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HomeMy WebLinkAbout0217 SANDALWOOD DRIVE - Health 217 SANDALWOOD DRIVE, COTUIT A= 025 031 / - �+ Town of Barnstable P# TM Department of Regulatory Services .Aa„ r Public Health Division Date 16.19. .19. 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd. ►foil Suitability Assessment for S e Disposal Performed By: i Blot( e,M MW, a!I r C SL Witnessed By: LOCATION& GENERAL INFORMATION Location Address a t Q 5 A n�ea(tom o-ppP Owner's Name GG� N Address ? Assessor's Map/Parcel: C7 2 S/O 3 ( / Engineer's Name 4 4iac ek�ieTzt. NEW CONSMUC1ON REPAIR Telephone# Land Use--g'n�le Family 1441e6(iz Slopes(%) Z'`'/ Surface Stones Distances from: Open Water Body ft Possible Wet Area tt Drinking Water Well ft Drainage Way ft Property Line 7 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Sce_ aifac6& f(04 Parent material(geologic) { Depth to Bedrock 1 Depth to Groundwater. Standing Water in Hole: 7 t 2 O b3S Weeping from Pit Face Estimated Seasonal High Oroundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: cxrec(-&W-fuatrayl Depth Observed standing in obs.hole: 7(2.a in. Depth to soil mottles: Depth to weeping from side of obs,hole: in, Groundwater AdJustment — B. Index Well# -Reading-Date:. Index Well level Adj.factor Adj.Oroufldwater Level PERCOLATION TEST Date 11-23-l1 Thne ,1 ,4 H Observation Hole# Time at 4" Depth of Pere Y Time at 6" Start Pre-soak Time® i 1`0 b A lime(9"-6") _ End Pre-soak 11. Ll 4 M Rate MinJlnch Site Suitability Assessment: Site Passed 25 Site Failed: Additional Testing Needed(YIN) 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:\SEPTIMERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# , _ Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bo o i ten cy,%Gravel) a-3 14 lv 46 13-1 G S /UYt y�J in- W L s 2.�Y 71, vo- M. s/8 98- l2 6 C- • li-C S a Ir DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture " :Soil Color Soil • ` Other Surface(in.) (USDA) (Munsell) I Mottling_ (Structure,Stones,Boulders. o sisten/ % rave 33 LS L 5 t y/1 d-bo 30��S Li-3 L S 1 D'fr s/8 • DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Oravell DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. a Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No_L�-'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? L 5 If not,what is the depth of naturally occurring pervious material? Certification I certify that on '2 7"�� (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,exp rti a and exp 'enc es ribed in 310 CUR 15.017. Signature Date Q:\S.EPTIOPERCFORM.DOC TOWN OF BARNSTABLE LOCATION ,/7 . m�r—.nr- C,t.It,�oan Dr SEWAGE# VILLAGE�O f ca'e ^ ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO..Cr p? go e✓`pris(:S I i.-S.- 508-417 w SEPTIC TANK CAPACITY I500 Q& LEACHING FACILITY:(type) Q0 C 3G fJ G. J,)Q (size) d5 K 11.5// NO.OF BEDROOMS 3 ��s OWNER .J;A,ly.. 056 aL PERMIT DATE: f a- 7" 2,0 l( COMPLIANCE DATE: 1 2 - 2.Ct Separation Distance Between the:Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility !f��,y A Feet Private Water Supply Well and Leaching Facility(If any wells exist on ,/ site or within 200 feet of leaching facility) ✓"A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of]eacch4ing facility] ,+G ut�' AM Feet FURNISHED BY 64 LCL A r)r,�6 �-LL C s A-a=IIR.5 A -3=Q6.3 A -4=3a' ® A _,'55° A-6=57 13-1=46 VeA+ No. !0 o I Fee 0d , THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pphtation for Misposal Opstem Construction 3pErmit Application for a Permit to Construct( ) , Repair( ) Upgrade()o Abandon( ) ❑Complete System 7V, 11ndividual Components Location Address or Lot No. a17 5A?jmX4tPa0M DCUViF Owner's Name,Address,and Tel.No. darvfz' 01411 c o5Gj2 Assessor's Map/Parcel , ALI S (W t)l-` Installer's Name,Address,and Te.No. �r0 g,477 S S-7-7 Designer's Name,Address,and Tel.No. CAPS24t e (FUCO-0416G5 jr<..��tJ6tlN cu -soG W Type of Building: s� Dwelling No.of Bedrooms Lot Size 15C>0 sq.ft. Garbage Grinder( ) Other Type of Building p No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 33o gpd Design flow provided 3 5 5 0 gpd Plan Date O —S-- a,p(f Number of sheets Revision Date Title c�I ? Abj p.&LL .9a) I,Ql i r Size of Septic Tank 1 S 00 Ctd.t,. Type of S.A.S. �21) Ak aie tk D o#ri�M Description of Soil S(F5 P LAQ ;5 M.)Z Nature of Repairs or Alterations(Answer when applicable) N f0 15no GIA,, M jyQV—) px TD 2o f- -a 0 L3 ta a.p-s ��ms f h,) p7wzz <!n1kjC;&t)�T10kj 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 Healt Signed Date 1,2,'-7 20 6 Application Approved by Date Application Disapprove Date for the following reasons Permit No. Z0(1- Date Issued IZ z_p 1! .♦ .. f�.e<, ;:cam.._:-s ..`,�,.Y�.'_ ._i 3X:':i ..✓',:. �;�✓'•. -.- _ _, _ ;...-1� _ _ _ No. Zo _ Flee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTI DIVISION -TOWN OF BARNSTABLE, MASSAC�USETTS j ItJ�Itatlbtt for MispoSal 6psteln Construction Permit Application for a Permit to Consruct,(;) +•Repair( ) Upgrade(A Abandon( ) ❑Complete Syste*-individual Components Location Address or Lot No. a 1'] $AhlLsuot7t) bQ!ve Owner's Name,Address,and Tel.Noj 5 g'' �3-6 37'7 ' Ct7TUAT 13/4u C 06611, Assessor'sMap/Parcel rj 31 al 5*A1D WGCb DR dD_r'01"r Installer's Name,Address,and Te.No. 4rog_�W?7—gS?7 Designer's Name,Address,and Tel.No. G�4GE?NCOE b (LXA2►S� �..t,�,, JG �tJfdN2tV� ZtJG_ 3 a S5 Q w uuA�b4wt Type of Building: Dwelling No.of Bedrooms Lot Size AU O®O sq.8. Garbage Grinder( ) Other Type of Building Q No.of Persons Showers( ) Cafeteria( ) ' Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 S 5-A, gpd Plan Date Z.O 0 Number of sheets Revision Date Title a 17 S AtJQA,( W,9o7) l�Q WC Cart) LT" Size of Septic Tank ( '500 Gc 4.L Type of S.A.S. 10 6�,,��. !3(0 Description of Soil se-5 P L>1 l !qD c5 6WD (� `79" Nature of Repairs or Alterations(Answer when applicable) N t✓W I'SO o G4U. 71 - Date last inspected: 0 ti Agreement: Th\e undersigned agrees es 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, Su d Date Application Approved by Date — 7?^ d !1 Application Disapprovedet< Date for the following reasons t. i Permit No. Z O(1— l Date Issued 12 t 7 z o I( --------------------------------------------- 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 dr4?E(At1IDj;_ �7�TCl` �/trS L.L<�, at 9-177 5dwW bAtA/00b ��V(3 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.2rD 1 y!r dated 1217 17,0 1) Installer C. Designer #bedrooms Approved design flow �3 5 gpd ' The issuance of this permi sshhalll notrbe/construed as a guarantee that the system will fu eti n d 'gned. � . Date l� �� / r / Inspect~or -----=------------------ =----------- -------'-----=---- --------------=--=-----_-- -----= ----------------- ------ No I— Fee >'00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction 3permit - _ Permission is hereby granted to Construct( ) Repair( ) Upgrade(X) Abandon( ) System located at 247 -_50EIVDA4_,WcX2D 'p Q,10lc' I and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date �� /Z !1 Approved by 12/29/2011 03 :27 5082730367 r0766 P. 001/001 Town of Barnstable Regulatory Services • Thomas F. Geiler,Director 9A MOB(tL ' Public Health Division 1630. 4 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 O ffi cc: 508.862.4644 Fax: 508-790-6304 Date: 12-29 -I I Sewage Permit# Assessor's Map/Parcel 25 /3 Installer &Designer Certification Form Designer: Installer: Caeauiide- &1l`E(ec(se_S, LZ-C Address: 2-5y C(on�orcV Address: S7. Easel w�rehQrr, � H Pr c2�3B �1(�5�� f/Yld4 On la,i-2ov C40ei,)4CL 'C tJVd✓1'J-f-J was issued a permit to install a (date) (installer) Zi7 Sands ' septic system at _�._. 1 Wood �«uer based on a design drawn by (address) S(r Eingtnee((As t T�nC,, dated Oec"cx 5, 2011 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than I lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designee to follow. Stripout (if req ' .nspected and the soils' were found satisfactory. s� JOHN l_. � CHUI+C.1'-1 -- JR. (1 taller's Signs CIVIL e) No 4I.F esigner's Signatur (Affi) esi e s mp Here) ASL RETURN O BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED,BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU. Iumtsldvsii nrrcurtil7calioii limndoc 14'-0° 1 2'-1' 1 V-7 1/2" NOTE: BUILDER TO VERIFY 6-7" 6-0 1/2" ' EXISTING&NEW DIMENSIONS ' TW20210-3 i 1 UP I _ r o co .0: - co 1 cc:Oi I , LIVING ROOM U-� BEDROOM of , WI , ZI 1 , Q T II I v II , a - - - � - - - - -BEAM ABOVE- - - - - - - - - — III Oil 4 r I -j DINING AREA I I `° I � 9 � II I z - - - I Z ° KITCHEN TW2442 TW2442-2 ; 0 Z Z ° 3'-6" 101- 1/2" 31/2" A --------' W CA O 1 14'-0" 0 z coJTRY ;-- Q p 0 BATH (^��] � F o 9_i.. Z I ��i Commonwealth of Massachusetts Executive Office of Environmental Affairs o �m Department of Environmental Protec WuL 4 1996 N Millam F.Wk! C1GC"rm Cox• 031 Governor Lift rt 8eentsry Argso Paul Celluccl d9 .Struhs LL Governor CAm or�r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM /7 J✓. ,,a�-e uzf"_/111? VP PART A C���!"� CERTIFICATION Property Address: Address of Owner. Date of Inspection: — (If different) Name of Inspector. W.E. Robinson SR Company Name,Address and Telephone Number. ( 5 0 8)7 7 5-8 7 7 6 W.E. Robinson Septic Service P.O. Box 1089 Centerville MA . CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site Zasw disposal systems. The system: s _ Conditionally Passes- - Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: bate: —�.-• The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should-be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A,B, C,or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria'as defined in 310 CMR 15.303. Any faihue criteria not evaluated are indicated below. B] TEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes on. Indicate ,no,or not determined(Y, N,or ND). Describe basis of determination in all instances. If"not determined",explain why not) The septic tank is metal, cracked,structurally unsound, shows substantial infiltration or enfltration,or tank failure is. imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (rev ed 11/03/95) 1 One WIMer Street • Boston,Massachusetts 02108 • FAX(617)55&1049 • Telephone(617)292.5500 i Printed on Recyded Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(contin ) Property Aaareee` -�1 / S�v��o%r,(���(o �2 6 / Owner. '1"J �/ l J 1 n Date of Inspection: 7 01—�} 4 B]SYSTEM CONDITIONALLY PASSES(continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed C) FUR ER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: CA nditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the pt lic health,safety and the environment. 1) SW PSTE—M WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. Z) SY TEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) D INES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND S AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and is within a Zone I of a public water supply well. The system bas a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and is lea than 100 feet but 50 feet or more fivm a private water supply well,unless a well water analysis for ooliform bacteria and volatile organic compounds indicates that the well is$gee from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or lea than 5 ppm. 3) (revised 11/03/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PAST A �J Q CERTIFICATION(continued) Property Address: Owner. Date of Inspection: 7_2 „ej (4 D] FAILS: 7 I determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this rmination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the Backup of sewage into facility or system component due to an 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. Static liquid level in the distribution bog above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply., Any portion of a cesspool or privy is within.a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. El LARGE 9TEM FAILS: The llowing criteria apply to large systems in addition to the criteria above: The serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area(IWPA)or a mapped Zone U of a public water supply well) The owner or of any such system shall bring the system and facility into fill compliance with the groundwater treatment program requiremen of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information.. (revised 11/03/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Oowns wner. Date of Inspection: h _ 41 Check if the following have been done: ping information was requested of the owner;occupant, and Board of Health. _►:4one of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. i built plans have been obtained and examined. Note if they are not available with N/A. 12ehle facility or dwelling was inspected for signs of sewage back-up. 'he system does not receive non-sanitary or industrial waste flow JA e ' was inspected for signs of breakout. system components,excluding the Soil Absorption System, have been located on the site. ne septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees_material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.size and location of the Soil Absorption System on the site has been determined based on existing information or app ted by non-intrusive methods. fac.li owner(and occupants, if different from owner were provided 't ' ty Pan ) p with information on the proper maintenance of Sub. Surface Disposal System. (revised 11/03/95) q k SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C / SYSTEM INFORMATION Property Address: / /r7 Date of Inspection FLOW CONDITIONS RESIDENTIAL: Design flow:5-3 D_gallons Number of bedrooms:; Number of current residents:1_ Garbage grinder(,yes or no):_.d-e) - Laundry connected to system(yes or no): Seasonal use(yes or no):_&, 9 Water meter readings,if available: © Last date of occupancy: COMMERCIALANDUSTRIAL: Type of establishment: Design flow: gallons/day Grease trap present: (yea or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non•sanitary waste discharged to the Title 5 system: (yea or no)_ Water meter readings,if available: — Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as pdzt of inspection: (yea or no)_ If yea,volume pumped: gallons Beason for pumping- TYPE OF rEM 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) Other(explain) APPROXIMATE AGE of all components,date installed(if known)and source of information: XIS Sewage odors detected when arriving at the site: (yes or no) (revised 11/03/95) 5 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 7. LS, fio% 0,�1,Qa , Owner. , �4-1 17 f nS Date of Inspection: C;Z - � SEPTIC TANK: (locate on site plan) Depth below grade:! , Material of construction: _metal_FRP_other(e:plain) Dimensions: A, X Sludge depth:_J_:� , Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: 3 ' ) !> Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or lmlDe: Comments: (recommendation for pumping, ndition of inlet d outlet tees or baf les,depth of liquid level in relation to outlet invert,structural integrity, evidence of leakage,etc.) Ph G (locate on plan) Depth below e: Material of co n:_concrete_metal_FRP--other(explain) Dimensions: Scum tlucln Distance from p of scum to top of outlet tee or baffle: Distance from of scum to bottom of outlet tee or baffle: Comments: (recommenda for pumping,condition of inlet and outlet tees.or baffles,depth of liquid level in relation to outlet invert,'structural integrity, evidence of ,etc.) (revised 11/03/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFFORMATION(continued) Property Address:p21���4�f10jO �/� �d 74- Owner. /, l Date of Inspeetion ""�"/ TAqHT OR HOLDING TANK: on site plan) — Depth low grade: Ma of construction:_concrete_metal_FRP_other(explam) Dimensions Capacity: one Design flow ¢allons/day Alarm level Commen . (co of inlet tee,condition of alarm and float switches,etc.) DISTRffiUTION BOX: (locate on site plan) Depth of liquid level above outlet invert:_ Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) © /� PUMP C BER (locate on plan) Pumps in rking order:(yes or no) Comments: (note oondi on of pump chamber,condition of pumps and appurtenances,etc.) (revised 11/03/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFOORMATION(oontinuedY Pro Address:��'Uj /-� ��7.ole Vd(�a Property / Owner. �/Date of Inspection: SOIL ABSORPTION�SYSTTEM (SAS): 1/ (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: leaching pits,number: leaching chambers,number:_ ISO chiag galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Comments:((note condition soil,signs of kvdrauhc failure, level f ponding,co�pdition o vegetatuo1660 h' etc.) J � S '4 .S L 4G 2CL �� / � b �Q O o GB 1Y✓n- 3 r'T /.- 1A14 IL;,6Z c Ls: (locate site plan) Number as configuration: Depth-top o liquid to inlet invert: Depth of so layer- Depth of Layer: Dimensions waspool: Material of on: Indication of geoundwater: ow(cesspool must be pumped as part of inspection) Comme :(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) PRIVY:_ (locate on plan) Material f construction: Dimensions: Depth of lids• Commen (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) (revised 11/03/95) 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C �j SYSTEM INFORMATION(continued) Property Address: Date of o + S76 SKETCH OF SEWAGE DISPOSAL SYSTEM: inchide ties to at least two permanent references landmarks or benchmarks locate all wells within 100' L3 DEPTH TO GROUNDWATER s Depth to groundwater: l 2"-'feet J method of determination or approximation: V3 (revised 11/03/95) 9 . LOCATION SEWAGE PERMIT NO. VILLAGE 1 INSTALLER'S NAME & ADDRESS IF 73. o t1riz, IV,49 w t c_ H B U11DE R OR OWNER DATE, PERMIT ISSUED --_`/ _ �� DATE COMPLIANCE ISSUED IC) �� r�',2 6 ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ................OF..... .....��.f.lf _ fa. �........ Appliratiutt -fur 15W.Vosal Warks TomitrurtiOn Prrutit Application is hereby'made for a Permit to Construct (/4,or Repair ( ) an Individual Sewage Disposal a Syrs a�t�: �1�.......�.?..l..-.�...�a�v. . � + ...--- /i"C aar .i.e • q ... � - ...... . .f...4..z..�....$........... .pd -�.S � � � e na ..sS -=--�� . ------- ------...; fr---------------------------••-----•--• C ------•------- ._ ' ....--------------------•---••----. ' Installer Address Q Type o ding Size Lot...... _� __Sq. feet Dwelli ' —No. of Bedrooms............................................Expansion Atfic JW) Garbage Grinder (/?c) per, Other—Type of Building ____________________________ No. of persons....... ------------- Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------- - - Design Flow........... g• p W __________________________ Mons per person per day. Total daily flow___ ______.______,_______.__.._._gallons. WSeptic Tank—Liquid capacity_/OM--gallons Length`_*............ Width---------------- Diameter__-::------_--...Depth. -.-_---_---- x Disposal Trench—No. _jj................. Widtly___.__ ____._______. Total Length--------------------- Total leaching area----.--._---_--_-_sq. ft. Seepage Pit No.. -_-- Diameter..._.._. .... Depth below inlet.................... Total leaching area-------.---------- Sq. it. z Other Distribution box (�' Dosing tank ( ) .0�— /c-/:Itt , �1—w5e-77 a Percolation Test Results Performed by-------------------------------------------------------------------------- Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water--------- -Q_._.._.... frq Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water_.....----..--..-__-_--- P4 ----- .. -•- --------------------------------- - �9 j� r�"! ----.. -- �f 1 Description of Soil...... -' - -------------- Z Ll� 7—g ----- --------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------ 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 Article XI 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 board of health. / ' Sign /i _ 73r,4. l �7 Application Approved B ----------- -- ------- • .. .. .. - -------- PP PP Y Date Application Disapproved for the following reasons:................................................................................................................ --...---•--••----•--------•-----•---•-----•--•------•--••--•----•---•--•-•-•--•-•--------------------•--.I--------------------------•--------------•----------------------------------•••---------------- Date PermitNo......................................................... Issued........................................................ Date —4�—' -- ------_• Y ••• ............. — -• Fim............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD F H'EALTH k CE`i a°9 ........ .. :.t°s'/`.N 4le......................................... Appliration -fur Uiiipngttl Workii Cnnnitrnrtinn Permit ` Application is hereby'made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System,,(at: r ` / •- �..F_- ---� --....- t..t ? t i,- t/f /�fG ...__ !' 7 Gr S - GR+ �� $' P'= /J Location.Add r s ssoc. -- ye. or Lot No.f Ile ___}• •................._____......__._............................... ._._......._.._... �C._ ..___._____ ____ __ 16 ^ gamier Ad e s s Installer F, Address Q Type o ding Size ....Sq. feet Dwelli —No. of Bedrooms---------.---'"--_---._•..............:....Expansion A is V40) Garbage Grinder (Eo c) per, Other—Type of Building ----------------------------- No. of persons----------- ---.___--_- Showers ( ) — Cafeteria ( ) Other fixtures ------ ==------•'---------------•--------- -------- --------- -•--- w Design Flow...._.__._„S_,________________________+gallons per person per day. Total daily flow___ �...--_-_.___-__-_--.-.---_-.gallons. WSeptic Tank—Liquid capacity./0.4=-.gallons Lengih---------------- Width................ Diameter--------.------- Depth.._.--.-.---_. x Disposal Trench—No._ ______.----__--__• Widt ______ _____ ______ Total Length-------------------- Total leaching area....,...............sq. ft. Diameter____ . ____ Depth below inlet.._.Seepage Pit No............�___ p Total leaching,area------------------sq. ft. z Other Distribution box ( ' Dosing tank ( ) © G. �/—41—✓ 7 aPercolation Test Results Performed by-------------------------------------------------------------------------- Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of "Pest Pit-------------------- Depth to ground water_._._.-��._......--- (� Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ ---a' _._. O / f =` U Description of Soil......,ty2'."_ __ !.___ -4....._ _-- ' w - �' UNature of Repairs or Alterations—Answer when applicable.--------------------------------------------- .......................................... ------=---------------------.--.--.----.--------------------------------------------------------------------- ----- Agreement: F The undersigned agiees'.Jo"install the aforedescribed Individual`Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary'Code—' The undersigned further agrees not to place the.;systemI in operation until a Certificate of Compliance has been issued by the board of health., Sign ---- �' -- Application Approved B / ............ ............. -------- e? ---- ---------- Date Application Disapproved for the f ollowing:-.reasons_______________________________________'__:.,__... -•------••--- -----:___________._,.._ .__.______.._. ..••a----•------••••••••-----••-••---------•--------•--•••-•--=-----••••----•-••-•----•---••-•--••-•...--- = ...........--------------------------------------- ` © Date f PermitNo........................................................--- Issued......................--................................ Date THE COMMONWEALTH OF MASSACHUSETTS s BOARD OF HEALTH ...... .... ................... t`.4 ............................................ 0krr#ifirtttr of (tomplianrr THIS, ISJO C REIFY, That the Individual Sewage Disposal System constructed. ( oi,Repaired b .----••.. -C----•------•-------•-•-------------- .........................................................s• _ ) I staller f at._.._. ✓� r ' 1 411g' .fj '----- f/ s� ra -' � has been installed in accordance with the provisions of Ar e State Sanitary C de as—described in the application for Disposal Works Construction Permit No._ --_--.-_`"'_"" .........._. dated.... ............... THE ISSUAN`6.E.OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE `� -• Inspector. c THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. .f,,, A h✓° !..............OF..... .--.............................. FEE_. .................... �i��n,�tt nrk,� ,(�.ttn�tx�rt��it ertnit Permission is hereby granted------- ---�`� 7r_______-_ ..__. ------� - Erb -- - ............................................................ to Construct or Rpair ( an In •vi ual Sewage Disposal System �^ at No......... - 1 _- � t�• / .`�'a.c- �ilr�r � rf 5i . Street � as shown on the application for Disposal Works Construction Pe- t N ___ __ _____ _ __• Dated___.0/°'.____._..______../.____.__..._. , Board of Hea l .�-Pv._.r 2. a DATE--------- -------- --J.�------------- FORM 1255 HO,BBS & WARREN, INE.. PUBLISHERS w ,x 2a; =7- 5 09 MINIMUM 3o ' F iz O)v 7'' l5 �S1D� 12EAE NDV. 16 , 1973 -- , t �a G';Lt S i-fCJ LLr iV Q1�1 L 47-4F *. 0 cF f &COP-2� A nJ Z> /5 .'�J 774,. A 7 � Jr-7 Cps�- 3x ` .•-••-. v�• ��+v,./'� /�,/� �,�/ +y/��y 'y,� jam* /y. y { - 4' � —r�r�.�'' �'•4d! �I '� d..V..rl�/(/V�w1'' 4.e+ ra.J!��• �is�✓ �7 'rA4 A 7' PL-24E. /A/ e)'Ae-<'7-A 7- 7`p-e Tine o � t lst�.�yra 9 o E &F/".G d»Q 71"' A5 5/WO " r T' /5 %V D Tw .� .A 74 PROP.VENT WITH CHARCOAL ' TOP OF FOUNDATION = 80.1'± FINISH GRADE OVER D-BOX= 79.4'± 4"SCHEDULE 40 PVC MIN. SLOPE 1 % FILTER TO ABOVE GRADE FINISHED GRADE OVER BIODIFFUSERS = 79.00' - 79.43' GENERAL NOTES PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. WITH COVER OVER INLET& INSPECTION PORT WITH FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE 1• UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. , ACCESS BOX TO WITHIN 3"OF METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FOUNDATION = 79.6'± 79.5± 5" DIA. OUTLET(S) F.G. (ONE PER OUTER ROW) CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN.ACCESS 9"MIN. - -" 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE } COVER(3 TYP.) MAX. I DESIGN ENGINEER. PROP. PVC 9�MIN. 4.0' MAX. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE PROP. PVC 36 MAX. SEE NOTE 21 TOP OF SAS/B.O. = 75.43 " SEWER PIPE SYSTEM UNLESS OTHERWISE NOTED. K6-0" 2" DROP MIN. (75.33') IWER MIN.SLOPE ,% 3�� 3"DROP MAX. 3 9 L=$'± PROVIDE WATERTIGHT i 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN MIN.SLOPE@ 1% JOINTS (TYP.) ELEVATION = 75.33' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 4" PVC IN FROM 1.33' 76.50'* 14" 76,00' SEPTIC TANK 4" PVC OUT TO 16.1 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF O (TYP.) I THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 0 , LEACHING FACILITY 0. 0 10.75 (TYP) ° (77.22 ) (76.70 ) + CLEAN SAND 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. 76.25' 12" 6" 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48" OUT TEE 75.70' MIN. 75.53' (75.04') 75.00' 74.10' (laid flat)(74.00') 2.875'(34.5" (76.90 ) 74.90' 0' (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK GAS BAFFLE (75.1$ ) 6" CRUSHED STONE ( ) (TYP.) 5'MIN. FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS OVER MECHANICALLY 25.0 11.5 NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 13.1'TO FND 4"PVC TEE COMPACTED BASE REQ D AND DESIGN ENGINEER. 6" CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON AN APPROXIMATE M.S.L. DATUM OF 78.00' OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 69.00' BIODIFFUSERS (END VIEW) ESTABLISHED ON A NAIL SET IN UTILITY POLE#16 AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1,500�GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. BIODIFFUSERS PROFILETHROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10'-6' WIDTH 5-$ DEPTH 5 -8 (Dimensions per Wiggin CROSS SECTION VIEW (BY ADVANCED DRAINAGE SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE Precast Corp., Pocasset,MA) DISTRIBUTION BOX TAIL. ARC 36HC ( 616BD) BIODIFFUSERS (H-20) TO THE DESIGN ENGINEER. CONTRACTOR TO VERIFY THIS ELEVATIOv REPORT TO 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 N$Ck ... X TEST PIT DATA j REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM ZONING DISTRICT: RF 1�� �` -���.*~ ` " ' l 'w �j{� PERC NO. 13467 APPROPRIATE AUTHORITY. REQUIRED SETBACKS PROVIDED SETBACKSf# �•` ,, INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS FRONT YARD =30' FRONT YARD=84.5' ! - Q� LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE SIDE = 15' SIDE = 35.5' (, gA 4 EVALUATOR: Michael Pimentel, E.I.T. I � '�` 11 � � THEY SHALL WITHSTAND H-20 LOADING. REAR = 15' REAR = 56.0' `�, T C.S.E. APPROVAL DATE: Oct. 1999 l.' ( �4 L o v e DATE: November 23, 2011 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. Q<v� �� LOCUS L O�'`1 V 1� ` on TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. C.j _ „ a �' 38 ELEV TOP= 79.50' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, o`era.A ELEV WATER= <69.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). �2. • = ,, 1� " 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN 01'l . � ��O f PERC RATE _ <2 min./inchC14 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. AO 02 MAP 25 EXISTING 1,000 GALLON SEPTIC TANK TO BE REMOVED AND 3n` a p DEPTH OF PERC = 48"-66" 16. PROPOSED PROJECT IS LOCATED WITHIN: a PARCEL 32 REPLACED WITH NEW 1,500 GALLON SEPTIC TANK AS SHOWN ' a q. TEXTURAL CLASS: 1 ASSESSOR'S MAP 25 PARCEL 31 00 m /, ZONE 2 _- OWNER OF RECORD: DIANE OSER, TRUSTEE OF THE DIANE OSER TRUST a Ns3¢0, AS BUILT 1,500 GALLON SEPTIC TANK + • �'`, �� I e� •_ " ADDRESS: 217 SANDALWOOD DRIVE �60 �4�'Y • ` • I ` .• 0 Litter 79.50 COTUIT, MA 02635 AS BUILT TOTAL 20 ARC 36HC (#3616BD) H-20 • " . • 3" 79.25' EXIST. LEACHING PIT TO BE { Loamy Sand PUMPED AND CONVERTED BIODIFFUSERS IN A FIELD CONFIGURATION , • A 10Yr 3/1 INTO A DRYWELL 6" 79.00, AS-BUILT INSPECTION PORT WITH B .• `'`��' -1 Loamy Sand FEMA FLOOD ZONE C ,t r ACCESS BOX TO GRADE (TYP OF 2) f l i• , , 10„ 10Yr 4/1 78 67' COMMUNITY PANEL# 250001 0021 D LP t/ �16 ' *� w j , B_2 17. DEED REFERENCE: BOOK 21869, PAGE 178 Loamy Sand = r 2.5Y 7/1 18. PLAN REFERENCES: P.B.284, PG.42 & P.B.437, PG. 37(ROAD LAYOUT) _ AS-BUILT 4" PVC VENT PIPE; °. ' B-3 30" 77.00' �79_ ` EXACT LOCATION PER OWNER ' Loamy Sand 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 6 �53 �' � , " 10Yr 5/8 D IX I I� -,} _ �f 48 75.50' 20 CONTRACTOR SHALL PROCURE ALL NECESSARY PERMITS AND AUTHORIZATIONS PRIOR CI - 8� ,' o, h Ux ,�,. I I o\ j • I' ��i Perc TO COMMENCING ANY WORK. •'," °✓ 74.00' ZI�ryro ^ry ujX X16' C OBUILT \\ I ,\ / Benchmark ° �� � 66 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE x �� \�9 _ Nail in U.P.#16 �'` - Med. to Coarse Sand APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7). PROP. 14' x 16' x �- _ _ Elev. =78.00' C 2.5Y 6/6 (1.) A 1.0'WAIVER(3.0-4.0')FOR THE MAXIMUM COVER OVER THE LEACHING SYSTEM. ADDITION x 16''� �g0� �H�,� \fir,;.: --'�,,��H/W Approx. M.S.L. X DECK #217 /W l �/ LOCUS PLAN X EXISTING CO SCALE: 1"= 1000'x BH 2-BEDROOM \ O/o 69.00' ' ( / 126" DWELLING O x / No Mottling, Standing or Weeping Observed MAP 25 XXX X- TOF = 80.1't _ \CHIM AS-BUILT ! y , TEST PIT DATA g~� PARCEL 31 c9 , w\ D-BOX 79x5' o 19 ' DATA PERC NO. 13467 LEGEND G E N D - - - DESIGN14C/ INSPECTOR: Donald Desmarais, R.S. NUMBER OF BEDROOMS(EXISTING) 2 50x0 EXISTING SPOT GRADE WALK o \ / / Q J EVALUATOR: Michael Pimentel, E.I.T. q,� � O NUMBER OF BEDROOMS (DESIGN) 3 (MINIMUM PER TITLE 5) - - - 50 - - - EXISTING CONTOUR � D / � ) // • OQ S DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E. APPROVAL DATE: Oct. 1999 ' `E(ti l 2011 50 PROPOSED CONTOUR 5, / q y /� / / � � �= DATE: November 23, / 80" / TOTAL DESIGN FLOW 330 GAUDAY l / / 2 AZ TEST PIT#: ❑/H/W EXISTING OVERHEAD UTILITIES rr< H - / -4/ DESIGN FLOW X 200 % = 660 GAUDAY _ 8C) Q- ELEV TOP= 79.50' / O W W EXISTING WATER LINE USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV WATER= <69.00' \81-� / Oj GAS --- EXISTING GAS LINE S'63o4 , \82 / PERC RATE _ DEPTH OF PERC= TEST PIT LOCATION o s'j INSTALL 20 - ARC 36HC (#3616BD) BIODIFFUSERS (H-20)CO TEXTURAL CLASS: 1 AS-BUILT 1,500 GALLON SEPTIC TANK MAP 25 i ryh SYSTEM CAPACITY PARCEL 30 / / Al (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD 0. 79.50' AS-BUILT 4"SOLID SCHEDULE 40 PVC PIPE (100.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING/DAY 3" Litter 79.25' p AS-BUILT DISTRIBUTION BOX AS-BUILT SWING-TIES SCALE: 1" =20' A Loamy sand " 10Yr 3/1 , DESCRIPTION HCA HC-2 HC-3 TOTALS: 6 Loamy Sand 79.00 Q AS-BUILT ARC 36HC(#3616BD)BIODIFFUSER(H-20) p TOTAL NUMBER OF BIODIFFUSERS: 20 B-1 10Yr 4/1 o 4/ CLEAN-OUT(1) 8.6' 4.6' -- TOTAL NUMBER OF COUPLINGS: 0 10" 78.67' I (96 87') ACTUAL ELEVATION "AS-BUILT" / �✓� TOTAL LEACHING AREA: 480.0 B-2 Loamy Sand SEPTIC COVER IN (2) -- 16.8' 19.5' TOTAL LEACHING CAPACITY: 355.2 2.5Y 7/1 30" 77.00' R� DATE BY APP'D. DESCRIPTION / SEPTIC COVER OUT(3) -- 24.0; 25.3; B-3 Loamy 10Yr 5/8 d 'SAS-BUILT" SEPTIC SYSTEM / DISTRIBUTION BOX(4) == 30.5 32.0 NOTE: 48" 75.50' PREPARED FOR: INSPECTION PORT(5) 56.0' 55.0' EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE 3 55.0' 57.0' DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER „AS BUILT" CAPEWIDE ENTERPRISES INSPECTION PORT(6) -- "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED PVC VENT PIPE(7) -- 56.1' 59.7' DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED C Med. to Coarse Sand PLAN LOCATED AT JANUARY 11, 2011). TRANSMITTAL NUMBER=W000052. 2.5Y 6/6 217 SANDALWOOD DRIVE (1 COTU IT, MA 02635 NOTES: HC-1 _..- �_ ---- - --- --- --- -- -- - 16.0-�., 126" 69.00' SCALE: 1 INCH = 20 FT. DATE: JANUARY 2, 2012 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM `- --- HC-2 �� 0 10 20 40 80 FEET COMPONENT. DECK #217 (2 (4 No Mottling, Standing or Weeping Observed EXISTING - ___-_�..------------ ---- "- - ---" PREPARED BY: 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED 2-BEDROOM i' RESERVED FOR BOARD OF HEALTH USE HU CH L JC ENGINEERING INC. LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. BH DWELLING ?._13 �, rO 0.1 19 ' 2854 CRANBERRY HIGHWAY REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST TOF = 80.1'± 30.4 PIT DATA. SHIM - s.o, EAST WAREHAM, MA 02538 z � I 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE GROUNDWATER PROTECTION OVERLAY DISTRICT SITE PLAN HC-3 6) _ _508.273.0377 AND THE ESTUARINE WATERSHED. Drawn By: MCP Designed By: MCP Checked By:JLC r JOB No. 2113 SCALE: 1"=20' - ---��-------