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HomeMy WebLinkAbout0066 OUTPOST LANE - Health (4) 66 OUTPOST ROAD l Centerville I A = 172 -- 116 S M E AD Na 63LOR UPC 12543 smead.com - Made in USA r TOWN/OFBA,RNNSTABLE 1 LOCATION l0 CQ �,V I`O U.�IUy SEWAGE# o%6(q-' D] VILLLAGE �'�,��C/LV f lI�"� ASSESSOR'S MAP&LOT �1 INSTALLER'S NAME&PHONE NO. J 'k)e-1G h bCVhC-n C1 6-4-9- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) X��• Z�X 1( NO.OF BEDROOMS A BUILDER OR OWNER �[ PERMIT DATE: &-I/'I l COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by LJ -- — — — = 3 08 t�cE'Za �bva � a' 35 o I�f r Y cqr 3q CS, poas � 4� 1� TOWN OF BARNSTAB E < �� LOCATION d U T 16 s SEWAGE # VILLAGE 0:::� 4 /;-- ) ASSESSOR'S MAP & LOT aftEEr=L-L INSTALLER'S NAME & PHONE NO. �g,� /lY$6 W 72S—�'7? SEPTIC TANK CAPACITY /0 6- 6 a � LEACHING, FACILITY:(type) l6 O (size) 1� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNERi�/� 1 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No } �� � 4 A ++ � i �� C� �... ���'� ��A .� � fed�. i �), � �1a �.� �� 1 q 0 ;5 . I r .` 9 �Q� No. ' Fee ' '9 t/ 40 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitation for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. e6 Owner's Name,Address,and Tel.No. r�oZfcPvi 6/e? C 6' GeGt/�c.rt AM,- Assessor's /7;z — /16' �C� av>//� �}oc 36C:P— Z4,162. Installer's Name Address,and Tel.No./ aMM/ o'J`M� Designer's Name,Address,and Tel.No. So�'>36.7- -F'p 'Z 'ems 0 .f��c. e• fo> da�c� �"c3'— 77.5-- 28aZ� �o/3o}e 9df �fv-z��6� Type of Building: Dwelling No.of Bedrooms Lot Size /7 3J O sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3� gpd Design flow provided gpd Plan Date ��f—�/y/ Number of sheets __�7 Revision Date Title Size of Septic Tank /o oo Type of S.A.S. Air —/to'�q� _2�7!'j6�dcs�oif Description of Soil 2EZ,�,_- f'a,, V-Z Nature of Repairs orAlterations(Answer when applicable) e;;!�,--,,e_Z0 X0 542 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 by this Board of Health. Signed Date Application Approved by Date 6"a4 Application Disapproved by Date for the following reasons Permit No. Date Issued �V J� No. i Fee ' t/ THE COMMONWEALTH'OF MASSACHUSETTS Entered in computer: .t , Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Disposal 6pstrut Construction Hermit . Application for a Permit to Construct( ) Repair(t/<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �'6 o�f�B- !`� Owner's Name,Address,and Tel.No. 4 a e•, C'or*E'y Assessor's Map/Parcel V ' Installer's Name,Address,and Tel.No./ / «.v�i/'f Designer's Name,Address,and Tel.No. S o�3�,a'- y`O il�ii%� f�" r✓ �oi.4sat ' pfwp/ S47--c .jrC 77f— z8 � i3o1< �d'� 50.7 Type of Building: Dwelling No:,of Bedrooms P Lot Size 3 e,9 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) © gpd Design flow provided f � gpd Plan Date 6f'��t� Number of sheets 2 Revision Date Title Size of Septic Tank�/p prj Type of S.A.S.�2 -/l' (-1, 7*01�• Description of Soil -ices ....,/ 4/-., Nature of Repairs or Alterations(Answer when applicable) n sri li��-i foi✓ uis;4,4 a s7co V&. -��r rya// ���— ,.S Date last inspected: = Agreement: . r• - The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in 3.. accordance with the provisions of Title 5'••o the Environmental Code and not to place a system in operation until a Certificate of �;X w Compliance has been issued by this Boa4d, f Health. Signed - Date �e x�,,�41jge, Application Approved.by Date Application Disapproved by Date for the following reasons Permit No. 2- 0m �-` lc�0 Date Issued 6 4 (�-'/ Th E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CER"CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(e/� Upgraded( ) Abandoned( )by -�`-, G/d e 2 �`(�i.!,—y at 6_6 oG. Fed r,��w_ /',or fro�r.6/�-has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No. aG/t ' k) dated Installer �/�- —�_ Designer #bedrooms Approved design flow pd GThe issuance of this peAnit s a not be construed as a guarantee that the system will do asdesigneeDate - Inspector ' / i.�,� W;g %� -------------- - - ------------------------------------------------------------------------------------- p-/----� ---- No. �( f� Fee---( "v ---- 1 (�V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction 3permit Permission is hereby granted to Construct( ) Repair(ems Upgrade( ) Abandon( ) System located at 1!5'K 041-f doX 7- _./Az 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 a completed within three years of the date of this permit. Date �j Approved by I / l Town of Barnstable °FSHE 1° Regulatory Services Richard V. Seali, Interim Director + BAR.YSTABLE, « Public Health Division 9 MASS. g `bpjk-- 66. Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternatiiv'e�Systems q Property Address: l� ��� 05� L ���,t✓l� Assessor's Map\Parcel: Property Owners Name: In accordance with Massachusetts DEP alternative system approval letters, the following certification information is required by the Owner of record. The Owner of record must place an "x" in the applicable box next to each line certifying the information. Yes N\A L�" ❑ I have been provided a copy of the,Title 5 I/A technology Approval letters. (15 page Standard Conditions letter and the specific technology letter) ❑ I have been provided with the Owner's Manual 'J' ❑ I have been provided with the Operation and Maintenance Manual ❑ YFor Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) d,the Approval ❑ L✓ For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner, as required by / 310 CMR 15.287(5) t�' ❑ If the design does not provide for the use of garbage grinders, the restriction is understood � and accepted ❑ Whether or not covered by a warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment as defined in 310 CMR 15.303 I , agree to comply with all terms and conditions above. Property gwriers print d ame -,-1,0BZUj Ca��gjA &/1, l Property Owners Sign re ate Note: This form must be submitted along with the septic system disposal works permit application for all I\A systems including new construction, repairs\upgrades, with and without aggregate (stone) and with conventional design criteria or credited design criteria. QASeptic\IA homeowner certification.doc Town.of Ba1-nstable. P# . Departtnentof Regulatory Services ' Public Health Division Date , & $ I Ar,63 Fie 200 MainjSannis MA 02601 Date Scheduled Time Fee Pd. i oil' Suitability Assess raier�t for ,fie e -pis osa `' ,l ' Performed By: y�"' ' Witnessed By: efr LOCATION &~GENERAL INFORMATION Location Address Owner's Name (,� AAA t w,44 ce Assessor's MaplP4rcel: 2, j f e I Engineer's Name NEW CONSIRU!TION REPAIR JL Telephone 3("0 Land Use � Slopes(9'0) Q Surface Stones "'�tie Distances from: Open Water Body ft Possible Wee Area ® ft Drinking Water Well �ft Drainage Way >/00 ft Property Line �ft Other ft . r SKETCH:($treet name,dimensioos'of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) i '} t, . 1 O Parent material(geologic (ICrfA-1 Z� �i I Depth to Bedrock Depth to Groundwakdr_ Standing Water in Hole:' ti A Weeping from Pit PACe Estimated Seasonal'iHigh Groundwater DtTE R TION FOR SEASONAL HIGH WATER TA-tLE Method Used: Depth dbperved standing obs.hole: __ in. Depth to soli mottles: 1t Depth toiweeping from side of obs.hole: ! in, ©rdundwuter Adjuetlnenr _ . _ Index Well# _ Reading Date: Index Well levra -- A�.pletor Adj. . I PERCOLATION TEST' Date Observation 1 ' N P Tune at 9 _-.----- hole# .Time at G" ....------ Depth of Perc / 0:57 � Time(9"•6") Start Pre-soak Time.@ c--- End Pre-soak L' A. t Rate MinJlnch Site Failed: .Additional Testing Needed(Y/N) Site Suitability Assessment: Site Passed _ — Original .Public k?e$Ith Division Observation Hole Data To Be Completed on Back--- ***If percola#6n test is to be conducted within 100, of wetland,you must first notify the Barnstable C44servation Division at least one(1)week prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones;Boulders. Consistenc %Gravel DEEP OBSERVATION HOLELOG Hole# Horizon, Soil Texture Soil Color Soil Other Depth from Soil Surface(in.) (USDA) (Munsell) Mottling, (Structure,Stones,Boulders. Consistency.%Gra el joyI pp n DEEP OBSERVATION HOLE LOG Hole# AIIA Depth from' oil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc %Gravel D OBSERVATION HOLE LOG Hole# Depth from Soil Hon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency. gravel)- Flood Insurance Rate Map: Above 500 year flood boundary No Yes » Within 500 year boundary No✓ 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? -E'S If not,what is the depth-of naturally occurring pervious material7 Certification I certify that on `? (date)I have passed the soil evaluator examination approved by the Department of Enviro mental Protection and that the above analysis was performed by me consistent with the required nin ,expertise and experience described in 3.10 CMR 15.017. LAM Signature Date Q:ISEPTIC\PERCFORM.DOC 1 � Commonwealth of Massachusetts Executive Office of Energy &Environmental Affairs Department of Environmental Protection One Winter Street Boston, MA 02108.617-292-5500 DEVAL L.PATRICK RICHARD K.SULUVAN JR. Governor Secretary DAVID W.CASH Commissioner APPROVAL FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: Infiltrator Systems,Inc. P.O.Box 768 6 Business Park Road Old Saybrook,CT 06475 Trade name of technology and model: High Capacity chamber, Quick4 High Capacity chamber, Quick4 High Capacity HD chamber, Quick4 Plus High Capacity chamber (8-inch invert), Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber, Quick4 Plus Standard chamber (5.3-inch invert), Quick4 Plus Standard chamber (8.0-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber, Equalizer 24 chamber, Quick4 Equalizer 24 chamber, Equalizer 36 chamber, Quick4 Equalizer 36 chamber, Quick4 Equalizer 24 LP (Low Profile) chamber (6 inch invert), and Quick4 Equalizer 24 LP (Low Profile) chamber (2 inch invert) (hereinafter the "System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: May 22,2014 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: Infiltrator Systems, Inc., P.O. Box 768, 6 Business Park Road, Old Saybrook, CT 06475 (hereinafter "the Company"), for General Use of the System described herein. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer and the System Owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. Mav 22,2014 David Ferris,Director Date Wastewater Management Program Bureau of Resource Protection This information is available in alternate format.Call Michelle Waters-Ekanem,Diversity Director,at 617-292-5751.TDD#1-866-539-7622 or 1-617-574-6868 MassDEP Website:www.mass.gov/dep Printed on Recycled Paper Infiltrator Chamber,Infiltrator Inc. Page 2 of 6 Approval for General Use—May 22,2014 I. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1: Chamber Dimensions Dimensions Invert Model W x L x H Height Inches . Inches Equalizer 24 15 x 100 x 11 6 Quick4 Equalizer 24 16 x 48 x 11 6 Quick4 Equalizer 24 LP 6-inch invert 16 x 48 x 8 6 Quick4 Equalizer 24 LP 2-inch invert) 16 x 48 x 8 2 Equalizer 36 22 x 100 x 13.5 6 Quick4 Equalizer 36 22 x 48 x 12 6 Standard Chamber 34 x 75 x 12 6.5 Quick4 Standard 34 x 48 x 12 8 Quick4 Standard HD 34 x 48 x 12 8 Quick4 Plus Standard(5.3-inch invert) 34 x 48 x 12 5.3 Quick4 Plus Standard(8-inch invert) 34 x 48 x 12 8 Quick4 Plus Standard LP 3.3-inch invert 34 x 48 x 8 3.3 Quick4 Plus Standard LP (8-inch invert) 34 x 48 x 8 8 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.25 High Capacity Chamber 34 x 75 x 16 11 Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 High Capacity HD 34 x 48 x 16 11.5 Quick4 Plus High Capacity 8-inch invert 34 x 48 x 14 8 Quick4 Plus High Capacity(13-inch invert) 34 x 48 x 14 13 I Includes Infiltrator MultiportTM invert adapter attached to the side of the end cap. 2 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in- One 8 Endcap. 'Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2 4 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in- One 12 Endcap. 2. The System is an open-bottom leaching unit molded from polyolefin resin. It can be installed without aggregate or distribution pipe as an absorption trench or as a bed or field. If the System is installed with stone aggregate then the "Effective Leaching Area" in Tables 2 and 3 is not applicable, and must be designed in accordance with the provisions of 310 CMR 15.000. 3. The total effective leaching area for any Chamber Model shall be calculated by multiplying the Effective Leaching Area per square foot of chamber times the total length of chamber from end cap to end cap including end caps. i Infiltrator Chamber,Infiltrator Inc. Page 3 of 6 Approval for General Use-May 22,2014 4. For new construction or upgrades, the applicant can size the System in a trench configuration,using the effective leaching areas presented in Table 2. Table 2: Effective Leaching Area in Trench Configuration for New Construction and Remedial Sites Effective Effective Model Leaching Leaching Area Area SF/LF SF/LF Equalizer 24 3.76 N/A Quick4 Equalizer 24 3.90 N/A Quick4 Equalizer 24 LP 6-inch invert 3.90 N/A Quick4 Equalizer 24 LP 2-inch invert 2.78 N/A Equalizer 36 4.73 N/A Quick4 Equalizer 36 4.73 N/A Standard Chamber 6.53 N/A Quick4 Standard 6.96 N/A Quick4 Standard HD 6.96 N/A Quick4 Plus Standard 5.3-inch invert 6.20 N/A Quick4 Plus Standard 8-inch invert 6.96 N/A Quick4 Plus Standard LP 3.3-inch invert 5.65 N/A Quick4 Plus Standard LP (8-inch invert) 6.96 N/A Infiltrator 3050 or StormTech SC-740 N/A 6.71 High Capacity Chamber 7.79 N/A Quick4 High Capacity 7.93 N/A Quick4 High Capacity HD 7.93 N/A Quick4 Plus High Capacity 8-inch invert) . 6.96 N/A Quick4 Plus High Capacity(13-inch invert) 7.93 N/A 5. Effective April 21,2006,310 CMR 15.251(1)(b)maximum trench width is 3 feet. 6 Effective leaching area is equal to 1.67 (bottom width+(2x invert height)) for Systems 3 feet or less in width. 7. Effective leaching area is equal to 1.0(3 +(2x invert Height)) for Systems with a width greater than 3 feet. 8. The maximum trench width allowed to calculate effective leaching area is 3 feet. 5. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Tables 2 or 3, or additional reductions in soil absorption system may be allowed. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 6. For new construction or an upgrade, the applicant can size the System in bed or field configuration, using the effective leaching areas presented in Table 3. Infiltrator Chamber,Infiltrator Inc. Page 4 of 6 Approval for General Use—May 22,2014 Table 3: Effective Leaching Area for Bed or Field Configuration New Construction and Remedial Sites Effective Model Leaching9 Area SF/LF Equalizer 24 2.09 uick4 Equalizer 24 2.23 uick4 Equalizer 24 LP 6-inch invert 2.23 uick4 Equalizer 24 LP 2-inch invert) 2.23 Equalizer 36 3.06 uick4 Equalizer 36 3.06 Standard Chamber 4.73 Quick4 Standard 4.73 uick4 Standard HD 4.73 uick4 Plus Standard 5.3-inch invert 4.73 uick4 Plus Standard 8-inch invert 4.73 uick4 Plus Standard LP 3.3-inch invert) 4.73 uick4 Plus Standard LP 8-inch invert 4.73 Infiltrator 3050 or StormTech SC-740 7.10 High Capacity Chamber 4.73 uick4 High Capacity 4.73 uick4 High Capacity HD 4.73 uick4 Plus High Capacity 8-inch invert 4.73 uick4 Plus High Capacity 134nch invert 4.73 9.Effective Leaching area is equal to 1.67 times bottom width only. 7. When the System is used with a secondary treatment unit approved in accordance with 310 CMR 15.284 or 15.288, additional reductions in soil absorption system may be allowed. In these situations the reduction in the SAS cannot exceed the maximum allowed under the secondary treatment units approval. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. H. Special Conditions 1. The System is an approved Alternative Chamber for use as an Alternative Soil Absorption System. In addition to the Special Conditions contained in this Approval, the System shall comply with the"Standard Conditions for Alternative SAS with General Use Certification and/or Approved for Remedial Use"(the 'Standard Conditions'), except where stated otherwise in these Special Conditions. 2. New Construction This Certification is for the installation of a System to serve new construction or an existing facility with a proposed increase in flow, for Infiltrator Chamber,Infiltrator Inc. Page 5 of 6 Approval for General Use—May 22,2014 which a site evaluation in compliance with 310 CMR 15.000 has been approved by the Approving Authority and the site meets the siting requirements for new construction, as provided in Paragraph 6 in section II Design and Installation Requirements of the Standard Conditions. 3. Remedial Site This General Use Certification also applies to the installation of a System for the upgrade or replacement of an existing failed or nonconforming system,provided that the facility meets the siting requirements for upgrades, as provided in Paragraph 7 in section II Design and Installation Requirements of the Standard Conditions 4. The System shall be exempt from the minimum inlet spacing requirements of 310 CMR15.253. 5. The System shall have a minimum of one inspection port through the top of one of the chambers. The inspection port shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. When the System is installed in trench configuration, then the system shall comply with these requirements: a) Length(each trench) 100 feet maximum(310 CMR 15.251(1)(a)); b) Width(each trench)2 feet minimum to 3 feet maximum(310 CMR 15.251(1)(b)). - Chambers greater than 3 feet wide, when specifically approved, are subject to other Special Conditions and limitations; c) The minimum separation distance between any two trenches shall be two times the effective width or depth of each trench,whichever is greater, or where the area between trenches is designated as reserve area,three times the effective width or depth of each trench, whichever is greater(310 CMR 15.251(1)(d)); d) The effective leaching area shall be calculated using the bottom area and a maximum of two feet(per side) of side wall area for each trench(310 CMR 15.251(1)(e)); e) Trenches shall be situated,where possible, with their long dimension perpendicular to the slope of the natural soil. Where possible they shall follow the contour lines (310 CMR 15.251(2)); f) Trenches constructed at different elevations shall be designed to prevent effluent from the higher trench(es) flowing into the lower trench(es) (310 CMR 15.251(3)); g) The area between trenches may be designated as system reserve area only where the separation distance between the excavation sidewalls of the primary trenches is at least three times the effective width or depth of each trench, whichever is greater(310 CMR 15.251(4)) - Chambers greater than 3 feet wide, when specifically approved, shall be separated by three times the actual width and are subject to other Special Conditions and limitations; and Infiltrator Chamber,Infiltrator Inc. Page 6 of 6 Approval for General Use-May 22,2014 h) Effluent distribution lines exceeding 50 feet in length shall be connected and venting provided in accordance with 310 CMR 15.241 (3 10 CMR 15.251(11)). 7. When installed in trench configuration, approved Alternative Chambers greater than 3 feet wide: a) shall be installed with a minimum separation distance between any two trenches of two times the actual width of the chamber, or where the area between trenches is designated as reserve area, three times the actual width of the chamber; and b) shall only be entitled to a maximum effective width of 3 feet for the purposes of calculating total effective leaching area. 8. When installed in a bed or field configuration, the System may be installed without distribution piping, but must comply with the following requirements in 310 CMR 15.252: a) the use of leaching beds or fields is restricted to systems with a calculated design flow of less than 5,000 gpd per leaching bed or field(3 10 CMR 15.252(1)); b) the maximum length of chambers in series shall be 100 feet(3 10 CMR 15.252(2)(b)); c) separation distance between adjacent beds/fields shall be ten feet(3 10 CMR 15.252(2)(f)); and d) the effective leaching area shall include only the bottom area, not the sidewalls (3 10 CMR 15.252(2)(i)). 9. For Systems constructed in fill and installed,the System shall be installed as specified in 310 CMR 15.255- Construction in Fill, except the minimum 15 foot horizontal separation distance to be provided between the soil absorption area and the adjacent side slope shall be measured horizontally from the top of the chamber. 10. The System is exempt from 310 CMR 15.287, specifically items: (5) requiring written notification of alternative system prior to property transfer, (6)need for a certified operator, (9)need for an operation and maintenance contract with an operator and(10) deed notice requirement. JUN/24/2014/TUE : 1 :35 AID FAX No. P, 001 'town of Barnstable Regulatory Services Richard V. Scali,Interim Director MAM� �asax®rs�ars. ,Public Health Division Thomas McKean,]Director 200 Main Street,Hyannis,MA 02601. Office: 508-862-4644 Fax; 508-790.6304 Installer &Designer Certification Form Date: (l !L Sewage Permit# �L 14 .Assessor's Map\Parcel c Designer: . mp41/D2 Installers &,ir Address; b k Address: 36-V m Ql � On was issued a permit to install a (d te) T (installer) septic system at `° r l- o s r L I 've based on a design drawn by I, (_address) dated l (designer) 0AYYV, 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. I certify that the septic system referenced above was installed with major changes (i.e, greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State &Local Regulations, plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the RX approval letters(if applicable) �•�� �� DA RE (Installer's Signature) Tyk., ST 1 esigner's Signature 1q PLEASE RETURN TOE STABLE PUBLIC HEALTH D)<V"ISXON. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORNI AND AS. BUILT CARD ARE. RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DMSION. THANK YOU. - - Q;lsept:clDesign�Certification dorm[tcv 8-1413.dac • LEGEND . CENTERVILLE 100.2 5'- PROPOSED CONTOUR moo' 9® PROPOSED SPOT GRADE P —— 98 —— EXISTING CONTOUR v° LDS: 66 OUTPOST L.N. LOT 26 + 96.52 EXISTING SPOT GRADE AREA = 17,350 --8f 63 W— EXISTING WATER SERVICE �� O to TEST PIT ASSR MAP172PCL116 i f9 ST 1 / LOCUS MAP y } 15-0 LOCUS INFORMATION C-0,-0 �Ca PARCEL ID: MAP 172 PAR. 116 15-0 /00 t�o-o v TITLE REF: LCP C179264 r9 rn [ [}i 2-O / APP OX- 0BUR AS NCA coUl PROPERTY IS WITHIN ESTUARIES PROTECTION AREA -- — U —E—XLSL.LLEACH ` SEPTIC SYSTEM 180 63 9 T' ? � I REPAIR PLAN 25.0 LOCATED AT: 10 f GENERAL NOTES: 66 OUTPOST LANE -------- 10 f i 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL C E N TE R VI LL,E, M A _ BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS PREPARED FOR OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE I LOCAL RULES AND REGULATIONS. NEIGHBORHOOD WASTE 3. THE SEWAGE DISPOSAL SYSTEM SHAD_ NOT BE BACKFILL.ED PRIOR WATER TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE BENCH M A DESIGN ENGINEER. J EXISTING X I PAINT SPOT ON 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING JUNE 5, 2014 STING BULKHEAD CORNE9 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 1 DWELLING /E I 1 ENGINEER BEFORE CONSTRUCTION CONTINUES. J v v L L I N G I ELEVATION = 64.32 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. OF J I 6 IN THE CONTRACTOR ORR RESPONSIBLE IS NOT F OR THE FAJLURE OF OWNER TO O NOTIFY THE CAL BOARD OF J L op OF FNDN I HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. DA G - 6 5.5 -T _ I 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED No. 1140 Q J TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. w ! 9. IT SHALL BE THE RESPONSIBIUTY OF THE CONTRACTOR TO VERIFY THE 'AEG/city W / # LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK. o / 10. EXISTING LEACH PIT TO BE PUMPED, CRUSHED AND REMOVED PER TITLE 5. S4NIT00- / REPLACE WITH CLEAN MEDIUM SAND PER TITLE 5, IF REQUIRED. 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION > i 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY I\ a AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY _ __ 13. NO KNOWN PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING -- -- - 64-------- { 14. ALL PIPING TO BE 4" SCH 40 0 1/8-/FT (UNLESS SPEC. ) MEYER & SONS, INC. 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW I WATER 100.00 1 GATE 16. NO WETLANDS WITHIN 150 FT. OF PROPOSED LEACHING EAST SANDWICH, MA. 02537 EDGE OF PAVEMENT (508)362-2922 OUTPOST LANE SCALE: 1"=20' SHEET 1 OF 2 J#1540 NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:59.99 SEPTIC TANK PROPOSED D-BOX FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. T.O.F. EL.=65.54 INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL A 4" DIAMETER INSPECTION PORT OVER ' F.G. EL.=64.30tNE CHAMBER (MIN.) AND SET TO 3' OF F.G. F.G.FF Mq .G. EL.=63.7t F.G. EL: 63.Of �t� Ss F.G. EL: 62.99(MAX.) DA s 9" MIN COVER/ 36" MAX COVER L = 30' L = 10'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) No. 114 ® S=17 (MIN.) EL. = 62.27 ® S=1% (MIN.) 0 S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 10• 14, 6 11.3" TO SgNITAR�P� INVERT INV.=62.20 as"LEVEL kNV.=61.95 INV.= 59.60 �v GAS BAFFLE PROPOSED 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25.0'/ROW D-BOX INV.=60.80 INV.=61.0 DH O SOIL ABSORPTION SYSTEM (PROFILE) EXISTING 1.000 GALLON SEPTIC TANK EXIST. SEWER OUTLET RESTORE VEGETATIVE COVER BACKFILL WITH CLEAN PERC SAND TO TOP OF CHAMBERS NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING ` PIPE INVERTS PRIOR TO CONSTRUCTION BREAKOUT=TOP ELEV.=59.99 2) D-BOX SHALL BE SET LEVEL AND TRUE TO INV. ELEV.= 59.60 GRADE ON A MECHANICALLY COMPACTED SIX BOTTOM ELEV.= 58.66 INCH CRUSHED STONE BASE, AS SPECIFIED IN - EXISTING SUITABLE 2 83' MATERIAL 310 CMR 15.221(2) 5' MIN. ABOVE BOTTOM OF 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 4 x 2.83' = 11.32' WITH 1500 GALLON SEPTIC TANK IF FAILED, (6.56' PROVIDED) USE 4 ROWS OF 4-HIGH CAPACITY DAMAGED, OR UNDERSIZED. BOTTOM OF TESTHOLE: EL:52.10 4) INSTALL INLET & OUTLET TEES W/ - INFILTRATOR (H20) UNITS-NO STONE GAS BAFFLE AS REQUIRED SEPTIC SYSTEM PROFILE TYPICAL SECTION N.T.S. N.T.S. 75" DESIGN CRITERIA SOIL LOGS P#: 14385 NUMBER OF BEDROOMS: 3 BEDROOM DESIGN DESIGN FLOW: RESIDENTIAL: 3 BEDROOMS ® 110 GPD/BR = 330 GPD DATE: JUNE 5, 2014 DESIGN PERCOLATION RATE: <2 MIN/IN SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) SOIL EVALUATOR: DARREN MEYER, CSE 1614 GARBAGE GRINDER: NO (not designed for garbage grinder) WITNESS: DONNA MIORANDI, BARNS. HEALTH DISTRIBUTION BOX: USE DB-5 (H20) Elev. TP-1 Depth Elev. TP-2 Depth � • SEPTIC TANK: 330 gpd x 200% = 660 gpd USE EXIST. 1,000G SEPTIC TANK 63.10 A 0" 63.10 A 0" t� LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: (330)/.74 = 445.94 S.F. IOYR 3/2 IOYR 3/2 62.27 10" 62.27 10" B LOAMY SAND B LOAMY SANG Z7 PRIMARY S.A.S. IOYR 6/6 10YR 6/6 USE 4 ROWS OF 4 - HI-CAP INFILTRATOR H-20 UNITS-NO STONE 59. C 42" 59.60 C 42" PERC TEST P SECTION 11" ® 58.45 INVERT FINE - FINE -BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF CHAMBER) MEDIUM MEDIUM HEIGHT END CAPSAND II (CHAMBER) 20 UNITS x 6.25 LF x 4.73 SF/LF = 473.00 SF 2.5YY 6/4 2.5 6/4 INFILTRATOR - HI CAPACITY H2O) CHAMBER TOTAL AREA = 473.00 SF DESIGN FLOW PROVIDED: 0.74GPD/SF(473.00SF) = 350 GPD > 330 GPD req'd PROPOSED SEPTIC SYSTEM UPGRADE PLAN 52.10 132" 52.10 132" 66 OUTPOST LANE, CENTERVILLE, MA PERC RATE <2 MIN/IN. ("Cl' HORIZON) NO GROUNDWATER OBSERVED Prepared for: Nei hborhood Wastewater Design and Site Plan by: SCALE DRAWN DATE MEYER&SONS,INC. N.T.S. DMM 06/05/14 • 1, Darren M. Meyer, R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 PO BOX981 to conduct soil evaluations and that the above analysis has been performed by me consistent with the EAST SANDWICH,MA02537 CHECKED SHEET N0. requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam in October, 1999. 508362-2922 DMM 2 Of 2 J