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Home My WebLink About0029 AVALON CIRCLE - Health 29 AVALON CIRCLE Qsterville A =' 145 - 062 -T 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments h 29 Avalon Cir. { Property Address tQ Jillian Gallup F owner Owner's Name information is required for every Ostervilte I✓ MA 02655 4/29/2016 page- City/Town State Zip Code Date of Inspection 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. ""Po""a"t when A. General Information filling out forms on the computer, use only the tab 1 Inspector key to move your cursor-do not Paul Martin use the return Name of inspector key. Cape Cod Septic Services Company Name 350 Main St Company Address W.Yarmouth MA 02673 Citylrown State Zip Code 508-775-2825 S15016 Telephone Number License Number B. Certification 1 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 an 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(3io crAR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 5/2/2016 . Inspect�i nasr S g ture Date. The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP_The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use . at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3113 Title 5 Official ImpeeUon Forth:Subaaface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System.Form-Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure.criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: System in working condition. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is.available. ❑ Y ❑ N ❑ NO (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): J ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. Cityrrown State Zip Code Date of Inspection 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 must indicate"Yes" or"No"to each of the following for all inspections: Yes No El ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ElStatic 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 '/2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Avalon.Cir. Property Address Jillian Gallup Owner Owner's Name information is Osterville MA 02655 4/29/2016 required for every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. El ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure. criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system.the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply. ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone Il of a public water supply well I If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins-3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. Cityfrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ 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 backup? • ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual):. 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x.#of bedrooms): 110x3= 330gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface_Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is Osterville MA 02655 4/29/2016 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: Unknown 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 ❑ No Seasonal use? ❑ Yes ® No '15-112 GPD Water meter readings, if available(last 2 years usage(gpd)): '14-120 GPD Detail Sump pump? ❑ Yes ® No Last date of occupancy: Unknown Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? V ❑ Yes ❑. No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No i Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General"Information Pumping Records: Source of information: No Records Was-system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. i ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is Osterville MA 02655 4/29/2016 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: 2014 Per BOH records. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 1-611 Depth below grade: feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: +10'feet Comments (on condition of joints, venting, evidence of leakage, etc.): Line checked with sewer camera and was found to be clean , properly pitched with no sign of root intrusion. Septic Tank(locate on site plan): 8" Depth below grade: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑. Yes ❑ No Dimensions: 1000Gal H-10 Sludge depth: 6-811 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title- 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 3-5" 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? Estimated Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1000Gal H-10 tank in good structural condition. PVC tees in.place. Tank at normal operating level. Covers 8" below grade. Recommend service of tank. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): 1 *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owners Name information is required for every Osterville MA 02655 4/29/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): H-10 DB-6 with 1 line in and 4 lines out in good condition. Box is clean and level in new condition. No sign of overloading or hydraulic failure. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): r *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 29 Avalon Cir. Property Address P Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 16 ADS ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 16-ADS high capacity units in a 11.3'x25'trench configuration. Units were found dry at time of inspection and soil was clean. No sign of overloading or hydraulic failure. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is required for every Osterville MA 02655 4/29/2016 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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.): i t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is Osterville MA 02655 4/29/2016 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below - ® drawing attached separately t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 29 Avalon Cir. 4 M SVer Property Address Jillian Gallup Owner Owner's Name information is Osterville MA 02655 4/29/2016 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water i ® Check cellar ® Shallow wells Estimated depth to high ground water: +12' 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: 3/20/2014 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Test hole data per plan on file at BOH. Test hole to 12'with no water encountered. Bottom of leaching at 3' s s i Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 29 Avalon Cir. Property Address Jillian Gallup Owner Owner's Name information is Osterville MA 02655 4/29/2016 required for every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary:A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 � - G ..,,. .. -. y, .;� o � � . 3 �- �� f . . � .. � � L � 3 � � a Fs, d. I .� Town of Barnstable P# Departm::Qnt of.Regulatory Services r l , Public He*h Division Hate t639t , 200 Main Street,:Hyannis MA 02601 gay Date Scheduled s" j0A/V-Ti'me Fee Pd, Soil Suitability Assessment for Sew s p Performed,-By: � � '-`� �'1 'SE��S�I 2 Witnessed By: LOCATION_&-GENERAL INFORMATION Location Address 2 t off c1'e� G'r v� �' Owner's Name l J A Address I asp y : .:. ?� �v�l rye C..•r Assessor's Map/Parcel: l j— 6(o Z Engineer's Name C_q_,A J-� NEW CONSTRUCTION REPAIR Telephone# —`7 3 7�-L( 7 Land Use J-ev, a ( Slopes(%) 2g' Surface Stones r1.— Distances from: Open Water Body, ft Possible Wet Area N :Iq- ft Drinking Water Well deft" Drainage Way PIA- ft Property Line �ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) zs' �1 f7-7- Lu co A roAm Ct&(-L r eeyy, " =a" }ate j/\ Q Paignt materialkgeologic) U Depth to Bedrock ,v ` J� Depth to Groundwater. Standing Water in Hole: N/A Weeping from Pit Face,, Estimated Seasonal High Groundwater DETERAIINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in;obs.hole: ;j --Depth to Soil mottles: Depth to weeping from side of obs.hole: _In, Groundwater Adjustment fr. Index.Well.# Reading Date: Index Well level -.o Adj,thctor m Adj..Groundwater Level,,,,e, PERCOLATION TEST bats; Time�_Y_,_ Observation Hole# ' Time at 9" Depth of Pere Time at 6" Start Pre-soak Time® P 1 c 3 Time(V-6") End Pre-soak 1 Rate MinAnch. Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(Y/N) Original: Public Heaith 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:ISEPTICU'ERCFORM.DGC i . DEEP.OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Structure;:Stones;Boulders. .t v o L o C Mr Sgrt 'L 5Y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, 2v yz c, t�. sG a DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. consigency. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Flood Insurance Rate Mau: Above S00 year flood boundary No— Yes .., Within500'yearboundary No Yes: Within 100 year flood boundary NoNe-2 Yes Depth of`Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout to area proposed for the soil absorption system? 4� If not,what is the depth of naturally occurring pervious material? ..._. Certification I certify that on q1 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 10 CMR 15.017. /v Signature Date _ ( I l /i Q:\.SBpTICVERCFORM.DOC TOWN OF BARNSTABLE , 1 LOCATIONA q ion o;r° k, SEWAGE# VILLAGE � i ASSESSOR'S MAP&PARCEL , INSTALLER'S NAME&PHONE NO. � SEPTIC TANK CAPACITY LEACHING FACILITY: a 8�ocYr�{uSE (type) i W6)(size) r�a� X 60 NO.OF BEDROOMS 3 OWNER Rc,voIyricl Got-)) PERMIT DATE: —1''15 20 t Lf COMPLIANCE DATE: Separation Distance Between the: A/L ^��✓� Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �.wwn Iftf Feet Private Water Supply Well and Leaching Facility(If any wells exist on /4"f site or within 200 feet of leaching facility) 4 Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /1/ Feet FURNISHED BY i A 3_ IA A J=X5 8 3-76 ec.-n 4-33,'�� No., J C/ / Fee z e THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OFF BARNSTABLE, MASSACHUSETTS Yes ZpPIication for Bisposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a 9 AV44 )N C t R4!LjS' Owner's Name Address,and Tel.No. per. Rely ;ta GroLX:P1 Assessor's Map/Parcel 1 � �t LL C a, ✓4 Leh t R. p U(L.C.E Installer's Name,Address,and Tel.No.,5CQ Designer's Name,Address,and Tel.No.50b`-4-7-1—''3i3 i L Stf pC' e W Type of Building: Dwelling No.of Bedrooms Lot Size 15, 5-37:�- sq.ft. Garbage Grinder( ) Other Type of Building I_GS dD =L�_No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3® gpd Design flow provided 35 0 gpd Plan Date 3,-ap --ao i q- Number of sheets Revision Date Title ;19 A U4 LZ2Q (t Q e fj[ �S if f CCU Size of Septic Tank 1 Doe) �1Type of S.A.S. ((o ADS kR CSC S Description of Soil A(E - F:aju s6kfab � a�T�Pl.SEL_z pc�t1� Nature of Repairs or Alterations(Answer when applicable) S€ 6&s-rtICJC—. jdcxp GA4jn0L) S8PT(C_- V 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 He gne Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. "' Date Issued No. cry Fee f ' THE COMMONWEALTH,OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH'DIVISION -TQWNI�Mi-B�ARNSTABLE, MASSACHUSETTS Rpplication for 13isposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(W Upgrade( _) Abandon( ) ❑.Complete System ❑Individual Components NA Location Address or Lot No. a 9 A 044-0 LJ C t R '(A, :, Owner's Name,Address,and Tel.No. �S"f�2t V I C.C.E R AY�•!c�efD �--Ovc.'p Assessor's Map/Parcel a, ✓ tJ ( C� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.,5 0 S-4-1 j-5`313 G.4 0 Gcc.�l�i✓ �tJ�'R�/LiS� tK. E t�N�¢1�uCr w olte-�.S za.C„ Typ of Building: Dwelling No.of Bedrooms Lot Size l ,15'-3 t sq.ft. Garbage Grinder( ) 'Other Type of Building �1 D 1 A- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Desig Flow(min.required) gpd Design flow provided 3 5 Q t gpd Plan Date 3 -.D -a o i Number of sheets v'L Revision Date Title ::19 A.04 OQ d r D K!(1; O STs�%-lI u� Size of Septic Tank I o0a Type of S.A.S. i(n Ab Sfl j< °Y Description of Soil /4{ - F I I. :,A"D P a q" I so-s PcA iQ h Nature of Repairs or Alterations(Answer when applicable) U S� C xC'r t 1JG 000 OdL) 5e�-CIL Date last inspected: "� f 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. &ignedO - Date - 1 "'Application Approved by t Date C/ C Zr,. i Application Disapproved by Date for the following reasons Permit No. -), ,/?/ / y Date Issued -;— �- TIC E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired Upgraded ,Abandoned( )by CA/JF_ W iir IF( 9�-- UC at N ,QVA LOO GIB 6S-rEkV1 LLC— has been constructed in accordance ` with the provisions of Title 5 and the for Disposal System Construction Permit Np�/�/` dated � Installer C&E-w(Tw GME;PklsE5 UC- Designer 4-Lc;, L #bedrooms -3 Approved design flow gpd The issuance of this permit shall not bed co:strue, as a uarantee that the system wi 7 fD'cti n as designed. Date Inspector - -- - --- -- - - No. 0/ / -' / y Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS misposar 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at A9 A VA L-o&) G(R-C /)s7G0.0 l LL r- 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 mus be comp eted within three years of the date of this ermit. Date `�7 / y Approved b��- Town of Barnstable Regulatory Services .�„ Richard V. Scah, Interim Director KAM • a►ttNxar.E. • Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: �l N Sewage Permit# 9t014- fa-'t Assessor's Map\Parcel P�ler Mc ent-et !�� ,� Designer: .f1��n�-'n•,. Q�G[S „ c Installer: C'4 -�-+^�p Address: I 2 W. Cf ss` e�d 1g,/ Address: 1_�rJ. 00 On g;L5 a01Lfwas issued a permit to install a (date) (installer) /,� septic system at '� A-�a 16#4 e% r2"� DS'�'" based on a design drawn by (address) y��Fe/ c. J-e e n E dated I l (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. 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 constructed in comply r e ith the terms of the IAA approval letters (if applicable) �- t i op i -a • PETER T. rRENTEE tallez's Si e) CIVI , No'Sam esigner's Signature) x Designer'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 TIME 13ARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q-\Septic\Designer Certification Form Rev 8-14-13.doc II LOrC.+AT10 SEWAGE PERMIT NO.-231 F INSTALLER'S NAME S ADDRESS iyl. Via-d. B UILDE. R OR OWNER DA T E PERMIT ISSUED e DATE COMPLIANCE ISSUED ?,� _�►_� i F i 0 4 LOT �) No FEZ.A�............... THE COMMONWEALTH OF MASSACHUSETTS ��,� � BOARD OF HEALTH ----------------_-- ................................... Appliratiou for Uh4posal Works Tomolrurtion famit Application is hereby made for a Permit to Construct (6, or Repair an Individual Ser;:sposal System at* f7,61 V ... . . ....... ....... ......................................... ...W.,eO......�. ../............... .. ----------- ......... .. L io dress Sr Lot No./,7 7 Z_ ....................... ................. . .................... .... ..... ............. ...... .......... .........n ddress cle In Her Address Type of Building Size Lot.15—,IjU......Sq. feet Dwelling—No. of Bedrooms.........._J............................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of ersons............................ Showers Cafeteria ( ) . I p Otherfixtures ..................................................................................................................................................... Design Flow............................................gallons per person per day. Total da flow............................................gallons. WSeptic Tank—Liquid capacityYA*...gallons Length.....6........ Width.....r........ Diameter______----__-._- Depth....._.......... 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 ( ) Dosing tank ( ) Percolation Test Result Performed by-----—.. n............. Date.... ............. u��. ;.,......minutes per inch Depth of Test Pit.................... Depth to ground water_._._._____.__..._...__. Test Pit No. I GTq Test Pit No. 2................minutes per inch Depth of Test Pit.............._._.:. Depth to ground water........................ 0 Description of Soil............. ......... ....................... W -------------*-------------------- ---------------- ------------------------------------ ------------------------*------------------------------------------------------- ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed'Individual Sewage Disposal System in accordance with the provisions of TLITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board ofjiealth. #4..........0../ 4'/kpj IxS' d _1.�_ .........*. . ......................... .%�--�............ . I- -- ----- --- F 9 Application Approved By....... ✓. . .. ... . --.1" 49 ----r..1......... -W. -f. ... . .............................. ...... Date Application Disapproved for the following reasons:.............7 ......................................................................................... ......................................................................................................................................................................................................... Date XT_ Issued... ............................. Date �. �' .� .. No........... =3 ... Fzs�. ... ...... THE-COMMONWEALTH OF.MASSACHUSETTS BOARD- OF EALTH , pfira' tW r .Divosall#,arks Cnomtrur#ion rnmit A i . tion is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System'at: k ............................... .... .......................... ---....... _......._. ..... -- L ion ie s r Lot No } w drams ,. .... J J., ' !k` taller Address Address .... " Type of;Buildirg Size Lot. r ---.,Sg. feet U. Dw ll n —No. of Bedrooms........... y g .__. _.._Expansiou Attic ( ) Garbage Grinder ( ) aOther Type of Building ............................ No. of- ersons. ... ........_......_... ( ) Cafeteria ( ).,Showers — r Other fixtures ......< .:.......................................................... d WDesign Flow,_.. --------•--------. --gallons per person per day. Total day flow............................................gallons Ri S"q 4'ank; 'Liquid capacity/ .gallons ength = Width Diareter . Depth... .:....... Disposal,Trench7 %'Vq Width..r s Total Lei}gth Total leaching ---sq. ft. 3 Seepage Pit No ._-. ... .._ Diameter g.__ .... Depth$'belowi nle '�.............. ...,Total leachin area._ sq. ft. Z Other Distribution box ( t) Dosi �aie(,, ,,,,� z� '" � ' aRercolaion"Test Re is Prfo'med by ��/............3�...... •-• --•-•.... ......... Dat .............--.......................... 'Test Pit No. ......'.minutes per inch Depth .of Test Pit;` ............. Depth to ground water......... Test,Pit No 2.................minutes per inch Depth of Test Pit Depth 9 gro d_y6ate ` o ,�e� Description of Soil 4 +' ?;-----•-= _ ----- U .--------------------------- •------------------- .....x •--...._...._..-• -----..... "-`,---...------ ^ ___________________________ ........._-------------------------------------------......._......_..._ Y� ........_._. ..._ U Nature of Repairs or Alterations—Answer when applicable..::___.: �� .._:._. ___._ h ••---- ...--•-- :� : Agreement tr The undersigned "agrees to install the aforedescribed Individual Sewage,Disposal System in`accordance with the provisions of TITLE 5 of the State Sanitary .Code—The undersigned further agrees'not to place the system in operation until a Certificate of Compliance kbissue` b the board of ealth. Q i r ni Applicarion Approved .BY `' = �`.:__ ... .--•- . 4._ .. Date Ap�plieation Disapproved for the following reasons _ : ...... ...................................................... .. . ........... ..... .............. ...... .........• -•-------•••....... -----•----••--•-•-•---•----•--------•-••-••--•---------- --•--•. •• •.•--•- ! � Date Permit No................:- --• ;q" ' Issued-....................................................... ..........................•-------• Date --••--- ---......_.. THE COMMONWEALTH OF MASSACHUS,ET,TS BOARD OF HEA.L"TH t ...................O F.1.rt . �.. .. ........... Trrfif iratr of from# ianrr TH I TO IF Y That the I ,v al ewage is o al tem constucted (- or Repaired {lei ••---_� :' .. Installr - '..`.. at ....a--•• ..--- has been installed in accordance with the provisions of1�er;; The State Sanitary C��e 41 de?;Md in the application for Disposal Works Construction Permit-No ....__...._ dated_ -.-.__-_ ................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT,ZE CONSTRUED AS A GUARANTEE THAT THE: SYSTEM WILL FUNCTIOL� SATISFACTORY�,�; E� �v DATE........... .' . `'......... _..................................... Inspector. f -.. THE COMMONWEALTH OF MASq.ACHUSETTS "BOARD OF 'KEALTH _- ,. N ,�.•� C ..l.. ............. !1 ................................. ....... r ,-. ,� FEE ......... , t �r11.0�t1 .ir �,...... . Permission is eby granted---- .---•-.., .;, '- - ..................... - ......--------- ...--- -•• J to Construct ( or,- pair ) a Individual Sewage Disposal System at No .Street a• r as shown on the application for Disposal Works Construction Per o. 4,a . Dated----' . r- _ 6 F...........................•-____ ........................ DATE--- ---•---- --- ------------------ .......................... v .. Boa d'of Aeal 'FORM 1255 HOBBS &.WARREN• INC., PUBLISHERS i � 1 < 4 kit �LiMiL:( ; �S�T?Tc'C�C�N� •� S LIC- (C>oo G Q-L-.. 3r {. E ToT,&L 425 TOTAL r,a.f u( ru7\,u = 33L� E•f?D. E".% '�� a Pr-fZGDI.p,Tk0 tZdTE ("lu Zhtl►J o2 LES;. •. xU=' c`�(``l `cJi3aotf, Iuv T'nntK LagcN A Plr �,� — W i ri••t e WASNEn ,off --�-- - L dCA T I v 1-1 f W a e-"z � I I I. .1cnt�t>: � aA.TC t c t,I T i t--4 T 14 A T T 1-4 G- a t,.w_ _«. S wcr"Ar u P t- ts.►-J T2.�=_r tit k LntJ W iTi-3 t `�a W�..! C,k � ' r, r �"1 � �� Cam. ,•-1 ,� ,� -� u Tt-A ice, P r_A ti( i Li oT TEA;ECi CA-4 r . .� �`i'_ U;CJI7 (�'� i'sr.-_1-�t�M��-�l= 1��`C' l_II•-1�:: � A.F),t=,t_( r1ls.F..("'('"- ,f ' LEGEND. N o LQU 98 -- EXISTING CONTOUR p 0x 100.98 EXISTING SPOT GRADEW EXISTING WATER SERVICE m 28 G EXISTING GAS SERVICE fit/ o O . Avalon H.i OVERHEAD WIRES Q C�tcle v t� o (D o O TEST PIT 3 L• 0 EXISTING LEACH PIT on e gl o TO BE PUMPED, FILLED WI TH n SAND AND ABANDONED (SEE NOTE 11-SHEET 2) rn °- LOCUS CONVENTIONAL S.A.S. FOOTPRINT { FOR ILLUSTRATION ONLY-DO NOT INSTALL XIS7ING SEPTIC TANK 2-500 GALLON CHAMBERS W/4' STONE TOP OF TANK, EL.=99.15 LOCUS MAP 13.2' x 25.0 S.A.S. FOOTPRINT INV.(OUT)=97.82E NOT TO SCALE BOTTOM SIDEWALL TOTAL AREA AREA AREA INSTALL 40-MIL POLY LINER 330 SF 152 SF 482 SF TOP OF LINER, EL-94.5 TOTAL CAPACITY = 0.74 GPD/SF(482 SF)' = 357 GPD BOTT. OF LINER, EL.=92.0 0 104.7_2 N 85.33'10. W �PS� x 101.60 r 98.99 x 1 1 1/•44' x x 66 0 .96.66 95.69 h0%nlInk ' fence x 41' �2� � • ! SHED I _FPROPIpSE[D i•, INS TION PORT j _ 6 �� , x _ S. _ f. TP-1 / , 100.4.7 \ t _ - _ � t 95.95 x ioo•e \ in TP-2 U \ 99.60 \'- 96.63 x TBM I 100.26 \ x 96.55 E + 98.34 OUTSIDE COR./ T0o•17 x BOTT.STEP 100.21 EL.=100.08 101. Q BM 0.08 103.51 COY �9.74 x 99 6 POND 10014 x / Lu / // . 101.22 .xN(O�o� -EXIS77NG �. u1 0 9 OUSE(#29) 100.45 T- - - } H x � � I loz.72 0 9�X ECK T.O.F.=101.Ot -- to 0 100.15 Z x + 100.60 x x , 101.93 100.48 100.18 x GARAGE �P x 100.86 100.20 , / 102.37 , 101.04' x 100.97 101.89 °k x 100. 7 `` �\ El �RIVEWA Y 10184 102.23 LOT 31 rye,'' 15,753E S.F. c°, ^� poi,., MBLU 145-062 `IV _k .101.50..: o x 100.E 0 100.32 U • x 25' 101•il SURVEYPI 100.33x L=102• • _ edge 100.49 V ,� LO99.76 100.02 CY 0.00 a101.08c c h�c�in P' LE A-- • OF MgSs9��G PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN M C"VIL E` N 29 AVALON CIRCLE, OSTERVILLE, MA No. 35109 �p Prepared for: Raymond Gould, 29 Avelon Circle, Osterville, MA 02655 A G/STEM F, OWNER OF RECORD FS I L E , Engineering by: SCALE DRAWN JOB. NO. RAYMOND GOULD Engineering Works, Inc. 1"=20' P.T.M. 121-14 ►/ 29 AVELON CIRCLE '( 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET No. OSTERVILLE, MA 02655 �� (508) 477-5313 3/20/14 P.T.M.. 1 Of 2 NOTE: TO PREVENT BREAKOUT, INSTALL A 40 MIL POLY LINER AS SHOWN ON SHEET 1. TOP OF LINER, EL.=94.5 BOTTOM OF LINER, EL.=92.0 SEPTIC.TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT OUTLET'AND SET TO 6" OF FINISH GRADE CHARCOAL T.O.F. COVER SET TO 6" OF GRADE, EXISTING` F:G. EL.=96.3-99.3(MAX:) VENT F.G. EL F.G. EL.=99.3t CONNECT MAINTAIN 2% GRADE MIN. OVER S.A.S. ALL ROWS Ar 714'=i �, r . INSPECTION L = 25 4'(MA)O PORT ® S=1% (MIN.) % (MIN.)4°SCH40 PVC 40 PVCTOP LOAD UNITS 6"1o"I14" 1 s19" TO EXISTING 48" LIQUID IVERTLEVEL AOD . . 5.80 INV:=95.97 PROPOSED' GAS BAFFLE INV.=94.58 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25.0' INV.=97.82f D-BOX (VERIFY) T SOIL ABSORPTION SYSTEM (PROFILE) EXISTING SEPTIC TANK H-20 ESTABLISH VEGETATIVE COVER BACKFILL WITHKaEAN NATIVE OR NOTES: PERC SAND TO TOP OF CHAMBERS 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=94.58 ; INVERTS, PRIOR TO INSTALLATION. BREAKOUT=TOP 2) D-BOX SHALL BE SET LEVEL AND TRUE TO TOP ELEV.=94.33 GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=93.00 310 CMR 15.221(2). 2.83' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' MIN. ABOVE BOTTOM OF 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. EXISTING SUITABLE NO G.W., 'EL=84.7 (TP-2) = MATERIAL USE 4 ROWS OF 4-HIGH CAPACITY ADS BIODUFUSER* UNITS WITH NO SEPARATION BETWEEN EACH ROW & NO STONE SEPTIC SYSTEM PROFILE TYPICAL SECTION N.T.S. SOIL LOG DATE: MARCH 20, 2014 (REF#14,311) SOIL EVALUATOR: PETER McENTEE PE(SE#1542) WITNESS: DONNA MIORANDI R.S. HEALTH AGENT GENERAL NOTES: ELEV. TP-1 DEPTH ELEv. TP-2 DEPTH 1. ALL CHANGES TO THIS PLAN .MUST BE APPROVED BY THE LOCAL 96.3 A 0., 96.7 A 0 BOARD OF HEALTH AND THE DESIGN ENGINEER. - LOAMY SAND LOAMY SAND 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 10YR 4/2 10YR 4/2 95.8 96.2 OF THE STATE ENVIRONMENTAL CODE TITLE V AND ANY APPLICABLE � 6" 6" LOCAL R AN B 8 L L RULES D REGULATIONS EXCEPT AS REQUESTED BELOW: 310-_CMR 15.405(1)(b): - - - - - n _� ��'�� . : _ LOAMY SAND,-__ LOAMY SAND, 1) A 3' variance to the 3' maximum cover requirement, for up 94.3 24" 94.7 24" . to 6' of cover. S.A.S. shall be vented and H-20 Rated. . C1 PERC C1 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 30"/42" TO INSPECTION AND APPROVAL BY THE BOARD OF 'HEALTH AND THE. M-F SAND M-F-SAND DESIGN ENGINEER. 10YR 5/6 10YR 5/6 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 93.0 40" 93.2 42" FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN C2 C2 ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. M-F SAND M-F SAND 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 2.5Y 7/3 2.5Y 7/3 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 84.8 138" 84.7 144" 7_ WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. PERC RATE <2 MIN/IN. "C" HORIZON 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. NO GROUNDWATER ENCOUNTERED 9. ALL AREAS CLEARED FOR CONSTRUCTION,SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 75" - DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNINGriluM CONSTRUCTION. 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 L _ REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). r PROFILE 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 11+2" DESIGN CRITERIA - SECTION END CAP NUMBER OF BEDROOMS: 3 BEDROOMS 16" HIGH CAPACITY -20) BIODIFFUSER UNIT SOIL TEXTURAL CLASS: CLASS I MODEL 16" HICAP DESIGN PERCOLATION RATE: 3 MIN/IN LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DAILY FLOW: 330 GPD EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. DESIGN FLOW: 330 GPD SIDE WALL HEIGHT 11.2 GARBAGE GRINDER: NO OVERALL HEIGHT 16" MUG HILLIARD, OHIO 43026 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY OVERALL WIDTH 34" 4640 TRUEMAN BLVD LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF � .. CAPACIT 13.6 CF Y (101.7 GAL) ADVANcm oRanncE srsroes, INC. .74 GPD/SF DISTRIBUTION BOX: 4 OUTLETS (MINIMUM) PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 4 ROWS OF 4 HIGH CAPACITY ADS BIODIFUSER 29 AVALON CIRCLE, OSTERVILLE, MA H-20 UNITS IN STONELESS BED CONFIGURATION SIDEWALL AREA: NOT APPLICABLE Prepared for: Raymond Gould, 29 Avelon Circle, Osterville, MA 02655 BOTTOM AREA: (GENERAL USE APPROVAL FOR 4:73 SF/LF) Engineering by: SCALE DRAWN JOB. NO. (BIODIFFUSERS) 16 UNITS x 6.25 LF x 4.73 SF/LF = 473.0 SF Engineering Works, Inc. n.t.s. P.T.M. 121-14 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(473.0 SF) = 350.0 GPD (508) 477-5313 3/20/14 P.T.M. 2 Of 2