Loading...
HomeMy WebLinkAbout0020 BARNARD ROAD - Health F20 Barnard Road Osterville A= 139—030 ^ t . 9 ° n x ° r ° ^ F Y . d ° e o a . " 0 o n o e a a a n U . u $ • ° Rom, V n , ° a a ° rF � i8 ° ° e n F n � a r� ° , o 1 ° n a , 0 " 0 ^ e � s A$� e 3 a " ° . II f " ° n S a , p r y� p TOWN OF BARNSTABLE LOCATION () fd� F�D SEWAGE# V AAGE {,�(a� p ASSESSOR'S MAP&PARCEL 9030, INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY /Z0 Qi5//- LEACHING FACILITY.(type)�i�f'r/SCO�� (size) NO.OF BEDROOMS OWNER �si9 PERMIT DATE: COMPLIANCE DATE: 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 "Z ri 3 2(,,G`� 19- LO,,CATION SEWAGE PERMIT NO. VjLLAGE A Q 03D INSTALL EJSA A. AMO"BACK&E s'�t i1�ER E S S ` 150 ;Walnut Street ,West Barnstable, Mass. 026.68 BUILDER OR OWNER Jns.�p�► Cwe� S� -e DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 4 , i 1 f�,p l7 0- / i is Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form- Not for Voluntary Assessments �^M ,•'' 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. Cityrrown State Zip Code Date of Inspection Inspection results must.be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer, use 1. Inspector: only the tab key p to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name r� P.O.Box 763 Company Address Centerville Ma. 02632 City/Town State Zip Code (508)477-8877 S14454 Telephone Number License Number 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(310 CM 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 3/31/2011 03 Inspector'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 issa 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. J-1 - b5qs— t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 20 Barnard Rd. �M Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 _. every page. City/Town 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: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The septic system is in proper working order at the present time. 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, ❑ ND (Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for.Voluntary Assessments ;M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. CitylTown 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 ❑ ® 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 ❑ ® Static 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 1/2 day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments �M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. City/Town 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 Pi e s . Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public 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 II of a public water supply well 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ^M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. CitylTown 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 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: ® ❑ 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(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): 330 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. Citylrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 3/31/2011 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? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments °M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. CitylTown 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: 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. ❑ Other(describe): t5ins•11/10 Title 5 Offidal Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ° 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 M1/2011 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: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 2 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.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank(locate on site plan): Depth below grade: 18"tee" Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years I Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gallon 411 Sludge depth: t5ins•11/10 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 wM 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. City/Town 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 28" Scum thickness 2" Distance from top of scum to top of outlet tee or baffle 6" � Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 L Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. Cityfrown 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.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every 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 No 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.): Box is Ievel.Box has four outlet laterals.no evidence of solids carryover No evidence of leakage. 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ^M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ® leaching chambers number: 16 Biodiffusors ❑ 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.): Sandy dry soil.No signs of hydraulic failure.No ponding or damp soil. 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. City/Town 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.): t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size Zoom Out E E C D C U E R In 1 17 3 1 i s° W Lv iov r. m in 7. i �µ t T y� yy An f ;3, '.'may s .•_i'�{ ', el 1 u '' ' `` �t ",flvr � rs• i upNp tirrFti Hr iXe S' �' 44. �h *r..«#: � t �'J v t,P, a �{� '"� P � •psi 4 1 e: ` '��'L.IY}yF ��ialYLA.) ae�..•.• ..S?adlraPW��� '� ���"3k,���` „4au� w�. � �H4 ���'^' ''14 .......... ................. - Set Scale 1" = 20 r I Aerial Photos ; I MAP DISCLAIMER (`n—rinhr 900F.91Nn Tnu,n of Rornefohie MA All rinhfe roconn http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=139030&mapparback= 4/1/2011 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments ,M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. City/Town State Zip Code Date of Inspection D. System Information cont. Y (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of leaching 22' 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: 2008 Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form- Not for Voluntary Assessments �^M 20 Barnard Rd. Property Address Estate of Grew Owner Owner's Name information is required for Osterville Ma. 02655 3/31/2011 every page. City/Town 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•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 r Town of Barnstable P# /Q /sz - �y Department of Regulatory Services MUMSTABLE : Public Health Division Date 0q „AS& 200 Main Street,Hyannis MA 02601 QED Mld� Date Scheduled off Time Fee Pd.' IQ-0 L.cV " Soil Suitability Assessment for age Disposal p Performed By: Witnessed Witnessed By: � `itr111�� LOCATION & GENERAL INFURMATIOT hI' �`L✓� 1 /7S Location Address ,->-I Owner's Namea Cl&�7e rV t t Address. —z-4 3cLr,-,&/-A (� Assessor's Map/Parcel: p 2 Q ' o 3 � g\ En ineer's Name 7 l R�f� NEW CONSTRUCTION REPAIR Telephone# -2 7—_5' 3 1 Land Use e 5` t C, Slopes(%) ' Z— Surface Stones/J/A7 Distances from: Open Water Body ft Possible Wet Area !qo ft Drinking Water Well f ca ft Drainage Way y � � ft Property Line A ft Other ft � SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Cm � ' \ --- goo Ar- / ( lar�y� �ot uf .Sl.� Parent material(geologic) ,. Depth to liedrpolt A Depth to Groundwater: Standing Water in Hole: 7: t Weeping from Pit Face ` Estimated Seasonal High Groundwater ?2 i 1 t DETERMYNATION FOR SFASONAE.HIGH V ATE—R,.TABL;F Method Used: Depth Observed standing in obs.hole:z in. .Depth to sell mottles: _. _ in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.faCtdr _. Adj.Oroundwater Laval PR-RCOLAVON TEST Observation Hole# Time at 9" li rr r r c Depth of Perc b Time at 61, • Start Pre-soak Time @ ��ff __-- 97 PA,^ Time(9"-6") 1 �I End Pre-soak 1 �iZl ,i c�CL►�-fM3 3 Rate Min./Inch �-- � a' 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 one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# ' T Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. C Consistency,%Gravel q JSL 16 Y 1e 1/Z �- `tz- 5 L 10 Ile �$ ~ 'J 3 4 med, Sat►col Z+v I DE9P OBSERVATION ROLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency-0/6 Gravel A 5i loY2Y`z e�' Z 19 �� a YYZ s 2�73 G /W, sqVd 2,5 Y 61H DEEP OBSERVATION HOLE L:OG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEYOBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sail Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,To G av 1 Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material .. 'Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the; area proposed for the soil absorption system? 'Ye S If not,what is the depth of naturally occurring pervious material? Q Certification 'p C3 - I certify that on vU (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 1 ;i the requirZtriexpertise and experience described in 310 CMR 15.017. Signature Date 0—d� ,� J i Q:\.SEPTICIPERCFORM.DOC f I - r No. A009 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for �Digo!gal *pgtem Cori.5truction Permit Application for a Permit to Construct( ) Repair()fi Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. aO -�Ne�i Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 1 3 Cj 3 Q Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. -Zrcw ay�o-�! UJ)&f. !4 477-C 3 i 3 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 1C,&Z-7 sq.ft. Garbage Grinder Other Type of Building the c9 bX No.of Persons 1 Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 347 gpd Plan Date `1 - 2 I -O�} Number of sheets 'a-- Revision Date Title Size of Septic Tank Q (n(!St}Imo_Type of S.A.S. - Description of Soil Sef vk&nsl Nature of Repairs or Alterations(Answer when applicable) kt,3Sk,3` oleco c.,. •S 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 turd of Fkalth. Signed GL � Date Application Approved by Date 1-f—d Application Disapproved by: V Date for the following reasons Permit No. 01-60 Date Issued 15` a/-o `Not/ '! _ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE,:_MASSACHUSETTS _.Yes ^ Application for Di5pogar *p5tem Cori.5truction Permit Application for a Permit to Construct O Repair(14 Upgrade O Abandon O ❑ Complete System ❑Individual Components Location Addressor Lot No. v Owner's Name,Address,and Tel.No. OsTPrV alp CARE Vv4 Al Assessor's Map/parcel 1 3 Cj 3 D Installer's Name,Address;and Tel.No. Designer's Name,Address and Tel.No. fJ� lcS A 3rou�� LN ,�)PQr�ro UJa(k `177-s 3��� _ 1100--115 S Type of Building: x Dwelling No.of Bedrooms .3 Lot Size 1C,1RT7 sq.ft. Garbage Grinder ( _')' Other Type of Building Ve5,�jb3:: No.of Persons 1 Showers( );;;Cafeteria( ) Other Fixtures y Design Flow(min.required) I gpd Design flow provided 3 4 7 ,23 gpd -- Plan Date `/ ' ? / - 0 E5 Number of sheets -I- Revision Date _. Title Size of Septic Tank bM= Go*,") nA Isi IN t Type of S.A.S. Description of Soil s&e 0 ,� - 's Nature'of Repairs or Alterations(Answer when applicable) l roc-,)UA NPvJ S• •S 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' oard of Health. Signed v_�—' Date' � � ©$. Application Approved by Date Application Disapproved by: Date r for the following reasons A'`A t1 Permit No. qLo Date Issued s' ----------------------------------�`y----------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS `e Certificate of Compliance a THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (t,-rUpgraded ( ) Abandoned( .)by i h")(,t, `A 1�tow f- at 1 °?U 1;G f Ncx r R J Q5--(���1) ' has been ns ted in accordance with the provisions of Title 5 and the for,Disposal System Construction Permit No. ���d� dated �r��^o Installer Designer FM,1",0 Pr%&.)e Woje s #bedrooms "ii Approved design flow JSII l .R / gpd The issuance of this permit/shall nnot/be co sttrued as a guarantee that the system will •ncttiioonas,detgned. � Date (�/ Inspector 0 I ———————————————————-------------- ?C)OK— ;0b (o� No. 1, Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Migoar i§pgtem Cori.5tructiou Permit Permission is hereby granted to Construct ( )11 Repair ( ✓-�� Upgrade ( ) 'Abandon ( ) System located at 2 CM G(tw,(o 1�V o Str-(J)1 p and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction in st be completed within three;years of the date of this permit. a Date S' ? " (; Approved by V 05/ ,3/2il1`E; 05:34 5084775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatou Services X. Thomas F.Ge ler,Director Public Health Division ffAM #Dm> Thomas mcKean,Director 200 Main Stnetq Hyannis,MA 02601 Fax: 508-790-6104 u')ffire: 509-962-4644 Sage jt eraaahw r� � Asr'a Mapftrccl 1 3 9 oo hit ler h Pper erti tiu �'®r Installer: e d��ittddrm,, p® a � V&�tn was issued a permit to install a On. ( ) insta er) systte.at ®�AW5,4e based on a desip drawn by , (adda�ss) 10, i. dated (des finer) _ g certify that the septic system referenced above was installed subs4aratiall location o Nordin fie the design, which may include minor approved changes such as lateral re �th s distribution box and/or septic tank. Stripout (if rewired) was inspected and the were found satisfactory. 1 certify that the septic system referenced above was instilled with major changes (i.e. _ greaftr than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance wash State &Local Regulations. Plat revision or t certified as-built by designer to follow. Stripout(if required) was ' ted and the soils found satisfactory. ���+OF � oPETER T. MCENTEE - st- Her s i;nature) CIVIL v ,$ 9�No,3510g® . 1 s l�sign�ix esigner's$ipat=) (t�, PIL A.SSE RE AB E LI HE IVISIO CA Q- OY (1) LCE L B IS D BY A1�IS'�.°A E � I � SI { 1T q:�afR €akmsldeui ficaiiasn fwm.doc NO ................. - Fps............................. } THE COMMONWEALTH OF MASSACHUSETTS l BOAR® OF HEALTH TO',,. �iS.1..AD.LE gN ..............OF.........S.AR . ------------------------.._.._...----------- �� Appfiration for Uhipviial Works ( ontitr rtivit Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: .... LOT NUMBED. 25, DARNAPD PO/CDR©STcRV_LL,LE............................•_--- -- U — ..._......................5 -.....--••-•---R --••••- ._...------....... Location-Address or Lot No. ...... Q. EP..Ii.Ai�Il...KAII.BLEED...G-MW........................ Uxcu...P-.ERGYIS...END.,MASAiP_E-E.,MAS.S............... Owner Address aJO H N AAT -------------------------------------------------------------------------•--•-------------• L ._. l1l Installer Address Q Type of Building Size Lot.........................._..Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic (N Q Garbage Grinder (Y E)S� aOther—Type of Building !?-Q.N.D;!.............. No. of persons....2---------------------- Showers ( ) Cafeteria ( ) QOther fixtures ..................2...B.A.I.H S...........................................................................................:...................... W Design Flow.. ..............................gallons per person per day. Total daily flow...3W............................gallons. WSeptic Tank�L Liquid capacity1.5QQ.gallons Length................ Width---------------- Diameter................ Depth................ Disposal Trench—No---__--•--------___- Width.................... Total Length ... Total leaching area...........__.. sq. ft. 3 Seepage Pit No.__1.000--- Diameter.______..... Depth below inlet.............. Total leaching area:.e . ...lrtO.tsq. ft. _ z Other Distribution box ( ) Dosing tank ( ) '—' Percolation Test Result Performed by-_..�'._ —..._kA_..(!!� Date...7: �.J �..._._.... aTest Pit No. 1._.0......minutes per inch Depth of Test Pit.................... Depth to ground water........................ (% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ra .....................................I-....... / 1 _ ------ Description of Soil--------...5 ANY-"..... ----•-�`" 1P---•---'-.� .....G�`...... _. 11 ... x W ----------------------- --------------•-••-••---•-•-•---------......••---------------•......-•---••----------••----•--------------•-••-•--•--•---•••----•---••-•---•---.....-•••-•-•••----•----•--•.•. UNature 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 iIT?.ij'. 5 of the State Sanitary Code—The undersigned further agrees not to place-the system in operation until a Certificate of Compliance has bee iss ed by the board of health. Sig ....... .. ...................................... ----- Date Application Approved By•-•-•-- .. . ...... -y .. .................. ��= ��-.7 Date Application Disapproved for the following reasons------------------------------------------------------------------------------------------------------------•--•- ............••-•--•-••-•--...•••••-----------•--••-••--------•--•-------------------••-•---•---••--••---•--••-••••-•-••-----------------•••--------•-----. Date PermitNo.......................................................... Issued....................................................... Date �GFim � .� , THE COMMONWEALTH OF-MASSACHUSETTS BOAR® OF HEALTH ...----..... ' �" i...............OF.........�.014S 3_ F� .......:.................................. g Appliration for Bi puiial 10orkii nitrnr#iun ramit Application is �(' hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at a� OT NUMBER 25' B ' ......---•-•--- ------- - oLot-N--.---•-----------•---•------....._-------•_. Location-Address r o . ---------•------------- mm,E---P. huts... .............. Owner Address W _- ---••---•-•------- -------••---••----•-••--•--.._.....------•--------•--- ,a } Installer Address dType of>Building Size Lot.................... .....Sq. feet U Dwelling r No.'of Bedrooms:.:_ _______________Expansion Attic (i� j Garbage Grinder. (lot O(her-Type of Building NI-CM ___. No. of persons_ Showers ( ) —-Cafeteria ( ) . ,R Other fixtures ................. __ e- W Destgn Flow_______________5 r___ � _gallons per,person-per day. Total daily flow___E741 ___.______..gallons.' , WSeptic Thnk Liquid capacity.- _gallons Length _____________ Width................. Diameter__.__. ..... Depth................ ' x Disposal Trench No..................... Width___.�yy_..._._._ __ Total Length___________________ Total leaching area---- _..>: .sq. ft. 1 Seepage Pit No .1.0 0 ___ Diameter____...�V.._._ Depth below inlet__.._.._______. Total leaching area. ._ _l,Osq. ft. Other Distribution box. ( ) ;, Dosing to ( ) `" Percolation Test Result Performed by...."._ y "_'-____._0..,.({!_�..�'2� Date__.��.............................. aTest Pit No. 1._ !__..minutes per inch Depth of Test. Pit______________ __ Depth to ground water...,_._.......,.......__. . `Test Pit No. 2___.............minutes per inch ..Depth of Test Pit.............. .... Depth to ground water........................ _. ' O Description of Soil---------� ; +t:_._ ""'_....Q.___---- -• ..... ........ � _ ......................... t U W b UNature of Repair•or Alterations—Answer when applicable.________________________________________________________ Agreement i� The undersigned ;agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITAIL 5,,54the4 State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sigd ------------•-••••-- k ` ate Dat APPlicadion Approved BY-•-•-•• . _- _: _•••-- !?• n......------•-•_------ ---•---r�--_ e_ 7...."- Application Disapproved for the.following reasons_________________________________________________________________________________________________________________ s Date PermitNo--...................................................... Issued_-------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH ......... �_"-)> ...........OF........... ::.. r •1...................................................... (9rdif iratr of T mplianrr " TH IPQ C TI Ti t the Individual Sewage 1) osal System constructed or Re aired by �..:.- - ----..:.-•---•----•--•-•---•--•----••--•---•-- --_-•--- ---------- I al ---------------------------------------------------------- ha been installed in accordance with the provisions of T of The State Sanitary CA de as described in the application for Disposal Works.Construction Permit No_______________ __ ��............. dated-.... _`l -_� ............... THE ISSUANCE OF THIS CEkTIFBCATE SHALL.NOT BE CONSTRUED AS A GUARANTEE THAT THE ,SYSTEM WN L ? �TNIQN SATISFACTORY. DATE... . .............................IF .................................... Inspector ....................................... THE COMMONWEALTH OF MASSACHUSETTS � t>a BOARD 07, .. HEA �H 3 ,'* . a � ..................OF.-.-. . c' .:......... ?......._........_.............. No._ti ._...-••--....... FEE...............: ...:, a i _ 3r 2!?otrndiott �ermtt �Permission is hereb ranted_'h 13' _._;V_1 '_:___________________________--. to Cons uct ( t� Repair ( n Individ 1 Sewage Di,�tpo St at N -- - -•..---,ems - ' Street as shown on the application for Disposal,:Works ConstrucAit/INN.�_ ______. ____ Dated__.-r,�--�_/�:'-?�._......... T� --- y - Boar odGc �-•---------•-•------•--..__._ o DATE.- h -------•--••-------•----.-------•--•--- ------ .......... FORM 1255 HOBBS &: WARREN, INC., PUBLISHERS W+ - - at nA P.V. 5EP-nc. TAi.stC Al- (Soo 'tL s 910 ILI u5E co Cat... t7tSP05AL. PtT u;E (0006A .IZ MWE SIvE.VA/ALL AeFA sr . 166 �;F < 2 1 4.~1 o Grp ' 5oTToAA AfZEA t'-Ia SIr t' c 1-0 "I8 rwy TOTA.I.- DEat G t.4 Z PEZGoLA'T 1C>W QA_Tr- l� I W 2 M W OQ LFf7j. '• peopG, nt �i eAJTF� rr AL' 74 T'oP Fuv = too' Not,. �I��S ,, � .. i � �rT�'7G*7n � �✓� • .� � n��'' 4''PPE 15ov t�v ,tuu•R1,�, m S�iaso,t, 4„wc UtST Iyv. 4A.L. �► I G S&ffIG r. 1�Iz 1 Box. TWLJ441000 i UT LEAcN M Pt T 4 ttt/►4uEtG _ 2 .' G.o__I �- C 1,4 Lcy,-A.T10�.1 t2 Wo Scc.t.t= 5Gl�L� 'i L7A►Tt=. �, q_ 1g Qca V ATEQ,,,_ � I t PL n.I-L cZfU=tXE..LC E=. t GW.C:I i F`f T"AT THE 4D t.0 t"C.l..t.►J� 54t0w t.l 1-�EtZEON GOMQL-`!S WITH Tt-iE. t7lDEl.1N� L T -Ls AwD SETBACK OF TWE t Tt9uvt,I Of F Q.�•1�,rA�3 ► ,..A{J 60 tJCL-'�" 1 G 2 r, DDkTE Q.,LaC.tSTE IZM'C> LA14r> �QVE`(OtZr, Tµir► QL&W ter' UOT BA5E'D 0" AU tt iTWME►41 04-TERvI�.t� 5uzvwj 4 Tur- ot`FsGT; 5uouLt> u0T VM U5e APPI.tG T',A i% / To -P TmZmiWE 1.GT LIWi,FA, U55�1� VVZ tjl„} _ LEGEND N 75 2635" E N 98 -- - EXISTING CONTOUFZ x 100.98 EXISTING SPOT GRADE W EXISTING WATER SERVICE y 2 hp • G EXISTING GAS SERVICE {f U UNDERGROUND WIRES 0Gpa �o � og, a � C i TEST PIT V BENCHMARK a v , Rd Lot 25 LOCUS 16,887t S.F. Map 139 Parcel 34 LOCUS MAP NOT TO SCALE GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL N _ 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 t ri t LOCAL RULES AND REGULATIONS. Z 4 peck 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR / - TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN •� !� j /, / f` / 1p37• , 1EX/STIIVG i /j/// ENGINEER BEFORE CONSTRUCTION CONTINUES. HOUSE (#20)! /' k 5:"ALL ELEVATIONS BASED ON ASSUMED DATUM. / TOF=102.2J / ' / / 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE -FOR THE FAILURE OF ' � / THE CONTRACTOR` OR OWNER TO NOTIFY THE LOCAL BOARD OF 10j �� / /. %,, / (Assumed) / / , _�•� I 0 Benchmark Set HEALTH FOR PROPER INSPECTIONS [CURING CONSTRUCTION. Right COt`, cone. step. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. �00 GARAGE;77 , /�/ i �,�; S El.=101.96 (Assumed) 8. THERE ARE NO PRIVATE WELLS WITHIN 100' OF THE PROPOSED S.A.S. 1, �; �•00""' 9: ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED A AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE j t j0 DIRECTED BY THE APPROVING AUTHORITIES. 76 "f 'l 10�.8 N % �;.'� EXISTING SEPTIC TANK 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE �, j�nj / � I g -THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING C o 101 TOP OF TANK, EL.=10U.L4t 2 °� 9- l J INV.(QUT)=98.90t CONSTRUCTION. �l " T^��--- EXISTING LEACH PIT 11, WHERE REQUIRED, CONTRACTOR- SHALL REMOVE ALL UNSUITABLE SOILS 10p•S� 10 "'W -j "cam �� t' ' 99, TO BE PUMPED, FILLED W/ IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND f. REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). S.�� V�1 SAND �e ABANDONED Stine � a�fl" ; Mq 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE k �,�4^ 1 �� /%p OF INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. 100. DI i ve , �F T � � �� SS - -- -- �'--^� , q PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN . 104.00 g McENTEE 20 BARNARD ROAD, OSTERVILLE, MA 100.5p � �, ^.I' t paverrlent . g`4 gS v CIVIL �. o�j Ste' �--' 9g No, 35109 Prepared for: Joseph Grew, 20 Baranrd Road, Osterville, MA 02655 C$���lF Edge Of 68 ROAD R£G/S EFI�d Engineering by: Surveying by: SCALE DRAWN JOB. NO. ND 9 100,14 D Engineer9ngWorb WARNER SURVEYING 1"=20' P.T.M. 146-08 0 !f� )N� 0 12 West Crassfield Road 22 Long Road 100 Mq IN BAR R N A ` Fore-stdole, MA 02644 - DATE �. `„/ � 0 Harwich, MA 02645 CHECKED SHEET N0. ?�l� (508) 477-5313 (508) 432-8309 4/21/08 P.T.M. 1 of 2 .r ,NOW I NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:97.63 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. PROPOSED TANK PROPOSED D-BOX PROPOSED S.A.S. 21 5-4" POLYSEAL OUTLETS INSTALL. RISERS & COVERS OVER INLET 3c INSTALL RISER & COVER INSTALL INSPECTION 'PORT OVER END UNIT 2" 3" 1-4' POLYSEAL INLETS T.O.F. OUTLET AND SET TO 6' OF FINISH GRADE SET TO 6" OF GRADE F.G. EL: 100.6t EXISTING F.G. EL.=101.3t F.G, EL: 100.6t fMAINTAIN 2%'GRADE (MIN.) OVER S.A,S. 0 0 pLO INSPECTION 00 Lo L = 18' L = T(MA)C) PORT 00 0 S=1 u (MIN.) 0 S-1% (MIN.) 4'SN40 PVC 4 PVC Top View lo' g N Section EXISTING 48" LIQUID 14 1INVER D--B O X LEVEL GAS BDD AFFLEINV.=97.67 J. ."SCH40 .=97.5 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25,0' INV,=98.90t INV.=97.26 EXISTING' p139p9ED (Z BOX SOIL ABSORPTION SYSTEM (PROFILE) ELt EXISTING SEPTIC TANK 4 OUTLETS (MIN,) ESTABLISH VEGETATIVE COVER BACKFILL WITH CLEAN NATIVE OR 75" PERC SAND TO TOP OF CHAMBERS NOTES: 1) D-BOX SHALL BE SET LEVEL AND. TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BREAKOUT=TOP STONE BASE, AS SPECIFIED IN' 310 CMR 15-221(2). TOP ELEV.=97:63 2) INSTALL INLET & OUTLET TEES AS REQUIRED. INV. ELEV.=97.26 ! *►1 3) GAS -BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM ELEV.=96.30 I' m IUI um�u AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 5' MIN. ABOVE BOTTOM OF I"' 76" +�-I INVERTS PRIOR. TO CONSTRUCTION. T.P. EXCAVATION OR G.W, EFFECTIVE WIDTH=11.23 EXISTING SUITABLE PROFILE NO G.W., EL=89.2 MATERIAL 4 ROWS OF 4 � 16" (H-20) ADS BIODIFFUSER UNITS SEPTIC SYSTEM PROFILE WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 'PICAL SGTION 16" N.T.S N.Ls, 1 1.2" t SOIL LOG i Decks 4 " SECTION ND C60 DESIGN CRITERIA / � DATE: APRIL 10, 2008 (REF#12,162) °/ SOIL EVALUATOR: PETER McENTEE PE g NUMBER OF BEDROOMS: 3 BEDROOMS ",,HOUSE 16 HIGH CAP�gCITY (H-2Qr BIOQIFFUSEB, UNIT �, / �EXIS7WG /,/! WITNESS: DONNA MIORANDI R.S. ' HOUSE (,V6),fj HEALTH AGENT SOIL TEXTURAL CLASS:- CLASS I �/ jTOF=JQ223/f �/ ELEV. ITP- � DEPTH ELEV. TP-2 DEPTH MODEL 16" HICAP DESIGN PERCOLATION RATE: <2 MIN/IN. ��/ (Assumed). / 11 ' // 100,6 0" 100.4 A 0" LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT DAILY FLOW: 330 G-P,D. �R;AG£ //� A SANDY LOAM SANDY LOAM EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY �' DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. DESIGN FLOW: 330 G.P,D, i i '10YR 4/2 10YR•4/2 /� --�'�= w 99.9 g" 99.1 16" SIDE WALL HEIGHT - 11.2" GARBAGE GRINDER: NO B OVERALL HEIGHT 16" SANDY LOAM SANDY LOAM or, 4640 TRUEMAN BLVD LEACHING AREA REQUIRED: (330) = 445.9 S.F. Cc 36 �. /n 10YR 5/8 10YR 5/5 OVERALL WIDTH 34" .74 �+ `�_� - ^�( 96.9 42" 96.7 42" 13.6 CF ® HILLIARD, OHIO 43026 EXISTING SEPTIC TANK: 1500 GALLON CAPACITY (ESTIMATED) ��"'Ro ') 44„ C CAPACITY (101.7 GAL) ADVANCED DRAINAGE SYSTEMS. INC. PROPOSED D-BOX:: 1 INLET, 4 OUTLET (MINIMUM), H-10 RATED + S.N. •- ! USE 4 Rows OF 4 - 16" (H-2 ADS BIODIFFUSER UNITS ----a5-- j PERC PROPOSED SEPTIC SYSTEM UPGRADE PLAN W/ NO STONE FOR AN S.A.S. WITH DIMENSIONS 11 .3' x 25.0' MED- SAND 5� MED. SAND 20 - BARNARD ROAD, OSTERVILLE, MA CONTRACTOR MAY. SUBSTITUTE WITH HIGH CAPACITY INILTRATOR UNITS 2.5Y 6/4 2.5Y 6/4 Prepared for: Joseph Grew, 20 Baranrd Road, Osterville, MA 02655 SIDEWALL AREA: NOT APPLICABLE BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF OF BIODIFFUSER) j Engineering by: Surveying by: SCALE DRAWN JOB. NO. 16 UNITS x 6.25 Lf x 4.7 SF LF = 470.0 SF S.A.S. LAYOUT 89.4 134" 89.2 134" Engineeringworks WARNER SURVEYING NTS P.T.M. 146-08 / ! 12 West CrossHeld Road 22 Long Road DESIGN FLOW PROVIDED: 0.74 x 470.0 = 347.8 GPD PERC RATE <2 MIN/IN. ("C.' DATE HORIZON) Forestdole, MA 02644 Harwich, MA 02645 CHECKED SHEET No. NO GROUNDWATER ENCOUNTERED (508) 477-5313 (508) 432-8309 4/21/08 P.T.M. 2 of 2