Loading...
HomeMy WebLinkAbout0092 FOURTH AVENUE (HYANNIS) - Health 92 FOURTH AVENUE,W. HYANNISPORT A= Q ° c ° e � ° h o L o I ° " S ° G { 0 0 y e o • o o TOWN OF BARNSTABLE LOCATION V P' • SEWAGE# ;;2p/L/ VILLAGE LO i!, ;df ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.''y �,% q SEPTIC TANK CAPACITY 1 S OCD LEACHING FACILITY: (type) 9-s�c,e,11e,,v.CAwr,�rA (s1ze) NO. OF BEDROOMS 3 OWNER PERMIT DATE: /0 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ,M&W G1-//P/C' 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 V N o � C. z. �q�J��� / ©�S TOWN OF BARNSTABLE LOi.ATION 4 w SEWAGE # VILLAGE ASSESSOR'S MAP&LOT. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 .,�d it �- /� AZ&"aJh= _ �a/yam �i i i • I i o _ k_ W r AN e �l \ d �s No. Fee �v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpfiration for Mispasal i�)pstem Construction 'Permit Application for a Permit to Construct( ) Repair(v)/U'pgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.q 2 F d,'d J9 A v Owner's Name,Address,and Tel.No. (A.74f5v �yyCvJn9t g '�O/t- �G/tJ �oc l+QS Assessor's Map/Parcel a Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ,y NC. ' ­710 Type of Building: Dwelling No.of Bedrooms Lot Size 8 rppp sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons ( Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ,?"30 gpd Design flow provided 3 YA'7 gpd Plan Date (O rth1 1 )4 Number of sheets Revision Date Title Size of Septic Tank I SUU Type of S.A.S. „! SOO fl Gcl{C3 PO C knc.-,,�0&CS Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1/J6+CAk\ i S SO0 !6aACsN S N�e7�IC fi[AiJ�L 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. Sign l Date /0 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. � Date Issued -...a. No. —�� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN ORBARNSTABLE, MASSACHUSETTS e 9ppYication for 33is pfitemi Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ,) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.R 2 A✓Y J Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �a�glos �4 i3ro�✓^j 1 AVC „ , v rc - ,N Type of Building: rx Dwelling No.of Bedrooms �7 Lot Size Fj Cg(Y-) sq.ft. Garbage Grinder( ) Other Type of Building (�4,���k,_ No.of Persons ► Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 310 gpd Design flow provided 'Sq6 1 gpd Plan Date 10 1 y Number of sheets I Revision Date Title Size of Septic Tank 1 5pp Type of S.A.S. 2 SDO A C. )y-3 ! Description of Soil Natu a of Repairs or Alterations(Answer when applicable) O cep 1 t� nos � � ts'o a �Ni������"�,�,n C �i�F"ve `1ll()A boy, CaNC� � SOc� r.�.(��p' -�hE�n �(S 6,lki7 � � rA G•1 •..T•" . 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. j Sign ' Date /(' L/ { Application Approved by Date (� Application Disapproved by Date for the following reasons j Permit No. Date Issued ` - i ------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE, MASSACHUSETTS (tertificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( �pgraded( ) 1 Abandoned( )by' -- at tA has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.c;bkl 3/ dated Installer Designer l,J vJ/ IC S ' #bedrooms Approved des' n ow /� gpd The issuance of this permit shallno be co:str ed as a guarantee that the system wil nc'on s ess ed. �/Y/ Date >1 Inspector ---------------------------------------------------------------- No. ------------------------------------------------Fee----� - THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misosai 6pst Construction hermit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at 5 2 �1 l7 /� d GtJr s f /i/yc.✓��� lk�df 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:Construct4Qn must be co pleted yth' hree years of the date of is permit. Date c I Approv by { Town of Barnstable of sNe r Regulatory services yj 0-11 I Richard V. Scali, Interim Director 9 MASS 0" Public Health Division i639' �`� Aria 39 ° Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Offic : 508-862-4644 Fax: 508-790-6304 Installer- cox DesiMner Certification Form Date: 2 �y Sewage Permit# �; C0111 - 370 Assessor's MapTarcel Zi 6 �R� 44 G 'fie+,C- P4���+'fie SD IN C1 Des gxrer: --�A 5��k C '�sV-ha 6 3 Installer; �i/� (VAC Address- I2 ° nt ' ' ej Address: On /Qla ljq ���'�� � C�'` was issued a permit to install a i ( ate) (installer) septic system at 9Z �f' `� + �'�`�4�w�f based on a design drawn by {address} e-Y.Ci; n-ter i R 5, V,1 ) , dated (designer) 1 certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of'the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system. referenced above was installed with major changes (i.e. greater than 10' lateral.relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was construe '�� �J with the terms of the IAA approval letters (if applicable) . rr:.T:R ,r:-T u� CIVIL { No.35109 aller's Signature) NALS (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC ITEALT14 DIVISION. CERTIFICATE OF I COMPLIANCE WILL NOT BE ISSUED UNTIE, BOTkI TIES FORINI AND AS- BUILT CARD ARE RECEIVED BY THE BARINTSTABLE PUBLIC LSAT TH DIVISION. THANK YOTJ. QAS(p6cQesigner Certification Form Rev 8-14-13.doc 1 Town of Barnstable P#_] V . • ofTMe�, Department of Regulatory Services i Publici He - i� MAM Health Division Date q_S/ I r63e ,6�' 200 Main Street,Hya is MA 02601 Date Scheduled Time `t'(0 �-0?� _ Fee Pd. Soil Suitability Assessment for Se (9 D Performed By; Fe./ /�L F-2Q SG- �S'� ^Z Witnessed By: LOCATION & GENERAL INFORMATION Location Address Cr 2 �v#_/4 /4-v t Owner's Name H Q h h', Address 6. cc,( 3°I Assessor's Map/Parcel: (p v�, Engineer's Name C_&�"h f-f� NEW CONSTRUCTION REPAIR 'X Telephone# .SOS— 737—�1_7 4, S Land Use J� � AYVV�ca.� Slopes(,Yo) Z Surface Stones Np/V— Distances from: Body Water Open / p y �(� ft Possible Wet•Area e�2`'� ft Drinking Water Well 7�' ft Drainage Way N �� ft Property Line '� 4 f ft Other- ft SKE-TCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands?n proximity to holes) Z Q � r �rK Avc Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face A �/ Estimated Seasonal High Groundwater 32 � DETERMINATION FOR SEASONAL HIGH WATER TA E Method Used: g Depth Observed standing in obs.hole; In. Depth to soil mottles: �"' in,c Depth to weeping from side of obs.hole: In. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level,�r Adj,Actor— AdJ,droundwateri.evel , o Observation PERCOLATION' TEST bgtg Thne— Hole# �„f Tom. Time at 9" Depth of Perc T'l y Z &2_ Time at 6" 7_'� 2�F oJ�(IornS Start Pre-soak Time @ Time(9"-V) End Pre-soak Z_ Rate Min./Inch LZ G Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)_ Original: Public Health Division Observation Hole Data To Be Completed on Back-----.------ ***If percolation test is to be conducted within 100' of wetland, you must first notify the. Barnstable Conservation Division at least onei(1) week prior to beginning. Q:XS EPTfCNPERCFORM.DOC i DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones$Boulders. iConsistency, a 01-Z_ DEEP OBSERVATION HOVE LOG Hole# Z- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) 1;, (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency,%Gae 6 , 3 z G M-a sa ko 7,5Y I DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture jSoil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole#— Depth from Soil Horizon 'Soil Texture I Soil Color Soil Other Surface(in.) 1 (USDA) (Munsell) Mottling (Structure,Stones',Boulders. 0-6 LS , (6. 12 fZ 6-3� °� (, s 0 � 6 Flood Insurance Rate Man: • , _ Above 500 year flood bounduy No— Yes :p Within 500 year boundary No Yes Within 100 year flood boundary No �K Yes Depth of Naturally Occurring Pervious Materlal a' Does at least four feet of naturally occurring perviou material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification ; I certify that on t( `� (date)I have passed the soil evaluator examination approved by the 'Department of Environmental Protection and that themi above analysis was performed by me consistent with the required training,expertise and experience descriped in 10�IvIR 15.017. am— Datt;1U /4 • Signature . Q:\.S EPTICIPERCFORM.DOC �r DATE:_6/20/95_—_— PROPERTY ADDRESS:g2_,F�tb_ave------ ____ West Hyannisport ------------------------ Mass . 02672 ------------------------ On the above date, I inspected the septic system at the above address. This system consists of the following: A.2-block cesspools . Based on my inspection, I certify the following conditions: A. This. is not a title five -septic system. B. This is a sewage system. C. The sewage system is in proper working order at the present time. SIGNATUR _ ----- —" Name:_J_P_Macomber_Jr. ______ f Company: J.P.Macomber & Son—Inc, Address:_ Box _________ JUN 2 6 1990 m Centerville�Mass,_02632o�t Phone:--_508_775_3338_______ ``� THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks-Cesspools-Leachfields Pumped & Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775-3338 775-6412 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property 's _Fc)U Nv \VJ Y 1, toks vk:�"�Z Owner ' s name to v15 13e,�l Date of Inspection vC ?.L7> 15 PART A CHECKLIST Check if the following have been done: Pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period . Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility .or dwelling was inspected for signs of sewage back-up. y The site was inspected for signs of breakout. All system components, excluding the SAS, have been located on the site . The septic tank manholes .were uncovered, opened, and the interior pf the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non-intrusive methods. The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM_ INSPECTION FORM PART B SYSTEM INFORMATION FLOW CONDITIONS If residential 'J number of, bedrooms 2UP number of current residents o garbage grinder, yes or no laundry connected to system, yes or no �S seasonal use, yes or no If nonresidential , calculated flow: Water meter readings, if available: T, ,Z� t so Last date of occupancy GENERAL INFORMATION Pumpin$,g,, records and source of information: t'ci2 evc(' C-� 2E5 c--- P.EQ I System pumped as part of inspection, yes or no if yes, volume pumped Reason for pumping: wL wt 'Po wt 1P Type of system Septic tank/distribution box/soil absorption system X Single cesspool �- Overflow cesspool Privy 00 Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) Approximate age of all components. Date installed, if known. Source of information: Sewage odors detected when arriving at the site, es or Y no 9 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SEPTIC TANK: �A O (locate on site plan) depth below grade: material of construction: _concrete metal FRP other(explain) dimensions: sludge depth distance from top of sludge to bottom of outlet tee or baffle 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. Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc. ) DISTRIBUTION BOX: Io (locate on site plan) depth of liquii3 level above outlet invert Comments: , (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc. ) PUMP CHAMBER: t_iU (locate on site plan) pumps in working order, yes or no Comments : (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc. ) _� i 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SOIL ABSORPTION SYSTEM (SAS) :Y_ (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 and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool , number Comments: `-- l 0P L�(S�U L D q/-\ (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc. ) t'S i ro CESSPOOLS (locate on site plan) : u cr number and configuration - CK �-�� "T- F'o&)ca t C depth-top of liquid to inlet invert 41S g, ePT'1C - 7NA_)k depth of solids layer depth of scum layer dimensions of cesspool materials of _construction indication of groundwater inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level 'of ponding, condition of vegetation, recommendations for maintenance or repairsetc N . ) t ,U A� S�F'T 1 G "T'�-r� 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, recommendations for maintenance or repairs,etc. ) . 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM � I PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' r 1 t=U 00c77.o nj ►►v G 51l tJo, 92. 0 DEPTH TO GROUNDWATER depth to' groundwater 'r-7rzoyxA i I method of dete ination or approximation: F 2 , L Q> 1 Fb 2 1 r�,v n�c�F2 r17�; 18 F '�P.1�C� �� rU E 19 9? t_. 5 0 _ 12 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C FAILURE CRITERIA Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of determination in all instances. If "not determined" , explain why not) QQ Backup of sewage into facility? a Discharge or pond'ing of effluent to the surface of the ground or surface waters? I� - Static liquid level in the distribution box above outlet invert? YJO Liquid depth inkcesspool <6" below invert or available volume< 1/2 day flow? V�EU Required pumping 4 times or more in the last year? number of times pumped O Septic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? . � Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? ►`�O within 50 feet of a surface water? �n within . 100 feet of a surface water supply or tributary to a surface water supply? ! within a Zone I of a public well? I�UC� within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS) ? " o within 50 feet of a private water supply well? rV� less than 100 feet but greater than 50 feet from a priv ate ate 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 Qrganic compounds, ammonia nitrogen and nitrate nitrogen. 4=.:—_----__--�---. ---_=- TOWN OF�fU�p.1�nrt�n a, � BOARD OF HF.ALTE1------------------ �.� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D - CERTIFICATION -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS �)Z. Foo(2 iai lky t A S 'POizr ASSESSORS MAP , BLOCK AND PARCEL 7Y��� OWNER' s NAME Dennis Berkey PART D - CERTIFICATION NAME OF INSPECTOR qG115-a- vV L(_t V oa U �C- COMPANY NAME e_0k ,5QL.T3a✓U'T Ta OF A:-C.-bNl COMPANY ADDRESS Box 66 Centerville Maser 0 632 Street Town or city State ZIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 790 ) 15 - 78 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate , and complete as of the time of inspection . The inspection was performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one : K System PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 3, O CMR 15 . 303 . Any failure criteria not evaluated are as statedtjtILURE CRITERIA section of this form. r.s System FAILED SULUI - The inspection whi6h I have conduc-e as o�I u d g hat the system fails to protect the public health and the -'9XAm.e.rit�y1 accordance with Title I. `.,. 5 , 310 CMR 15 . 303 , and as specifica �.. s° oagd PART C - FAILURE CRITERIA of this inspection form. = ' Inspector Signature Date One copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) and the BOARD OF HEALTH. * If the inspection FAILED, the owner or operator shall upgrade the system within one year of the date of the inspection, unless allowed or required otherwise as provided in 310 CMR 15 . 305 . partd.doc SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART D CERTIFICATION Inspector : Peter Sullivan PE Location :92 Fourth Ave. West Hyannisport Date :June 20,1995 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and maintenance of on-site sewage disposal systems. I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. Please note the summary of recommendations as presented in this form. Lastly please note 310CMR:15.302 Criteria for Inspection(1) "The inspection is not designed to provide information to demonstrate that the system will adequately serve the use to be placed upon it by the new owner. " truly.yours d OF . Peter Sullivan PE C l',7 ti 6 No. 20/33 Distribution:` Original to system owner Buyer Board of Heath SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART D CERTIFICATION Inspector : Peter Sullivan PE Location :92 Fourth Ave. West Hyannisport Date :June 20,1995 Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and maintenance of on-site sewage disposal systems. I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in 310 CMR 15.303 . Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. Please note the summary of recommendations as presented in this form. Lastly please note 310CMR:15;302 Criteria for Inspection(1) "The inspection is not designed to provide information to demonstrate that the system will adequately serve the use to be placed upon it by the new owner. truly, yours d etw orPETER Peter Sullivan PE 1 '.�` SULU. • U9. 2973.3 .7, Distribution: Original to system owner Buyer Y' Board of Heath I • 99 --EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE Croigville Beach Road HIV EXISTING WATER SERVICE Ln N G EXISTING GAS SERVICE �, g H.W- UNDERGROUND WIRLS = `-ti ° a- s s PL. BK. 34 PG. 23 TEST PIT Street BENCHMARK M° le LEGEND LOCUS 10� 102,13- x Pine Street ', .•<< ?. SHED 80.00' -- - • . DECK LOCUNOT S SCALE 101.06 +• T�'-3 101.29 LOTS 247 & 249 GENERAL NOTES: MBL 246-95 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL TP_4 BOARD OF HEALTH AND THE DESIGN ENGINEER. 101,08 95 8000 tSF 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �. + x x 100.48 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: L`I DECK -W }0�_✓ J -310 CMR 15.405(b) - CONTENTS OF LOCAL UPGRADE APPROVAL x 1. A 3' variance, septic tank to cellar wall, for a 7' setback. 99.62 x 99.7 2. A 2' variance, S.A.S. to cellar wall, for an 18' setback. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 100.20' / EX/STIIN D INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE v' 98.38 � DESIGN ENGINEER. HOUSE 9Z 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING O T.O.F.=100.9E 0 0 x 0 / FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN �{ C 98,5 0 ENGINEER BEFORE CONSTRUCTION CONTINUES. O 9 ? EXIST. SEWER -_ -J 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 1NV.=86.9f I !99,29 x 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF • PROPOSED 9 .27 7BM-2 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 2 SEPTIC TANK 17--I / COR./BOTT. STEP HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. U TP-1 O O O 00 99.74 �/ EL!=100.41 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. ] 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. 98 _ 97 91� 98,43� 17' / X 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE .' „''...;••.:'•.' 10�min.) x DIRECTED BY THE APPROVING AUTHORITIES. +N ,72 I, sj•g O -- 0 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY "'Pf20P. A.S.'.. THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 10 25, LAMP / INSTALL A 40 MILL POLY LINER CONSTRUCTION. 0 96.34 - TOPI OF LINER, EL.=95.8 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 97.00 .} �0 80.00 ,3g. 94,52 BOTTOM OF LINER, EL.=93.3 IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). EXISTING CESSPOOLS 2i`" PARKING AREA 94,77 CATCH BASIN 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 94.02 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. TO BE REMOVED / (SEE NOTE 11) 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 96.43 96.07 FOURTH OF PAVEMENT �T 94.41 NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. FO UR 1 1 1 A VENUE d UE 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC OF MAS SYSTEM COMPONENTS NOT SHOWN ON THE PLAN TSM-1 sq�y� PK NAIL SET = PROPOSED SEPTIC SYSTEM' UPGRADE PLAN EL.=96.18 $96.18 o PETER T. PK SET M CIVIL N 92 FOURTH AVENUE, WEST HYANNISPORT, MA No. 35109 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 OWNR OF RECORD ° RFG/S1_ Engineering by: SCALE DRAWN JOB. NO. GALES, KAREN E F / E Engineering Works, Inc. 1"=20' P.T.M. 219-14 P.O. BOX 394 �- / 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. WEST HYANNISPORT, MA 02672 �Q 1 ( �( (508) 477-5313 10/1/14 P.T.M. 1 Of 2 +� NOTE: TO PREVENT BREAKOUT, INSTALL A 40 MIL SEPTIC TANK POLY LINER AS SHOWN ON SHEET 1 INSTALL RISERS & COVERS OVER INLET & TOP OF LINER, EL.=95.8 OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D—BOX BOTTOM OF LINER, EL.=93.3 DECK INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND TLF.G. 0.9f SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT EXISTING .=99.4t F.G. EL.=98.8f F.G. EL.=98.5t F.G. EL.=98..Of HOUSE(f92) T.0.F.=100.9f I � ® L (MIN. 3(max.) t. L = 4' L m 5' EXIST. SEWER 4"SCH40 PVC) ®"SCH 0(PVC) ® S=1% (MIN.) 2" LAYER OF 1/8" TO 1 2" INV.=96.9t 4"SCH40 PVC / DOUBLE WASHED STONE 11 10" 6 aaaSBaa (OR APPROVED FILTER FABRIC) Lj ta^ aaaaaaa tJ0 Cb INV.=96.50 48" LIQUID aaaaaaa —3/4" TO 1-1/2" DOUBLE C11• ' LEVEL WASHED STONE , ADD INV.=96.00 PROPOSED 4' 5.2' 4' ,A6.2 INV.=95.83hi GAS BAFFLE D—Box EFFECTIVE WIDTH = 12.8' _ INV.=96.25 3 OUTLETS T V INV.=95.00 _T PROPOSED SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS '01 � CONNECT TO EXISTING SUITABLE SEWER SURROUNDED WITH STONE AS SHOWN I PR P. S.A.S. PIPES AT HOUSE, INV.=96.9f verif H-10 RATED TOP CONC. ELEV.=95.8t I---25'—�I NOTES: BREAKOUT ELEV.=95.50 INV. ELEV.=95.00 aoaa seas a SEPTIC LAYOUT 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE aaBaaaaaaaa INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=93.00 aaaaaaaa®aa 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND FE 4' 2 x 8.5' = 17.0' 4' TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING EFCTIVE LENGTH = 25.0' SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. LEACHING SYSTEM SECTION ®EO E2® 0 ®E3 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=87.4 4 EaEO E2®Ell4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE I-- 33" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. .4 w E2 N Z ®Q3-®®®® ® ®®®® SEPTIC SYSTEM PROFILE 102" SOIL LOG 4" KNOCKOUT DESIGN CRITERIA DATE: SEPTEMBER 30, 2014 (REF#14,504) OU DIA. COVER SOIL EVALUATOR: PETERI McENTEE PE(SE#1542) NUMBER OF BEDROOMS: 3 BEDROOMS WITNESS: DONNA MIORANDI R.S. HEALTH AGENT SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT / 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN 98.5 A 0.. 98.4 A 0.. LOAMY SAND LOAMY SAND DAILY FLOW: 330 GPD 98.0 10YR 4/2 6„ 97.9 10YR 4/2 6" 4" KNOCKOUT DESIGN FLOW: 330 GPD B I B GARBAGE GRINDER: NO-not allowed with design LOAMY SAND LOAMY SAND 9 96.0 10YR 5/6 32„ 9$9 10YR s/s 30„ 500 GALLON CAPACITY, H-10 LOADING LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF C PERC C CHAMBERS .74 GPD/SF I PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY N.T.S. PROPOSED D—BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED MED. SAND I MED. SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 2.5Y 6/6 2.5Y 6/6 SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 92 FOURTH AVENUE, WEST HYANNISPORT, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. 87.5 132" 8 4 132" Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. PERC RATE <2 MIN/IN. "C" HORIZON Engineering Works, Inc. N.T.S. P.T.M. 219-14 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 10/1/14 P.T.M. 2 of 2