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Home My WebLink About0034 POPLAR DRIVE - Health 34 Poplar Drive , Osterville Z F A = 121 - 046 +1 ... .. .. :DECK E-FCE95 l �.�-_..._...�.,...... _.__...,•6_. _.._..;k.,.>......._.._- ��_._ .� �, 7 t L F4 _ a f CIO 'K-r I e 4. CL ! -� �� 11 V1'fdG RcoM - : 'I I A f0Y£R.. �: � - --C,l-• - --- p - _. .. aq �-- _ ti Ra:1�5 Ky°s R�54:a��:cE .9.- Fo'r�eR t��tiv£;Osre 0.v.!Ie,M'A .I.ZA, IC Le7� '^ bq i B q :WTI L.ITY u � I '1 n g � i o a t _ _ w .a •. Y'A'NMPC�L-S �S_'__._'_RESIDEN'CE- -':4 Fof-A2 '0.R'wE�0STERVIlle-.;M.�,. P.LP'►J. LpWt;R•-L£V'Ea.'--scAl2._aa--4�-•'.'`SH6,�T-2oF2' . C i o C TOWN OF BARNSTABLE U LOCATION SEWAGE# D d • 0(4 G o - VILLAGE ASSESSOR'S MAP&PARCEL to INSTALLER'S NAME&PHONE NO. �aflQrsl!( 1 C�.l�e�,or/s{ ) 4/ZJ S/Ua2� SEPTIC TANK CAPACITY /7 /6 LEACHING FACILITY:(type) 1h (y 36�ize) X 30 -3S NO.OF BEDROOMS S _ OWNER ^ rvt 't- PERMIT DATE: !Z 2r�20 m COMPLIANCE DATE: S Zo[o 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 G/j.&i!l� G h t'L/ �i S LLC C.'1hr �� w N � �'1 0 w �-� 6 No. 90/0 Fee d • THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS a pplication for �Bi5po al &p6tem cou0tructiou permit Application for a Permit to Construct( ) Repair�() Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No.3W Pop!A 2 05fFm,;11e Owner's Name,Address,and Tel.No. TCj rn-e 5 'T i er nP_ Assessor's Map/Parcel f z I A S i E2 Ui t t e a17 n Installer's Name,Address,and Tel.No.G 4,,P-e,&�e �� a�`3eS Designer's Name,Address and Tel.No. C-• C n S,-Ae el-i v, ry nu r3�x 7�j Z$5y r:rn.,L"",,J t,�ty�.�v2s�1Ce f`",4 &,143L CRb-WAra9gM Type of Building: �r Dwelling No.of Bedrooms Lot Size ��J�Z�O — sq. ft. Garbage Grinder ( ) Other Type of Building `j;nSI It- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ,3 30 gpd Design flow provided 3 3-1•9 gpd Plan Date a-10- Z d►p Number of sheets Revision Date Title po < Size of Septic Tank 10 0 qwt Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Sep- 17 44,h Date last inspected: %610 s. 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. /Ilsi2ned*'- _ Date Application Approve by Date Application Disapproved by: Date for the following reasons Od Permit No. �� Date Issued �� f�+ No. as "3 Fee f` THE COMMONWEALTH OF MASSACHUSETTS Entered in cgmputer: �T "{ Yes F?UBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for T)tg;po5a[ �§p.5tem Congtruction permit Application for a Permit to Construct( ) Repair i)o Upgrade( ) Abandon( ) ❑ Complete System [:]Individual Components Location Address or Lot No. 39 Po pi A a Owner's Name,Address,and Tel.No. 7Yq 1n t 5 -F,e.t n f./ Assessor's Map/Parcel J 2,1 t 1) 0 S1-c 2 u;t(c M r4 Installer's Name,Address,and Tel.No.e4,ae a,,(F 6 A Designer's Name,Address and Tel.No. C n ri,ne er;yr Cy i3ax 7(63 T95y e-fP LierrY P"4 alG3L G'A r WAreµA/YI (Type of Building: Dwelling No.of Bedrooms Lot Size IrJ ZS0�- sq. ft. Garbage Grinder Other Type of Building �j; '�p !r raM1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flow(min.required) 330 gpd Design flow provided 3 3-7. 9 gpd Plan' bate a- 1 0- Z d>O Number of sheets Revision Date Title Po,P E9f' /- \ t1 Size of Septic Tank l inn an 1. Type of S.A.S. C-f Description of Soil Nature of Repairs or Alterations(Answer when applicable) - n� m Date last inspected: "��dty ff 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 beenLby by this Board of Health. �^ d / Date oZ-' Z ' o 10 Application Approve Date Z +f; Application Disapproved by: Date for the following reasons Permit No. r-c o Date Issued �Q — ———— ———— .1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired Upgraded ( ) Abandoned( )byat 3 q 00 Q has been constructed in accordance s� with the provisions of Title 5 and the for Disposal System Construction Permit No. dated is d �v Installer (e "ei,3" o .f J),,I,)f 1 �.�.C_ Designer #bedrooms Approved design flow J 3 � gpd The issuance l f this permit shall not be construed as a guarantee that the system will f nct on as designed. �j Date'{„ - Inspector _ �L✓. ,� fir V ---- ------------- 3��{��ar�".=='x�/'-_'��i=-��_. r�:--��`_a�-i��3d-sty__- --------—•—�whisciFu�.r�.�i.riili i►�,�iiFtlt�l��t /r� No. /7�O/o r Q L-1 Fee 04 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Mgo!gat �&pE;tem Construction Vermit Permission is hereby granted to Construct ( ) Repair (,�4 ) Upgrade ( ) Abandon ( ) System located at ({ Qw)i d• i ,A-A 0 S Irr4�,i k�-t 'and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title-5-and-the following local provisions-or special conditions. Provided: Construction ust be completed within three years of the date of thi perrni y Date b i f s Town of Barnstable Ld Regulatory Services 9+ 'rhomt,N F, Ueiler,Director °^Ir""Lr, i Public Health Division i6 Thomas McKean,Director 200Main Street, Hyannis,MA 02601 Office: 508-862-4644 I•ax- 5U8.740_t ;rta Date: 3"t .�.��, __.._.. Sewage Permit#2010-04 Assessor's Map/Parcel l a t / Y6c Installer & Designer Certification Form Designer: < e.e i �r_':�—.t-Y�c_ Ittstuller• �_��(�ew; �- t�lktr�cCsc_� Address: zb'_ I C<<m,V?c rr .._!4��tw ----.._.. Address: ..._'�o , i3_ou 7e-3 on 09_ 2 2 I �01��.._ l.!� ? ?! Tyr Q'►�?i was issue�l apermit to install a (dale) � (� (rii�staller) septic system at � dti'0 1�/ �fVf .__�._,_„ _---••-.—.._..---------�.�__ based on a desi�,n drawn by (Address) C C��jit�e.e-c:r�� t; • , -rv1 ., dated r z.�t ur,c 10, Zol b (designer) VI certify that the septic systeltl referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of flit distribution box and/or septic. tank. Stripout (if required) was inspected and the spill were found satisfactory, I certify that the wplic system referenced above was installed with 111aJor cilanges (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any componem of the septic; system) but in accordance with State & l.,ocal Regulations, flan envision or certified as-built by designer to follow. Stripout (if required) t ected and the soils were found Satisfactory, JOHN L. —_� CHURCHILL Grist is Signa ire) 41e0 . o esi ner' s �i naturZARNSTABLE !; g (Affix DC gn 1 Here) P ASE RETURN TO PUBLIC: HEAL' I DIVISION. CERTI.FICATF_� 9 C.9MPLIA.NC1 W&-L NOT BE ISSUED UNTIL BOTHTH S l('ORM AND. AS_ BUILT CARD ARE RECEIVED BY TI•IE BARN TABLE PUBLIC R A TH DIVISION. THANK.YOU. _ q'rofficc�um+s�Jrstgn�rt:erntlt;+nun t�utn Jut tc+ •.a '199R sJ_Z 209 8NINE3NI8N3:3f Wti 89:.60 OTOZ-01—aOW � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Bamstabte- ��ei'V) (I� MA 02655 10/31/12 Cityrrowh State . Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way. A. General Information 1. inspector. Frank Nunes III Name of Inspector saa Company Name Box 841 Company Address East Falmouth MA 02536 Cityrrown State Zip Code 508.272.6433 Telephone 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 i��ection.Tt.insMction was performed based on my training and experience in the proper function and'1�4alntenanc6W orate sewage disposal systems. I am a DEP approved system inspector pursuant to Section 'l1l340,-o1f Title 5(310 CMR 16.000).The system: v ' ® Passes ❑ Conditionally Passes ❑ Fall ❑ Needs Further Evaluation by the Local Approving Authority • r-.3 10/31/12 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 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. 34 PoplarDr-03/08 Title 5 Official In Formc Subsurface Sewage Disposal System-Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 Citylrown 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: Pumping suggested every 3 yrs to prolong the life of the system 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. Answer yes, no or not determined(Y, N, ND)in the ❑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. ND Explain: n/a ❑ 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 ❑ obstruction is removed 34 PoplarDr-OWN Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 or 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes(cont.): ❑ distribution box is leveled or replaced ND Explain: n/a ❑ 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 ❑ obstruction is removed ND Explain: n/a 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 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. 34 PoplarDr•03108 _ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owners Name Barnstable MA 02655 10/31/12 Citylrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ 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 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: n/a 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 '/day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the 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. 34 PoplarDr•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 r Commonwealth of Massachusetts » Title 5 Official Inspection Form- Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 Citylrown State Zip Code Date of Inspection B. Certification (cont.) D) ,System Failure Criteria Applicable to All Systems(cont.): Yes No ❑ ® 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. 34 PoplarDr•031138 Trtle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 �3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 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 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 ® El approximation of distance is unacceptable)[310 CMR 15.302(5)] 34 PoplarDr-03108 Title 5 Official Inspection Form:Subsurface Sawage Disposal System-Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 Cityrrown State Zip Code Date of Inspection 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 Number of current residents: 2 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 Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 96 gpd 9 ( Y 9 (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy: Occupied Date Commercial/Industrial Flow Conditions: Type of Establishment: n/a 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: Last date of occupancy/use: Date Other(describe): n/a 34 PoplarDr•03108 Title 5 Official Inspection Forth:Subsurface Sewage bisposal System-Page 7 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 Citylrown State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: No recent pumping 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): Approximate age of all components, date installed(if known)and source of information: 2010 per BOH file Were sewage odors detected when arriving at the site? ❑ Yes ® No 34 PoP IarDr•03f08 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 C Commonwealth of Massachusetts Title 5 Official Inspection Form MW Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 CityrTown State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth 18"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.): ,Septic Tank(locate on site plan): Depth below grade: 18 _ 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: 1500g Sludge depth: trace Distance from top of sludge to bottom of outlet tee or baffle >12' Scum thickness trace Distance from top of scum to top of outlet tee or baffle >2" >21, Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? measured 34 PoplarDr•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 City/Town 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.): - Pumping suggested every 3 yrs to prolong the life of the system. Tank in as new condition Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): n/a 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 Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): n/a 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): n/a 34 PoplarDr•03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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.): n/a " Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert level w/the bottom of the pipe 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.): D-Box in as new condition. No adverse conditions Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 34 PoplarDr•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 N Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances,etc.): n/a Soil Absorption System(SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Type: . ❑ leaching.pits number: ® leaching chambers number: 19 Bio diffusors per file ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): SAS was probed and soils are dry and compact 34 PoplarDr•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 Citylrown State Zip Code Date of Inspection D. System Information (cont.) 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 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.): n/a 34 PoplarDr•03108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owner's Name Barnstable MA 02655 10/31/12 Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch 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. ------------ C Li�-- 34 PoplarDr-03108 Title 5 Official Inspection Fortis:Subsurface Sewage Disposal System-Page 14 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 34 Poplar Dr Property Address Tierney Owners Name Barnstable MA 02655 10/31/12 Citylrown State Zip Code Date of Inspection D. System Information (cost.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar El Shallow wells Estimated depth to high ground water: 11' feet Please indicate all methods used to determine the high groundwater elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 2010 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 groundwater elevation: GW observed at 11'per permit of record 34 PoplarDr-03/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 15 Town of Barnstable P# 3 Department of Regulatory Services Public Health Division t679 ,b� Date � 200 Main Street,Hyannis MA 02601 'Date Scheduled U Time Fee NJ lJU Soil Suitability Assessment or Sewage Performed By: !-tt "4- ecMg1.j_e,( EZT GSA- '! '\ lspos Z rr; Witnessed By: vj, 1AJ. LOCATION & GENERAL Location Address `j _ INFORMATION ' Owner's O$1�[.�.\�� • hame gAwt.es '''e.rney En Address' �q va glAr t7. r;vz . Assessor's MaplParcei: ( e'Z l!@ I ineer's Name NEW CONSTRUCTION ✓ l — 'r�CJiI fV11eJ_ J 60,dcrylee`i Land Use ' REPAIR Telephone# 5�-� 1 ��.(I•� " `� ' SU£l-273-637'7', 5, curtly /iBSiC�eviEf a I Slopes(40) 5' 16 Surface Stones Distances from: Open Water Body _ft possible Wet.Area-__ft Drinking Water Well - _ft Drainage Way ft Property Line 7 0 Other ft SKETCH: (Street name,dimensions of lot,exact locations of test6oles&.pergtes(s,]orate wetla nds In proximity to holes) 5 e if ,�t e jK pry� ii v Parent material(geologic) 0U}WGS vt' 1i ` rr r r-r i(, Depth to Bedrock 7 1 3 V n ASS Depth to Groundwa.ter.1Standing Water in Hole: 7/3�I is 4 a 1 Weeping*om Pit Pace 7/.3 Estimated Seasonal High Groundwater /j _ 7/3 y DETERM[NATION FOR SEASONAL III ' GI�WATER TABLE Method Used: t7FrQef bjQSuao ft� Depth Observed standing in obs.hole: 7 131/ Depth to weeping from side of obs.hole: _ 7 13`/ in' Depth to soil mottles: 7i3 y Index Well# - In, OrtiuddwpterAdJtistMant r in, Reading Date: - Index Well level ^-- - _ ft. Adj,factor Adj.drnundwtttcrLcvel Observation PEIRCOLATION TEST bate 'y/o x---- Hole#k Time.at 9" Depth of Pere 3(.. ` Time at 6' Start Pre-soak Time @ '- Time(9" 6 ) - End Pre-soak Rate Min./Inch L 2 r .Site Suitability Assessment:. Site Passed V .Site Failed: Additional Testing Needed(YIN) A/ Original: Public Health Division Observation Hole Data To Be Completed on Back--- ------- ***If perrolation testis to be conducted within 1001 of wetland, you must first notifythe Barnstable Conservation Division at least one (1) week prior to beginning, Q:\SEPTIC\PERCFORM.DOC - r i DEEP-OBSERVATION HOLE LOG Depth from Soil Horizon Hole# Surface(in.) Soil Texture Soil Color (USDA) $O1l Other (Munsell) Mottling (Struclure,Stones;Boulders, _ on iste c %0rrtvel �r LS ldf'r - 36-�3 C 2-5 Y /re _ DEEP OBSERVATION HOLE LOG Hole# 2- Surface _ Depth from Soil Horizon Soil Texture (in.) Soil Color Soil Other r (USDA) (Munsell Mottling (Structure,Stones,Boulders. (9 8, — Consisten %Grxvell_` Frl/ D 34 LS /DYr s/6 _ 3613 G 2_5Y1l6 — DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Surface(in.) Soil Color Soil Other (USDA) (Munsell Mottling (Structure,Stones,Boulders. Co i to 3 G vel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture ' Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi ten l Flood Insurance Rate Map• _ Above 500 year flood boundary No_ Yes_ Within 500 year boundary No X/ Yes Within 100 year flood boundary No ✓ Y es Depth of Naturally Occurrinjr Pervious M , a.ia wi iat 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? Certiilcation I certify that on i0-2_7-y> (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, experti and erience described in 3 10 CMR 15.017. Signature - Date 2"YO"1 0 Q:\U-PT1C\PERCFORM.DOC No. . Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye Application for 3nigool *pgtem Con0truction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. 3 LI ece L-s iD✓ O S AVL. it Owner's Name,Address,and Tel.No. T Assessor's Map/Parcel p-1(0 3 PcO ice( Installer's Name,Address,and Tel.No. 64pe,';e, Designer's Name,/Address and Tel.No. ' I nO %3Dx7to3 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date L4— S-— Za ea Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) _)°� 114 dQ Q T1441 I` Ty T Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issu0ard of Health. Sig ate Application Approved by Date Application Disapproved by: Date for the following reasons LPermit No. Date Issued \�—————————————————————————————— -:..-.��ter.. �_y�1�,..*7ti.Y^M.+'4,r'Li.�.n+�,.1'6w. .,.yAF.�.--...,,ri» n d't�sn^..w.n+`...�-,-r�r.nsr,'R,rry� j..,y�hf.'�-r�rt"lr•1��+.+/' ,n�.1, •..:.:�^..+-n'w��s1.f' -- ----- 1 l No. / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. l� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye 2pplication for �Dizpogal �&pgtem Con5trUction 30ermit Application for a Permit to Construct( Repair o,:� Upgrade( Abandon( El-Complete System ❑Individual Components Location Address or Lot No. 3 L/ Ci�7 lra Z iD✓ O S Owner's Name,Address,and Tel.No. Assessor's Map/Parcel III /0qG "3 u1 �o Fql ' �f+ Installer's Name,Address,and Tel.No. 64pe,Q,i c�1/�f)S Designer's Name,Address and Tel.No. (�,3 .3ax 7 c.-3 Type of Building: ' Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date — Zo C3 Number of sheets Revision Date Title -2r Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ^-Q ►'(o oro;(� {�/Uy� "j wyi lam, T% DIT Date last inspected: . Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sig e Date Application Approved by �� r Date Application Disapproved by: Date for the following reasons Permit No. Date Issued -_ THE COMMONWEALTH OF MASSACHUSETTS - - BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed' ( ) Repaired ) Upgraded ( ) Abandoned( )by G�d.o(,�d t�-c ',-'A +.n✓ -C C GL C at 3 Po,/1 Sidi r+� D S 1 �2�t+1(� has been constructe 'n cc-rdance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer �,;�Q� t'�'�rltrp•i� r a Designer #bedrooms 73 Approved desi -#Zow gpd The issuance of t s perjfiit shall not be construed as a guarantee that the system wityuntti s desig d. / C' kf Date ( Inspector /(,'� 19 V v No. / � C/ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS 1wi.5pooY 6pgtem Construction permit Permission is hereby granted to Construct ( ) Repair (Q</,) Upgrade ( ) Abandon ( ) System located at PPIn—:,J Y 1 Al 0 STE nV4 I C_ f and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction rest be c m A within three years of the date of this pe -it. ' Date i;,, Approved by T.O.F. EL.= 39.5'f PROVIDE EXTENSION RISER WITH INISH GRADE OVER D-BOX= 35.0'± 4"SCHEDULE 40 PVC MIN. SLOPE 1% PROPOSED PVC VENT FINISHED GRADE OVER BIODIFFUSERS= 33.0' - 35.0- GENERAL NOTE S CONCRETE COVER TO WITHIN 6"OF SLOPE @ 2% MIN. F.G. OVER INLET AND OUTLET COVERS REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL I @ FND. EL.= VARIES F.G.OVER TANK EL. = 36.0' - 37,5' ! 5"DIA. OUTLET 3"OF F.G. (ONE PER ROW)S) CODE AND ANY APPLICABLE LOCAL RULES. SLAB EL. 20"MIN.ACCESS 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE ( DESIGN ENGINEER. 38.5'± COVER(3 TYP.) PROPOSED 4" 9"MIN. 9"MIN. /_-_._EXISTING 4"' 36"MAX. 60"MAX. TOP OF SAS/B.O. = 30,0Q' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE PVC SEWER PIPE (SEE NOTE 21.) SYSTEM UNLESS OTHERWISE NOTED. --� 3" DROP MAX F. " PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN MIN-SLOPE(�1% 6" 3" 2"DROP MIN 3 9 L=4' MIN.SLOPES 1% JOINTS(TYP.) ELEVATION = 30.00 FOR A DISTANCE OF 15 AROUND THE PERIMETER OF THE SAS. UNLESS A PROP. PVC 10" 4" PVC IN FROM 1.33' f " 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE 70P OF EAEA SEWER PIPE 14" 33.75' SEPTIC TANK 4" PVC OUT TO 0 90, (TMP') 10.75" (TYP) 16 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. OING FACILITY Ulm P + 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 34.00' 12" I 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. " OUTLET TEE 33.57'7;�!dz 33.40' 29.57' --- 28.67' (laid flat) 2.875'(34.5")--I (STONELESS SYSTEM)48 (NP•) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 22"ZABEL FILTER CRUSHED STONE (Np) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS MODEL#A1801-4x22 ER MECHANICALLY 5'MIN. 8.625' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 10.0'TO FND (GAS BAFFLE ON BOT.) COMPACTED BASE VARIES (SEE PLAN) AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 42.00' ESTABLISHED 6"CRUSHED STONE TO BE INSTALLED ON A LEVEL STABLE OVER MECHANICALLY BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 21 .83' ON A NAIL SET IN UTILITY POLE#3 AS SHOWN ON PLAN. COMPACTED BASE (`, C C PIPES TO BE LAID LEVEL. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1,500 GALLON H-10 CONCRETE SEPTIC TANK 19 - BIODIFFUSERS PROFILE BIODIFFUSERS END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10'-5" WIDTH 51-8" DEPTH 5'-8" CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES (Dimensions per Wiggin DISTRIBUTION BOX DETAIL 19 - ARC 36HC (#3616BD) H20 BIODIFFUSERS TO THE DESIGN ENGINEER. - SEPTIC TANK PROFILE Precast Corp., Pocasset,MA) 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE NOT TO SCALE I NOT TO SCALE NOT-TO 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM PERC NO. 12838 APPROPRIATE AUTHORITY. SWING-TIES SCALE. 1 =20 DECK ° INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS #34 DESCRIPTION HCA HC-2 EVALUATOR: Michael Pimentel, E.I.T. i LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE EXISTING i THEY SHALL WITHSTAND H-20 LOADING. 3-BEDROOM SEPTIC COVER IN (1) 16.2' 39.0' • C.S.E. APPROVAL DATE: Oct. 27, 1999 + February 4, 2010 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. DATE: DWELLING SEPTIC COVER OUT(2) 13.1' 31.3' y <� N\ i TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE BIODIFFUSER CORNER(3) 27.7' 35.6' A'`1 i MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. �` • ( C' ` 1 ELEV TOP= 33.00' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, GARAGE SLAB BIODIFFUSER CORNER(4) 19.1' 31.0' ELEV WATER= <21.83' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). TOF = 39.5'± BIODIFFUSER CORNER(5) 35.4' 13.8' - 6 PERC RATE _ <2 min./inch 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SLAB - 38.5'± LOCUS SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. BIODIFFUSER CORNER(6) 44.5' 23.4' DEPTH OF PERC = 36"-54" TOF SHOT a • y.. • * - �; 16. PROPOSED PROJECT IS LOCATED WITHIN: C-2 co 4 . TEXTURAL CLASS: 1 ASSESSOR'S MAP 121 PARCEL 46 w �► a C-1 OWNER OF RECORD: JAMES F. &KATHERINE E. TIERNEY 2) 6) "�'f «~, _ 0" 33.00' ADDRESS: 34 POPLAR DRIVE Y � Fill OSTERVILLE MA 02655 o • • 8" 32.33' (1 (4 m t`Z _, �` Loamy Sand �" 10Yr 3/1 31.67' FEMA FLOOD ZONE C _ � .-r COMMUNITY PANEL# 250001 0016 D MAP 121 ZONE 2 B Loamy Sand 17. DEED REFERENCE: DEED BOOK 3594, PAGE 75 10Yr 5/6 36" 30.00' 18. PLAN REFERENCE: PLAN BOOK 199, PAGE 31 t, �. PARCEL 47 � q � � Perc I • t -��i 28.50' i 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 54" ``+ + 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY rn • ,� FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY C /� ,. FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. �. , C Medium Sand °• ° a 2.5Y 6/6 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE -n APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7): a Gv (1.) A 2.0'WAIVER(5.0'-3.0')FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. m -GAS- GAS-- GAS -GAS- -W_G4S LOCUS PLAN ✓��1 t z -44 L:� EXISTING 1,000 GALLON H-10 SEPTIC TANK TO BE \ / MAP 121 SCALE: 1"= 1000' 134" 21.g3' l•�I %,0o ABANDONED (i.e. PUMPED, BOTTOM OPENED / RUPTURED � �Ct AND FILLED w/ CLEAN SAND? nG4 310 CMR 15.354 - PARCEL 53 No Mottling, Standing or Weeping Observed - -- o�a'� #34 DECK MAP 121 N ,�+ TEST PIT DATA O 1 �� EXISTING PARCEL46 0 0o DESIGN DATA LEGEND 3-BEDROOM o_ o PERC NO. 12838 15,250 S.F.± 50xO EXISTING SPOT GRADE r' DWELLING NUMBER OF BEDROOMS(DESIGN) 3 INSPECTOR: David W. Stanton, R.S. 0- 3; \ o /vwiv DESIGN FLOW 110 GAUDAY/BEDROOM EVALUATOR: Michael Pimentel, E.I.T. - - 50 - - EXISTING CONTOUR X O TOTAL DESIGN FLOW 330 GAUDAY C.S.E. APPROVAL DATE: Oct. 27, 1999 5Q-� PROPOSED CONTOUR�'{_ - --42 X DATE: February4, 2010 GARAGE SLAB 1 DESIGN FLOW X 200 % = 660 GAUDAY D/H/W - EXISTING OVERHEAD UTILITIES -40 TOF = 39.5'± x � \3 TEST PIT#: 2 8 USE PROPOSED 1,500 GALLON SEPTIC TANK /O too = 38.5'± / -- ELEV TOP= 33.00' W W-- EXISTING WATER LINE ( TOF SHOT �� ELEV WATER= <21.83' Benchmark ��' _ Wp,�K / ---,36� ��' GAS -- - EXISTING GAS LINE .o o /LP W� 6IT. , , �_ PERC RATE _ Nail in U.P.#3 ",v_� "' .,-3' ., / TEST PIT LOCATION Elev. =42.00' o��v �- -�° orANDSCppEARE�` \ INSTALL 19 ARC 36HC (#3616BD) BIODIFFUSERS (H-20) Approx. M.S.L. �v f°i"�v � --- 36 a� ^� ' MAP 121 DEPTH OF PERC= °'" , 6$°391° �36 PARCEL 54 TEXTURAL CLASS: 1 EXISTING 1,000 GALLON SEPTIC TANK U.P.#3 , 3° N �30a9 \ SYSTEM CAPACITY 0 EXISTING LEACHING PIT TO BE PUMPED, FILLED / / 33x2 (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD - - WITH CLEAN COARSE SAND &ABANDONED / co/ TP 1 PROPOSED 4" PVC VENT PIPE;34� (95.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 337.4 GAL. LEACHING/DAY 0" 33.00' 0 PROPOSED 1,500 GALLON SEPTIC TANK M 6'0 SH UB 33x0 p 32 EXACT LOCATION PER OWNER Fill 32.33' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE 1 TOTALS: 8" PROPOSED INSPECTION PORT WITH A/E Loamy Sand ACCESS BOX TO GRADE (TYP OF 3) TOTAL NUMBER OF BIODIFFUSERS: 19 10Yr 3/1 ❑ PROPOSED DISTRIBUTION BOX s�0 SHRUB TOTAL NUMBER OF COUPLINGS: 0 16" 31.67' PROPOSED 1,500 GALLON H-10 SEPTIC TANK ..--38 ts� --, PROPOSED TOTAL 19 ARC 36HC TOTAL LEACHING AREA: 455.9 SanPROPOSED ARC 36HC(#3616BD)BIODIFFUSER(H-20) (#3616BD) H-20 BIODIFFUSERS IN TOTAL LEACHING CAPACITY: 337.4 B Loamy d 10Yr 5/6 \ / A FIELD CONFIGURATION PROPOSED DISTRIBUTION BOX 36" 30.00' REV. DATE BY APP'D. DESCRIPTION _ ' PROPOSED SEPTIC SYSTEM UPGRADE / MAP 120 PREPARED FOR: PARCEL 75 CAPEWIDE ENTERPRISES C Medium Sand NOTE: 2.5Y 6/6 LOCATED AT NOTES: EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER 34 POPLAR DRIVE "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED OSTERVI LLE, MA 02655 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED JUNE 30, EDGE OF EACH SEPTIC SYSTEM N 2009). TRANSMITTAL NUMBER=W000052. 134"1 21.83' SCALE: 1 INCH = 20 FT. DATE: FEBRUARY 10, 2010 0 10 20 40 80 FEET 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION �, kA No Mottling, Standing or Weeping Observed �- ,°v OF THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY - -- a'r �r�H `F PREPARED BY: WITH TEST PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER RESERVED FOR BOARD OF HEALTH USE ` H JRF JC ENGINEERING, INC. AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH c141� 7 2854 CRANBERRY HIGHWAY TEST PIT DATA. EAST WAREHAM, MA 02538 3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2 SITE PLAN- 50.8.273.0377 AND THE ESTUARINE WATERSHED. SCALE: 1" =20' Drawn By: MCP Designed By:MCP ; Checked By:JLC ! JOB No.1756