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HomeMy WebLinkAbout0449 POPONESSETT ROAD - Health 449 Poponessett Road - Cotuit A= 019-184Al _ - �.j Ip i i i �f i r i 0/9- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f 449 Pop onessett Road '` Property Address Janet Hoffman Owner Owner's Name information is b required for every Cotuit MA 02635 10-11-18 0 page. Cityfrown 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 ,U�aunuulpy�i� filling out forms A. Inspector Information �S'/ 33 9 $ �`'���• on the computer, use only the tab James D Sears '� ' JAMES 'yN� key to move your Name of I nspector = - cursor-do not =co: EA R S use the return e Ca wide Enterprises * # key. Company Name ' ��� 153 Commercial Street -'-°��,F 5�N VI Im II Company Address Im BSI Mashpee MA 02649 Gtyrrown State Zip Code 2 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector In full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above;the information reported below is true, accurate and complete as of the time of my inspection;and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails ���Jta- 10-16-18 ;,p!,!c!t,r s Slgnature 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please-note: 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. 15insp.doc-rev.7126i201e Tlde 5 Official inspection form:Subsurface Sewage Disposal system•Page 1 of 18 E a6ed xeJ dH UEZ 8602 91, 100 Commonwealth of Massachusetts Title 5 official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments qzwv 449 Po onessett Road D Address . wNcrt y Janet Hoffman Owner Owners Narne information is required for every Cotuit MA 02635 10-11-18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The system is a 1000 Gal. Tank D Box and 20 Biodiffusers Chamber's 2) 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 exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance . p ance Indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): �I t5insp.doc•rev.7126/2018 Title 5 Official Ins pection Form:Subsurface Sewage Disposal System•Page 2 of 18 b a6ed xed dH 01,:£Z 2 602 91, 130 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 449 Poponessett Road Property Address Janet Hoffman Owner Owner's Name information is required for every Cotult MA 02635 10-11-18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cost.) 2) System Conditionally Passes(cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 The system will pass inspection if(with approval of the Board of Health): pipe(s). ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) 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. a, 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: t5insp.doe•rev.7/2612018 Title$official Inspection Form;Subsurface Sewage Deposal System-Page 3 of 18 q abed xej dH G6U 202 91. 1)0 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments !6; ' V 449 Poponessett Road Property Address Janet Hoffman Owner Owners Name information is COtUIt required for every MA 02635 10-11-18 page. CltylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning In a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen 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. c, Other: 4) 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 clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool 15insp.doc W.70I2018 Tille 5 Official Inspection Form:subsurface Sewage Disposal 9 ap System•Page 4 of 18 9 abed YU dH 0 6:E2 8 60Z 9 6 i:)p Commonwealth of Massachusetts Title 5 Official Inspection Form Y Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 449 Po onessett Road Property Address Janet Hoffman Owner Owners Name information is required for every Cotuit MA 02635 10-11-18 page. CityfTown State Zip Code Date of Inspection C. Inspection Summary (Cont-,) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® Liquid depth in NEEPM is less than 6"below invert or available volume is less than %day flow L EAo41 NG ® 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 water supply 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 2000 gpd- 10,000 gpd. ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) 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 C.4. 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 ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA)or a mapped Zone II of a public water supply well t5insp.doe-rav,7/26/2010 Title 5 Official Inspection Form:Subsurface sewage oisposm system.page 5 of 18 L a6ed xeJ dH ILU 81,0Z 91. 130 Commonwealth of Massachusetts Title 5 Official Inspection Fora C� Subsurface Disposal Sewa a gSystem Form Not for Voluntary Assessments 449 Poponessett Road Property Address Janet Hoffman Owner Owners Name information is required for every Cotuit MA 02635 10-11-18 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont) If you have answered "yes'to any question in Section C,5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. G. You must indicate "yes" or"no"for each of the following for aff inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as 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 Absorptlon System(SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. Ej ® 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)] t5insp.tloc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposel System•Pape 6 of Sa g a6ed xeJ dH WEE ME 96 130 Commonwealth of Massachusetts r ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 449 Po onessett Road Property Address Janet Hoffman Owner Owner's Name information is required for every Cotuit MA 02635 10-11-18 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: 1000 Gal. Tank D Box and 20 Chamber's. Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system?(Include laundry system inspection information in this report,) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): 2016-29,000Gals Detail: 2017-35,000ral's Sump pump? ❑ Yes ® No Last date of occupancy: Present Date 15insp.doc-rev.7/262016 Title 5 Official Ins pection Form:Subsurface Sewage Disposal Sys:em•Page 7 of 18 6 a5ed xeJ dH E 1,U ME 91, 1)0 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 449 Po onessett Road Property Morass Janet Hoffman Owner Owner's Name information is Cotuit required for every MA 02635 10-11-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203); Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons Flow was quantity pumped determined? Reason for pumping: t5insp.doc rev.712E2018 Title ti Official Inspecdon Form:Subsurface Sewa a Dls g posal System•Pege 8 of 18 ` 0t a5ed YPJ dH Z6U 8I.02 96 130 I_ �L, Commonwealth of Massachusetts ,,A Title 5 Official Inspection Form 1. Subsurface Sewage Disposal System Form • Not for Voluntary Assessments ti v 449 Po onessett Road Property Address Janet Hoffman Owner Owner's Name information is COtUIt required for every MA 02635 10-11-18 page. CityfTown State Zip Code Date of inspection D. System Information (cont.) 4. 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 I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 2011 Permit#2011 -286. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 28" 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. 15insp.doc•rev.7/260018 Title 5 official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 l l a5ed xeJ dH E LU 8 60Z 9 6 130 Commonwealth of Massachusetts ,lo Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 449 Po onessett Road Property Address Janet Hoffman Owner Owner's Name information is required for every Cotuit MA 02635 10-11-18 page. CitylTown Slate Zip Code Date of Inspection D. System Information (Cont.) 6. Septic Tank (locate on site plan): Depth below grade: 18" feet Material of construction: ® concrete ❑ metal ❑fiberglass El polyethylene El 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 Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle 28 Scum thickness 1" Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 1 7 How were dimensions determined? Asbuilt-Plan-Tape 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 18" below grade w/both covers at 6". In and outlet tee's. No sign of leakage or over loading. I 151nsp.doc-rev.712a12018 Title S Official Inspection Form:Subsurface Sewage Disposal system•Page 10 of 18 L Z6 a5ed xeJ dH £l,:U 860Z 96 Y)0 Commonwealth of Massachusetts _ Title 5 Official Inspection Form � Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 449 Poponessett Road Property Address Janet Hoffman Owner Owner's Name informaequine for is Cotuit MA 02635 10-11-18 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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 Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): B. 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 t5insp.doc•rev.712612018 Title 501cial Inspection Form:Subsurface Sewage Disposal 5yscem-Page 11 of 16 f £6 abed xeJ dH £l.:£Z 81.0Z 91, 100 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 449 Poponessett Road Property Address Janet Hoffman Owner Owner's Name information is C:otuit required for every MA 02635 10-11-18 page. City/Toun State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont,) 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 9, 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"40" below grade w/cover at 8". Box is clean and solid w/four lines out. No sign of over loading or solid carry over. 15insp.doc•rev.7/2612018 Title 5 Otficial Inspection Form:Subsurface Sewage Disposal System•Page 12 o118 tit abed xed dH b I,U 81.02 91, 100 Commonwealth of Massachusetts OF Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 449 Poponessett Road Property Address Janet Hoffman Owner Owner's Name Information is required for every Cotuit MA 02635 10-11-18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. 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 or alarms are not in pumps working order, system is a conditional pass. 11. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® leaching chambers number: 20 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: inn ovativelalternative system Type/name of technology: t5insp.doc-rev.7/261201 B Title 5 Offioal Inspection Form:Subsurface Sewage Dispose.System Pape 13 of 18 5 a5ed xeJ dH t7l,U 860E 96 100 Commonwealth of Massachusetts �� Title 5 official Inspection Fora 0 Subsurface Sewage Disposal System Form •Not for Voluntary Assessments y/ 449 Po onessett Road Property Address Janet Hoffman Owner Owner's Name information is required for every Cotuit MA 02635 10-11-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS)(cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soll, condition of vegetation, etc.): Leaching is 20 Blodiffusers Chambers. Chambers at 4'.2" below grade. Chambers are-clean w/wet bottom. No sign of over loading or solid carry over. 12. 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 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.MUMS a Title B Offlctel Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 9 t abed YPJ dH b l,U 81.02 91, 130 Commonwealth of Massachusetts Title 5 Official Inspection Form • Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 449 Po onessett Road Property Address Owner Janet Hoffman information Is Owners Name required for every Cotuit MA 02635 10-11-18 page. City/Town State rp Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation, etc.): t5insp.doc•rev.712WOI S Title 5 Official inspection Form:Subsurface Sewage Disposal System•Page 15 of 16 �6 abed xej dH V 1,U 21,2 91- 100 Commonwealth of Massachusetts : Title 5 Official Inspection Form Subsurface Sewage Disposal System form -Not for Voluntary Assessments 449 Po onessett Road Property Address Janet Hoffman Owner Owners Name information is Cotuit required for every MA 02635 10-11-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) U. 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 cf the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A t 3 0 A 4 = 31Y 9' t5insp.doc•rev.7128112018 Title 5 Official Inspection Form:Subsurface Sewage Disposal Syslem Page 18 of 18 9 l, a5ed Xed dH b 1,U 8 60Z 9 6 130 i Commonwealth of Massachusetts 9Title 5 Official Inspection Form . Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �yF ��% 449 Poponessett Road Property Address Janet Hoffman Owner Owner's Name information is required for every Cotuit MA 02635 10-11-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells No 10, Estimated depth to sigh ground water: teat 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: 8-8-11 Date ❑ Observed site(abutting propertylobservation 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 8-8-11 10' no G.W„ Bottom of chamber's at 5'below grade. Bottom of chamber's at 5'above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. Nriap.doc rev.7/26/2018 Title 5 official InspecEon Form:Subsurface Sewage Disposal System-Page 17 of 18 6 6 a5ed xeJ did 9 LU 8 60Z 9 6 IDO e c� Commonwealth of Massachusetts Title 5 Official Inspection Form " Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 449 Poponessett Road Property Address Janet Hoffman Owner Owner's Name information is required for every Cotuit MA 02635 10-11-18 page. CitylTown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C, Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria)and 6(Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included 15in5p,doe-rev.T261 M Title 5 OfiaaI Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 OZ a5ed xeJ dH 91,U 860Z 96 130 TOWN,OF BARNSTABLE LOCATION QLA Qo,porn eSSe;T Gr,� SEWAGE# 1.011 - M. VILLAGE CO-VdaT ASSESSOR'S MAP&PARCEL Icy- i gam( INSTALLER'S NAME&PHONE NO. CriogaScle �v��u p�l�e� 'Lk-c SEPTIC TANK CAPACITY i000 LEACHING FACILITY:(type) (size) (l�5� K 25 NO.OF BEDROOMS 3 OWNER SAv1eT 12 , l-�o�� rh qy 1 PERMIT DATE: '? - 2.1-( ZQ i 1 COMPLIANCE DATE: ' 3 0 s Zo t1 Separation Distance Between the: -t Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility W a O ( 12. 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 +3 67 3 Y.o a S7, to s�S a3, S 83 C�s,(.) B4 31. 0 3S va, 91 No. /L rp Fee Q THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplifatioii for 30I8tlosal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade X Abandon( ) [j Complete System [a Individual Components Location Address or Lot No.W f 7 PPPoU0Sb'f ILD IiOTUI't' Owner's Name,Address,and Tel.No. TO —qXe-5714 rAnlvT KOPIF-f4p6V Assessor's Map/Parcel Q1124 qqg popolqa5Gr RD C OTOT P0 13QX L r03 Installer's Name,Address,and Tel.No. 50$-477-9817 Designer's Name,Address and Tel.No. - Type of Building: Dwelling No.of Bedrooms 3 Lot Size aO, C9 1Q sq.ft. Garbage Grinder( ) Other Type of Building P-ES No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided ,L gpd Plan Date 9-.1-;L Number of sheets I Revision Date Title 449 Popp J S:Sc'T i2G D Size of Septic Tank J pp c) Type of S.A.S. a 61-a Q F5(t)L�I frFV5 Qe_,S Description of Soil SE'C— 'V AtJ tM450 1N_rY t5 S &2D 10- 30 of Nature of Repairs or Alterations(Answer when applicable) t NsPe-cT RUSZ t1✓C:vPwt �D u�w D 3 qC 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 Hea Signe Date `) Application Approved by Date 15' ra-9 Application Disapproved by Date for the following reasons Permit No. °01-�> Date Issued - - _-----�---------------�_--------- No. �.� //��"" d'-V ICj � w Fee — € THE,:COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION TOWN OF BARNSTABL , MASSACHUSETTS r . .. llI tIOTY for posal 6pstem Construction Plamit. Application for a Permit to Construct( ) Repair( ) Upgrade )'Abandon( ) ❑Complete System Q Individual Components Location Address or Lot No.` f 9,ppwgJE55L p RD �vTt�t'r Owner's Name,Address,and Tel.No. S08? �1 g 5 7� =ANrrT F 0pipw d Assessor's Map/Parcel t 4 q o P N e;r pA C QTVIT Poegg t 03 Installer's Name,Address,and Tel.No. 502-q7 7-8;81-1 Designer's Name,Address and Tel.No. 5(j�-�.?�•-O3 "f (�4pew m e erJTisR?Rtst:;5 L4-0, -1 c W+XXI0'etao lI OCT- S3 G,c� �7¢C! S7' Mo45�1 � ASS GRk © r Type of Building: Dwelling No.of Bedrooms J Lot Size a0, d 1 Q sq.ft. Garbage Grinder( ) Other Type of Building Re:s No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 336 gpd Design flow provided 3 S S.;L gpd Plan Date 9-,Z;2 --!I Number of sheets I Revision Date Title 4gct PcR60ESsG""T azAb Size of Septic Tank 100o Type of S.A.S. a Q ARC- t1b 14e W Pj!0D!PT:05 Qej Description of Soil s :R LA J jN4F_1:? j_d4,k0 S&jl> '! Nature of Repairs or Alterations(Answer when applicable) 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. ''[[ Signe Date �c�`� 4 1 Application Approved by Date Application Disapproved by 1 Date for the following reasons Permit No. "r-0//" G4�Ga Date Issued THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(X Abandoned( )by (�A?WIIZ E)JM-XQ QS6-S L(C. at " PI Inkies-w D =p)t-T- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No 'J/1 �{� dated y' Installer CAPCLAX06 Designer aC, (�'T!�ff"J ,��UGr•�(t� #bedrooms Approved design flovA 355 r:� gpd The issuance of thi pe lit shall not be construed as a guarantee that the system wi91 furh t 1, (�Aas desi e . Date D Inspector rW, No. � I c� O Fee 00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade()<) Abandon( ) System located at POV00 E.SSET ROAD 6QTV k-C— 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 EbyjC Date , ,o t r Approved 11/04/2011 02:45 5082730367 :0646 P. 002/002 Town of Barnstable Regulatory Services Thomas F.Geiler,Director BAAN Public Health Division MASIL 6& ib9e' � Thomas McKean,Director rFo�s 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-740-6304 Date: I I-y' I I Sewage Permit#2011 _Zg(o Assessor's Map/Parcel 131 Installer&Designer Certification Form Designer: '1C_ Eng(neec(n�, T-nC. Installer Ccee.wl4:6- en1-erQcu�� Address: 28511 Cronbe.ry Ni�InwcA1 Address: 4 5 r r Ecisk__ %t)a(rrpp'n NA 025,3$ 111r) o2�tmq -Z`( -2oc( et -� Y On _C an�;� ��vt�.P s was issued a permit to install a (date) (installer) septic system at 9y9 f 4eppe.sse* �00A based on a design drawn by (address) Z'G En�jcnee.c(nl , Tnc. dated auSuA 22, 2.011 (designer) ` 1 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 referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State.A Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if required) was inspected and the soils were found satisfactory. U CH c �. R`-Hlll (I aller's Signat e) •'R� H are � 1& esigner's ignatur ZALTH p Here) Je PLEASE RETURN TO BARNSTABLE PUBLIC DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BF, ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE RARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. q'WiTice lonnAdesignereenification form.doe op�� Town of Barnstable P It Department of Regulatory Services MUMBrABL& i Public Health Division Date �. +o h 200 Main Street.Hyannis MA 02601 Date � � � 1 Scheduled l Time Fee rd. '. Soil Suitability Assessment for S Disposal Performed By: 1 I t `���I Q C m���t,I C i I, G S E Witnessed By: LOCATION& GENERAL INFORMATION Location Address H L49 � tt-t,4A Owner's Name ccn� �- Address L-1 Ljcj Pi)F C 55 erf- 2D Assessor's Map/Parcel: 0 Ili I 1 g"( +/ Engineer's Name &Q C-4-rp,JC J t "JC C n r5fvleo;i ns NEW CONSTRUCTION REPAIR " Telephone# O - "? '_ca�l- So 8-27 3-6 37 7 Land Use S`1Sl a cam 1 tr dwell�'vy� Slopes(%) /—3 Surface Stones Distances from: Open Water Body ft Possible Wet Area _ ft Drinking Water Well >(56 ft Drainage Way ft Property Line > 1 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) See .at6c�vA Plc" £d e - zz Q 0 Parent material(geologic) GU k uff s�k Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater (2 V�S S DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: V6vecF 11 leru•t(-, ),(2A 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,&ctor. Adj.Groundwater level PERCOLATION TEST bate B -ll-ll Time Observation Hole# _ Time at 4" Depth of Perot Y� Time at 6" lr'Q Start Pre-soak Time @ h� Time(9"-611) End Pre-soak I(-0 S Aft ^ Rate Min./inch L Site Suitability Assessment: Site Passed f t'S 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:ISEPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# I _ Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) y-12 A LS 'lot r312 - IZ-3b LS LUY.< 3o-l2-0 G H-CS 2.5� DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsis en %Grave °P o 4rk-/ y-t2 LS tVYrJh- - t2-3o 6 LS toIrr`� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency. Flood Insurance Rate Mau: / Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No._V Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in al areas observed throughout the area proposed for the soil absorption system? 9 e S If not,what is the depth of naturally occurring pervious material's Certification I certify that on 27�Q (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 trainin expertise a experience described in 310 CMR 15.017. Signature , Date Q.\.EPTIOPERCFORM.DOC : FP TIC �V•.�I CPA MUST a ; r _ IN COPPt IANGE e Permit number .. .::.......7.......:....... 1, �u S1 ATE . : �'a I E l E 1 I CODE ..4Li"ID TOWN yofTHETo N OF BARNST ;�BLE o � TO • w ?' Z BJgH9TSDLE� • i "Tj 6 9p UUI` .DIHG r INSFEC TOR I 1.07 APkICATIONe FOB-:PERMIT TO J..l: .� .I. u` .....�:�;.. .................................................... TYPEOF:CONSTRUCTION .............. ...... .................................... ................... 7.7. ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit`according to the forlloyyi/nng,information- Location ...y .2......�'j0�?v.,y,. PSs ..... !°TES,..........�(Ov ft!J.l...t...t/'�!l .................................................................. ProposedUse _3 !OcJ .t�.................. .......................................................................I......................... Zoning District Fire District .. ���.� ...F............................................................. ....................................................... Nameof Owner U'�FJISA '.... ..`...Lf} 1I� ..........Address .................................................................................... � E'S...��` .... �� .SI.S ......................Address ...?.QfS ... �'4 7 r `��... IV.�4?.(�(h j uzis Name of Builder ..........t..... •••• •••• ••••••••• Name of Architect ......slU� ............Address '�`9v`? ... .......................................... .. ......................................................... Number of Rooms .....�......................................................Foundation .... .... ` ..' ... f ! 7�C....GU1.1!�... ... �n f Exterior / .db� d� Roofing ...G0Da ....s1?f��rf s. .......................... �!... ............................................................ Floors .......Interior ..—� F�:�/ZfJC/� • ........................................................... El�e r;iy L' ,., .�ob E.. .(! k' .• .........Plure16ang ...V.ns,. Fireplace .....Y.K5 ...................Approximate Cost ®�OO B ................................................. ................................................. .................. Definitive Plan Approved by -Planning Board -----------_______---.-------19____ . Area ......c�.ii�. Z... . ................. Diagram of Lot and Building with Dimensions Fee .1:..?... . SUBJECT TO APPROVAL OF BOARD OF HEALTH ��u v Y► l a /V Rue � elleryraDv Cotuit, Mass. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam . °...:.....:..... ................... Na.. •-•47....... Fus....a.................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® Qf HEALTH .01 -------..... ............... OF......... VI Applira#ion for Bhiv aal Works Toustraffi rt Prrutit Application is hereby made for a Permit to Construct (5t) or Repair an Individual Sewage Disposal System at: ff yV �o D�" ------------------------ --••-•----••....2t Z �°....-----.....•....---•----•----:.......--- Lo ion- ddress or Lot No. �. .. o �r �......:..............•--- --...................-----------...............__...... ------------------------------------------ Owner Address a ---•...��rtt.'�ie....•C-af- �t -/------------------------------------------ ----------- ..........--------------------------------- Installer Address ' Q Type of Building Size Lot............................Sq. feet Dwelling o. of Bedrooms..........0..............................Expansion Attic ( ) Garbage Grinder (&0) aOther—Type of Building ............................ No. of persons-----------------------.---- Showers ( ) — Cafeteria ( ) Q' Other fixtures _________________________________ _ W Design Flow......s .............................gallons per person per day. Total daily flow....... .��.......................gallons. GG Septic Tank - Liquid capacity 09—gallons Length................ Width................ Diameter................ Depth................ Disposal Trench No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--1------------------- Diameter..10........... Depth below 'n1 t.._&.`............ Total leaching area..................sq. ft. "I',-- , - a �77 Z Other Distribution box (X) Dosing MCI- G - /© ~' Percolation Test Results Performed by... ... 5�(�J�/��.................... Date....1.2. ....... Test Pit No. I_` _____________minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 44 Test Pit No. 2_._..._._'>.,°__fninutes per inch Depth of Test Pit.................... Depth to ground water........................ •- Description of Soil 7 j9._• -- ---- .7.... ?..... `� J� � 1 •----•---•----•�- ' _--- -�' --------------------------------------------------------------------- W UNature of Repairs or Alterations— swer when applicable.----___________________ --------•--------------------------•-•......•••-••••--•-•-••-•----•••-•-•--••-•-------.............--••-.....•-••--••-•-••-•----•-•-----••--•------•-•--••-•--•••-•••-•-••-------•------......-----••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIHU 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of;41,7 ompliance has be issued by the board of health. Sig �` `---••-••---- --- •-•--•................... .•-•-••-••--•-•••-........---•-- Date Application Approved By........ -- •- - ® -. '..... Date Application Disapproved for the following reasons:................................................................................................................ ....................................................................•----•---•-•••----•- Date Permit No.---•--- p ued-................... V t ------ - •! d fl a ��1 4 Da No.........(. ...... Fps.................�'"...... THE COMMONWEALTH OF MASSACHUSETTS xi. BOARD HEALTH ...----..O F......... : .............................. Vl ra ivu for Tonstrur#tun �rmi Application is hereby made fof"4 Permit to,Construct (*-A} or Repair ( ) an Individual`Sewage Disposal System at .............................................. .......................................... Lo ton Address or Lot No. a Address . /. Cal ..+?I __.___- Y Installer Address Type of Buildi Size Lot............................Sq. feet Dwelling No. of Bedrooms____. " ___________________________Expansion Attic ( ) Garbage Grinder ( � Other—Type of Building _________ ________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a Othr, Dxtures = - ................. Design Flow�:..� __ _____ gallons per. person-per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity✓d d!?gallons Length ......... Width................ Diameter_____ _ Depth................ x Disposal Trench NaWidth...................... Total Length _______________ Total leaching area.......................sq. ft. Seepage Pit No. __. .. Diameter �. _._.__ De th below 'nlet tO F ...._._. Total leachi area_.: P ..................sq. ft., Z Other Distribution box ('A) Dos ng't ( ) A *` �' A +� '—' Percolation Test Results Performed by.. '..�""+...* 0 t___________________ Date___1 .`k-7'.1 ._.. Test Pit No. 1________________minutes per>nch' Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.�:__..___________ Depth to ground water........................ Description o Soil ``_ .... -7 f °� C �'°,A G+�a �" P ------ Ems` .......... ` kw .;�- UNature of Repairs or Alterations= saver when applicable ____L -X. -•-....................................................... ._...._._...•---•-•-........... ........ •----- - •... • ._.................... Agreement: ` The undersigned agrees to`install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIZ 5 of the.State Sanitary Code . Ae'undersigned-further agrees not to place the system-in operation until a Certificate of Compliance has be issued by the board of health.', . • :.. r, Sig -,f% r- ••• ---- ------_...• • ,. Date.�r t Application Approved B /`* " f '----_ Date Application Disapproved for the following reasons:•=--•-•--- == ----------------------------------------•------------------•-------------------------------- -------------------------------------------------------•-•--•-=---------.--.._....._...-----•---.....----___...._....------------•----------------------------------------•-----------------------...._.. Date Permit No...................:..................................... Issued.. = ..................................... Date THE COMMONWEALTH OF MASSACHUSETTS t ' BOARD OF HEAL H :.:....OF...... ..:............ ......... rr#ifiratr of Tautphattrr TH IS TO CERT , T t the dividual Sewage Disposal System constructed ( ) or Repaired ( ) • by ...--------•- I -- ---•-- has een'-installed in actor ance with the provisions of T ` r f The State Sanitary C de s descri a to the application for Disposal Works Construction Permit No. __€._71 ___________________ dated_..._" ... _-_.__.� ._________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT kE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM, WILL FUNCTION SATISFACTORY. DATE.. :. Inspector........................•-------•-------=--=- ........;._... _ THE COMMONWEALTH OF MASSACHUSETTS BOARD ,J HEA No.......... ....... FEE...... .� � i ork r ion rrutit Permission ereby granted.._.. = -- ..... _ _ 4 _....?Y _________ ____...........________ ___ to Cons uct ( of ep ( ) an Indtvl 1� gage > posal System at N -_._ _. ... - • ! Street ,. ` n the application for Disposal Works Constructio . ,-rmit o,_. __:_ .___ Dated___ ................................. as shown o ... .. ,. 0 r DATE.`..... ........ soar }_.._... • d of flea 'x ._..._.__ ..._- --•...--• •• p= FORM 1255 HOBBS & WARREN; INC.. PUBLISH€RS,. r e AREA PLAN SCALE: 1 '�= LOT 1 222 A . PG, `` # E ", SLT c:ti :-.F ,� r�. tl ��J• 123 �► , TOP - - LOT - - 12 3 A I. i tt 59 ±tF��oNT) s L� 40. 4 _t0. { 4-41 Ld �. �. 2 Ta Fir R! { V�r.1 ,k.� ,,. ._ 10 WE A I C E I T I r\'' 1_H Ia VF O IU IV A T I U t�l! ;.`_; I}��: (',+1�_i. •F ' �,s `t ALL �lP,1F= i_I _ _ _ E TV t ��._: ' '� � ;��l 7 ''t- � .i I=�� E C`•��.i�-'��E�°>�.JN ,:,�f'.k, r;_._., ! �! .•., ; t: `~l-.AFi .E �-,E 0 ¢~� t.1`. F'"5..�� 't.•F ��� •'�" '., t'y �-i°• l'_ ) . ..� �. i -.�.� a; 1 � TYPICAL SYSTEM PROFILE - r FINISH GRADE— h FDN TOP — NOT TO SCALE :. ;�. FINISH .. FINISH GRADE OVER TANK= ' ® .;GRA.DE OVER . PIT. 4�?- IPVC OR � p .,o ., , •.. ;. . 9 l �C. I. TEES �� .; • •. . • • �`'. • c0 BSMT = -, o • • FLR i i I . , GAL. 4 0 e e .;e :• • • o • REINFORCED „ DIST. BOX ra ,.' • • o s e • .. e. •. �. CONCRETE g , e a`: . .• T • . . ... . . ,.... ,.... ..; 0 E INSTALLED ON s , • • `.�. o i A LEVEL STABLE BASE �. e • .: a .:o- o 'r.; SEPTIC TANK • s • e , , TO BE INSTALLED ON A ,:, • •. • . • • e'. , r- LEVEL STABLE BASE r 2"-1/8"� 1/2 "WASHED PEASTONE ALL r e e • , e �` BRICK a,MORTAR COURSES AS AROUND FREE OF IRONS, FINES . o' e • • o • o.. REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE 24 "C.I. MANHOLE COVER a 3/4 TO 1-1/2 "WASHED CRUSHED' LEACHING PIT FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL IRONS, FINES AND DUST IN PLACE ( 1 k.>,=Q D, ) FOR FIN. GRADE f "SC-`E SYSTEM PROFILE SOIL AND PERCOLATION DATA e-- - - — — .y— — PERC. RATE ' _ MIN./ 4 FOR INV.ELEV SEE ° ' C. D. SPOHR INLET o ,' SYSTEM PROFILE ° TAKEN BY LINE - � D �6 ,' , a - ° �� WITNESSED BY: tilR PAUi, �A!.aR_PI,./.'Y_ S: B..4a . ° 01 OPENINGS W/4-1/8 d , ° o o OUTER DIA. 81 1 -3/4��0 _ ° ° DATE- c R F_C., 1 7' ° - INSIDE DIA. ° ' TEST PIT ELEV_ -f— tl, r%''= .� 0 6 ° Q TOTAL o o _� - -- 0 0 o AREA !0AKA t r 6 6 DIA. a ' Ka' EFFECTIVE DIA. a �s'� :; BOTH PERC. HOLE DOWN i LEACHING PIT SECTION ( I „' NO SCALE DESIGN DATA : NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM No. OF BEDROOMS ' DISPOSAL LEACHING PIT NOTES: 7 EST; _TOTAL DAILY EFFLUENT GALS. I . CONC. TO BE 4000 P.S.I a 28 DAYS . SEPTIC TANK I®GAL. 2. REINF W '6 " x 66 G`A. W. W. M. 3. 2.SAND 4 ' SECTIONS ARE AVAILABLE FOR GENERAL NOTES GREATER DEPTH REQUIREMENTS - I . ALL SYSTEM:COMPONENTS SHALL BE INSTALLED IN NOTE: -� ACCORDANCE' WITH TITLE 5 OF THE STATE. SANITARY CODE EXCAVATE TO ELEV: _)1.',06OR LOWER AS DATED JULY 1,19.7T aANY LOCAL RULES, APPLICABLE. REQUIRED TO REMOVE ALL -LOAM AND CLAY CONTAINING 2. ANY CHANGE TO THIS PLAN MUST BE APPRD. BY THE MATERIAL BENEATH PIT. REPLACE. EXCAVATED MATERIAL B.D. OF HEALTH. WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY COMPACTED IN PLACE. : 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, = ! `; .,4.9 NOTIFY BD. OF, HEALTH FOR INSPECTION.'I DE AREA — S.F.�®S.F./GAL —GALS OTTOM AREA= S. F. ---S. F./GAL ' GALS 4• FOUNDATION 'ELEV. MUSTBE CHECKED WHEN COMPLETED. OTAL AREA = ""' ' S. F. TOTAL _GALS 5. THESE ELEVS. MOST NOT BE CHANGED WITHOUT BOARD OF HEALTH APPROVAL. LEGEND 6. BOARD OF HEALTH INSPECTION READ. WHEN EXCAVATED. F50.0 EXIST. GROUND ELEV. ��C�. 7ra CERTIi7l1+t? FOLJNDA'T'�014 LOCATION 50.0' FINISH GROUND ELEV.2'UNDERLINED" A" I r -! JAW.7R ADDtU YVkLL. P:;� ;..t��t_1•i.l='lT LilS-►"AfJ�' ::..T,EC3l1f:,';:,r"._C:>'JP�<.iF�f'�.._�' 4750 PIPE INVERT. ELEV. REV. DATE DESCRIPTION O TEST PIT 'LOCATION SEWAGE DISPOSAL SYSTEM 0 o SEPTIC TANK FOR JANET R. `-- OFFMANN ❑ . DISTRIBUTION BOX 4 �� C. I . P I P E . O.. n ..w. tttH-1 11-I- 4"BIT. FIBER PIPE -TIGHT JOINTS Charles D. N C(1 T U I T9 MASS, i� ( SPOHR ,r to `•� No 7468 qi DESIGNE PROPERTY 'LINE D: C•D.Sf'OHR DATE:-- [ '',; :� j DRAWING NO — -- — MIN. CODE DISTANCE ,�F,eSc;NFv/ DRAWN: SCALE:ASSHOWN I CHECKED: C. D. S . i. ' 2, AREA PLAN TYPICAL SYSTEM PROFILE >� F=DN TOP FINISH GRADE NOT TO SCALE SCALE : I FINISH GRADE OVER TANK= FINISH GRADE OVER PIT=_ ___' PVC OR , O O . • . •� • . • •.:'. �C. I. TEES �. • • . • • • • • 0 p F L R _ REINFORCED N FORCEDL 4 • • • • • • • • • • o e ti L01- 12 ,.; A ' 0RG ESSET RGAD D� sT. Box , , , , . . . • . • • 1 CONCRETE 8�� • , , • • • • , • • •TO BE INSTALLED ON Y ZOO 1 S S <oo.'o: ;o,:o: ` o; A LEVEL STABLE BASE • e e e o • e SEPTIC TANK TO BE INSTALLED ON A • . • • . • • o LEVEL STABLE BASE 2"-1/8"- 1/2 "WASHED PEASTONE ALL „ ' ' ' ' • • ' • ' ' ' BRICK a,MORTAR COURSES AS AROUND FREE OF IRONS, FINES ' ' ' ' • • . . o • REQUIRED TO BRING COVER TO GRADE AND DUST IN PLACE 24IsC.1. MANHOLE COVER 81 3/4 Is TO 1-1/2IsWASHED CRUSHED LEACHING PIT FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL \ IRONS, FINES AND DUST IN PLACE L. ) FOR FIN. GRADE SEE SYSTEM PROFILE SOIL AND PERCOLATION AT Ift w\c �� C 6 i- ND, Tay CA�,:D' Ii--L _ 4 DATA _Ile _ - - �� �C {�;. ,�- 1 . 01 - 1 2 3 _ — e� - - - — — = PERC. RATE : MIN.�IN. G b� q" - FOR INV. ELEV SEE ; " ° ' SYSTEM PROFILE -6�� TAKEN BY : C. D. SPOHR f�5 �� INLET _ . , , , . ___�__ rJ LINE ° y. _ C ° ` WITNESSED BY: OPENINGS W/4-1/8�� " 12 3 A c 6 . e=N�. Tan � -- — LOT n �� ° _ ', •, a OUTER DIA. a 1 -3/4 D DATE..'INSIDE DIA . TEST PIT-GN �O, O t 't 5,F. 6 7 , ° a a D ELEV. 45 , �^- - ' — # TOTAL 0 a o — R. AREA ° a 3 — 1, � . � . - , VE ICLATIL�Q 0'~ `, b!t C�?UI�lr) , u o ° _ , TX; vPr�p l I ° p a p o o 5 S0 17 �t �5T LE :LI ,-rA, � �Wi�L1._ , c� • _ o , 0 0 0 p 0 Y' rA + � 0 0 � O D D 0 0 p 0 1 r , r AP CGt E�.F r- " tit " U ;, i NE l W1 3 pro 0 0 0 o u 4 -1 6 6 DIA. �` EFFECTIVE DIA. . BOT. PERC. HOLE I 62 wtDE> +A6 9 o E 4A . _�+ F't2. .•;r; -- - DOWN II C.a 4_ +- �'�10 E / ��! S E a T LEACHING PIT SECTION ( l R F— c.;,> r,-} �E�� Iry i ro�� f� N0 SCALE � r Z try -4�.oa 7, ��c ' .�• / �. �r� DESIGN DATA : v u NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM +4$.7w' NO. OF BEDROOMS L l0 135' MIN. DISTANCE wCu_ SU p i R�c.A'S , ..2t`:TF DISPOSAL To ►. c1� III vA�IA �.k ;;,�1, , ,-�, � fox LEACHING PIT NOTES: GALS. I i"I Q0RSTF-0 BARtJ BG �- HE'AL.t , 5 )AN 197B � FR^'"€',E I . CONC. TO BE 4000 P.S.I a 28 DAYS . SEPTIC TOTAL TANKDAILY EFFLUENT_ GAL. `- b 2 . REINF W 16 Is 6 of At GA- W. W. M. I2,ECAS'!"' C,©t,K,.�.�'Y"�" L;7A,CHIN.i PiT� I I'�EGL), GENERAL NOTES 1 4a 3. 2 AND 4 SECTIONS ARE AVAILABLE FOR (RE A�J '� , � 10 s1R t��TA#t.- �h-D GREATER DEPTH REQUIREMENTS 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE OF THE STATE SANITARY CODE ..� -•E- J(�°_ CI - qQ Vy NOTE . EXCAVATE TO ELEV. - OR LOWER AS � b, Fwl:). 0p C��. �� � ' 1:'�;p• r�f� Cam' REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING DATED DULY 1,1977 8r ANY LOCAL RULES APPLICABLE. F LE v t q >t. O7 E v + 6 ` " �� MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL 2. ANY CHANGE TO THIS PLAN MUST BE APPRD. BY THE BD- OF HEALTH. WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY 3. WHEN CONSTRUCTION IS COMPLETED COMPACTED IN PLACE. , PRIOR TO BACKFILLING, SIDE AREA = S.F.Q S. F./GAL _GALS NOTIFY BD. OF HEALTH FOR INSPECTION. BOTTOM AREA= S. F.�-S. F./GAL GALS 4• FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. TOTAL AREA = S. F. TOTAL GALS 5. THESE ELEVS. MOST NOT BE CHANGED WITHOUT BOARD OF HEALTH APPROVAL. LEGEND 6. BOARD OF HEALTH INSPECTION READ. WHEN EXCAVATED. 1- 50.0' EXIST. GROUND ELEV. _ t.l ',TOTE : OWNER BU I L- DER: 50.0' FINISH GROUND ELEV.2'UNDERLINED" "pA" 5 JAN•76 A'JpE`? ll'V'ELLT: ... � ,:rF��?.�r� • . - �`� An3r,- ALL VLFV5 c JANI^. i R. FIOFVMAWN JAIL. F }{ I 4 0 PIPE INVERT. ELEV. REV. DATE DESCRIPTION OXI4 4A F} II �ET �:r�. t�, C �`''� b3 -�► O TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM /� > 3t►�4 Cs �. �►'. + J O. U j ' C C T U I T J N,,i AG;a �/�/,o C��� '!T 0 A J O o SEPTIC TANK FOR • J A N E T . f 1 a MANN ' cl DISTRIBUTION BOX r� ti J -uY NA B, L-UT # I A PO F C N Lo S ET R-a A R E P l-A N F"t-Z F-P AP I~D I•-I<C)t,{ 1=t...A I�J 0 Er I-A`tUD e lei ���tJ�>Ti�_t3 t.._.�' f _.�_. 4 �� C. I . PIPE � .. F�.�.. rc',C3�a'�1�T .�. � 1�•• �'�.. `J�`_..�'j.I^�` j• `t = �,Q i 7 I��?`y'�I i '" '� � L"y�f �� a ; Charles D. -�+ C0TU I T MASS tH-tttt}- 4 BIT. FIBER PIPE - TIGHT JOINTS 1 Sir ) ' p No 7468 q ' c`"/ -- - PROPERTY LINE �A'�� sT> �`- DESIGNED. C.D.SPOHR DATE: DRAWING NO. MIN. CODE DISTANCE s,ona DRAWN: SCALE:ASSHOWN i CHECKED: C. D. S . _J 1 T.O.F. EL.= 38.3'+' INISH GRADE OVER D-BOX= 36.3'± 4"SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER BIODIFFUSERS= 36,3' - 36.8' GENERAL NOTES SLOPE @ 2% MIN. PROVIDE EXTENSION RISER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET 8 REMOVABLE WATER-TIGHT COVER OVER ACCESS BOX TO WITHIN OUTLET TO WITHIN 6"OF F.G. RISER TO WITHIN 6"OF FINISHED GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL . . FINISH GRADE = 36.2'± 5"DIA. OUTLET(S) 3"OF F.G. (ONE PER ROW) CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 35.8''} F.G. OVER TANK EL._ - .-- ----- - 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. PROPOSED 4" 9"MIN. 9MIN. EXISTING 4" 36"MAX. 36"MAX. TOP OF SAS/B.O. = 33.83' 3- 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE PVC SEWER PIPE SYSTEM UNLESS OTHERWISE NOTED. ��" 3"DROP MAX PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6 3 2"DROP MIN 3" 9 MIN.SLOPE @ 1% L - 2S± JOINTS (TYP.) ELEVATION =55.73' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 4"PVC IN FROM I 1.33' 16„ 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF " 10 " R * SEPTIC TANKt " C OUT TO 1 (TYP.) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. �! 14 34.00 ± 0.90 10.75 (TYP) o CONTRACTOR TO PROVIDE ING FACILITY + 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. SPECIFIED DROP BETWEEN 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL 33.40' 32.50' (laid flat) 2.875'(34.5")---I SHALL VERIFY SIZE 48" VERIFY CONDITION OF OUTLET TEE 33.67 33.50 (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE CRUSHED STONE 5.0' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS (TYP.) 5'MIN. 11.5'ER MECHANICALLY REQ'D NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 25.0' AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX (TYP.) 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 39.00'ESTABLISHED TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 26.90' BIODIFFUSERS (END VIEW) ON A NAIL SET IN A POST 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. BIODIFFUSERS (PROFILE) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT (BY ADVANCED DRAINAGE SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES CROSS SECTION VIEW TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL ARC 36HC (#3616 B D) BIODIFFUSERS (H-20) 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE -- -- - - - - 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING /s '', �J ,I y✓fJ -`1 # rf F TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM EXIST. WELL FOR �`��1 / 13371 APPROPRIATE AUTHORITY. MAP 19 PARCEL 3 r ✓ t"' ! • "` - ' �� • INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS . LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE f§ EVALUATOR: Michael Pimentel, E.I.T. THEY SHALL WITHSTAND H-20 LOADING. , i , �- , f +• ��� O `' C.S.E. APPROVAL DATE: Oct. 1999 ` f �' " 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. �P.#165/27 11 _ • �` ` .'• } t �,� DATE: August 8, 2011 rC `�,.` i ' • /J ,t '= ? • •• • • TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE f/ a ' I • ;� • a, MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. • ✓�. � / ELEV TOP= 37.40' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, • { s• FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). _ y}I r *• • ELEV WATER= <27.40 �antv/ j`' �O �" * ' •+�•• • \ � 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN PERC RATE _ < 2 min./inch �Q'?7$ � ; '�, � • •.• •+ 0` � �.... SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. • ' ''-'�'+ • • " ' DEPTH OF PERC= 30"-48" > 16. PROPOSED PROJECT IS LOCATED WITHIN: Qf�► + i� ! ` • TEXTURAL CLASS: 1 ASSESSOR'S MAP 19 PARCEL 184 OWNER OF RECORD: JANET R. HOFFMAN 1 , Cj `� I "�. � t '_ 0" 37.40' c7oOCUS Litter ADDRESS: 449 POPONESSET ROAD, PO BOX 1030 �. _ . COTUIT MA 02635 a �`_`���� ,�o , • „ ,fir �� . L .�" 4" 37.07 Q V� • , , . �r I t"� t > Loamy Sand QO `p,0 oh 00�0 \ \ •`►`J ;\ • •�? t a �,- . A 10Yr 3/2 2" 36.40 FEMA FLOOD ZONE C Ilip B Loamy Sand COMMUNITY PANEL# 250001 0021 D 1 I / � � .--- ��-;�r Fr 11 •149 ► 10Yr5/8 17. DEED REFERENCE: BOOK 2434, PAGE 200 MAP 19 ^ _ ' 0� ` ,li� ,2 r ` a. " I 34.90' 4 1 1 r' i 30 18. PLAN REFERENCE: P.B. 270, PG. 76 �" ,11 ". PARCEL 3 .� 1 \�, ` Za a Perc U \ ' '~ ON WELL 1 i' ►t t 1j �3 J ' +�/ 48" 33.40' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 7 Z Benchmark = -; '`• •� / r-c �No Nail Set in Post _ �` I ' i r Med. to Coarse Sand FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERENG WILL NOT ASSUME ANY LIABILITY ti k,�' \ / C y,. i 1i f '' "r FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 3a a'� �o� Elev. =39.00' _ r �` .! 9 °� A r C 2.5Y 6/E Approx. M.S.L. ,+f0, c ' e grO / J I DRIVEV AY / SHE 1so, 4 LOCUS PLAN o "� 3'I �� �F� L O P SCALE: 1" = 1000' F S E T 120 27.40 T --- __\ _�� No Mottling, Weeping or Standing Observed PROPOSED INSPECTION PORT WITH _ - -- - �102 ,� \ \ ACCESS BOX (TYP OF 4) DESIGN DATA TEST PIT DATA LEGEND U.P.#165/28 _W 13371 #449 PROPOSED TOTAL 20 ARC 36HC (#3616BD) PERC NO. EXISTING BIODIFFUSERS (H-20) IN A FIELD INSPECTOR: Donald Desmarais, R.S. 3-BEDROOM + �pA CONFIGURATION EVALUATOR: Michael Pimentel, E.I.T. 50xO EXISTING SPOT GRADE DWELLING ( ` NUMBER OF BEDROOMS (DESIGN) 3 TOF = 38.3'+- 110 C.S.E. APPROVAL DATE: Oct. 1999 - - 50 -- - EXISTING CONTOUR PROPOSED DISTRIBUTION BOX DESIGN FLOW GAUDAY/BEDROOM �August 8 2011 rr" f DATE: -- 50 PROPOSED SPOT GRADE 3611 `� �,f \� TOTAL DESIGN FLOW 330 GAUDAY TEST PIT#: 2 zR C\` ) \\ DESIGN FLOW X 200 % 660 GAUDAY ELEV TOP= 36.90' -Lr PROPOSED CONTOUR MAP 19 \3 1 7 `n ❑/H/W EXISTING UNDERGROUD UTILITIES 4 0 o � sr -�"� "� � USE EXISTING 1,000 GALLON SEPTIC TANK ELEV WATER= <26.90' CP \ m � �, PARCEL 184 7� 20,018 S.F. ± ���.� SWING-TIES SCALE: 1" =20' PERC RATE = W W-- EXISTING WATER LINE I- / �� �- EXISTING LEACHING PIT (approx. loc.)TO BE HC-1 SC-1 DEPTH OF PERC = Q PUMPED, FILLED WITH CLEAN COARSE SAND & DESCRIPTION INSTALL 20 - ARC 36HC (#3616BD) BIODIFFUSERS (H-20) TEST PIT LOCATION ABANDONED BIODIFFUSER CORNER(1) 31.5' 43.3' TEXTURAL CLASS: 1 EXISTING 1,000 GALLON SEPTIC TANK EXIST. D-BOX TO BE ABANDONED BIODIFFUSER CORNER(2) 21.9' 18.3' SYSTEM CAPACITY1 ----�! 15�5 BIODIFFUSER CORNER(3) 33.3' 20.5' (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD 0" 36.90' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING/DAY 41' Litter 36.57' EXIST. 1,000 GALLON SEPTIC TANK BIODIFFUSER CORNER(4) 40.3' 43.4' A Loamy Sand p PROPOSED DISTRIBUTION BOX MAP 19 TO BE UTILIZED IN THIS DESIGN - 12„ 10Yr 3/2 35.90' (Approx. Location), CONTRACTOR TO TOTALS: Q PROPOSED ARC 36HC (#3616BD)BIODIFFUSER(H-20) PARCEL 179 VERIFY SIZE AND LOCATION TOTAL NUMBER OF BIODIFFUSERS: 20 g Y Loam an TOWN WATER TOTAL NUMBER OF COUPLINGS: 0 10Yr 5/8 TOTAL LEACHING AREA: 480.0 " 34.40' TOTAL LEACHING CAPACITY: 355.2 PercO REV. DATE BY - APP'D. DESCRIPTION SHE 48" 32.90' PROPOSED SEPTIC SYSTEM UPGRADE (3) NOTE: PREPARED FOR: (2 115 EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE Med. to Coarse Sand DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C 2.5Y 6/6 CAPEWIDE ENTERPRISES NOTES: TO; a0% "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED o_ DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED LOCATED AT 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH #449 C-1 JANUARY 11, 2011). TRANSMITTAL NUMBER=W000052. 449 POPONESSET ROAD SEPTIC SYSTEM COMPONENT. EXISTING 3-BEDROOM {4) COTILTMA 02635 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE DWELLING - - -- PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA TOF = 38.3'± (1 1 120- 1 126.90' SCALE: 1 INCH = 20 FT. DATE: AUGUST 22, 2011 SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF DECK ` o 10 20 40 so FEET SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. No Mottling, Weeping or Standing Observed of r��� PREPARED BY: 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHED. JOHN L. � RESERVED FOR BOARD OF HEALTH USE S CHURCH JR. JC ENGINEERING, INC. � - ' 2854 CRANBERRY HIGHWAY N� 180 EAST WAREHAM MA 02538 SITE PLAN By: Designed B .JLC 3.0377 ��� 508.27 SCALE: 1"=20' Drawn B y g y Checked By:JLC JOB No.2042