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HomeMy WebLinkAbout0015 GEORGE STREET - Health VA 15 George Street _ Hyannis .A= 291 — 087 r 6 lti I� a - p TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL o')' ( 7 INSTALLER'S NAME&PHONE NO. rs.ncS2.l � J— �►C�q��t;u,.• S�� SEPTIC TANK CAPACITY LEACHING FACILITY:( e),AW (size) A�O"x D0,3' x.l NO.OF BEDROOMS OWNER�J_ G �� ���� PERMIT DATE: a I S C o`Z O COMPLIANCE DATE: 0 T Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) '! Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ! Feet FURNISHED BY Wi�,t.+a��"1 ��r���J� �.Se�,�t�►'�{� ` V000 G� d Ul . - � � O O � o LAI . 9J No. FeA (� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for ]Disposal 6pstrin Construction permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. Owner's Name,Address,and Tel.,Id G -9a Assessor's Map/Parcel staller's am Address,and Tel.No. g Designer' Name,Address,and Tel.Nos'old�'`��� 71F iF Type of Building: Dwelling No.of Bedrooms �� Lot Size Q_o Garbage Grinder( ) Other Type of Building �CS No.of Persons Showers( ) Cafeteria( ) Other Fixtures C, Design Flow(min.required) gpd Design flow provided 7 -7 gpd Plan Date�(� �('� Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) \Q �o e4,..o w1,l.e'�.�5- '�, IP®CA a Y 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. S' ed Date 0 Application Approved by Date y Application Disapproved by Date for the following reasons Permit No, C Date Issued 2 4* .•.a•" -. cif.- -ipa;• .. "p9,yrr' Y THE COMMONWEALTH Cf.MASSACHUSETTS Entered in computer PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplicatlon for BIsposal 6pstetn Construction Permits, Application for a Permit to Construct( ) Repair V/Upgrade( ) Abandon( ) El Complete System ndividual Components`^ Location Address or Lot No. ` s p T-S C - Owner's Name,Address,and Tel.No.,Sj 6 -9a c/_4e1 '7G Assessor's Map/Parcel j,_ -C mow. Installers Name,Address,and Tel.No. go7_'8-e�r-COBS Designer's Name,Address,and Tel. e 7 Z3 �_ �2�1`R,� ✓` csc�e''.� %_ c h7 '��^5 .we w -,.ten, r � s Type of Building: } , I Dwelling No.of Bedrooms Lot Size a ? i ti�S-t. , Garbage Grinder( ) Other Type of Building \ =, No.'of Perso s Showers( ) Cafeteria( ) i C rY` Other Fixtures Design Flow(min.required) "? C:!�) gpd Design flow provided �/4 �' gpd Plan Date Number of sheets I Revision Date e Title Size of Septic Tank 5nf) �,4 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) (::Z 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. t Si e'd Date .2 9 6) Application Approved by Date Application Disapproved by ! Date for the following reasons Permit No A 10 Date Issued q/;Z,,7„ ----------------------------7--------------------------------------------------------------------------------------------------------------- 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 ' _ p has been constructed with the provisions of Title 5 and the for Disposal System Construction Permit No.qctj r dated 7 110 7r1'7�l Installer 2, .=2g r Designer #bedrooms �_ Approved design flow` gpd The issuance of this permit shall not be construed as a guarantee that the system will fun (on as desi ed. Date 7 Inspector W ----------------------------------------- - - -- - ------------------------------------------------------------------------ No. V ZO _0S/ _ _Fee THE COMMONWEALTH OF MASSACHUSETTS _ PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Bisposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair 0, Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date � GZ C) g Approved by t Town of Barnstable &41 . Inspectional Services : Pubtic Realftb Divionl sh 163 Thomas McKean,Director y � ° 200 Main Street,Hyannis,MA 02601 Of1-x= 50"62 4644 F 508-790.6304 Installer& Designer Certification Form Date: 3 to © Sewage Permit#a . OS ( Assessor's MaPXParcel a��l g� Dom: CSNI F_n tnerzr-n Address: PO 6b�- 2-01 Address: �O 1Qc �?IA rc.w�-+cr M 1{ OIA-31 On ( 2< " � ,�,� i issued a permit to install a (date installer) y`�` septic system at 16 Gf-o��e- (3r, ffiann%S based on a design drawn by (address)CS N ogtne- -rt dated—XI lyIU,)-o (designer) I certi that the septic system referenced above was installed substantially according to the deaM which may wrlude minor approved changes such as lateral relocation of the distn-b aim box and/or septic tank- Strip out (if was -inq=ted and the soils were f 3und satisfactory. I certi that the septic system referenced above was installed with major changes (i.e. thm 10' la=W=Aacafm of the SAS or any vertical relocation of any component of the woe system)but in accordance with State&Local Regulations. Plan revision or a certified as-built by designer to follow. Strip out(if required)was inspected and the soils were and satisfactory. I cerQe that the system referenced above was construct with the to rms of tit dal (if a �rde) ' °F y �s s [o,V�9✓ 70 N ( C n tape 's Signature) ,��o s y (Design is Signature) (Affix Designers tamp Here) PLEASE URN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMP13ANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUELT CARO ARID RECEIVED BY THE BARNSTABLE PUBIJC HEALTH DIVISION. THANK YO . WoAdeptAHEALT EWER connecASEPTICOmigner Certification Form Rev&14-13.DOC TOWN OF BARNST"LE LOCATION SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY \ �j OD GA� gam,• G�s'.5. i LEACHING FACILITY:(type) ASJS a4 {:AC (size) Q S`L x t (,!S 'w K NO:OF BEDROOMS OWNER PERMIT DATE: Q (a I l 3 COMPLIANCE DATE: Separation Distance Between the: _ Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) f Feet FURNISHED LA 3c� 3= 3V 0413 O, 3- f J 05 � ` '� No. t� _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ftphration for Misposal bpstem Construction Vermit Application for a Permit to Construct( ) Repair( ) Upgrade(t,,f Abandon( ) Complete System ❑Individual Components Location Address or Lot No. -eO r5<f STa'iZ Owner's Name,Address,and Tel.No.S_-`d r3 Assessor's Map/Parcel �R( ' $ ��or 2 C_17.-%-_�V, Installer's Name,Address,and Tel.No.SCD?-?1?g`C-;5,5_5 Designer's Name,Address and Tel No.$ V Type of Building: Dwelling No.of Bedrooms Lot Size "�g SP47r4rAq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33 Q gpd Design flow provided 3��S^ gpd Plan Date �`Q ``� Number of sheets Revision Date Title Size of Septic Tank �S'n O Type of S.A.S. Description of Soil -A � I Nature of Repairs or Alterations(Answer when applicable) ✓r�;".s Date last inspected: - r 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 Bnard of Ith. 9^ v t Signed Date Application Approved by Date r Application Disapproved by Date for the following reasons Permit No. ..305 Date Issued ^f + NA No. go I _ )OJ �1®—�' t; Fee U' '+ 1' THE COMMONWEALTH.OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNS BLE, MASSACHUSETTS ; f application for �isosai' psfeiri c�oi�structionertnit' ,Application for a Permit to Construct( ) Repair( ) Upgrade(t/f"Abandon( ) Vmplete.,System ❑Individual Components Location Address or Lot No. �,j G O rs<Z ST)-om- ' Owner's Name,Address,and Tel. Assessor's Map/Parcel �Q( 5?7 C O Q I Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.$ —3�Sv ' .© i �? 'cor�•,s c�`� �M�� `Q d� �5Z CAL "�r c� ,�r o��'3 r� Type of Building: --� Dwelling No.of Bedrooms `\ Lot Size ft. Garbage Grinder( ) + Other Type of Building c.5, No.of Persons Showers( ) Cafeteria( ) Other'Fixtures Design Flow(min.required) 3 gpd Design flow provided S^ gpd Plan Date ` =a L 3 Number of sheets Revision Date v Title 4 Size of Septic Tank p <zA(1_ Type of S.A.S.R)5 Description of Soil Nature of Repairs orAlterations(Answer when applicable) �� 4-0 r r --Date last inspected: Agreement: Jhe undersigned agrees to ensure the construction and maintenance of the afore,described on-site sewage disposal system in '. 1 #ccorda ce with the provisions of Title 5 of the Environmental Code and not to place the system.in operation until a C ertificate of i Compliance has been issued by this Board of Health. L: SignedL� Date �4 Application Approved by Date �� f3 _ Application Disapproved by a t ' ( Date for the following reasons ! 2 Permit No. .. 05 _ t Date Issued - - - -__ ' . ,: _• --- --.-------------=--- - ------ --------------- ==---------= ---- TH E COMMONWEALTH OF MASSACHUSETTS�, Y BARNSTABLE,MASSACHUSETTS Ti f., Certificate of Compliance THIS IS TOOCCEERTIFY,thaatnt the On-site Sewage Disposal system Constructed( ) Repaired( )1 Upgraded r Abandoned( )by at � S G has been constructed in accord F with the provisions of Title 5 and the for Disposal System Construction Permit No Installer Designer #bedrooms 3 Approved design flow SS / gpd The issuance-of this erm/shall o e con trued as a guarantee that the system fti ction as ddee�signed. Date Ins ector li f� ���� �1 iA � P U No. e�df 7 3 �� Fee 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 ��<i lie -�_ ��"e�\ • ��a��' 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. ' I Provided:Co traction must be completed within three years of the date of this permif:" Date f✓ Approved by r Town of Barnstable Regulatory Services Richard V.Scali,Interim Director MAM>inaxarnBr�, • �� Public Health.Division 163 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form 7291 Date: P?� s(1 Sewage Permit#Qno-30 Assessor's Map\Parcel Designer: 6/ Installer: � ,y a Address: -ze Address:'Y,© On issued a permit,to install a date (installer) septic system at 6fg f,,,. , Alef-i m (f° based on a design drawn-by (address) - CJ dated 9-1v Z//3 - . $-/t (designer) - `V I certify that the septic system referenced above was installed substantially accordigg 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 re found satisfactory. certify that the system referenced above was cons liance with the terms of the INA approval letters(if applicable) �A - UPODA.6. PIid1D (Installer'sSiin CIVIL No.405MO4 (Design s i ature) (Affix tamp 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. n•\Cenjc\TlvcianPr Crrfificatinn Fnr Row R-IA-14 dnr. Town of Barnstable °F114E A Regulatory Services Richard V. Scali, Interim Director 1A)RNSPABLE. ' Public Health Division 9 Mnss. RF Thomas McKean D MP'�e , Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternative Svstems Property Address: Assessor's Map\Parcel: `E?7 Property Owners Name:"Z Y\,',c In accordance with Massachusetts DEP alternative system approval letters, the following certification information is required by the Owner of record. The Owner of record must place an "x" in the applicable box next to each line certifying the information. Yes N\A ❑ I have been provided a copy of the Title 5 I/A technology Approval letters. (15 page Standard Conditions letter and the specific technology letter) Qr ❑ I have been provided with the Owner's Manual ❑ I have been provided with the Operation and Maintenance Manual Q^ ❑ For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide a Deed Notice as required by 310 CMR 15.287(10) and the Approval 9 ❑ For Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner, as required by 310 CMR 15.287(5) . ❑ If the design does not provide for the use of garbage grinders, the restriction is understood and accepted R' ❑ Whether or not covered by a warranty, I understand the requirement to repair, replace, modify or take any other action as required by the Department or the LAA, if the Department or the LAA determines the System to be failing to protect public health and safety and the environment, as defined in 310 CMR 15.303 agree to comply with all terms and conditions above. Property Owners printed name (,2;4,.,-I� Property Owners Signature Date Note: This form must be submitted along with the septic system disposal works permit application for all I\A systems including new construction, repairs\upgrades, with and without aggregate (stone) and with conventional design criteria or credited design criteria. Q:\Septic\IA homeowner certification.doc Doc:,1•s 228 s 260 08-12-2013 12:04 BARNSTABLE LAND COURT REGISTRY Notice of Alternative Sewage Disposal System M.G.L. c. 21.4, § 13 and 310 CMR 15.0287(10) Ehis Notice to be recorded and/or filed for registration in the chain of title of the Property served by an Alternative ewage Disposal System("Alternative System").] TN41�(S) OF OWNER OF PROPERTY SERVED BY ALTERNATIVE SYSTEM: .ADDRESS OF PROPERTY SERVED BY ALTERNATIVE SYSTEM: TITLE REFERENCE FOR PROPERTY SERVED BY ALTERNATIVE SYSTEM [check and complete each that applies]: Deed recorded with the Registry of Deeds in Book Page Certificate of Title N6Z1'Fcf It Vsued by the Land Registration Office of the Registry District Source of title other than by deed [If Alternative System Owner(s)is other than Property Owner(s), complete the following:] Alternative System Owner Name: Alternative System Owner Address: WHEREAS, Section 15.280 of Title 5 of the State Environmental Code ("Approval of Alternative Systems"), provides for the Massachusetts Department of Environmental Protection (the "Department") to approve or certify, as appropriate, all proposals to construct, upgrade or replace on-site sewage disposal systems using alternative systems; WHEREAS, owners and/or operators of approved or certified alternative systems are subject to general conditions, as specified in Section 15.287 of Title 5 of the State Environmental Code, 310 CNa 15.287, and may be subject to special conditions, as specified in the Department's approvals or certifications; such general and special conditions potentially including, without limitation, requirements relating to the use of trained operators,periodic inspections, maintenance, sampling, reporting and/or record'Keeping; WHEREAS, Section 15.287(10) of Title 5 of the State Environmental Code, 310 CMR 15.287(10), requires that "prior to obtaining a Certificate of Compliance for installation of a new or upgraded system, the system owner shall record in the chain of title for the property served by the alternative system in the Registry of Deeds and/or Land Registration Office, as applicable, a Notice disclosing both the existence of the alternative on-site system and the Department's approval of the system. The system owner shall also provide evidence of such recording to the local Approving Authority [;]" and WHEREAS, the Property is served by an alternative sewage disposal system. .. ... . . ... .. NOW, THEREFORE, Notice of an alternative sewage disposal system is hereby given for the above-referenced Property, as follows: 1. Existence. An alternative system has been installed as a new or upgraded alternative sewage disposal system, on or adjacent to the Property, and serves the Property. The trade name and model number(s) of the alternative system are as follows: Trade name of technolo Manufacturer Name:--_y, �Q1� Model number(s): F)�&G Page 1 of 2 i f 2. Approval/Certification. On %J . 9Q [date], the Department, pursuant to its authority under the section of Title 5 as specified below, approved or certified the technology used in the above- referenced alternative system, under MassDEP Transmittal Number}{ Jr- [Transmittal Number of approval or certification]. [Check one of the following, as applicable:] Approved for remedial use under 310 CMR 15.284 Approved for piloting under 310 CMR 15.285 Provisionally approved under 310 CMR 15.286 Certified for general use under 310 CMR 15.288 A copy of the Department's Approval/Certification is available from the Department in person or on- line at the Department's website: http://www.mass.gov/deu . WITNESS the execution hereof under seal this I � day of !- cA'✓ , 20X3 made by the above-named Alternative System Owner(s)_KJ � /J /ram ��[Alternative System Owner(s)] Paint Name(s): COMMONWEALTH OF MASSACHUSETTS ss j On thisi day of , 2013 before me, the undersigned notary public, personally appeared la e h (name of document signer),proved to me through satisfactory evidence of identification, which were non e, , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that(he) (s A- *9ft i ed it voluntarily for its stated pun_ose. . KATHI LEE GUINEN 0 -0 10 71�rl Notary Public ' (official signature and seal of notary) nnonwaalth of Massachusetts liw My commission Expires May 7 2015 - ---------------------------------------------------------------------------------- --------- ---------- -- ---- - - - - - - - --------- [Complete the following Property Owner(s) Consent if Alternative System Owner(s)is other than the Property Owner(s):] CONSENTED TO: . [Property Owner(s)] f Print Name(s): ' Date: • I � COMI IONWEALTH OF MASSACHUSETTS ss On this day of , 20_, before me, the undersigned notary public, personally appeared (name of document signer), proved to me through satisfactory evidence of identification, which were , to be the person whose name is ' signed on the preceding or attached document, and acknowledged to me that(he) (she) igne I j voluntarily for its stated ose. NSTABLE COUNTY y PmP REGISTRY OF DEEDS A TRUE COPY,ATTEST I (official signature and seal of notary) ' Upon recording,return to: JOHN F.MEADE,REGISTER i ! [Name and address of Property Owner(s)] Page 2 of BARNSTABLE REGISTRY OF DEEDS II '• Ii Town of Barnstable P# EVE Department of Regulatory Services Public Health Division Date MASSL 200 Main Street,Hyannis MA 02601 ,1/► Date Scheduled_ 6TEme Fee Pd. tS' Suitability Assessment f®r ,Se � I)j*s �Performed By: Witnessed By: 0 LOCATION& GENERAL INFORMATION Location Address Owner's Name e 5 Cti co�S C .T G 0ti w�G 5 � ' \ ��� A.lv n Address Assessor's Map/Parcel: (C> �Q�� Engineer's Name NEW CONSTRUCTION REPAIR Telephone# SOg oZ 7 - Y LL e Land Use Q.o Tla Slopes(%) � =- Gi 'o Surface Stones t) Distances from: Open Water Body NIA ft Possible Wet Area N I.A ft Drinking Water Well tV t M _ft Drainage Way NIA It Property Line 10 R Other ft SHETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) T�P�2 l . 01 1 �y GG;02t; STXEE Parent material(geologic) ASl Depth to Bedrock > LOOI Depth to Groundwater. Standing Water in Hole:tt I ,O ,M� Weeping from Pit Face N A Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL'IIIGH WATER TABLE Method Used: CAVe-E,A SSton Depth Observed standing in obs.hole: 11'.0 d an, in. Depth to soil mottles: Depth to weeping from side o�obs.hole: N I!_� in. Groundwater Adjustment 2, ft. Index Well#BJW- Reading Date.'7 L4I13 Index Well level Adj,fhetor?•`L- Adj.droundwaterlevel�• t PERCOLATION TEST Date i W24 t 3 Time Observation Hole# ��=� Time at 9" h Depth of Pere Time at 6" Start Pre-soak Time @ 00 Time(9"-6") Enddilre-soak 730 Rate Min./Inch L 2^"^ 1 n6b 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 Consexvation'Division at least one(1) week prior to beginning. Q:\S EPTIC\PERCFORM.DOC DEEP-OBSERVATION HOLE LOG Dole# Depth from Soil Horizon Soil Texture Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,'Boulders. ` onsistency,%'Graven LS M Ls j0'-jj u1� DEEP OBSERVATION HOLE LOG Mole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) " - (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) 0- 3 , A. C--N11-S Io 3 - ,":o a-o - 13 C, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Oravell DEEP OBSERVATION DOLE LOG Bole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consistency, i i i Flood Insurance hate Map: 1 Above 500 year flood boundary No Yes _Y____ - Within 500 year boundary , No Yes Within 100 year flood boundary No— Yes ]Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi us material exist in all areas observed throughout the area proposed for the soil absorption system? � If not,what is the depth of naturally occurring pervious material? Certification I certify that on Zuo a— (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required train' g,expertise and experience described in 3 10 CMR 15.017. Signature Date 13 Q:\SBPTICkPERCPORM.DOC r COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION V� TITLE 5 7/' , OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 15 George Street Hyannis Owner's Name: Sandra Crosby Owner's Address: Date of Inspection: 3/30/2007 Name of Inspector: (please print) Patrick T. Sullivan Company Name: Ready Rooter r� Mailing Address: P.O.Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 '� y? CERTIFICATION STATEMENT (.0 1— ET1 I certify that I have personally inspected the sewage disposal system at this address and that the inforation 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: asses Conditionally Passes Needs Further Evaluation by the Local Authority Fails Inspector's Signature: 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. Notes and Comments ****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 future under the same or different conditions of use. Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: --t-�— 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: $ S!0I Cl y`PJ"" T\6� B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The system,upon completion of the replacement or repair,as approved by th Board of Health,will pass. Answer yes,no or not determined (Y,N,ND)in the for the following state ents.If"not determined"please explain. The septic tank is metal and over 20 years old*or the septic tank(w ether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is ' inent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by t Board of Health. *A metal septic tank will pass inspection if it is structurally sound,no eaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high/ibution water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven di box. System will pass inspection if(with approval of Board of Health): broken pip s)are replaced obstruction is removed distribu�on box is leveled or replaced ND explain: The system required pumping more/Zan times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the bard of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by th oard of Health in order to determine if the system is failing to protect public health,safety or the environmen 1. System will pass unless Board of Health de rmines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner w ch will protect public health,safety and the environment: _Cesspool or privy is within 50 fe of a surface water _Cesspool or privy is within 50 eet of a bordering vegetated wetland or a salt marsh 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 aseptic tank and soil absorption system(SAS)and a 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 with' Zone 1 of a public water supply. _The system has a septic tank and SAS and the SAS is w' in 50 feet of a private water supply well. _The system has a septic tank and SAS and the SAS ' less than 100 feet but 50 feet or more from a private water supply well**. Method used to determ' distance **This system passes if the well water analysis,pe ormed at a DEP certified laboratory,for colifonn bacteria and volatile organic compounds indicates th the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitro n is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the'analys' must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No _-Z'Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool _ _.%Z 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 and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow _,,Z 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. _ _tZ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is 50 feet of a private water supply well. _.Z 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] (Yes/No)The system fails. I have determined that one or more of the above 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 facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the f lowing: (The following criteria apply to large systems in add' ion to the criteria above) yes no the system is within 400 feet of a surf ce drinking water supply _the system is within 200 feet of a ibutary to a surface drinking water supply _ the system is located in a nitro en sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped . Zone II of a public water sup y well IIf you have answered"yes"to any estion in Section E the system is considered a significant threat,or answered "yes"in Section D above the larg system has failed.The owner or operator of any large system considered a significant threat under Section or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner sho d contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 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 Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this inspection? /✓ Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? �[ _ Were all system components,excluding the SAS,located on site? Were the septie4wik manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _ Was the facility owner(and occupants if different than 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: Yes No Existing information.For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_: Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 33c�. G,'P, 0 - Number of current residents:— ) Does residence have a garbage grinder(yes or no):..'� Is laundry on a separate sewage system(yes or no):QC yes separate inspection required] Laundry system inspected(yes or no):� Seasonal use:(yes or no):L2L:�, �v\ .aoas -� �,�,, '�\ �C34 = i 0( Water meter readings, if available(last 2 years usage(gpd)): Mom`, ac—C -7 c:��-t Sump Pump(yes or no): � Last date of occupancy: COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15,203): d Basis of design flow(seats/persons/sq. ft.etc Grease trap present(yes or no):_ Industrial waste holding tank present(y or no):_ Non-sanitary waste discharged to the It 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no): '<-- j�s If yes,volume pumped: allons--How was quantity pumped determined? Reason for pumping: r.,� TYPE OF SYSTEM _Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):Qp Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction:_cast iron_40 PVC /other(explain): Q.r w h. �,Lp Distance from private water supply well or suction line: &1 Comments(on condition of joints,venting,evidence of leakage,etc.): Go.1✓e,,,�.e�SZ. C�a3' �o SEIq4C—T-ANK:,(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene _Lrother(explain) ca ..c,Wit. \� .SL If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions: '7 x a Sludge depth: y Distance from the top of sludge to bottom of outlet tee or baffle: 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: How were dimensions determined: Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): ��C.l'•" c�t�v..^.c�.�C L•.c� \_�c � �" �A'C 10- O c�`��r@�_ v�.'y'G S\ GREASE TRAP:_(locate on site plan) Depth below grade: Material of construction:_concrete_metal_fiber s_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or b e: Distance from bottom of scum to bottom of outle tee or baffle: Date of last pumping: Comments(on pumping recommendations,in t and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leaka ,etc.): Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION(continued) Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction:_concrete_meta _fiberglass_polyethylene_other(explain): Dimensions: Capacity: gallo Design Flow: ga ons/day Alarm present(yes or no): Alarm level: Alarm ' orking order(yes or no): Date of last pumping: Comments(condition of al and float switches,etc.): DISTRIBUTION BOX: (if present must be o e/ned)(locate on site plan) Depth of liquid level above outlet invert: Comments(not if box is level and distribut' to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on s/condition Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chammps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: . 3/30/2007 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: __k,Aeaching trenches,number, length: A l leaching fields,number,dimensions: LZ overflow cesspool,number: I 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.): ICIN �.,�v.r�� �iv�.� P.,-off;�J a� L�-oc:.... �:�a�.c.�.�. Qvw--S2 •���� CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan G r.o�y e 5c m m•f' 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 or no): 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 draulic failure, level of ponding,condition of vegetation,etc.): ., ; Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. ' I i I � L i 0- � LA 3 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 15 George Street Hyannis Owner: Sandra Crosby Date of Inspection: 3/30/2007 SITE EXAM Slope Surface water Check cellar✓ Shallow wells Estimated depth to ground water > 3 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record—If checked,date of design plan reviewed: ,.,,'Observed site(abutting property/observation hole within 150 feet of SAS) Checked with the local Board of Health-explain: Checked with local excavators, installers-(attach documentation) _ZAccessed USGS database-explain: You must describe how you established the high ground water elevation:1.��. e_�--Q- s,d =-L :JCTrea5 ram.^ r:d eov. �C�r�G�Q GL4sSP� TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE AS ESSOR'S MAP&PARCEL oil INSTALLERS NAME&PHONE NO. Eo.�� CeSS�ot l S9121 ;-TA+iK CAPACITY LEACHING FACILITY:(type)6y=r.G',,ex_D- *-C,,,,c�,�, (size) moo 5a(. NO.OF BEDROOMS OWNER PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BYe � Q o � TOP OF FOUNDATION 24"diameter concrete covers es Way HYAN N IS, EL=50.5 raised to within 6"of finish grade (oral noted) HIGH GROUNDWATER LEVEL CALCULATIONS: pym MA lnspection Port and cap with magnetic out, marking tape to within 3"of grade q�e Depth To Water Table -2 -1 _ + EL=49.0(mm) EL=46.5(mrn) EL=40.3-49,0 p (7 r} 3) I I .0 (EL 37.5_) -_--- Appropriate Index Well: A I W-23 1* ,e Water Level Ranc3e Zone: Current Depth To Water Level For Index Well (07/13): 21 .3 I e 5 . Water Level AdJuStmenti 2.4' r�mta suffo rms ,moo w E5timated Depth To High Water: 8.G' (EL=39.9±) 46.2_ e 47.7# 46.4+ v *Prov5ional Data -Value5 are acl usteci to reflect expected values for A I W-230 m by the Cape Cod-Commi55ion(508) 3G2-3828 �entln _ t4-93.6- U47.00 Lj I O 46:75 46.37 -20 46.00 Gas Baffle + 45.10 O o�� 42.5_- Oe, - LOCUS A:39 Longest Run TWENTY 20 ADS ARC36HC ( ) ,+ --} }-24 9 5 TWENTY(20) ADS ARC3GHC 3G I GBD2 LEACH J sdn B:20 (36/6B02)LEACfI CHAMBERS IN BED 7.6' :� ( ) Lod DB-6 CONFIGURATION L✓1TH FOUR(4)ROWS CHAMBERS IN BED CONFIGURATION IN FOUR(4) fe,n /500 GALLON f�-20 Ratec✓ OF FIVE(5)CHAMBERS ROWS OF FIVE (5)UNITS EACH q:e p EL=39.9 ( ) SITE LOCUS ---- = f-L=39.9_r Esbmated High Groundwater 25 SEPTIC TANK LfA / /l CILIAMBERS D BO�/ 2.4 (Adjustment) NOT TO SCALE j- EL=375.t ObservedGroundwater 5.0' 5.0' 5.0' 5.0' 5.0' � L L b b li i FLOW PROFILE EL=37 5_±Bottom of Test Hole 0� N 1 .) A55e55or'5 Ma 291 Parcel 67 NOT TO SCALE: m p N �, 2.) Certificate #1844 18 CONSTRUCTION NOTES L7-BoX - 3.) Land court Plan 14034-H N 4.) Th 5 property 15 not in a Zone II of a Public SYSTEM DESIGN CALCULATIONS i roper -. Water Supply 1 .) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (3 10 CMR 1 5.000): N m _-- 5.) Flood Zone: C STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE, AND SFWAGFL7E51GN FLOW RFQU/RFC:3 BLOROOMOWELLLNG @ EXPANSION OF ON-51TE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT //0 GPO/BEDROOM=330 GPD REQUIRED ins ection Port(See Note 0'4) AND DISPOSAL OF 5EPTAGE, AND THE LOCAL BOARD OF HEALTH REGULATIONS. f' SEWAGE DESIGN FLOW PRO I//DFD: TWENTY(20)ADS UN/TS 1N BED ' 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR CONFIGURATION IN FOUR(4)ROW5 OF Ftl/E(5)UNITS PACft PLAN VIEW VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 (WITH DEEDREFERENCL=) LEGEND. LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. _ SCALE: I" _ 'I O' l/t [(330/0.74)/(4.BF7 /FT)/S.OLFJ l9ADSUNlTS T I IZ_ NEVEN SETTLING SEPTIC TA SHAL RECdU/REC(20 PROVICEO) l P,3 3 ) O MINIMIZE E U NK5 SHALL BE INSTALLED ON A STABLE EXISTING SPOT GRADE MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. 3.55 GPO PROVIDED> 330 GPD REOUIRED 24x5 PROPOSED SPOT GRADE 24--- EXISTING CONTOUR 4.}COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK. THE DISTRIBUTION BOX, AND SEPTIC TANK CAPACITYRFOU/RFD: 3.30 GPDX200% _ 660 GPC RFOUIRFD THE SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN G" OF FINAL GRADE. LEACHING 24 PROPOSED CONTOUR FIELDS, TRENCHES, AND OTHER SOIL ABSORPTION 5Y5TEM5 WITHOUT ACCESS MANHOLES SHALL SEPTIC TANK CAPACITYI-90VIDED: 1500 GALLON5EPTIC TANK W WATER SERVICE LINE HAVE AT LEAST ONE (1) INSPECTION PORT CONSISTING OF PERFORATED 4" PVC PIPE PLACED --O OVERHEAD UTILITY LINES VERTICALLY TO THE BOTTOM OF?HE SOIL ABSORPTION SYSTEM WITH A CAP, TIED WITH MAGNETIC A GARBAGEDL5POSAL 15 NOT PERMITTED WITH T1i15 DESIGN FLOW BENCHMARK MARKING TAPE, ACCESSIBLE TO WITHIN 3" OF FINAL GRADE. Top Corner Step Lot 13 -U UNDERGROUND UTILITY LINES EL=50.00(Assumed Datum)', --G GAS SERVICE LINE 5.) PIPING SHALL CONSIST OF 4" SCHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A O � _.� -i EDGE Of- CLEARING MINIMUM CONTINUOUS GRADE Or.NOT LESS THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, 1 } 1 AND NOT LESS THAN I%OTHERWISE. 48 00, \N A-7 ""�- FENCE 1 Co35 TEST HOLE LOCATION - ^" �TIOtti SYSTEM SHALL Br 4" DIAMETER SCHEDULE<}O _;- "'. ,-I SEPTIC TANK G.) DISTRIBUTION LINES -0R THC SOIL..�SOR� �. -: PVC (OR EQUIVALENT) LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED.LINES SHALL BE CAPPED 4n 3 49 DE3 Df T BUT R ION BOX AT END OR AS NOTED. _- - 5A5 501E ABSORPTION SYSTEM 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO(2) FEET BEFORE 47.e o 6, i' °49.r PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO ASSURE EVEN DISTRIBUTION. :. ' t n0 Paved I CERTIFY THAT I AM CURRENTLY APPROVED BY THE prove � 5.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES Bed 49.I DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO !N ORDER TO PROVIDE A WATERTIGHT SEAL. Living #1 B 2 48 / Garage 3 10 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT Room Zo THE SOIL ANALYSIS HAS BEEN PERFORMED BY ME CONSISTENT 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE / Wes- 11 9 O WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. 48 3 ® : W - DESCRIBED IN 3 10 CMR 15.017, 1 FURTHER CERTIFY THAT THE CA �&;, RESULTS OF MY SOIL EVALUATION AS INDICATED ON THE 1 0.) IN ACCORDANCE WITH 3 10 CMR 1 5.22 1 ALL SYSTEM COMPONENTS SHALL BE MARKED WITH Dining Kitchen Bath Bed 12.5 I ZI 0' N ATTACHED SOIL EVALUATION FORM, ARE ACCURATE AND IN Bath #3 ACCORDA CE WITH 3 10 CMR 1 .'0 THROUGH 1 5. 107 MAGNETIC MARKING TAPE. 1000 - a I I.)THERE ARE NO KNOWN WELLS WITHIN 100' OF THE PROPOSED SOIL ABSORPTION SYSTEM. p /� v 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT O ELOO I� FLAN 1N �0 5t,n9 3 Bedroom Linda J. Pinto, Ce if1 d 5011 Eval THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT c/o Ex Dove\1n9 at\on USE OF?f1E AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM, � 4P' �oP of Pound} IND NOT TO SCALE .50 ) PI, tv 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS O O a; CI I CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE Lot 2 �1 DESIGNER. \ B LOT 14 49 _ o e� wax 4.)THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THL 9'g Area=0.28 Acres± Survey Mork b 1 j Lq:G Omn BOARD OF HEALTH AND THE DESIGNER. THE'DESIGNER SHALL CERTIFY 1N WRITING THAT THE Existing Septic Components to iQ & 11Q1 a5'BI*YICBS - SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS Of THE PERMIT be Abandoned(5ce Note,u21) AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE IS REQUESTED. ;. ` `�_,� \ 4a. j / 618 Route 28, Suite 3 8.4 . 49- j West Yarmouth, MA 02673 5.) LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR C� H , ' �L\ 49 �� Pb. (508) 737-1777 laneil: anmlandBcomcest.net DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO TEST HOLE O LE LOGS / �` 0 - 0 COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT 15 NOT LIMITED TO,REQUESTS 70 DIG5Art, fv-5bngSepttcComponents toANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. be Removed(see Note A.?2) - ( REV1510N 08' 4/13: Revised SAS Location Addeo Reserve Arco Test Hole#I' (EL 48.5 ) did o R ea 1 -6.) CONTRACTOR SHALL VERIFY THAT ALL:WASTELINES ARE CONNECTED BY WATER TESTING �� Tp_� ,}1P-2 T Depth Layer 5oil Qa5s Soil Color Comments 48 1 ,1 69 Prepared for. WITHIN THE DWELLING PRIOR TO 1NSTA,_LATION OF ANY 5EP1"1C COMPONENTS. p y O5 W 46A �5- AC„ m i 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY O 4 A Fine-Medium Loamy Sand I OYR 412 ae 2 N 9 Ja e5 M tch e SEPTIC SYSTEM COMPONENTS. 4"-22 B Medium Loamy Sand i OYR GIG \ 15 George St., Hyann15, MA 22"-1 32" C I Medium-Coarse Sand I OYR 5JG Perc @ 4G Lot 15 18.) INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL NOT BE GW n@ 132" _48 ProP05eci Sewage D15p05aI 5y5t(5M USED FOR STAKING, OR ANY OTHER PURPOSES. PLAN Test Hole#I (EL=48.5±) SITE I LAN 1 5 George St., Hyann15, MA 19,)THIS PLAN DOES NOT CERTIFY, GUARANTEE OR WARRANTY COMPLIANCE WITH DEEDED OR ZONING BYLAWS, SPECIFICALLY, BUT NOT LIMITED TO, SIDELINE SETBACKS AND BUILDING HEIGHT Depth Layer Sod Cla55 Soil Color Comments Prepared by: RESTRICTIONS. OWNER IS RESPONSIBLE FOR OBTAINING SUCH A DETERMINATION FROM THE SCALE: 1" = 20' APPROPRIATE AUTHORITY. 0" 3 A Fine-Medium Loamy Sand I OYR 4/2 3"-20" B Medium Loamy Sand I OYR GIG ' 20.) If SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER IS TO INSPECT 20°-132" C I Medium-Coarse Sand I OYR 5J6 , THE 50115 PRIOR TO PROCEEDING WITH INSTALLATION. GW 132" 21.) EXISTING SEPTIC COMPONENTS TO BE LOCATED,PUMPED DRY, FILLED WITH CLEAN SAND AND DATE OF TESTING: 07/24/I3 �L, - ABANDONED IN PLACE. AREA TO BE COMPACTED TO MINIMIZE SETTLING. 1NSPECrION NOTE: SOIL EVALUATOR: LINDA J. PINTO, P.E., CSN ENGINEERING O 20 40 GO BOARD OF HEALTH AGENT: DONNA MIORANDI, BARNSTABLE HEALTH DEPARTMENT 22.) EXISTING SEPTIC COMPONENTS TO BE REMOVED. ANY CONTAMINATED SOIL SHALL BE PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM P.O.Box201 Phone:(508)299-3250 PERCOLATION RATE LESS THAN 2 MIN/INCH JN "C LAYER Brewster,MA 02631 Fax.(508 REMOVED FOR A DISTANCE OF FIVE (5) FEET LATERALLY FROM THE SOIL ABS0RPTION SYSTEM ,AND )896-1783 NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR GONERS. SCALE I "=20' REPLACED WITH CLEAN SAND. AREA TO BE COMPACTED TO MINIMIZE SETTLING. GROUNDWATER ENCOUNTERED @ 132" (EL=37.5±) C:\CSN\RR George\RR-George SDS Pian.dwg Date:08/02/1 3 Scale:A5 Shown By: LJP Check: MTA 'Frolect No. C5NO379 TOP OF FOUNDATION 24"diameter concrete covers HYANNIS eases Way , EL=50.5 raised to wrthm 6"of hm5h grade MA (or as noted) 1175pectionPortandcapwrthmagnetic HIGH GROUNDWATER LEVEL CALCULATIONS: marking tape to wrthm 3"of grade EL=49.0(mm) EL=4B.5(mm) EL=46.3-49.0 Depth Water Table (7-24-13): I I (EL=37.5 t) Appropriate Index Well: A I W-231' cD Water Level Range Zone: D (4-5') w Current Depth To Water Level For Index Well (07/13): 21.31 �� Q Water Level Adjustment: 2,4' �a s�ff �mF 1 4B.2t Estimated Depth To High Water: S.G' (EL=39.9±) 47.7f 46.4� v 'Provisional Data -Values are adjusted to reflect expected values for A I W-230 m by the Cape Cod Commission (508) 3G2-3828 Ke t j -1 A,46.6 47.27 46.75 46.37 46.20 46.00 c I B:48.6 II'' Gas Baffle- 45.10 U L1 \ ' 42.5_+ ,1 00d. ��ntA� Lon est Run \. N� - LOCUS A:35' g 7WEN7Y56HT(26)A05 ARC36HC 25 _� v B:20-} �-- 22' 14' LEACH CHAM5ER5/N BED 7 6+ 5.2+ V 5.0 __L_ 5.0' V 5.0' V 5.0' V 5.0' V J Sa'�t C 051-9 CONFIGURATION W/TH 5EVEN(7) th1111,e EXI5T/NG 1500 GALLON (II 20 Rated) ROW5 OF FOUR(4)CHAMBER5 51TE LOCUS EL=39.9+ N - EL=39.9*Estimated High Groundwater 5EPTIC TANK D-BOX LEACH CHAMDfR5 - 2.4' ( 37.ment) N NOT TO SCALE -j-EZ d=37.5+-Observed Groundwater FLOW PROFILE °-BOX BL=37.5f Bottom of Test Hofe N in N - 1 .) Assessor's Map 291 Parcel 87 NOT TO SCALE � 2.) Certificate #1844 18 CONSTRUCTION NOTES N 3.) Land Court Plan 14034-H 5Y5TEM DE51GN CALCULATION5 , 4.) This property is not In a Zone II of a Public N Water Supply 1 .) ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE, TITLE 5 (3 10 CMR 5EWAGEDE5IGNFLOWREQUIRED:3 BEDROOM DWELLING Q Water Flood Zone: C Insection Ports(See Note#4) 1 5.000): STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, //O GPD/BEDROOM=330 GPD REQUIRED(4005.F.. MlN) V UPGRADE,AND EXPAN51ON OF ON-SITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND f' FOR THE TRANSPORT AND DISPOSAL OF SEPTAGE, AND THE LOCAL BOARD OF HEALTH 5EWAGEDE5IGNFLOWPROVIDED: TWENTYE/GHT(28)AD5 UNlT5IN BED REGULATIONS. CONF/GURAT/ON 1N5eVf)V(7)ROW5 OF POUR(4)UN1T5 EACH i PLAN V 1 EW 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE 15 Vt=!(330/0.74)/(4.8 t'Tz/FI)/5.OLt7 = 19A05 UNIT5 POTENTIAL FOR VEHICLES OR HEAVY EQUIPMENT TO PASS OVER IT SHALL BE DESIGNED TO REQUIRED(26 PROV10F) SCALE: 1" = 10' LEGEND- WITHSTAND AN H-20 LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE 497 GPO PROVIDED>330 GPO REQUIRL=D VENTED TO THE ATMOSPHERE. 12.3 EXISTING SPOT GRADE 4o2S.F. >400S.F. REQUIRED "O� � !J 24x5 PROPOSED SPOT GRADE 3.)TO MINIMIZE UNEVEN SETTLING, SEPTIC INCHES SHALL S INSTALLED ON A STABLE 55PT/C TANK CAPACITYREQUIRED: 330GPDX200% =660GPDREQUIRED IV I lle�l MECHANICALLY COMPACTEDBASE ON SIX INCHES OF CRUSHED STONE. 01 ��II 24 EXISTING CONTOUR 5EPTIC TANK CAPAC/TYPROVIDED: EX/5TlNG 1500GALLON5EPT/CTANK G SL�S ns �y� -24- PROPOSED CONTOUR 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK,THE DISTRIBUTION Q fife f ` G�G�`^/" W WATER SERVICE LINE BOX, AND THE 501L ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN G"OF FINAL GRADE. A GARBA6E015P05AL 15 NOT PERM/TIED WITH TH15 DE5149NFLOW b' x o OVERHEAD UTILITY LINES LEACHING FIELDS, TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUTACCF55 BENCHMARK C, �a U UNDERGROUND UTILITY LINES MANHOLES SHALL HAVE AT LEAST ONE (1) INSPECTION PORT CON515TING OF PERFORATED Top Corner Step Lot 13 G GAS SERVICE LINE 4" PVC PIPE PLACED VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH EL=50.00 (Assumed Datum) A CAP,TIED WITH MAGNETIC MARKING TAPE, ACCESSIBLE TO WITHIN 3" OF FINAL GRADE. \ , -70 EDGE OF CLEARING ON APING SHALL MINIMUM CONTINIST OF 4"SCHEDULE 40 PVC OR UOUS GRADE OF NOT LESS THANE22%I FROM THEIPE BUIILHALL BE LD BUILDING TO THIS 4� N 1 0�35 00 w 48 7 Q) TEST HOLE LOCATION SEPTIC TANK, AND NOT LESS THAN I%OTHERWISE. Living Bed Bed ST SEPTIC TANK Room #I #2 48.3 _ -49 DB DISTRIBUTION BOX G.) DISTRIBUTION LINES FOR THE 501L ABSORPTION SYSTEM SHALL BE 4"DIAMETER J SAS 501L ABSORPTION SYSTEM SCHEDULE 40 PVC (OR EQUIVALENT) LAID AT 0,005 FT/FT, UNLESS OTHERWISE NOTED. ` �- LINES SHALL BE CAPPED AT END OR AS NOTED. 47.8 I 49.1 Dining Kitchen Bath Bed �� veil 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO(2) FEET BEFORE Bath #3 PITCHING TO THE 901E ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED -r` ,t pr,ve I CERTIFY THAT I AM CURRENTLY APPROVED BY THE TO ASSURE EVEN DISTRIBUTION. 48 1 t t tt 49.1 (�) DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO (� 310 CMR 1 5.017 TO CONDUCT SOIL EVALUATIONS AND THAT 8.) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE �'ti tt tt J 7a !Z O THE SOIL ANALY515 HAS BEEN PERFORMED BY ME CONSISTENT FLOOD PLAN W 11 WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL. Existing -box and Leach 48 3 tt tt tt`~t_a / ® W�� _ _ CO DESCRIBED IN 3 10 CMR 15.0 17. 1 FURTHER CERTIFY THAT THE Field to be Abandoned -t--r t _ -0& RESULTS OF MY SOIL EVALUATION A5 INDICATED ON THE 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE NOT TO SCALE (See Note#21) + t ` t ' ' �' o rnrn SEWAGE DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. ATTACHED SOIL EVALUATION FORM, ARE ACCURATE AND IN 1 't tt tt tt r� ACC RDANCE WITH 3 10 CMR 15.100 THROUGH 1 5.107 10.) IN ACCORDANCE WITH 3 10 CMR 15.22 1, ALL SYSTEM COMPONENTS SHALL BE tt�1r�1T I A MARKED WITH MAGNETIC MARKING TAPE. VARIANCES REQUESTED r 1 1.)THERE ARE NO KNOWN WELLS WITHIN I00'OF THE PROPOSED SOIL ABSORPTION tt I49 1 �x`ytng 3 Broom e9 / Linda J. Cronin, Certified Soil Evaluator SYSTEM, Local Upgrade Approvals: 3 10 CMR 15,403 48tg , D P° ndat�°n 12.) FROM THE DATE OF THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL Variances: 3 10 CMR 15.2 I I Minimum Setback N tt I Qeck + 1°pe�,50.5+ � RECEIPT OF THE CERTIFICATE OF COMPLIANCE, THE PERIMETER SHALL BE STAKED AND t Reduirements: � FLAGGED TO PREVENT USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. W Q Lot 2 t \ 1.)Soil Absorption System not 20'from Cellar Wall O tt '8 LOT 14 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM As DESIGNED UNLE55 1_ 49 CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY 15'Held 5'Variance Reciuested t t Area=0.28 Acres ± 5T THE DESIGNER. _ - 15 O 14.)THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT / 49. OF THE BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING / Survey Work by.• THAT THE SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS TEST HOLE LOGS 8.4 _OF THE PERMIT AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE 15 REQUESTED. 9P`o \4e. .� ��~- O O A & M Land Services 15.) LOCATION OF UTILITIES 15 APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE 05 618 Route 28, Suite 3 Test Hole#I (EL=48.5±) West Yarmouth, MA 02673 FOR DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR 0 48.4 Ph. (508) 737-1777 Email: annzland®comcast.net TO COMMENCEMENT OF ANY WORK. THIS INCLUDE5, BUT IS NOT LIMITED TO, REQUESTS 48 TO DIGSAFE, ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. Depth Layer Sod Class Soil Color Comments \ _ - 6 10- TP-2 0 . \05 AO„ 0"-4" A Fine-Medium Loamy Sand I OYK 412 101mM n°-1 48.4 c�0GE7 1 G.) CONTRACTOR SHALL VERIFY THAT ALL WASTELINES ARE CONNECTED BY WATER 4"-22" B Medium Loamy Sand I OYR GIG \ 48.2 N TESTING WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. 22"-132" C I Medium-Coarse Sand I OYR 5/G Perc @ 4G" I,LIJ Lot 15 � � Pro o5ed Sewa e Dl5 oral S Stem 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF GW @ 132" (h1 OF,t� p 9 p y StF i. 1 5 George St., Hyannis, MA ANY SEPTIC SYSTEM COMPONENTS. Test Hole#I (EL=48.5±) -48 SITE PLAN 1iNp q ,J< ` 18.) INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL v CRONIi <i, NOT BE USED FOR STAKING, OR ANY OTHER PURPOSES. Depth Layer Sod Class Soil Color Comments F1ELp CI(/ISCALE: I" = 20' Na.asso-0L 19.)TH15 PLAN DOES NOT CERTIFY, GUARANTEE OR WARRANTY COMPLIANCE WITH DEEDED 0"-3" A Fine-Medium Loamy Sand I OYR 4/2 �F CSN OR ZONING BYLAWS, SPECIFICALLY, BUT NOT LIMITED TO, SIDELINE SETBACKS AND 3"-20" B Medium Loamy Sand I OYR GIG Cl)' Q/STEREO Q. Prepared for: BUILDING HEIGHT RESTRICTIONS. OWNER IS RESPONSIBLE FOR OBTAINING SUCH A 20"-132" C I Medium-Coarse sand I OYK 5/G S P.O. Box 201 Brewster, 02631 DETERMINATION FROM THE APPROPRIATE AUTHORITY. GW @ 132" James Mitchie Lj � L�' 15 George St. ��� 20.) IF SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER 15 TO DATE OF TESTING: 07/24/13 Hyannis, MA Phone: (S08) 896-1783 INSPECT THE SOILS PRIOR TO PROCEEDING WITH INSTALLATION. SOIL EVALUATOR: LINDA J. CRONIN, P.E., CSN ENGINEERING INSPECTION NOTE: ENGINEERING BOARD OF HEALTH AGENT: DONNA MIORANDI, BARNSTABLE HEALTH DEPARTMENT 0 20 40 GO 2 1.) EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN PERCOLATION RATE: LE55 THAN 2 MIN/INCH IN "C" LAYER PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM SAND AND ABANDONED IN PLACE. AREA TO BE COMPACTED TO MINIMIZE SETTLING. NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. SCALE 1 "=20' GROUNDWATER ENCOUNTERED @ 132"(EL=37.5±) DATE: SCALE: DESIGN: CHECK: JOB NO: C:\C5N\RR-George\RR-Geor6je-5D5 Plan.dwg 02/14/2020 A5 5HOWN LJP KM CSN0379