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HomeMy WebLinkAbout0020 ERIN LANE - Health 20 ERIN LANE, HYANNIS A• t oil I c i� a TOWN OF BARNSTABLE LOCATION a�6 �ytyy0l) SEWAGE# VILLAGE 4VI,4 1S ASSESSOR'S MAP&PARCEL T INSTALLER'S NAME&PHONE NO.� ,% A J)(cxi. ,v3 ,J ew SEPTIC TANK CAPACITY I LEACHING FACILITY: (type) " G, {size) /A, rA?— NO. OF BEDROOMS q OWNER PERMIT DATE: 2 COMPLIANCE DATE: Separation Distance Between the: /V OAr a 4®eoC Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY a \ o e � � � �j � � � C - � . � � � � z: -� �� �, � o �, � N i N b c,a e� � �, N � � � � � s . �� a t� v� , ! _ � � � S .S, � � s S N No. t 5- G,-3 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0(pplication for Disposal *pStem Construction Permit Application for a Permit to Construct( ) Repair(.1-lu"pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a2© i:i-,� (�itJ Owner's Name,Address,and Tel.No. Assessor's Map/Par/el � S _ ���� Installer's Name Address,and Tel.No. Designer's Name,Address,and Tel.No. a,$!<°5 a-aw- i rN< _7 INa°POIlv C9 �C Type of Building: 01 Dwelling No.of Bedrooms / Lot Size /!(p sq.ft. Garbage Grinder( ) Other Type of Building j('S f � d/a/ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) !�-�/�J gpd Design flow provided 4,/61-) gpd Plan Date //�y�� Number of sheets 1;21 Revision Date Title Size of Septic Tank C)LItikey r Type of S.A.S. 2 q,t19rJ 14 -= Description of Soil Nature of Repairs or Alterations(Answer when applicable) W t�� 4 , 0 r r�3 rX0 QI&A3 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. Sig d Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �1 5 0 4 3 Date Issued 1 c ' 'i. +a4 .r'° s '`, V c .� *�.,,. t �'y �+�n #'.`''<4•^�h^'�M!r�L x:.. _ � _ E �ff{,.w 3fti'MIicF•f�A��"v� of� .F-n q'«✓*tvrp�„w' ...rl�... u.�^•..' +w .'l..,i'�.r, W �+e. !'N,. r+4''^" �t b - —.. - . r i _ , i ir1> No. r Fee y THE COMMONWE'ALiHOF.MASSACHUSETTS Entered in computer:, Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.a 0 r G Owner's Name,Address,and Tel.No. /yyyk vevIC, Assessor's Map/Partel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.Sob- G�-7 LG.���.vr�✓l�r c� �C ,� Type of Building: Dwelling No.of Bedrooms )) Lot Size sq.ft. Garbage Grinder( ) Other Type of Building �P�II/Pi��J No.of Persons Showers( Cafeteria( ) Other Fixtures i Design Flow(min.required) 04,Q gpd Design flow provided 41(,GJ• '� gpd Plan Date ///7 AS Number of sheets Revision Date Title I Size of Septic Tank e)t/y (/v r Type of S.A.S. r C`) oG,))mO 14 -.20 C Io m\t (C Description of Soil i 1 Nature of Repairs or Alterations(Answer when applicable)t nls� k�j LI 10� SI-Oroe Cr fnc A�►� c v (�1��� v i Date last'inspected: Agreement:. y ; The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in tj 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. t Si ,ed Date 'ApplicationApproved by Date Application Disapproved by Date for the following reasons r Permit No. r 01� 44 3 Date Issued r THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )b�/ d c�G• 1 7/ors• Z ,�✓C at;2 Q rr i✓ `- � y ..,��'g has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N � 'q 3 L( dated �J 15 �/mow i'" `- NC Designer J:^.rIeV r f ~f #bedrooms y Approved design flow,�td/��'/� gpd The issuance of this p rmit sh 1 not be construed as a guarantee that the system will r cti n)as designed. Date Inspector ------------------------i----------- ----------------------------------------- ------- ---------------------- ------ --- C r ------------- - No. �} 3`7J / Fee ,/C% 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at ,(9 Y_"7�r,- ///,r✓/`7 5 e and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must he c m leted within three years of the date of this pdrmit. l � Date Approved by Town of Barnstable Regulatory Services .Richard V. Scali Interim Director o { snxNsraaM 9� Public Health Division t63 ► " Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer&Designer Certification Form Date: I2A I g I Sewage Permit# Assessor's Map\Parcel Z a'l 7 - 6 b Z Fo.f_r- I 050}e.e PE Designer: c n� 1-00rIAs 6A c Installer: V. A , i32.4 A 6•�L Address: l Z W-. Crb s r R4 Address: P 0 - il-a x `4 3 aF��s ate MA- IS26g4 6evc4-er-J:1LL P^1k p Z�32 On %,`Z-/7-/ �, �1�ca 1 n C. was issued a permit to install a (date) (installer) septic system at 7-6 5 vi Lin , H y&Cn ne J based on a design drawn by (address) dated.- .-) 1 �'1 � 1 S` (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. Strip out (if required) was inspected and the soils were found satisfactory_ I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in co liance with the terms of the 1\A approval letters(if applicable) 494s�9cy o� PETER T. G� ller s Si atur McENTEE o CIVIL No. 35109 E (Designer's Signature) (Affix Desi Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASepticlDesigner Certification Form Rev 8-14-13.doc I Town of Barnstable P# F1HE Tpk Department of Regulatory Services Y BARNSTABLE, i Public Health Division Datej v� 1659. ��� 200 Main Street,Hyannis MA 02601 Arf0 MAt t� Date Scheduled kxl Time Fee Pd. Soil Suitability Assessment for Sewage Disposal �a Performed By: \L�-2 r � �� ��"L Witnessed By: ' /(/1t%� ��f^✓t �I� LOCATION & GENERAL INFORMATION Location Address z© ern LAB Owner's Name i�Ct,V\VA i S Address Ka�/� Ch WVL(1 , Q i j Assessor's Map/Parcel' 2,1� ��'7_(��'2-, Engineers Name NEW CONSTRUCTION REPAIR Telephone# 56—B -7 3� Land Use oe"n_ 1.1 Slopes(%) 2 Surface Stones AJ6Iti-e Distances from: Open Water Body >`50a ft Possible Wet Area ft Drinking Water Well>l,S� ft Drainage Way W -/V—"ft Property Line l y� ft Other ft SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) i I f l Parent material(geologic) G v�-uzS Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Facie Estimated Seasonal High Groundwater tI DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: _in. j Depth to weeping from side of obs.hole: _in. Groundwater Adjustment_ _ft. Index Well# Reading Date: Index Well level Adj.factor__ Adj.Groundwater Level_ PERCOLATION TEST Date- __ Time Observation ,p Hole# T F I ^� U Time at 9" Depth of Pere C� I 5Ct/jC V1 5 Time at 6" — i Start Pre-soak Time @ Time(9"-6") _ End Pre-soak Rate Min./inch (; Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) �l I 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 IBarnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# 1_ depth from Soil Horizon Soil Texture .Sdil Color Soil Other Si rface(in.) (USDA) (Munsell) Mottling—(Structure;Stones;Boulders. Consistency,%Qravel't I1 q-j�{ -102 Ck M -- a OZ. Med,5ghd Z 5Y DEEP OBSERVATION HOLE LOG Hole)#=z- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. _ ions' a thy,40_ rave't . zz S - bz: C 2 r Iw S"s--t DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munselq Mottling (Structure,Stones,Boulders. onsistencv.%Gravel) DEEP OBSERVATION HOLE LOG Hole l# DeQpth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. � „�„_ gr�sistgncv.96 Oravel?„_,_,,, i � I • ]Flood Insurance Rate Man: + Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes i Within 100 year flood boundary No Yes D'enth of Naturally Occurrine Pervious Material D'Ioes at least four feet of naturally occurring pervious material exist in all areas observed throughout the atlea proposed for the soil absorption system? _A - If not,what.is the depth of naturally occurring pervious material? Certification I c j certify that on tit .2 (date)I have passed the soil evaluator examinationi approved b the Department of Environmental Protection and that the above analysis was performed by me consstent:With . the required training,expertise and experience described in 310 CMR 15.017. Signature Date 1\S�BP=-\PERCFORM.D0C �� 40� i � 'Y commonwealth.of.Massachusetts �ECEIV�® Executive Office Of Environmental Affairs Department of JUN I Environmental Protection 71DWNo� N 'William F.Welder Governor a Trudy Coxe -�:f� O,IT�Y4 2��. Secretary, E A r David B.Struhs Commissioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A �, CERTIFICATION ` 9f tr �4t Property Address:v �r`i nt Lkv-�V "+'iF4 t�t'`�+1� Address of Owner: "�U C-, /J t <<-✓'G�hl s . Date of Inspection:" "`-("`t (If different) " f �-� * � „ Name of Inspector �,Q(� — Company Name, Address ankelephone Number. 'CERTIFICATION STATEMENT is fr�� 'I certify'that I have personally inspected the sewage disposal system at this address and that the information reported below is tr e`.accurate. and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper fu7ncti0n'a��;�nggd',,�` maintenance of on-site sewage disposal systems. The system: bp,. X z Passes _ Conditionally Passes i Needs Further Evaluation By the Local Approving Authority °t Fails :.t R °t "(,t..$ fai i:mC`s ,trfvr ifs Date: I Ins ector's Si natu The#System„Inspector shall submit a copy.of this inspection report to the Approving Authority within thirty (30)1days 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 howner sihall ssubmity: the report to the appropriate regional office of#the Department of Environmental Protection. 'The original should be sent w the system owner and copies sent to the buyer, if applicable and the approving authority ��xfltkx � x,t � ,ii';i >.1 ..�- .•4, - '.:.' �J, t, ! ':�i %tt 'S1i rr { s t. , ��±.. (r srg.s ps,ii,Pala°}F#�t4fiS it to � j���t �u3'y. 'ol INSPECTION SUMMARY: , r :i tkt�ro �� 't; jtn t i +'n:Yr vita+r? !1 s '`t t . 1. r n rt•it.' t':ratft` z; € a h'. i1 it d.t, 5 ., t s. . d .e• :! lc �� it r itfl kli letM ! � £� r ,, y '".. or D;C B Check A , , , a. . ,c I-Air,r� a v a'if AJ SYSTEM PASSES: t ! r sl Istgt'3� ��E «6 �v 1 have not found any information which indicates that the system violates any of the failure criteria as defined in'310 CMRt15 303. ` Any failure criteria not evaluated are indicated below. °� K B) SYSTEM CONDITIONALLYPASSES: t t*h 1 � _ � ' �r i�^a 9 PV St i' t � s3? � �`0% r � .fr?i'i. One or more system components need to be replaced'or repaired: The system,1 upon completion of the'repl ace ment orrepai[� ' Passes inspection. at M <' ref' t..,.,<, .r r , r 1 qi vA„' Indicate yes, no, or not determined (Y, N, or ND). Describe"basis of determination"in'alr instances:'If"not determinedt',`explain why dot) The,septic tank is metal, cracked structurally.unsound, shows substantial infiltration or exfiltration, or tank failure is „ timminent.r The'system v'ill pass�ins ' ction if the existing septic tank is replaced with a conformmg4pt#c tank as mod * . approved by the Board of Health: `rod" t k{ r : "�; { a yi-A fitrt+ � { (revased'8/15/95) rtj 1`; One Winter Street • Boston,Massachusetts 02108 • FAX(617)858-1049 • Telephone(617)292 SS00 3 � Printed on Recycled Paper 4 `�£� Y R *r t . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM, PART A ` CERTIFICATION (continued) r� Property Address Owner: a�.✓'��:a t yi Date of Inspection: B)SYSTEM CONDITIONALLY PASSES (continued) " Y Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system.will pass inspection if(with approval of Board of Health): '+ R broken pipe(s) are replaced ; obstruction is removed distribution box is levelled-or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system Will pass}Mtn#.f inspection if(with approval of the Board of Health): broken pipe(s) are replaced 5 t} K 9 •'t Y .� obstruction is removed 1 J.Rn I. )•' C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: s Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect theA public health, safety and the environment. SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE.SYSTEM IS NOT FUNCTIONING IN'A MANNER�� WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY.AND THE ENVIRONMENT: '��` '. r 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. tf5; t � R T)rc,z•SYSTEM,WILL FAIL UNLESS.THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER;IF'APPROPRIATE)"'DETERMINES THAT f;, °� ~ THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH" AND SAFETY AND,THEX 07 ENVIRONMENT: a4,f�°� g,iAY"u r .•. _ . i!. t i1 ram( #ft16iEy#F� j 'r• 1t1P wctem has a septic tanK ana soli ausorpuun sysieni anu is within IOV feel t0 a surface.wmcr SUpNIi Or tflbutary ;t0 a �s surface water supply. p _ The system.hae a septic tank and soil absorption system and is within a Zone I of a public water supply r, The system has a septic tank and.soil absorption system and is within SO feet of a private water supply well _ The system has aseptic tank and soil absorption system and is less than 100 feet but SO feet or more�from a pnvate vyater !. supply well, unless a well water analysis for coliform bacteria and volatile organic compounds tndiwtes thathe wehi s �7 � s � free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or lest wnt NO ppm• D) SYSTEM FAILS: �s � tr +ew •''�'` • / I have determined that the system violates one or more of the following failure criteria as.defined in 310 CMR 15.300, 5 303, The hosts +;for this determination.is identified below.,The.Board of Health should be contacted to determine what will beneeesaary�to co" r —+ the failure. ,,, ,: • Backup of sewage,into facility,or system component due,to an overloaded o dogged SAS or cpessgool� � * -a r Vi Sgsm l+&,71al Y faj. WPi�rt t ; Discharge ar�pond)ng of effluent ito the surface of.the ground or surface waters due°to an`overloaded"or,clogged,SAS Or • ,� �. ` i.', r 'fi'�•hz.# �, rr cesspool. .!!t t+ .� t.�i...a v?'t, {� lrx•'y? (revised 8/15/95) 2. AC i. f 4s r� g kx y, .t "y ar i� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM k�� PART A CERTIFICATION (continued) , Property Address: °.. } Owner. GA,-4-4,;�` , Date of Inspection: Li U ; DJ SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. � 6" Y Liquid depth in.cesspool is less than 6" below invert or available volume is less than 1/2 day flow. . Required pumping more than 4 times in the last year NOTi due to clogged or obstructed pipe(s). � Number of times pumped r % Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. r Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cessPgol or privy is within a Zone I of a public well. } Any portion of a cesspool or privy is within 50 feet of a private water supply well. L`7/r # 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. If the well has`been analyzed to be acceptable, attach copy of well water analysts`fot� h � t: coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen: { rn 1 ' EJ LARGE.SYSTEM FAILS: to g , Thelollo�ving criteria apply to large systems in addition to the criteria above: s f The design flow of system is 10,000 gpd or greater (large System) and the system is a significant threat to public health Arid safety and the environment because one or more of the following conditions exist: 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 �c ;;, _ 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? 33� vThe.owner or operator of any such system shall.bring the system and facility into full compliance with the groundwater treatment program im,requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information `�1#,i�,ii At �� d t j •. y 15 s�� �r�"��x F VN e3 (revised 8/15/95) 3 t „ s h�},b t n r t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM PART B k CHECKLIST tr t¢¢' u Y. Property Address: kAy s Owner: 6>a­4-30,. Date of Inspection: Check if the following have been done: t f. �y Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. . As built plans have been obtained and examined. Note if they are not available with N/A. x= fhe facility or dwelling was inspected for signs of sewage back-up. he system does not receive non-sanitary or industrial waste flow !'The site was inspected for signs of breakout, All system components, excluding the Soil Absorption System,have been located on the site. t e septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles'or. w, tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. x' ' x')< " '. A. ON ZThe size and location.of the Soil Absorption`System on the site has been determined based on existing informabo roximated by non intrusive methods. ra"�x • ',$ r+,s.y1� _ThE fdcili;y i'.�,r,e- ;�^;,+ o;cupa:^ts, if dif!e•enc from owner) were provided with information on the proper maintenance of Sub-�°•*�'� ' . Surface Disposal System. ; G '# h Y, 2 r�4�� s�rXyf�yR aR ,f i V" k i ap + {(revised 8/15/95) 4 F SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: Date of Inspection: fit sw)t�A FLOW CONDITIONS RESIDENTIAL:, Design flow: s all ns �-4 Number of bedrooms: Number of current residents: t,�,s;' i§ Est ' A#r}, Garbage grinder(yes or no):,4)( Laundry connected to system (yes or no): Seasonal use.(yes or no): #%� . Water meter readings, if available: � yy d�Yil}C��kfifit� F' ' ' tk to ? rFjfi� �i `rY,�.X., 'Co Last date of occupancy: loll COMMERCIAUINDUSTRIAL: iSEtf . Type of establishment: Design flow:_$allons/day Grease trap present: (yes or no)_ vi ' t"hrism'.q 1 #, ' .Industrial Waste Holding Tank present: (yes or no)_ Non sanitary waste discharged to the Title 5 system: (yes or no)_ .. ..., Y "t Water meter readings, if available: � fi Last date of occupancy: T OTHER: (Desciribe) A��,����� Last date of occupancy GENERAL INFORMATION' 1�Jl,pyiq �°� PUMPING RECORDS and source of information: Z,I System pumped as part of inspection; (yes or no) �� "")�tots � ':( , If yes, volume pt,rriped: vallon. Reason for:pumping: 7�� fi��#.i w kSa�'tdl� :. TYPE OF YSTEM "" Septic'tank/distribution box/soil absorption system .u, w Single cesspool Overflow cesspool Privy ' Shared system (yes or no). (if yes, attach.previous inspection records, if any) <� , Other(explain) a h , kr APPROXIMATE AGE of all components, date installed (if known) and source of informationjw : Sewage odors detected when arriving at the site: (yes or no w� a ,., V. . (revised 8/15/95) y . i4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) ". Property Address: 4-`r :✓ +- Owner: arc :ct :rp,l+ Vic,s ,er fX Date of Inspection: SEPTIC TANK: (locate on site is jig t; s Ott tf r14) ,aa Depth below grade; t Material of construction; concrete _metal _FRP_other(explain) (6 t it Dimensions:. { Sludge depth: `�`'/ Distance from top of stud to b t�m f outlet tee or baffled{ 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: I y { Comments: ♦,qp 1r t'TF7x '2 � . (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural k Integrity, evidence of leakage, etc.) (1 To q,tv 5iPSI t , GREASE TRAP: g (locate on site plan) .Depth below grade: Material of construction: _concrete _metal _FRP_other(explain) r } Dimensions: Scum thickness: x " Distance from top of scum to top of outlet tee or baffle: [Distance from-bottom n, Fro, t- hottorr of ovule! tee or batlle' - ,! tt i et_St�`t'=tlllf�� ���(�•t����ra� (recommendation for pumping, condition of inlet and,-outlet tees or baffles,rrdepth of liquid level in relation to outlet invert;structural,* ! integrity, evidence of leakage, et(.) a: Ar .. - .. ,.>c..,x- , M.r.,w+. 1y ft}ttF;6htF;d.7igc;�P6.•V'+ Sc:.Ko r.• ,_ .. . . ... .. .,.,.... ,.,,,. r.s,t,rt,-_ �tti�°�'� +Y'�t$6�J �r�k. { z . 1.k z r � s 5«.. �, •, •aye, lid r.r'3XS}.tw v3r?I J'it�>y.�'!��/���' .����� IRS, =' (revised 8115195) 6 &nth , • �'":ifs . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION.FORM, . ' PART C SYSTEM INFORMATION (continued) Property Address: v :✓ � -�. t °e { Owner: Date of Inspection: ,a ; TIGHT OR HOLDING TANK (locate on site plan).` ;'rsP '_ Depth below grade: Material of construction: ..concrete_metal_FRP_other(explain) Dimensions: s i f c" ft+t"�c.ir.J Capacity:_gallons t ' B Design flow: gallons/day Alarm levels Comments: k h� " (condition of.inlet tee, condition of alarm and float switches, etc.),: of ,� t4 .r � . '3it e .: DISTRIBUTION BOX: 4locate on site plan) Depth of liquid level above outlet invert: /, y�'✓ Comments: iWa it��rsr„a to at p% tnote d level and distributiui Equoi, evidence of solid: ca:r)u�er, evidence of leakage into or out of box, etc)"" "` l ut✓ l aka p r # :".. - , �t <r..., t t+ ` �i�-'"- . .r, S f ,t is. t .rl f z',✓ t t �A1 rika°l�';t'���}��3�� ��T r V,,PUMP.,CHAMBER:"!'t .pocate-on.site.plan) *t r �� �, - - �•y.�i, ,r w�i-Y,wyM Fre3np� .r� € Pumps in working order.(yes or no) t `5r Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.) erg^ pq,Vlrevised 6/15/95) 7., R y 44 f � f ry , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) ' Property Address: 6 V:�. LC C. t�y a Owner: Date of Inspection }, SOIL ABSORPTION SYSTEM (SAS):_ N (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: r leaching pits, number: r , leaching chambers, number._ leaching galleries, number: _ `4 x leaching trenches, number,length: leaching fields, number, dimensions: ., ' *t overflow cesspool, number: Comments, (note condition of soil, signs of hydraulic failure, level of ponding, conditio of vegetation,etc.) ...... ®R CESSPOOLS: (locate on sited) ' . Number and configuration: Depth-top of liquid to inlet.invert: ¢ .Depth of solids layer: E g N `J"rc 4,Hw P,`F'rtfr �ai`r34r ,�$ 'Tz f Depth of scum layer: + Dimensions of cesspool: Materials of construction: ' Indication`of.ground„ate,; 'e: iat� ��f ;1t'xl ) inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) ` 7. PRIVY: ` (locate,on site plan) h�, <L > ,,a.,yf.�..ay•.. «e ,, .... . ..., , S.' -a r,i'. .y!, ,`'i ft e! ° It ',a"_Y,4k A3�A3i� � '. Materials of,construction: Dimensions 4 Depth,of solids: ` Comments: (note condition of soil, signs of hydraulic failure, level of pond.ing, Condition of vegetation, etc)''M y r Isevised 8/15/95) 8 ( f _ • • ^t r 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address- Owner: Date of Inspection: i SKETCH OF SEWAGE DISPOSAL SYSTEM: E . include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' kt? 1 1:. e ►1, � ��pv�hi t t l d ` 8E'. Y t �V r a s � f A 3 Tn' � • .. zI s`r`� j DEPTH TO GROUNDWATER ao IV -�� �* Depth to groundwater:�fe t f r. S ��,�.v- �"T'' —�}O !t-- `� Ci, method of determination or approximation.jr .w M 9 M '(revised 0/15/95) i +r . 21 a9i- 0/7 a2 LOCATION SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED 'fi, DAT E COMPLIANCE ISSUED .� ' tl v � � � �� � a o � � . � . N ' r I FY F�$.......`e............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................OF...�ox.!ts.o&1�................................................ Appliration for Bi-qVnsttl Works Tonstrnr#inn rrmi# Application is hereby made for a Permit to Construct ( t__)"'or Repair ( ) an Individual Sewage Disposal System at: ...... .. �.a.......�....n.�n......................................... ......................•-------•------•------------........-----------------•-•-------------------- n Location-Address 5 or Lot No. ol. .. ? .. .e.G................................ .... 5.. �c ..../��.�r�HN�. ............................... Owner Addiiss ac.11 Ps . .CQ�?sT.................................................. .....Cftt.A,4L'W.......f !iAd.--..............................---- . Installer (Address dType of Building Size Lot_./I A6%.............Sq. feet U Dwelling—No. of Bedrooms.....................................Expansion Attic ( ) Garbage Grinde aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafete *a ( ) a Other xtures ....................•------•----•----- W Design Flow........ ..o.........................gallons person per day. Total daily flow.........?-®.......................gallons. WSeptic Tank—Liquid capacity//..gallons Length................ Width..............._ Diameter-_--.-__--__.-_. Depth................ x Disposal Trench—No. .................... Width....._.............. Total Length.._................. Total leaching area....................sq. ft. Seepage Pit No..................... Diameter............._...... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) PercolationTest Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... (% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----------------------------------------------------------------------------------------------------......................................................... 0 Description of Soil....................................................................................................................................................................... W ----------------------- -- - --------------------------------------------------------------------------------------------------------------------------------------------------------•-•••............••... VNature 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 i1TA IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance h been issued t e board of Health. ned..... . ...... .. N -------`r.k3 Application Approved BY E... -------------------------------------------------------- f/ 1/ ...••..(............... Date Application Disapproved for he Ilowing reasons:................................................................................................................. ..........•--•-•••-••••-•.....-•-------•..............••-•--•-••-•••-••.......--••-•---•....-•--•-....--•-••--••-----------••••••••-••••--••••--•-•-•••--•-•-•--••---••• ••-•--••••-----•--.........-•- Date PermitNo......................................................... Issued--•---....--------------.......-•-•••--................ Date ------ - ---- -- -- S FPS...... ! ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. OF........(.�:a, .�,c;,T �..t. ................................................... Applirativat for Uiipn,i al Works Tomitrurtiun rrmff Application is hereby made for a Permit to Construct ( L✓y or Repair ( ) an Individual Sewage Disposal System at: ..... f? .. . ........ L.L.`2... +.....•......................................... ..........----------...-----------••-•-----------••--•----•-•----................................. Location-Address or Lot No. ....... i J p4ctk...2,c ... ! :.5....---•••......--•---••--- W f ....Cs> � �WiiTr... A > �. Installer rrAdreUType of Building Lot_.!16._e.............Sq. feet Dwelling—No. of Bedrooms............... ...................... Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .......................................•-------•--._...----------•--•---•-----•--•-•----.._._..------•---•-.....---...------...-••-•-----.............. W Design Flow........;tko.................. gallons pz ®n per day. Total daily flow......... ......................gallons. WSeptic Tank—Liquid capacitv./CQ a._gallons Length............... Width................ Diameter................ Depth................ TrenchDisposal x SSe page Pit No-- _��.,-____- Diamete WidthTotal_._._.__.... Dept below inlet.................... Total lleaachin eaching aarea..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (�-4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................--_-_--. a -••--•-•-•••-----------------•••-••............-•-••--••---........-•-•-----•-..................----......................................................... 0 Description of Soil.................... ------------------------------•.......-•--•-•-•-----------•--------------------------------------------------------------•-•-•--......•----....._.. U � W .................. .:. . . - U Nature of Repairs or Alteratto sAnsuc when applicable....................... .............................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha been,issued tke board of health. S Tied _. . k fl t).. ...... f Application Approved BY lr ,�.� .........................................V, lle [ie Application Disapproved for he Rowing reasons-............................................................................................................. . -----------------------------------------------------------------•--••-•----- ---.......--••--....--'-••--•-•----•-----------••------•--•--•----••........................•..... .........--- Date PermitNo.-•----•............................. = --",. Issued..------------------------•--•--------•---•----•-.....: Tom. Date - -- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /.�?. ...................OF...... ..R..r'!�SdL1VC............................................... Trrtifiratr of Tuutplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by.............................................................4%. 'a f.-----� "-r:----------------------------------------------------------.------------------------------ Installer at.................................................... has been installed in accordance with the provisions of TITLE 5 ofhe State Sanitary Cod as escribed in the application for Disposal Works Construction Permit No... !" ._C'0"���............... dated//.. YA-, ........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A GUARANTEE THAT THE SYSTEM WI/ L F NCTION SATISFACTORY. DATE...ll... Z Inspector----- ........................................................................ THE COMMONWEALTH OF MAS ACHUSETTS BOAR^D� OF�yHEALTH p+rJ........................OF......L?s�_t`. .S.1 � ............................................. No`�.Y';�12��._. FEE�:G?................ Dhwiial urkii (gunaitrnrtiun amit Permissionis hereby granted.............................................................................................................................................. to Construct ( ,* or Repair ( ) an Individual Sewage Disposal System d' .............. 1{ Aj'j kt-t`' ................`?.....----........ Street as shown on/theplicat' n for Disposal Works Construction Permit „. ................. Dated........____._............................ -_.... ...-•-- --------------------------------------------------------- --------------••-•-- DATE----�� - ._�._._.....-•---- .................................. • Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON LOCATION . .Z _ No. y� VILLAGE DATE, Z APPLICANT _Q�, n9�DL—hnh FEE (Non-refundabl ADDRESS 1� ()c-CCz5n S1•• I-t�aq,nJ� TELEPHONE ' NO. -$ [� '_ENGINEER W L rv, �1_F= Pr n�u h e TELEPHH _ ZFsiqnatUire) LEDDATE SCHEDU (Applica . . o .o . . . . • . . . e,. . . . . . .:o . . . . a . . • • . . . . . . . . . . . SOIL -LOG �I lb�j TIME SUB-DIVISION NAME t, r.� 5- _ DATE_ EXPNSION AREA: YES _NO _ i I 1 c3ly� LY�.°�bp_1-yYlc3,f7 ENGINEER TOWN WATER PRIVATE WELL r_[5 byt BOARD OF HEAL T-" pP ,� EXCAVATOR SKETCH: (Street name,etc. ;dimensions of' lot, -exact location of test holes. and percolation tests, -locate 'wetlands in proximity to test holes) NOTES : O O� O` N OT To SCnLE PERCOLATION RATE:42 (hlblfiLIA ' TEST. HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION: 1 LL'VbY LeM 1 WILLIAM LIEBERMAN 235 TIMBERLANE 2 // A�!�� u b 3t L 3 W. BARNSTABLE, MA 02888 34 4 5 5 6 6 t 1►. I; g 8 �. . 9A 9 10 i�> � 10 S. /.- • + 11 12 •: � (lavinlG� 12 1 Ne WATER 13 13 14 ._ 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS • LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC CT T APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P . E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT y .. N oLO zN 0 U M z ZI� 3 c� o Q Z ao w O Pine Grove m = w z U) w ? w O N N�- Ave Q J J Z a .. LO~ Z to O Q Z W U) m J. V) N �U U �J0 a� w0 Ld �Li � Ld marl J 0, - a M Rb uo aye O w O W- > (n� F- dam Y 0�. lLW J0 a �� Om ~wLo = W W Q)' Y St Joseph Pr`\\Py morel FAWCE1T5 ?O 1 pap o � o r=- a Q zo (n _ ~ (n r--N cn cn � W Q _ 3 O Q _ St �� U~. �Q� LAW 0� LJ 0 � �O OLLJ 0 OQC QJ Cy Q �. Off . U�- r �s U OZ o �=zp m`O �� �� ma �� <Ld wY a>Ld �z o (n U 3S uyo LO J aW fraf Ooz > 0 JO o� aU �� CL _ oL >� ° Wo V) w O w w Q OW >�� �m wUDi Qa Z O PITCHER'S WAY w z LO N � Q'W UI mQ Zww L'i w =� UI- JZ LLJ JO >-w W Z W r aZ of�a O OO O�� mF C� d _ SOU) w Wa0 mF V)Z �= Q `� Q FW\ a 0 O F-F- m z f- z w � ~W ~ 0� W a J ~ � Z w- a U))-- F- Z O- _ F-� O}- o X to O W WW WF w ° W OmZ 0 ZWO a W Oa F- ~ J0U-J DO F-- WO I 0 ULLJ tal > mz bow a~ 0 JU0 Ld 0-0Z0 Z O c) o oz =md Zd cwi�w mZ 0' LaJ �U) -J ° U)m 0=Z � rr0Z 0 � ��� �0 Hof Lew �0 m0 W O O D 0 (n �wp QJZ U �J ocn0 F-~0 ~ zoa JCS mO0Q 0W Owl O= F- w o zW U�Fao o w> �O� a OmU > Z OZU mw voo ~C� a Lmn� Z g Z O F- Z~ U)O Ww ZWW m S OaZ too a F v O a Q 3 Y a� LVnwg >-Cf z�� o cnzc�n o ~ �of> ZZ �Qa ow viw �o U N 3 a�� ;�vi m Dwcn -oz W 0 QO o F- U) n Dm Q Q o Z C) o =Z O Z� ° z F- c� o o a i= � W u_'z froW q Ja O o f � cn FL o cnJ O= �z Ocn z Z z = a = Z �— =a �E� cano zzp Uwi wow ooQ Q oww �� m� zZ � Z 3 4) c~n U~i w F- z wU' O orz- �z0 i ai mz� L<'ow m z 0- O w �> w ww ozJ �o 00 �z W Q' ° ��' �° X X X > W wZ O ° U)a 60fo W � Qm O wWv Z F-W - LLJ m W W W O F- m _j z ~L¢ ZWa O OZZ OHO Z WOa J O LJZF=- ~ZZ fr E>- U)w wW p J w= < w a W�cD t=Wm O Q� w Z oo� wo� pw~ pm -o wo a M� °o 00 Q C� f J , OF U) Z�0 a W yam mpU w�'� wo ZU) z0 0 o p ^i z� Ycn� aww 0z�o > tnz`� m Q w�� ��m �QF,, Q � g0 z� W CV 3) o W =0 Owl U Wa__Z OF-w w w0= �oW O wU U a (/� L U� �T-i p a U)zO U�Z Li' 00 J w � aLLJU =-'v~i =g Qa NO w~ o ° C `' X LLJ JQ J U r-� W U) r0CD J wWa f- W J�� TWO =~W �� _0 _>- �•� N � T 0 Qm QO� � � �o0 Qww Q 1=-FS 3 F QQD F-�U �Z� az ~Z ~� O N L6 co r o6 of o r C i N O 'U C o W W 'n v a U F- a a. CIq O C/.) m o N CN Of 0 LLJ YW o � Q � w k�z o O �Z90f,S�f'�, ?m N13Z Q o - o N cli `` LO N m o o (D W Q n W ��� o M o cp 0 0 V bo � x M Lu A01, zCD o m � z \ o o x O)ft.Lu H OD = Z N cu CD CN lit cr2 lu Y 06 o ;•'." C9 Z C9I - W O No cu ..pp ` 00 1 1� p O o F- - ..`V, o >C OJ kip, o (n"�v N/ 0� lu U� W F` ? M o qj o o f CD b.s .. `q OZ/d : o CD -'< o 0 s M x o o\x _. :`.: Q SEATS LLI WZ>M a Y` o �Wv C o QZ n � Z -Z U o t o WW03 PB 373-PG 10 �, 1 i, NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:98.0 SEPTIC TANK FOR A"DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET P AND SET TO 6" OF FINISH GRADE. PROPOSED D-BOX PROPOSED SAS I INSTALL WATERTIGHT RISER & PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" SHED OF FINISH GRADE FOR INSPECTION PURPOSES DECK COVER SET TO 6" OF GRADE h T.O.F.=102:85f F.G. EL.=100.5t VENT � �r1,. EXISTING/ F.G. EL.=101.3t r F.G. EL.=100.7t F.G. EL.=100.6f f MAINTAIN 2%1 GRADE (MIN.) OVER S.A.S. HOUSE(#67) 0.F.=102.85t L - 7' L = 23' ® S=1% (MIN.) ® S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC �(Q � 10I ma oo 03 LA 14" 8" oam mmm EXISTING 48" LIQUID a®eaa®® N ,I+ LEVEL 4' 4.8' 4' GAS BA FLE INV.=97.70npROPOSED INV.=97.73 INV.=98.27t D-BOX EFFECTIVE WIDTH = 12.8' ' EXISTING INV.=97.50 EXISTING SEPTIC_TANK 3 500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN 12 8 H-20 RATED TOP CONC. ELEV.=98.6t - -� BREAKOUT ELEV.=98.00 , amoo SEPTIC IC LAYOUT NOTES: INV. ELEV.=97.50 moos mBamm mmm 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=95.50 ammo moo�a INVERTS, PRIOR TO INSTALLATION. 4' 3 X 8.5'=25.5' 4' 4' MIN. OF NATURALLY OCCURRING 2) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE PERVIOUS MATERIAL EFFECTIVE LENGTH = 33.5' ON A MECHANICALLY COMPACTED SIX INCH CRUSHED ®®®® ® ® E3 E3 E3 STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. ABOVE GROUNDWATER LEACHING SYSTEMES CTIONE3®®®®® ® ®®®® 370' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTT. OF TP, EL.=89.0 - ®®®®®® ® ®®E3 Oa 4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON 3/4" TO 1-1/2" DOUBLE N > ®LT®E3 Ea E3 E3 Ea E3 THE OUTLET TEE. I WASHED STONE z 3" LAYER OF 1/8" TO 1/2" SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE 102" (OR APPROVED FILTER FABRIC) SOIL LOG 4" KNOCKOUT DESIGN CRITERIA 20" DIA. COVER DATE: SEPTEMBER 28, 2015 (REF 14,833) NUMBER OF BEDROOMS: 4 SOIL EVALUATOR: PETER McENTEE PE?E#1542) 4" KNOCKOUT / 4" KNOCKOUT 58" SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S. HEALTH AGENT 0 DESIGN PERCOLATION RATE: <2 MIN/IN ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH (0.74 GPD/SF LOADING RATE) 100.5 FILL o 100.5 FILL o 4" KNOCKOUT DAILY FLOW: 440 GPD 99.3 14" 99.5 12" DESIGN FLOW: 440 GPD A ; A GARBAGE GRINDER: NO SANDY LOAM SANDY LOAM 500 GALLON CAPACITY, H--20 LOADING 10YR 4/2 h 10YR 4/2 LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF 99.0 B 18" 99.2 B 16" CHAMBERS 74 GPD/SF SANDY LOAM SANDY LOAM / 10YR 5/8 10YR 5/8 N.T.B. EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 98.5 24" 98.7 22" PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS C1 30E�4g„ C1 PROPOSED SEPTIC SYSTEM UPGRADE . PLAN USE 3-500 GALLON LEACHING CHAMBERS IN SERIES M-C SAND 1 M-C SAND SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 91.7 2.5Y 6/4 106" 920 2.5Y 6/4 102" 20 ERIN LANE, HYANNIS, MA a: SIDEWALL AREA: 2(12.8' + 33.5') X 2 = 185.2 S.F. Prepared for: D.A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 33.5' = 442.4 S.F. MED. SAND MED. SAND 2.5Y 7/4 2.5Y 7/4 Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:..............................................................627.4 S.F. Engineering Works, Inc. NTS P.T.M, 224715 DESIGN FLOW PROVIDED: 0.74 GPD/SF(627.4 SF) = 464.3 GPD 89.0 138" 89.0 138" 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. NO GROUNDWATER, PERC RATE: <2 MIN./IN. (508) 477-5313 11/7/15 P.T.M. 2. Of 2 SOIL LOG NO. 1 0 NO. --2 SITE PLAN .n�1•v'CAM, r`---- - F-- 9�� 3 4 L-1L- 5 TOP OF FOUNDATION El. ioc - :1. r ,;.:. �/ :�:;. - . � � 7 1'�" L k Cove' �J 8 •°• it ' }. . _ <. �'fl 5 ----- - -- !�` /rX / -�. .- ' �_- 9 l ( I N E L __` n _ I N E l Jri_ 2 COVER 1 8 3 8 WASHED STONE 12 �---; IN El. _ IN El tea_ IN E , -� / / 3, 4' LIQUID LEVEL O/B W/ 6 SUMP tr o o a -- + 3/4 1 1/2 WASHED STONE 13 o^ a , ' ° o sj.� I ✓° a , 14 • bow � .`; 6" EFF. DEPTHi 15 --- a � _ �- : �:. - - j' a {{{� PERC TEST RESULTS � ° Dnil PRECAST SEPTIC TANK WITH ° � LEACHING PITS PERC RATE : � `PRECAST CAST IN PLACE INLET AND ° ° - - WHITNESSfD BY : EL. � � - _�� �- - _� NO.: � __ SIZE : � ����,=z� h:�.� ��� .� . i OUTLET T "S PER TITLE Y 7 - - BOARD OF HEALTH r SIZE : 4'% a x 1� '�o Y��L �s'B' �;�H I` D I A . DATE : TJ i PROFILE OF PROPOSED SEWAGE SYSTEM SYSTEM DESIGNED BY THE TOWN OF __ . w _ .o. REGULATIONS AND STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4"= V0 " N . B . 1. All PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE 2. All PIPES SHALL BE SLOPED 1/4 "' PER FOOT EXCEPT FOR 07 i THE FIRST 2 FEET OUT OF THE 0 / 8 WHICH SHALL BE LEVEL 3. DESIGN FLOW BEDROOMS AT 110 GALOAY PER BR . y z�% GAL/DAY, ��-'C� SEPTIC TANK SIZE - X =- =-__ _ _ GAL . i T "'rl. .: USE � _ GAL. W/ - GARBAGE DISPOSAL - -~ - --- LEACHING SYSTEM : USE r 4� F ,o EFr t .7:'1 J7 aF w - 3a L US C. I C d.LGU I.A1+o0 o P C.A ruG, C :x T'( ao'\ Lo � ►`� P i3 �L_wo QE2u�oos MA?E�c,a�� �C EFFECTIVE AREA : SIDE S �s ': � _� __ � s 5, T" r 1 BOTTOM TOTAL FLOW _.- __ _ tr?, - TOTAL REQ 'D FLOW X W/6,rs GARBAGE DISPOSAL RESERVE FLOW GAL/DAY _ -FLU REFERENCE PLANS To p. APPROVED BY : BOARD OF - HEALTH PROPERTY OWNER : DATE : -- SITE ANDSEWAGE � ---- � - Foy - �.•;�. :� _1 - . RED2oom 31NGL'L 'F`A A1\`{ awSL.ltwG Y I0�ry� DA TE- -:a W iLL1AV-A L►EC3L- 1'iMHt�l Z 3 5 -T 1 Eli IL \.A% r - - - i I