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HomeMy WebLinkAbout0012 SOUTH CEDAR ROAD - Health 12 South Cedar Zo Centerville A- 196 -039 - 003 Ij is n cd, o o NO. 152 1/3 ORA 10% 0 .........ri.-•---..---.-•..w....-. ,.. �.,... _... _-.. - ......'.._ ..... -..-.. �2.-�..�. _.... t..-.-.,+•.ab. .y - ....-....- �.. a.r ..w- _ - .- ,r<'r ....-., w w -. .- .. � .a .. .. 1 o < c 003 `c Commonwealth of Massachusetts jg(p ba 9 ,ip Title 5 Official Inspection Form � a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 City/Town State Zip Code 508.272.6433 13010 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails / 3/27/20 Inspector's Si a ure Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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 fpture under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 ` Commonwealth of Massachusetts �e ,ie Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. City(rown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) System Conditionally Passes: ❑ one or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. City(rown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc-rev.M60018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. 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 fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ 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 El ® than Y2 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. An portion of a cesspool or privy is within a Zone 1 of a public water supply Y p p P Y p pP Y ❑ ® well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section CA. 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 t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts ,ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered"yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms). 330 Description: Engineering plan on file at BOH Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail Sump pump? ❑ Yes ® No . Last date of occupancy: vacant p y Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 I .nf �, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: No pumping home has not been occupied Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system(yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 2018 per BOH record Were sewage odors detected when arriving at the site? ❑ Yes ❑ No 5. Building Sewer(locate on site plan): Depth below grade: 18"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: >10 feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts ,P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments •u, 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owners Name required for every Centerville MA 02632 3/27/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 12"feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) H-10 tank appears to be structurally sound, outlet cover is in a raised bed it has been raised to 3" of grade with a poly cover If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500g Sludge depth: trace Distance from top of sludge to bottom of outlet tee or baffle >12 Scum thickness trace Distance from top of scum to top of outlet tee or baffle >2" Distance from bottom of scum to bottom of outlet tee or baffle '2„ How were dimensions determined? measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping suggested every 3yrs to prolong the life of the system l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts �n (e Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form to Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner Owner's Name information is required for every Centerville MA 02632 3/27/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" 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.): H-10 D-box is 18" below grade, poly riser and cover to 6"of grade, no adverse conditions observed t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 I Commonwealth of Massachusetts �. Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 3 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 ' Commonwealth of Massachusetts ,�4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments u 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach chamber depicted as"C" on pg. 16 was excavated, it is dry at this time, top of chamber is 6" below grade, it is in the driveway and of H-20 construction, bottom of chamber is 3'6" below grade, no indication of past hydraulic failure, chamber presents in as new condition 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 14 of 18 ' Commonwealth of Massachusetts - q� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments u— 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owners Name required for every Centerville MA 02632 3/27/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 1 1 � 0 c'- 37 C a� °� Ll 6 t � To Scc,kc t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 ` Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3127/20 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 7.2 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 2017 GW adj. 7.2' Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) lain:® Checked with local Board of Health -explain: Engineered plan on file ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database-explain: TOPO mapping shows the site at approximately 8'msl You must describe how you established the high ground water elevation: See above Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 S r Commonwealth of Massachusetts Title 5 Official Inspection Form '~ Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 12 South Cedar Rd. Property Address Leary FP LLC Owner information is Owner's Name required for every Centerville MA 02632 3/27/20 page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6(Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 r Town of Barnstable Regulatory Services Richard V. Scali,Director B^M AE& Public Health Division &639.oiEp�, Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Date: March 16, 2018 Sewage Permit# Assessor's Map/Parcel 186/3 9-0 0 3 Installer& Designer Certification Form Designer: BSC Group, Inc. Installer: C� ceiyokft� Address: 349 Route 28, unit D Address: West Yarmouth, MA, 02673 On 3 1 h r was issued a permit to install a (date) (installer) �k septic system at 12 South Cedar Road, Centerville based on a design drawn by (address) BSC Group, Inc. dated May 24, 2017 (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (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. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in iance with the terms of the I/A approval letters (if applicable). OF M481y ti G BRIAN G. Z YERGATIAN co Sign re) CIVIL No.46206 o QJ A9 9FG 1ST✓P� ��``'/ OFFSSIO N At Env\ esigne igna ure) (Affix Desi d"'famp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- to BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formAdesignercertification form.doc TOWN OF BARNSTABLE LOCATION ,c W, SEWAGE# VILLAGE( ASSESSOR'S MAP&PARCEL `-639 -M3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER PERMIT DATE: e_J/ ? COMPLIANCE DATE: 3 I 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 O 4-3 -Z, -� Iri� r No.��I Z � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppf ration for Misposal 6pstem Construction 3dermit Application for a Permit to Construct(/ Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 1 Z 50. CED.o,ffl­ f7-0 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ($ 6 1,3 q-O 40 3 6 Z 7 So.w^;N 's CEO J' ,t Installer's Name,Address,and Tel.No C41►< -'17f 97/9 Designer's Name,Address,and Tel.No. S JL4 �rS�K���77Y-3g a3sc &A-,o Ot- , �N • 3 '1�( X i zs e GNP l UN ;T •t� tom. Type of Building: Dwelling No.of Bedrooms 3 Lot Size Po 9, 7 Za sq.ft. Garbage Grinder( ) N O Other Type of Building OQc-53 i pcoj 7 7'✓M- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 o gpd Design flow provided 3 `f 2- gpd Plan Date 111 A.e, 2,Y0 2 O(7 Number of sheets 6 Revision Date /V '/f Title A3EZ..► 3QE4 JiyrE Size of Septic Tank ( 5O O Type of S.A.S. N6 n N Description of Soil 1Mf'p I-� i,�,�� 's A=w Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: " The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental de and not to place the system in operation until a Certificate of Compliance has been issued by this Board ealth. Sign / Date Application Approved by Date 81 3jl -- Application Disapproved b Date for the following reasons Permit No. ZOR Z�'L- Date Issued 20 j 1 4 ( a�ZG (No. ' Fee THE COMMONWEALTH''OF MASSACHUSETTS Entered in computer: �,� PUBLIC HEALTH'DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes applicatio for Misposar .6pstem Construction 3permit �. Application for a Permit to Construct(.'`) Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. f :�)v• CE.U^r,� rz-O Owner's Name Address,and Tel.No. Assessor's Map/Parcel r FS (o /.3 2 7 S•Q, r.1-, tia Tr,%.,) /f Installer's Name,Address,and Tel:`No Mt14 '�7 't ' " 'j1`? Designer's Name,Address,and Tel.No. r it r'L �GNf Ile Type of Building: Dwelling No.of Bedrooms `j Lot Size 6`?• 7 2-1 sq.ft. Garbage Grinder Other Type of Building (LjS i Fae-,.i;T, zr No.of Persons Showers( Cafeteria( ) _ Other Fixtures Design Flow(min.required) G gpd Design flow provided t l -3 `l2. . gpd Plan Date f7,1 Z c t 7 Number of sheets i 1 b 'r`',f , Revision'Date Title "cL. j eJ1Fe_rE DrsPia�.,a c .. S (5 T om► 3.J_5 r` Size of Septic Tank F,Type•of S.A.S. pve 1-► i njG i r N Es ee S Description of Soil /A_t • Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in ,1 1 I% accordance with the provisions of Title 5 of the Environmytalde and not to place the system in operation until a Certificate of r Compliance has been issued by this Board o ealth. _ Si ne +� ^ i Date Application Approved by .++ Date 613) 70/7 application Disapproved b Date Nor the following reasons Permit No. 70P r PL�Z. Date Issued r,�/ 31/1-0 11 `r Ij THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS 'Certifirate of Compliance THIS IS.TO CERTIFY,that the On-site Sewage Disposal system Constructed(+/) Repaired( ) Upgraded( ) Abandoned( )by at rT. ®(� ?b A ej;kf vfL has been constructed in accordance with the provisiQns�of Title 5 an�t e for Disposal System Construction Permit No 'ZU dated /%�l / ZO 1 7� � Installer Designer #bedrooms Approved' signo�w� �)._ gpd The issuance of this pe /it/shal lei tt be construed as a guarantee that the systern willfilln_c�t`ibnn a d signed. Date ��G.) Inspector ------- -----------------------------------,--------------------------------- ----------------------------- ---c-------------- No. (� (�- Fee""-- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposat 6pstem Construction Vermit Permission is hereby granted to Construct Repair Upgrade Abandon ( ) System located at 17 -3u(1 tl Cumoe _ Ab �vrlV7�i2✓i -1. '` ' 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. r Provided:Construction must be completed within three years of the date of this permit! ', Date 731 Approved by Town of Barnstable P# $ Department of Regulatory Services Public Health Division Date 0,39. 200 Main Street,Hyannis MA 02601 A M Date Scheduled Time Fee Pd. { Soil Suitability Assessment fop Sewage Disposal Performed By: Brian G. Yergatian, P.E. Witnessed By: LOCATION& GENERAL-INFORMATION Location Address 12 South Cedar JZoad Owner's Name Nault, Alphege T. �Nia, lz Centerville, South Main St. G (� Address Centerville, MA 02632 Assessor's Map/Parcel: Map 186, Parcel 3 9-0 0 3 Engineer's Name BSC Group, Inc. NEW CONSTRUCTION X REPAIR Telephone# (5 0 8) 7 7 8-8 919 Land Use Residential Slopes(%) 0-3 o Surface Stones No Distances from: Open Water Body >10 0 ft Possible Wet Area —10 0 ft Drinking Water Well ft Drainage Way ft Property Line >1 0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 186045 two <.`_:..v_Vi'r..viv-:_:?wl r� �;.i:•L�f t�.: .=.:ilk ..: - iesa R51 _ a:�188032v..•g- :�' m_- .cam.(. �::: -5-::::'.... ^ loam 4' a. . R600 1 y: xks lmw lesos000s :, sva 0 R12 _ -_ �. -•_ J W tea ..+ .. IBM Re gels :';e-vl'y,••=__. .c::5;riwo19 CO DUN 0o2 ri_i`r:• 86042 Y027 esaa'� rat i ,kfesosz\ Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: 0 3 Weeping from Pit Face Estimated Seasonal High Groundwater 17, / DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: (r1-, W A,& .'r' Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of o s.hole: { in. Groundwater Adjustment 1, / ft. Index Well#Al IWAlkeading Date:X/-1 3 Index Well level 7. �/ Adj.factor Adj.Groundwater Level PERCOLATION TEST Date I Time Observation Hole# 3 Time at 9" Depth of Pere _ kj Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch 4 2. Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) 41 Original: Public Health Division Observation Hole Data To Be Completed on Back----------- I ***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. "f Q;\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole#_� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) ;Z `1 J At Al' n J DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. f /, / Consistency,%Gravel) l N n DEEP OBSERVATION HOLE'LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) fiAo' x Z/ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. - Consistency,%Gravel) e 7 z Flood Insurance Rate Mai): Above 500 year flood boundary No X Yes Within 500 year boundary No X Yes Within 100 year flood boundary No_ Yes X Deoth 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? . If not,what is the depth of naturally occurring pervious material? Certification mateerrial? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of En o ental Protection and that the above analysis was performed by me consistent with the required training,expertise and ex pen nce despribed in 310 CMR 15.017. Signature ( Date Q:\SEPTIC\PERCFORM.DOC 1 _ No.6.s ®..- .*.................. THE COMMONWEALTH—Of MASSACHUSETTS /�'A. . BOARD OF HEAL,TH c�". 5 ..._.f!>w�................OF..... --- -- , `' •� Appliration for DhipoiialiVorks Tomitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at F.....C .....................VAP---ff .... atio Address r o ner Ao Address a ­ .................................... ...........•------------------------ nstaller Address Type of Building- Size Lot. ._...........7'..... feet U Dwelling—No. of Bedrooms......_._ .. .....Expansion Attic ( Garbage Grinder aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) p'' Other fixtures -_-. ---------------•--•----------------------------------------------------------- .......... ...---------------.--*........... W Design Flow......................? ............gallons per person r day. Total lily fl9T...............73-- -.0.._.....�}ons. WSeptic Tank—Liquid*capacity..` allons Length.,..._ Width�`� Diameter________________ Depth.. x Disposal Trench—No. ......I............ Width......./R..... Total Length....��.. ..._. Total leaching area..3 .....sq. ft. Seepage Pit No..................... Diameter--------------...... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (/� Dosin nk ( ) `" Y Date a Percolation Test Result Performed b ... .. ..---. . ............... ........ " �Z:..-.;. _.. Test Pit No. 1................minutes per inch Depth of Test Pi .._�r.�7....... Depth to round water... � �:. P P P g �----- 44 Test Pit No. 2................minutes per inch Depth of Test Pit---S.t�.------- Depth to ground water.457_�5............ Ra .................. ...... ---•- O . // Description of Soil-- f---•----•- -- L�--® �-� ....-- ..................................................................... �� x •---•------------------------------•.... .------..o. 1---------o --------- = - - - 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' ITLI~: 5 of the State Sanitary Code—The undersigned furt.er agrees not to place the system in operation until a Certificate of Compliance has bee i s�e board o e Signed ---.-•--- Ye Application Approved BYE-------.- -- -•----• ........••--- Date Application Disapproved for the following reasons--------------------------------•--•-. -----•----------_----- -----------------------------.--.----•- ---•-••........--•----•-•---•----......-•-•--•-----•---•--------•----------------•--•---•-----------•-•-•--------------••--------•-----•---••------•---•-------------------•--------------•------------ Date PermitNo................................................... Issued_....................................................... Date No4� ""/ • FEs...,;.-.................... THE COMMONWEALTH-00 MASSACHUSETTS �. BOARD OF HEALTH ----/Jr�a.. _..............OF..........` ...�u LL. Appliration for.-Disposal Works &nstrurtinn thrutit Application is hereby made for a Permit to Construct ��,q ) or Repair ( ) an Individual Sewage Disposal System at ... ........................ .................................... -(1.. ....... catio -Address r- `.4..L ' Ei7-ram . _ _ t.. ` �;�t 1.. °r ° . :e ...._..... ................................ .. Owner Address ,:. Installer Address e�j d Type of Building Size Lot____..,...__.j.�...............Sq—feetk, U Dwelling—No. of Bedrooms............................................Expansion Attic (9�jCj Garbage Grinder ( , pa Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ._ Design Flow_____________________ ..............gallons per person per day. Total ily flaw.___.._.........:.__„._.t7___.____.ga�l1lons. W . /f ? ' R: Septic Tank—Liquid capacity____._.__._.gallons Length_._.."�'_��?..... Width...__._/�. Diameter________________ De th___f.:.-':_�..`` Disposal Trench—No......1............. Width......jR_...... Total Length--- -� .-.__. Total leaching area..^ �4__._...sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ("-'')� Dosing tank '-' Percolation Test Result Performed by 1 �?� x ... .. V - '� ` �-A- . = _ Date = ............... __.. as Test Pit No. I....�.......minutes per inch Depth of Test Pit.YLID_....... Depth to ground water./. !............... Test Pit No. 2................minutes per inch Depth of Test Pit__�1-t. :_._._._. Depth to ground water:5_�....•....__. a ......•... •. - -------------------- ..................... ....--........_...... D Description of Soil._¢__/._.......-' _:i::f..... .t=�{..�'r . ------------------------------ - { ----. l ......................- _. , 5 -.. .. --- ------ W ...................... -•------• �- --------------------------------- �. --- -.................................................... 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 TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ssued e board of,)realth. Signed ._ .� ----E. ....-- ................ .......... ................................ �/ Date Application Approved BY .....---_... - .�'-. .Ie............... Date Application Disapproved for the following reasons:...................................... ...................................................•................ .... Date PermitNo......................................................... Issued.....................................................4- Date f 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... CUrdifiratr of Tuutpli anre �. THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- '= ----------- Installer at.----- _ -.,•--•-; -•------- --------- ------------ has been installed in accordance with the provisions of TITLB 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._ �?,..�.�✓� --------------- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. y� DATE.................................... l�s' ..................... Inspector................I`---4-�-'---------------•-----•---•----•--------------•--...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................................OF.................................................................---................. No. .+.,> t.... FEE.•... ................ Disposal Works Tunotr ion Uprrimit Permissionis hereby granted.............................................................................................................................................. to Construct -15'or Repair ( ) an Individual Sewage Disposal System at No. y?'; � a ,sty .._....... h� _Z.................................................. --...--- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... Boar a _/ DATE.------------------------------------------•--•-------------------------------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS �` LOCATION so �~r SEWo.�E PERMIT MO.TT -Ze�� 2L &- - - - — --- — VILLAGE -- $U LDER 5 -�� S_— DATE-P-ERMIT--1.55UED 2 /1 D_AT_E- .COMPLI &DICE_-I-SS UED_:__RL-•?�=7�_ - - r b No.......7......... .................. THE COMMONWEALTH OF MASSACHUSETTS BOARDF HE L H �h-1a1 .... ............OF..../.........�14..�. ....................... ApV tratinu -for 13W.Vatitt1 Workii Towitrurttnu Irani t Application is hereby made for a Permit to Construct (VI-lor Repair ( ) an Individual Sewage Disposal System at: .................. .....................................:0............ ......................................., -=-----...................... :............. Location-Address or Lot No. p ?._.. er rl`✓ � Addres�hl ------------------------••--. ..................................5� Installer ddress d .Type of Building Size Lot.....!_S� -Sq. feet U Dwelling No. of Bedrooms--------- -Expansion Attic Garbage Grinder Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) P4Other�;xtures ----------------------------------------------------------------------------------------------------------------------------------------------------- W Design Flow---------6.. ...........................gallons per person per day. Total daily flow..........3.6­6......................gallons. WSeptic Tank—Liquid capaciw(C gallons Length................ Width--------.--_---- Diameter__.---..-.-.---_ Depth.__....._-.----- x Disposal Trench—No..................... th--_---._-_......./7 Total Length___ --- -- s . ... ft. Seepage Pit No........ lr ft�r'."u` `-_---'� e '�b�lo tt �____.____ Total 1 ac h}y' __ �j��g area___ _____________sq. ft. z Other Distribution box ( ) Dosing tank ( ) e)h. J 2— 3-7�•--- ,Gv � . Percolation Test Results Performed by.......................................................................... Date----------•--------------------•------- W Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water_--------------------- (Xq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_.--.----_.--.--_--.__. 9 ----- -- --------- - ._O Description ofSoil.__�. G -N W ---------- ----------•-----------------------------•-•---•-----------------------•-------•---------------------------------- ---------- --•-•-•------------ ..................................... 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the s stem in operation until a Certificate of Compliance has b 'ssued by the board of health. Signed. ......-- ---G. -------C / �! '� ........-- Date Application Approved By._n. ... . . • . . . - ---- ------------ -----� ------� _- ...... Date Application Disapproved for the following reasons-------------- _-----_ ---------�._.._�......___..____:_......_....._-_----- ------•-•-•-••-- •-------------------•---------------•--------------•--•----•-------•--•-•---••------•--------------•--------...----------•-•----•--------------.-------------------•--••-•----•--_----- Date PermitNo......................................................... Issued..................... �' ------------ Date Js` No....... ............. �` Fs$.. p............:...... THE COMMONWEALTH OF MASSACHUSETTS BOARD F _H EZL&H.... --' :oF ... ...0 G . ........................ ApV irtttiun -for R_qp itt1 Works Towitrurtimn P.rrntit Application is,,rhereby`made for a Permit to Construct (Ll�or Repair ( ) an Individual Sewage Disposal System at }- • [ Locatio/�n�-AAd�dlress��J Lo of t N ........A ner A f � Add, - "• r . - :a Y{J � Installer / �`�����/ Addres� ,..r . U Type of Building Size Lot ..1' ?•_lq. feet Dwelling—No. of Bedrooms------- ---------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .-----_-:--_--------------- No. of persons..---_------_---_-------.-- Showers ( ) — Cafeteria ( ) Otherfixtures, -------- -- • --------------- =--------- -• --- ---- ------------------------------ W Design Flow_--- • ....................A� ��,-�:gallons per person per day. Total daily flow--------- gallons. WSeptic Tank—Liquid capacilr(&O"('.gallons Length------------ Width. ............. Diameter.. .- --- Depth. --.-- . Disposal Trench—No- --------_----_.---- VVtll -`Total L ngth Total leaching area----9!;A....s ft. Seepage Pit No.._..-.��"�l),S fV1P0-------='�Ili!" Al ------- Total 1 ac1�1'}}g�area------- ----------scgj. tt. z Other Distribution box ( ) Dosing tank ( ) `d _ �- 3-76<*- t� + z Percolation Test.Results Performed bY--------------- --------- -------------•----=--•---------------•------•-- Date---------------=--------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit--.----__-_---_-.- Depth to ground water.._.--._.-.-------...._- (1 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water............--_--_--..._ G ; `� --y {ice to F: r ------ Descri Description of Soil `.......... ..-• . .: 2 x J. •• : . _ ----- _---- W U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------------------------------------------:-..-..----. --------•-----------•----------•----•------------------------••--•---------------------•-------------------------- ----------------------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage. Disposal System in accordanke�with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the:s stem in operation until a Certificate of Compliance has b ssued by the board of health. p I ` Signe ........ .!I? G.. •--- --- 5 + � t Da te Application Approved BY'' : - -- --• ----------- ..-:.-. Date Application Disapproved for the following reasons:.,..:s-•--------------- ........................................... -------------•----- ----------------•-- `----------•--------•-•--------------------------------------•-•---------- --•---•-----••---------- Date % Permit No............................................. `" Issued........................................................ Date THE, COMMONWEALTH OF MASSACHUSETTS BOARD OF HE�jrL fi ..........OF......... ................. .................................................:......... e T.Wrtifirttte of Tomplittnrr THIS IS TO CERTI�Fj T the I d• idual Sewage Disposal System constructed (V) or Repaired by-------•----•----------------------------1/A.%. r / '.{�[� ,,,,,- ------------- - Instal ` -- ----------------------------------------------- at - ---------- -------•---------- ------------------- ---------------- has been installed in accordance with the provisions of ��pyc��eI.of The State Sanitary Code as described in the application for Disposal Works Construction Permit No-�,;,r-_.-_--_--_---:------------- --- dated._. -7S...-----..--••••- THE ISSUANCE OF THIS CERTIFICATE SHALL.NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE- --------•--------••---•--------••-•----------•---------------------------- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD .PF ,HEAL H • ............. ...........OF...... ,�Q� No. �U --'--•--... FEE........................ �i ,utt �k nn firm rrrutit Permission is reby granted--------- I J . __ ___lie............ to Construct ( or ep i ( t an In dua Sewage is osal Syst- atNo.......................... ----------------------------------------------------•---------------------=---------------==-=----------------------------------------------------- e as shown on the application for Disposal Works Construction P No...-- !�,._ ._-_ ed.......................................... -- -- ----- ----- - -- - Board of ea h DATE---- .`-.. F i FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ? k max*t I e: F '.r6 •i w' `{�-. �+ Y4,11 ./. ` t•--�''� �- , S d r fir/ '.:� l '"4f � ,i,{. •t 4 J A k J�{! � F• 1 3 ,_ +3 � P i. .: C 1 � kf 7 It'll L A 41 If It N� If. t�.. y ��/ � � i `•s 3 � �rk� ire 1{" ft., Ai`•. W / a iM'., ♦ 2 If l ,rah: . `, � S�-s!I/,4C�/G :��'—.��� �°•�,rc�ic„�,, '� '' s /000 SAL S 7"/G' 73i'g � 3� o7; + l E/et1G G o T /Z i'a_A.c/ &O O.0 zf� A 17 H//TJW / Gdc!•1/A5h/�� .t J "'K a 1 �.�� T!-/F7T TsUE �V/LdJ/.t./G� �H OF wf�t,=kAA�L/ OA/ 7'-h//S ,o4/4A/ IS 40CATEI� C>A/ THE �'OY1X/a /?kS.ONO WAw 14c- eoIV ?"D 7-Av a T /T 4COiV,4WG9GR.9 740 T-AVAS? wO.t//it/G `yy�c� r�vS �� p lot +��V!�,-44WS OX TA/E 70WA./ OF �,ARNE` H s : k.16JALA` 4 x t R r; ' 2634.8.1 a rx ell "' S _ a t Lii.VO St/.BVBYOBS _ 7S' /z i pE'MOCJT.�-/, 3 a� . , � r: a• fq .a��ctC�.�aO `�� '�---• } r r s •.,i 1 �h`3pF �' c�� W �•. �Qp(}j� / fit � .�''�'r, '}5^i�� K. T ` y d' S }5 U / t• � t a !!,{ } 4. 1 f } a ��•r��'i�:'i'?r/0/✓: G'�'.t/T�,��G.�E y �1�16�s5. — ,�'"'"'.�"'a�"s, Y7faTfi6 drA)L. C// T /0 !'449A_l C3etlO.t ��e�/, Cl/7- A /7'hl /°C-�`L4��3 h/�� .S'7Y>`O*" /S 400097 deD CA/ Ts-IE OF - ` a A*"D 7"Avo9 r /T 9CO.v0=C>A0 V1 TO TINE bFditi &" 'C•OAjS7'4—�C/G7-ED. , H Ni 1 'a ` o a� OJALA' �� s R #26348 t ' 4Ai.v8 St/BV6YOB5 Gay , i � q r�`. �- ,e T.6-/ /L1q 5:5. bfi�'E- ,B ;• Z�"' ✓ 'el►'�,����� ��` O 1 WINDOW + DOOR SCHEDULE . O DH3056 - © BGDBObB 1 A A5 urns PAIBL LATR�PANEL �I 1 • I I O - nrrloeae era ' I I LI I T l l c I - OPB7 RAILNG 1 I I I � COINER G 7.IL. 18 ! 71'_e. I .�O G 9 5/B°FIRE LODE GTP911M WALL s r BOARD THIS BIDE OF GARAGE p i WALLS AND ENTIRE CEILING 0 ° ENTERTAINMENT ROOM m c - 6°GAS CURB 4°'.AS CURB(M ) 3060 FIRE DQ712 74'-O• 74'-0• 3-��1 3/4°x 74•LA-BEAM OR W10x40 STEEL BEAPI(FLUSH FRA•E m HA-ERS) 3-1 S/4•x 74•LVL 512 M OR WIOx40 STEEL BEAM(FLLL9H FRAME W NAN6ER l HSS 4x4.0 EL 4 STEM TUBE COL" �����a������������������������... TUBE•���������������������������������• ��� HSS 4x4x1/4 STEEL BE COLUFM %°O H SxSxl/4 STEEL TUEE COL" O U A6 1 S/B FIRE CODE GTPSUM WALL A6 130 RP THIS SIDE OF GARAGE p �6 AID ENTIRE CEILING BBB 6 I I ' i I TWO GAR GARAGE 4 O SLAB ORS A O TO OVEE RHE DO AD DOORS s i LA1t�ffi. � O P•LFr31dAlIPl1 CM 1 a 1 1 d" • - 4? 4xb LVL POST 4xb LVL T 7- 2'�'---_O O 1 314°x IS°LVL HEADER LENGTH1�- ---LINE OF GARAGE ROOF3'-b° 4'b° 4'•B° 4'-b° 3'-b° 7'-4° 16OTC OVERHEAD GA.RA� I t I A S A5 ,qr FIRE FLOCR CLIENT TITLE PROJECT NUI•®ER REVISIONS (GENERAL)CONTRACTOR SMALL VERIFY ALL CONDITIONS. LEARY FP,LLC FIRST FLOOR PLAN m DRAWI SCALE EXiSTMRRORS M ORPR ILLT RESOLVED TEDPRIPANCIESTOC MlINCIAND/Of ®Z � � IZ BAY SIDE LANE PROJECT N 1/411 ERRORS AID TO BE RLLT I�SOLVED PRIOR TO Lg4'E]1LPG ANY CON91R1CTION WRH THESE PLAN'ALL STATE AND 209 BROADWAY,MMov W kjA=CHUSnM ozng KINGSTON,MASSAG�USETTS 02364 CUSTOM RESIDENCE o� SHEET NIPE)ER AND/OR DP'@1B1 L9 SWORN ON TWESEAIPLANS. B PH 781.829.8961 F 781.829.8855 KPHDESIGN@CS.COM Z I2ASOUTW CEDAR RoAD,CENTERVILLE,MA 0 1 3 4B'•o• WINDOW + DOOR SCHEDULE B ® DNSO�X. AB ® 6GDBOBB g0,-6° © 9060 BLTRPANEL DOOR r!FRQ66 91DELf1E0 ODH3G7 T-O. lb• O DW056_3w wA�� FF DW3048 AYNM l024(Fl)®/ !D✓�[P4N1 YTS[P.VE1 PNFl lCF7�[P418 AUNPYs 250[POFD/ t C O c T O ® O D !b6®IOfI B ngm— µ O LC �omliRll _ MASTER BEDROOM _ O ��+ V _ � I'AbID I' I 1 8 3° Y Y �/ O TIIB 1 5/4-.s Vl LVL SEA11 'y� a I m4x w• R I ° STAIR IIN I �!-l v4'.e w•LN I StAIRCl9E CLOSET dp° ?66 CLOSET a I 1 M1 I I CLOSET r 11MI.NgDGiO j •4' 9'-0° 9'-O° 9'-I' O I Pal cELLOJG ABOrE in 4.s I � B' I � - BEDROOM 2 BEDROOM 3 J�SL .�.P 4.•asP ^7 m 10'_4• 10'-I" - '�` T_2. IB'_l• _4u, . Y � i I I 1 N— 11_•O C ==b —LN.P T 4.s LN.PORT ® ® ® ® m o e e o - \ a�arlx Qp pp (� 10°50 CO O m O LINE F aARAW RDOP BELau S S S 9TEP5 TO GRADE I g_B. 4'['• 4'-B' 4'-B' !'-b• Y-4• g'-4' 6'-I° 2'_10° Y-1O• =._10. 10'-B' b'-B• 1O'•B' A � SECOND �LOOfi� AS 40'-O° _ PROJECTN ER �vlsloNs s CLIENT TITLE I SECOND FLOOR PLAN no AD20115F E45T(GENERAL)COMRACTOR SHALL VEDIS ALL DISCREPANCIES ON/ ®� � � 0 LEARY FP,LLC m DRAIUING SCALE ERROM AND PROPOSED.ANY vlSgiEPANCIE9 ANDIOR PROJECT N I/4�� ° li_OII ERRORS ARE To BE RILLY RESOLVED PRIOR TO C PtTENC'Y 1Z BAY SIDE LANE CUSTOM RESIDENCE 0 8 � �ANY G0BUIL BUILDING wrtS THESE PLANS.ALL stAre AND 209 BBO/IpW/lY,Wl11lOVER,A1Vf•,SS/[QIUSETI7S 02399 KINCsSTON,MASSACHUSETTS 02364 12 SOUTH CEDAR ROAD,CENTERVILLE,MA r.•t"t LOCAL BUILDN t CODES WALL PREVAIL OVER ANT NOTES PH 781.829.8961 F 781.829.8855 KPHDESIGNOCS.COM Nm/OR DPfrNSILN9 BNgW ON THESE PLaJO. _ SOIL TEST PIT DATA (P-#1 40 SYSTEM PROFILE LOCUS INFORMATION NOT TO SCALE NOT TO SCALE LOCUS �`P BF9y�c HIGH GROUNDWATER COMPUTATION ONSITE SOIL EVALUATION 4" SCH. 40 PVC CURRENT OWNER: DEBORAH CLOUGH TEST PIT TP-1 TEST PIT TP-2 TEST PIT TP-3 TEST PIT TP-4 BASED ON TP# L=3.5 FT. �-=A S=0.02 TITLE REFERENCE: DEED BOOK 28083, PAGE 100 GRD. EL 9.3 GRD. EL 9.5 GRD. EL 9.2 GRD. EL 9.1 DATE: MAY 31, 2013 TOP FOUNDATION 5 O DEPTH TO WATER 8.3 PLAN REFERENCE: PLAN BOOK 363-67(4-8-1982) SHGW EL --- SHGW EL 2.3 SHGW EL --- SHGW EL -- TEST BY. BSC GROUP, INC. FIRST PIPE LENGTH INDEX WELL MIW-29 TO BE SET LEVEL S ASSESSORS MAP: 186 O� WATER LEVEL RANGE ZONE A WITNESSED BY- DON DESMARAIS, R.S. EL.=12.3 4" SCH. 40 PVC FOR MIN. 2' CF �n SLA6 PARCEL: 39-003 O �' CURRENT DEPTHOINDEX WELL 5 13 7.4 LICENSED SOIL EVALUATOR: KIERAN J. HEALY, PLS L-11 FT FINISH GRADE - ,Q p y c / ) EL=13. - S=0.027 EL=11.2-11.8 ZONING DISTRICT' RD-1 AP AP AP AR WATER LEVEL ADJUSTMENT 1.1 PERCOLATION RATE: < 2 MINS. NCH 4" SCH. 40 PVC LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND DEPTH TO HIGH WATER 7.2 3 Z 10YR 3/4 10YR 3/4 10YR 3/4 10YR .3 4 SOIL .CLASS CLASS 1 �: S M SETBACKS: FRONT 30 FT. » " » L.T.A.R.: 0.74 GPD/S.F. ._ o oAolNo 0 o CoAoBo o �OpFk SIDE 10 FT. 0 12 12 12 12 - .r REAR 10 FT. B B B e I=B G c o 0 0 0 0 0 0 0 o MINIMUM LOT SIZE: 43,560 S.F. I=D o000000000 LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND 1=C I=E I=F H _ LOCUS MAP 2.5Y 5/6 2.5Y 5/6 2.5Y 5/6 2.5Y 5/6 LEGEND 5 OUTLET EXISTING PARCEL AREA: 69,720t S.F. D-BOX 5.1' SEPARATION NITROGEN SENSITIVE ZONE: NOT A ZONE II NOT TO SCALE EL " EL EL " EL " UNSUITABLE ESTIMATED SEPTIC TANK 7.1 26 7.3 26 7.3 23 7.2 23 MATERIALS - _ SEASONAL HIGH NOTE: LINER (TYP.) J FEMA FLOOD ZONE: ZONE AE, ELEVATION = 11.9 (TO BE REMOVED) GROUNDWATER EST. HIGH GROUNDWATER DATED 7-16-14, #25001 CO563 J MAGNETIC REFLECTIVE TAPE SHALL BE PROVIDED " IN THE TRENCH OVER ALL PVC PIPING 36 y.� MED/FINE SAND MED/FINE SAND PERCOLATION 7 OBSERVED C C C C ,�" MED/FINE SAND MED/FINE SAND TEST RANGE GROUNDWATER N OFMgss9 2.5Y.6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 �o? BRIAN G. PyGN 87" 500 GALLON CONCRETE LEACHING CHAMBER (H-101 YERGATIAN _ � N/F .�. CIVIL NOT TO SCALE N0.46206 RICHARD & GRACE GALLO 20" ACCESS COVER A 9 o e _ 100" - 100" �- 97" �_ - 97" 586 SOUTH MAIN STREET " TO WITHIN 3 INCHES �o� P`` '1 ASSESSORS MAP 186 4 PERFORATED PVC OF FINISH GRADE FSS 120" 120" 120" 120" �, W/SCREW CAP TO EXTEND DOWN lONAL E EL (-0.7) EL (-0.5) EL (-0.8) EL (-0.9) PARCEL-, 0 TO NATURAL SUBGRADE LOAM AND SEED ALL DISTURBED AREAS ' 5" DIA. KNOCKOUT (TYP.) SOIL EVALUATOR CERTIFICATION k� RF 7 . -1/2" TAPER .- 4 `b' c 1 EL 9.6 HDPE RISER n, , �� - 2" LAYER of 1/8" TO BRIAN G. YERGATIAN DATE KIERAN J. j4tALY PLS W R�,JIRED AS A �-�" ��� HEIRS OF ALPHEGE- T: AfAULT ���*, �� �� OO O� L� 0 DO OLD � 1/2" DOUBLE WASHED PROFESSIONAL ENGINEER UE E6 SOIL EV AT. JUIQE OF 2012 �`\ 'r ''g ° `��m 0 STONE ABOVE CROWN PARCEL 39 OG7 G 1 " ,,-- � ,� `> `.� 34 " OF PIPE LOT �'., DO I�C� DOD �� CEO 24 O ED M 0 0 _ 69,72C}t S.F. TOTAL AREA °'r �q EFFECTIVE TO IKIER N J. HE LY, S.E. #13589 6.2,155± S.F: IN RIVERFR€NT C7 , 0 0 O 0 I�O 0 O 0 DEPTH O Cl 0 Cl 0 \ DOUBLE WASHED . RF o STONE TO CROWN ' N/F v#; , 9° 0 0�7 0 0 l�0 L�C7 OF PIPE NEW J SCHOOL ST.rnREALT ng gyF2p �'•� 4-10 l r E V V NOMINEE U " 0 BEACH LEAF � I ---.. 6" RF #5 .>a g�_6» - 0 DISTRIBUTION BOX DETAIL (H-101 _ --) 1 " SEWAGE (� NOTN TO SCALE ISLAND ROAD W #29 J E V Y AV E DISPOSAL ASSESSORS MAP 186 - N/F FRONT VIEW SIDE VIE ILV REMOVABLE 6" MAX. PARCEL 092 �`4 THOMAS HAZLETf SYSTEM COVER T1-Pt 6'QI�L?ERING hEGETATEf� RF 4 600 SOUTH MAIN STREET J l J 1 EIYI �, IVE -ANDS ASSESSORS MAP 186 of f PARCEL 043 NOTES CRAIOa 12 SOUTH CEDAR ROAD HDPE RISER : 1. ONE ACCESS COVER PER SYSTEM SHALL BE RAISED TO FINISH GRADE. i FIELD y 2. CHAMBERS SHALL BE 500 GALLON LEACHING DRYWELL, MANUFACTURED BY SHOREY OR APPROVED EQUAL No.38039 3. GEOTEXTILE FABRIC MAY BE USED° IN LIEU OF DOUBLE WASHED STONE. $" 1 21" J 4i Tf-P2 \ 61'F23 9�rgQO IN 2" WALLS 6 • 00, DEBORAH N/F .; \ IMF '2 RF , T � C E NTE RVI LLE �a4 I;fF i 12 SOUTH CEDAR ROAD WF 25 y 9-1/2" 5 5" DIA. r ASSESSORS MAP 186 ^• ti --- �`� l 7 " c ) `. - _ �j MASSACHUSETTS 0 0 13 KNOCKOUTS .-- PARCEL 039003 AIL A4 RF ;f2 11-1/2" TYP. --�f. '�F� � I h -�-s 3'� - (BARNSTABLE COUNTY) d r'� `� 6 Mi, J`96 ` EXISTING a3� �',,�. 03 sldd� LINER INSTALLATION NOTE 2 WF 09 -r \ � IMF` #27AL A 40 MIL, 2.5-FOOT HIGH IMPERMEABLE LINER SHALL BE INSTALLED 5 FEET OUTSIDE BOTTOM ON LEVEL " c'" ,�... STABLE BASE 6 MINIMUM » PLAN VIEW "� ; _ r�`29 '° . THE PERIMETER OF THE LEACHING FIELD. THE TOP OF THE LINER SHALL BE SET AT 3/4 TO 1 1/2 _.___ w,F ,f STRAW WATTLE W 2S `w,, ELEVATION 10.5 FEET AND SHALL EXTEND DOWN TO ELEVATION 8.0 FEET OR BEYOND. SITE PLAN CRUSHED STONE ._. SECTION VIEW NOTES: \ WF f � -0- 1. '° �✓lye 9. � �� �, f ' PROPOSED PROVIDE INLET TEE OR BAFFLE WHERE SLOPE OF PIPE EXCEEDS 0.08 FT/FT OR IN BORDER,`N V GET4TEDi KF , 5 # � , ��,� ��, DR LL �� °a� MAY 24 2U17 PUMPED SYSTEM. ;;� VIER LANDS 12 x16 °,`�, s us e`\' 2. FIRST TWO FEET OF PIPE OUT OF DIST. BOX TO BE LAID LEVEL SC EENED �. 3. ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. IMF r`I1 s0. 4. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. +++ + 9� PORCH "� "°* o #;+ #++.Y+ PROPOSED CARL &N/F 5. CONCRETE COVER SHALL BE RAISED TO WITHIN 6 INCHES OF FINISHED GRADE. ++„ 700f S.F OF SYLVESTER 'wY + `+ +. MITIGATION V,'F- #4 630 SOUTH MAIN STREET jay #++ ;; ## �� - PLANTING ASSESSORS MAP 186 .: PARCEL 042 t ■ uJ N/F n ,-,U�, ,' ,,, PROPOSED sLAa r . .. PROPOSED SCHEDULE O F ELEVATIONS VINENT & MAUREEN `�~� �� R / 12 4' ,. . EX. ' •• ELECTRICAL /y SERVICE 11 SOUTH A LEYCEDAR ROAD WF �'a �1 TENT ++ ASSESSORS MAP 186 ,r PROPOSED GR : GENERAL NOTES PARC0. 039002 /" PERVIOUS µ, `x a v. : DRI i ?� "" TOP OF FOUNDATION 13.60 A r �_WAFKI t�CN 4" INVERT AT BUILDING 10.47 BJIPATIO 3 1 0oGAL4" INVERT AT SEPTIC TANK (IN) 10.17 CN0. DATE DESC. o. S PT1C le. 7. a » 1. THIS PLAN IS INTENDED FOR THE DESIGN, PERMITTING AND CONSTRUCTION OF THE ,,;v 3 .�'" "> 4 o NAD-1 88 4 INVERT AT SEPTIC TANK (OUT) 9.92 D PROPOSED SEWAGE DISPOSAL SYSTEM AND ASSOCIATED SITE WORK. _1 T NK �� 4" INVERT AT DIST. BOX (IN) 9.85 E l 4" INVERT AT DIST. BOX (OUT) 9.68 F 2. ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO 310 CMR 15.000 AND BARNSTABLE BOARD OF HEALTH REGULATIONS. ELEVATIONS AT LEACHING FACILITY: C3• r � RF �IT/[7RIIak. HOLE F - ,�' (FOt ND) y 4 INV. AT LEACHING CHAMBERS 9.40 G . (BRKOUT 10.4) 3. THERE ARE NO KNOWN OR PROPOSED PRIVATE WELLS LOCATED WITHIN 150 FT. OF THE 3 PBEDROOM 'ROPOSEDe EDGE OF�_ /' - `` $� BOTTOM OF LEACHING CHAMBERS 7.40 H Q STONE) -.v S, - -- .� J r� ADJUSTED SEASONAL HIGH GROUNDWATER 2.30 J 1 O -- PROPOSED LEACHING FACILITY. DWELLING c? SLAB EL=13.0 -�` ti _ P s A _ a r 4. IF AN OVERDIG IS SPECIFIED, `REMOVE ALL TOPSOIL, SUBSOIL AND OTHER UNSUITABLE . ` " SOUTH rtcl cn ADb MATERIALS. POLY. LINER" ,: """.--- .�.,;;;.��iNiC ) � �= IRON PIN- 5. IF AN OVERDIG IS SPECIFIED, REPLACE ALL EXCAVATED MATERIALS WITHIN THE LIMIT OF LEACHING CHAMBER (BENT FOUND)--' �`� 5 L p EXCAVATION WITH CLEAN GRANULAR SAND, FREE FROM ORGANIC MATERIAL AND /�\ ISSUED FOR PERMITTING FOR DELETRIOUS SUBSTANCES. MIXTURES AND LAYERS OF DIFFERENT CLASSES OF SOIL --•--- ar iw �r SLEEVE WATER S " `-- NOT i"O R CONSTRUCTION SHALL NOT BE USED. FILL SHALL NOT CONTAIN.ANY MATERIAL LARGER THAN 2 INCHES. A SIEVE ANALYSIS USING A #4 SIEVE SHALL BE PERFORMED ON A LINE V THIS AREA DESIGN CALCULATIONS. REPRESENTATIVE SAMPLE OF FILL. UP TO 45X BY WEIGHT MAY BE RETAINED ON THE 1 OO GALLON SEPTIC TANK (H-101 LIMIT OF 5' OVERDIG AND REMOVAL OF N µ #4• SIEVE. SUCH ANALYSES MUST DEMONSTRATE THAT THE MATERIAL MEETS EACH OF CLAIRE E POSKEL, DESIGN FLOW THE FOLLOWING SPECIFICATIONS: NOT TO SCALE UNSUITABLE MATERIALS TRUSTEE PREPARED FOR: 642 SOUTH MAIN STREET 3 BEDROOMS ® 110 GPD BEDROOM = 330 GPD ASSESSORS MAP 186 / LEARY FAMILY FP, LLC 10OX MUST PASS #4 SIEVE PARCEL 041 =+ 33 REFLECTION DRIVE 10a6 MUST PASS #50 SIEVE NOTES.. RAISE AT LEAST ONE EXISTING COVER REQUIRED SEPTIC TANK TO WITHIN 6" OF FINISHED GRADE 0-20X MUST PASS #100 SIEVE 1. SEPTIC TANK SHALL BE STEEL REINFORCED CONCRETE. THE RISER SHALL BE 18" HDPE PIPE SANDWICH, MA 02563 0-5% MUST PASS #200 SIEVE 2. SEPTIC TANK SHALL BE CAPABLE OF WITHSTANDING H-10 330 GPD X 200% 660 GALLONS LOADING. USE 1,500 GALLON SEPTIC TANK burnsgolf@aol.com 3. ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION s" �. CONC. COVER . 6. EXISTING UTILITIES WHERE SHOWN ON THE PLANS ARE APPROXIMATE. THE ENGINEER SHALL BE WATERTIGHT. SIZE OF REQUIRED LEACHING FACILITY DOES NOT GUARANTEE THEIR ACCURACY OR THAT ALL SUBSURFACE STRUCTURES ARE 4. TEES SHALL BE SCH. 40 PVC AND SHALL BE LOCATED SHOWN. CONTRACTOR SHALL VERIFY THE SIZE, LOCATION AND ELEVATION OF INVERTS WITHIN 12" OF TANK WALL AND ACCESSIBLE FROM TANK OF UTILITIES AND STRUCTURES, WITHIN THE LIMIT OF WORK, PRIOR TO THE START OF COVER. DESIGN PERC. RATE: <2 MIN/INCH ffiBSC ROUP 5. FILL ALL UNUSED KNOCKOUTS WITH HYDRAULIC CEMENT.- LONG TERM ,APPL. RATE: 0.74 GPD SF CONSTRUCTION. IF ANY DISCREPANCIES ARE DISCOVERED OR FIEID CHANGES 4" / REQUIRED, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY. 330 GPD _ 0.74 GPD/SF = 446 SF 349 Route 28, Unit D 10'-6" a ; 7. THE CONTRACTOR SHALL BE RESPONSIBLE FOR PROPERLY COORDINATING THE 10'-00 PROPOSED FLOOR PLANS SIZE OF LEACHING FACILITY PROVIDED W. Yarmouth, Massachusetts PROPOSED CONSTRUCTION ACTIVITIES WITH DIG-SAFE AND THE APPLICABLE UTILITY = 02673 10" COMPANIES, AND SHALL COMPLETE THE PROPOSED WORK WITHOUT ANY INTERUPTIONS 3" SEE ARCHITECTURAL PLANS ATTACHED USE (3) 500 GALLON CONCRETE LEACHING CHAMBERS IN 508 778 8919 IN SERVICE. TRENCH CONFIGURATION W/3.25' OF STONE ON ENDS AND 4' MIN. 2.23' OF STONE ON SIDES OF TRENCH LIQUID 5'-8" © 2017 BSC Group, Inc. 8. CONTRACTOR IS REQUIRED TO NOTIFY DIG-SAFE, PER MASS. STATUTE CHAPTER 82, M _ _ _ 4'-6" LOCATE INLET TEE DEPTH 4 THE TOWN OF BARNSTABLE REQUIRES - SECTION 40 (1-888-344-7233) A MINIMUM OF 72 HOURS PRIOR TO THE START OF 5-8 _ _ _ UNDER COVER OUTLET TEE AS BUILT CERTIFICATION OF THE INSTALLED BOTTOM AREA: 32.0' X 9.3' 297.6 S.F. SCALE: 1" = 30' W/GAS BAFFLE " SEPTIC SYSTEM. THE SOIL EVALUATOR SIDEWALL AREA: 2 X (2 X (32.0 + 9.3 165.2 S.F. CONSTRUCTION. 3" 3 SHALL INSPECT THE BOTTOM OF EXCAVATION EFFECTIVE LEACHING AREA = 462.8 S.F. �) • 9. THIS SYSTEM IS NOT DESIGNED.FOR THE USE OF A GARBAGE GRINDER. INSTALLATION � � �•• - � .i°• . .` � � •. � .��• PRIOR- TO ANY INSTALLATION AND AGAIN. 0 15 30 60 � OR USE OF A GARBAGE GRINDER AT THIS PROPERTY IS NOT ALLOWED PER 310 CMRL PRIOR TO FINAL BATON RING. 462.8 S.F. X 0.74 GPD S.F.= 342 GPD INSTALLED CAPACITY / ( ) FILE:P:prj\4975101\Civil\drawings\4975101-SP.dwg 15.240(4)• DWG. NO: 6194-0 PLAN VIEW CROSS-SECTION VIEW 342 GPD > 330 GPD (12 GPD RESERVE CAPACITY PROVIDED) SHEET 1 OF 1 JOB. NO: 4-9751.01 SOIL TEST PIT DATA (P- #14022), SYSTEM PROFILE LOCUS INFORMATION NOT TO SCALE NOT TO SCALE CURRENT OWNER: DEBORAH CLOUGH LOCUS �P HIGH GROUNDWATER COMPUTATION ONSITE SOIL EVALUATION 4" SCH. 40 PVC BASED ON TP EL.=A S=0 02 T TEST PIT TP-1 TEST PIT TP-2 TEST PIT TP-3 TEST PIT TP-4 ( TITLE REFERENCE: DEED BOOK 28083, PAGE 100 #� F . GRD. EL. 9.3 GRD. EL. 9.5 GRD. EL. 9.2 GRD. EL. 9.1 DEPTH TO WATER 8,3' DATE: MAY 31, 2013 TOP FOUNDATION PLAN REFERENCE: PLAN BOOK 363-67(4-8-1982) G' TEST BY: BSC GROUP, INC. FIRST PIPE LENGTH SHGW EL. --- SHGW EL. 2.3 SHGW EL. --- SHGW EL. -- INDEX WELL MIW-29 " To BE SET LEVEL ASSESSORS MAP: 186 SOS WATER LEVEL RANGE ZONE A WITNESSED BY. DON DESMARAIS, R.S. SLAB EL.=12.3 4 SCH. 40 PVC FOR MIN. 2' CURRENT DEPTH®INDEX WELL(5/13) 7.4 _ LICENSED SOIL EVALUATOR: KIERAN J. HEALY, PLS EL=13. L=11 FT. FINISH GRADE PARCEL: 39-003 FO �'S' 70 A A Ap Ap WATER LEVEL ADJUSTMENT 1.1 _ < 2 MINS. INCH 5=0.027 EL=11.2-11.8 p P PERCOLATION RATE: / �. 4" SCH. 4o PVC ZONING DISTRICT: RD-1 a LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND DEPTH TO HIGH WATER 7.2 �. 10YR 3/4 10YR 3/4 10YR 3/4 10YR 3/4 SOIL CLASS: CLASS 1 S ,� SETBACKS: FRONT 30 FT. L.T.A.R.: 0.74 GPD/S.F. LEACHING __ CHAMBER �opFk SIDE 10 FT. p 12" 12" 12" 12" .r o00000000o Z G 00000c0000 REAR 10 FT. g B B B I_B I=D 0000EmCMC 0 LOAMY SAND LOAMY SAND LOAMY SAND LOAMY SAND I=E I=F ^ -H _ MINIMUM LOT SIZE: 43,560 S.F.. 2.5Y 5/6 2.5Y 5/6 2.5Y 5/6 2.5Y .5/6 LEGEND I_C e EXISTING PARCEL AREA: 69,720f S.F. LOCUS MAP 5 OUTLET D-BOX 5.1' SEPARATION NITROGEN SENSITIVE ZONE: NOT A ZONE II NOT TO SCALE EL » EL » EL » EL. » UNSUITABLE ESTIMATED SEPTIC TANK 7.1 26 7.3 26 7.3 23 7.2 23 MATERIALS v_ - SEASONAL HIGH RQM. LINER (TYP.) J + rEMA FLOOD ZONE: ZONE AE, ELEVATION = 11.9 L/A (TO BE REMOVED) GROUNDWATER DATED 7-16-14, #25001 CO563 J MAGNETIC REFLECTIVE TAPE SHALL BE PROVIDED EST. HIGH GROUNDWATER " IN THE TRENCH OVER ALL PVC PIPING C C C 36 C PERCOLATION OBSERVED �ZN Of M MED/FINE SAND MED/FINE SAND 48" MED/FINE SAND MED/FINE SAND TEST RANGE - GROUNDWATER 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 0 YERCGA L AN m -v 87" N F 500 GALLON CONCRETE LEACHING CHAMBER (H-10,1 206 �_ " �_ " 97" 97" 586 SOUTH MAIN STREET NOT TO SCALE » TO WITHIN 3 INCHES 9p� 9�GojR 6cP�O�Q�� RICHARD & GRACE GALLO 20 ACCESS COVER 100 - 100 a,\ ASSESSORS MAR 186 4 PERFORATED PVC OF FINISH GRADE 120" _ 120" -0 8 120" EL -0.9 120" ti®� O W/SCREW CAP TO EXTEND DOWN TONAL E EL. ( 0.7) EL. ( 0.5) ( ) ( ) G PARCEL 0 TO NATURAL SUBGRADE ALL DISTURBED AREAS z 777 GP °° . 5" DIA. KNOCKOUT (TYP.) " "'�� ��` � RF 7 \ . �• �� 1-1/2" TAPER SOIL EVALUATOR CERTIFICATION HDPE RISER ��' 2" LAYER OF 1/8" To BRIAN G. YERGATIAN DATE b " O� ® i 1/2" DOUBLE WASHED I, KIERAN J. HEALY, PL S RTIFIED AS A , HEIRS OF ALPHEGE T. NA � � 0 0 O O � C� D O O D 0 0 G PROFESSIONAL ENGINEER LICEN , d,SOIL VAL J NE OF 2012 'S'r° �`" STONE ABOVE CROWN •ti MAP 1&6 , � �'_11- /" % ��� PARCEL 39-003 ��' \` `� 0 34" " / C� OF PIPE LOT 4 �q1\ �� �� ��� O� 0� 24 S EFFECTIVE 3/4" TO 1-1/2" 69,720t S.F TOTAL AREA �r �` IKIERAN J EALY, S.E. #13589 62,155t S.F. hV RIVERFRON'T �O , 0 0 0 0 0 O DEPTH / 0 Q DOUBLE WASHED RF `fig C�CI 0 O 0 M I� STONE TO CROWN 6"�T 1� OF PIPE SCHOOL T. REALTY ° I^✓F '20 \`�„� 4-10 NEW NOMINEE TRUST j `� RF 5� . �'�` 8'-6" 7'-10" DISTRIBUTION BOX DETAIL (H -1010 BEACH LEAF 1 VF f18 & SEWAGE DISPOSAL NOT TO SCALE ISLAND ROAD \ ASSESSORS MAP 186 s. I`F '21 \ N/F FRONT VIEW SIDE VIEW 6" MAX. PARCEL 092 ' REMOVABLE THOMAS HAZLETT SYSTEM COVER ` T1_P1 BORDERING VE-GETATED RF" 4 \ 600 SOUTH MAIN STREET / \ \ IMF 22 NAETLAI,'e7S ASSESSORS PARCEL 043 186 NOTES: �Y�®�+k"� .� `F o\ G "� 12 SOUTH CEDAR ROAD 1. ONE ACCESS COVER PER SYSTEM SHALL BE RAISED TO FINISH GRADE. R FIELD HDPE RISER \ 2. CHAMBERS SHALL BE 500 GALLON LEACHING DRYWELL, MANUFACTURED BY SHOREY OR APPROVED EQUAL No.3d11139 3. GEOTEXTILE FABRIC MAY BE USED IN LIEU OF DOUBLE WASHED STONE. " 3„ 21" Ti-P2 � Vvr 3 � IN 2 WALLS �- �I boiq ,,. >, .t° <. : . Q "/F \ I� ,�!24 RF 3 �\ . � � � CENTERVILLE 7 DEBORAH CLOUGH \� • A„ I�,F 16', 12 SOUTH CEDAR ROAD gr� ,5 9-1/2 (5) 5" DIA. �: �A­ '\ MAS SACH U S ETTS O O ASSESSORS MAP 186 `---- -' 13" KNOCKOUTS "& --"� ' PARCEL 039003 - --� - RF , 2�' \ �� `�� 11-1/2» TYP. '-�-g�',1� `'' 1 ,- "'� ,•°`� (BARNSTABLE COUNTY • I ! AL a • E�;Is LINER INSTALLATION NOTE • AL » � & 2 t F` .9 `�. 4�F 1427 A 40 MIL, 2.5-FOOT HIGH IMPERMEABLE LINER SHALL BE INSTALLED 5 FEET OUTSIDE BOTTOM ON LEVEL - THE PERIMETER OF THE LEACHING FIELD. *E TOP OF THE LINER SHALL BE SET AT A r PI n a .* ;.. STABLE BASE 6, MINIMUM PLAN VIEW SITE Pl.!-1N 3/4" TO 1-1/2" VI'F '7 STRAW WATTLES -- 6-� Wr- ,'2B ,. ` -1 � ELEVATION 10.5 FEET AND SHALL EXTEND DOWN TO ELEVATION 8.0 FEET OR BEYOND. °" CRUSHED STONE SECTION VIEW / :, ej \ h� N 7 +^ \ NOTES: \o l�F A� 1 00^°�,b 1. PROVIDE INLET TEE OR BAFFLE WHERE SLOPE OF PIPE EXCEEDS 0.08 FT:/FT OR IN c` BORDER1,VG V GETATED KT_ 5 ��/ �O PROPOSED ��� PUMPED SYSTEM. jAArOS °� { �/ 12'x16' \ ` ,la \\✓,� DRYWELL ,�Cy MAY 24, 2017 2. FIRST TWO FEET OF PIPE OUT OF DIST. BOX TO BE LAID LEVEL � ,F 11 SCREENED O 0 o O C 3. ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. '' I/ g PORCH o ' ;;^ ,,x - {. PROPOSED N/F �' o ``' 700t S.F OF CARL & DEBORAH 4. FILL ALL UNUSED KNOCKOUTS WITH MORTAR. :'r� f/ 3 �, �*;. ••„„ 5. CONCRETE COVER SHALL BE RAISED TO WITHIN 6 INCHES OF FINISHED GRADE. MITIGATION SYLVESTER RIF ,14 � '"x �;'"x�:; PLANTING 630 SOUTH MAIN STREET jok q / '' x x,. .�- ASSESSORS MAP 186 GARAGE ``°*•x PARCEL 042 ��-- . Kx# SCHEDULE OF ELEVATIONS N/F A(3 PROPOSED SLAB •• PROPOSED VINCENT & MAUREEN �'" �� / D YWELL 12.4 ` , EX �!,; ELECTRICAL BRADLEY . �/� '°� �q� , \.TE"ST SERVICE 11 SOUTH CEDAR ROAD I1F' 3 ; ; PROPOSED GRVL -\ �` TOP OF FOUNDATION 13.60 A GENERAL N O TE J ASSESSOPARCERS 186 � PERVIOUS DRIVi_ A r 4" INVERT AT BUILDING 1� B N0. DATE DESC. a B� CHPAI K ...� 4" INVERT AT SEPTIC TANK (IN) 10.17 C � �• \, PAT10ti � TP-3 \� 1„500 GAL c7 ,EL. 7.95 -�., PERMITTING AND CONSTRUCTION OF THE 3�\ / "� 4 o o SEPTIC °. `NAD-1983 4" INVERT AT SEPTIC TANK (OUT) 9.92 D 1. THIS PLAN IS INTENDED FOR THE DESIGN, 9 o < T',NK » PROPOSED SEWAGE DISPOSAL SYSTEM AND ASSOCIATED SITE WORK. S \ -1 f BOX ( F 4 INVERT AT DIST. BOX (IN) 9.85 E 4" INVERT AT DIST. B (OUT) 9.68 2. ALL CONSTRUCTION METHODS AND MATERIALS SHALL CONFORM TO 310 CMR 15.000 lay 2 9 1 \\ CONC. BOUND ELEVATIONS AT LEACHING FACILITY- AND BARNSTABLE BOARD OF HEALTH REGULATIONS. �'� " ` R£SE W/DRILL HOLE\ �'i�• `` `� 1 R (FOUND) 4" INV. AT LEACHING CHAMBERS 9.40 G (BRKOUT 10.4) PROPOSED `�°P� �. BOTTOM OF LEACHING CHAMBERS 7.40 H 3. THERE ARE NO KNOWN OR PROPOSED PRIVATE WELLS LOCATED WITHIN 150 FT. OF THE i 3-BEDROOM h'O EDGE O,_ -. Ash `, �" �► ADJUSTED SEASONAL HIGH GROUNDWATER 2.30 J STONE o S. PROPOSED LEACHING FACILITY. ' DWELLING �� ry M SLAB EL=13.0 ,,� °'c�s- ffJ� R I...--, GAS�•�GAS ✓ - 4. IF AN OVERDIG IS SPECIFIED, REMOVE ALL TOPSOIL„ SUBSOIL AND OTHER UNSUITABLE \ PROPOSED1 :=_ `W (S�'I/!L)�) MATERIALS. \ POLY. LINER , �. ' RON PIN® GRAyF1 D 5. IF AN OVERDIG IS SPECIFIED, REPLACE ALL EXCAVATED MATERIALS WITHIN THE LIMIT OF LEACHING CHAMBER I (DENT FOUND) _ ISSUED FOR PERMITTING EXCAVATION WITH CLEAN GRANULAR SAND, FREE FROM ORGANIC MATERIAL AND ( ') s-- OFIW- DELETRIOUS SUBSTANCES. MIXTURES AND LAYERS OF DIFFERENT CLASSES OF SOIL --"�`"" � �F NOT FOR CONSTRUCTION SLEEVE WATER DESIGN CALC U LATI 0 N S SHALL NOT BE USED. FILL SHALL NOT CONTAIN ANY MATERIAL LARGER THAN 2 LINE IN THIS AREA INCHES. A SIEVE ANALYSIS USING A #4 SIEVE SHALL BE PERFORMED ON A REPRESENTATIVE SAMPLE OF FILL. UP TO 45% BY WEIGHT MAY BE RETAINED ON THE 1 500 GALLON SEPTIC TANK LIMIT OF 5' OVERDIG (H- 1Qj AND REMOVAL OF N/F #4 SIEVE. SUCH ANALYSES MUST DEMONSTRATE THAT THE MATERIAL MEETS EACH OF UNSUITABLE MATERIALS CLAIRE E. POSKEL, DESIGN FLOW THE FOLLOWING SPECIFICATIONS: NOT TO SCALE 642 SOUTH UMAIN STREET STEE PREPARED FOR: ASSESSORS MAP 186 Q. 3 BEDROOMS 0 110 GPD/BEDROOM 330 GPD LEARY FAMILY FP, LLC 100% MUST PASS #4 SIEVE PARCEL 041 33 REFLECTION DRIVE 10% MUST PASS #50 SIEVE �-S' RAISE AT LEAST ONE EXISTING COVER REQUIRED SEPTIC TANK 0-20% MUST PASS #100 SIEVE 1. SEPTIC TANK SHALL BE STEEL REINFORCED CONCRETE. TO WITHIN 6" OF FINISHED GRADE SANDWICH, MA 02563 0-5% MUST PASS #200 SIEVE 2. SEPTIC TANK SHALL BE CAPABLE OF WITHSTANDING H-10 THE RISER SHALL BE 18" HDPE PIPE 330 GPD X 200% = 660 GALLONS LOADING. USE 1,500 GALLON SEPTIC TANK burnsgolfC�?aol.com 3. ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION CONC. COVER 6. EXISTING UTILITIES WHERE SHOWN ON THE PLANS ARE APPROXIMATE. THE ENGINEER SHALL BE WATERTIGHT. 6" MAX. SIZE OF REQUIRED LEACHING FACILITY DOES NOT GUARANTEE THEIR ACCURACY OR THAT ALL SUBSURFACE STRUCTURES ARE 4. TEES SHALL BE SCH. 40 PVC AND SHALL BE LOCATED SHOWN. CONTRACTOR SHALL VERIFY THE SIZE, LOCATION AND ELEVATION OF INVERTS WITHIN 12" OF TANK WALL AND ACCESSIBLE FROM TANK RQUP COVER. DESIGN PERC. RATE: <2 MIN/INCH BSCOF UTILITIES AND STRUCTURES, WITHIN THE LIMIT OF WORK, PRIOR TO THE START OF 5. FILL ALL UNUSED KNOCKOUTS WITH HYDRAULIC CEMENT. LONG TERM APPL. RATE: 0.74 GPD/SF CONSTRUCTION. IF ANY DISCREPANCIES ARE DISCOVERED OR FIELD CHANGES 4" = 330 GPD _ 0.74 GPD/SF = 446 SF 349 Route 28, Unit D REQUIRED, THE CONTRACTOR SHALL NOTIFY THE ENGINEER IMMEDIATELY. 10'-6" .- . PROPOSED FLOOR PLANS SIZE OF LEACHING FACILITY PROVIDED W. Yarmouth, Massachusetts 7. THE CONTRACTOR SHALL BE RESPONSIBLE FOR PROPERLY COORDINATING THE 10'_O" 02673 PROPOSED CONSTRUCTION ACTIVITIES WITH DIG-SAFE AND THE APPLICABLE UTILITY 10" = USE (3) 500 GALLON CONCRETE LEACHING CHAMBERS IN 508 778 8919 COMPANIES, AND SHALL COMPLETE THE PROPOSED WORK WITHOUT ANY INTERUPTIONS 3" SEE ARCHITECTURAL PLANS ATTACHED TRENCH CONFIGURATION W/3.25' OF STONE ON ENDS AND IN SERVICE. � 4' MIN. ' » 2.23 OF STONE ON SIDES OF TRENCH C 2017 BSC Group, Inc. LIQUID_ _ 4'-6" LOCATE DEPTH 5_8 THE TOWN OF BARNSTABLE REQUIRES , 8. CONTRACTOR IS REQUIRED TO NOTIFY DIG-SAFE, PER MASS. STATUTE CHAPTER 82, a SECTION 40 (1-888-344-7233) A MINIMUM OF 72 HOURS PRIOR TO THE START OF 5'-8" _ _ _ INLET TEE UNDER COVER OUTLET TEE AS-BUILT CERTIFICATION OF THE INSTALLED BOTTOM AREA: 32.o x 9.3 = 297.6 S.F. SCALE: 1 = 30 SECTIOCONSTN (1 - " W/GAS BAFFLE 3" SEPTIC SYSTEM. THE SOIL EVALUATOR SIDEWALL AREA: 2 X (2 X (32.0' + 9.3')) = 165.2 S.F. 3 SHALL INSPECT THE BOTTOM OF EXCAVATION EFFECTIVE LEACHING AREA = 462.8 S.F. 0 15 30 60 Fm s. THIS SYSTEM IS NOT DESIGNED FOR THE USE OF A GARBAGE GRINDER. INSTALLATION PRIOR TO ANY INSTALLATION AND AGAIN 462.8 S.F. X 0.74 GPD/S.F.= 342 GPD (INSTALLED CAPACITY) FILE: P:prj\4975101\Civil\_Drawings\4975101-SP.dwg OR USE OF A GARBAGE GRINDER AT THIS PROPERTY IS NOT ALLOWED PER 310 CMR PRIOR TO FINAL BACKFILLING. 15.240(4). DWG. N0: 6194-0 PLAN VIEW CROSS-SECTION VIEW 342 GPD > 330 GPD (12 GPD RESERVE CAPACITY PROVIDED) SHEET 1 OF 1 JOB. NO: 4-9751.01 r \ v � � I f `.. ..` � / / ,'�..•� \ � gam'. r _ � nl � { S Yt,, 0.47 1`��='CzL��C'_.I�AC��c cak:�NC7f"ci�.. �_ - •��' �C_ '.) C. 1..a�' / ���� � s t-r (-I. ►.��' `. ? 1 b � S�F'T"iG.. TA►JiG = 33o ,c I mod`"% = 4�`� C�PL: ---- . --�ti� — \ , _ ,[ - -\r LEAD1-� Cl�L� X_- t=Lc�vJ DtFGJSok�S a S✓.AR s . QW L: Ll lam ' ,- a tl To-T'A� 1-7E�t C�►� - 't't E�Z U.F? 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