HomeMy WebLinkAbout0022 PINE CREST ROAD - Health 22 Pinecrest Road ,, )
Centerville
A=247-123
UPC 12534No. 1-1111O
_...3 g°csr.coN50s
NA$TINQS, MN
9
TOWN OF BARNSTABLE
LOCATION as f rd► 5 f Ad SEWAGE# 20 LO 103
VILLAGE ASSESSOR'S MAP&PARCEL -.297 - iL 3
INSTALLER'S NAME&PHONE NO. 1�qA e�vcdLl
SEPTIC TANK CAPACITY (,5-6.y 1 t(3
LEACHING FACILITY.(type) 3 (9 t:Z (size) F.1Q k
NO.OF BEDROOMS
OWNER
PERMIT DATE: (4- - Zo COMPLIANCE DATE: (o _ 2 o 1-0
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ro o ia li 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)o Feet
FURNISHED BY l.A04,4 L L 5
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-
RN �•�
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IN q ,z
33 u w�s
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No. V L O 1. �FJ J Y - Fee l
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUB C HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
� utation for i o aY
� gl,�ekes-r-
�� � �� s 6pstetn ConstCuttion Permit
Application for a Permit to Construct Repair N Upgrade Abandon El Complete System Individual Components
oneni s
Location Address or Lot No. 'Z2 t?i n e c4'e -r toy Owner's Name,Address,and Tel.No. 12,1 q it✓+fF`o
• Ce.�.4c.r,n��e.
Assessor's Map/Parcel 2-'1-1
Installer's Name,Address,and Tel.No. lm4 cke.L-"n;ef Designer's Name,Address,and Tel.No. C4'Z75-0.3 7
Type of Building:
Dwelling No.of Bedrooms Lot Size -7-78C•— sq.ft. Garbage Grinder( )
Other Type of Building Z, No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3 gpd Design flow provided 3 3,7•4 gpd
Plan Date J-Z?- Zo 1Qe Number of sheets i Revision Date
Title Z Z �;hectCP,�s,i,
Size of Septic Tank 1� Spc 4—to Type of S.A.S. 5 l9 Are,.6
Description of Soil
It!Rnn �a -3c)
Nature of Repairs or Alterations(Answer when pplicable) 10ew lao K
S�i4 S
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal§,ptem 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 ealth. .11
. Signed Ir Date G - ?,O l t
Application Approved by I Y�L Date f —a® � (�
Application Disapproved by Date
for the following reasons
Permit No. 0 Date Issued
No. �U '' Fee
TOE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTHkDIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
02pplication for Disposal *pstem Construction permit
Application for a Permit to Construct( ) Repair X Upgrade( ') Abandon( ) ❑Complete System ❑Individual Components
C Location Address or Lot No.Z2 Pip c cc<sr a_oP%,A Owner's Name,Address,and Tel.No. 1�,i,q k V
o J_ . LeN.-.r.,.1,\e„
Assessor's Map/Parcel ?.,A"1 I Z 3
Installer's Name,Address,and Tel.No.Cos c`te Lfh)-k►,,,,ev 4. Designer's Name,Address,and Tel.No. 5-08-Z 7,3-GT 1 z
�{oLb 7b3 JGE«'�Icuen,l�L yf5)y cr•s+ob.v1
Type of Building:
Dwelling No.of Bedrooms / Lot Size 77c8S o± sq.ft. Garbage Grinder( )
Other Type of Building 5;k, ,e t, No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 3 3 p gpd Design flow provided 3 _; '-7 gpd
Plan Date 5- 1-7- 7-O 1 o Number of sheets Revision Date
Title 22-
a,rctrrsi
Size of Septic Tank 61;00 9 0( 4- to Type of S.A.S. IcSae l.a>5Q ( 19 Arc_ 7,c,
Description of Soil
n)rlr1�., ✓CJ
Nature of Repairs or Alterations(Answer when pplicable) p3ew (�w /�-.7p T�, 8,3 u
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal
g p 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 1jealth.
Signed Date 6 "141b
Application Approved by f c Date 6, 1 —�(� L'
Application Disapproved by Date
for the following reasons
Permit No. a O((% — �L� Date Issued _' -~ 1 n
'E ----------- - :-.------- -: - ------.---- -- -----—------- ---------------- ------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewa e Disposal system Constructed(.* ) Repaired ) Upgraded( )
Abandoned( )by CA agZ, -4 (,
at 2,•�i ?,✓�.e L��c1T , -� has been constructed in ccordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.W to � dated (I � �- P
Installer l 1hA0,,-t.L1 4�' -nV rJ�, --e( Designer j
#bedrooms Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system wil func 0 s designe 1.
Date L(,2 i I j o Inspector !
-----------------------------:-------h - --------
No. "` v t V Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair(A Upgrade( ) Abandon( )
System located at �7 , �,(,��► � �
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit. /��
Date �i � In Approvedby � r Y � G I 7_A
•
Town of Barnstable
Regulatory Services
Q, Thumas F. Gelder, Director
YrABLZ, a Public Health Division
t�ba9•
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6.)'A
Sewage Permit# Z�tc� 1 b3 Assessor's Map/'Parcel Z`/7 12 3
Installer & Designer Certification Form
Designer: r1 ec+,.ci�c'� _r�,�c Installer: Capew�&. &► cgrcae-,�-
Address 0 !54 C - b �?
1 _ c�, ecru Ikg.tw �__�.__• Address: �O _30+L 2_<a3
tpb1 _vUarc4t• m _11..?.._02.53 _ M v���`C_ �. ✓
�1 3
On�o'�' l L �i&C E14. n i e-s was issued a permit to install a
fdat�)------- .._.....- -- (installer)
septic system at 1.2- '1n c.r e n oo based on a design drawn by
SC L-r5i.ne.e.ccn , TV)C-. dated Hoy 27 2-01 0
/ (designer)
V I certify that the septic systern referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the-
distribution box and/or septic tank, Stripout (if required) was inspected and the soils
were found satisfactory,
1 certify that the septic system referenced above was installed with inaJor changes (i.L,
greater than 10' lateral relocation of the SAS or any vertical relocation of any componVW
of the septic system) but in accordance with State& Local Regulatiomi. Plan revision 011
certified as-built by designer to follow, Stripout (if required) , 'i 5)ected and the soils
were found satisfactory,
TN OP
JOHN L.
CMUf CHILL. '
——1 st l er's S i-iiaet JR.
$ ) ML
Co
esigner s Signature- ---(AffiR.�De g lerej_ •_
RETURN 'rO ARNSTABLE PUBLY DIVISIQN. CERTIFICATE
F COMPLIANCE WILL NOT BE ISSUED UNTIJ., BOTH THIS FORM AND AS-
BUILU'ARD ARE RECEIVED BY THE B RNSTABLE PUBLIC HEALTH DIVISION,
TTH6M ..,IS...U.-.
q:\gffiCo lorms`•dcsigncrccrtiliCauun I'nrni.duc
T0 -d 2-9E0 zLZ 809 DNIN33NION30r Wei 29: 60 0TOZ—bZ—Nnr
TRANS. NO.:
CITY/TOWN: Centerville
APPLICANT: CUewide Enterprises
ADDRESS: 22 Pine Crest Road, Centerville MA
DESIGN FLOW: 330 gpd
REVIEWED BY: DATE:
N/A OK NO
,
Legal boundaries denoted [310 CMR 15.220(4)(a)] X,.a, ,
Street, Lot, tax parcel number and lot number noted on plan [310
CMR 15.220(4)(u)] X
Locus Provided [310 CMR 15.2204(t)] X
Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for
components) [310 CMR 15.220(4)] X
Easements shown [310 CMR 15.220(4)(b)] X
System located totally on lot served [310 CMR 15.405(1)(a) for
upgrades]- if not, a variance is required [310 CMR 15.412(4)] X
Location of impervious surfaces (driveways, parking areas etc.)
[310 CMR 15.220(4)(d)] X
Location all buildings existing and proposed 310 CMR
15.220(4)(c)] X
Location and dimensions of system components and reserve areas.
[310 CMR 15.220(4)(e)] X
System Calculations [310 CMR 15.220(4)(0] X
daily flow X
septic tank capacity (required andprovided) X
soil absorption system (required and provided) X
whether system designed for garbage grinder X
North arrow [310 CMR 15.220(4)(g)] X
Existing and proposed contours [310 CMR 15.220(4)(g)] X
Location and log of deep observation holes (existing grade el. on
each test) [310 CMR 15.220(4)(h)] X
Names of soil evaluator and BOH representative [310 CMR
15.220(4)(h) and (i)] X
Location and date of percolation tests (performed at proper
elevation?) [310 CMR 15.220(4)(i)] X
Percolation test results match loading rate? [310 CMR 15.242] X
Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] X
Observed and Adjusted groundwater(method for adjustment
given or indicated) [310 CMR 15.103(3) and 310 CMR
15.220(4)(n)] X
Address 22 Pine Crest Road, Centerville MA Sheet 1 of 7
Y
N/A OK NO
Location of every water supply,public and private, [310 CMR
15.220(4)(k)] X
within 400 feet of the proposed system location in the case
of surface water supplies and gravel packed public water supply X
within 250 feet of the proposed system location in the case X
within 150 feet of the proposed system location in the case
of private water supply wells X
Location of all surface waters and wetlands located up to 100 ft.
beyond setbacks listed in 310 CMR 15.211 and any catch basins
located within 50 ft. [310 CMR 15.220(4)(1)] X
Water lines and other subsurface utilities located [310 CMR
15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[1]) X
Profile of system showing invert elevations of all system
components and the bottom of the SAS [310 CMR15.220(4)(o)] X
Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] X
Stamp of Registered Land Surveyor(required if construction
activities within 5 ft. of lot line) [310 CMR 15.220(3)] X
Test Holes adequate (two in each of the primary and reserve
unless trenches as permitted in 310 CMR 15.102(2) or as
approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] X
Test hole adequate to demonstrate four feet of suitable material?
[310 CMR 15.103(4)] X
Test Holes adequate to confirm adequate groundwater separation?
[310 CMR 15.103(3)] X
Benchmark within 50-75' of system [310 CMR 15.220(4)( )] X
Materials specifications noted? [various sections of 310 CMR
15.0001 X
System components not> 36" deep (unless Local Upgrade
Approval or LUA requested) [310 CMR 15.405(1(b)] X
Address 22 Pine Crest Road, Centerville,MA Sheet 2 of 7
N/A OK NO
Size OK? [310 CMR 15.223(1)] X
Inlet tee located ten inches below flow line [310 CMR 15.227(6)] X
Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR.
15.227(6)] X
Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] X
Note regarding installation on stable compacted base [310 CMR
15.228(1)] X
Separation between inlet and outlet tees (no less than liquid
depth) [310 CMR 15.227(2)] X
Inlet/Outlet elevations at least 12" above high groundwater
(except as described 310 CMR 15.227(5)) or permitted for
upgrades under LUA [310 CMR 15.405(1)(k)] X
Minimum cover 9" (Tanks buried more than 9" must have risers
on all openings and on the d-box) [310 CMR 15.2228(1) and 310
CMR 15.232(3)(f)] X
Three access covers (inlet and outlet must be 20" or greater) -
middle access at least 8" (by 7/07) [310 CMR 15.228(2)] X
Access to within 6 " of grade - one port for systems<1 000gpd,
two for systems >1000 gpd [310 CMR 15.228(2)] X
All at-grade covers secured to unauthorized access? [310 CMR
15.228(2)] X
> 10 ft from building foundation [310 CMR. 15.211(1)] X
Buoyancy calculation Required/Done [310 CMR 15.221(8)] X
H-20 Where appropriate? [310 CMR 15.226(3)] X
Setbacks from resources [310 CMR 15.211] X
1VI�Iti Com artment s'anfks / �
Required when other than single-family dwelling or flow>1000
d [310 CMR 15.223(1)(b)] X
First compartment 200% daily flow; Second compartment 100%
daily flow [310 CMR 15.224(2) and (3)] X
"U" pipe through or over baffle, outlet of each compartment with
gas baffle or approved filter [310 CMR. 15.224(4)] X
Address 22 Pine Crest Road, Centerville,MA Sheet 3 of 7
N/A OK NO
Located at least ten feet from any water line? [310 CMR
15.222(2)] X
Disposal piping at least 18" below water line (when water and
sewer cross, see 310 CMR 15.211 1)[1]) X
Cleanouts required/provided ? [310 CMR 15.222(8)] X
Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] X
Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable
[310 CMR 15.222(6)] X
Proper pitch on all runs? (.005 within gravity-distributed trenches
and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] X
Siphon problem/(leachfield below pump chamber) X
Endcaps or vent manifold specified? X
Size and orientation of discharge holes specified? (not smaller
than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310
CMR 15.252(2)(h)] X
Materials specified (310 CMR 15.251(5) specifies various pipe
types allowed) X
DISTRIBUTL®N�BOX ` 'j
Stable compacted base [310 CMR 15.221(2) and 310 CMR
15.232(2)(a)] X
Splash plate or baffle tee required on inlet/provided? (when
pressure sewer to d-box or steep pitch of gravity sewer) [310
CMR 15.323(3)(a)] X
Riser if deeper than 9" [310 CMR 15.232(3)(f)] X
Inside minimum dimension 12" [310 CMR 15.232(2)(b)] X
Minimum sum 6" [310 CMR15.232(3)(e)] X
Watertight cover if<2000gpd); waterproof manhole if>2000gpd
[310 CMR 15.232(3)(d)] X
VU
Capacity(emergency storage above working=design flow)? [310
CMR 231(2)] X
Proper setbacks [310 CMR 15.211 (same as septic tanks)] X
Watertight 20-in minium access manhole at least 20" MUST BE
TO GRADE [310 CMR 15.231(5)] X
Service components accessible (not too deep with piping,
disconnects accessible) X
Alarm floats - alarm on circuit separate from pumps specified? X
Exceeds two units must have two pumps operating in lead-lag
mode. [310 CMR 15.231(6) and(8)] X
Stable Compacted Base [310 CMR 15.221(2)] X
Buoyancy calculations needed ? Provided? [310 CMR 15.221(8)] X
Address 22 Pine Crest Road, Centerville,MA Sheet 4 of 7
N/A OK NO
Calculations correct?
X
4 feet of naturally occurring material demonstrated? [310 CMR
15.240(1)] X
Required separation to groundwater? [310 CMR 15.212)] X
Aggregatespecified as double washed [310 CMR 15.247(2)] X
System Venting required/provided? (system under driveway or
>36" deep) [310 CMR 15.241] X
Inspection ports specified and within 3"final grade? [310 CMR
15.240(13)] X
Breakout requirements met? (No violation of breakout elevation
within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and
Guidance Document] X
GAL;"ERIES,PITS�C ` fi BFrRS310CM12, 25 u , ? y'"3 -A,
Chambers and Gal. in trench configuration supplied with inlet
every 20 ft. [310 CMR 15.253(6)] X
Each structure with one inspection manhole (if>2000 gpd must
be to grade) [310 CMR 15.253(2)] X
Aggregate 1'minimum- 4'maximum. [310 CMR 15.253(1)(b)] X
2' sidewall credit maximum [310 CMR 15.253(1)(a)] X
In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] X
TREl`T�CHES314CMR�15 25'1
Width T minimum 3'maximum [310 CMR 15.251(1)(b)] X
100 feet-maximum length [310 CMR 15.251(1)(a)] X
Minimum separation 2x effective depth or width whichever
greater(3x if reserve between trenches) [310 CMR 251(1)(d)] X
Situated along contours [310 CMR 15.251(2)] X
Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] X
�:, ;,,, , r syof beci or ield�5000
minimum 2 distribution lines [310 CMR 15.252 2)(a ] X
Maximum se aration between lines 6' [310 CM R15.252(2)(d)] X
Maximum separation between lines and outside of bed 4' [310
CMR 15.252(2)(e)] X
Aggregate depth below discharge pipes 6" minimum, 12"
maximum. [310 CMR 15.252(2)(g)] X
Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] X
Bottom area used in calculations only [310 CMR 15.252(2)(i)] X
Address 22 Pine Crest Road, Centerville MA Sheet 5 of 7
DAD T)�PTl`TN"CyOXWK AL
N/A OK NO
Pressure Dosed System ? Provided pump and piping
calculations as required [310 CMR 15.220(4)(r)] X
Pressure dosing required on all systems>2000gpd or alternative
systems under remedial approval [310 CMR 15.254(2) and I/A
Remedial Use Approvals] X
If used in gravelless system-make sure jet is directed as not to
scour soil interface [Guidance Document] X
Inspections once per year(systems<2000 gpd) or quarterly
(>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] X
Construction in fill -Did the plan specify that the fill shall meet
the specification of 310 CMR 15.255(3)? X
Impervious barrier and/or retaining wall ? [Guidance Document] X
Impervious barrier installation must be supervised by
designer [310 CMR 15.255(2)(b)] X
Retaining wall must be designed by Registered Professional
Engineer [310 CMR 15.255(2)(a)] X
Side slope not exceed 3:1 ? [310 CMR 15.255(2)] X
Breakout requirements met? [310 CMR 15.252(2) and
Guidance Document] X
At least 5 ft. from impervious barrier to edge of SAS (10 ft.
-f
recommended) [310 CMR 15.255 (2)(e)] X
Check DEP Approval letters for credits and design conditions X
If used with pressure dosing do not allow pressure discharge
to scour soil interface X
Aflternate,Septic,5'ystent[I/AA?pQ�ual_�etters� ,
Was DEP Approval Letter provided and/or have you
reviewed the letter for conditions? X
Is the technology being properly applied and does it meet all
DEP Approval Conditions? X
Is there a note on the plan regarding the requirement for
perpetual maintenance agreement? X
Any alarms involved on separate circuits X
Did the applicant submit an operation and maintenance
manual? X
Has applicant submitted a copy of a maintenance X
.N
r:
Are the variances listed on the plan ? [310 CMR 15.220
(4)(q)] X
RLS Stamp necessary on plan if a component is within five
feet of property line [310 CMR 15.412(4)] X
New construction or increased flow proposed- [Refer to 310
CMR 15.414] X
Address 22 Pine Crest Road, Centerville,MA Sheet 6 of 7
Nit ennSensiti�e Areus��: , , , N/A OK NO
Is the system in a Designated Nitrogen Sensitive Area(Zone II for
a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and
310 CMR 15.216 - also refer to Policy regarding upgrades of such
existing systems] X
Is the system proposed on the same lot as served by private well ?
[310 CMR 15.214(2)] X
Are the nitrogen loads proposed in compliance? [310 CMR
15.216(1)] X
ll� celleus��;, t ,
Pumping to septic tank ? [ 310 CMR 15.229] X
Shared System [310 CMR 15.290] 1 X
Address 22 Pine Crest Road, Centerville,MA Sheet 7 of 7
Town of Barnstable P# . la
Department of Regulatory Services
BARMADW. : Public Health Division Date SbG
1639 1e� 200 Main Street,Hyannis MA 02601
Date Scheduled Time d )�rl Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: Mfc,64 PCMWtf,( 6T_l GsE Witnessed By: [ Ayi-r w_ s /(,,f
LOCATION a& GENERAI,INFO.RMNTION
Location Address e CNT P n Owner's Name
C zn�ef✓, Address
Assessor's Map/Parcel: 'J 1� Engineer's Name C tv,'CeQ - 3'c— e-e ri 6.5 ,Tye C
NEW CONSTRUCTION _l REPAIR Telephone# 50$'27 S 02>7'7
Land Use Sfi15�e Cl�WII�Y aWegyll � Slopes(%) Surface Stones
Distances from: Open Water Body ft Possible Wet Area N14 ft Drinking Water Well MA ft
Drainage Way MA ft Property Line '!/0 ft, Other � ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Set_ a t} P l ata
Parent material(geologic) Depth to liredror~it
7
f2� S
a
Depth to Groundwater: Standing Water in Hole: � Weeping from Pit Face,Face, 12-(o .5
4
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATT -'TAR. E.
Method Used: D tfec+&SeAva(i(Na
Depth Observed.staading in obs.hole: `r i 2 6 in. Depth to Soil mottles >t.2t In.
Depth to weeping from side of.obs.hole: >f 2to ln, Groundwater Adjustment ft.
Index Well — Reading Date: Index Well level Adj.factor Adj.Groundwater i,evel
I�I+'I GI"�I,A 'I N' EST is t� iz� �. I : v`AR
Observation
Hole# ( Time at 9,,
f f,
Y
Depth of Pere 'y3 Time at 6"
Start Pre-soak Time @ /0:b 5/1 N Time(9"41)
End Pre-soak
Rate Min./Inch Z_ 2-
Site Suitability Assessment: Site PassedZS Site Failed: r Additional Testing Needed(Y/N) 1
Original:Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation testis 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\PERCFORM.DOC
DEEP OBSERVATION:HOLE LOG Dole#
Depth from Soil Horizon Soil Texture Soil Color
Surface(in.) Soil Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel
- y A Jc Z s �v,�3tt -
y. 3a 6 Ls j oy( S/� -
3v-17-6 C, NS 2. y"/ro -
/vole
DEEP 011SERVATItJN HOLE LOG Hole# Z
Depth from Soil Horizon Soil Texture Soil Color Soil
Surface(in.) Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel
D- y ,1� LS jo l,(3�1
)0 `irsla _
30.-(2-6 G NS 2.5Y �/6
4
F:
DEEP OBSERVATION HOLE LOG Hole:#
Depth from Soil Horizon Soil Texture Soil Color Soil 'Other
Surface-in.
( )
(USDA) (Munsell)ll
Mottling (Structure,Stones,Boulders.
Consistency,%Gravel
DEW OBSERVATION HOLE:LOG Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA)
(Munsell) Mottling. (Structure,Stones,Boulders.
Consistency, Gray 1
Flood Insurance Rate May:
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�5
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on j0-21,91 (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 required training,ex ertise an ex nee described in 310 CMR 15.017.
Date
Signature 5-2(o-I 0
Q:\.SEPTIC\PERCFORM.DOC`
1
GENERAL NOTES
TOP OF FOUNDATION = 41 .5'±
FINISH GRADE OVER D-BOX= 40.3'± 4" SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER BIODIFFUSERS= 40,3'Q' _ 40,LQ'
PROVIDE EXTENSION RISER SLOPE @ 2% MIN.
WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
FINISHED GRADE OUTLET TO WITHIN 6" OF F.G. 40 7'+ REMOVABLE WATER-TIGHT COVER OVER ,ACCESS BOX TO WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL
@ FOUNDATION = 40.5 ± RISER TO WITHIN 6"OF FINISHED GRADE 3' OF F.G. (ONE PER ROW) CODE AND ANY APPLICABLE LOCAL RULES.
20"MIN.ACCESS 36" MAX. } } 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE
COVER(3 TYP.)-
YP.) 9"MIN. F I I DESIGN ENGINEER.
N.
PROP. PVC PROP. PVC 39" MAX. 36" MIAX. TOP OF SAS/ B.O. = 37.39' 3. 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL
SEWER PIPE::�
SEWER PIPE 5" DIA. OUTLET(S) SYSTEM UNLESS OTHERWISE NOTED.
MIN.SLOPE i% 6" 3" 2" DROP MIN. - _
�' 3" DROP MAX. 3 9' L_7.+ PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN
MIN.SLOPE 1% JOINTS (TYP.) ELEVATION = 37.39' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A
�* 10 4" PVC IN FROM 1.08' " 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF
37.7 . 14" 37.25' SEPTIC TANK 4" PVC OUT TO (TYP.) 13 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
O LEACHING FACILITY 0.59, [EHUNH HN WN 7.13"(TYP)
37.50' + I , 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM.
48"
OUTLET TEE 37.17' M N. 6' 37.00' 36.90' �- 36.31' (laid flat) 2.875'(34.5")---I CLEAN SAND 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
5.0' (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK
GAS BAFFLE 6"CRUSHED STONE (TYP.) 5' MIN. FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS
OVER MECHANICALLY 8.625' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
10.0'TO FND COMPACTED BASE REQ'D
VARIES (SEE PLAN) AND DESIGN ENGINEER.
6" CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON AN ASSUMED DATUM OF 41.52' ESTABLISHED ON A
OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 29.70' BIODIFFUSERS END VIEW NAIL SET IN FENCE POST AS SHOWN ON PLAN.
COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET ( ) 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
PROPOSED 1 ,500 GALLON CONCRETE SEPTIC TANK (H-10) PIPES TO BE LAID LEVEL. 19 - BIODIFFUSERS PROFILE
Dim nsions per Wiggin (BY ADVANCED DRAINAGE SYSTEMS, INC.) I THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT
LENGTH 10' 6' WIDTH DEPTH 5' 8�� ( CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES
Precast Corp., Pocasset,MA) TO THE DESIGN ENGINEER.
'CCi,yiRACTORTOVEtt �
iFYTHISELEVATION jPTI� NK PROFILE DISTRIBW ION BOX DETAIL 19 - ARC36 (#3613BD) BIODIFFUSERS
& REPORT TO ENGINEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT.
TCST P T !" A T A 11, NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING
• ' w� • • + �� A /`1 REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
:• '. ¢ PERC NO. 12960 APPROPRIATE AUTHORITY.
p • • • , *« INSPECTOR: David W.Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
• LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE
EVALUATOR: Michael Pimentel, E.I.T. i
>" THEY SHALL WITHSTAND H-20 LOADING.
ti w w c C.S.E. APPROVAL DATE: Oct. 1999
* • 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
{ DATE: May 26, 2010
s ""' ♦ • •• « TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE
'� •1 " • MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY.
/ • • '�' • • ELEV TOP = 40.20' 1
f w • r• a • • ZONE 2 !� • REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY,
�, ) ;; • : • ••� y e•• • ELEV WATER= <29,70' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).
• ++ + PERC RATE - < 2 min./inch 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
°, PROPOSED INSPECTION PORT(TYP OF 3) " +� ' '«• SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
MAP 247 �' • DEPTH OF PERC = 30"-48"
• , ��� .-1 • • ,�� . * 16. PROPOSED PROJECT IS LOCATED WITHIN:
a PROPOSED TOTAL 19 ARC 36(#3613BD) • '� • • Iw ' • __' •
BIODIFFUSERS IN A FIELD CONFIGURATION LOT 120 ' s' • t" �' -I« TEXTURAL CLASS: 1 ASSESSOR'S MAP 247 PARCEL 123
M MAP 247 •I.
Y 40x2' LOT 206 • y• • • '� r• •1 - OWNER OF RECORD: RITA F. & ELIZABETH J. DEVIRGILIO
0 40x5' *ti.. " •
M PROPOSED DISTRIBUTION BOX I • � • ADDRESS: 22 PINE CREST LANE
Z 40x4' , •"• . 0" 40.20'
g S86°07'50"E . • « • ••
� a �' LOCUS Loamy Sand CENTERVILLE, MA 02632
13 1�Benchmark o 77.00' • *• *•••.II�w - '•M • 37• •.• �E4„ 10Yr 3/1
/ 39.8T
Nail Set in Fence TP 1 4 TP 2 - t w• -. 0 ww r ,•, B Loamy Sand FEMA FLOOD ZONE C
Elev. =41.52' / ( 35.0' S // .r '•� • _. " « • r �. 10Yr 5/6 COMMUNITY PANEL# 250001 0008 D
Approx. M.S.L. / 40.2 ) �D• I tl J�1 w ,
/ 40.2 / • +�► I� �1 1k 30). �� •� " � • � • r�r+ 30• .� 37.70 i 17. DEED REFERENCE: BOOK 18804, PAGE 249
« •�1 4 .r' r �: • ` • . Perc _-
w w • r r •• 48�� 36 20'
18. PLAN REFERENCE: PLAN BOOK 139, PAGE 5
/ 40x4' II • •
k °p At, 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
II • •
(2 (3 40 5' II 11 on • �-'.' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
m,
PROPOSED 1,500 / 30.0'-- ff II II II 1 _ r • • •
6) ° I • g Medium Sand FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
GALLON SEPTIC TANK 0 'g"�C __ t:: '= C
1) `11��55 ♦ '� . ' 2.5Y 6/6 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
(loose)
�40x5' 40x7'
C/O IF NECESSARY, REMOVE ALL UNSUITABLE
k� o' MATERIAL DOWN TO "C" SOIL AND REPLACE
G o �\ WITH CLEAN COARSE SAND PER TITLE 5
qs � r o \ LOCUS 40x5 PLAN
`�
' FC
C-2 /C EXISTING CESSPOOL TO BE REMOVED GqS SCALE: 1" = 1000'
REPLACED WITH CLEAN COARSE SAND
126" 29.70'
I �
MAP 247 v GqS / No Mottling, Standing or Weeping Observed
LOT 121
o #22 Gqs l DESIGN DATAFST PITAA LEGEND
NN off. I v EXISTING HC-1 k PERC NO. 12960
3-BEDROOM INSPECTOR: David W. Stanton, R.S.
CD
DWELLIG
Q OF = 41N5'+_ POUF%_ NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pimentel, E.I.T. 50xO EXISTING SPOT GRADE
I v (CRAWL SPACE) O/V C/y O a C.S.E. APPROVAL DATE: Oct. 1999
/ DESIGN FLOW 110 GAL/DAY/BEDROOM 50 EXISTING CONTOUR
3 & �� DATE: May 26, 2010
V TOTAL DESIGN FLOW 330 GAL/DAY
C, TEST PIT#: 2 50 PROPOSED CONTOUR
/
V� Or DESIGN FLOW X 200 % = 660 GAL/DAY ELEV TOP = 40.20' ❑/H/W EXISTING UNDERGROUND UTILITIES
/ USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV WATER- < 29.70' GAS EXISTING GAS LINE
VP Oz PERC RATE(. W W- EXISTING WATER LINE
CO
Cn / ~ DEPTH OF PERC= 4 01 l�I I`
\ 3 � INSTALL 19 - ARC 36 #3613BD BIODIFFUSERS TEST PIT LOCATION
1 �P 3 MAP 247 _ _ ` _ �Qo � MAP 247 � ) TEXTURAL CLASS: 1
LOT 123 00 � LOT 119 - - CP EXISTING CESSPOOL
\ / ° 7,780 S.F. 3 SWING TIES SYSTEM CAPACITY
"� rn PROPOSED 1,500 GALLON SEPTIC TANK
� �36\ •� \V� / \� �N DESCRIPTION HC-1 HC-2
(TOTAL L.F. OF BIOS) (4.8 SF/LF) (0.74 GPD/SQ.FT.) = GPD 0" 40.20'
(95.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 337.4 GAL. LEACHING/DAY A/E Loamy Sand
SEPTIC COVER IN (1) 27.2' 15.2' 4" 10Yr 3/1 39 87' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
Fps \ O SEPTIC COVER OUT(2) 34.3 12.9' TOTALS: B Loamy Sand 13 PROPOSED DISTRIBUTION BOX
c11
0 \ \ 3 BIODIFFUSER CORNER(3) 30.8' 21.9' TOTAL NUMBER OF BIODIFFUSERS: 19 1oYr 5/6 PROPOSED ARC 36 #3613BD BIODIFFUSER
q \ TOTAL NUMBER OF COUPLINGS: 0 30 37.70' ( ) O USER
FN� 3 BIODIFFUSER CORNER(4) 38.5' 28.7' TOTAL LEACHING AREA: 456.0
TOTAL LEACHING CAPACITY: 337.4
REV. DATE BY APP'D. DESCRIPTION
6°o BIODIFFUSER CORNER (5) 40.5' 55.T - ---
's o2s'w BIODIFFUSER CORNER(6) 30.5' 47.8' PROPOSED SEPTIC SYSTEM UPGRADE
NOTE:
PREPARED FOR:
EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE I Medium Sand DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C 2.5Y 6/6 CAPEWIDE ENTERPRISES
"MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED (loose)
A/ DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED
FEBRUARY 18, 2010). TRANSMITTAL NUMBER=W000052. LOCATED AT
(4O• CR 22 PINE CREST ROAD
10 ST NOTES:
14pgo � CENTERVILLE, MA
1%qY 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF SCALE: 1 INCH = 10 FT. DATE: MAY 27, 2010
EACH SEPTIC SYSTEM COMPONENT. 126" 29.70' 0 5 10 20 40 FEET
\ No Mottling, Standing or Weeping Observed
I OF
2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF - JOFiN ��yG PREPARED BY:
THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST RESERVED FOR BOARD OF HEALTH USE �� a1u R ..i L JC ENGINEERING, INC.
PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL CV No 2854 CRANBERRY HIGHWAY
t 6t�
BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. EAST WAREHAM, MA 02538
SITE PLAN 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS. 508.273.0377
SCALE: 1"= 10' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No. 1826