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HomeMy WebLinkAbout0146 SCUDDER ROAD - Health 146 Scudder Road, Osterville TOWN OF BARNSTABLE � 3 ! r SEWAGE # LOCATION � VILLAGE �rl��G� ASSESSOR'S MAP 6z LOT INSTALLER'S NAME A PHONE NO. SEPTIC TANK CAPACITYv LEACHING FACILITY:(type) NO. OF.BEDROOMS-3PRIVATE WELL OR PUBLIC WATER ;t_U[ BUILDER OR OWNER @,j DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes -No- �E �j ��� �� � r�; �+ �,� o �'� � �� � r ,�, ��e ��(� .�. ��� ��c����rz �?� � -- ^ TOWN OF BARNSTABLE LOCATION /y�etteld 1 2d SEWAGE# Zbl0 -- 070 VILLAGE ASSESSOR'S MAP&PARCEL 3Z INSTALLER'S NAME&PHONE NO. AuU tadi di SEPTIC TANK CAPACITY /.Seo 11 10 LEACHING FACILITY.(type) 3(n 1 Jg 14?U(size) 8•S-Y 30 f NO.OF BEDROOMS .3 OWNER Z�arn,, ,5 t aF LA ru ✓J av)e PERMIT DATE: 3'I - 2V 10 COMPLIANCE DATE: 3-1"1-1-v1a Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility & l� 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 FURNISHEDBY CS LL Q cy c�b,S D3 ror.� 3z r2, at, 05' 34.0 0-4 5 4 � e t No. 0 01 o Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppficatiou for Disposal *pstrm Construction Permit Application for a Permit to Construct( ) Repair�4 Upgrade( ) Abandon( ) '®Complete System ❑Individual Components Location Address or Lot No. i qlo 5 c,,.1& Owner's Name,Address,and Tel.No.SA,,Tts4.*j cS a.G•� ,� Assessor's Map/Parcel i t-(o 3-2- Installer's Name,Address,and Tel.No.C',q ,6,(e (-heS Designer's Name,Address,and Tel.No. o L i e 3 51�9-a73 0 3-7-7 Z�s� �rQ�► �, 14.tjy Type of Building: � Dwelling No.of Bedrooms Lot Size q 00® — sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 O gpd Design flow provided 73 3 gpd Plan Date 1 3—1 J —2A t O Number of sheets Revision Date Title I L4(o SGud4ef_ Size of Septic Tank 15C-)c. (:O Type of S.A.S. Description of Soil 5Q p 'F ind n, Nature of Repairs or Alterations(Answer- hen applicable) Oe Z t 56C) $4k t4 -/,i) -FA✓k T-0 IZ� S R1J.0_ZL,,C S �9 Date last inspected: Zbtd Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date t o Application Approved by Date Application Disapproved by Date for the following reasons Permit No. a'-0 to— d Date Issued 7— V aV c v­­ No. 2610 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer- I V I Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETT§ 2pplitation for -Misposal *pstem Construttion 5permit Application for a Permit to Construct Repair V2 Upgrade Abandon( $4Compl.-te System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. PJ4j*j Assessor's Map/Parcel 140 1-3 Installer's Name,Address,and Tel.No.e Designer's Name,Address,and Tel.No. jq -go a (3 - -L a 5�Dg ,�73 0 3-7-7 Type of Building: Dwelling No.of Bedrooms Lot Size 000 sq.ft. Garbage Grinder Other Type of Building ) 4 No.of Persons Showers( Cafeteria( Other Fixtures Design Flow(min.required) I? 3 n gpd Design flow provided -3 3 D gpd Plan Date c� Number of sheets Revision Date Title jQ(g I Size of Septic Tank Type of S.A.S. C_ Description of Soil �420 f Nature of Repairs or Alterations(Answer when applicable) k (4 - 14yl& 10 Date last inspected: Z.bto Agreement: �rnq'intenance of the afore described on- s The undersigned agrees to ensure the construction land on,-,.site sewage e disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system-in*'operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date I(Z$ Application Approved by Date 01 d— Application Disapproved by Date for the following reasons Permit No. a 0 10 0-70 Date Issued 9-01 ---------------- ------- ------------------------------!------- ------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired(k) Upgraded Abandoned by 01 )�CJ12 at ( e1 ­'H -­ 1P 0- id OA-A DS il-4 (I, has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Noj&Lp_- 0'70 dated 3- 16 - 76/ 0 Installer C ,800, sjo VhLrDnl ,e!, Designer 7yc 0.OD'A k(-" #bedrooms Approved desi n flow gpd The issuance of this pe it sh 11 not be construed as a guarantee that the system will,funct p s design Date Q Inspector ---------------------------------- --------------------------------------------------------------------------- --------------------- No. 0-.10 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstrm Construrtion 3permit Permission is hereby granted to Construct Repair(A Upgrade Abandon), System located at A%* and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permii,.—. Date Approved by TRANS. NO.: CITY/TOWN: Osterville APPLICANT: Capewide Enterprises ADDRESS: 146 Scudder Road, Osterville, MA t DESIGN FLOW: 330 gpd REVIEWED BY: DATE: N/A - OK NO Legal boundaries denoted [310 CMR 15.220(4)(a)] X Street, Lot, tax parcel number and lot number noted on plan[310 CMR 15.220(4)(u)] X Locus Provided [310 CMR 15.2204(t)] X Plan proper scale? (1"=40' for plot plans, 1"=•20' or fewer for components) [310 CMR 15.220(4)] X Easements shown [310 CMR 15.220(4)(b)] X System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] X Location of impervious surfaces (driveways, parking areas etc.) [310 CMR 15.220(4)(d)] X Location all buildings existing and proposed 310 CMR 15.220(4)(c)] X Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] X System Calculations [310 CMR 15.220(4)(0] X daily flow X septic tank capacity(required and provided) X soil absorption system (required and provided) X whether system designed for garbage grinder X North arrow [310 CMR 15.220(4)(g)] X Existing and proposed contours [310 CMR 15.220(4)(g)] X Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] X Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and(i)] X Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] X Percolation test results match loading rate? [310 CMR 15.242] X Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] X Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)] X Address '146 Scudder Road, Osterville,MA Sheet 1 of 7 N/A OK NO Location of every water supply,public and private, [310 CMR 15.220(4)(k)] X within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply X within 250 feet of the proposed system location in the case X within 150 feet of the proposed system location in the case of private water supply wells X Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR. 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] X Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.211 1)[1]) X Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] X Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] X Stamp of.Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR. 15.220(3)] X Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] X Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] X Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] AX Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] X Materials specifications noted?'[various sections of 310 CMR 15.000] X System components not> 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(l(b)] X, Address 146 Scudder Road, Osterville,MA Sheet 2 of 7 f SEPTYCANK; .. y N/A OK NO Size OK? [310 CMR 15.223(1)] X Inlet tee located ten inches below flow line [310 CMR 15.227(6)] X Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR _ 15.227(6)] X Outlet tee with gas baffle'or approved filter [310 CMR 15.227(4)] X Note regarding installation on stable compacted base [310 CMR 15.228(1)] X Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15.227(2)] X Inlet/Outlet elevations at least 12" above high groundwater Y (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(1)(k)] X Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232(3)(0] X Three access covers (inlet and outlet must be 20" or greater)`- middle access at least 8" (by 7/07) [310 CMR 15.228(2)] X Access to within 6 " of grade - one port for systems<1000gpd, two for systems>1000 gpd [310'CMR 15.228(2)] X All at-grade covers secured to unauthorized access? [310 CMR 15.228(2)] X > 10 ft from building foundation [310 CMR 15.211(1)] X Buoyancy calculation Required/Done [310 CMR 15.221(8)] X H-20 Where appropriate? [310 CMR 15.226(3)] X Setbacks from resources [310 CMR. 15.211] X MultiComparhnef�T nlis � ��` � _-- Required when other than single-family dwelling or flow>1000 gpd [310 CMR 15.223(1)(b)] X First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and(3)] X "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] X Address 146 Scudder Road, Osterville, MA Sheet 3 of 7 r , N/A OK NO Located at least ten feet from any water line? [310 CMR 15.222(2)] X Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.211(1)[1]) X Cleanouts required/provided ? [310 CMR 15.222(8)] X Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] X . Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] X Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)]. X Siphon problem/(leachfield below pump chamber) X Endcaps or vent manifold specified? ' X Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and'310 CMR 15.252(2)(h)] X Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) X DISTRIBUTIONaw Stable compacted base [310 CM_ R 15.221(2) and 310 CMR 15.232(2)(a)] X Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] X Riser if deeper than 9" [310 CMR 15.232(3)(f)] X Inside minimum dimension 12" [310 CMR 15.232(2)(b)] X Minimum sump 6" [310'CMR15.232(3)(e)]. X Watertight cover if<2000gpd); waterproof manhole if>2000gpd ; [310 CMR 15.232(3)(d)] X Capacity(emergency storage,above working=design flow)?„[310 CMR 231(2)] - X Proper setbacks [310 CMR 15.211 (same as septic tanks)] X Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE[310 CMR 15.231(5)] X Service components accessible (not too deep with piping, - disconnects accessible) X Alarm floats - alarm on circuit separate from pump's specified? X Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and(8)] X Stable Compacted Base [310 CMR 1'5.221(2)] X Buoyancy calculations needed ? Provided? [310 CMR 15.221(8)] X Address 146 Scudder Road, Osterville,MA Sheet 4 of 7 N/A OK' NO Calculations correct? X 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] X Required separation to groundwater? [310 CMR 15.212)] X Aggregate specified as double washed [310 CMR 15.247(2)] X System Venting required/provided? (system under driveway or , >36" deep) [310 CMR 15.241] X Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] X ,. Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] ' X A�I?LERIEPI'�SC�II�i" YI$SJ�R 3�O,,CIYI�R15.253 � � ��r _ , Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] X Each structure with one inspection manhole (if>2000 gpd must be to grade) [310 CMR 15.253(2)] X Aggregate 1'minimum- 4'maximum. [310 CMR 15.253(1)(b)] X - 2' sidewall credit maximum,[310 CMR 15.253(1)(a)] X In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] X TRENCHES310 1VI1215251� a Width 2'minimum 3'maximum [310 CMR 15.251 1)(b)] X 100 feet -maximum length [310 CMR 15.251(1)(a)] X Minimum separation 2x•effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 25l(1)(d)] X Situated along contours [310 CMR 15.251(2)] X Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] X BEDSAS�(Maximum sizeotf bedorfield SOOOgpd) ysf z. . ,�,.. ���,. ,M" minimum 2 distribution lines [310 CMR 15.252(2)(a)] X g Maximum separation between lines 6' [310 CM R15.252(2)(d)] X Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] X Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)(g)] X Separation between beds 10'minimum. [310 CMR 15.252(2)(f)] X Bottom area used in calculations only [310 CMR 15.252(2)(i)] X Address' 146 Scudder Road, Osterville,MA ''' Sheet 5 of 7 li N/A OK NO DID PAI�LEW®LE z Pressure Dosed System ? Provided pump and piping calculations as required [310 CMR 15.220(4)(r)] X Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR.15.254(2) and I/A Remedial Use Approvals] X If used in gravelless system -make sure jet is directed as not to scour soil interface [Guidance Document] X Inspections once per year(systems<2000 gpd) or quarterly (>2000gpd) good to note on plan [310 CMR 15.254(2)(d)] X Construction in fill -Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? X Impervious barrier and/or retaining wall? [Guidance Document] X Impervious barrier installation must be supervised by designer [310 CMR 15.255(2)(b)] X Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] X_ Side slope not exceed 3:1 ? [310 CMR 15.255(2)] X Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] X At least 5 ft. from impervious barrier.to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] X Gravelless,System[IAA Approval Letters . bow Check DEP Approval letters for credits and design conditions X. If used with pressure dosing do not.allow pressure discharge to scour soil interface X Al ernattve�S` ptac,Systems[I�%A�4pprouTa�l�etters .:��... <. ' ,��,,a � Was DEP Approval Letter provided and/or have you s reviewed the letter for conditions? X Is the technology being properly applied and does it meet all DEP Approval Conditions? X Is there a note on the plan regarding the requirement for perpetual maintenance agreement? X Any alarms involved on separate circuits X Did the applicant submit an operation and maintenance manual? X Has applicant submitted a copy of a maintenance X - ainees d Are the variances listed on the plan ? [310 CMR 15.220 X RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] X New construction or increased flow proposed- [Refer to 310 CMR 15.414] X Address 146 Scudder Road, Osterville,MA Sheet 6 of 7 Nitrogen�S�ensitiveflreas ��` � s ,� � E �, N/A OK NO Is the system in a Designated Nitrogen Sensitive Area(Zone lI for a public supply well)? [310 CMR 15.214, 310'CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] X Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] X Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] X Pumping to septic tank ? [ 310 CMR 15.229] X. Shared System [310 CMR 15.290] X Address 146 Scudder Road, Osterville,MA Sheet 7 of 7 Town of Barnstable Regulatory Services 'T'humas..F, Geiler, Director eAtwe%rsis, > MAe& Public Health Division Thomas McKean; Director 200 Main Street, Hyannis, MA 02601 Office: 508.862,4644 Date: 3A-1 t'1 Sewage Permit$t '10k0-0'70 Assessor's Map/1'areal 1'ic)/3_c_- Installer & Designer Certification Form Designer: 3 c_ Erie.ie v-ctr1 o2_ .......... '--- Installer' ,Gao4w;rk'T.... Address: 2a1>,t cccW,h,:rr --� ............... Address; Ti c- fox -7(a c,Ir i' d Z._.�.3 2. On 3-`� to-Zo�0pn'Sej _was issued a permit to install a (date) (installer) r septic system at 111(o ✓cud d gr (�Ood �. based can a design drawn by :3 C, E����cnee.�.r�� .�..�e. dated klo(aV) Iv, le` 10 1 Certify that the Septic system referenced above was installed substantially according? to _ the design. which .may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory, I certify that fire Septic system referenced above was installed with major changes (ix greater than I Q' lateral relocation of the SAS or any vertical relocation of any uomponem of the septic system) but in accordance with State & Local Regulations. flan revision or certified as-built by designer to fallow. Stripout (if required) ns)ected and the soil'. were tinmd satistat tory. - 1M or JOHNCHURCHILL I ,a (in er's Signatu --�-- wig 4140 es ner s Signatilt'e (Ai ix De gn }lere- P ASE RETURN TO 3 STABLE PU LIC SAL' 1) 'VISION. CER 'IF`I :ATir OF COMPLIANCE WILL NOT lE3E ISSUE UNTIL, B TH T S E )RM AND AS•• BUILT CART)ARE RECEIVED BY THT AA INSTABLE E PUBLIC HEA1,'TH THANK Y U, ---r —• DIV1SI�ti; 11oF iu-c ronn+virsigncrcxi9 Lceliur.turn,day: TM i oca cJ 7' $=Inc 9NTN•aHNIJN93r Wd 62: V0 0TOZ-4T—'dtiW Town of Barnstable P# oFTM�r� Department of Regulatory Services Public Hea lth Division Date -3//,/,17 200 Main Street,Hyannis MA 02601 lE0 MA't� Date Scheduled J +-Time Fee Pd. Soil (SuiNbility Assessment for Sewage Pisposal Performed By: I �►! l �t KYl Z 1� i . �i L 1 t✓5 1qj� S Witnessed By: L,oCA: ION& GENERAINFU EIT C)N Location Address Owner's Name N,k e b skrV � Address nn-- Assessor's Map/Parcel: i 10:-03�- Engineer's Name C y W GCS 4 3C C-4,5 oeef , i4t NEW CONSTRUCTION ll REPAIR ,.;-: •';i� • Telephone# d 6-2 7 3"4-37 7 Land Use 'ReSloeWAL— Slopes(%) ,t^Z% Surface Stones 1 yyi Distances from: Open Water Body �tS� ft Possible Wet Area 150 ft Drinking Water Well ft F Drainage Way ">16 ft Property Line ft Other N�q ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) wrofti4 Depth to Bedrock Depth to Groundwater: Standing Water in Hole: t�, CGS Weeping from Pit Face Estimated Seasonal High Groundwater DET RIVIINATION�"OR SEASONA�.�I(7H'WA'���`IA33 Method Used: j'bitrecx 08sWanc*i ,� a Depth Observed standing in obs.hole: >t3o. ln.'-Depth-to•soil-mattles: — Depth to weeping from side of obs.hole: 'I W in. Groundwater Adjustment +`tja ft• Index Well# Reading Date: Index Well level Adj.t'aetor Adj.Groundwater Level rinc .A 1. VN TEST AhtQ 1115 10.: @. .( �': Observation Hole# Time at 9" w N Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"•6') End Pre-soak i0:gs Rate Min./Inch { 2 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) A 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 Depth from Soil Horizon Soil Texture Soil Color Surface(in.) Soil Other ' (USDA) (Munsell) Mottling (Structure,Stones,Boulders. 6-Z14 Cons.istency.%Gravel t vgMy Sgao oo�R 311 ca1M Y sAN 0 10 A (v N6-tc� C-1 Meow SAID } 2��'1' DEEP OBSETtVATTON HOLE.LOG Soil Texture S YTole# Depth from Soil Horizon oil Color Soil Surface(in.) Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders: Consistency,%Gravel 2'1" , h aoglny SAND wfit tow SAAD to �e 1%-140 c l mtelom 59lVO j z 5Y& j Ft n16 5#,. DEEP-'M SERVAt.TTON HOLE LOG ole:# ? Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEP OBSERVATION HOLE LOG Hold# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gr 1 1 Flood Insurance Rate May: 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? `ILS If not,what is the depth of naturally occurring pervious material? Certification I certify that on /y'Z7-99 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise nd ex r nce described in 310 CMR 15.017. Signature Date 315-10 Q:\SEPTIC\PERCFORM.DOC . I. V a Commonwealth of Massachusetts Executive Office of Environmental Affairs C�.j Department of : Environmental Protection: =�� DEC 3 1996 William F.WeldGovernor IENAi06�[ Trudy Coxe Secretary,EOEA b" David B.Struhs Z commissioner S (jJj ��54185 UE,SEWA E DISPOSAL SYSTEM INSPECTION FORM PART A Uj, /0 CERTIFICATION Property Address: I Address of Owner: Date of Inspection: fL _ 3�—$ (If different) Name of Inspector: y Company Name, Address a�nd/fe� one m _ )PA.el 4 (319k � 05 fps���/t �: b 2,G,r CERTIFICATION STATEMENToZ�—a�d 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 inspection. The inspection was performed based on my training.and experience in the proper function and maintenance of on-site sewage disposal systems. The system: k Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature: Date: . � Q The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: Check A�VCD: + ' A] SYSTE PASSES: " I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. 'if"not determined", explain why no _ The septic tank is metal, cracked, structurally unsound, shows subs�ial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8/15/95) 1 ' One Winter Street • Boston,Massachusetts 0210E • FAX(617)556.1049 • Telephone(617)292-SSW 0 Printed on Recycled Paper P f r / SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A RTIFICATION (continued) Property Address: P Y Owner: 0, CU Date of=lnspectidfi--N i6ma s�G B] SYSTEM CONDITIONALLY PASSES (continued) 'Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced ' The system required p mping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with appr val of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the oard of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETER ES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAF ND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface wat r Cesspool or privy is within 50 feet of a bor ring getat we nd or a salt marsh. 2) SY TEM WILL FAIL UNLESS THE BOARD OF TH ND PUBLI WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT TH SYSTEM IS FUNCTIONING IN A MAN ER AT P OTECT T PUBLIC HEALTH AND SAFETY AND THE EN IRONMENT: The system has a septic tank and so I absorp n sys m and is within 100 feet to a suriace water suppiy or tributary to a surface water supply. _ The system hay a septic tank and soi absorptio system and is within a Zone I of a public water supply well. The system has a septic tank and soil bsorption system and is within 50 feet of a private water supply well. The system has a septic tank and soi sorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water anal si for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that faci ty d e presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5, Ppm• Dj SYSTEM AILS: I h ve determined that the system violates on' 'or mo of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board o Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an 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. (zevised 8/1 /95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner. Date of Inspection: DI SYSTEM FAILS(continued): 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. 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 Soil Absorption System, sspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is it 1 feet of surface water supply or tributary to a surface water supply. Any portion of a cesspool or pri is wit in a Z ne of.a public well. Any portion of a cesspool or p i ithi 50 t of a private water supply well. Any portion of a cesspool r r ty is th 0 feet but greater than 50 feet from a private water supply well with no acceptable water quality an I sis. If th well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile o nic comp nds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: The following criteria apply to I tge.Sys in addition to the criteria above: The design flow of system is 10,000 gpd greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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 11 of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: Owner: Date of Inspection: Check if the folio 'ng have been done: Pum ing information was requested of the owner, occupant, and Board of Health. one of the system components have been pumped for at least two weeks and the system has been receiving normal flow rases during that period. large volumes of water have not been introduced into the system recently or as part of this inspection. �s ilt plans have been obtained and examined. Note if they are not available with N/A. T facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow T/Th7site was inspected for signs of breakout. All Sys m components, excluding the Soil Absorption System, have been located on the site. e septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles at tees aterial of construction, dimensions, depth of liquid, depth of sludge, depth of scum. he size and location of the Soil Absorption System on the site has been determined based on existing information or f proximated by non-intrusive methods. e facility ov ner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 8/15/95) 4 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C INFORMYION Property Address: Owner: Date of Inspection: 11.7 FLOW CONDITIONS RESIDENTIAL: Design flow: allons Number of bedrooms: Number of current residents: Garbage grinder(yes or no):iw IN Laundry connected to system (yes or no):),!�-- o m 6 p o Seasonal use (yes or no): Water meter readings, if a ailable:�� Last date of occupancy:'-2/ •' COMMERCIAUINDUSTRIAL: Type of establishment: Design flow:_gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information:X�� / 4 L C;& System pumped as part of inspection: (yes or no) c; If yes, volume pumped. Qallons Reason for pumping: TYPE OF SY5TEM eptic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy r Shared system (yes or no) (if yes, attach previous inspection records, if any) Other(explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: v Sewage odors detected when arriving at the site: (yes or no) (revised 8/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C. SYSTEM INFORMATION jcontinued) Property Address: ,q� n ` Owner: (/��� i�f`a; Date of Inspection: SEPTIC TANK:_ (locate on site plan) Dept below grade: Maten f construction: _concrete _metal _FRP—other(explain) Dimensions: Sludge depth: Distance from to of sludge to bottom of outlet tee or baffle: l Scum thickness: Distance from top o cum to top of outlet tee or baffle: W' Distance from bottom scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping, ondition of inlet and outlet tees or ball s, depth of liquid I el in relation to outlet invert, structural integrity, evidence of leakage, et . GREASE TRAP:_ (locate on site plan) Depth below grade: Material of construction: _concrete _m%— er(explain) Dimensions: Scum thickness: Distance from top of scum to top o/diinte le: Distance from bottom of «um to be or oaf fie: Comments: (recommendation for pumping, d outlet tees or baffles, de h of liquid level in relation to outlet invert, structural integrity, evidence of leakag , etc.) (revised 8/15/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: / Date of Inspection: �., / • TIGHT OR HOLDING TANK:_ (locate on si a plan) Depth below`g e: Material of copstr ion: _concrete _metal _FRP_ather(explain) Dimensions: Capacity: gallons Design flow: gallons/da Alarm level: i Comments: (condition of inlet tee, condition of alarm and at switches, etc.) DISTRIBUTION BOX:_ (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution, is equal, evidence of s ids cam'-over, evidence of leakage Into or out of box, etc) � s, PUMP CHAMBER:_ , (locate on site plan) Pumps in working order.(yes or nd Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C YSTEM INFO TION (continued) Property Address: Owner: Date of Inspection: 00 / , SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excav ion not required, but may be approximated by non-intrusive methods) If not determined to be present, ex ain: Type: leaching pits, number:_ leaching chambers, number: leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) CESSPOOLS: _ (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: J Dimensions of cesspool: Materials of construction: Indication of groundwatei. inflow (cesspool must be pumped as part of inspection) Comments: (note con tion of soil, signs of hydraulic failure, level of ponding, condition of vegeta' n, etc.) PRIVY:_ (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic fail Zje4 of�n , dition of vegetation, etc.) (revised 8/15/95) 8 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection: elor e SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 11C9 i( DEPTH TO GROUNDWATER/ w f Depth to groundwater: feet method of determinate r approximation data (revised 8/15/95) 9 SEPTIC TANK DEPTH BELOW GRADE DIMENSIONS SLUDGE THICKNESS ------- --------- TOP OF SLUDGE TO BOTTOM OF TEE SCUM THICKNESS TOP OF SCUM TO TOP OF TEE BOTTOM OF SCUM TO BOTTOM OF TEE --------- ------- k t �STRIB ITION BOX , DEPTH OF LIQUID ABOVE OUTLET INVERT , 1 PIT BELOW GRADE , BOTTOM OF PIT TO GRADE cessPooLs NUMBER AND CONFIGURATION TOP OF LIQUID TO INLET INVERT DEPTH OF SOLIDS LAYER ------------------- DEPTH OF SCUM LAYER -- -- ------- DIMENSIONS OF CESSPOOL MATERIAL OF CONSTRUCTION INDICATION OF GROUNDWATER � �\ INFILTRATION (MUST BE PUMPED) � TOP OF FOUNDATION = 36.6± INISH GRADE OVER D-BOX= 34.2'+- 4"SCHEDULE 40 PVC MIN. SLOPE 1 % PROPOSED PVC VENT FINISHED GRADE OVER BIODIFFUSERS = 34,4' - 35,1' GENERAL NOTES PROVIDE EXTENSION RISER SLOPE @ 2% MIN. WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. 35_3'-+ RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FOUNDATION = 35.5 3"OF F.G. (ONE PER ROW) 5"DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN.ACCESS -- - --- -- 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE COVER(3 TYP.) 9"MIN. DESIGN ENGINEER. PROP. 4"SCH.40 36"MAX. PVC SEWER PIPE " 9" MIN' " 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROP.4 SCH.40 36 MAX. 54 MAX. TOP OF SAS/B.O. = 30.60 PVC SEWER PIPE (SEE NOTE 21.) SYSTEM UNLESS OTHERWISE NOTED. MIN.SLOPE�1% 6" 3" 2" DROP MIN. 3"DROP MAX. 3" 9" P IN.SLOPE@1 L- - 65.9'± ONTS TYP TERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN ( ) ELEVATION =30.60' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A F. rg4" PVC IN FROM �' 1. 3' Q " 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF L 32.6 ± 14" 32.15' SEPTIC TANK 4" PVC OUT TO (TYP.) t 16 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 0LEACHING FACILITY 0.90' agi L 10.75+(TYP) o EXIST. PIPE 32.40' 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. OUTLET TEE ' 12" 6" , 30.17' 29.27' laid flat 2.875'(34.5") STONELESS SYSTEM) 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48" 30.67 MIN. 30.50 ) TYP 5 U' ( ) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 6"CRUSHED STONE (TYP.) Z FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS l� OVER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 10.0 8.625' 6"CRUSHED STONE 5 COMPACTED BASE VARIES (SEE PLAN) `n AND DESIGN ENGINEER. OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON AN APPROXIMATE M.S.L. DATUM OF 35.00' OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 23.57' ESTABLISHED ON A NAIL SET IN STUMP AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 19 - BIODIFFUSERS PROFILE BIODIFFUSERS END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10' 6' WIDTH 5' $" DEPTH 5' 8 (Dimensions per Wiggin CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE Precast Corp.,Pocasset,MA) 19 - ARC 36HC #3616BD H-20 BIODIFFUSERS TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY THIS ELEVATION FS DISTRIBUTION BOX DETAIL � 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. REPORT TC! Erlr.If�IEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING SWING-TIES �►' w 4 : , TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM •DESCRIPTION HC1 HC2 HC3 HC4 • `. I PERC NO. 12863 APPROPRIATE AUTHORITY. r • � ` � ' ' . ' �► // INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS SEPTIC COVER IN (1) 15.0' 22.7' - - ' �� 1��. It LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE �. • ✓'4.i� EVALUATOR: Michael Pimentel, E.I.T. THEY SHALL WITHSTAND H-20 LOADING. SEPTIC COVER OUT(2) 16.4' 13.2' - - `- r, > ' �`�`''�a81W IL, .,,. C.S.E.APPROVAL DATE: Oct. 1999 ` �'• .a 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. ' •� � BIODIFFUSER CORNER(3) - - 24.6' 61.2' DATE: March 15,2010� � • � _._ Y • f *ti* TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE BIODIFFUSER CORNER(4) - - 19.4' 33.4' w_ . ' • �' ' � MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. • a �: • * y. ELEV TOP= 34.40' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, BIODIFFUSER CORNER(5) - - 29.3 34.9 � FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).+c+ • * ~ '!� ", • *' ' ELEV WATER= <23.57' BIODIFFUSER CORNER(6) - - 30.8' 64.1' `� a �.�*� • •" �s . w♦ • �! ' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN W 7 ' f� •. + + • • • • .y� PERC RATE _ <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. Benchmark �a A• • + :� • +' •M • • •��'• DEPTH OF PERC= 48"-66" - , 1N • • + -1>, ♦ 16. PROPOSED PROJECT IS LOCATED WITHIN: MAP 140 Nail Set in Stump C14L ,+ 5,+ # 0 '� N �►PROPOSED Elev. =35.00' Y y ){ 1ti * • " I! ♦ -�. TEXTURAL CLASS: 1 ASSESSOR'S MAP 140 PARCEL 32 LOT 31 + •+ • • `� • _ DISTRIBUTION BOX A rox. M.S.L. O + • • • + 4110 CB/DH (FND) o �� • r g OWNER OF RECORD: JAMES 8�JAQUELINE NADILE PROPOSED 40 MIL Z GEOMEMBRANE LINER --X-X-X- - 1©f a It • %�• •� •`� LOCUS �� " ADDRESS: 52 SUSAN LANE __- 1 ,, 3°22'30"E - - - - -X X a fK o ' q:_ . xi * • * • a �r • 0 Fill 34.40 N8 MERIDEN, CT 06450 �\ r1Nl , • X + _ -- - 90.00 LSA 'J NBCk • *. •+ A24" Loamy and 32.40' _ r ` �"; FEMA FLOOD ZONE C �_ 1 " OYr 3/1 31.90 _ _ _ B Y COMMUNITY PANEL# 250001 0016 D • -" - � 1 X � ,. -- N'o Loam Sand I 0i 5' RHODY 1 X s I \ =' °� 48„ 10Yr 5/6 30.40' 17. DEED REFERENCE: BOOK 10640, PAGE 284 2 X a �.-.. Sew ✓ . Perc (6) (3) �f J x ° err _ - - 66" .' 28.90' 18. PLAN REFERENCE: PLAN BOOK 125, PAGE 63 1 0.0 r / X r C3 `=' * 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 1 ' -35- • f �r 1 � TP 1 -� x . * fj! d _ .*" .+` 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 34.4 / ' ri �"'* , - + Medium SandFOR SEPTIC SYSTEM UPGRADE. JC ENGiNEERING WILL NOT ASSUME A"'.l.MIL%TY • s / , "° , C-1 2,5Y 6/6 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. PROPOSED TOTAL 19 ARC 36HC (#3616BD) H-20 BIODIFFUSERS IN A ' + " '' „� :��'•. 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.404 THE FOLLOWING LOCAL UPGRADE TP 2 FIELD CONFIGURATION = 15.9' ' �� ''''• • /1 .� /Nk'. <"ti 34.5 APPROVAL IS REQUESTED FROM 310 CMR 15.211: PROPOSED 1500 1 0 ` (2) GALLON SEPTIC TANK 26 07, 1). A 4.1'VARIANCE (20.0'- 15.9')FOR THE SETBACK FROM THE PROPOSED LEACHING b 100" FACILITY TO THE FOUNDATION WALL. HC2 i LOCUS PLAN Fine Sand 2). A 1.5'WAIVER(3.0-4.5')FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. o O b I 15.9 HC3 X EXISTING CESSPOOL TO BE C_2 PUMPED, FILLED WITH CLEAN 2.5Y 7/1 ' ILSA >c SAND AND ABANDONED SCALE: 1"= 1000' 130"1 23.57' PROPOSED INSPECTION PORT WITH 10.0' (1) x No Mottling, Standing or Weeping Observed ACCESS BOX TO GRADE (TYP OF 3) -_- 1 e x o DESIGN DATA TEST PIT DATA LEGEND �' PERC NO. 12863 £ I #146 C/O CID 50x0 EXISTING SPOT GRADE (4y EXISTING x o INSPECTOR: David W.Stanton, R.S. I (5) EVALUATOR: Michael Pimentel E.I.T. 3-BEDROOM LSA MAP 140 NUMBER OF BEDROOMS (DESIGN) 3 - - - 50 - - - EXISTING CONTOUR x m 1 DWELLING BH x o LOT 45 DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E. APPROVAL DATE. Oct. 1999 it<n� = TOF - 36.6'± HC1 I TOTAL DESIGN FLOW 330 GAUDAY �� PROPOSED CONTOUR 1 - x DATE: March 15 2010 - EXISTING UNDERGROUND UTILITIES / DESIGN FLOW X 200 % = 660 GAUDAY TEST PIT#: 2 PROPOSED PVC VENT PIPE; LOCATION x USE PROPOSED 1,500 GALLON SEPTIC TANK GAS - - EXISTING GAS LINE TO BE DETERMINED BY OWNER o w w_______ -.-------- x ELEV TOP= 34.50' W W----- EXISTING WATER LINE £W___ �----W__---- `IGHT POST ELEV WATER= <23.6T TEST PIT LOCATION ` 1 \ z PERC RATE = HC4 x INSTALL 19 ARC 36HC (#3616BD) BIODIFFUSERS (H-20) CP EXISTING CESSPOOL Cn `� rn MAP 140 X DEPTH OF PERC= •- o w.°► LOT 32 C \ o ca \ X SYSTEM CAPACITY 0 c TEXTURAL CLASS: 1 O O O PROPOSED 1,500 GALLON SEPTIC TANK 0 \ 9,000 S.F. `v ICI X (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD - 1 \ / \ (95.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 337.4 GAL. LEACHING/DAY PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE X 0" 34.50' Fill p PROPOSED DISTRIBUTION BOX 24" 32.50' GARAGE x TO TOTAL NUMBER F BIODIFFUSERS: 1 Loamy Sand PROPOSED ARC 36HC (#3616BD)BIODIFFUSER(H-20) 4 I xO9 A Yr 1 �I� X TOTAL NUMBER OF COUPLINGS: 0 30" Loamy Sand 32.00 a Oi BIT. DRIVEWAY TOTAL LEACHING AREA: 455.9 48" 10Yr 5/6 30.50' 1 = / TOTAL LEACHING CAPACITY: 337.4 j m REV. DATE BY APP'D. DESCRIPTION PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR: In /� v g83°22'30"W C-1 Medium Sand cal 2.5Y6/6 CAPEWIDE ENTERPRISES m 90.00' OI - MAP 140 NOTE: LOCATED AT 1<1P - LOT 33 EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE 26 17' 146 SCUDDER ROAD m DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER 100" m "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED Fine Sand OSTERVILLE, MA DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED JUNE 30, C-2 2.5Y 7/1 --_.--------- � =� NOTES: 2009). TRANSMITTAL NUMBER=W000052. 130" SCALE: 1 INCH 10 FT. DATE: MARCH 15, 2010 23.67' 0 5 10 20 40 FEET 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF No Mottling, Standing or Weeping Observed � zHCW ago clink��i NF PREPARED BY: EACH SEPTIC SYSTEM COMPONENT. RESERVED FOR BOARD OF HEALTH USE JR. JC ENGINEERING, INC. IVIL 41 07 2854 CRANBERRY HIGHWAY 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST AL EAST WAREHAM, MA 02538 SITE PLAN PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL I 508.273.0377 _ JOB No. 1775 BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. - T-- _- SCALE: 1"= 10' Drawn By: BSM Designed By:MCP Checked By:JLC i