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HomeMy WebLinkAbout0109 MIDWAY DRIVE - Health 109 MIDWAY DR + #yannis A'= .252 - 054 i j J TOWN OF BARNSTABLE LOCATION ` "-=� C- )J A SA C)Z. SEWAGE# = CD SQ VILLAGE =: ASSESSOR'S MAP&PARCEL M S INSTALLER'S NAME&PHONE NO. �-- ��c:a� - SEPTIC TANK CAPACITY ©®( LEACHING FACILITY:(type) 4aG5 (size) NO.OF BEDROOMS OWNER r 2, PERMIT DATE: '? ((s (0 C3`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) Feet FURNISHED BY .ac�,.� �` I ;� l 3 4 v �� u o i � �1 �..w �� ---- --- ,. � -� Q � � � �3 � � � � � -- � t 1'� V V �� I, '.� - - 1 \ ., � M � � � � I � � ��� _ `� .. a�. ��,:. No. 2,0 13—a52- c_' Fee 166 ors THE COMMONWF4LTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplitation for Bisposal 6pstem ConstCUrtion 3dErmit Application for a Permit to Construct( ) Repair( ) Upgrade(.Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. °,� „` 1�'v Owner's Name,Address,and Tel.No.Spg-775'7?Y'-G ez- -5 Assessor's Map/Parcel +S c. ® `/v�, c_Q,ta.�w , Installer's Name,Address,and Tel.No. 6cAr5 Designer's Name,Address,and Tel.No.S'12!S G a4--t`j 3a �L�e cR.l� des�'z��—z�c�r�✓.ar ij �S�JxV ✓'v� Type of Building: Dwelling No.of Bedrooms o� Lot Size C� C) sq.ft. Garbage Grinder( ) Other Type of Building �y� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) c� C� gpd Design flow provided 3 s S gpd Plan Date �S Number of sheets 1 Revision Date Title Size of Septic Tank k Off ,( ( M�&�9 ,�kK)Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable)!.1. V — c- L. uA GLv `-, G-.AW4 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. Si ed Date �tn� o•r �j Application Approved by Date 2//s/Z-0 3 Application Disapproved by Date for the following reasons Permit No.Zo(3—©5 Z Date Issued Z b- /2-0 13 No. ZO 13'a 5 2- t: - f Fee THE C0MM0NWE;4L'�TH OF,MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2lprlratlon for Disposal *pstem Construrtfon Permit Application for a Permit to Construct( ) Repair( ) Upgrade(V<'A bandon( ) [:]Complete System ndividual Components Location Address or Lot No. , :��' �r Owner's Name,Address,and Tel.No.,O Assessor's Map/Parcel Installer's Name,Address,and Tel.No.So -2"?*?'-60n Designer's Name,Address,and Tel.No.sq Q'- 3aSC5 ®. k Q For�es cQ�, (3 0 Type of Building: Dwelling No.of Bedrooms Lot Size 0 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3© gpd Design flow provided ,� `;_� gpd Plan Date �� ' Z Number of sheets Revision Date i Title Size of Septic Tank )Type of S.A.S. r{JZ)S C�a v,i, � Description of Soil Nature of Repairs or Alterations(Answer when applicable) y. .� �,` ors.e) -1 ,k tocV/1 f' '_-)r Date last inspected: Agreement: € The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title#5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Si ed Date Application Approved by wc- Date 2//Sl ZLo 13 " Application Disapproved by Date for the following reasons Permit No.ZO i s-QS 7 Date Issued Z f 1.5 3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETKJS Certifirate of Complianre THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(� Abandoned( )by n�, 6�= at d has been constructed in accordance with the provisions of Title 5 and the for isposal System Construction Permit No. l - 52 dated 2 /S Igo/3 Installer ��,�-Q, � �,t,� -_r- �;oT` Designer #bedrooms Approved design flow G�c and The issuance of this permit shall not be construed as a guarantee that the system=futi signed. Date / 7Inspector r No2o 1 D 5Z Fee4 100LTHE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstern Cons trUrtlo .Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) System located at ' F7� VY-,, Vic- � ,��.,�� y��',�, �, .. tn" �- 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 permi. f Date Z 20 1 S Approved by _ 1 Town of Barnstable Regulatory Services �. Thomas F.Geiler,Director Public Health Division .`� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 x Fax: 508-790-6304 Date: _Joi Sewage Permit# Assessor's Map/Parcel Installer&Designer Certification Form Designer: Tno tiller: Address: ?o 1u s o Address: Q© , was issued a permit to install a On_� (installer) septic system at_lO°I Mtawc�t -t)t% , (_ based on a design drawn by (address) L°S1J D"�5inetrinc, dated 01I0Cif 13 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system rcfe.renced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &.Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if required)w s ected and the soils were found satisfactory. "�N 0 LINDA J. -- PINT( (Installer's Signature) TER'O�►��� (Designer' Signature) (Affix Desi re) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH TI1rIS FQ 'YI AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice formsWesignercertification form.doc Town of Barnstable P# Department of Regulatory Services Public Health Division Date P r6u 39. 200 Main Street,Hyannis MA 02601 Date Scheduled z Time Fee Pd ",-/C Soil Suitability Assessment fog- Sejwge Disposal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address 10 G fd Owner's Name , q�,�d _.. ( N h I•S_. �. Address I q[4 -� Assessor's Map/Parcel: CC rr�� tJr J (/I/al/t p�c7o' Engineer's Name [L NEW CONSTRUCTION REPAIR Telephone# So 21 Z 7 . Land Use Slopes(96) C "" �O" o Surface Stones 0 Distances from: Open Water Body NL_ft Possible Wet Area 1—Aft Drinking Water Well N n ft Drainage Way IJ 111 ft Property Line I I ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands In proximity to holes) CL- r1 cca cat w J Grt-'olt^c L Parent material(geologic) G t 6<iat Qv�wG,S� Depth to Bedrock > Depth to Groundwater. Standing Water in Hole: VIP, Weeping from Pit Fgce Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: In. Depth to weeping from side of obs.hole: in,. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor— Adj,Oro undwater Level PERCOLATION TEST bate -• 1 13 ume W.00c m Observation Hole# Time at 9" Depth of Perc 111 Time at 6" Start Pre-soak Time @ fl — Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back--------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEPTICU'ERCFORM.DOC - " w DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soii Texture .Sdil Color Soil Other ' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,,Boulders. •` +, CoTisistem y %Graven gib; sly 3�- C, `'0) S("rcl . b DEEP OBSERVATION HOLE LOG Hole# - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsis en %Grave D -I� • � MLS I o' �.. 31,E � � t I�- 4)- /Q F- tv) SL I014Z " l/L l i n- K JhnLl DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Const tency,%Gravel) DEEP OBSERVATION BOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soll Other ' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency. Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No 1 Yes Within 100 year flood boundary Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? e.5 If not,what is the depth of naturally occurring pervious material? Certification I certify that on `d"�y• " (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 raiiy ing,expertise and experiencedescribed in 10 CMR 15.017. Signature 0� Date QAS.EPTICu'ERCPORM.DOC �y cttc� Earths Systems, Inc. P.O. ESe;iu 1359 ", I 12J NAarrstons Mills, MA 02648 .r (503) 477-2999 a (508) 420-2803 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPEC .ION H p CERT F C,TION PART Az 19, 6 Properly Address: 1fi h7lidvrav Dive CenteniIle Address of Ownar: r 4 Date of Insr-mction: 7l2 161lJ (If different) N�rne of Ins,ector: Michael.I. DiMaggio Company Name,Address and Telephone Number: Safe Earth Systems 19 P.O. Box 1359 Marstons Mills, MA 02649 (508)420-2803 CERTIFICATION STATENIEN I certify that I have personally inspected the sewage disposal system at this address and that the inforrmation reported below is true, accurate and complete as of the time:cf inspection. The inspection was performed based on n•iy training and experience in the proper function and maintenance of cm-site sewage disposal systems. The system: ); Passes Conditionally Passes (deeds Fuither Evaluation By the Local Approving Authority Inspector's Siglnature- Date: 71231.6 The System Inspector shall s utirnit a copy of this inspection report to the Approving Authority wid-J.1 thirty(30) clays of completing this inspechon. If the system is a sharred system or has a design flow of 10,000 gpd or greater,the inspector ar.d ttra syste-in owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. i I;e ori17inal c,.hould be:sent:t:r the.system owner and copies sent to the buyer, if applicable and Ihc;approvir►g a;uthrrrity. 1t4aPEd.;TICr�I SUMMARY: Check A, B,C,or D. A I Sys f ENI PASSES,: X_ I h;:i!re not found :rmi i.rform ation which indicates that the system violates any of the failura criteria as(1-alined in:310 CfAR 15,303. Any failure ci Heria not evaluated are indicated below. f!:1 Sys;fENI CONDITIONAL.Uf P*SSE►: One or more:system carnponent:s need to be replaced or repaired. The system, upon completion of the replacement cr rep:-Jr,passe vs in::pe;clion. Indicate yes, no,or not determined(Y, N or ND). Describe basis of determination in all instances. If"not de;terminod",explain rvliy not. The septic Cant:is metal,cracked, structurally unsound, shows substantial infiltr,:dion or e)filtration,or tank failure is imminent. 11m systE',rn will pass inspection if the existing septic tank is replace,with a conforming septic tank.as approved by the Board of Health. 1 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 109 Midway Drive:, Centenfille Oviner. Todd Blazis Date of Inspection: 7r23/93 tt] SYSTEM CONDI'f IONALLY PASSES(continued) __. Sewage backup or breakout or high static water level observed in the distribution box is clue to broken or obstn.rcted pipe(s)or due-to a broken, settled or uneven distribution box. The system w 1l pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced The system rec7uired pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed R (;I FUIrtTHI:'.R EWALUATICX4 IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to dete:rniine!if the::systerr,is failing to protect the public h:li allh, safety and the environment. 1) SY.STEPA WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER'SUIPPL.IER,IF APPROPRIATE) DETERMINES THAT Tl•,IE SYSTEM IS FUNCTION114G IN A MANNER THAT PRO'rEc::"r't'IHE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT. The systern has aseptic tank and soil absorption systern and is within 100 feet to a surface;water supply or tributary to a surfac::water supply. The systern has aseptic tank and soil absorption system and is within a Zone I Of a 1XIblic watery supply well. The system has aseptic tank and soil absorption system and is within 50 feet of a private water supply well. The system has aseptic tank and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis 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 pprn. 11] SY:i EEN1 FAILS: I have determined that:the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determinations identified below. The Board of Health should be contacterl to deterrnine what will be necessary to correct t°tic:failui ez. Backup of sewage: into facility or system component due to an overload or clogged SAS or cesspool. Discharge Or ponding off effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. 2 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION F17EtM PART A CERTIFICATION(continued) 11toperly Address: 101)Midw;:nr Drive,CenteMUe 0v�mer: Todd Ella;°is t)ate of Insp,-ction: 7M/93 fy] Sy,is-rEWI FAILS(continueA): Static liquir;l lavel in the distribution box above outlet invert due to an overloaded or cloggad SAS or cesspool. Liquid depth in cesspool is less than 6°below invert or available volume is less than 112 day low. Recluired purnping more than•t times in the last year NOT due to clogged or obstructed pipe(s). IJuriber of tirne s; pi.unped —,-- __ Any porti;orr c.f-lhe:3oil Absorption Sys-tern,cesspool or prhq is bedew the high(Youndw ala;r alevatinn. Any portion cf,:a ce:: spool or privy is within 100 feet of a surface water supply a bibutai)i to a surface water supply. Any portion cf a cesspool or privy is within a?one I of a public well. _ Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion cf a ca!sspool or privy is less than 100 feet but greater than 50 feet f:om a private water supply well with no acceptabla wrater quality analysis. if the well has been analyzed to be acce:plable, atlach cop!r of well water analysis for colifon'n bacteria,volatile organic compounds,ammonia nitrogen.and nitrate nitrogen. fi L kl:lGL:::`(S rE-M FAILS: Th,<!following criteri<;r aploly to large.,ystems in addition to the;criteria,above: Tho design flow o>;€y:tern is 10,000 gpd or greater(Large System)and the system is a S ignific aril:threat to public:health and safety and the envimnment because cne or more of the following conditions exist: the system is within 4.00 feet of a surface drinking water supply the syst :rr,is ini-thin 200 feet of a tributary to a surface drinking water supply _ the syst ,rn is local-ad in a nitrogen sensitive area, Interim Wellhead Protection Area (11,14PA), or a mapped Zone II of a public water sufaply)nrel1. The owner or operator of any such systern shall bring the system and facility into full Gcrnpliarrce: with the GrMindwrater tn.satment program requirements of 31h{'tiIR 5.00 and ri,00. Please consult the local regional office of the: Department for further information. 3 SUIBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST 11roperly Address: 109 Midwai/Drive,Centerville Owner: Todd Ellazis Gate of Insp:.ction: 7M/913 Check if the following have beE.n clone: _X.__ Pumping infc rmation was requested of the owner,occupant,and Board of FleaTii. _X_ 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. _X__ As built plans have been obtained and examined. Note if they are not available with Wk. _X__ The facility o;dwelling was inspected for signs of sewage back-up. _X,,-_ The system does not receive non-sanitary or industrial waste flow. _X,__ The site was inspected for signs of breakout. _X__ All system components,excluding the Soil Absorption System, have been located on the site. _X_ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge, depth of scum. _X._ . The size and location of the:Soil Absorption System on the site has been determined based on existing information or approximated by non-intrusive methods. _X' The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal System. SUEI11SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORMA PART C SYSTEM INFORMATION Property Address: 109 Midway Drive,Center011e (honer: Todd Blazis Date of Inspeiction: 7123/9;5 FLOW CONDITIONS Design flow — 600 gallons I;lumber of bedrooms: 3 Number of current residents: 2 Garbage grinder(yes or no): NO Laundry connected to system(yes or no): YES Seasonal use(yes or no): NO Water meter readings, if available: NIA L.,ast date of occupancy: 7!23/96 C OMME:RCIAUINDUSTRI•AL. Type of establishment:___ Design flow: _gallon:a.'clay Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no) Non-sanitary waste discharged to the Title 5 system: (yes or no) Water meter readings, if available: •_ _.—� _-___ Last date of occupancy: _,___ l7THEf:: (De:;cribe)------ -- -- -----------_......_..-------------- Last date of occupanc;y:—_•-_-•_-.___ GENERAL INFORMATION I)UMPING A.HCOR.D:a and source of informalion: NONE AVAILABLE Sy.lem pumped as part of inspection: (yes or no) 140 -- ----------- ----_._._-. If yes,volume pumped gallons Reason for pumping TYPE OF SYSTEM Septic tank/distribul'ion btrdsoil absorption system Sinc,le cesspool Overflow cesspool Privy _.� Shared system(yes or no)(if yes,attach previous inspection records, if any) Other(explain) ---- -- -- ----------------------- APPROXIMATE AGE:of all cornponFenfs,date;installed(if known)and source of information: 1 b Years Inslall,ation Date '10/29/82 according to As-Built. Sewage odors detected when arriving at the site: (yes or no) NO 5 yUF',SURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR118 PART C SYSTEM INFORMATION(continued) f"roperly Address: 109 Mid'aa1(Drive,CenterviVe Owner: Todd Blazis Date of Inspection: 7i23/93 SEPTIC TANK: (locate on site plan) Depth below grade: ri inchs Material of cconstruction: _x—concrete __metal __FRP __other(explain) Dimensions: 6 FI=ET X 10 FEET X 6 FEET Sludge depth: 3 INCHES B.istanc;e from top of sludge to bottom of outlet tee or baffle: 4 FEET Scum thickness: 16 INCHES Distance from top of scurry to tc-p of c-utlet tee or baffle: 4 INCHES Dlistance from bottom of scum to toottorn of outlet tee or baffles: 1 INCH Comments: Solids build-up has not: yet interfered with operation of inlet tee, but should be removed. Recommend pumping. Condition of inlet and out] et te!es satisfactory. Depth of liquid level in relation of outlet invert satisfactory. Structural integrity is.sound. ND evidence of IeakaIle. (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage,otc.) _—_—._-- ----•--.------_._...---__—..-_---__—_-- (I.,zate on si1,3 plan) Dr-pth below grade: Material of r.'.nstruction:__c.:oncretc:t metal —FRP —other(explain) Dimensions,: _ :i.•um thicknwss:�_-------------- [*Jstance from top of scum to tc.p of cutlet tee or baffle: Uistanc:e from bottom of saurn to botl.orn of outlet tee or baffle: Comments: 0,:!cornmenoation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, slrjctural int.,agrily,evidence of leakage:,otc.) ...__._._�----_—_-- -----------------.-......_----------_---__--- G SUIF.3 URFACE SEWAGE DISPOSAL SYSTEM INSPECTIOM 1`13R A PART C SYSTEM INFORMATION(continued) Property Address: 109 Midway/Drive,Centers ille Owner: Todd 6laais Date of Inspection: 7i23/93 TIGHT OR HOLDING TANK:___.. (L>cate on side plan) Depth below grade:Material of of construction: _ _�c nrrete --metal _FRP _other(explain) ...... Dimensions: Capacity: ----�..9allc;nr--- -- --`— Designflow:. --tlallcnslclalr Alarm level: Comments: (condition of inlet tee, condition:of alarm and Float switches,etc.) DISTRIBUTION BOX: (locate on sits:plan) Depth of liquid level above oula'It invert: _Cl inches_ Comments: Distribution box is Irwel and sound and shows no signs of backup. (condition of inlet tee, condition of alarm and Float switches,etc.) PUMP CHA141BER: _ (locate on site plan) Pumps in wod(ing order(yes!no) ._..._�—. Comments: (note condition of pump chamber,condition of pumps and appurtenances, etc..) I 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORIU PART C SYSTEM INFORMATION(continued) Properly Address: 109 Midway Drive, Centerville OUmer: Todd Blazis Date of Inspection: 7r23/915 SOIL ABSORPTION SYSIrEIYt{;ae<:>): )(_ (locate on sits:plan, if possible;excavation nct required,but may be approximated by non-intrusk.,n:methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers,number: leaching galleries, number: leaching trenches,number, length: leaching fields, number,dimensions: overflow cesspool, nu!Tiber Comments: (note condition r.;1'nail,s igns of hydraulic failure, level of ponding,condition of vegetation, etc.) NO SIGNS OF FAILURE. CESSPOOLS): (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) PRIVY: (location on cite plan) Materials of.construction:._.______ _ _ _ Dmensions: Depth of solids: Comments: (note condition of sail,signs of hydraulic failure, level of ponding, condition of vegetation, Etc.) 8 U BS-URFA:E SEWAGE DISPOSAL SYSTEM INSPECTION F(WIM PART C SYSTEM INFORMATION(continued)Properly P,dclress: 10E)MicfNcl!flrfivE:, I:ertervife (Omer: Todd Ella:Js 17Eite of Insh-ction: 7i23/93 tiI`ETC OF SEWAGE®.l'yF'01E;.ia,L.9 fS`TEM: include ties to at least twvo permanent references landmarks or benchmarks locEate all wells within 'I OCI' DFPTH'r0 GROUMCIWATI-Ift DE;pth to groundwater: Apl:)r(::u(i @te1y 40 feel rrc:thoi:E of de termination or e.plirc:ir:ii•nation: Area wells 9 L,O CAT ION S E W A G I PERMIT NO. VILLAGE INSTA LLER'S NAME ADDRESS c-) ea (� . ncjQ, c-n- InG- /`i/ �-1, wu-, ► C-1� BUILDER OR OWNER as DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED C�. 11-2 O'�_ /(4x/��- a �� � ' � --� �c� ��"� �-' �� � I � � �� .� � ., -r ................... THE COMMONWEALTH OF MASSACHUSETTS•; BOAR® OF HEALTH ............oF.............30.......... .......�-�...--•............................ Applirafivat for Biipuual Norks To Vatuit Application is hereby made for a Permit to Construct ( IPI'or Repair ( ) an Individual Sewage Disposal System at: Lo n Address or Lot N'o ...... t._s ,if II aa 0Owner � dress a •--•---•- = .... Installer Address 7V Type of Building Size Lot._._....__...Z®..._Sq. feet U Dwelling—No. of Bedrooms_______________ ______________Expansion Attic ( tit} Garbage Grinder (x/,a Other=-Type of Building ��� _ __ e —•Cafeteria p-, yp g _____------ ----- No. of persons__..-----�-------------- Showers ( �) ( ) Q' Other fixtures ..------•---•-•-•-----------•--- •-- Design Flow_______S:__S...........................gallons per person per day. Total daily flow------------- 2_ ................gallons. w �o�a WSeptic Tank—Liquid capacity__._._._____gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No_____________________ Width.................... Total Length..................... Total leaching area--------------_Z'___sq. ft. Seepage Pit No.........t---------- Diameter.......N...... Depth below inlet........... Total leaching area______t.7®_sq. ft. Z Other Distribution box ( ) Dosing tank ( ) _ 2 `~ Percolation Test Result Performed by...... - l✓___C:LL�_:�_.____.__.._o____________________ Date_____71�� __ ____...__ a Test Pit No. 1.__._._ -..__minutes per inch Depth of Test Pit...... ..______ Depth to ground water______�✓�_____- fi, Test,Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil--------•-Q:--�`----------------•-----4--------•-------.�-df-----1-`�1-L - c� a , W •---••---------- -------------------------�-------------------------------------- - �`��,------r�D--=--•-------•----•---•-•-•--•-------................................ UNature of Repairs or Alterations—Answer when applicabl .______________________________________________________________________________________________ Agreement: The undersigned agrees to install the aforedescr• ed Individual Sewage Di sal System in accordance with the provisions of TITi TLE 5 of the State Sanitary Co e— he undersigned fu her rees not to plac/thhe stem in operation until er I Compliance has been i e bo d f lth. . Applicatio Approved By. --•--• ................... .. 1^ ate Application isapproved for the follow• r son . ---•----•---• -------•---------- ------- ............................................................ ........................... ......................... •--•-----•------•---------.................................................. -------•---•--•---•........................................... Date PermitN6......................................................... Issued----------•---------------------•-•-•---•••---------••• Date No... a.:.5 3 ................._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........../.....�.v�./1.............OF...................'��.s%.9-aL_e'------------•----•--•------------ Appliratiun for Dispuiial Warkii Cnunitrnrtiun 1hrutit Application is hereby made for a Permit to Construct ( 41"or Repair ( ) an Individual Sewage Disposal System at: - •�•-'•= PI✓ 1171-•----....bx i✓�..---•----•'................... ...........................................rl................................................. Lo ion-Address or Lot No. / C .$ G�l G S C2�..1 'r �:�7 C� 4' /t l�►! d_!�. .............. .......� d vJ ----_... - •---- ... ...............•--•--•---•----- Owner { ! dress Installer Address Q Type of Building Size Lot.....ZY Z:.V._..Sq. feet U Dwelling—No. of Bedrooms..............:_ ._ ...............Expansion Attic (v1, Garbage Grinder (&14 U _ Other—Type of Building Z✓� ,rf1 M 1 G� YP g -=-------------•----•�----- No. of persons.._._....____.__._....- Showers ( /) — Cafeteria ( ) PA Other fixtures ------..... •-••----•--••------• . W Design Flow.......Y..).....................------gallons per person per day. Total daily flow..............Z_Z.P................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..._--.!v...... Depth below inlet......... Total leaching area......2.7..2.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) _ `" •..... Date.••.. -•..... ......--- a Percolation Test Result Performed by.._.-.�Sd_�!.�'.'.-.: ......................................L9 ��� a 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........................ •---•-•---------------------------•--- ................................................•--------------------------------------------------------•---------- DDescription of Soil----------U-' ............(.Qfr...............�it... ....... ------------------•--------------------------------------------------•----- U ........................................... • „ r ---•-•----•-----------------•-. f'bi_E's�i..� s ----1� = U Nature of Repairs or Alterations—Answer when applicabl ..................................................................................:........... Agreement: The undersigned agrees to install the aforedesc ' ed Individual Sewage D sal System in accordance with the provisions of TIT11 5 of the State Sanitary Coe e— he undersigned fu ther grees not to place the system in operation unt 11"11 1111 Compliance has been i e b d -f 1 lth. 1 J v � r - � 1. 1 Datt Applicatio Approved BY ...... ... .. '`�� ..........---•- --•- D ............. ate Application isapproved for the f ollow' g r son . •• •.... .................-------- ------------------------------------------------------------ --------------------------• ........................ .................... ---•-•---- ---••-•--•--•••.....-•••-•-•--------- Date PermitNo.............................--•----------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF Twrrtifiratr of Tuntplianrr THIS IS T RTIFY hat the Individual Sewage Disposal System constructed ( ) or Repaired"( ) by............... . ........ ............................•--------•--......................................... .................................................. (� Installer at-•............. 1 /----••• r .?�' r ......"-----. .............................................................----------------------- has been installed in accordance with the provisions of TIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...--.__?_..`S1.-,?................ dated.........................................I....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............ i �3�Pa`' Inspector................:..�'A- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 2 _S ................OF............................................................. ...................... .. Bill'vusttl urkii Tunutrudiun amit Permissiony1shnrebygranted•• - '•••--. --_-------------------- ------•-•-------•-----------•--------............_----'•----- to Construct ( R p it ( any In- vidual Sewage Disposal, stem . et, s Street as shown on the application for Disposal Works Construction it No............. ... Dated.......................................... DATE=-----------------=-- ••---••-----•-•---•'...................................... B d of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS n -r r OF M \A ' 7 B a c sum > 99 c /c�o,/ - 04� 7 (z- �. l'R-3o.S9 O'poCF A• v e44aPt IT, C=-e,",�S LA 7' HEIL CAJSL LEGEND EXISTING SPOT ELEVATION OAO OF CERTIFIED PLOT PLAN EXISTING CONTOUR -- 0 --- oaf E T Ln? 4 FINISHED SPOT ELEVATION 'A. FINISHED CONTOUR 0 M-ORSE — p No.10951�Q IN APPROVED BOARD OF HEALTH °FFssosin r %- JDAAJ4 SIAS Liil,A ASS* " DATE AGENT SCALES I � = 4U, DATES LDREDGE ENGINEERING CQ IN °�`"� CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED J0® iO. TJS'7 BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYO DR.,BY `4•� OF BARNSTA LE , ASS.-4 E-)CF u 712 MAIN STREET CH. ®Y! �J.l2.� ' H YA N N I S, MASS. - .p. --- SHEE'e OF Z WE G. LAND SURVEYOR N0-re /F E/TNER T/•IE.SEPT/C TANK OR � E�FCN/ivG P/T ARE MORE TWA:"/ /2"9Et014V /D fT M/N 1RA OEM A 24 'O/A{Al E TER COiyCR T,E CO fiER SHALL eE BRG/UGNT TG GRAOE.�.-;N EXT,Q.q CONCRe•re 4rPYC M/N. P/TCN P/N /4,=,4VY CAST /RO/Y COVER S/-/.4LL QE USEt� • LLC(/, t oZ o CODERS �9�AFiQ FT /F//V OR/VEyt/AY, := • '� 2 J. MAN. G'O/VCRL-TE A :•d _ �, .�oE COVER CL EA/V .SANG a LAYER ,cs ST MOMP/PE 0. �8,--18` :b MIN.P/T4�1 GAL • e • • • • • • off A. �•o %4 PER/T. S DIST. SEPTIC TANK o • b f • ► • • , • • • o , • WASHED STDNE "i.' BOX. o • � e • r • • • � .•• •' `'`' • • • • • DEPTH • • • ' v o yVi45XE0 STONE 2-.S = 4 7 o i e i • • • • • • • a • • p v PRECAS T SEE.PAGE lNVLWAPT Ae"I47/DNS a ►• • • • • . • ► • e n P/7 OR EQU/V. /TU'aA<1c/?y S4� .�adL/�Ay . ► • a ELC-V 9/•O , /NYERT.AT OL//LD/NG g g• 0 FT. G FT D/AM. 1T INLET .SEP•TIC TANK 59 B S FT / ° FT, 01A. 9. _, C,(SFE TABUL.. 177O V) i.. OUTLET SEPTIC TANK 5p8 ,3 FT, " LL /NLET D/STR/�!/T/ON.: BOX �R •/' FT GROV VD WA7,Ei+t TABLE s�CTiow oF- OdTLETDISTR/BIIT/ON BQX 97-9-a-7 //VLET LJrACN/NG f?/T 97. O FT SELVAGE O/4SI005A L SY.S7'4wM [; L EACH/NG P/T TA®ULA7/ON DES/GN CR/TERtA SCAL.E = ��" s /= v� 01MEN.S/ON A FT. D/M•ENS/,ON 8 c-r. 1vvAf5ER OF d►EOROOMS 3 D/MENS/ON C 4 FT.M ''� GARAGE D/SPOSAL (/iY♦T N vNC- SOIL LOG TOTAL. F3Tf/44TEO FLOW 3 3 O GAL.1DAY SO/L TEST.JO/ $o/L 7E'S7-02 SD/1- TE5T 1VUM8,hFR QF 4EACXlw6 P/rS -[_ fELe v g8 9 I-ELEY, PATE OF SO/L'TEST 9 7 gZ SIDPLL"ACH/NG-PER P/T Sy^, FT.. CJ _ ?- SO. FT L o f+-/Pj �= Re*VCOLAT/OM MATE / % �S /�►I/IVY//NCK TOTAL LEACH//YG AREA � 1' � S'Q, FT. -nor-, "Z.. M/N.1/NCR RESERVEGEACHI/VCr AREA �� SQ. FT. Z '-- •S'' - M.c 0.-5,A.vo t�OF GRAL / • •`� C o' / / I / t CN aMORSE all2�74 y p No.10951�O Q�sTgE`�o� �,L' 9p �G15TEP ��`` G•9 EL.OREDGEENG/N,EE•R/NG CO3/I1/G- nn c V ELEJ/• 7/2 MA/N ST. HYA�/N/S, M,gSS, SUR�� FSS/ONA%-i..+ /va GRovwv YN.4TER 1�NCOUNTEREO CL/ENT: ��� , t/ �I GRO LINO Lti/ATER AT EL E DRTE g l �, — .I GB NO: _. S 7 SHEET OF ,L TOP OF FOUNDATION 24"diameter concrete covers TWENTY(20)ADS ARC3GHC(3G I G13D2)LEACH CENTERVI LSE, EL=5 1.O raised to wrthrn 6"of finish grade CHAMBERS IN BED CONFIGURATION IN FOUR(4) Rte 132 (oras noted) lnspection Portand cap with magnetic ROWS OF FIVE(5)UNITS EACH 1 annou h Road MA markmg We to wrthrn 3"of grade �40 mr/. /IDPE LLner(See Note#23) t7L=49.6t Existing E1=49.5 t EL=49.5-t FL=49.l-49.5(maxJ A 3 5.0' 5.0' 5.9 5.0' 5.0 46.7± of '� ,d C\j qfy S1c Existing 47.7-t 14, Exrstm n 47.5+ BOX s` f " N i c�Pl LOCU5 6, p g 47.2+ :46.7-37 _ � 46 20 46.fO n c Existing _ Existing ni s � cat � a Gas Baff/e 45,20 � Eo /nspectron Port(see Note#4) a • - Lon est Rua TWENTY(20)AD5 ARC361-IC !o'+--4 }-- 74' g 9' --t (3G/6B02)LEACfI C/1AM56R5/N BFD U+ Existing D29-6 CONFiGURAT/ON WTI-1 FOUR(4)Rows PLAN VIEW FRST/NG /000 GALLON (H-20 Rated) OFF/(/E(5)CHAMBERS SCALE: I" = 10' SITE LOCUS 5L/ ! l C TANK ^ A K Di00� L fA CH C�AMD fR� EL=39.2+Bottom of Test fio% (H`v � NOT TO SCAM FLOW PDOFI LE VARIANCES REQUESTED I .) Assessor's Map 252 Parcel 54 CO r ��' i�T� n t R 'OT�� NOT TO SCALE 2.) Deed Book I0362 Page 22 of I V tJ I 'V 1 V 3.) Plan Book 147 Page 73 Lot 4 TEST ���� LOSS .Local Upgrade Approvals: 3 I O CMR f 5.403 4.)This property is in a Zone II of a Public 1.)ALL WORK SHALL CONFORM TO THE STATE ENVIRONMENTAL CODE,TITLE 5 (3 10 CMR 15.000): Variances: 3 10 CMR 15.21 1(1)Minimum Setback Water Supply STANDARD REQUIREMENTS FOR THE SITING, CONSTRUCTION, INSPECTION, UPGRADE,AND Distances: 5.) Mood Zone: C EXPANSION OF ON-51TE SEWAGE TREATMENT AND DISPOSAL SYSTEMS AND FOR THE TRANSPORT Test Hole#I (EL=49.2t) AND DISPOSAL OF 5EPTAGE,AND THE LOCAL BOARD OF HEALTH REGULATIONS. 1.)Soil Absorption System not 2(Y from Foundation Wall Depth Layer Soil Class Soil Color Comments 13'Held 7'Variance Requested LEGEND 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR VEHICLES OR HEAVY EQUIPMENT TO PA55 OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 0"4" A Medium Loamy Sand I OYR 3/2 LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. 4"-30" B Fine-Medium Sandy Loam I OYR 5/G 2.s EXISTING SPOT GRADE 3G"-80 C I Fme-Medium Sand I OYR 5/4 30%Gravel 24x5 PROPOSED SPOT GRADE 3.)TO MINIMIZE UNEVEN SETTLING, SEPTIC TANKS SHALL BE INSTALLED ON A STABLE 80-1 20" C2 Medium Sand I OYR 5/4 Pero @ GO" MECHANICALLY-COMPACTED BASE ON 51X INCHES OF CRUSHED STONE. --24 -- EXISTING CONTOUR 24- PROPOSED CONTOUR 4.)COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK,THE DISTRIBUTION BOX,AND THE SAIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN G"OF FINAL GRADE. LEACHING Test Hole#2 (EL=49.2) W WATER SERVICE LINE FIELDS,TRENCHES, AND OTHER 501L ABSORPTION SYSTEMS WITHOUT ACCESS MANHOLES SHALL O OVERHEAD UTILITY LINES HAVE AT LEAST ONE(1) INSPECTION PORT CON515TING OF PERFORATED 4"PVC PIPE PLACED Depth Layer Soil Class Soil Color Comments -U UNDERGROUND UTILITY LINES BENCHMARK VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP,TIED WITH MAGNETIC p G GAS SERVICE LINE MARKING TAPE, ACCESSIBLE TO WITHIN 3"OF FINAL GRADE. 0"-18" A Medium Loamy Sand I OYR 3/2 Top Corner Concrete ; O 18"-42" B Fine-Medium Sandy Loam I OYR 5/G EL=50.00(Assumed Datum) 50 �/�-% EDGE OF CLEARING 5.) PIPING SHALL CONSIST OF 4"SCHEDULE 40 PVC OR EQUIVALENT, PIPE SHALL BE LAID ON A 42"-84" C I fine-Medium Sand I OYR 5/4 30%Gravel 5 2 FENCE MINIMUM CONTINUOUS GRADE OF NOT LE55 THAN 2%FROM THE BUILDING TO THE SEPTIC TANK, 84"-1 20" C2 Medium Sand I OYR 5/4 ,50 P TEST HOLE LOCATION AND NOT LESS THAN I%OTHERWISE. ST SEPTIC TANK DATE Of TESTING:G.)DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4'"DIAMETER SCHEDULE 40 SOIL EVALUATOR: LINDA J. PINTO, P..,CSN ENGINEERING 9&� 49.G i 6eAba d r�d See Note#22° DB DISTRIBUTION BOX PVC(OR EQUIVALENT)LAID AT 0.005 FT/FT. UNLESS OTHERWISE NOTED. LINES SHALL BE CAPPED 40 mrf. !-/DPE Lang , ( J SAS SOIL ABSORPTION SYSTEM BOARD OF HEALTH AGENT. DON DESMARAI5, BARNSTABLE HEALTH•DEPARTMENT = AT END OR AS NOTED. PERCOLATION RATE: LESS THAN 2 MIN/INCH 1N"C"LAYERS (See Note#23) � 7.) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO(2)FEET BEFORE NO GROUNDWATER ENCOUNTERED PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO ASSURE EVEN DISTRIBUTION. 1 CERTIFY THAT .1 AM -CURRENTLY APPROVED BY THE 49.3 DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO 8.)GROUT TO BE USED AT ALL POINTS INHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES 3 10 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT THE 501L ANALYSIS HAS BtEN PERFORMED BY ME CONSISTENT IN ORDER TO PROVIDE A WATERTIGHT SEAL. i 49.G 49.5 t Exrstrngseptic Tanktobe WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE C2 Q / ��(mil \\ Utilised(See rt/ote#2!J 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE 3 �i/✓ DESCRIBED IN 3 10 CMR 15.017. 1 FURTHER CERTIFY THAT THE DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION OF THE SYSTEM. �t�r0 e\��rg �r 49 RESULTS OF MY SOIL EVALUATION AS INDICATED ON THE 0R`d� aX`o° / TAP-1 49 ATTACHED SOIL EVALUATION FORM, ARE ACCURATE AND IN 10.)IN ACCORDANCE WITH 3 10 CMR 1 5.221, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH aq�o`i.0- V o ACCORDANCE WITH 31 O CMR 15.1 QO THROUGH 15.107 MAGNETIC MARKING TAPE. 0 ry ' ���5� 49.6 TP 2 4aG o / 4 \ 1 1.)THERE ARE NO KNOWN WELLS WITHIN 109 OF THE PROPOSED SOIL ABSORPTION SYSTEM. p � � \3 / 49,1 Linda J. Pinto, Certified Sall Evaluator -- 12.) FROM THE DATE OF THE INSTALLATION OF THE 501L ABSORPTION SYSTEM UNTIL RECEIPT OF eGk p°cf he 0"OF THE CERTIFICATE OF COMPLIANCE,THE PERIMETER SHALL BE STAKED AND FLAGGED TO PREVENT Bdrm Bth Kitchen / O ° / / 1y ASS9C USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. s 9 LINDA J. yP JL �Q�IZ Q �.// A PIN TO 13.} THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS 49.i CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING B L Y THE iviri ° ` C�ESIGNER. Bdrm 9 ..� tI 48 . 46 ..�y _ .fo 14.)THE BOARD OF HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE O s Fss I S T CF Goa BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE .L LOT 4 ;. /OVAL �N SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT (� Area=8,420 S.F.± AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE 15 REQUESTED. FLOOR PLAN \\\\ Survey Mark bJr' 1 5.)LOCATION OF UTILITIES 15 APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR ° `\` a A & H Land Services DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO NOT TO SCALE L 30 COMMENCEMENT OF ANY WORK.THI5 INCLUDES, BUT 15 NOT LIMITED TO, REQUESTS TO DIG5AFE, �/ a,?, g 57 32f Mest Yarmouth, HA 02873 ANY PRIVATE UTILITY COMPANIES,AND THE LOCAL WATER DEPARTMENT. 48-- °4 ° 47.8 c Pb- (508) 737--IM7 ED2ze31.• anmland®comcast net I G.)CONTRACTOR SHALL VERIFY THAT ALL WA5TELINE5 ARE CONNECTED BY WATER TESTING Op WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. G,C,r Prepared for: 17.)CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY 47 8 pp 0\V 6 r SEPTIC SYSTEM COMPONENTS. �rC� \�c \Nay g Geor e LaBarnes AUPUb 109 Midway Dr., Centerville, MA 18.)INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL NOT BEAU I V 6 D E5 I C t V Ct 1LC V LJ 1TI C�N S USED FOR STAKING,OR ANY OTHER PURPOSES. Pro SfTE PLAN posed Sewage Disposal System 19.)THIS PLAN DOES NOT CERTIFY, GUARANTEE OR WARRANTY COMPLIANCE WITH DEEDED OR 5EWAGEDE5/6N FLOWRSOU/RED.2 BDRM DWELL/N6(MIN DF516N 3 BDRM5) 109 Midway Dr., Centerville, MA ZONING BYLAWS,SPECIFICALLY, BUT NOT LIMITED TO,SIDELINE SETBACKS AND BUILDING HEIGHT Q //0 GPD/BEDR0041=330 61-D REQU/RED RESTRICTIONS.OWNER IS RE5PON5113LE FOR OBTAINING SUCH A DETERMINATION FROM THE 5EWAGEDB5/6N FLOWPROU/DED: 11PENTY(20)AD5 UNITS LN B5D SCALE 1" _ 20' Prep ared d b APPROPRIATE AUTHORITY. CONFIGUKARON/N FOUR(4)ROWS OFF/1/E(5)UNM5 E4CI-1 p y 20.)IF SOILS DIFFER FROM THOSE SHOWN 1N THE SOILS LOGS, DESIGN ENGINEER IS TO INSPECT Vt=[(330/0.74)/(4.B FT2/FT)/S OLFJ = /9AD5 UNIT5 THE SOILS PRIOR TO PROCEEDING WITH INSTALLATION. REQU/RE0(20PROVlDED) CSN i mp, 21.) EXISTING 1000 GALLON SEPTIC TANK TO BE UTILIZED. PVC TEES TO BE INSTALLED ON INLET 355 61129 PROVIDED>330 GPD ED REQUIR m • AND OUTLET PIPES IF NECESSARY, AND A GAS BAFFLE INSTALLED IN THE OUTLET TEE. Itt`� Engineering SEPTIC TANK CAPACITYREGUI,l�ffD: 330 6PD X 200%=660 GPD REQU/RED INSPECTION NOTE: 22.)EXISTING SEPTIC COMPONENTS TO BE LOCATED, PUMPED DRY, FILLED WITH CLEAN SAND AND a 20 40 CO ABANDONED IN PLACE. AREA TO BE COMPACTED TO MINIMIZE SETTLING. 5EPTTIC TANK CAPAC/TYPROVIDED: D(1STING IOOO GALLON5EPTIC TANK PRIOR TO FINAL INSPECTION BY THE ENGINEER, SYSTEM P.O.Box203€? Phone:(508)299-3250 NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. Teaticket,AEI 02536 Fax.(508)548-5478 23.) INSTALL A 40 mil HDPE LINER FROM EL=4G.5 TO EL=42.5 AS SHOWN ON PLAN(SEE'PLAN A GARBAGED/5PO,SAL/5 NOT PERMITTED KITH r/i/5 DESIGN FLOW SCALE 1"=20' VIEW). C-\C5N\RR-Midway 109\RR-Midway 109-SD5 Plan.dwg Date:0 1/08/13 Scale:As Shown I By:LJP Check:MTA Project No.C5NO3O5