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HomeMy WebLinkAbout0093 BRIARWOOD AVENUE - Health )3 .Briarwood Ave Hyannis A= 288-078 a Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M a 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 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. Important:When filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Richard M. Capen use the return key. Name of Inspector Capewide Enterprises rab Company Name 153 Commercial St. Company Address Mashpee Ma. 02649 City/Town State Zip Code 508-477-8877 SI 13385 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information-reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: Z Passes ❑ Conditionally Passes ❑ fails ❑ Needs Further Evaluation by the Local Approving Authority 02/05/2013 Inspecto' Signature U 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 is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner. and copies sent to the'buyer, if applicable, and the approving authority. ****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.futum under the same or different conditions of use. 22 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 i i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments p 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis annis Ma 02601 02/05/2013 page. Cityrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary:Check A,B,C,D.or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: El 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): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 } Commonwealth of Massachusetts W Title 5 Official Inspection- Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. City/Town State Zip Code Date of Inspection . B. Certification (cont.) B) System Conditionally Passes (cone.): 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.ls removed ❑ Y ❑ N ❑ ND (Explain below): . C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment: 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public:health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water El Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. City/Town State Zip Code Date of Inspection . B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public.health, safety and environment: . ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a'septic.tank and. SAS and the SAS is within a Zone.1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private,water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well** Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal. coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen Js equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria A licabl.e to All Systems: Y pp Y 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 ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 93 Briarwood Avenue Property Address - Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. CitylTown - State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. El ® Any portion of a.cesspool or privy.is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a.cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.[This . system passes if the well water analysis, performed at a DEP certified laboratory,for 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.] El ® The system is a cesspool serving a facility with a design.flow of 2000gpd 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large 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 D. 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 El the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area-IWPA) or a mapped Zone II of a public water supply well If you have answered "yes to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of.17 L Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage.Disposal System Form- Not for Voluntary Assessments e 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ Z 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 El El this inspection? ® Were as built plans of the system obtained and examined? (If they were not El 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? ® 1-1Was 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 El approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information .. 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): 330gpd t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 i Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. City/Town State Zip Code Date of Inspection D. System Information Description: 2011-----37,402 2012----67,324 Number of current residents. Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes N No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/personsisq.ft. etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•.11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 . 02/05/2013 _ page. City/Town State Zip Code Date of Inspection D. System Information (cont.). Last date of occupancy/use: Date Other(describe below] General Information Pumping Records: Source of I information:. Was system pumped as part of the inspection? El Yes ® No If yes, volume pumped-. gallons How.was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool El 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): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ,M a 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. CitylTown State Zip Code Date of Inspection D. System Information (Conti) Approximate age of all components, date installed(if known)and source of information: 5/12/2010 Department of health Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): 10+ Distance from private water.supply well or suction line; feet Comments (on condition of joints,venting, evidence of leakage, etc.): Joints ok, no leakage, vented through roof Septic Tank(locate on site plan)` Depth below grade: 1 feet Material of construction: Z concrete ❑ metal El fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 Gal lit Sludge depth: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of.17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments p 93 Briarwood Avenue . Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. Cityfrown State Zip Code Date of Inspection . D. System Information (cont.). Septic Tank(cont.) . Distance from top of sludge to bottom of outlet tee or baffle 2.9 L 0.1 Scum thickness Distance from top of scum to top of outlet tee or baffle 12' Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? opened covers and took measurements Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,:evidence of leakage, etc.): Tank does not need to be cleaned now re-check in a year if usage differs from current owner(very light usage)The system has 2 1500 gal septic tanks.. Grease Trap (locate on site plan): Depth.below grade: feet Material of construction: ❑ concrete El metal El fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness I' 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 t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form.-.Not for Voluntary.Assessments 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.). . Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): 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 Alarm present; ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No I 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 t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 j� Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-.Not for Voluntary Assessments 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. City/Town State. Zip Code Date of Inspection D. System Information.(cont.) Distribution Box(if present must be opened) (locate on site plan): 01. Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of.leakage into or out of box, etc.): Box was functioning as intended. D-box was video inspected and found to be soild with no rot, no signs of past hydraulic overloading 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If.SAS not located, explain why: t5ins•11/10 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts _ f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments t °�M a 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013. page. CitylTown State Zip Code Date of Inspection D. System Information (cont.). . Type ❑ leaching pits number: I ❑ leaching chambers number: ❑ leaching galleries number: leaching trenches number, length: ® leaching fields number, dimensions: 1 14.385x20 . ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology:. Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition.of vegetation, etc.):_ Soil was dry 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 g ❑ t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments e ^M 93 Briarwood Avenue . . Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma02601 02/05/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil;signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma. 02601 02/05/2013 page. Cityfrown State. Zip Code Date of Inspection D. System Information (cont:) 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 l N C `I RZ 12,f g5 6.4,1 CC7 1 33 � u� �O '�`a t8 Z`t U 62 �e•v � y i,4 E4 8`,� 63 Iq,n cc� ��•S 4,v t5ins•11I10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official- Inspection Form - Subsurface Sewage Disposal System Form - Not for Voluntary assessments 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma : 02601 02/05/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information.(cont.). . Site Exam: Check Slope ❑ Surface water Check cellar ❑ Shallow wells Estimated depth to high ground water: 10.6'+ feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, 5/4/2010 date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with Iocal excavators, Installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high round water elevation: o Y 9 9 system plans Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 93 Briarwood Avenue Property Address Jackie Flanagan Owner Owner's Name information is required for every Hyannis Ma 02601 02/05/2013 page. City/Town State Zip Code Date of Inspection . E. Report Completeness Checklist ® inspection-Summary: A, B, C, D, or E checked ® inspection Summary D (System Failure Criteria Applicable to All Systems) completed_ ® System Information= Estimated depth to high groundwater ® Sketch of Sewage Disposal_System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 AsBuilt Page 1 of 1 TOWN OF BARNSTABLE LOCATION �J f � SEWAGE# -01 O — [ -L 5 VILLAGE a USESSOR'S MAP&PARCEL 62 - -78 INSTALLER'S NAME&PHONE NO. t.'ogl 4(.-f SEPTIC TANK CAPACITY S ZA)d LEACHING FACILITY:(type) Lzu� thr- i. u -bt W(size) . Iv.3g,S Y ZQ i NO.OF BEDROOMS OWNER ,/I10 C eec 4 r okk PERMIT DATE: h;-/7,o t a COMPLIANCE DATE: 5" !2 — Z e r a Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ,VU Zf 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 i 300 feet of leaching facility) Feet I' FURNISHED BY 6n GL �i-U P,,3<5 (,iL C I i i I r C 113 zo,n C$- Z-L-0 l�l ZO I_f C lyO `a 14,0 32 Xtr•o C� :0 �3 S C(ob.S 8 5 qv http://issgl2/intranet/propdata/prebuilt.aspx?mappar=288078&seq=1 11/22/2010 No. V Fee U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippCicatiou for Th5pogal *p5tem Cou5truction permit Application for a Permit to Construct( ) Repair(A Upgrade( ) Abandon( ) l�I Complete System ❑Individual Components Location Ad ess or Lot Ng Owner's Name,Address,and Tel.No. TN.P W dy �J ykLbL 9-3�� t�a^�+�1 4v­.C,� 3 v QCcl�,oris� Assessor's Map/Parcel 6f& _ �� 7 3 1�i�A{ l�Ov l 7 e/ 4� Installer's Na1}7 e,Address,and Tel.No. f01 y Z 8 ya°28 Designer's Name,Address and Tel.No. a-7 3 o 3�7 CfV-1WIO�Q �v� \42 JC -Coj I"e A---J vs'd )e O Type of Building: .. Dwelling No.of Bedrooms .3 Lot Size \21 600 sq. ft. Garbage Grinder ( ) Other Type of Building (e $ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) .33 gpd Design flow provided 3 S-S ' Z. d gP Plan Date -5- V !O Number of sheets / Revision Date Title Size of Septic Tank /Sp O H /U Type of S.A.S. 0�0 /tie 3(o O Description of Soil s-2-, P�» Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 0 Or, Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date S' ?_o ttn. Application Approved by 14 Date L0 Application Disapproved by. Date for the following reasons Permit No. 2 d t o" u� Date Issued a " _No. o I �t� .aL-,-ij�r; a Fee 'ws b o U THE COMMONWEALTH OF MASSACHUSETTS' Entered in computer: PUBLIC HEALTH-DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es ' pplication for Digogal *p!gtem Coufstruction Permit Application for a Permit to Construct( ) Repair( tj Upgrade( )*Abandon( ) L Complete System ❑Individual Components Location Address or Lot No Owner's Name,Address,and Tel.No. li y4�.fj✓t 1-F-`�,o,•,.{�,,:j f �,n c,.f -�Qv..� U'�cc i{-, Assessor's Map/Parcel 0 ,5 v,s Usk Installer's Nargie,Address,and Tel.No. �U� y2 f qUa 8 Desig_(nerr's Name,Address and Tel.No. sU f 7 3 V?If"7 yt-U 2 r�Q��0'K W) raLu.� s v (�re JH l�r D 3 i Type of Building: Dwelling No.of Bedrooms 3 Lot Size y sq.ft. Garbage Grinder ( ) :Other Type of Building (2.e S No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 3 gpd Design flow provided 3 S`s ' 7- gpd Plan Date S - r{ e,O Number of sheets / Revision Date - Title Size of Septic Tank /$UU N /U Type of S.A.S. Jo Aye Description of Soil S*-e. P lam„ ` 1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 2 O or, - Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. L Date S` Z�to Signed Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. b 10 Date Issued 5- /U THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the Ori-site Sewage Disposal System Constructed ( ) Repaired (V Upgraded Abandoned( )bey ( stn.e1v!p� �� �ey i --e at / Ia v la/u has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �0(0 -�,Z dated Sr /0 S 2- F,,Installer <"5. �a �,r,(�rprr fr S Designer �. r n r, n r,{e Y r #bedrooms a .3 Approved design flow Z• gpd The issuance of this pe t shall not be construed as a guarantee that the system wi11 f ction as deli , e C ` Date I z if Inspector C% �, .✓. _----__--- ------------- ------ ---- ------- -r-- - ------- ---- ------ ---- - z -- No. Fee 116V r THE COMMONWEALTH OF MASSACHUSETTS T PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migo!gal *Vmem Construction Permit to Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( ) System located at /�r,�f woo � n and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special'conditions. Provided: Construction m st be completed within three years of the date of thi s OIL• Date d Approved by Town of Barnstable P# Department of Regulatory Services ��$� : Public Health Division Date i639 �e� 200 Main Street,Hyannis MA 02601 rF0 MA't� Date Scheduled Time f - Fee Pd. D° Soil Suitability Assessment for Sewage Pisposal Performed B Mt c4 g,&( P�(Y iW FYI i L I G s - y' a C Witnessed By: v i N LOCATION CENV"t INFORMATION Location Address a Owner's Name �e ��on e r'AI'W4✓� Y/V� Address Assessor's Map/Parcel: / Engineer's Name 5C ,5n51ne&cln5 1v1C, asg-n� NEW CONSTRUCTION REPAIR _� Telephone# 5D8-273-0 3 77 Land Use �ily�(Q {C►vYtc�y dtuel(tn.— Slopes(%) Z- s Surface Stones Distances from: Open Water.Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ? t ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) See- ct6&eA q�an Parent.material(geologic) Qt*14J0341 Depth to Bedrock (Z( 4 J Depth to C,roundwater: Standing Water in Hole: > (2(e�\,5 Weeping from Pit Face Estimated Seasonal High Groundwater DETURIVIINATION FOR SEASONALRIGI3 Method Used: -Prceok 0oservayary Depth Observed standing in obs.hole: —In. Depth to doll mottles: '(2 In, Depth to weeping from side of obs,hole:. 7 12(o In. Groundwater Adjustment ft• Index Well# Reading Date: Index Well level Adj.factor Adj,Orowidwuer Level PERCOLATION TEST Dke. Observation Hole# Time at 9" Depth of Perc 3(0 Time at 6" r Start Pre-soak Time @ (©'(2 Ad Time(9"•6") End Pre-soak (0:17 AH Rate Min./Inch Z Site Suitability Assessment: Site Passed `fie S 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 Gonducted.within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:4SEPTICIPERCFORM.DOC. DEEP OBSERVATION HOLE LOG Depth from IOIe# P Soil Horizon Soil Texture Soil Color Soil Surface(in) (USDA) (Mansell) Other Mottling (Structure,Stones,Boulders. Consistency,%Gravel a (I 2y-36 g LS /DVrs/6 r 3b-121O C H-�S 2, 5�'°l� - 5-to%3.ajt` DEEP ObSERVATTON HOLE tOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. -.Consistency,%Gravel 2Y-3b 6 LS 36-12(a C, ff-C3 2.5 e/e r 5-16/j c1raue DEEP"OBSERVATION HOLE:LOG Depth from Soil Horizon Soil Texture Soil Color Soil USDA Other Surface(in.) " (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEE"BSERVATION HOLE:LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. gi1gstenc o Gravel) Flood Insurance Rate May: Above 500 year flood boundary No_ Yes Within 500 year boundary No 1/ Yes Within 100 year flood boundary No Yes Depth of NaturallYOccurring 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? Ye S If not,what is the depth of naturally occurring pervious material? Certification I certify that on ' 27-7 q (date)I,have pa$sed the soil evaluator examination approved by the Department-of Environmental Protection and that the above analysis was performed by me consistent with the required training,expert' a an xperience described in 310 CMR 15.017. Signature Date Q:ISEPTIC\PERCFORM.DOC I FINISH GRADE OVER D-BOX= 26.7'+ 4"SCHEDULE 40 PVC MIN. SLOPE 1% PROP.VENT WITH CHARCOAL TOP OF FOUNDATION = 28.3± FILTER TO ABOVE GRADE FINISHED GRADE OVER BIODIFFUSERS= 25.5 - 26,5 PROVIDE EXTENSION RISER SLOPE @ 2% MIN. WITH COVER OVER INLET& INSPECTION PORT WITH 1, UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION �Z FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. F.G. OVER TANK EL.= 27.3±#2 REMOVABLE WATER-TIGHT COVER OVER "ACCESS BOX TO WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FOUNDATION = VARIES -�-� 3 OF F.G. (ONE PER ROW) RISER TO WITHIN 6"OF FINISHED GRADE CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN.ACCESS 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE COVER(3 TYP.) 36"MAX. } 9"MIN. I DESIGN ENGINEER. " -EXIST. SEWER PIPE N 11 9"MIN. SEE NOTE 21 PROP. PVC 36"MAX. 48"MAX. TOP OF SAS B.O. 22,rjQ' 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL J� ! = j SEWER PIPE 5"DIA. OUTLET(S)// SYSTEM UNLESS OTHERWISE NOTED. MIN.SLOPE(d 1% 6" 3" 2N DROP MIN. 3" 9" PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 3 DROP MAX. MAIN-SLOPE 1% JOINTS(TYP.) ELEVATION =22.50' FOR A DISTANCE OF I V AROUND THE PERIMETER OF THE SAS. UNLESS A PROP. PVC 10" 4"PVC IN FROM 1. 3' Q 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF SEWER PIPE 14" 25.0,0'(#1) SEPTIC TANK 4"PVC OUT TO (TYP.) T 16 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. *25.8_ #1 25.00'(#2) O LEACHING FACILITY 0.90M'M V q 10.75 fNP) „ 5, SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. i *25 #2 OUTLET TEE 24.550 MIN. 6" 24.33' 22.07' 21.17' (laid flat) 2.875'(34.5")� 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 25.25'#1 48" (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIF 25.25'#2IED PRIOR TO BACK 5.0' AS BAFFLE 6"CRUSHED STONE (TYP.) 5'MIN. FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS OVER MECHANICALLY REQ D 14.375' 10.3'TO FND(#1) NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 10.0'TO FND(#2) COMPACTED BASE 20.0' AND DESIGN ENGINEER. 6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX (TYP.) $. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 28.00'ESTABLISHED OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV= < 16.00' BIODIFFUSERS END VIEW) ON TOP CORNER OF STEP AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET. OUTLET ( J 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. 20 - BIODIFFUSERS THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT PROPOSED 1500 GALLON CONCRETE SEPTIC TANK#1 & #2 *PER WIGGINS (BY ADVANCED DRAINAGE sPRO SYSTEMS, INC.)LENGTH 10' 6' WIDTH 6$-_ DEPTH 5 8 (Dimensions per Wiggin CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY EXISTING SEPTIC TANK Precast Corp',Pocasset,MA) DISTRIBUTION TAIL { - *) r C � 3 � � BIODIFFUSERS - � TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK& f�, NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. DEEDED OR TEST I-'" IT DATA 11 . NO DETERMINATION HAS BEEN REGULATIONS. OW ER/APPL CANDTE TO OB AIN SUCH DET AS TO COLIANCEIERM NATION FROM ZONING APPROPRIATE AUTHORITY. PERC NO. 12921 INSPECTOR: David W.Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS IN, EXISTING LEACHING PIT TO BE „ .w u EVALUATOR: Michael Pimentel, E.I.T. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE �_ . ' �► THEY SHALL WITHSTAND H-20 LOADING. 3 PUMPED, FILLED WITH CLEAN COARSE /C� i �` C.S.E.APPROVAL DATE: Oct.27, 199) SAND &ABANDONED TYP OF 2 �^/ a 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. '',A,"' S8°S800\ ` ( ) (40'��D vv�0 k DATE: April 29,2,010 F e F(�VO�T �q - TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM,SUBSOIL AND UNSUITABLE )(Ae ' /VI if aP _ MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ta' ELEV TOP- � 26.50 I 41 �'A - REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, 1 PROPOSED 1, 9 , G - FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 1' 500 PG 1 � ', � ,� ELEV WATER= < 16.00 GALLON SEPTIC TANK#1 � � "':'���� ��;� ; ��,�� � �� � 'Ctt,'I r "' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN •ZONE 2 PERC RATE= <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. g p PROP. DB-5B DISTRIBUTION BOX ,+ z DEPTH OF PERC= 36"-54" a<v \ a 16. PROPOSED PROJECT IS LOCATED WITHIN: PROPOSED TOTAL 20 ARC 36HC(#3616BD) �. \ �D�E OF p BIODIFFUSERS H-20 IN A FIELD CONFIGURATION , e ,: r. TEXTURAL CLASS: 1 ASSESSOR'S MAP 288 PARCEL 78 \ ( ) a , / \ k�X AVtMEN7` t$ " mow, OWNER OF RECORD: NANCY JANE VECCHIONE \ �`�, PROPOSED INSPECTION PORT WITH LOCUS . Y MAP 288 04 \ kTXs ACCESS BOX TO GRADE(TYP OF 5) 0" ADDRESS: PO BOX 344 °o PARCEL 79-04 °ry`O `b LP 3 N Ra,99 0S k-� ,' 26.50 \ \ • OSTERVILLE,MA 02655 Z 4 0 p0 k�k''k� \ 24 Fill .� X FEMA FLOOD ZONE C 24" 24.50' B Loamy Sand COMMUNITY PANEL# 250001 0006 D 2) \ ,\� \ 10Yr 5/6 23 50' 17. DEED REFERENCE: DEED BOOK 1429, PAGE 39 _ 36" Perk 18. PLAN REFERENCE: PLAN BOOK 141, PAGE 19(LAYOUT) \ / 3 ¢ M ��\ \2� � `+, r +r 54" 22.00 19. ALL DISTURBED AREA SHALL B LD �4 .� \ \ \ „ S S L E RESTORED TO ORIGINAL CONDITION. , . . GARAGE 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY �` ► rt ;` °;,mot• Med.-Coarse Sand FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY N Benchmark \ ` r ' + •� *�' °3 r, C 2.5Y 6/6 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 0 C-1 Top Comer,of Step TP 1 �� (7 \ 1 ( I ;. rA � ; '° � (loose; 5-10%gravel) 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405 THE FOLLOWING LOCAL UPGRADE G 3 PROPOSED Elev. =2g,pp' APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7): CLEAN-OUT Approx. M.S.L. (6 26x5 (1.) A 1.0'WAIVER(3.0-4.0')FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. i a �-INV.=25.9'± HC- 3 LOCUS PLAN f MAP 288 \ / .o� { SCALE: 1"= 1000' " 16.00' . � ca I PARCEL 78 3 \ 0 126 B.H. \ �/ No Mottling, Standing or Weeping Observed 12,$00 S.F.t #93 20N 8) / EXISTING - `� /� TEST PIT DATA 3 3-BEDROOM 2°° /-�- / ( DESIGN DATA LEGEND DWELLING LP (5 \ / PERC NO. 12921 TOF= 28.3'± 00 TP 2 / ) INSPECTOR: David W.'Stanton, R.S. 50xO EXISTING SPOT GRADE '� / EVALUATOR: Michael Pimentel, E.I.T. 26x5 / / / NUMBER OF BEDROOMS (DESIGN) 3 - - - (4 � / ' � C.S.E.APPROVAL DATE: Oct.27, 1999 EXISTING CONTOUR 50 - & S, /A / / DESIGN FLOW 110 GAUDAY/BEDROOM DATE: April 29,2010 50 PROPOSED CONTOUR TOTAL DESIGN FLOW 330 GAUDAY TEST PIT#: 2 `� INV.=25.8± (3 DESIGN FLOW X 200 % = 660 GAUDAY ELEV TOP= 26,50' ❑HW EXISTING OVER-HEAD UTILITIES / N ! W USE PROPOSED 1,500 GALLON SEPTIC TANKS EXISTING WATER LINE W ELEV WATER= < 16.00 MAP 288 / �.. }A / PERC RATE GAS EXISTING GAS LINE PARCEL 77 HC- � DEPTH OF PERC PROPOSED CID INSTALL I INSTALL 20 - ARC 36HC (#361613D) BIODIFFUSERS (H-20) TEST PIT LOCATION CLEAN-OUT / TEXTURAL CLASS: 1 ry� / PROPOSED PVC VENT PIPE; O O O PROPOSED 1,500 GALLON SEPTIC TANK SWING-TIES d'sr I /}/ / EXACT LOCATION PER OWNER SYSTEM CAPACITY >> �' I PROPOSED 1,500 (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD 0" 26.50' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE DESCRIPTION HCA HC-2 HC-3 � �p� }/ / GALLON SEPTIC TANK#2 (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING/DAY SEPTIC COVER IN (1) 13.2 22.3' I �, Fill ❑ PROPOSED DB-5B DISTRIBUTION BOX -- _ / £ � h� / EXISTING CESS POOL TO BE TOTALS: SEPTIC COVER OUT(2) 14.8 17.1 -- PUMPED, FILLED WITH CLEAN 24" 24.50' � PROPOSED ARC 36HC(#3616BD)BIODIFFUSER(H-20) TOTAL NUMBER OF BIODIFFUSERS: 20 Loam Sand SEPTIC COVER IN (3) -- 32.2' 12.4' }/ / COARSE SAND&ABANDONED TOTAL NUMBER OF COUPLINGS: 0 B 10Yr Sand -- �/ / (TYP OF 2) TOTAL LEACHING AREA: 480.0 36" 5/6 23.50' SEPTIC COVER OUT(4) 27.5' 19.3' �/ �/ ` TOTAL LEACHING CAPACITY: 355.2 REV. DATE BY APP'D. DESCRIPTION co BIODIFFUSER CORNER(5) -- 29.6' 35.1' £ N �-/ �`� PROPOSED SEPTIC SYSTEM UPGRADE BIODIFFUSER CORNER(6) - 21.7' 43.1' f / NOTE: J PREPARED FOR: BIODIFFUSER CORNER(7) -- 41.2' 59.5' �0,1 EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE C Med.-Coarse Sand CAPEWIDE ENTERPRISES G DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER / 2.5Y 6/6 BIODIFFUSER CORNER(8) -- 45.8' 54.0' }/ QJ Q "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED 1 (loose;5-10%gravel) }/ Q �►� DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST MODIFIED LOCATED AT 0O Q• FEBRUARY 1$, 2010). TRANSMITTAL NUMBER=W000052. NOTES: 1 � /f �•� �o�'�` 93 BRIARWOOD AVENUE 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP f ' �A'o,°��' /}� ��� �.� qyft,11/f , MA 6 126" SC LE: 1 INCH 10 FT. DATE: MAY 4,2010 c� 1 � Qj ��p EDGE OF EACH SEPTIC SYSTEM COMPONENT. 16.00 0 5 10 20 40 FEET No Mottling, Standing or Weeping Observed jN or r�gssgc 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION -1- OF THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY �� s /+/ �QP °� JOHN L. �� PREPARED BY: WITH TEST PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER �.�. " / /� / �O RESERVED FOR BOARD OF HEALTH USE "'j JC ENGINEERING, INC. CHURCHILL JR. AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH v}/� /o ���0 A CIVIL 7 2854 CRANBERRY HIGHWAY TEST PIT DATA. o ES DA A � o s o,,,. �� ^�. EAST WAREHAM, MA 02538 �� SITE PLAN 508.273.0377 3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2. SCALE: 1"= 10' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.1815