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Home My WebLink About0101 OAKVIEW TERRACE - Health 101 Oakview Terrace 4 Hyannis e P � e O o C 0 O e � C e e e 0 1 a I! Bg vl ct271409:19p p,1 1 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Amold'Tepper Owner Owner's Name information is required for every Hyannis MA 02601 10-22-14 page_ Cityrrown State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important When filling out forms A. General Information on the oompuler, k�to move only the our 1. Inspector. s9o°��. cuurrsor-do not .lames D.Searsuse =� JA M E S 'yrt,r key.the return Name of Inspector c CapewideEnterprises LLC �I I I Company Name "ILA 153 Commercial Street ��S ►NSP�G��`��\ Company Address Ulg, „�tit� Mashpee MA 02649 Cityrown State Zip Code 508-477-8877 S1623 Telephone Number license Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 16.340 of T-rtle 5 stem:310 CMR 15.000 .The s ( ) y ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 10-27-14 pectors 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. ""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. Ld I D3lI � t5ins•3113 T e a1 Ur C1i0n Form:SuCstrface Sewage Disposal System.Page 1 of 17 Oct 27 14 09:19p p.2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Amold Tepper Owner Owner's Name information is Hyannis MA 02601 10-22-14 regWred for every page. cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary:Check A,B,C,D or E I always complete all of Section D A) System Passes: ® 1 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: Pass System Out let tee has a filter.The system is a 1000 Gal.Tank D Box and twenty biffusers. 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 the Board of Health,will pass. Check the box for"yes "no" or"not determined"(Y, N. ND)for the following statements. If"not determined,"please explain. The septic tank is metal and over 20 years old"or the septic tank (whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiiltration or tank failure is imminent.System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. "A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): N,sy.Sn 3 rtae 5 Offidal h apeckn Fafm Subsurface Sewage Ouposal System•Page 2 of 17 Oct 2714 09:19p p.3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Amold Tepper Owner Owner's Name information is required for every Hyannis MA 02601 10-22-14 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumpslalarms not operational. System will pass with Board of Health approval if pumpslalarms are repaired. B) System Conditionally Passes(oont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system Is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 45ins•3113 TWe 5 Dlridal hspacfion Form SubwRace Sewage Dlspoael System-Page 3 of 17 i Oct 2714 09:20p p.4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Arnold Tepper Owner Owner's Name information is required for every Hyannis MA 02601 10-22-14 page. cityrrown state Zip Code Date of Inspectlon B. Certification (cunt.) 2. System will fail unless the Board of Health(and Public Water Supplier,N any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal colifo►m bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other. D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® Backup of sewage into facility or system component due to overloaded or dogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ 0 Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in awspoil is less than 6'below invert or available volume is less than Y2 day flow .4 V eII/AIG t5ins•3013 TNIe 5 Offidal Inspection Form:Subsurtaoe Sewage Disposal System•Page 4 d 17 Oct 2714 09:20p p.5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Arnold Tepper Owner Owners Name requkdficition is Hyannis MA 02601 10-22-14 fequced for every page. City/Town State Zip Code Date of Inspection B. Certification (cunt.) Yes No ❑ ® Required pumping,more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped; ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis.[This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen Is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system falls. i have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes' or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a.surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ 0 the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes'in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shalt upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. NM.3113 Title 5 Official Impedion Form!SubsiOace Sewage Disposal System-Page 5 of 17 Oct 2714 09:20p p.g Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Amold Tepper Owner Owner's Name information is required for every Hyannis MA 02601 10-22-14 - page. City/Town State Zip Code pate of Inspection C. Checklist Check if the following have been done.You must indicate°yes"or"no"as to each of the following: Yes No . 0 ❑ 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 NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum? ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(5)1 D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330 t5Bu-3113 Title 5 OIBcEal Inspection Foam Surface Sewage Disposal System-Page 6 of 17 Oct 2714 09:21 p p.7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Arnold Tepper Owner Owner's Name information is requaed for every Hyannis MA 02601 10-22-14 page. City/Town State Zip Code Date of Inspection D. System Information Description_ The system is a 1000 Gal, Tank D Box and twenty biffusers. Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2012-85,500Gals 2013-81,000GaI s Detail Sump pump? ❑ Yes ® No Last date of occupancy: PresentDate Commercialtindustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design Row(seatslpersons/sq.ft.,etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings,it available: t9ins•3n3 Me 5 00dal InspecBm Form Subsurface Sewage DMposd Sydem•Page 7 of 17 Oct 2714 09:21 p p.8 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR Arnold Tepper Owner Owner's Name information isrequ Hyannis MA 02601 10-22-14 page. for every City/Town State Zip Code Date of Inspection page. D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: 3-22-12 Was system pumped as part of the inspection? ❑ Yes No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the 1/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3/13 Title 5 011dal Inspection Fomr.Subsurface Sewage Disposal System-Page 8 d 17 Oct 27 14 09:21 p p 9 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Amold Tepper Owner Owners Name information is required for every Hyannis MA 02601 10-22-14 page. City/r'own State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components,date installed (if known)and source of information: Tank NA D Box and leaching 2010 Permit #2010-023 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 32" feet Material of construction: ❑cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Pipeing is 4" PVC SCH 40 Septic Tank(locate on site plan): Depth below grade: 21"feet Material of construction: ®concrete ❑metal ❑fiberglass ❑polyethylene ❑other(explain) If tank is metal.list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gal.Precast H-10 Sludge depth: 2" t5ins•3113 Title 5 Olficiol Irspection Form:Substufaw Sewape Oisposel System•Page 9 of 17 Oct 2714 09:22p p.10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR Amold Tepper Owner Owner's Name information is Hyannis MA 02601 10-22-14 required for every page Cityfrown State Zip Code Date of Inspection D. System Information (cons.) Septic Tank (cont.) 28" Distance from top of sludge to bottom of outlet tee or baffle 0" Scum thickness 8ll Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 18t1 Asbuilt-Tape-Plan How were dimensions determined? Sludge Judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Tank at working level.Tank at 21"below grade w/both covers at 4". Inlet tee,outlet tee w/filter. No sign of leakage or over loading - Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: 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 Date of last pumping: Date Mns-WU Title 5 Official Inspection Farm:subswum swap Ulep06e15yslam•1`89e 10 of 17 Oct 2714 09:22p p.11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR Arnold Tepper Owner Owner's Name Mquirdfb is Hyannis MA 02601 10-22-14 required for every Y page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑concrete ❑ metal ❑fiberglass ❑polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order. ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 14%ls,3n 3 Title 5 official Inspection Fomc SubsWace Sewage Dleposal System-Page 11 of 17 f Oct 27 14 09:23p p 12 Commonwealth of Massachusetts Title 5 Official Inspection Form UVSubsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Arnold Tepper Owner Owners Name information is required for every Hyannis MA 02601 10-22-14 page. Citylrown state Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box, etc.): D Box is 16"x21"-38" Below grade w/cover at 14". Box is clean and solid wl five lines out. No sign of over loading or solid carry over. Pump Chamber(locate on site plan): Pumps in working order. ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc,): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: tSns•W3 TWO 5 Of W InspecUm Farm Subsurface Sawape Disposal System-Pop 12 of 17 Oct 2714 09:23p p.13 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR Arnold Tepper Owner Owner's Name Wbrmarion is required for every Hyannis MA 02601 10-22-14 fo page. Cityrrown state Zip Code Dale of lnspedion D. System Information (cont.) Type: Cl leaching pits number: ® leaching chambers number: 20 ❑ leaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number,dimensions: ❑ ovefflow cesspool number: ❑ innovative/alternative system Type/name of technology. Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is twenty biffuser's(ARC 3613 H20) 15'X20'. CK D Box and camera.lines. Chambers are wet and clean No sign of over loading Cesspools(cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ns•3113 Title 5 oMeW Inspection Fomc&bawface Sewage Di'mmsE l Syslem-Pe"13 Of 17 Oct 2714 09:23p p.14 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments UV - 101 Oakvlew Terrace Property Address DR.Amold Tepper Owner Owner's Name information is required for everyHyannis MA 02601 10-22-14 page. Cityfrawn State Zip Code Date of Inspection D. System Information (cost.) Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.): _ Privy (locate on site plan):. Materials of construction: Dimensions Depth of solids Comments(note condition of soil,signs of hydraulic failure, level c f ponding, condition of vegetation, etc.): s 951m-W13 Title 6 00cial Impaction remr.subsurfaw SW&We OlSposal Syslem•Page 14 of 17 Oct 2714 09:24p p.15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Arnold Tepper Owner owners Name information is required for every Hyannis MA 02601 10-22-14 Cityrrown page. State Zip Code Date of Inspection D. System Information (cunt.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet_ Locate where public water supply enters the building. Check one of the boxes below. ® hand-sketch in the area below ❑ drawing attached separately r A -I 3,�"' V" - �3OL— � II "Sa'ns-31`13 TBte 5 Official Insped�on Farm'Suruwtace Sewage Disposal System-Page 15 of 17 Oct 2714 09:24p p.16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR.Arnold Tepper Owner Owner's Name information is H MA 02601 10-22-14 Hyannis required for every State Zip Code Date of Inspection page- City/town D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells d 10'+ Estimated depth high ground water. feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 1-22-10Dace ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: T.H. on Design plan 1-22-10 no G.W.at 10'+. Bottom of chambers at4'below grade. Bottom of chambers at 6'above T H Depth Before filing this Inspection Reports please see Report Completeness Checklist on next page. l5ins•3113 Title 6 OKidal Inspection Form Subewlace Sewage Disposal System•Page 16 of t7 Oct 2714 09:24p p.17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 101 Oakview Terrace Property Address DR Amold Tepper Owner Owners Name information is required for every Hyannis MA 02601 10-22-14 page. CityrTown State Zip Code Date of Irmpection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file f5ins•31`13 Title 5 Orliciel Inspection Form:Subsurtaw Sewage Disposal 6y41em-Page 17 of 17 1 TOWN OF BARNSTABLE LOCATION-7 /o f t U1 k) re "r SEWAGE# VILLAGE oi/�/7e/ ASSESSOR'S.MAP&PARCEL mog -"a9�S INSTALLER'S NAME&PHONE NO. &./)2� go ae SEPTIC TANK CAPACITY 10W 5!a LEACHING FACILITY:(type) 2y 11; (ex o])�r/(size) >S x 2() 5 ✓��SS" NO.OF BEDROOMS OWNER ;C/8�� ' T4� PERMIT DATE: 1 7-1 -2-o to COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility it" 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 e C-A Q41,) l•UQ r � �I ol ra CA � 9s � � d �' � ° No. Fee V✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:_�� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftphtation for NepoSal 6pstem Construction Vrfmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addr ss or Lot No. Owner's NN e Address and Tel.No. /v/ aaf v«w 7.err44M v"e-AncS Arno lons' T.e �r Assessor's Map/Parcel a(.9 p 11 e S A� S� (MO 13 Z Installer's Na�e,Address,and T@l.No. Designer's Name,Address,and Tel.No. Llo-L't /�P C'Ll r-p►-csej ksv7 P,,.aot" lZ/ jL�ns�r�aRar1✓�1 (bhtf P11 R 2 o' Qq85,V Fran& C+W&A Oa&g6m o Type of Building: Dwelling No.of Bedrooms -3 Lot Size 1013 y sq.ft. Garbage Grinder(Al) Other Type of Building Qe C, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) U gpd Design flow provided ASS Z° gpd Plan Date 11 it) Number of sheets ( Revision Date Title Size of Septic Tank \O®p lA io ilxI St. Type of S.A.S. (ao) I� a tp 144154?r 5 (A4 C-#00'5)1N2o Description of Soil CS--CL" Zi 44A y � �j�I,yy. -V hod S Zo a 4012.,,ra SRC Nature of Repairs or Alterations(Answer when applicable) ,.0" Date last inspected: ®B O 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 Date ^ '27- Zaly Application Approved b Date f t)'6 JJ6 Application Disapproved by Date for the following reasons Permit No. ��(', Date Issued /® .,, .„F $ ...+,-•�-.1'-r ..w•^nrw�.r r�� -f�~e .---�0•r�^w I � y ,.-. r,. r-- . . d � G No. � �, Fee THE COMMONWEALHO 11AASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH,DIVISION -TOWN OF ARNSTABLE, MASSACHUSETTS 2ppf tation for Misposal 4pstem"Construction joermit Application for a Permit to Construct Repair Upgrade Abandon PP ( ) p ( ) pgr ( ) ( ) El Complete System El Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. lot oak V&A" _T4rraee ��1Ghr\� S Qrno Id S T.e Per Assessor's Map/Parcel (0 4 one 51 A� �� S} S� L"U( S MG h313Z Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 3 �377 ec-19XwIck -'n/ orpr,SeS k5o� l� o �iG 1?d �e � Qr\5\ AKXk n j 5,0 r (-b f k)"1 R t C/2 04 Type of Building: Dwelling No.of Bedrooms Lot Size 10,351,j sq.ft. Garbage Grinder(,t/) Other Type of Building e 5 No.of Persons 1 Showers( ) Cafeteria( ) Other Fixtures Design Flow(min~required) gpd Design flow provided ` ,35 S Z gpd Plan Date 1 1 2 to 1 U Number of sheets Revision Date Title Size of Septic Tank \OINt-� -4,5). Type of S.A1.S. (020) 13 ` u se r s Ar('C-t3(013)NZU 1 'Description of Soil 6-4 ` 6 Otn y �� e r6N. SAA d `0 ' Z v 20 l l 30 Nature of Repairs or Alterations(Answer when applicable) SQS ,D" Date last inspected: U 10 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Z-7' ? I 0 Application Approved b 1 Date 0 � lJ Application Disapproved by Date for the following reasons Permit No. 0/0 G 3 Date Issued / t) �f d 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 En 4 0L(.es S 5 07 AG/A ui,N, (d CO AIL l� ✓j'If} at /O/ oQ k v,-ew /rA 14 c-e has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ?�0"� dated Installer ('atm &41 of/5-,el Designer r. rzrl �hRF yi #bedrooms t� Approved design flow adesigned. gpd The issuance of this permit shall not b6 coonstrued as a guarantee that the systemwill"funct Date �j �1 t`/ Insp ct r _ No. r!'o ^ d Fee /Q THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( of Upgrade( ) Abandon( ) System located at /o / d4� i,,e u) 74,o)a u 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 ust be completed within three years of the date of this permit. Date �—`� , /ra Approved)b /\ �� Town of Barnstable P# Department of Regulatory Services Public Health Division � 1639. ,b� 200 Main Street,Hyannis MA 02601 Date TAD MA'l� Date Scheduled ,21 a Tifine okt4 Fee Ad Ad Soil Suitability .Assessment for Sewa .his g posal Performed By:_H cC aet Gertkek Yi7 656 i— Witnessed By: Ad, LOCATION & GENERAL Location Address INFORMATION . (� ( (81��K v;g,J -��!✓s C e Owner's Name -•� �p�p Address Assessor's Map/Parcel: Engineer's Name NEW CONSTRUCTION ✓ P'�JKJ t G &-Skl2e�Bc REPAIR _ J Telephone# ��'yL$ tlaL� .5C�-Z73-0377 Land Use 5(L)!Je �anilY I feSfAe�Ela1 Slopes Z Surface Stones Distances from: Open Water Body ft possible Wet.Area r Drinking Water Well ft Drainage Way -ft Property Line 710 -- —ft Other — ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in ` 'l proximity_ to holes) SrZ ag-CGl-pj QIQi(1 J Parent material(geologic) OUEwa.S(nIt Depth to Bedrock 7 3o b5S Depth to Groundwater. Standing Water in.Hole:_ 713� g Weeping from Pit Nee 7 130 S Estimated Seasonal High Groundwater 7130"b ti5 ' DETERMINATION FOR SEASONAL HIGH WATER Used: Dt'cect doserveho� Depth Observed standing in obs.hole: '71 SO. �130 Depth to weeping from side of obs.hole: • >/3_Q ia. Depth to sell mottles: __in, Groundwater Adjustment in, Index Well# Reading Date: Index Well level `• V ft. �� Adj,factor Adj.Groundwaterl-tvel Observation PERCOLATION TEST Date f-22-10 T1tnp._Zb,fh Hole# — -- Time at 9" 1 Depth of Per; Z-P 38 c Time at 6" _ Start Pre-soak Time @0 02 A 11 Time(9"•6") End Pre-soak Rate Min./Inch L 2, Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG' Hole# Depth from Soil Horizon Soil Texture .Still Color Soil Surface(in.) (USDA) (Munsell) MottlingOther (Structure,Stones;Boulders. on i tenc °G revel lE S - yO B 4S iOYf -5�6 DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell) MottlingOther (Structure,Stones,Boulders. nsistency,%Grave, 1)� Y-8 ass. �s 3/� 8 26 4 L 20 l 3b C, S DEEP OBSERVATION HOLE LOG, Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Congistency,S' Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%orrive'I Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes _:v_-_ 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 pervious material exist in all areas observed throughout the area proposed for the soil absorption system? _ Ye5 _ If not, what is the depth of naturally occurring pervious material? Certification I certify that on 10-27"49 (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 training,expertise and erience described in 310'CMR 15.017. Signature Date QA5 BPTiC\PERCFORM.DOC LOCATION __� SEWAGE PERMIT NO. Cc�✓✓ S ll !�2 VILLAGE INSTALLER'S NA-ME i ADDRESS 4 'Ra C c--, v ILDE R OR OWNER �ce p scs. DATE PERMIT ISSUED( DATE COMPLIANCE ISSUED �; , �� ', P� �� r � � � � J �- :w�F :-:� ��.. r' .� f, No.................. c j ............. Fss. THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH Appliration for Disposal Morks Tons ru.rtion 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at - . Locatio dress o t DI f../. /%�4 � rJ :�..- ' f1'..... � rfJ' .._ .� -•mac ............. .............. ow ne f Address Insta Address Type of Building Size Lot............................Sq. feet U DwellingNo. of Bedrooms............. . .Ex Expansion Attic Garbage Grinder — P ( ) g ( ) Other—T e of Building No. of persons....__.__.. .......... Showers '" — Cafeteria Other fixtures .----•-•-••--------------•-----. .... -•-•------------••--------------------------------- w Design Flow.............. 5_77_0................gallons per person per day. Total daily flow............................................ WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No......../0.. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosinnk �� '-' Percolation Test Results Performed by-- .................... --- E/.....Z ----•---• Date----.�_ .... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--_-_-__:____-__---____- Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ® ,. �.....f ---- O Description of Soil............_ ` . /tea.... ... ----------------------------- w UNature of Repairs or Alterations—Answer when applicable............................................................................................... ..--- • •---• •---------------•-----•---•-------------------•------•--•••-•-...--•- Agreement: The undersigned agrees to install the aforedescribed Individual-Sewage Disposal System in accordance with the provisions of iI'LU 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the oard of lth. igned- Date_ Application Approved By-----.... -=........ fA �L ------4� . �5------�� Date Application Disapproved for the following reasons:................................................................................................................. -----•-•.....................•------•-......----•--••----•--•----•------•-••----------.......--------•------------------•------------------------------------------------•----......................... Date PermitNo......................................................... Issued........................................................ Date r+ a �o No. ••• 7S F.Hs... �'- THE COMMONWEALTH OF MASSACHUSETTS r BOAR® OF HEALTH -•__..../..!..fir - ------.....OF,........,0...�`.�-•--•'•'•'•� ----- - ''�`-.�. Applirtttiou for Bispviial Works Tutor rurtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: /� • f t --1-....44-,�•-• 46 G �=�Et•_AX' ql -_-•---•-------------- ;1 �..J...._� Location-,A ress - •• o t � � aI f_, ......1�._. ........ �� - ---- ... Owne Address a ......-----�3........Q: ----- ---------------------------------•--_.._ ............................. Insta Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..............�_----_--__----_-_-__--Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building No. of persons........._ ......... Showers — Cafeteria QOther fixtures ---------•--------------- -----•-------------------•...----------------------•---------- ---•--••-----------•-----------------:.._......-----•-------- w Design Flow...............��,?�`.0...............gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter-_.____.._____-- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. i Seepage Pit No---------/_ .. Diameter.................... Depth below inlet................ Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin k ( ) ,2vN f� 9 G Percolation Test Results Performed by.._. _� , ................../....__�._S_._._..:_. Date......(--._a...""".o--l�... a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil....._... 0 �-....1.-_'•........ .......... �l %= ---- ...... 1 r_._/.._. x f� ............. z ---�`'-�--� ----f------ -=--_-. .. ............................... w U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------•-------------------------------------•-----•---.._..--•--•--------•------------.....................----------------------------------•----------------------------------------.._.._.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITTIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by'�hee and of?h lth. f 9 Signe .._.. . h>s/ ! l.. d !! ------ ............... • .. Date Application Approved By........ f" -------- _ ..Iti'' ?_ Is '' ' Date Application Disapproved for the following reasons:-•--------------------------------------------------- ---------•----- ........................................... ........•---••-----•------•........••---------------------------•-----•--,:-•------=------•--------------........-----•------••---•-----------•------.................................................... Date PermitNo.............................................=•---••---_. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........77� .....OF......:........... .... ...................................... ........ • � �rrtifirtttle ,af �nr�t�rlitt�crr THIS IS TO CERT IFY, That the Individu Sewage Dispdsal System constructed ( ) or Repaired ( ) by - --•-- nn----....\-/. l t !�......... f •wt 4,a/ '�/ /tCc t �.. Ins Iler �`r�/f ............... has has been installed in accordance with the provisions o T ` of The State Sanitary Code as described in the application for Disposal Works Construction Permit i ... ..... a_..... . dated-. ............ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS 7n BOARD OF HEALTH ,�Y..Y..�..........OF...........//`/�' �/.J � � I .. , No......... ! ...... FEE--:.!?................ Disposal Markil T11nstr.Artivit rrmit a Permission is hereby granted - � :. ........--•••• to Construct ( ) or Re air ( ) In iv• SVe ,ra e oat No... Q- - ._..._.. . e --------- Street as shown on the application for Disposal Works Construction Pe541t No... .............. Dated. j�f� -------•••- / Boar ea—I i - FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS �"'�• tkz22 —�' a 4s a a r s�$ e �r�� tR4t .� � ... ,. ::�..,a' tu. .. a -.• j 'F• 1� � 1"� .` S ydF ��1� }}fir•:ti Lai* c T H ' i`r. y o �jk ,�-P,E ?- E - �� 'rat 'WW'' `fih°;�rC x9 �¢ •-.+,� " �, t rr r S ar k, t r2,} x+'',dy y`i ^ 4A7�a k �.f�'it rT ra ar, � - { '•r r 2 } t(•.a} �a"''�.�c�'(x�a kt�{ �., volu �ry��y 9 i ..v . #�+ r�.1 r > 'r. i'G✓�,g ��.4 c� l _t 44 '� ,,�. 'L��y�')9. .. 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' "fit -_-F�4 :: '�ti O� :. _ �'4"'�`1 gy�raY'�-✓p'6' .� �',t �d 'R� �� .. h. >F. - '_7,r�,t•... ;i.�'" `'�+',y "1"' --'tou e`.,"•- _ ', �' .rT a> , dam+.. en. 3 "��5?w,x�',',.y*:��-g.�.��;T .•.r. ��c. -,' - a.:. �°'��. '*{�7�� q:.�t�i'�. _ �� - 'L._ " tir°r. ,. ....y.. �k -. "�''�• J s' - ��. ,;;�y 4♦..?ram D.sr +`"3M e a Y. � - PROVIDE PRECAST CONCRETE T.O.F. EL.= 40.2'+- EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-BOX= 38.2'-+ 4"SCHEDULE 40 PVC MIN. SLOPE 1 % PROPOSED PVC VENT FINISHED GRADE OVER BIODIFFUSERS= 38.3' - 38.7' GENERAL NOTE S COVER TO WITHIN 6"OF F.G. OVER INSPECTION PORT WITH SLOPE @ 2% MIN. INLET AND OUTLET COVERS. REMOVABLE WATER-TIGHT COVER OVER ACCESS BOX TO WITHIN 1 UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE RISER TO WITHIN 6"OF FINISHED GRADE 3-OF F.G. (ONE PER ROW) METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 38.9'± FINISHED GRADE OVER TANK EL. = 38.3'± 5-DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. ri 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE I I DESIGN ENGINEER. PROPOSED 4" 9"MIN. IIN.EXISTING 4" 36"MAX. 49"MAX. TOP OF SAS B.O. 34.63' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE PVC SEWER PIPE (SEE NOTE 21.) SYSTEM UNLESS OTHERWISE NOTED. 6n 3" 3"DROP MAX 3" 9" PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 2-DROP MIN MIN.SLOPE @ 1% JOINTS(TYP.) ELEVATION =34.63' FOR A DISTANCE OF IV AROUND THE PERIMETER OF THE SAS. UNLESS A SLOPE 01%1 -94 1 10- 4-PVC IN FROM 1.33' 16" 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF SEPTIC TANK 4"PVC OUT TO (TYP.) I(TYP) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 14" \-*35.0'± • LEACHING FACILITY 0.90, 10.75-(TYP) 1 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. CONTRACTOR CONTRACTOR SHALL nj ITI r:T. 34.20' 33.30' (laid flat) -2.876(34.5-)-� (STONELESS SYSTEM) 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48- VERIFY CONDITION OF OUTLET TEE 34.50 34.33' (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK T YP.) AND CONDITION OF EXISTING TEES 22"ZABEL FILTER 6"CRUSHED STONE 5.0 EXISTING SEPTIC AND REPLACE AS MODEL#Al 801-4x22 OVER MECHANICALLY ( 5'MIN. 14.375' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY (GAS BAFFLE ON BOT.) COMPACTED BASE 20.0'(TYP FOR ALL ROWS) AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 40.00'ESTABLISHED TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 27.67' ON A NAIL SET IN AN 18"DIAMETER TREE AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 20 - BIODIFFUSERS PROFILE BIODIFFUSER END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL 20 ARC 36HC (#3616BD) H-20 BIODIFFUSERS TO THE DESIGN ENGINEER. TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10- ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. ------------ 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM • PERC NO. 12821 APPROPRIATE AUTHORITY. SWING-TIES SCALE: 1-=20- INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS DESCRIPTION GC-1 GC-2 LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE EVALUATOR: Michael Pimentel, E.I.T. THEY SHALL WITHSTAND H-20 LOADING. C.S.E.APPROVAL DATE: Oct. 27, 1999 BIODIFFUSER CORNER(1) 26.6' 11.11 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. BIODIFFUSER CORNER(2) 40.2' 19.81 •#101 DATE:- January 22, 2010 EXISTING TEST PIT 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE 3-BEDROOM BIODIFFUSER CORNER(3) 493 35.0' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. . GC-1 DWELLING ELEV TOP 3850' 0 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, GARAGE TOF =40.2'± BIODIFFUSER CORNER(4) 39.0' 30.9' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). ELEV WATER <27.67' SLAB LOCUS DECK PERC RATE 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN C14 <2 min./inch W SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. BH DEPTH OF PERC = 20"-38" fie 16. PROPOSED PROJECT IS LOCATED WITHIN: C-2 TEXTURAL CLASS: 1 ASSESSOR'S MAP 268 PARCEL 295 0 1) 0 OWNER OF RECORD: ARNOLD S. TEPPER, TRUSTEE z (4 ADDRESS: ONE ST.ALFRED '060 on 38.50' Litter ST. LOUIS, MO 63132 2) 0 ZONE 2 4" 38.17' :0 9.00 A/E Loamy Sand (3 1 OYr 3/1 • 8" 37.83' FEMA FLOOD ZONE C 0 B Loamy Sand COMMUNITY PANEL# 2500010008 D 1 OYr 5/6 17. DEED REFERENCE: DEED BOOK 14307, PAGE 319 20" !L�9 36.83' 18. PLAN REFERENCE: PLAN BOOK 340, PAGE 92 0 Perk 35.33 38 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. Ulf 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY Med. -Coarse Sand FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY C3 C 2.5Y 6/6 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE, (5-10%gravel) 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE O�- ?N - APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7): �--OGE- 15b. (I.) A 1.1'WAIVER(4.1 -3.0')FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. �� 37 �? \,N\'De LOCUS PLAN- Z' 38 -38- 7z SCALE: 1"= 1000' 130" 27.67' U.P.#1482/48 --A No Mottling, Standing or Weeping Observed MAP 268 VIA 0 TEST PIT DATA DESIGN DATA LEGEND PARCEL 295 #101 010 Od� PERC NO. 12821 10,384 S.F.± EXISTING 39 3-BEDROOM NUMBER OF BEDROOMS(DESIGN) 3 INSPECTOR: David W.Stanton, R.S. 50x0 EXISTING SPOT GRADE DWELLING DESIGN FLOW 110 --jGAUDAY/BEDROOM EVALUATOR: Michael Pimentel, E.I.T. GARAGE \ TOF 40.2'± 50 EXISTING CONTOUR SLAB LQ TOTAL DESIGN FLOW 330 GAUDAY C.S.E. APPROVAL DATE: Oct. 27, 1999 PROPOSED TOTAL 20 ARC 36 HC Inv 36.8'± DECK DATE: January 22, 2010 0PROPOSED CONTOUR (#3616BD) H-20 BIODIFFUSERS IN A 20.0' J PROPOSED DISTRIBUTION BOX DESIGN FLOW X 200 % = 660 GAUDAY TEST PIT#: 2 D/H/W EXISTING OVERHEAD UTILITIES x 14.375' FIELD CONFIGURATION 38.8' BH USE EXISTING 1,000 GALLON SEPTIC TANK 2� 38.4'x TP ELEV TOP 38.50' 38 5' -W-W EXISTING WATER LINE ELEV WATER= <27.67' � 0 X / —EXISTING 1,000 GALLON SEPTIC TANK TO 0 BE UTILIZED AS PART OF THIS DESIGN PERC RATE GAS EXISTING GAS LINE 38.7' e6- 0 INSTALL 20 - ARC 36 (#361313D) BIODIFFUSERS (H-20) e6" DEPTH OF PERC TEST PIT LOCATION T TEXTURAL CLASS: I �,,3 .6 '�'a �B SYSTEM CAPACITY 1; P I 38.6'x 1'6t 'I Go EXISTING 1,000 GALLON SEPTIC TANK 18" 00 rb (TOTAL L.F. OF BIO'S)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD 38.1'x MAP 268 (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING DAY 0. 38.50' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE PROPOSED INSPECTION PORT WITH PARCEL 296 TOTALS: 4" Litter 38.17' 0 PROPOSED DISTRIBUTION BOX ACCESS BOX TO GRADE (TYP OF 5) A/E Loamy Sand EXISTING LEACHING PIT TO BE PUMPED TOTAL NUMBER OF BIODIFFUSERS: 20 1 OYr 3/1 37.83' 38.5*x Of- AND FILLED WITH CLEAN COARSE SAND TOTAL NUMBER OF COUPLINGS: 0 8" PROPOSED ARC 36HC(#3616BD)BIODIFFUSER(H-20) PROPOSED PVC VENT PIPE 4 Benchmark TOTAL LEACHING AREA: 355.2 B Loamy Sand (LOCATION PER OWNER) gel- Nail in 18"0 Tree TOTAL LEACHING CAPACITY: 480.0 1 OYr 5/6 Elev. =40.00' 20" 36.83' Approx. M.S.L. REV. DATE BY �PP'D- DESCRIPTION--L.-----I -- - -'--------------- NOTE: PROPOSED SEPTIC SYSTEM UPGRADE EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE MAP 268 DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER PREPARED FOR: PARCEL 294 "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED C Med. -Coarse Sand CAPEWIDE ENTERPRISES DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST MODIFIED JUNE 2.5Y 6/6 30, 2009). TRANSMITTAL NUMBER=W000052. (5-10%gravel) LOCATED AT NOTES: 101 OAKVI EW TERRACE HYANNIS, MA 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. 130" 27.67' SCALE: I INCH = 20 FT. DATE: JANUARY 26, 2010 No Mottling, Standing or Weeping Observed 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION A jN WL L C�41*11 PREPARED BY: OF THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY RESERVED FOR BOARD OF HEALTH USE CM JR. JC ENGINEERING, INC. O WITH TEST PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER 2854 CRANBERRY HIGHWAY AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. EAST WAREHAM, MA 02538 SITE PLAN fl 508.273.0377 3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2. SCALE: 1"=20' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.1750