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HomeMy WebLinkAbout0056 WEST TERRACE - Health 56 West Terrace ' Centerville A= 207-117 a l Sllll J�REcvcifo�o llll i UPC 12543 No. 53LOR HASTINGS, MN A No. t/ / t7 t Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplitatlon for Misposal 6pstem ConstCUttio' n permit Application for a Permit to Construct( ) Repair X UpgradeK Abandon( ) Xcomplete System ❑Individual Components Location Address or Lot No. (AXa;�- ^V'e-v�E Owner's Name,Address,and Tel.No. Assessor's Map/Parcel j} (2e0*.C`Ot"e V) c_ Get' Installer's Name,Address,and Tel.No. � 31 G Designer's Name,Address,and Tel.No. A MC , R u-1 Type of Building: Dwelling No.of Bedrooms �� Lot Size 10 CEO sq.ft. Garbage Grinder(N/A- Other Type of Building N)61-Q No.of Persons Showers( til-'C-afeteria( t,--T Other Fixtures ( r;i SZzCZ :a;"�—_ Design Flow(min.required) J?C j gpd Design flow provided 3;,?'� gpd Plan Date 6— jc'- 6 Number of sheets l Revision Date Title v Size of Septic Tank �j(1J �1, Type of S.A.S. Description of Soil An , \C C) Nature of Repairs or Alterations(Answer when applicable) \Or\ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. e Date / Application Approved Date C� Application Disapproved by Date for the following reasons Permit No. ��/rJ �T p Date Issued No. ® �, 6 ' a�' .•:, "�' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTA LE MASSACHUSETTS.,4, 2pplicatlon for Disposal 6pstem Construrfi C V ermit j Application for a Permit to Construct:( -) Repair X Upgrade " Abandon( ) XComplete System ❑Individual Components ` Location Address or Lot No. (Ax g-� ����r,CE Owner's Name,Address,annd1 Tel.No. Assessor's Map/Parcel �p'�- �f+ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. L'g ri Type of Building: Dwelling No.of Bedrooms Lot Size I 0 --�CO sq.ft. Garbage Grinder(N Other Type of Building yp g (��('�o No.of Persons � Showers( /�yCafeteria( �' Other Fixtures Design Flow(min.required) .22)�U gpd Design flow provided ,3, gpd Plan Date �j ��- I b Number of s\he�ets, � Revision Date Title Sd� Q� �.�Y 1��f�C'�C' 2cdY�Ck? Size of Septic Tank o Type of S.A.S. 12.'} ?C'L(a SA hQSP `S Description of Soil Nature of Repairs or Alterations(Answer when applicable) r,�,Q i 1 � r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. / tie Date `.. Application Approvedd b` y Date j 0 p _tta Application Disapproved by Date for the following reasons ' Permit No. Date Issued - ------------------------------------"----- --------------------------------------------------------- ------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded) Abandoned( )by at L--3 ACC Q has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.Z/O/y4 dated Installer Desi ner C C n. . #bedrooms Approved design flow �j gpd The issuance of s per 7 t shall not be construed as a guarantee that the system will nctin,l'0as designed. Date ,�� (o Inspector Iry,✓ CT - --, /----------------------------------------------------------------------------------------------------------._ No/>0/0 �7 tD Fee / (J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction lermit Permission is hereby granted to Construct( ) Repair( ) Upgrad�) Abandon( ) System located at U W P If Se 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:Constructio must be completed within three years of the date of this er' mit. Date �e��o Approved Town of Barnstable �OF VHE r Regulatory Services Thomas F. Geiler, Director " B" MASS. Public Health Division. 9 ass. � .� 039. ♦� '°lEnMpra Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: ,y°���lo' �� Sewage Permit# Assessor's Map/Parcel Installer & Designer Certification Form Designer: Installer: Address: i o �� Address: . eX 1 y. to RZVRES lJ �u�rn�>Jzw o 25 On o �1r•,®s�� � was issued a permit to install a (date) ( staller) septic system at �(o \Q_CVcCC; C , based on a design drawn by c (address) dated .5 - JCi-- 10 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I 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. OF MA F A stal is i re) E. o Y � v . R� 18 (Desi Signature) (Affi ere PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:loffice fonns\designercertification form.doc TRANS. NO.: CITY/TOWN: r�st = �t'>�� APPLICANT: ADDRESS: DESIGN FLOW: , (` gpd REVIEWED BY: DATE: N/A OK NO Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"= 20' or fewer for components) [310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(l)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] Location of impervious surfaces (driveways, parking areas etc.) [310 CMR 15.220(4)(d)] Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. / [310 CMR 15.220(4)(e)] v System Calculations [310 CMR 15.220(4)(0] v daily flow v` septic tank capacity(required and provided) ✓ soil absorption system (required and provided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and proposed contours [310 CMR 15.220(4)(g)] V' Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and (i)] Location and date of percolation tests (performed at proper ;: elevation?) [310 CMR 15.220(4)(1)] U Percolation test results match loading rate? [310 CMR 15.242] Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] V/" Observed and Adjusted groundwater (method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR V` 15.220(4)(n)] Address 561 1, esr 7 e. 'Cecc Sheet 1 of'7 N/A , OK NO Location of every water supply, public and private, [310 CMR 15.220(4)(k)] L� within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply ` within 250 feet of the proposed system location in the case V' within 150 feet of the proposed system location in the case of private water supply wells 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)] Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.21l(1)[1]) Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] Stamp of designer [310 CMR 15.220(l) and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor (required if construction. , activities within 5 ft. of lot line) [310 CMR 15.220(3)] 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)] Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] Materials specifications noted? [various sections of 310 CMR 15.000] L' System components not > 36" deep (unless Local Upgrade V` Approval or LUA requested) [310 CMR 15.405(1(b)] Address Sheet 2 of 7 N/A' OK NO PG>.(s,.w.xsfr � �d WaS_^'i#%d:e3C,,. .....��`e,..L e rM.F1Tjl ea'a�d'.R W�' S�tiS<.B,geY.< ..eX.`S,> i, "k�w ..%GY�• Size OK? [310 CMR 15.223(1)] Inlet tee located ten inches below flow line [310 CMR 15.227(6)] it Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227(6)] Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] ,,/ Note regarding installation on stable compacted base [310 CMR 15.228(1)] Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15.227(2)] ✓' Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for V., upgrades under LUA [310 CMR 15.405(1)(k)] 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)] Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (by 7/07) [310 CMR 15.228(2)] Access to within 6 " of grade - one port for systems<1000gpd, two for systems >1000 gpd [310 CMR 15.228(2)] All at-grade covers secured to unauthorized access? [31.0 CMR 15.228(2)] ✓� > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate?ro 310 CMR 15.226 3 Pp P [ ( )] Setbacks from resources 310 MR 15.[ C 211] Itulti Qom a tmentI'anks xa. ,��..�r,., ,.✓. �,,�a�i �>.- a.�c-, � VWX Required when other than single-family dwelling or flow>1000 gpd [310 CMR 15.223(1)(b)] L First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and (3)] "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] Address Sheet 3 of 7 N/A OK NO Located at least ten feet from any water line? [310 CMR 15.222(2)] Disposal piping at least 18" below water line (when water and sewer cross, see 310 CMR 15.211(1)[1]) tir Cleanouts required/provided ? [310 CMR 15.222(8)] v' Thrust blocks specified in force mains? 310 CMR 1.5.221(6)(c)] Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] Siphon problem/ (leachfield below pump chamber) Endcaps or vent manifold specified? �✓ 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)] Materials specified 310 CMR 15.251 5 specifies various pipe p ( ( ) p pp types allowed) Stable compacted base [31.0 CMR 15.221(2) and 310 CMR 15.232(2)(a)] Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [31.0 L / CMR 15.323(3)(a)] Riser if deeper than 9" [310 CMR 15.232(3)(f)] Inside minimum dimension 12" [310 CMR 15.232(2)(b)] Minimum sump 6" [310 CMR15.232(3)(e)] A,/' Watertight cover if<2000gpd); waterproof manhole if>2000gpd [310 CMR 15.232(3)(d)] L� �� .���o,� . .�•..�.�<�,. u.�x.�:.... ,.< _,., ,.a,.,. .�2.A� �.: .. .4. v_ ., t, ��x x�' �.: '� � .: ::r, `` hs,r x� `f s. Capacity(emergency storage above working=design flow)? [310 CMR 231(2)] lam' Proper setbacks [310 CMR 15.211 (same as septic tanks)] L' Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)] Service components accessible (not too deep with piping, disconnects accessible) Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and (8)] Stable Compacted Base [310 CMR 15.221(2)] Buoyancy calculations needed ? Provided? [310 CMR 15.221(8)] L/ Address Jr (y Q_D(es�7 es cczc.c Sheet 4 of 7 N/A' OK NO Calculations correct? 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] y , Required separation to groundwater? [310 CMR 15.212)] Aggregate specified as double washed [310 CMR 15.247(2)] v System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] ✓ Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole (if>2000 gpd must be to grade) [310 CMR 15.253(2)] Aggregate I' minimum- 4' maximum. [310 CMR 15.253(1)(b)] 2' sidewall credit maximum [310 CMR 15.253(1)(a)] V In bed configuration, inlet every 40 sq. ft. [310 CMR 1.5,253(6)] L/ Sa Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] 100 feet - maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever greater (3x if reserve between trenches) [310 CMR 251(1)(d)] Situated along contours [310 CMR 15.251(2)] Breakout OK. [310 CMR 15.211(1)[4] and Guidance Document] RE,'X§P Maxlmum size of bed orWfzge1d 5000 gp,c1)F '' � , minimum 2 distribution lines [310 CMR 15252(2)(a)] Maximum separation between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15"252(2)(g)] Separation between beds 10' minimum. [310 CMR 15.252(2)(0] Bottom area used in calculations only [310 CMR 15.252(2)(i)] Address Sheet 5 of 7 N/A, OK NO C" �'"' i 'i r✓v A 'w �,r� Pressure Dosed System ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] Pressure dosing required on all systems >2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A �- Remedial Use Approvals] If used in gravelless system - make sure jet is directed as not to scour soil interface [Guidance Document] Inspections once per year (systems< 2000 gpd) or quarterly (>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] Construction in fill - Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? Impervious barrier and/or retaining wall ? [Guidance Document] r/ Impervious barrier installation must be supervised by ✓, designer [310 CMR 15.255(2)(b)] Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] l,'f Side slope not exceed 3:1 ? [310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] At least 5 ft, from impervious barrier to edge of SAS (10 ft. , recommended) [310 CMR 15.255 (2)(e)] �.� � �r¢,r a Gravelless�rSystem [I/A,Ap roualLettersJ� � � � ��� x, � rriar tw.i. ..ntn�,.��arsaas .7.,' ,ssx.,.�,.,., s.. .x.»,s., ..»4a✓,,.u,,. ,n; h '.�. :x �.. '...,'�... r,. '6 '7a.,.,,. 0 to ,x'-.ar" Check DEP Approval letters for credits and design conditions If used with pressure dosing do not allow pressure discharge ;f to scour soil interface Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? Is the technology being properly applied and does it meet all DEP Approval Conditions? Is there a note on the plan regarding the requirement for perpetual maintenance agreement? Any alarms involved on separate circuits r/ Did the applicant submit an operation and maintenance manual? Has applicant submitted a copy of a maintenance eau$ s' r r ar�cances �� l 4 ,u, ....�:, .fv,,,,q'� ,,.x4��'�.�,a,/Y:,, �:. -4 _�„r, ,��'.;'.✓�z rc? � ,.a';�s�ia.�.r,,, Are the variances listed on the plan ? [310 CMR 15.220 (4)(q)] RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] New construction or increased flow proposed - [Refer to 310 CMR 15.414] Address Sheet 6 of 7 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 1/ existing systems] Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] 711iscellcineoii�s,•�'x �ft �r� �,, �, ��� �, � ���,����.� � � x � � -�� r n,�.. .xs.fi.�..��.a�.�s�„s.. r tom,,,,,.k`�, r,.�..a,.u�r;�d.�. �;,'r� ,K_ 4.� .� s,n„.• 4;�,� � �'��� �v � _ .1�� s�� Pumping to septic tank ? [ 310 CMR 15.229] Shared System [310 CMR 15.290] Address cc I—C Sheet 7 of 7 �= c�� �� �� �,� TOWN OF BARNSTABLE LOCATION 5(. (A: eST -T4el�,C-e.cy_ SEWAGE# 2,0 f y,/yb VILLAGE Cen�qx,�\`e ASSESSOR'S MAP&PARCEL J I rt INSTALLER'S NAME&PHONE NO. MAts..V eo cmu�, 9 Z2--`'131Z SEPTIC TANK CAPACITY I,-S-no C®i`ag-) LEACHING FACILITY.(type) ZLk SnJi*-e stze) l 1 X �' NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: S-2-to 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 ,,11 site or within 200 feet of leaching facility) N PI- Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BYR,�DJ �e 39 ion c�a\ Logy °g 2 d3 59 3.3 4G . a op� Town of Barnstable P# f DOL Department of Regulatory Services auuvaresr� Public Health Division Date y o �uea. A i639 �+s° 200 Main Street,Hyannis MA 02601 QED tM't� Date Scheduled a ° Time Fee Pd. 6`� - Soil Suitability Assessment for Sewage isposal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address _5(f We6T -'r£ ACC Owner's Name '34"PP Game Address 121 71-, O's tt S3 . 41 _9T 6CF1c I "V) Assessor's Map/Parcel: a©'� �'1 Engineer's Name G NEW CONSTRUCTION REPAIR X Telephone# 5 3 1 (�� P- - 1198 Land Use Slopes Surface Stones I Distances from: Open Water Bodyft Possible Wet Area ft Drinking Water Well ft Drainage Way�ft Property Line r C ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity holes P Y to ) _0 Q 00 5� CD rn Parent material(geologic) &,J\i r,'ASi4 Depth to Bedrock v i O iv Depth to Groundwater. Standing Water in Hole: i\+Onic O t��� Weeping from Pit Face Estimated Seasonal High Groundwater r L B SS,j m eA DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _ _ in, Depth to soil mottics: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment • ft. Index Well# Reading Date: Index Well level .a. Adi.factor Adj.Groundwater Level PERCOLATION TEST batpio Time Observation Hole# _l Time at 9" Depth of Perc 30 413 _ Time at 6" 11i C) Start Pre-soak Time @170 A M --- Time(9"4") N1 n End Pre-soak r r o Rate Min./Inch a M P Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be"conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\,SEPTICIPERCFORM.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,% vel /\J 6 UAYEt DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenev.%Gravel) P) 5L I ovR 311 MIA 1e li t—A y EQ DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsi to c Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten ra Flood Insurance Rate Ma A Above 500 year flood boundary No— Yes . Within 500 year boundary No=' Yes Within too year flood boundary No, Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perviouusm�aterial exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certi that on date av ssed the soil evaluator examination approved by the fY Department of Environ al rot ec 1 n a tha the above analysis was performed by me consistent with . the required training xper a and ex p ri e d cribed in 310 CMR 15.017. Signature Date "f " ►� :\.SEPTICTERCFORM.DOC Q . P=aON,! 1 m Yg3g - Z H $s� g2Y� 5 NIp a TO'N0 CI • o n�L ® VIS10 k41�C1t �o a L L R II II\ ------------- 5 D r GXIa�T7NG PwhF11N4 r II s L -4- -_ Q :z y Li+u of 2 xb.Acapar t+s hsd#a \ . xi4tiM frcmin4 w/> I/2•x f/4• . eaimp,.anmava.arew.p.raade. .1���. F;f^ �a ILI '' � aimp.orW ww aonnsa+or e 1 m•oz. - 1' tu 1 I I B II j1 o i i o � V 1 1 I I I O 1' P IL O I � J 17 A.dcr.s.N TW Y 104 2 1 TNrms Ns PG!6 O 1 G .a.> / x 4 4 7/B r ' I u I I aimpaon N 2.•i ho-rw.ns I. I I m I FR-A•(ye PLAN ' acwla: 1/4•-1'-O^ I' I AMcr4cno 7-W 2 1 04 Y 4-4 B d < Io >:L II 0 �5 rAi"IILY P�oIy I m ��Q Z e�3n aimpwn N Y.'s hurria.ns 1 m* I 1? n Inc Z ci 3 a e- tie..e l o•o.a.(typJ I I I � I � -•..r N t o 67) I I I I A.dereena TW 1 1 0 4 z I Ardcr4anm T`N Y 1 0 4 Y 50 x4-4 7 C 1 rn.>'-O 4'-4 v/a• ^�' < �� �p < O ® 1 I L____ ______ IL 0- woof Lr !"a 4'-O•o.w - Q �m var p4nc1 aannea FLA" i 7-hi.plcn wc.dc4b"cd in ccu Jd wi+h #hc In#erncta.ul V--iJsn#isl Gads 2009 70o • 9 1.00 D#h Window pro#cation#�oo�orm wi+4 - lush . w>O 1.2.I.Y Prot t:on of opcninys. 'a`a�O•�� Y�Q ' c Y L-L On1_i d. Nw w411430Allficd by 4c J Gan+i < . mg ` 4 i` i - DRAWING TYPE: Pirc}Floor Plan woof Frame FIAn SHEET NUMBER: A200 r r:f.u• ` r$Y 40 > i ✓ r.' ' 3-24' DIAM. ACCESS MANHOLES *NOTE: ALL PIPES ARE TO BE 4' SCHEDULE 40 P.V.C. 'J` "` ' r - ` ESTABLISHED VEGETATIVE COVER • � } 10' min. from ^�,, % Existing Foundation house to septic tank y'1 �'' I ( rR xxetulele , rli+e*t�TM' i Se tic tank covers must be 0-BOX cover must be ///'�� TOP OF FOUNDATION = ELEV. 100.00 .pp wkhin 8 in. of finished grade y within 8 In. of finished grade t �^1 �^1 � � ! � y` 1� Grade over Septic Tank- 98.00 Grade over D-Box-98.00 rode over SAS -98.00 BACKFILL WITH CLEAN SAND NLET st vy. d!;' 4 " t' ! '' ''' '" 't:' NATIVE OR PERC SAND ou T +r "' - •�?� ;.��" A. ..Ix- .,N,�• •','•' r•' ,t•' V THE ACCESS COVERS FOR THE SEPTIC TANK e DISTRIBUTION BOX AND LEACHING COMPONENT s 0.02 _ TOP OF UNIT ELEVATION 95.75 ,`. �r 8 HOtF H 10 # SHALL BE RAISED TO WITHIN 6" OF r` i tr r IST. BOXCoverE. S- 3' Maximum 'S.• •r: % 1 or Greater '+• FINISHED GRADE. NEW sole- 4' PVC(CAPPED) INSPECTION PORT TO BE .,;•,..." '•'.t• � t ; �y ,.:r,:!e► " ' "°� ,E,'•/� 15' . r ' i?w dr WITHIN 8' GRADE ed INSTALLED AND TO BE OF •"ALLE INV. ELEVATION 95.50 Ia.:� ,. •.•i''` REINFORCED Ct• PRECAST T CONCRETE INSTALL TUF-TTE GAS BAFFLES OR EQUALS FxIST. P]PE u7 1500 GAL. s- STEEL E OR ED E AS CO C ETE Q FROM EXIST, FOUNDATION 01' . Y+� SEPTIC TANK t' PLAN VIEW n 25' 0• Per too ,' ON ALL OUTLET TEE ENDS t"" �avtr ""'" +''•,^`� 00 II H-1D l!tzaw nlo. to 'a' 3-24' REMOVABLE COVERS CONCRETE FULL °f II l�® 7hl- � o rn BOTTOM ELEVATION 94.75 `' Bln.oft1h3/4'-, v2• > ze.000 I� GENERAL NOTES w compacted atone ; 5' MIN ABOVE BOTTOM OF 3 mtn�a.aranee 1. Contractor is responsible for Digsafe notification, Verification of Utilities 34 6 34 ,r IisET•r q 4 ROWS OF 8 UNITS AT VIUNIT+ 2 END CAPS- 2e.00' TEST PIT OR GROUND WATER i•nnRr 2•min inlet to outlet and protection of all underground utilities and pipes. Z - C ; , \EXISTINGINLET _ �_-• a'mM SYSTEM PROFILE SUITABLE MATERIALEFF. 1trIDTII 12.70 ,o•m� Llqu Tewi OUTLET 2. The septic"tank a distri L�tion box shall be set Bottom of Test Hole 1 Elev.= 87.00 " UU level on 6 of 3/4"-1 1/2 stone. Not to Scale 8 in.of 3/4'-1 1/2' ,•5' -T GROUNDWATER NOT OBSERVED compacted atone se 3. Backfill should be clean sand or gravel with no BOTTOM OF TP-1.: = 87.00 SOIL ABSORPTION SYSTEM (SECTION) " El "• 4'-9• min. stones over 3" in size. NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE :J Qs am soft Liqu!d depth 4. This system is subject to inspection during installation INFILTATR❑R QUICK 4 (H-10 L❑ADING)/ GE❑RGE ❑'BRIEN L�.� by Carmen E. Shay - Environmental Services, Inc. (OR EQUIVALENT) .•.,;..;, •:, t..,., „ : .• •.• < ::....• -,.i 5. The contractor shall install this system in accordance NOTE: OVERALL HEIGHT OF INFILTRATOR IS 12" ,o'-o• s' -e• with Tittle V of the Massachusetts state code, the approved plan and Local Regulations. CROSS SECTION END-SECTION 6. If, during installation the contractor encounters any soil conditions or site conditions that are different TYPICAL (H-10 LOADING) 1500 GALLON SEPTIC TANK from those shown on the soil log or in our design NOT TO SCALE installation must halt & immediate notification be- made to Carmen E. Shay - Environmental Services, Inc. - PERCOLATION TEST 7• N vehicle or heavy machinery shall e over the septic system stem unless noted as H-20 septic tic components. - Date of Percolation Test: 4/26/10 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. Test Performed By. CARMEN E. SHAY, it.S., C.S.E. 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. Results Witnessed By. DAVID STANTON - BARNSTABLE BOH 10. All solid piping, tees & fittings shall be 4" diameter EXCAVATOR: Shay Environmental Services, Inc. Schedule 40 NSF PVC pipes with water tight joints. Percolation Rate: <2 MPI ® 6" 11. MUNICIPAL WATER IS AVAILABLE TO THE SITE and Surrounding Test Hole Test Hole Properties. PRIVATE WELLS ARE LOCATED AS SHOWN. No. 1 No. 2 DEPTH SOILS ELEV. DEPTH SOILS ELEV. 0 9&00 C 98.00 NOTE Saandy Loamy THE PROPERTY LINES ARE APPROXIMATE AND COMPILED FROM THE PLAN BY ED KELLOG, PE 10 YR 3/2 to YR 3/2 ENTITLED "SUBDIVISION OF LOTS AT HORSESHOE LANE ESTATES, 0•-6• A, 97.50 O.-S. Ap 97.50 CENTERVILLE, MA DATED DECEMBER 1957 NO 8 LAYER NO 8 LAYER AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN IT SHOULD BE USED FOR NO PURPOSE OTHER THAN THE SEPTIC SYSTEM INSTALLATION. Mad. Sand Mad. Sand - w/cobbles w/cobbles NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE 25 Y 7/4 2.5 Y 7/4 FROM THE EXISTING CESSPOOL TO BE DISPOSED 6"- 132• C, 87.00 6"- 132• C, 187.00 OF AS PER BOARD OF HEALTH SPECIFICATIONS. „E EXISTING CESSPOOL TO BE PUMPED DRY & 82D 50'50 ,�, 21.50 9 REMOVED 100 --' --------- ------- - LOT. #25 Fail ed s '-��\ ASSESSORS MAP - 207 PARCEL 117 Cesspool PROJECT BENCH MARK >k5 �• �t�i \\`� Perc #1 " ZONING - RESIDENTIAL TOP OF FOUNDATION p`�' �+ `� Depth to Perc: 30 to 48 ELEV. = 100.00 (Assumed) , NEW EL0 TT HO98 oa Perc Rate= <2 MPI Perc g Groundwater Not Observed NO WETLANDS ARE PRESENT WITHIN 200' OF THE PROPERTY ���\\ 6 OQ Septic Tank No Observed H2ESHWT0 Elev. None LOT #15 `% '' # Cb "I0 \`` ALL OUTLET PIPE SHALL BE C t9 a3 TEST OLE #1 - 12' CONCRETE CO #56 SET LEVEL FOR AT LEAST 2 FT VER . 1 O� \�� DECK ELEV.= 8.00 �� 5 EXISTING KNOCKOUTS ': , • 2' LEGEND 3 BEDROOM p 0 / •x; 1 �\ �p �\ w\ HOUSE _ - ! 15s" OUTLETq. t� 12" INLET 88X0 DENOTES PROPOSED'-.- SPOT. 1 �:, � � •� � � � � � , �-_ � •: ,• .,• 2 SPOT GRADE LOT #24 ,... .r., ..,: :,,. X 104 46 DENOTES EXISTING _ . DEN `r-------- . . , Lq #16 �,,--- .� 15s" 1.75" SPOT GRADE � 4- �Yo,7so SgeDatre Feet +� --/ >�, ,;--- PLAN-SECTION CROSS SECTION PL .d .\ �� �.�. �- ' PROPERTY LINE 6 If \\\� JY- ���• _ � _ 6 HOLE DISTRIBUTION BOX - H 10 PROPOSED CONTOUR \ .t �\ �\ �\ `--------- �� �'----_ ' NOT TO SCALE I �\\ `` 97- - - - - -97 EXISTING CONTOUR � `� � Design Calculations v> o ' i ,\\ �\ �\\��\`� :?9_ ,� ASPHALT -- Number of Bedrooms: 3 Equivalent to 330 Gal./Day DEEP TEST HOLE & \�� ��� �c ,%`--- 'e`v-��' Garbage Grinder: No PERCOLATION TEST LOCATION --Leaching Capacity Proposed: 330 Gal./Day Minimum `Vv O�0 �`�;` �`�\ ��,� ��' �,' �9� Septic Tank - 2 x 330 Gal./Day -660 USE NEW 1.500 GAL. TANK FENCE `� fit 0 `,\ SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch -, PRIVATE DRINKING WATER WELL ' LOT #17 Bottom Area: 0.74 gal/sq. ft. x 490.88 sq. ft. = 363.25 gallons 9`. Sidewall Area: NOT USED REVISIONS 90 Providing: = 363.25 gallons ,`.\ use, 4 ROWS OF 6-QUICK4NO. DATE: DEFINITION STONE FOR AN SAS HAVING THE DIMENSIONS: 12.7' x 26.0' w Bottom Area: (General Use Approval for 4.72 SF/LF of INFITRATOR \\`� \\`� •�• \�� UNITS N S per ROW 0 FT 4 ROWS x 26.Oxx 4.72SF/LF 490.88 DESIGN FLOW PROVIDED: 0.74(490.88 S.F.) 363.25 GIRD FOR , PROPOSED PREPARED SUBSURFACE SEWAGE DISPOSAL SYSTEM OF E DIANNA GEORG • #56 WEST TERRACE t 121 PLYMOUTH STREET CENTERVILLE, MA HOLBROOK , MA 02343 PREPARED BY: DiningKitchen cD° Bedroom Bedroom ��L �i Ssq�, �/1 RHEY /�{ a SffA Y.!11 1' L l 0 20 40 50 E �, ENVIRONMENTAL SERVICES, INC. F Living Room �FG �� ' Bedroom 1�10 , 1 111 THORNBERRY CIRCLE fST a MASHPEE, MA 02649 SCALE: 1"=20' S4NfTAR\P;, 3 BR HOUSE FLOOR SCHEMATIC I TEL/FAX : 508-539-7966 (Description Provided By Owner) SCALE: 1 "=20' DRAWN BY: CES DATE: MAY 19, 2010 PROJECT#SD-1181 ILENAME: SD1181PP.DWG SHEET 1 OF 1