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0218 SANTUIT ROAD - Health
.8�Santuit Road, Cotuix A= 020-120°J _ i �, , 91 R lat Services (} i f _0.9 r Y" Y.: -X•'�.,.,.v.Zjp'J 4 may«! k •. J R DtYte } 79 "ficow r7. 200�Iatu;Street,l�Iya»ms MA 02601 ,. { s t Dai�x�6�edt�ed _ Tune �e�P`d • t •n z 4- " �l�S�tt�����t,� As ess�ne�t�flr� ►��t� g�= - Performed By: WtMessed E L.Q! N "TION Location Address caner .. nd 0 " 's Name Address t), ' o< z k z Ai Assessor's.Map/ParceL• Q 't Engineer's:Name ` � NEW CONSTRUCTION REPAIR Telephone# 5'U FS`— 7 3-z --�f 7 to Land Use ��[�lklwx�-fY� I Slopes(30) Surface Stones N� Distances from; Open Water Body Z ft Possible Wet Area Drinking Water WeU 2! tt j Drainage Way ft Property line 7© ft Older ft . c') _ a `r . .SKETCH• Street pame,dtmeasions of lot,.exaci locations of test holes&perc tests,locate wetlands in proximity to'holes) `s q. 1 y ' Parentmatenal(geologic)C?G t c l�[td^�vr�5 Depth to Bedrockl � Depth:toi0madwater Standing Water It►Hole: /")A_ Weeping from Plt Face A Estimated Seasonal:High Groundwater _� 139 Method Used.. Depth Observed.standing in obs.hole: in. Depth to soil mottlesi�� {p, - - - Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft Index Well# Reading Dater Index Well level „ Ai1j.factor Aclj,0ioundwatal ' A N'T", Observation ' Hole# I Time at 9" :... Depth of Pere M n Time at 6" Stan Pro-soak Time Q lO � Time(9°-611) End Pre=soak Rate Minllnch 2. Site Suitability Assessment Site Passed Site Failed: Additional Testing Needed(YIN) Original:'Public Health Division Observation Hole Data To Be Completed on Back----------- percolation test is to be conducted within 10W of weiland,you must firstnotlfy he Barnstable Conservation Divislon at least one(1) week prior to begilaping. QASEPTICIPERCFORM,DOC , - DEM OASER ATTYON-H'QLE LO`G 1 o1e# Depttf"from" Soil Horizon Soil Texture Soll Color Soil'. OtheT Surface(in.) (USDA) (lvitlnsell). Mottling (Structure,;S 4pes,Boulders. a 25 C MSs c �f•�'� .�Bi��i ��`��.`11�J:+r�.1.+0'4T A,U1@ �— _. Depth from Soil Horizon . SoII Texture Soll Color «�— Surface(lii:) : Soil . Other (USDA) t`Munsellj;; ` Mottln8 ($�Cture,5toaes,$oulders. . 771 — 'E OO Depth from_- Soll Hori2on Sotl,Texture $011 Color SIde of surface(In:) 0 (USDA) (Mulisell then V;. . J.__..__ ._._ ) Mottling -q(Structute,Stooes,al�}ulders Consistency,%'QjjkVCl) I Depth.from Soil Horizon Soil Textur e Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Stiticture,Stonos.Boulders. . ;T:- - .. Flood Insurance Rate lVlaur Above SOO year Rood boundary No Y.es o! Within Soo.year boundary No Yes ✓ Witiu>110Q year floodtiouadary No Yee Depth,of c rr�ngP�er�tous�M�terial Dog$at l s f r f of of naturt :occurring p ous rn er}rtl ez gt ire�1`areas observed:throughout the ark proposed for the soil absorpt>on system?. -e J If d'ot, hat.is:the d� tIt onatur 1 oCoSurin ervibus matorial7 P 8 p ...�:�. I ccrrtllfir that on (date)I have passed the soil evaluator examinatton approved ; 7 Deart>Utient of Bnvlronmental Proiectlon and that the above an&lysts waS:pel.rformed byme coiaslstelt nth r th b17eare RXSu c � E 6"1 i t 1%iv N Q'1SmICRlvl A0 7 No. Z oD�- ��O ' Fee l V D ' - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: r/ PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIPPlication for �Dtgo5al *pgtem COttotruction Crmtt Application for a Permit to Constructts(r�Repair(14-'-<pgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner' Name,I>dress,and Tel.No. re Assessor's Map/Parcel Ov— `l�tyl� Installer's Name,Address,and Tel.No. 8 -A�V-773 S Designer's Name,Address and Tel.No. ✓Bsei°ti O-e 13oi'p-a� / exofssf-e,17 / 1'i. aS �2G4 Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Z el gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank A o O X Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �i 51s��� L��'aui� p/� y•- I(g " /j/dGf iF�i/ ukrl ry w,rl N., S tg 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. Signed Date /,)—I r OF Application Approved by Date to e bj �:_o Application Disapproved by: Date for the following reasons dC3 V e Permit No. K�� Date Issued,,--,,,,, a1 r ZG' G� r"..m,^r...a,c_,._'•�.rJ7h"!'F�'t-r+,.•. � ....�rw ",:.;_"r-.ti,.,g�^^vsy,F.�.:.i,�.1_�3^^r.3Fr``i—•^^�'r#si,'^1lwt-sr"�4-a:-„=.p,�4�`r{;.� -:.k?-;•-Y.s�+r..- ,syy�.s.�'�+"W`_3'�'`-'�F,.'.�,5;`�.•, rl� _- G i No. Zoo�- Fee THE-COMMONWEALTH OF MASSACHUSETTS Entered in computer: 1, r 4 .PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYicatton for Ois;pOal *p5tem Construction VermiU Application for a Permit to Construct(ee Repair(e4--ripgrade O Abandon O ❑ Complete System ❑Individual Components Location Address or Lot No.Q/g ,�ilh (.//1' ✓����f Owner's Name,Address,and Tel.No. ` Assessor's Map/Parcel Installer'sName,Address,and Tel.No.J $ .28a-/7S Designer's Name,Address and TeL.No..Sd1Y_ ,lasei°ti .(�-c �,ar�us' ��girl.e�/'ihy ulor/� Go i sr Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft.. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 S o( gpd Design flow provided' y 5'S, q gpd f Plan Date Number of sheets Revision Date Title - Size of Septic Tank 00 x Type of S.A.S. Description of Soil t Nature of Repairs or Alterations(Answer when applicable) �- Ul�li Date last inspected: Agreement: i The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date /0-1` r- Application Approved by / Date /D/zg� Application Disapproved by: Date for the following reasons i i f i ? Permit No. oV �j/s� Date Issued t. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (fertificate of (Compliance r THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed (L..._.) Repaired ( G)- Upgraded ( ) Abandoned( )by ,/ v at /a Si¢H?'y/ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated lcv ZG Q Installer b bS CA.d1 Designer #Bedrooms Approved design flow / /}�_ ram=- gpd The issuance oft is permil sha _ at be construed as a guarantee that the s ste unctio as desi ned. '' ,r -� Date !l> g Inspector ' ; No. 2b(�/�- L.(�(J Fee Q Q THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS '=f9;po!5al *pgtem Construction permit Permission is hereby granted to Construct ( fi) Repair ( �-'j� Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty 4 to comply with Title 5 and the following local provisions or special conditions. Provided: Constructi nVZOO e completed within three years of the date of this pet%rfiit. Date (] 2 Approved by v _ _ ri Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments Property Address Om ner ON ner's Name l r equ or every C o TU i i�� o �-Z✓7 V J page. Ctyfrown state Zip Code Date of Inspect n 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. Irn fEnA.'a" A. General Information OU on the computer, use only the tab 1. Inspector key to move your cursor-do not use the return Na me of Inspector key- C 0 s Company Address �1 O� 6 Zr- '` � S avH L�12o C+1ylTown C� o State / ,D� Zip Code Telephone r License`�Nurnber B. Certification I certify that I have personally Inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The Inspection was performed based on my training and experience In the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(31 MR 15.000). 'The system: Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority P/j - I / Inspect s Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 1-0,000 gpd or greater, the inspector and the system owner shalt submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. *'"*This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Ons.313 Troesoraaal Ir�spectlonFa�rt sutsuteceSewape0lapaeA Spbm•Page tor1? Commonwealth of Massachusetts Title 5 Offiqual Inspection Form Subsurface sewage D145sal System Form -Not for Voluntary Assessments V . C�/U. Sao 4W1 � 1 ` d Property Address O.v nor ON nees Name �f n ! ? information is C µ t // required for every page. City/Town State 2 Date of Inspection B. Certiflcai6n (colt) Inspection Summary: Check A,B,C,D or E/a/wayscomplete all of Section D A) System asses: 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, S) 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. K"not determined,"please explain. The septic tank is mete and over 20 years old*or the septic tank (whether metal or not)is structurally unsound, exhibits subs')antial infiltration or exfiltration or tank failure is Imminent. System will pass inspection if the existino tank Is replaced with a complying septic tank as approved by the Board of Health. R A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N Q ND(Explain below): One•3M3 Tltle OMdallnspectanFormSubsutaoeSewageaepoo$yatem•Papetot17 Commonwealth of Massachusetts Tibe 5 official Inspection Form Subsurface Sewage Disposal system Form -Not Tor Voluntary Assessments 4 � /� Gh-�ur � 0— r-- �i ' Ct G ✓� QN nor OW ner's Name tnforrromon is C p w I k /�/I S4.7/-6- miredforevery Ckytrown State Zip Code Date of s ion B. Certiflcal ion (corn.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level In the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 16.303(1)(b)that the system is not functioning in a mannerwhich will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5r e,3M3 T11980Mdat ftpeca0n F0m[Subagace Sewage DlepoSd Syftm•Pogo 30r 17 1__ Commonwealth of Massachusetts Tale 5 Official Inspection For m Subsurface Sewage Disposal System Form -Not for voluntary Assessments 9 a 1 g Property Address ON ner ON noes Name Mformation is o / ! 1 r //"' // V� b ✓.._��.. uir�edforevery page. CltyfTown State zip M&— Date Insoectigh B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier,if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has 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. 3. Other. D) System Failure Criteria Applicable to All Systems: You gMM indicate "Yes" or"No"to each of the following for all inspections: Yes No ❑ [R/*'�Backup of sewage into facility or system component due to overloaded or ❑ 5clogged 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 ❑ M: tatic liquid level in the distribution box 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 day flow �.3M, `-- i'• TI1e60ftlal InspeolonFam Su06 ze 8ewege01spwd Sy*m•Page 4of 17 L f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form --Not for Voluntary Assaftornarrts I G✓1Ty1 r'� /� QL Property Address ON ner ON pees Name Information Is C p required for every CRy f ow n - - State Zip Code Date of h pe n B. Certification (conL) Yes No ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ 2/"'� Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ Any portion of a cesspool or privy Is within a Zone 1 of a public well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ lld' Any portion of a cesspool or privy is less than 100 feet but greater than 60 feet from a private water supply well with no acceptable water quality analysis. [rhls system passes if the well water analyslA 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 6 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ e system is a cesspool serving a facility with a design flow of 2000gpd- 10,000g pd. ❑ The system GIs. I have determined that one or more of the above failure criteria exist as described in 310 CM R 15.303, therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either'yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ 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 Iyou have answered"yes"to any question in Section E the system is considered a significant threat, or answered yes'in Section D above the large system has failed. The owner or operator of.any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate i regional office of the Department. SM-3n3 nteSOMdallnspectlanForm Subu rfaceSewipeDispas+d system•Page W17 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments Property Address �^ �.V1 Om nor ow nets Name Information is required for every page, City/Town State Zip Code Date of bfspwfm C. Checklist Check if the following have been done. You must indicate"yes°or"no"as to each of the following: Yes o ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ Were any of the system components pumped out in the previous two weeks? ❑ Has the system received normal flows in the previous two week period? Have large volumes of water been introduced to the system recently or as part of this Inspection? Were as built plans of the system obtained and examined?(if they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components, excluding the SAS, located on site? ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank Inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: 2/XJ Existing information. For example, a plan at the Board of Health. ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)(310 CMR 15.302(6)1 D. System Information Residential Flow Conditions: Numberi of bedrooms (design): Number of bedrooms (actual): ? DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): i OM-3M3 Tile 50Mdel inspection Form Su"ace Se%%e 0iaposel S"m-fte®of 17 1_ Commonwealth of Massachusetts Title 5 Official Inspection Form iL Subsurface Sewage Disposal System Form -Not for Voluntary Assessments -)j Property Address Tj ON nor Infomation Is /T aH ners Name / �( 0 S / required for every (/ 4L't page. Cty frown State Zip Code Date of In, n '� D. System Information Description. 00 V JO �P r �✓ Ll,:±e1 14-�r0 11 O C :,dl�7uSS6�S Number of current residents: �,"."�—�— Does residence have a garbage grinder? ❑ Yes No Is laundry on a separate sewage system?(include laundry system inspection ❑ Yes No Information in this report.) Laundry system inspected? ❑ Yes 9P-1 Seasonal use? ❑ Yes U N Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes o (� ew Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): capons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Titie 5 system? ❑ Yes ❑ No Water meter readings, if available: dire,31113 Tine 50Mdd impectlm Form subsurface.Sewage Dtsposd SYelem•Pepi 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for voluntary A ssessments l O ___�TN� � �o► Property Address Owner Oro oar's Name O �� 1#14 O�J Zl-.�- hfometion is requlredforevary State Zip C� ode Dat®of In pecti pest. Cky/Town D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: ' jo 13— Source of information: Was system pumped as part of the Inspection? ❑ Yes o If yes, volume pumped: gallons - How was quantity pumped determined? Reason for pumping: Type of Sy ' I 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/Altemative 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 VA system by system operator under contract Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): f9rffi•3113 nav bosdd smPaesan P&m Subueaoe sewspe Disposal Sy0m•Psge 80f 17 r 1 . 1- Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Roperty Address Ow ner ON ner's Name �+ ? Information is / o / required for every l� �/� page, City/Town state Zip Code We of Ins* D. System Information (cunt.) Approximate age of all components, date installed(if known)and source of information: 'Jv I G"4' n d2,g (-1 4 L — 1�-e w s,4 s ado e Were sewage odors detected when arriving at the site? Cl Yes M No Building Sewer(Iocate on site plan): 22 �1 Depth below grade: feet ee Material of construction: Elcast 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.): 1, Septic Tank pocate on site plan): Depth below grade: feet Material construction: concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) if tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) x ❑ Yes ❑ No Dimensions: CT Sludge depth: t8,e•3H3 Tile 50Mcialtnepaotlon Form SubSWWBSevAge Disposal SXstam Page9of17 L 7 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal system Form•Not for Voluntary Assessments 02l� S6;04 ,sl .1 Property Address ow rw ON ner's Nameinformoft is C required for every Me. City/Town State Zip Code Date of Ins c n D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle / Scum thickness ri Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle --- How were dimensions determined. -- oXe Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): PCA ✓vl 7 f r/1 N 0 7` P�-2C:L / Grease Trap pocate 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 t5m-3M3 Title 501'Ada1 brapectionFcrm Subltrfaw$&VMSDlaposal Sy*M-Page 10 d 17 l iL Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Properly Address infomntbn is required for every POP CkylTown State Z Code Date of b4spedbon D. System Information (cony.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm In working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? (I Yes ❑ No 3M3 TIWOtfidel tmpwknForm SubWaee Se%geD1%)W SYMM-Page 11 d 17 �f • 1. Commonwealth of Massachusetts Tithe 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments Q� ( � �Qti711 1 � Property Address Infor ON nees INbn>a 11114 oc)Q5 Information is required for every n page. Ckyfrown State Zip Code Date of ftedtion D. System Information (cont.) Distribution Box (f present must be opened)(locate on site plan): Depth of liquid level above outlet invert �v�evl 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.): so /I S Pump Chamber gocate on site plan): Pumps in working order. ❑ Yes ❑ No* Alarms in working order ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): If pumps or alarms are not In working order, system is a conditional pasa, Soil Absorption System (SAS)gocate on site plan, excavation not required): If SAS not located, explain why: Ons•3M3 Me5Meld Ins pecomForm SuWrfws Sft%eDispoul System•Page 12 d 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Roperty Address � ON rer Ow noes Name Infonnalbn Is required for every _.. �— P"e• dtyRawn State Zip Code Date of Ins do D. System In//n mation (cont) G 1� �e Type: / `� gl o C' �T�ss�,�5 `/ �Gd ❑ leaching pits number. ❑ leaching chambers number. ❑ leaching galleries number. ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number. ❑ innovativetaltemative system Typetname of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Cesspools(cesspool must be pumped as part of inspection) pocate on site plan): Number and configuration Depth—top of liquid to Inlet invert Depth of solids layer j Depth of scum layer i • Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No thins•3M3 Title6OftW ftpectenFamt SubpOew%*MeDispoW SyMm•F%913a 17 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments /i� &04w' � /2d Property Address Om nor Owner's Dame irtformation Is requiredforevery Gd '�L4 QoZ J page. CRY/Town State Zip Code Oats of n D. System Information (coat.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Wins•3n3 T050Mciai anpecamPomc SubstN1z*S@vMeoisp0W SYSWM-P%414 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address ON ner R �� Informstlon is ON noes Mame requkedforevery ✓ '^ C102 �� //�' page. Ctylfown State Zip Code late of IrApection D. System Information (cost.) 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 w: blic water supply enters the building. Check one of the boxes below. hand-sketch in the area below ❑ drawing attached separately Fro W)1 vY gwe 52rvr c e, OC /coo Gtitlny R� 7 1 7- ? ru Nrfj�ssya S�dh.v One 3M3 rile SO(AddInspecdanFamSubeufeceSewageO(apotarS)tam•Pape15a17 I_ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage t)lsposal System Form -Not for Voluntary Assesements Property Address k /4��) Ow norR bforma m Is Q"ner's Name l required for every �� 7'K 1 � C /� page. CRy/Town State TIP Code Date of D. System Information (coat.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water. feet Please Indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date , ��c'hecked erved site(abutting property/observation hole within 150 feet of SAS) with local Board of Health-explain: / i s 4- ❑ Checked with local excavators, installers -(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: I of - 'S �s � Before filing this inspection Report, please see Report Completeness Checklist on next page. one•3�'13 Title50MCM ftPwdm Form SubawaceSew%eDi$PQW SYMm.Pepe 16d 17 Commonwealth of Massachuseft Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Roperiy Address `�— Oar ner Ow Mane L A ��every CO ps9e. Cilylfown s 7�cbde Date of pection E. Report Completeness Checklist 3 Inspection Summary: A, B, C, D, or E checked 9 inspection Summary D(System Failure Criteria Applicable to All Systems)completed CJ Sy Wimation—Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 9ewgeoiaparal SyaeM•Perpe»Cr» IKE Town of Barnstable Office: 8-790-6304 4 Fax: 508-790-6304 o� Regulatory Services Department i sn Public Health Division M Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt ;Septic Inspection Payment received: $25.00 (Check) on 5/13/2015 Permit number: 10862 1 'Check number: 1297 Check amount: 2$ 5.00 Name on check: Edward F. Eagan ;Owner: EDWARD F &GAIL EAGAN ;Address: 218 SANTUIT ROAD,Cotuit I f Town of Barnstable Regulatory Services Thomas F. Geiler,Director KM Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 '•. Installer&Desiiner Certification Form Date: Sewage Permit# ssessor's MaplParcel Designer: -e e a ik, 6tV-�K� fyi r, Installer: Jd Address: I2 ely, OZJs�`-e Id IU Address: S 1 Cd,Wt'"K piou s trVX4 M-*11�1 On l()' 8—O o-ey S �'4'k was issued a permit to install a (date) (installer) septic system at 21n `t n.1 60a"u r based on a design drawn by i (address) -c�✓���C--C" dated' 13 Q (designer) t F 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. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or , certified as-built by designer to follow. OF 41 4 8. 9�ti. PETER T. G� (Ifistaller Signature) o MCENTEE CIVIL A 9 No.35t09.a 9p� �Q/sTi' Fss/Q L (Designer's`Signature) (Affix Designer's S PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE B_ARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doc t TOWN OF BA STABLE LOCATION ,� ` l9�'!G/??/// �a SEWAGE# ,2 08 - VILLAGE ASSESSOR'S MAP&c�PARCEL INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY 10U0 LEACHING FACILITY:(type) iaSer (size) NO.OF BEDROOMS 3 OWNER r PERMIT DATE: �Q °.l a COMPLIANCE DATE: ld— 3D—OfJ' Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ProNf J � �n fP itaT�oN /�ar> r a TOWN OF BARNSTABLE I: CATION LnT /7 A SAA/r-e� SEWAGE VILLAGE_ CoTi��y' . ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. GER,@ Y I-60 l-E fAAc- W -/A16" SEPTIC TANK CAPACITY /DUb GALS LEACHING FACILITY:(type) /nno IAL r " (size) 37-:> 57Z A/E NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER Ej2&gam EAGA'A/ DATE PERMIT ISSUED:/ j 7 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r . 3 SANTuiT 13c�,A� `�sc�y �oT 17�q' w'"?� n / v� p 1 '7 . ► ,, ___- _�� - - i ,qp �, �� 3 ��� o ► � /'obp Gq�. rum '� ��� ' .__ _ /�o uS€ j 4 i ............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH . ................................OF............................................................................................ Applira#ion for Bi-4paa al Marks Tnnitrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: *� --......... -_....... .. ........... . . - ........................................ - ...................................... Loca ion- -ddres .... ................. t 0 ,�_ dr G �— Installer .............. .__......_._..... Address Type of Building Size Lot__-.2�8t a0_0...Sq. feet Dwelling—No. of Bedrooms __________________________________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Buildin No. of persons____________________________ Showers Z — Cafeteria a Other fixtures -------------------------------- . W Design Flow....... Gt_......................gallons per person per day. Total daily flow--------3 .......................gallons. WSeptic Tank—Liquid capacity-lOQ0-gallons Length....e........ Width_._, '_`._._... Diameter................ Depth................ Disposal Trench—No_____________________ Width.....................Total Length-................... Total leaching area....................sq. ft. Seepage Pit No.-.4----.-------------------- Diameter......y........... Depth below inlet____________________ Total leaching area..................sq. ft. Z Cther Distribution box ( ) Dosing tank ( ) a' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-------------_--_-___--- (z Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----•-------------------------------•---••-•----•-••--------•---....._...............--•-•-----•_......................-----•---•-------------••--------•••-- ® Description of Soil........................................................................................................................................................................ -----------------------------------------------------------------------------------------------------'-----------------------...------••--------------------•------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.........A.F---Fen -----_ ---Ut^A ----------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T*'ILj 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certincate of Compliance has�beZed by th o 'rd f h lth Signed-- ----- ------- •-------•- -- Application Approved By-----------.` ---n.�t,r--- ....................................... -------`�' Date Application Disapproved for the following reasons----------------------------••-----------------------•-------------------=-----------------------------.._...---- --------------------------------------------•-----------------------------....._....-----•-•-----------...---...---•----------------------•-------•----•----------------------------------------•=•-••--- Date Permit No...... ................. Issued.................. Date NQ _. .. FEJ. z...... ........... 7l THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. .. .. ....OF....................................... Appliration for Disposal Works Tonstrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• /f _ Locat:or,_Address, `Jcot "2 _. .._._._.. ----------------------------------------------- Owner Address W Installer Address d Type of Building S' Lc :_ ----Sq. feet UI iT�?`gf� room...........................................Expansion Ao/# -Y--F P� CGarbage Grinder ( ) aCA Other—Type of Building ......... No. of persons............................ Showers (Z) — Cafeteria ( ) d Other fixtures ------------------------•--------------•-•------------ Design Flow_____ gallons per person, per day.. Total daily flow-___-.3-jJ__......._..._._..._......gallons.W capacity.__._...___.gallons Length_-............ Width............. Diameter- ------------- Depth................Septic Tank— _ _ fi_ Disposal Trench—No.---------- Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Doing tank ( ) '-� Percolation Test Results Performed by.......................................................................... Date....................................... a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_--_------.--.-__------. Prq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' ---------------------------------------------------•------•---------..._..-•----•---•-------.._..__.._......------------------.._...-•-•---•------••--•____•- 0 Description of Soil.......................--.............................................................................................................................................. W V -•••---------•-•----------••••-•-•---••-••----------••---•-•----••••-•••••--•---•-----•.......---•••---------------------------------------••-•-•••----------•-•-•---•---......•••-----•---•••-••••---- W UNature of Repairs or Alterations—Answer wheri applicable.............. ----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTTx11i j 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 bo�xd of health. Signed---- �- ApplicationApproved By.................................................................................................. ......................................... Date Application Disapproved for the foUpwing rea-s ...............�------------------------------------------------------- x �_ ___•--� 7 ............................................................- ......... --•--------.._._..._...--•-..---•----•--•---•---------•--------••--••-•-•-------•••--••-----•--•--....---•-•-•------•••----- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................................OF.................................................................................... Tntifiratr of Tom i ; ,e THIS IS TO CERTIFY; hat-the Sewage Disposal System constructed ( ) or Repaired ( } by-----------------------•--• ------...------------------------------------•-----...-•--•---• -•-•-•----•-------.....-------------•----•-•------•-------•----•---....•--•-----••---•._......-- Installer atf�- . --- �"--•------•-------•----------------•------•---••-•-•----__-------------•----•-----•-•-----•--------•------:------_---•-------------------- has been instaile n a ante with the provisions f i- j of The State Sa itary Code as described in the application for�isa]/�j?oj4;s Cons�ty 'o. ------•----- t d - THE ISSUANCE OF THIS CERTIFICATE SHALL NO BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. �7 - G 7 'is— DATE............................•------------.......----.......--------•---•-------- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF................................................................................... FEE........................ C: 7-8- Di nt-Marks T trm r*rmit �s _- Permissionis hereby granted.............................................................................................................................................. to Construct ( ) or Repair ( ) an Indiv•dual ew e.Disposal System atNo. -•••--•--•-----•--•-----------••-•-------------•----•--�•....----••-----..✓_...--------......-------•---------------..._..----------••--•-------------------- XStreet as shown on th pfi atign o Dispo l r�k�uct ncjPermit No`� -Dated--- --------•-----------•-••••--•---•- _ -----------------------------------•--------_----- rd�f Health DATE.............................•--.....----•-•----••--•--•---•--------•----------- w•.-•- `7 FORM 1255 HOB � WAVJ71,_116., BLiSHERS `\, N Po„d Rcod . LOCUS G bey j 41 % a P �P�0- EXISTING ZZ Q 8\\( 21 School Street \ J HOUSE 1 x8 36 LOCUS MAP ! NOT TO SCALE OQti { ��`f : ` _x 97.28 J o v BENCHMARK ``10 "�" OUTSIDE CORNER/BRICK STOOP x 99-.49 0 EL.=100.00 (ASSUMED DATUM) '( �x 99.81 v:.: , _ :x 98.16 A X .16 EXISTING SEPTIC TANK ) t �..T = TOP OF TANK: EL,97-50 . • I j'� p WV.(OUT)=96.17± \ \x 1 1.83 a Z t� -•`j, CO o �' -4 , N 104,42 x O •. Q�� s' Q7 Qj p �+ � • � = --4 x 1 � tit 1 T>;� , ,�^� - l X319� 16 : `€ 00 a ' �Ild J• ��-1 ` v VENT 104.7 r 4. 4 r P.le TP-2 10 �1 fy 3s x 102.04 10488 3 _ pj r woaDEo 04.63446 'gam 3 I jai EXISTING LEACH 'PIT LOT 17A # t / TO BE REMOVED4`t x a. � SEE I OTE 1 1 28,200±SF 8 'r i - - i q 125:00' ` 106.28 107.54 CB/dn N 40'57'50" E CG/dn-- EDGE OF GRAVEL ROAD (opprox.) y O� SANTUIT ROAD 's GENERAL NOTES: k 1, ALL CHANGES TO THIS FLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2 ALL WORK. AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE � ' LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 310 CMR 15.405(1)(b): 1) A,2' variance to the 3' maximum cover requirement, for no greater than 5' of cover. S.A.S. shall be vented and H-20 Rated. 3. THE SEWAGE DISPOSAL.SYSTEM SHALL NOT BE-°BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE EXISTING CONTOUR " DESIGN ENGINEER. �f i0s 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION. DIFFERING �P S��h x 100.98 EXISTING SPOT -GRADE FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN _ G ENGINEER BEFORE CONSTRICTION CONTINUES. o PETER T. � W EXISTING WATER SERVICE McENTEE 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. � — CIVIL 0HW-- OVERHEAD WIRES 6. THE DESIGN ENGINEER, IS NOT RESPONSIBLE FOR THE FAILURE OF No. 35109 +JGW UNDERGROUND WIRES THE CONTRACTOR OR OWNER. TO NOTIFY THE LOCAL BOARD .OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. USAER�� �F ® TEST PIT 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. F L 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. ` /� BENCHMARK 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS V AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE r LEGE(yD DIRECTED BY THE APPROVING AUTHORITIES, 10. IT SHALL BE THE#RESPONSIBILITY,OF THE CONTRACTOR TO VERIFY PROPOSED SEPTIC SYSTEM UPGRADE PLAN THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 218 SANTUIT. ROAD, COTUIT, MA 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND Prepared for: Edward Eagan, P.O. Box 212, Cotuit, MA 02635 REPLACE WITH CLEAN SAND AS-SPECIFIED-IN 310 CMR 255(3), 12. AREAS ,REOUiRING STRiIPGUT OF UNSUITABLE MATERIALS SHALL BE Engineering by: SCALE DRAWN JOB. NO. INSPECTED..BY HEALTH DEPARTMENT PRIOR TO BACKFILL. EnginewingW orA s 17=20' P.T.M.•` 226-08 13. THIS PLAN 'IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 12 West Crossfield Road, Forestdale, MA 02644 OAT CHECKED SHEET NO. IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY, (508) 477-5313. 9f13/08 P.T.M. 1 of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:96.13 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT T.O.F. OUTLET AND SET TO 6' OF FINISH GRADE SET TO 6" OF GRADE EXISTING F.G. EL: l 01.1(MAX.) VENT CHARCOAL F.G. EL.=99.4t �F.G. EL: 99.6t MAINTAIN 2% GRADE (MIN.) OVER SA.S. INSPECTION L 7]74__G 7'(MAX) PORT @ S=1 % (MIN.) 4'SCH 4O PVC 6' , ldkaA 70 11.3" TOaa" INVERTEXISTING 48" LIOUIDLEVELADDcAs BAFFtEINV. PROPOSED . 5.85 l ROWS OF 4 UNITS AT 6.25'/UNIT INV.=96.17t D-BOX INV.=95.74 EXISTING 4 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) EXISTING 1000 GALLON SEPTIC TANK ESTABLISH VEGETATIVE COVER BACKFILL WITH°ftEAN NATIVE OR PERC SAND TO TOP OF CHAMBERS NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE BREAKOUT=TOP ON A MECHANICALLY COMPACTED SIX INCH CRUSHED TOP ELEV.=96.13 STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). INV. ELEV.=95.74 2) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM ELEV.=94.80 II III Iltii�l 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY T OF-TITE, ZABEL OR EQUAL. 5' MIN. ABOVE BOTTOM OF 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' INVERTS PRIOR TO CONSTRUCTION. EXISTING SUITABLE NO G.W., EL=89.8 — MATERIAL 4 ROWS OF 4 - 16" (H-20) ADS BIODIFFUSER UNITS WITH NO SEPARATION BETWEEN EACH ROW & NO STONE TYPICAL SECTION N.LS SEPTIC SYSTEM PROFILE N.T.S. SOIL LOG DATE: SEPTEMBER 11, 2008 (REF#12,344) SOIL EVALUATOR: PETER McENTEE PE WITNESS: DONNA MIORANDI R.S. DESIGN CRITERIA HEALTH AGENT ELEv. T P—1 DEPTH EL.Ev. TP—2 DEPTH NUMBER OF BEDROOMS: 3 BEDROOMS 101.3- A C" -102.5 - 0" SOIL-TEXTURAL CLASS:- CLASS l .._���.. LOAMY SAND LOAMY SAND DESIGN PERCOLATION RATE: <2 MIN/IN 100.6 10YR 4/2 101 8 10YR 4/2 8» B 8» DAILY FLOW: 330 G.P.D. B LOAMY SAND LOAMY SAND DESIGN FLOW: 330 G.P.D. 98.8 10YR 5/8 30" 99.8 32"10YR 5/8 GARBAGE GRINDER: NO C C LEACHING AREA REQUIRED: (330) = 445.9 S.F. 48" .74 PERC EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 60° PROPOSED D-BOX:: 1 INLET, 4 OUTLET (MINIMUM), H-10 RATED MED. SAND MED. SAND 2.5Y 6/4 2.5Y 6/4 USE 4 ROWS OF 4 - 16" (H-20) ADS BIODIFFUSER UNITS W/ NO ,STONE FOR AN S.A.S. WITH DIMENSIONS 11 .3' x 25.0' (HIGH CAPACITY INFILTRATORS MAY BE SUBSTITUTED) 89.8 138" 91.0 138" SIDEWALL AREA: NOT APPLICABLE PERC RATE <2 MIN/IN. ("C" HORIZON) BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF OF BIODIFFUSER) NO GROUNDWATER ENCOUNTERED 16 UNITS.x 6.26 LF x 4.7 SF/LF = 470.0 SF DESIGN FLOW PROVIDED: 0.74 x 470.0 = 347.8 GPD 75" - 21 5-4" POLYSEAL OUTLETS 2" 2" 1-4" POLYSEAL INLETS r -I 76" PROFILE ; 00 N - D0 16" 11.2" iv Top View Section (� 34"- � D-BOX SECTION END CAP 16-n wlcH CAPACITY (H-20) BloaiFl=usER UNIT PROPOSED SEPTIC . SYSTEM UPGRADE PLAN F MODEL 16" HICAP LENGTH 76" NOTE_ UNIT CONFIGURATION AND AVAILABILITY SUBJECT 218 SANTUIT ROAD, COTUIT, MA EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. Prepared for: Edward Eagan, P.O. BOX 212, COtUIt, MA 02635 SIDE WALL HEIGHT 11.2" OVERALL HEIGHT 16" Engineering by: SCALE DRAWN JOB. NO. OVERALL WIDTH 34" 4640 TRUEMAN BLVD Enginm ingWorks NTS P.T.M. 226-08 HILLIARD, OHIO 43026 CAPACITY 13.E CF � 12 West Crossfield Rood,.Forestdate, MA 02644 DATE CHECKED SHEET NO. (101.7 GAL) AUVMCED DRAWDE SYSTEMS.M (508) 477-5313 9/13/08 P.T.M. 2 Of 2 `i SOf L LPG N 0. 1 v8 ToP �s TIC -s ."--�S T .,E P �LAN .. �ll 3 ----.--� TOP OF F0UN0A7I0IN EL.: 43' coA,Q F — --' 6 ►----- E i /N. COY R GRAYEL -,- 35• — . G,PAYIE 9 ram_.._._-_.. • ff IN EL r T 1 J No }✓ATER I N t t '�•3 . 2 COVER' 1/8 3/8 WA S H f D STONE r • ; _ Z-NeoVA172F .E Z> ° ° 9 f p IN E L P229 ° o e , , 3i , ^ 0/ 8 W'l 6 o SUMP o • . ° 3/4 1 1/2 . WASHED STONE ^r ' t �t I {l V,)E y a e O o a ° EFF `° a DEPTH ;° _ PERC TEST Frit; iT �1 < <}T W Ir;1EX YY I T H e � ' ao ° .°o• °°° G 2 I-11A/ /^/Cf/ PRECAST LEACHING PITS PERC RATF : `` !) `" Q ° o ° /T . • ` A r ' c�.� �EPry WITNESSED BY T �Gw '• ' `7 r -a !� i. h I � ` A ry �� E L. / e o °° e O ° ° G�° ° .....li S I Z i ✓/7 C l E T S r c R ! ,1 : W�3' dF SlDf/6s ALL A,�Dv�/p ,gARNST,4B L {� n . '� Or II :A L T H I D�A ---�{-3 of- s ,✓`c RATE I /4D0 GAG L O^,/ (8,�..LONG x ¢10"3•�//oF -.S"8 •hEEP� �.' D t AVw - p .3/.'9 NO WATER EirICOU/VTERE O y v I PROFILE OF '=' ROB FD P A F SYSTPM. /74 1 Trr ri, . c FO Pi TuE T !-WN nF G U 'L ATIQNS AND ,. I Y ; . ' F4 c '' �! SLI Tt, r { ni �� hn ; ;; � OF SEWAGE SCALE 1;`4ra 1 ' 0 ., 6 p -L'' ?Oct - - o_- - + 3 i h _ N I i . All 0 ' PE SNA ! ! gF Sr rn �J ' E 4 I' V '' F P z 0 S 1NER PI E Z. A1. L 1) u . r ,, _ S_ li c . . , . 1 � n _A FO !11 c Xrt OR HE 1- ' "ST � N- E `_ T �� � 0 , T ` E L' B 1�"Ji; i H e C S .4A� � 8 I . VEL t z 3. 0E I G N OW of _ 7n0yiS �, T I1 !i j � !' aY PER g v GAL � pAY 4.S.q 3G8 y.� S 6T ,k T ; , .3.3o S + J E S L P C A J K S I Z [ X �S = �9 G A: + z , U5 /odo A' . '� � �" GARAGE 01SPOSAL LEACHING S Y r T E �1 : �.' S F C/� G' lvi,9 GEA�i vG A17 -4' Ems' o� Tiy AND _ i �o �. 3k 3✓/•3 ' Of STONE " f�L L ,gROU�/p. , �' l '# EMr ' , U , AR . !! : Sf � E ? R�• cam. ' t �• r 0 ZIP' J(¢) k 2S -LTG G.44/oA y j 0 0 T T P T I, !- F ! V1� �89 GAS/d q y d " ; . J F ! � GARBAGE DISPOSAL �T U At , R ? V L F L OW 48 9 G A L f D A Y. f . /�/OTC•' AS'•$'U,a1F'p _.�'GFK s 5V-�• - I / RF EE RFNCC PLANS . 8c. R. o. 4ti e>4(. le, ew. 8s ' x \ i GRf�/v8E.2RY BOG APPROVED BY : ---- - .8.4 �/srAa� BOARD OF , H E A LT HX P AN SCl4 ,E .¢oY DATE : • �OW.4R D E.9,GA�/ SITE A ND D S E WA(-_'N \( � P '... PR OWNER �w ER tr CENTEiP Y/G L �, l`1� " o2G.32 , 3 �8FDR00M SINGLE fAIV! ! L Fh,I; L 0 T : .4 �S,9/vTIJ/T /?O�I„I� 0 A T E . qa UsT /7, / 87 spa i yy DaYIE _ ASSOCtAT � S rA'M0UTXV, SS .