'---+ 353 GPD PROV > 330 GPD REQ. = 23 GPD RES. WORK ON THE SITE. _I NO (GARBAGE DISPOSAL / GRINDER ALLOWED) REPAIR PLAN 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE � �..---- 13.0' WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANTIS TO SIDE VIEW APROPIATE #304 3. ENGIN ERTAIN TO VERIFY SUCHD REMOVAL OFO UNSUOITABLE SOILS PRIOR AUTHORITY.} P-12984 TO INSTALLATION OF NEW SEPTIC SYSTEM. 0A K STREET 4. t NO PARKING OVER SEPTIC TANK IS ALLOWED. 1 D.T.H. #1 ib D.T.H. #2 0 DATE: 6/29/2010 DATE: 6/29/2010 IN GENERAL NOTES: s MOF GROUND ELEV. 88.50 GROUND ELEV. 88.60 C E N TE R VI LLE, MASS 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. �y� ADJ G.WATER 77.0 ADJ G.WATER - TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS DAV v, FOR SUBSURFACE DISPOSAL OF SEWERAGE. ID 0 0 DATE: MARCH 26, 2018 2. AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE F R. SANDY LOAM SANDY LOAM ACCESSIBLE WITHIN 3" OF FINISH GRADE, WITH ANY REMAINING 1 10YR 3/2 10YR 3/2 ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. 5" 6" 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE DATUM: �TEa A A OWNER/APPLICANT: CAPABLE OF WITHSTANDING H-10 LOADING UNLESS 8q�y+� SANDY LOAM SANDY LOAM OTHERWISE SPECIFIED. VERTICAL DATUM: 10YR 4/4 10YR 4/4 „ SCOTT & LYNNE OAKLEY BARNSTABLE GE 10" 12 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION ? 7/ � B B BENCH MARK USED: ✓ U! OF ALL UTILITIES PRIOR TO ANY EXCAVATION. LOAMY SAND LOAMY SAND 304 0 A K STREET 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE TOP OF CONCRETE STOOP 1 QYR 4 6 1 OYR 4 6 C E N TE R VI LLE, MA OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. ELEVATION 88.71 ELEV =85.67 314 ELEV =85.60 36" 6. FINISH GRADE SHALL HAVE A MINIMUM OF 0.02 FEET PER INDICATES DEEP FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. DTH #1 $o TEST HOLE 508- 420- 4894 7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF ELEV = 83.5 66" SHEET 2 OF 2 SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6" ABOVE �� 138" INDICATES ADJ. GROUNDWATER THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND NO OBSERVED GROUNDWATER C C LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. - PREPARED BY: 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN MEDIUM 10YR 6/3 D MEDIUM SAND 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT INDICATES ELEVATION OF THE OUTLET PIPE. PERC TEST E A S SURVEY, INC. 9. THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES NO G.WATER 138" NO G.WATER 138" P. O. B 0 X 1729 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS ELEV =77.00 ELEV =77.10 BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4" PVC 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND GROUNDWATER ADJUSTMENT B.O.H. SANDWICH MA 02563 SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE DEPTH TO BOTTOM OF HOLE 11.5' SOIL EVALUATOR AVSTANTON, BOH FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL PH. (508) 888-3619 12. LEVEL DAVID C. COUGHANOWR. SE. RS 1093 BCHA G SOIL ES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION TYPE: 1_ CELL (508) 527-3600 TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW VARIANCES REQUESTED PERC RATE: 3_MIN. PER INCH EAS.SURVEY©YAH00-COM AND APPROVAL. NONE LOADING RATE: 0_74 GAL/SF/MIN 13. MAGNETIC TAPE ON ALL COMPONENTS. IA 1. CONTOURS EXISTING - - - - - - - 50 ez B4 -- -- -- 86 322.68 Ft -- -- $B I-- -- B9- -- -- -- -- -- -- -- N LOCUS MINIMAL GRADING PROPOSED I i �' oP� ACE D c L D T 15-A � LANE'Zil �) I E� dbb,5-D ao AREA - 44178 sF +- o0 0 o- 12-D 1 / �O�O Ty D abe,s° i °�150 I O pp / CENTERVILLE. MA LOCUS MAP J pRVEWP , O2O�S NOT TO SCALE O I PAVEo O ze rt rz / ill,Q oLEGEND iP 1 b's° d '2-° /� EXISTING I1 ` 1000 GALLON E3 \ o00 op�A qQp SEPTIC TANK Z w Ob�_D I �b�,s-D /� EXISTING LEACH b_O I \ PITXCESSPOOL O J I B0-i BIODIFFUSER /gym UTILITY POLE$DRAIN 199 J LSYSTEM EACHING TEST PIT® D-BOXO \ e -SEE DETAILS BENCH MARK DECIDUOUS CONIFEROUS ON REVERSE / PAINT SPOT ON TREE odo2MTREE 2� CONCRETE STEP EF PS TO INCHES.LETTER DENOTESETYPE Be9 TER�N I ELEVATION = 88.71 D-OAK M-MAPLE P-PINE C-CEDAR Al?� $t / BARNSTABLE GIS DATUM cj Be ` / GARBAGE GRINDER IS NOT ALLOWED t10Fiy,4 ZN�FMgS �� \ / WITH THIS DESIGN. �a� ®� 82 -- �o DAVID DAVID s�N COUGHANOWR N - ,COUGHANOWR " E?' No. 1093 EDGE OF P �FG/STEft�O �O��ICENS�� O4 AVEMENT PL/1 N S'aN R1PN FVAL13 FLOW PROFILE ALL PIPE ELEVATIONS SPECIFIED ARE INVERT ELEVATIONS SCALE: 1 in = 30 Ft EXPRESSED IN DECIMAL FEET NOT FEET AND INCHES { 30 0 30 60 Zolo TOP OF FOUNDATION RAISE_ COVERS TO WITHIN 0 to 20 30 EL =69.66 +- 6 in OF FINAL GRADE ; (f" 7 T� SEWAGE DISPOSAL SYSTEM PLAN 88.50 -TO .SERVE EXISTING DWELLING INSPECTION ST. SALLY A. SYRJALA /D_BDX 3 PORT [ONE OWNER OF RECORD 3" DROP /� MAX PER TRENCH) FLOW LIN ICI 304 OAK STREET T IO.. = 14 ,� 85.5 --- ----------- --- --- � 1995 �� CENTERVILLE. MA EXISTING 46 GASH �0 N�� PROPERTY ADDRESS BAFFLE 85.60 6 in ===--======-=== _== === STON 8520 ======_=__=== BOTTOM OF 43 TRIANGLE CIRCLE AssEssoRs MAP 194 PARCEL 1-12 BASE SOIL ABSORPTION SANDWICH MA 02563 PLAN BOOK 400 PAGE 30 EXISTING EXISTING BIODIEEUSER SYSTEM 1��� GALLON 85.37 85.10 506 364-O8J4 DATE JULY 5, 2010 SYSTEM 5.0m ft+ SEPTIC TANK woe #ETE-3361 PAGE 1 0� 2 VERSION: EXISTING 21 ft o) 5 ft -SEE DETAIL ON REVERSE THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED bl 10 ft 64.16 38.1 ESTIMATED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM SEASONAL HIGH DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING GROUNDWATER PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. ) OF TEST: JUNE 29. 2010 SOIL TEST LOG DO NEEVALUATOR: DDAVID AV D STANTON.. COUG N LTHR.S. D E S I G N C A L C U L A T I O N S PERC NUMBER: 12984 DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD PAARENTUMAATERIA EPROGLACIRALO OUTWASH SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS I TEST PIT PERC AT 66 In - 3 MIN/INCH IN C SOILS USE EXISTING 1000 GALLON SEPTIC TANK IF IN SOUND STRUCTURAL CONDITION. IF NOT. INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER DISTRIBUTION BOX: USE 3 OUTLET D-BOX. (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING 88.50 SOIL ABSORBTION SYSTEM: INSTALL 10 ADS HIGH CAPACITY BIODIFFUSERS U600BD) 0-5 O SANDY LOAM 10 YR 3/2 NONE FRIABLE 10 UNITS x 6.25 f t / UNIT = 62.50 L.F. 5-10 A SANDY LOAM 10 YR 4/4 NONE FRIABLE 62.50 L.F. x 7.90 S.F./L.F = 493.75 S.F. 493.75 S.F x .74 G.P.D. / S.F. = 365.3 GPD 85.67 10-34 B LOAMY SAND 10 YR 4/6 NONE LOOSE USE 10 HIGH CAPACITY BIODIFFUSERS AS CONFIGURED BELOW 34-138 C MEDIUM SAND 10 YR 6/3 NONE LOOSE - Vt, = 365.3 GPD > 330 GPD REQUIRED ?•00 REFER TO DEP APPROVAL LETTER TRANSMITTAL # W000052 FOR CERTIFICATION OF ADANCED DRAINAGE SYSTEMS BIODIFFUSER SYSTEMS. NO TEST PIT 2 PAARENTUNDWATE MAATERIA EPROGLACIRALD OUTWASH 3 MIN/INCH IN C SOILS ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER LEA CHING GALLERY NOT TO 1000 GALLON SEPTIC TANK (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING SCALE DIMENSIONS AND DETAIL NOT TO 86.60 CONSTRUCTION DETAIL USE EXISTING H-10 UNIT SCALE 0-6 O SANDY LOAM 10 YR 3/2 NONE FRIABLE USE ADS HIGH CAPACITY BIODIFFUSERS (#16008D). GRAVELLESS 6-12 A SANDY LOAM 10 YR 4/4 NONE FRIABLE INSTALLATION - USE DER APPROVED INSTALLATION PROCEDURES. SEPTIC TANK IS TO BE PUMPED DRY AT TIME OF INSTALLATION AND IS TO 12-36 B LOAMY SAND 10 YR 4/6 NONE LOOSE 31.25 f t BE EXAMINED FOR STRUCTURAL 65.60 INTEGRITY. INSTALL NEW PVC OUTLET 36-138 C MEDIUM SAND 10 YR 6/3 NONE LOOSE m TEE EOUIPPED WITH A GAS BAFFLE. 77.10 m 1 In ' N L� TAPER co cp Ln GROUNDWATER ADJUSTMENT DISTRIBUTION BOX �o DIMENSIONS AND DETAIL USE SHOREY 08-3 H-10 4— EXISTING GROUNDWATER LEVEL 31.25 f't N BASED 'ON TOWN OF 'BARNSTABLE GIS DEPARTMENT RECORDS. 4 )CN �1 INDICATED GW .3ZJ00 NOT TO 12 in INDEX WELL SDW-252 SCALE MIN CROSS SECTION VIEW a ��-s to A ZONE 'B --► _IL READING DATE DUNE. 2010 , O FROM INLET OUTLET READING 46.6 r , _ [ TANK TO COVER COVER ADJUSTMENT 1.1 0 cp SAS 4 to USE H-20 O ADJUSTED GW 3B.1 .� ' 16 RATED UNITS s IN oRDP ..4Y 6 to STONE BASE l n 11.3 to —� _FLOW LINE EFFECTIVE DEPTH FROM 10 to 14 TO CROSS SECTION VIEW BUILDING to D BOX 5 !n 34 in (2.83 Ft l 68 in (5.66 f 0 34 in (2.83 f t l L�ioulD GAS LEVEL BAFFLE NOTES SEPARATION OF INLET AND OUTLET TEES 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. SHALL BE NO LESS THAN LIQUID DEPTH CROSS SECTION VIEW 2) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REQUIREMENTS OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15). 3) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. 4) EXISTING LEACH PIT TO BE PUMPED, FILLED. AND ABANDONED IN PLACE. SEWAGE DISPOSAL SYSTEM PLAN 5) ALL STONE TO BE DOUBLE WASHED AND FREE OF IRON. FINES AND DUST IN PLACE. -TO SERVE EXISTING DWELLING 6) EANNDTAPPLIANCE ENVIRONMENTAL BIANNUARECOMMENDS PING OF THE SEPTI INSTALLATION TANK LOW FLOW FIXTURES SALLY A. SYRJALA 7) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR LOADING. DO NOT 304 OAK STRET CENTERVILLE, MA PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM. 8) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL ECO-TECH ENVIRONMENTAL STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH 43 TRIANGLE CIRCLE SANDWICH MA 02563 SIX INCHES OF CRUSHED STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING. ETE-3361 I JULY 5. 2010 1212