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0672 PHINNEY'S LANE - Health
672 Phinney's Lane 251-223 Centerville ��RECVC(fp�o +w�lll 0 = �z UPC 12543 �4 No.53LOR -coNSo� HASTINGS, MN TOWN OF BARNSTABLE LOCATION 0 a F6 PJ O Ns U'J.. SEWAGE# VILLAGE `9-0-T;C V !L.L'Z ASSESSOR'S MAP&PARCEL 1 �. INSTALLER'S NAME&PHONE NO. R obe g- 6 IB_0T S c,-IS-43 P-S C3 SEPTIC TANK CAPACITY 1000 LEACHING FACILITY: (type) 6A4.i r�size) i�i NO.OF BEDROOMS 3 OWNER `ro PERMIT DATE: � � COMPLIANCE DATE: a 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 A , � , J cri 1, as' J(c a L(, z ((A FroAT LN No. (Q f l Fee kv,00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes JtIYItAtIDU fOrB18t108aY .4- pstElU Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(V�Abandon( ) ❑Complete System Individual Components Location Address or Lot No. 6 7 Z Pki"i-y5 Ln, LDT 17 Owner's Name,Address,and Tel.No. 617- 2 7 T' 6677 Die. 73r+T -0-4/672 PKiAj%eJ5 Ln . Assessor's Map/Parcel 2 5 1 /Z Z 3 Q/l !'V i Ville, Installer's Name,Address,and Tel.No.So?--S0 '/D38 Designer's Name,Address,and Tel.No. .5,08 36 N-9®`/g leober'r 8,of c Co.zne. 20-3s Ri ver-F-pq''neel`in-V 2 Gr -I*_c-% Pd. 4o-rwle X 110 9, D4jnA;S,A40L. 026y Type of Building: Dwelling No.of Bedrooms 3 Lot Size 2 LI1 3 g.J sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3.3 0 gpd Design flow provided 3 y9 gpd Plan Date jl-- l y--l t Number _of sheets � Revision Date Title 67? Pki1v►ve4.5 �. CP.n�Vi Y Size of Septic Tank rXiSiii nF 1�©y0 Type of S.A.S. 2�.5'6D�{6L( C_'►kM,1je -S W!W;\ Ll 00 J-}o te_ Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: j The undersigned agrees to ensure the construction r intenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environm C e and not lace the system in operation until a Certificate of Compliance has been issued by this Boar f H it Signed Date %Z" -J Application Approved by V12 Date i Application Disapproved by Date for the following reasons Permit No. Date Issued jsAvbtaJti ..ryC�fyyy�},: ,y 1 No. L' �— CJ ry Fee /00,00 { THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for Bisposal *pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(Vf Abandon( ) ❑Complete System ©Individual Components Location Address or Lot No. 6 7 Z ngyS Ln, Lor 7 Owner's Name,Address;;and Tel.No. 6/7- 211?- 66,77 110-11C 13r;M-Al ton PhiAj%ej.S LA . , Assessor's Map/Parcel 2 b 1 /Z 2.3 Q A f Q CeA+e_r vi tie, Av,, Installer's Name,Address,and Tel.No. SO?-So f- 1-/1758 Designer's Name,Address,and Tel.No. 570 8 3 4`/-90 y g 4ber'r' S.of c Co.2nG. 3QSS k Ver Ci st eti�.Q Z y Gr W��ecn yea. N��w�'CN M�•o26Y5 x 1163 E, P nn�S .,.,Z, C7 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 2 y1 3 6-5 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 y9 gpd Plan Date I- l y-16 Number of sheets � Revision Date Title 67Z Phinne4-5 �. Cer1TGCVjle_ Size of Septic Tank fx).s Ti of l/Coo Type of S.A.S. C.hQMI�arS �p 1jne Description of Soil Nature of Repairs or Alterations(Answer when applicable) r Date last inspected: Agreement: 1 The undersigned agrees to ensure the constructio7tadvIC J. maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Enviro e and not t lace the system in operation until a Certificate of Compliance has been issued by this Boar -/of H/ealth. Signed v G Date Application Approved by Date Application Disapproved by Date 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( ) Upgraded(✓) Abandoned( )by goLer'r 3,fUr 60.2rC at 672 Qk;nn ey.5 Ln , has been constructed in accordance / with the provisions of Title 5 and the for Disposal System Construction Permit No. 0, b Mated Installer Pobetf B,BUr (0. T^C, Designer 4<,,s-s Aver & , f #bedrooms 3 Approved design flow _ f gpd The issuance of this ermit shall not be construed as a guarantee that the system willC)P las desi' ed. n r bate a-- ( 1 b Inspector �� (C�) , ~' ------------------------------------------------------------------------------------------ ----------------------------------------- No. aV f rr�i'_ (�� - -- - _ - - Fee (()D c " THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade Abandon( ) System located at 6 7 Z P►,i n7 Z r►eiS &N 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. VIA / Date �i ` (�i^ Approved by ►/ ' 1�� ' 9 Town of Barnstable Regulatory Services Richard V. Scali Interim Director + OABNSrABM MASS. Public Health Division 1639. p1� � Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 12.8.16 Sewage Permit# 2016 - L/2, Assessor's Map\Parcel 250 2Z3 Designer: -rAOAU j JAC.U6 LAN , I'6 . Installer: Q_ C G5 Address: Unh 116-3 Address: E• DF/yNIS MA OU 41 )AgLWIC,�\ . Mai_ 036iJJ On Ro�V-J_ g , w�- CC) was issued a permit to install a (dat ) (installer) septic system at OZ- N I myeLi S LAl-f . cep i "(11/11.1Tbased on a design drawn by (address) THOIDA5 MCC5UAN,. PE dated (designer) X certifythat the septics stem referenced above was installed substantially according to the design, which, ay 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 mpliance with the terms of the IAA approval letters (if applicable) OOF o THOMASJyG McLELLAN CIVIC, nstal er's S ature) No.3647t a (Designer's Si nfi s '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. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable P# 1g3 Department of Regulatory Services s' nuutarner�4 1 Public Health Division Date b D MASS te19 �� 200 Main Street,Hyannis MA 02601 ..� • rfn t�� R7 Date Scheduled Time D 11*1 Fee Pd._ tV Soil Suitability Assessment for Sew ge isposal TT w Performed By:_L d t'hA S M C.l�l_L rU Witnessed By: Ut J. LOCATION&.GENERAL INFORMATION {�Location Address ► Owner's Name DAME 3P-17'T0J 67Z PHINAMS LAivE tt, Address Assessor's Map/Parcel: "256�14 2 . Engineer's Name THOMYAS' MCLEL1_A/u NEW CONSTRUCTION REPAIR Telephone# Land Use• ) Slopes(%j' Surface Stones_Jet'+1— Distances from: Open Water Body ft Possible Wet•Area ft Drinking Water Well ft Dralhage Way i ft Property Line ft Other ft SI{ETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) .. 2/Qo �9, • VP 0. • I ' Parent material(geologic) Depth to Bedrock NA' ' p k Depth to Groundwater. Standing Water in Hole: AVAj .... Weeping from Pit FAcB Estimated Seasonal High Groundwater �� Z S DEEP DETERMINATION FOR SEASONALBIGH WATER TABLE Method Used: _2_5' D 49 Depth Observed standing in obs.hole: NA In, Depth to Boll mottles: N Depth to weeping from side of obs.hole: NA in, Oroundwater Adjustment 444 11. Index Well-# Reading Date: Index Well level.�r, Adj,tkotor, , _ Adj.Groundwater Levey,,°, PERCOLATION TEST bate 1 l tk T n1e /D A Observation Hole# f Time at 9" 3/2 I A) 3o sit`i L Depth of Pero �'S, Time at 6" q-m l N Start Pre-soak Time® Time(911•6") M IN End Pre-soak I Rate Min./Inch Site Suitability Assessment: Site Passed Site Palled: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back--------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTIC\PERCPORM.DOC 1 DEEP.OBSERVATION HOLE LOG Hole# Depth from Sail Horizon Soil Texture Sdil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. o lsi tency.%'Gravel) '( 0 �< roNR. U3 2�" Q IDS 1®�K�. s b •. . • 7 8 x h C2 51L1 ("M M Ix Z.sK 6l'� DEEP OBSERVATION HOLE LOG Hole# �- Depth from . Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones,Boulders.. ConsisLency. 27- L3 ('1 0 c, I 1,S 2.S Y 7 3 7 0 C Z SII,Y 1_h1 MIX z-5Y. 6 �P i � Z �3 • NHS DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. Qnsistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,SSopes,Boulders, Co Flood Insurance Rate Map: • e Above 500 year flood boundary No— Yes .l 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 mtiterial exist in all areas observed throughout the area proposed for the soil absorption system? If not what is the depth of naturally occurring pervious material? Certification I certify that on 11'.g9 _(date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the requiredtraylmg,expertise and experience described in�10 CNM 15.017. Signature JA' Date J 1'30' Q:WEVnLVERCFORM.DOC TOWN F BARNSTABLE � 1 ,LOCATION A, m =CSEWAGE #�� VILLAGE C r�� '� I �`� ASSESS 'S MAP & LOT "INSTALLER'S NAME&PHONE NO. I -��- 4L YKaLzrzf a:z 3 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) . (size) I NO. OF BEDROOMS 'r- BUILDER OR OWNE PERMITDATE: 6 COMPLIANCE DATE: a� 6 L/ 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 ,��G � ( � � - � � � � ��' � I ����� J � a, g,� No. p�b FEE COMM®NWEALT14 OF MASS C14USETTS Board of Health, APPLICATION FOP, DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) - ❑Complete System ,'Individual Components Location -+o2 ?h S to Owner's Name Y Map/Parcel# 0?5 Address �. Lot# Telephone# Installer's Name. m G a � Designer's Naet:t�mA Address � m_ cL.�_ Address - ,o Telephone# Telephone# Type of Building Lot Size cQ1A Ij ,(rs sq.ft. Dwelling-No.of BedroomsC'eQ_ Garbage grinder (Q� 0 � Other-Type of Building �l'St1 o No.of persons�_Showers (1'rCafeteria Other Fixtures �. 1 C' Lna Design Flow(min.required) ?)o gpd Calculated design flow 3'J� Design flow provided 3SWR6 gpd Plan: Date VA Number of sheets ( Revision Date Title Description of Soils) Soil Evaluator Form No. —' Name of Soil Evaluator R Date of Evaluation O DESCRIPTION OF REPAIRS OR ALTERATIONS The unde signed agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a es o t to lac t in ration until a Certificate o Com ce h been issued by the Board of Health. Signed Date Z 017 Q a if- y Inspections .-:?..r•'�.,,,.-.,,;,y';..�z��1- ,,,. ' `�,�'N��'n+•y,•u•�LW'.•�..Yt"�*�.-'r.N''� h+�.!•�°�+h"i�'�:.,'`'r^�'l.`r `-'�Af�'�"a�Ir•"�_ ,�,�4'-Y No.«`- '" (! • - FEE COMMONWEALTH OF MASSACHUSETTS a Board;of Health, MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCT'ION PERMIT Application for a Permit to Construct( ) RepairX Upgrade( ) Abandon( ) - ❑Complete System ,Individual Components ' ��«• Location (D`�02 i�h jnc)eA � 1,k e Owner's Name 'Map/Parcel# a S , , 3 Address 1 Lot# -1:�_ Z4 Telephone# Installer's Name �O� .S vC ��\� Designer's Name ZJh `001M1cr1Qf'i\C.\ 54C5 Address �« sh �GC(`Il ` J A Address, �ao2 i (.• -c-kn-'6A, V"1 Te lephone# ��- 3,D Telephone# Type of Building J\ 'L�ec�,rc � Lot Size C:2'4 i 32�(o sq.ft. Dwelling-No.of Bedrooms C'E'1Z C11;) Garbage grinder A. Other-Type of Building l` y yp g ' _ Nt�RI? No.of persons �{ Showers (1')�Cafeteria Other Fixtures �-WG2 ler �Clr�t1nk LcLC<\M1J,.•- 2 p Design Flow (min.required) J� gpd Calculated design flow ��0 Design flow provided S%• 36 gpd Plan: Date y �1 Number of sheets Revision Date �~~ TitleC"UVG'ti�CC�_ Description of Soils) ` Soil Evaluator Form No. �r Name of Soil Evaluator Gcryl- n S��x Date of Evaluation /OA O DESCRIPTION OF REPAIRS ORALTERATIONS 4�0 Q C"(1 The unde(signed agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further a /I es o 'ot to lace n to in o eration until a Certificate o Comp'ance lh beeu issued by the Board of Health. ' Signed li _ Date 2 7 aG'�-z Du Inspections .t ... ,... _.- ...-.a._ +rl- .il:.s_ �� -. _. -- �.-._- ._"�.. ... �-= .�...�-. -.+�t-;'1r-.n"-r: ..-._ �.x. ...t.";v ,�'-t �._ _-T'-Sm:'.�.." _ � :'-• No.. o�d�L/ OP, FEE FEE � r- C®MMONWEA T14 ®F MASSACHUSETTS Board of Health, .r ; b)e—MA. �ndividual CERTIFICATE ®F COMPLIANCE Description of Work: Component(s) ❑Complete System The under ig ed It by cer 'fy that the Sewage Disposal System; Constructed ( ),Repaired (�j,Upgraded ( ),Abandoned ( ) by: C.at (p_ -1 r l— has bee'°installed in ac ordanc, with the rovisio%s of 310 CMR 15.00 (Ti le 5) and the approved design plans/as-built plans relating to applicatiola No V v _�a o, dated Jp 6 App owed Design Flow��(gpd) Installer I , ]( U r ` I ,y Designer: Inspector: !L Date: �6I J I , The issuance of this permit shall not be construed as a guarantee that the system will function as designed. \ i No. P 00 FEE C®MMONW ALT14 ®�FMcAS/S�ACHUSETTS Board of Health, lur ► I 1p J/fit.b jc., . DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is her by granted to; Construct( ) Repair(A Up rade( Abandon( ) an indix idual sewage disposal system f �Z. h e s lcc �11.�� I at s described in the application for p� f Disposal System Construction Per��it No. aU0 q-1020, dated chi "a �. Provided: Construction shall be completed within three years of the date of Chipper :t. All local conditions must be met. Board of Health Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date . V w�� , TOWN F BARNSTABLE LOCATION SEWAGE # _. �it ASSESS 'S MAP& LOT 1 VILLAGE ��-�� ;:2 3 INSTALLER'S NAME&.PHONE NO. et SEPTIC TANK CAPACITY �^ t �0 LEACHING FACILITY: (type) ' `c ` LT,�� (size) NO.OF BEDROOMS BUILDER OR OWNS PERMTT DATE: 6 L=— c OMPLIANCE DATE: a d L/ Separation Distance Between the Feet Maximum Adjusted Groundwater Tabl 'to the Bottom of Leaching Facility e Private Water Supply Well and Leaching Facility .(If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands-exist Feet within 300 feet of leaching facility). Furnished by --------------- i Gy- Se{ , 20-01 13 : 62 BARNSTABLE HEALTH DEPT 15087906304 , i srzs;or ' l - NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. i i PERC0LATI0:v TEST AND SOIL EVALUATION EXEMPTION FORM I V2evEv 141Y' hereby certify that thie engineered plan sio ed by me ua;ec '�4A concerning the property located at i meets all of the i icl!o�v,ng .r feria _ I • This failed system is connected to a residential dwelling only. There are no :or%mztr,ial or business uses associated with the dwelling,, • 7'�e soil is ciasst;:ed as CLASS l and the percolation ca:e is less than or equal to - n:nut:s per rnch. The applicant may use historical data to conclude (his f3c: or may :or,,duc( pre'imr::ar% tests at the site without a health gent present • here :s no increase In flow and/or change. in use proposed j • There are no variances requested or needed. j • The bottorn of the proposed leaching facility will not �e located less than founeen i.. i r � J f v adjusted w l . e ,1,;� •_e: aoo e the maximum adl4s e groundwater t�ble elevation. ,,A�.ius h i:nundwater table using the Ftimplor method when applicable] Please complete the following: 1.1 L p Di Ground Surface E!evauen (,using GIS infoirma(lon) _ ��'_� 6,, G W Elcvacon 3U ad;ustmenl for 'nigh G.!W.. BETWEEN and 8 ,__._.._--____—•-_.._-- N OTT C E 1 33scc .acorn (rse move informa(ion, a reoair permit wil! be issued for �edr^ores r.z .rr~.0 T.. :` ^ adCsu:)nal bedrooms are authorized to t`se future without englneerec :ept,., system. plans. _— — : �r.un'c;dci �ciCc.tm9 I . I I Permit Number: Date: j Completed by: ! HIGH GROUND-WATER I,EVEL COMPUTATION i Site Location: �^�� �, •�.)4�-•s;��t'1�;=s� '� �..�c',�c `�"1 '-s`;����s Lot No. C f � Address,Owner:wn r: �t � �(� ,1 l 1w y`� ti � ,11 Contractor: " C._t»...crrc�� ; c\ Address:_ c�.�u;�r,�`; .,.s Notes: I, i STEP 1 Measure depth to water table tonearest 1/10 ft. ........................................................ .................. .Date r. I month/day/year i I STEP 2 Using Water-Level Range Zone j i and Index Well Map locate I site and determine: OA Appropriate index well..... ............................... . ... s2 � © Water-level range zone ............................................. .... I I I STEP 3 Using monthly report "Current j Water Resources Conditions" I determine current depth to water level for index well i STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), I I and water-level zone (STEP 2B) ! determine water-level adjustment i ....................................�.... Y n iSTEP 5 Estimate depth to high water j by subtracting the water- level adjustment (STEP 4) from measured depth to water level at site (STEP 1) ........ .............. ' .. ..,...,.,,...,...,.•......................,. i 1 Ir j i I i I Figure 13.--Reproducible computation form, i 15 i. i i ! I I Town of Barnstable F tHE T °'Y o Regulatory Services Thomas F. Geiler,Director' * BARNSTABLE, A . Public Health Division A'FD N10'�' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: �5 loj(E, I O�- Designer: ;'1� &CA bnV14Ak4-\ Installer: -Rebeon Address: �p , p�(Q�� Address: fA On_ D ►� C was issued a permit to install a (date) (installer) septic system at�p�a 3 ased on a design drawn by (ad dr ) dated IL (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. 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. NAOFF4 6 (Installer's Signature) o �� V eY 81 ' O GISTIS es1 er's Signatur (Affix Desie 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. Q:Health/Septic/Designer Certification Form l I9 �p R COMMONWEALTH OF MASSACHUSETTS TI �VI�AR `� 3 2004 EXECUTIVE OFFICE OF ENVIRONMENTAL AFFFAI ,oiSTAB]LE DEPARTMENT OF ENVIRONMENTAL PROTEI TION.A�TH DEPT. MAP Z S FAILED INSPECTION PARCEL , 22 7 LOT TITLE 5 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 672 Phinney's Lane Centerville, MA 02632 Owner's Name: Mary Garrison Owner's Address: Date of Inspection: March 3, 2004 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Passes Conditionally Passes N s Further Evaluation by the Local Approving Authority ✓ F Is Inspector's Signature: Date: March 8, 2004 The system inspector shall subm a copy of thi inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future.under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health, will pass. Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined", please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic 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. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 672 Phinney's Lane Centerville, AM Owner: Mary Garrison Date of Inspection: March 3, 2004 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier, if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 Page 4 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 D. System Failure Criteria applicable to all systems: You must indicate either`yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] Yes (Yes/No)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 System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 1'd• You must indicate either`yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area- IWPA)or a mapped Zone 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 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: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)(310 CMR 15.302(3)(b)J. 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 FLOW CONDITIONS RESIDENTIAL 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 Number of current residents: 1 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCIALA NDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:Pined approximately 3 years ago-per owner Was system pumped as part of the inspection (yes or no): No If yes,volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Oth er'(describe): Approximate age of all components,date installed(if known)and source of information: Installed 9114183-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 32" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 6" Distance from top of sludge to bottom of outlet tee or baffle: 26" Scum thickness: 12" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. Solids were above the tees. Recommend pumping. There were signs of backup. GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 • Page 8 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: -- Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box,etc.): The D-box was level. Solids were to the top. Solids were backing up from the leach pit. PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 f t Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 -6'x 6' 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.): Solids were backing up from the leach pit. There were signs offailure. The bottom to grade was approximately 11'. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 • Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. 6A'A� a O O 0 � Q 1 30 �y 3 3 10 I < P Page I 1 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM"INFORMATION (continued) Property Address: 672 Phinney's Lane Centerville, MA Owner: Mary Garrison Date of Inspection: March 3, 2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 25 +/- feet Please indicate (check) all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked, date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ Checked with local Board of Health-explain: Topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using the Barnstable topographic map and water contours map, the maps were showing approximately 25'+/-to Around water at this site. This report has been prepared and the system inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed,written or implied, relating to the system, the inspection and/or this report. I 11 LOCATION SEWAGE , PERMIT NO. :VILLAGE I N S T A LLER'S NAME A ADDRESS - �• /fiCl�ES' B U I L D E R OR OWNER DATE PERMIT ISSUED �-l?- DATE COMPLIANCE ISSUED � �� j-� f7 �.._ a `� 33 r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Applicatio )Keby made for a Permit to Construct or Repair an Individual Sewage Disposal system at: 0-ner Address Installer Address Septic Tank—Liquid capacity/A�P gallons Length Z Other Distribution box (,'I Dosing tank ( ) Percolation Test Results Performed by._16��4-j� ........ 01967 Test Pit No. l..K.Z.....minutesperinch Depth of Test Pit...../ ......... Depth to ground water... -------------------------------------------- '------'-_---_--_-'--'---'-_----'-_-______--_--_------'--_.-_.-__------'---._—_____ Agreement: No..f l .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF............ Appliratiun for Uispuuaf Workii Tun,stratrtiun .ermit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: [ yy//.. / ............ .!.:.. ....:'r. ................................................'l/ J -:.._.....:�..._::./t//^....._/:..(ia::F..�t��../�--.�!J/:;.... ---• / _L/oocation Address / / or Lot N/o. Owner l Address W ......... .......c. ..../" f- !ice l� S /ems�C Installer Address Type of Building Size feet U Dwelling—No. of Bedrooms________________3._._._________._._______Expansion Attic ( ) Garbage Grinder4 a`4 Other—T e of Building _______________ No. of ersons._..___._._____________.._._ Showers Other—Type g ------------- p ( ) — Cafeteria ( ) dOther fixture`_..--•------------•---'---------•---------------'-'---'•-•-•---•-•-••------•-•...-•-'••-•'--•••••'-'•---------•-----•••......---------._.......____.. W Design Flow.................... ...................gallons per person per d y. Total daily flow................= ` __._______._____gallons. WSeptic Tank—Liquid capacityL.�_" _gallons Length__ : _ Width________________ Diameter................ ...........gallons. x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......../........... Diameter......Z ........ Depth below inlet....... .......... Total leaching area_:�2.:`a:zsq. ft. Z Other Distribution box ( ) Dosing tank ( ) /,�-•�i,�.!•�'<�f"�"�'"�,,. Date___.____:'�....`^r.�.:_�'__.._...._..Percolation Test Results y Performed by.. ::.!__: ' r r `�a Pl9Gl Test Pit No. 1._ ._ _____minutes per inch Depth of Test Pit.....�'_7_.......... Depth to ground water_. l Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..............:......... P4 ........................................................ •......... ..........-------- ------------------- •--•--------- ......._---- O Description of Soil ...'._._4 ..���_..:--•-:,'�.l.,•��•//�...=.,?r`-••••-._...'..............•••••-••-•--••-'•'-"-"._.._.......__.. �i ..... ... .............. ....................................... ...... ................ G2. ?:.-------._.---___...____._._____.___.________________.___.____..___...._._...__..___.___ 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 I-:_E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance s bee issued by the board of health. /JD aned-•-•-------------•._...._..--------------------------- •---------- ate Application Approved BYltheilollowi�ng, ...................... Date Application Disapproved f o reasons:-------••...--'--•----------"---•-----------------••--'---------------••.---------'•-'-••--Da.t e....."'_-'--- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... C�rrtif irtttr of �unt�r�i�anrr TH I ERTIFY, That the Individual Sewage Disposal System constructed �or Repaired ( ) by = ------- -----------------------------------------------------------------------------------------------------•-------------- "/ Installer has been installed in accordanc rth the provisions of mm a of The State Sanitary Code s scribed in the application for Disposal Wor Construction Permit No._�..�_--_s---j4KC-__�`72.............. dated-...rl;?- - THE ISSUANCE OF HIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM W F NCTION SATISFACTORY. DATE.... d -----------------------------------------•------•-•---- Inspector....... _......................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......................... ,�� No......................... FEE_749................ �iuuu�a1 a` trttrtiun rrutit Permissioni: her Y granted..................... _: ..:r�= -- ••---•'--•••-•••"•'-'•--'••-•----'•"'--'---'•-'•••'•................•......._•••---._.... to Construct Repair ( ) a hvidual Sewa posal System .'�i,- t ,,� Street as shown on'the application for Disposal r'ks Construction Permit No `__= ed �' .................... •------------------•-•••-••'•---•--•---- -- ,,/,,! B d of Health DATE Y _. °l1 „1[:__--f -- ---- --- FORM 1255 FfOBBS & WARREN, INC.. PUBLISHERS � CA `UN LLG E �y P _ DATE 0 f3 PLICANT C FEE DRESS TELEPHONE NO� on-refundable ) GINEER r ` TELEPHO E O TE SCHEDULED (A icant- s signature) . . . . . 000aoa . o . o . . . . . . . . . . . 000 . o . . . . . . . . o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o . . .. . . . SOIL LOG B-DIVISION NAME DATE_ s�g`�J� TIME 10 A-,*/ PANSION AREA: YES' NO ^ ��`cv SSOG. ENGINEER _-- WN WATER ✓ PRIVATE WELL JG�Gp�7r BOARD OF HEALTH I�lC�CEy _ EXCAVATOR TCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : I- - RCOLATION RATE: z ,ST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: 2 _ 3 3 5 C'jl�-y"�i� o o 5 6 f"ZI 6 7 7 8 8 9 9 10 10 11 7 11 12 0 wY 12 13 13 14 14 15 15 16 16 ITABLE FOR SUB-SURFACE SEWAGE : LEACHING FIELD LEACHING PITS_V_ LEACHING TRENCHES SUITABLE FOR SUB-SURFACE SEWAGE . REASONS : rE : ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION IGINAL: COMPLETED IN ENTIRETY AY P , fs AND RETURNED TO BOARD OF HEALTH 'Y: RETAINED BY APPLICANT NOT ro scACE —,--�-�--._ /B'/StD• L:T WG{� C 1 ti!H C©VE'R ': ' 4<.0/ P%PE' 4` 8!T FIB��R�:l�lf'�'..:TlGy7` JU/N!TS r NZ DWELLING: �� al C t re -�NDARD PREc�t sr G'0�1/C'R�'TE 'GALL0 N • S C T�IVK EPT/ ,. . . •' - DID TrRIBU TIDN�^gC1X Tp.:BG 'tNS Ti4 C L.l�D •.ANI � STA$CE BASE ` SEf'T/C TANK:. TO 6E - :: C,E;VEL , STA•B-C E SASE ,. .: ,. ti t,., .. . SHED. P,er'd$TONE t ALY, Af�DUND° .FR;eE C)f:/RONS; f1NfS -�� �//NC P T BASE 7`O BCE` LEI;/lrC BRICK 8.MORTAR.COURES .3/�„.7'O / :t12",wAS`ftE'0 riRUSJIEQ i AS REalIIRED TO .BR%NG `, ".STONE �1L1:;AROUND �'R�'E OF ' COVER: T0:•GRADE. 24' C /: MH`COVER ` - , /ROIVS, F/NESA N0 DtJST'"tN RCACC. - • INLET` 8 :; FLPW LINE' ��. ._•...,-��... ,,, I CO.NORt`TE TO, BE^4 O.fl: PS 2 . ,6" z f'� N0,6 GAO �►(.lA/,M R��i(�fF®RC�fJ -WITH A, S e C�tQNS :A.R� AVA1l.ABLE FOR 0 -AT�R C►1P?ff Rf t�Ul��M tuTS . 61PE�/�lG ,yY/TJf 4 r/,/'8�� '.: : , ; ��,�. A�;':. R� I=`- � UI�BE p P{T5 ReQU1A ' OIIT��4' f�IdM TER t3 � � � �=N(�fiE} I~�GAIJATE; tD �tW�v�Y}�r1 52 a ' _ ,::; /•`��4` JAtaDE aIAMEt�'!R ` :_.. ,. �� :: ;.: :. ,. :nR 3�O�NE R ,�5 JIRE� M41�E .L k.OA►�t AN . i PITREf�L.A�C EXtvAVAT�D ME1TE tfiH• AN : GR:AVEI. :70.-pESI E . GRC►DE ': E'FFfCT/VE�,p/AMET�'�, TO EXCEED TJMF•S,�EFFEC F/Vt ,G►�'PTH) - _WATER TABLE �► t3 iLi:F � �.! C;C� U 1,J '� �1'x�.Cap SOILANL� P�F'�' DATA; --w-- .� : - G�7�f� AL Na•T, , PRC. RITE 2 _ MI.N. ll;N . NQ hiEAVY EQu1PMENfi`TQ Rt:1N OVER.., SY3TE:M: ` ; ::, .'; : . � TAN Ot N::BpX , 't..�AG#iING '•P17S ;TO �E St'AN;t3A:R0. �U �. SEI�Ttrr fiA' S'TR18UTlQ TEST 13Y. �"-__�_ � t-{ F-L t7,, '��N!�1 V�.✓.�i,�1.�..'I�� � A a''���, _-,----� �. . `. PRECAST RE}NfFQR"Clwd O:NCR.EtE UNITS W}TNESSED By:. ;J �1-1' :,,! A G<U l �`F3,� }'�+ id�'1 ALL- SYSTEM,:,COMPONENTS SMALL 8E. ;tNST�1Ll.E(� :MI A�:CORC?ANCE - :• Tt� V.I ,RE �:�Q .:'I ITLE::5 OF �H1*.`-' STA :E i~Kl�/>F�,O.AIM�N7'Ak. C: .DE TEST P1:7 GR DATE.E.1..: �4.,c,7 ', . - � :," 5�.� ��.� � T` _ ' MI REpU;1REMEAiTS: F.4R .tHE SltBSUfiACE .'01SPO;�AL _ .Qf `�. . TEST'-'PIT N.0 I. ., `TE,S7 P.FT• NQ`2 SANITAF21! St*W1#GE EFFE�?IVE ! DULY }97'7 -ANY ;CHANG;>=S 'T�0 fiW1.S P 70:R-fl Li t.A.N ST 1�:E :APi:'ft01/�q BY: Tit£ B4ARD OF Hta�.TH. l�T C©MIPL,EY'IOt� OF.�Qt��ST'RUC�Ifl�+l, �'RiOR Tp Bi4C�f��Lt_lNfi�:, Na�DI�JM BQ;4RD QF SHAI�L �: NOT(f1 e0 ;FOR i��pl~�7}�N.: PiT�H�::Al~L..;S� �R i.hN•E&�` I:f4. .,: :.FT. UN .E:S /. L..: ..$ lN�iCAT�.b QTtiE VSE s9S QrSPQSAL, Y l,y 7d?,AL DAtLY EFL' �.�.:.�..:GALS•:: f.' SIwP71C l'A°N�4 `a'c�� ��L _ '� ' � _ �✓ . �,�- B0 . tali ALR£A OA�..fS t a" 1 .y WRER t* dG:TUAt, f+���wrNG �R��,�=��4���, i R er Y f �Y y"� 'y.[// �.•�•:Y'-- �,:• 'A A P.� s :r�� 4 .. c.^ vA.:..; i•- ,.... 3•.; ...... ';,.., - ., .. �'�'. .. c k"' '-... .. .. t .. • F�/�:/'.:I/ '11'/A I1SI I I/A.Y• /\ .' i I�)1/�.'i! +.a s.r�w 3[.3i- .. .. . KEY: OOti EXISTING CONTOUR: ---- SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION �YoR PROPOSED CONTOUR: ••••-•-•••••• 2"PEASTONE OR FILTER FABRIC S EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE: FIRST FLOOR tULSTON� '4'4 N PROPOSED SPOT ELEVATION: 25.5 COVERS WITHIN 6" 3/4"-1 1/2" O M WpY TEST HOLE: 3 BEDROOMS AT 110 GAL/DAY= 330 GAL/DAY 96.95 OF FINISHED GRADE WASHED STONE - __j TOP OF m�.%��m �, INSPECTION PORT UTILITY POLE: -0- FOUNDATION FINISHED G T 4 FENCE LINE: SEPTIC TANK: � m �� � BADE �� m,, HYDRANT: 330 GAL/DAY x 2 DAYS= 660 GAL ELEV.=88.0 "� "�^�m- 2' RETAINING WALL: 9 d USE 1000 GALLON SEPTIC TANK (EXISTING) 8" er ft COVER ., USE a 87.6� � VARIANCE) LOCUS WITH LEACHING AREA: (EXISTING) ELEV. USE 2-500 GALLON CHAMBERS(8.5'x 4.8'x 2'EFF.DEPTH)WITH 87.9 ELEV. ELEV. LOCATION MAP ELEV. D-BOX ELEV, LOT 47 (24,385 SF) 4'OF STONE ALL AROUND (25'x 12.8'x 2'DEEP) a (6"OF STONE UNDER OR 4' 4 ELEV, ASSESSORS MAP:251 � // 1000 GAL MECHANICALLY COMPACTED) ez 25'x 12.8' PARCEL:223 SIDE AREA: (25'+12.8')x 2 x 2=151 SF (0,74)=112 GAL/DAY SEPTIC TANK (H-20) PLAN BOOK:375, PAGE:20 SEWER EXIT PIPE TEE SIZES:(TO BE CONFIRMED) 2-500 GALLON CHAMBERS WITH BOTTOM AREA: 25'x 12.8'=320 SF (0,74)=237 GAL/DAY UNDER BASEMENT INLET:6"U , 13"DOWN 4'OF STONE ALL AROUND FLOOR ELEV. (25'x 12.8'x 2'DEEP) CAPACITY=349 GAL/DAY OUTLET:6"UP,14"DOWN GAS BAFFLE H-20 AT OUTLET TEE (TO BV VENTED) BENCHMARK AT N SPIKE SET IN 97 TH-1 94.0 TH-2 93.5 TH-3 92.0 RETAINING WALL O/A HORIZON ELEV. O/A HORIZON ELEV. Ap HORIZON ELEV. ELEVATION=92.26 96 TEST HOLE LOGS LOAMY SAND LOAMY SAND SANDY LOAM 6" 10YR 4/3 93.5 4" 10YR 4/3 93.2 6" 10YR 3/2 91.5 95 TEST HOLES 1 &2 B HORIZON B HORIZON Bw HORIZON ✓// / i 94 ENGINEER: THOMAS McLELLAN,P.E. LOAMY SAND LOAMY SAND LOAMY SAND 24" 10YR 5/8 92.0 22" 10YR 5/8 91.7 36" 10YR 5/6 89.0 spike on lot corner WITNESS: DAVE STANTON,R.S.DATE: 11-14-16 C1 HORIZON C1 HORIZON C1 HORIZON 97 i LOAMY SAND PERC AT 54" LOAMY SAND SILT LOAM / ,� r / /, / , -.- � 60" 2.5Y 7/3 89.0 60" 2.5Y 7/3 88.5 60" 2,5Y 6/6 87.0 d'v / 'i`� PERCOLATION RATE: <2 MIN/IN C2 HORIZON C2 HORIZON co 0) / / / / C2 HORIZON -� / / / th, . SILT LOAM MIX SILT LOAM MIX MEDIUM SAND 78" 2.5Y 6/4 87.5 78" 2.5Y 6/4 87.0 2.5Y 7/4 (sxistt �` "�ice �93 94 TEST HOLE 3,BY CARMEN SHAY C3 HORIZON C3 HORIZON ee�o tea �c�, / MEDIUM SAND MEDIUM SAND g5 ON 3-22-04. 132" 83.0 132" 82.5 144" 80.0 to ch / / 96 NO GROUND WATER ENCOUNTERED a\ `�> (GROUNDWATER CONTOUR MAP SHOWS WATER AT 25'DEEP) 93 NOTES: 92 �� 92 1.VERTICAL DATUM: ASSUMED �� i/ / / 98 nail on 2.MUNICAPAL WATER IS AVAILABLE. n (/ lot corner \ I i J ; n pFc 94 / �! 3.SCHEDULE 40-4"PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. tl J/ a� 97� / / 4.ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS. \ 95 I �� 95 /92 3�")tSTt { /�/ 0 5.PIPE PITCH= 1/8" PER FOOT(UNLESS NOTED OTHERWISE). \ ST k to 1�,%Ovo _ _ / / 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. 96 \ I ekt top ffnd�tN OM / ✓/7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. / / ��ry 8.ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STATE OF MASS.ENVIRONMENTAL 93.95 \ pt�o9n�k OFC 0 CODE(TITLE FIVE)AND LOCAL HEALTH REGULATIONS. � � �✓ /� ,� � 9.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. V10.GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 3'. 94 stabe�nt 97t // ��� // 11.FIELD SURVEY PROVIDED BY TERRY A.WARNER,P.L.S.,HARWICH,MA. 12.THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND IS SUBJECT TO CHANGE UNTIL SUCH TIME. \ th'�vi / /� ✓ / i / .4-13.EXISTING LEACH AREA(INFILTRATORS)TO BE ABANDONED IN PLACE. BATH _ // C E / / 14.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. BED - / / T 98 i� v / 15.IF UNSUITABLE SOIL SILT LOAM MIX IS ENCOUNTERED WITHIN 5'OF PROPOSED LEACH AREA ROOM IT IS TO BE REMOVED AND REPLACED WITH CLEAN MEDIUM SAND. STORAGE BED Shed / r/ � `rT \ / � ^O 99 99 ROOM _ __ __ / // ��` Oti O / i 16.THIS DESIGN REQUIRES THE APPROVAL OF THE FOLLOWING VARIANCE FROM TITLE 5: HIGH 96 / F L �/ ; ^� /� i SECTION 15.221 (7):LEACH AREA TO BE GREATER THAN T DEEP,(VARIANCE OF T). CEILING IN LIVING ROOM ` \ 2nd floor BELOW `o ;` ,C� SITE PLANAOFAY 1 i 8 S , �-- _,,,, � s ° '� f LOCATION: DECK 2j32n �� /�%` // �o` `, ,� $ G� , TII9 E: • �- 672 PHINNEY'S LN., 98-' �. Llod CENTERVILLE,MA ,. CIVIC. o.36171 PREPARED FOR: KITCHEN BATH DINING -�„` �� ♦� r � DAVE BRITTON AREA ILY ROOMFAM � ) ; �� '� ` c ' DATE: 11-14-16 SCALE: 1"=20' 99 BED LIVING �� 1 ROOM ROOM BASS RIVER ENGINEERING i 100 / `�- ..._ 100 1stfloor x>" \�d WIMAM J! i �� Q P.O.BOX 1163 EAST DENNIS MA 02641 / TH6MAS J. MCLE AN, P.E. EXISTING FLOOR PLAN 101 508-364-9048 r t .. ,. a .,.�.rra: • SECTION A A NO PIPES E 4 SCHEDULE 4 P V .>,F,, .. *NOTE-- ALL P ES ARE TO BE U 0 C. VENT PIPE ® east 24 Inches toilTHE' dz ,.. , 10 min. from L s } ALL ounET PIPES FROM tt PROFILE VI W OF Existing Four,dntior, ::house to septic tank Schedule 4tl PVC w/Charcoal Odor Filter E ADDITION TO`LEAC$ING SYSTEM oismreuTKx+Box SHALL BE Tt� OF FCAAJDATTON ELEV. I00:00 (Assumed)... Septic tank covers must beSET LEVEL FOR AT LEAST..2 FT. 12 CONCRETE COVER Y` within 6 in. of finished rode - .. 9 3* of 1 j6" - 1 j2 Washed Peas t"e �, s =,afi' 1 ; Grade over Septic Tank 94.30 Grade over D-Box 94.00 over SAS- 9400 3/4 to 1 )j2 Washed Crushed Stan 3 5-OUTW ,.-, ...�. 2 z;. :. .,.,, l a, - /J KNOCKOUTS `�•"�'�'- a(+ t (( :� ..�a,.,•r.:ref' 3� ,::. //t �'.:n .{i^g f r.� F _ 4-PVC(CAPPED)INSPECTION PORT TO t ____ S.S- ' INSTALLED AND TD BE VATHiN 6"OF GRADE OUTLET 12 MCET r. ast .-r 0 1 S� 0.02 3 HOLE H-10 , ,. s T Load Elev. 90.2 / .•Top 5 _ e r r s DIST. BOX 3 Maximum Cover .. �`•. � - „,,.,.. a+� .I.> d � � L . ►- 10 Ot or ... . . � - a i7 c , Greater R ,. � ..-.--, � 2 t#lens t'e r EXIST,.P� AL. saferTop of SAS Elev. -H9.7.. .. _.� a."_"�FRDN EXIST.rOt NDATI@I 30' S- 0.01 per foot ♦ - 4" - SGH. 4a Te (' �«ANK o ^Effective Deptk t.79•a..�,. o s units e szs 3o PLAN SECTION. CROSS--SECTIONCONCRETE FIAL FUUNDA 01 O3r3.> OD a, 0.83 (10 inches) e m 31.25 J :, s In.af 3/4-_t tI2' a 37.25' 3 HOLE H-10 DISTRIBUTION BOX "` t o SYSTEM PROFILE > compacted ed stone, ' ° > o"Oo Effective Length NOT TO SCALE Not to Scale c Pant c o o m ♦ 9 50UR\. 3 i m N ®sa+Rmc+ NevxOaarl®xas Afarient i 4' 4' SOIL ABSORPTION SYSTEM (SAS) --2s' GENERAL NOTES 6 m.of 3/4•-t`i/2' 10' INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN compacted stone Effective Width (OR EQUIVALENT) Not to Scale No�rE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" t3Etow GRADE = 1. Contractor is responsible for Digsafe notification m Bottom of Test Hole 1�ev.100 NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" and protection of all underground utilities and pipes. ♦Obs. Groundwater - Test Ho l v.ffi NONE OBSERVED 2. The septic tank onj distribution box shall be set level on 6 of 3/4 --1 1/2" stone. 3. Backfill should be clean sand or gravel with no stones over 3" in .size, Design Calculation 4. This system is subject to inspection during installation by Carmen E. Shay - Environmental Services, Inc. ' Number G Bedrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min: per Title V) 5. The contractor shall install this system in accordance PERCOLATION `TEST Garbage Grinder: No with Title V of the Massachusetts state code, the approved plan Leaching Capacity Proposed: 330..Gal./Day Minimum (Min. Per Title V) and Local Regulations. Septic Tank : - 3 x 330 Gal./Day`- 660 USE EXIST. 1,000 GAL. Septic Tank. Date of Percolation Test: MARCH 22, 2004 6. 1f, during installation the contractor encounters any SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Test Performed By, CARMEN E. SHAY, R.S,, C.S.E. soil conditions or site .conditions that are different Results Witnessed By, WAIVER (per BARNSTABLE B.O.H.) Bottom Area: 0.74 gal/sq. ft. `x' 370 sq. ft. _ -27 all gallons from those shown on the soil log or in our design Excavated By `SHAY ENVIRONMENTAL SERVICES, INC. Sidewafl Area: 0.74 gal./sq. ft. x 78 sq. ft. = 58 gallons y installation must' halt & immediate notification be Percolation Rate: Less Than <2 MPI Providing: = 331.80 gallons 0 made to Carmen E. Shay Environmental Services, Inc. Use: (5) INFILTRATOR HIGH CAPACITY H-10 UNITS, HAVING A 0.83' (10 INCHES) EFFECTIVE DEPTH, *`� 7. No vehicle or heavy machinery shall drive over the TO BE USED WITH 4.0' OF WASHED STONE ON THE SIDES, AND 3.5' OF WASHED STONE / septic system unless noted as H-20 septic components. ' 141" W 8. Install Tuf-rite'gas baffles or equals on all outlet tee ends. Test Hole ON THE ENDS. NO STONE UNDER. $ 111 f6 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. No. 1 111.9 DEPTH SOILS ELEV. 10. All solid piping, tees & fittings shall be 4" diameter 0 94.00 Schedule 40 NSF PVC pipes with water tight joints. Sandy 11. Municipal Water is Connected to ALL OF The Residence and Abutting i Properties Within 150 Feet. 10 YR 3/'2 0"-6" A, 93.50 �� THE PROPERTY LINES ARE APPROXIMATE AND Loamy // COMPILED FROM THE SURVEY PLAN GENERATED BY Sand WM WARWICK & ASSOCIATES OF FALMOUTH, MA fo YR 5/6 �� �� ENTITLED -- "CERTIFIED PLOT PLAN OF LTO #47 PHINNEY'S LANE,. 6"- 36' B, 91.00 _--' �� CENTERVILLE,MA DATED AUG. 29, 1983. AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN Loom \ IT SHOULD BE USED FOR NO PURPOSE OTHER THAN as r e/6 THE SEPTIC SYSTEM INSTALLATION. 136,- 60" oo J Med. ��� �`� EXISTING LEACH PIT TO BE PUMPED OUT AND 2.5 Y�/ �� 98 FILLED IN PLACE. o"- 144 2.00 NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE LOT #48 LOT #46 FROM THE EXISTING LEACH PIT TO BE DISPOSED LOT #47 -98 OF AS PER BOARD OF HEALTH SPECIFICATIONS. 24,386 Square Feet t/- NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY --- ASSESSORS MAP 251, PARCEL 223 Pere #1 r ,,.,--- --- -..,_ Depth to Pere: 60" to 78" PROJECT BENCH MARK 96 LEGEND Perc Rate= Less Than 2 MPI i 0' " TOP OF FOUNDATION Observed ESHWTO NONE OBS.- 144" Assumed ELEV. = 100.00 (Assumed) ��� Failed '`v Leach Pi a _; DENOTES PROPOSED ADJUSTED H2O Elev. = NflNE OBS. - 144" Assumed ,' 104X 1 TEST HOLE #1 SPOT GRADE ELEV.= 94.00 DENOTES 0 20 40 50 �\ ; �� 37. 5' X 104.46 SPOT GRADE ISTING � t I , \ EXIST. 1000 gal. o \ Septic Tank �_: _--- PL PROPERTY LINE _. 0 D-Box y SCALE: 1„=20, Or-C ' PROPOSED CONTOUR \ , / DECK ± -97 EXISTING CONTOUR 2-18" DIAM. Access MANHOLES jJ LOT #46 DEEP TEST HOLE & HOUSE #672 4 PVC PERCOLATION TEST LOCATION ,:..... .,... VENT PIPE Ir___� EXISTZNC 6 'FOOT STOCKADE FENCE '- 4 3 BEDFOOM _. 9 HOUSE INLETOUT ET P L � T P LAID THE ACCESS COVERS FOR THE SEPTIC TANK, > W r _ DISTRIBUTION BOX AND LEACHING COMPONENT / \\ F PROPOSED GR DEEPER THAN 6 �tTo BELOW FINISHED tt I �___�_ - 0 SEPTIC SYSTEM UPGRADE ` " •• , GRADE SHAH_BE RAISED ES BELO FI OF � 1 96 STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE ��� J \ PREPARED FOR PLAN VIEW INSTALL 1JF-TITE GAS BAFFLES OR EQUALS I \ �1 3-a4' REMOVABLE Cam J o MS. M A RY GARRISON AT I �8 #672 PHINNEY S LANE .31_min clearance J I lr INLET 6" mM� '2;min. Inlet to outlet a mh i3- sJtfT J r, Ltgrd level OUTLET ra-mr ; CENTERVILLE, _MA 5' -r J i o� Oa...d1. -: L �depth Ji r � NOF PREPARED BY: , ,. v J • P-J E g � I �!1 R11l L/Y , A��.11 Y. s!i CROSS SECTION END--SECTION 7 -�� `'� SH ENVIRONMENTAL SERVICES, INC. -�� / L No. 1181 I 9¢ a P.O. BOX 627 1 T o crsTf- EAST FALMOUTH, MA 02536 TYPICAL'` 1000 CAL N' R LO SEPTIC TANK .�50 F ` �� - ss s�urri;R� T R� ,s 4-s7 >f EL/FAX : 508-548--0796 NOT TO SCALE �� �Or t BHT � �//y.� �.I "� , OF S A E. 1, =20 D RAWN BY. CE5 DATE:. MARCH 22, 2004 -PROJECT#SD544 FILENAME- . SD544PP.DWG SHEET 1_ OF ,1 mom SITE PLAN TYPICAL PROF/L E _ . SCALE — /" = .3 0' �� rft �ga5 N©T TD SCALE mom. " /8"STD. L T wGT. c.l. MH covE'R 4"C.I. PIPE 4"Bit F/BER PIPE TIGHT ✓O/NTS FLOW L/NE UUTL£r LEVEL rO FIRST JOIN ---•.: :._, .� .. DWELLING �z g /o" ' _ I4` o 0 0 :-- 4,1.7 ! C.I. TEE C.1. TEE STANDARD PRECAST 4 CONCRETEW26AL LON SEPT/C TANK DIS TR/BU TION Box 6 rO BE INSTAL L ED ON LEVEL, STABLE BASE. SEPTIC TANK TO BE INST41 L L£D ON LEVEL , STABLE BASE 04 2"-- //8" TO !/2" WASHED PEA STON£ L EACHING PI T At VJ ALL AROUND FREE OF IRONS, FINES BASE TO BE LEVEL AND DUST /N PLACE BRICK 8 MORTAR COURES 3/4" TO l-i/2" WASHED CRUSHED ' AS REOU/RED- TO BRING - STONE ALL AROUND FREE OF COVER rO GRADE. 24 C.I. MH COVER k,4 WA IRONS, FINES AND DUST /N PLACE "'-- AND FRAME *.` GL FQ,I.I CRU T,3v' DIA, - 3s w¢ ' '1'Ca 5`rw P�` t�AiCrILL IT►1 T Q I'9.Zrt r • 1 ; A _ LEACHING PlT 9 'Low L'NE SEC T/C)N-- WW x�pp x 1 CONCRETE TO BE 4000 PSI pipe 28 DAYS ,. 2. REINFORCED WITH 6 x 6' O.6 GA. W.W.M. Clod'/� , LIN �-y 3. 2' AND 4' SECTIONS ARE AVAILABLEFOR GREATER DEPTH REQUIREMENTS. -- .5.7 D. Pa�A57 ' CLW4. jc,6�'C►,A�->" r': ,;, OPENING W/TH 4-I/8" 4. NUMBER OF PITS REQUIRED P T A ht K ID rn i►�. x< -� OUr£R DIAMETER Q , I-3/4"INSIDE DIAMETER 3„ NOTE: EXCAVATE TO ELEVATION SZ. OR LOWER AS REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH ' PIT. REPLACE EXCAVATED MATERIAL. WITH CLEAN 6KA R C v�-1�- FL,F4. � � GRAVEL TO DESIGNED GRADE. . t ;-I� G N ----- Z a ! I MIN. N - 1 EFFECTIVE DIAMETER r q 5 (NO T TO EXCEED 3 TIMES EFFECTIVE DEPTH) ; N r -w WATER TABLE L, o �#7 T t c� SOIL AND P � ! ERC. DATA GENERAL NOTES ' I I PERC. RATE 42 MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. } I SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD TEST BY: _E3 IZ U C_ f< L( F L V i 1NW✓ VQ W,V 1 L K $ A560":-, { --- PRECAST REINFORCED CONCRETE UNITS. �x� WITNESSED BY: ..I v N �i .J A C C7 I '' � t �• �, t�. � ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE o Z43, 4� `"� TEST PIT GR.EL.: �`r' O DATE :-- �' � `� �` '� TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , ' MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST PIT NO.I TEST PIT N0.2 SANITARY SEWAGE EFFECTIVE I JULY 1977. + I f I " ° .,�' 1�.1 ° -t ro t'l u oa�So+L. 0" ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE !" W J K— E- ( L A 4, t+� 5 BOARD OF HEALTH. 5' Ojz—i-ci AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE u MIpIVKA BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION, �J A 1-► p PITCH ALL SEWER LINES 1/4" /FT. UNLESS INDiCATEQ OTHERWISE. =.s loI o w AT �R _ DESIGN DATA BEDROOMS 3 DISPOSAL, AJ O NJ> EST. TOTAL DAILY EFF, a 33v GALS. LEGE � �" SEPTtC TANX 1DQQ GAL. SIDEWALL AREA z-- `' ,tAL./SO. FT BOTTOM AREA I a GAL./SQ. FT. �+ / �+ r c�XoQ EXISTING GRADE LEACHING REQUIRED l�'�-�� SOFT. SE WA D/SPOJA . `7ST , ZONE:__.�r�___� ( o. o ACTUAL LEACHING AREA Z5.I-52 �. FiNISHE'Q, GRADE SQ.FT. FOR _ • ( OVA STPC WATER SOURCE T/au.�Kl 1h.tA7 • Qa INVERT ELEVATION i .�` r1 f�-� y{, ' I''� r� ' `a L• '� L ) �T p a. tLi _ -- PROPEPTY LINE w P r�:A►r.l 4 MEAN NIGH WATER SC 5 AL INDICATED BENCH MARK DATUM V � �� T d P'C3 ��, � SCALE-AS DUCAT �A'� MAR "MIN" 0.00 w. M. wARtarCK S ',a ss� I,a t,�s N 0 14 'i C," eax 801 NORTH F.AL M0lI Tip M,r?}SSACRUSE T TSmill i Oki a� S „ z.. .. a. -