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HomeMy WebLinkAbout0340 SEAPUIT ROAD - Health (2) 340 SEAPUIT ROAD, OSTERVILLE A= 095 010 i 1 R No. 960 g " �1 7{7 ''�1 �1 Fee CI THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppfication for bisposal bpstem Construction Permit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 3 14�o Se,4.� Owner's Name,Address,and Tel.No. wGl l t\ Assessor's Map/Parcel S /p a tC4" Installer's Name,Addressi and Tel.No. �,cERp�v ale �,s, Designer's Name,Address,and Tel.No. -7,C,, 3 7 7 Type of Building: r t Dwelling No.of Bedrooms G p Lot Size d� — sq.ft. Garbage Grinder( ) Other Type of Building >�Lt�l,,� ,�,g w.ti No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) - gpd Design flow provided S$q .40 gpd Plan Date l 0 Number of sheets Revision Date Title 3 ` Q Size of Septic Tank I S'0® Type of S.A.S. S S 14S Ve�Lk S (/4) -Z cj k0". Description of Soil ^ u 'f, ZZ O Nature of Repairs or Alterations(Answer when applicable) (AA4 -G L`eSS o �b l 6� rYl — 7 3 C2 rj- .cSz,� Date last inspected: 7�p dF 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 1 �?�®�s Application Approved by Date 1 0— 27-©1 Application Disapproved by Date for the following reasons Permit No. �0 j '' ��S Date Issued 16 V7 '�ti:;.-� -: `r�...c- .,. .. y- ;, �;3r„ _ Y .. :,,,",,. � --t,t ..i.-`�- � �,a.•wi.,,...c-�sr'gH y.-,.s�.� No. Poo 8 -1 56 �,,1i f , -• .` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for IDisposad 6pstem Construction Vermit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 3�1co Sew,�•T fLo a� Owner's Name,Address,and Tel.No. 194, , # GI iiv,5 wGl t t�\ _ Assessor's Map/Parcel S- 1 p Installer's Name,Address,and Tel.No. _ C:Q p¢w;�,IP C'71 ,rP.,'.; Designer's Name,Address,and Tel.No. 'S.C Eltj , Type of Building: LL� d Dwelling No.of Bedrooms J Lot Size CJ o0o — sq.ft. Garbage Grinder( ) Other Type of Building J lZ j w g w.� No.of Persons r Showers( ) Cafeteria( ) Other Fixtures t Design Flow(min.required) 'SSO gpd Design flow provided Egg .(. gpd 1 Plan Date l fJ '23-Zoe Ti Number of sheets Revision Date 1 Title 3 '-to Size of Septic Tank ISOO A Type of S.A.S. ��C�SS �f�+acS �/L� t4-20 Description of Soil p /fIau ( Nature of Repairs or Alterations(Answer when applicable) (j D q(4dc _G r L`GSS>Doe L> �b ( 5�a rF1 TWA,." 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. / Signed Date 10 2"1 ' r2-"�6 Application Approved by Date l 0— 2 7-D K Application Disapproved by Date for the following reasons Permit No. a 0 O L l S Date Issued 16-;-7— D THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS VO� Certificate of Compliance THIS IS TO CERRTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by ( _ �t� 4.'t't,Lvp,/��tS at 3(4 D n4 e";� " 6)twt i kl a has been constructed in accordance with the provisions of Title pp 5__and the for Disposal System Construction Permit No.loot dated 1 d " 7 7' OR, Installer ,�.tl�-� �('pr1>CJ Designer 5•L. 1 t a.¢Q1,1 #bedrooms Approved design flow gpd w The issuance o this pe shall of be construed as a guarantee that the system wh l�f inc ion as desi ned' a A Date ._G�/r./`� _. _ _ ' Inspector /� 9 .lA.,���/% i - - ' ------------------------ --------------- ------ ---- ---- --_ --------------------- No. o d UO ^q-i b E tf Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Zisposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair(A Upgrade,( ) Abandon( ) System located at 3`7 o 5 2A.Qv, pa 1 1 C..ej aLt ®S T�,�\k P s 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 permike� Date )-7`o Approved by e town of barnstabie Regulatory SeryIces Thonias F. Griler Director iMbsq PUbIir Health 1YI31UI1 Thoni s McKee` n; Director 200 Main Street,HY:anals,MXQ2601 i Office; 548.8t2�4644 Fax 508.790-6304 Installer &Desil a fort'ificatfo�p m Date: 10- Desig�1er: �C G5 ;VO4 : ltnis#alter: ,.,� C►1�Cr fiat°5 ' Address: 26-V-1 Cd'anbrrf t1u j Addres : -7co3 i On�(o�-z7- 2ooj � 0 CL l t wA5 32 ( ate) --��--� �..- �. -- issued"a permit to install a (ins#alter) septic system ratQ _ ea{aa, r 'kZonc� i. ,based (hddress) I Qn a design drawn by '`�-roc dated Ocko�oec 23 l eU 6" I certify that the septic sys�t.em referenced above!was installed substanti the dens a]ly according to gn, which may inolude nrninor approved charges;such as literal relocation of the i distribiatiorn box and/or sepia tiAnk. ; . I certify that the septic system referenced above was.it stajled� with tnAjor changes (i. ,greater that 10' lateial relocation of the.SAS or,any vert%cal'relacatiora of any component of the septic system) but in accordance with State & LoCal ]regulations. Plan revision or certified as-built by designer to follow, -jN CIF Al An i -( liar's Sa aturej' CHUP •Its' i A >t107 1 r (Desipdr s tgi e)'_ Affi' qsi finer;a amp ere) PLEASE TO ' Rh1AT p I HE F N• E FI �L ILL RUILI CAR r i HANK 3 OE. � U ID I C . Q Health/Septic/Nsignt r Certification Form ,. t i lw 'd 49£0 £ZZ 80S DNI�133N,IDN�3!` Wd 6Z:Z0 800Z-i£-1o0 Town of Barnstable ble P# a � Department of Regulatory Services, BMW9rA8M : Public Health Division ' Date 200 Main Street,Hyannis MA 02611 /0* , i N Date Scheduled b Time' / Fee Pd. Soil Suitability Assessment for Sewage i osal E G Performed By:. V c6e( (r a'.1k j, C Z(I C S C Witnessed By: j j o LOCATION & GENERAL INFORIY TION Location Address 3L1 o Sew P,,,T 2m" Owners Name C4/1's 194. 1 1✓-e 1CL, Address 3-jo Assessor's Map/Parcel: 0 9 En ineer's Name NEW CONSTRUCTION REPAIR v Telephone#.Svc I-{2$ Land Use '9d10&4()A_ Slopes(%) y-+S ° Surface Stones NIA Distances from: Open Water Body ft Possible Wet Area�ts0 ft Drinking Water Well �tSA ft >tp Drainage Way 'A(� ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) .�SEE A rAWED ?�-A� T Parent material(geologic) OU1WASH Depth to Bedrock Depth to Groundwater: Standing Water in Hole: �ZO,$'�D�' Weeping from Pit Face > Estimated Seasonal High Groundwater > 170rB �•� DET RMINATION�"OR SEASON�A�:Y�IOH`WATER�'�►�� Method Used: �� � 0BStA4 And Depth Observed standing in obs.hole: tio� �"5' in. Depth to soil mottles: atZO�B•S'' in. Depth to weeping from side of obs.hole: >twl,_ ' 1a Groundwater Adjusttnetit bl lA ft• Index Well# Reading Date: Index Well level . _ Adj.factory Adj,Groundwater bevel ILLNCOUT ON. ESQ 1D to tolz3ja� Time J. :'2��}. Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch CP) Site Suitability Assessment: Site Passed t/ Site Failed: Additional Testing Needed(Y/N) /y Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SEYnC\PERCFORM.DOC r DEEP OBSERVATION HOLE LOG Hole# a Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 0-� A 14may 50V 10 YL a 1, w- B WANY t YQ.'sI$ C-► moon 37&V Lis', I ppSE 8o"-Iw� C-z File sanro 2.5Y`l� vAa►c�grEo Cato�s DEEP OBSERVATION HOLE LOG H616# 1- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 0-'4" A WON SRND eo Ye aIt *e> LaAmy SAW tb YQ 5� C--t moom Nria 2 SY 4�6 t OOSE IIA� �'2 SINE �1 2 5'f GI6 UAOU LO'S DEEP'OBSERVt�TTON HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel 11 DEEP O$SERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other ( Surface(in.) (USDA) (Munsell) MottlingStructure,Stones,Boulders. Consistency, Gravel) Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No ✓ Yes- i� 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? YEs If not,what is the depth of naturally occurring pervious material? Certification I certify that on to-21.9y (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 an experience described in 310 CMR 15.017. Signature Date IJ"L3-0 j M1 Q:\SEPTIC\PERCFORM.DOC i -ter --- 4 09 BORTOLOTTI.CONSTRUCTION, INC. 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 jk 1 V. 508-771-9399 508-428-8926 FAX: 508-428-9399 t� '09 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A Sa CERTIFICATION Property Address: I'A Date of Inspection: - ' Inspector's Name: er's Name and Address: / e CERTIFICATION STATEMENT: I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the time of inspection. The inspection was per- formed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The System: V Passes Conditionally Passes Needs FurthejEluationB th Local Aproving Authority Fails Inspector's Signature: Date:_a X1%>1��' The System Inspector hall submit a copy of this inspection report to the Approving authority within thir- ty(30)days of complO*g 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 sliall submit the report to the appropriate regional office of the Department of Envirouniental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION Si MMARY• A)SYSTEM 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. x: B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or repaired. The system,upon comple- tion of the replacement or repair,passes inspection. Indicate yes,nor,or not determined(Y,N,OR ND).Describe basis of determination in all instances. If not determined",explain why not. The septic tank is metal,cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is irnminent. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health. '} Sewage backkup 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): I ,.,: 7 Ty SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM n • , PART A CERTIFICATION (continued) ter: rr�9 Broken pipes)replaced ` Obstruction is removed s Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). x`N The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed K. r C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: a 11 rr 1�i}V Y Conditions exist which require further evaluation by The Board of Health in order to determine if h t, the system is failing to protect the public health,safety and the environment. xti�tA k;, 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THEt; SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: ` Cesspool or privy is within 50 Feet of a surface water 161�f3 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 IF APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- SUPPLIER, ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE +< s > 6, s ENVIRONMENT: ' The system has a septic tank and soil absorption system and is within 100 Feet to a surface water+supply or tributary to a surface water supply. n The system has a septic tank and soil absorption system and is with a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 Feet of a privatez water supply well. "c The system has a septic tank and soil absorption system and is less than 100 Feet but 50 Feet or more from a private water supply well unless a well water analysis for coliform' P PP Y bacteria and volatile orga►uc compounds indicates that the well is free from pollution from �a, the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less n' than 5 ppm. r D)SYSTEM FAILS: ta..4v S I have determined that the system violates one or more of the following failure criteria as defined ,;. in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. „ r Backup of sewage into facility or system component due to an overloaded or clogged SAS. „4 or cesspool. f Discharge or ponding of efluent to the surface of the ground or surface waters due to an p+t ' a^ ' � overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clog- ged SAS or cesspool. kth Liquid depth in cesspool is less than G below invert or available volume is less than 1/2 , k= day flow. Required pumping more than 4 times in the last year N 1 due to clogged or obstructed pipe(s). Number of times pumped -2 •r);%S < r 9nYrt� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Any portion of the Soil Absorption System,cesspool or privy is below the high'groundwater elevation. Any portion of a cesspool or privy is within 100 Feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds,ammonia nitrogen and nitrate nitrogen. E)LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above: The design flow of a system is 10,000 gpd.or greater(Large System)and the system is a significant 'f ; threat to public health and safety and the environment because one or more of the following j . conditions exist: 't 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 (IW,P�k)or a mapped Zone II of a public water supply well. _ The owner or operator?pf any such system shall bring the system and facility into full compliance with the:-` groundwater treatment pzogram requirements of 314 CMR 5,00 and 6.00. Please consult the local regional office of the Department for further information. 1. { . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM r s PART B :: ; CHECKLIST ` Check if tJie following have been done: 11 Pumping information was requested of the owner,occupant,and Board of Health. 3 Kone of the system components have been pumped for atleast two weeks and the.system has. > been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _�ZAs-built plans have been obtained and examined. Note if they are not available with NIA: The facility or dwelling was inspected for signs of sewage back-up: rt_ (-The system does not receive non-sanitary or industrial waste flow. /,-The site was inspected for signs of breakout. oz , . I system components,excluding the Soil Absorption System,have been located on site: ' t' _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was in t,. spected for.condition of baffles or tees, material 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 approximated by non-intrusive methods. < ,py p: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B ' CHECKLIST(continued) 1/ The facili owner and occupants,if different from owner were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL: {a,; Design Flow: gallons Number of Bedrooms: Nw i cr of Current Residents: Garbage Grinder: Laundry Connectcd To System: Seasonal Use: Water Meter Readings,if a ilable: „ r Last Date of Occupancy: ter-rev?V-1- COMMERCLAL/1ND 1ST 1AL._/A//6 Type of Establishment: r ` Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tank Present: charged To The Title V System: Non-Sanitary Wasted of* F Water Meter Readings;If"Available: Last Date of Occupancy: OTHER: Describe) Last Date of Occupancy: GENERAL IN RMATIONCn ' PUMPING RECORDS and source of-informat' n: D )� System Pumped as part of inspection:N6 if yes,volume p ped: gallons , Reason for pumping: ; t , TYPE OF SYSTEM: Septic Tank/Distribution Box/Soil Absorption System YatiR�� �ingle Cesspool Overflow Cesspool Privy ed System(If es,attach previous inspection recof ds ' Other(explain): P OXIMATE GE of all compo ents,date installed(if known)and source of inf r�n:_ � 601 Sewage odors detected when arriving at the site: fryyl. -4- 3 k SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK:_ Depth below grade: Material of Construction: concrete metal FRP Other (explain) Dimisions: Sludge Depth: Scum Thickness: Distance from top of sludge to bottom of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) y GREASE TRAP: Depth Below Grade: Material of Constructiou:_concrete metal_FRP_Other'' ,r ti (explain) Dimensions: Scum Thickness: Distance from top of scum to top of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage,etc.) TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction:_concrete_metal FRP_Other(explain), a• �3vtr Dimensions: Capacity: gallons Design Flow: gallons/day # ,hNr Alarm Level: ;;, y{ £ ,' �f , Comments: (condition of,inlef tee,condition of alarm and Moat switches, etc.)" ` ;, ; „}•��, 4 _ f DISTRIBUTION BOX:Al Depth of liquid level above outlet invert: k rug _ Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) PUMP CHAMBER: 4 .t aJ iS i Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) ra r , r m'X SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ;y SYSTEM INFORMATION (continued) SOIL ABSORPTION SYSTEM(SAS): (Locate on site plan, if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: � n s. Type: Leaching pits,number: Leaching chambers, number: Leaching galleries,number: Leaching trenches, number, length: si k Leaching fields, mber,dimensions: xM nu Overflow cesspool,number: { Comments: (note condition of soil,signs of hydraulic failure leveLofvonding,condition of vegetation, ¢a etc.) GZ eCJ h x ' rpr,�z e 1611 4 1+Sjt Z, M1 CESSPOOLS: Number and configuration: - LeYS' Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool: w Materials of construction:(,",Y �liidication of groundwater: Inflow(cesspool mustbo pumped as part of inspection) Comments: (note condition of soilk, signs of hydraulic failure, level of ponding,condition of ve etation, its r �u et .)*1 SS d d G,/1 b &" el" VUCAs 9f 5 4 "r rj t R7 //27 n d `)1 PRIVY: Materials of construction: Dimensions: rxe Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, { �' etc.) ; Mp�Jk�f�kY� `fix f �hF F� F� l; e -G- °r r k til to x ♦ fit_ t.. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) SKETCH OF SEWAGE DISPOSAL SYSTEM. Include ties to atleast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet. x _ 77 DEPTH TO GROUNDWATER: Depth to groundwater: Feel Method of Determination or Approximation: s - .. -. >. S 'w._•♦s �e / 4 Pf.♦-w SIN �.. T..'•� � Tte���: TOWN OF BARNSTABLE 1,4 ATION 3L(C) YZJ SEWAGE#' � 45G "vILLAGE r)Ck v t ASSESSOR'S MAP&PARCEL 9-57� �U INSTALLERS-NAME&PHONE NO. Cff-QL'3 LdJz' ' 2-$ .y 6 Z SEPTIC TANK CAPACITY /J—Q C) 1-t 2-0 LEACHING FACILITY-(type) 3 v 4' (size) 3-j"5—n NO.OF BEDROOMS // S OWNER ® l�LA2S ar+1' PERMIT DATE: 10-2'7 - Zoo$ COMPLIANCE DATE: 1c��a✓� ' 2�®.� Separation Distance Between the: r Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ° Of Feet Private Water Supply Well and Leaching F.aci.lity.(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 E N Cw VI :j d 6 a _ �1 TOWN OF BARNSTABLE 0CATION�3�0 d SEWAGE # `3'VII.LAGE /�� ASSESSO 'S MAP &LOT 095-Orb �U e_ NAME&PHONE NO.Z2k/' h r o ��rxt SEPTIC TANK CAPACITY /� LEACHING FACILITY: (type) peels 62-) �/S (size) NO.OF BEDRO S BUILDER R OWNER Qe%� PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: i Maximum Adjusted Groundwater Table and Bottom of Leaching Facility `� Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching faci ' ti Feet Furnished bQL.-r�� cs 6� pV - ----------- ------ TOP OF FOUNDATION = 40.2'+ INISH GRADE OVER D-Box= 36.0'+- FINISHED GRADE OVER SAS= 34.50' - 37.33' PROPOSED VENT WITH CHARCOAL GENERAL NOTES FILTER TO ABOVE GRADE PROVIDE CONC. RISER WITH COVER OVER INLET &OUTLET FINISH GRADE OVER TANK EL.= REMOVABLE COVER OVER RISER TO UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISHED GRADE TO WITHIN 6"OF F.G. WITHIN 6"OF FINISHED GRADE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL 37.0 ± @ FOUNDATION = VARIES 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.)- 36"MAX. ' - - i ACCESS PORT WITH BOX TO F.G. ACCESS PORT WITH DESIGN ENGINEER. EXIST. SEWER PIP"' 9"MIN. 9"MIN. SEE NOTE#21 (ONE PER TRENCH)- BOX TO F.G. (TYP) 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 36"MAX. TOP OF BIODIFFUSER& BREAKOUT= SYSTEM UNLESS OTHERWISE NOTED. MIN.SLOPE Q 1% 6'@ 3" 2" DROP MIN. F PROVIDE WATERTIGHT 32.33 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 3-DROP MAX. 3" 9" MIN.SLOPE @ 1% ELEVATION =32.33' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A PROP. 4" PVC IN FROM 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF PVC J Ll`et::��-JOINTS (TYP.) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. SEWER. 14" SEPTIC TANK 4"PVC OUT TO F73 L 1.33' 16-(TYP) 2.75' • T LEACHING FACILITY 0.94 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 11.3"(TYP) 34.5'± .33.00' 12" 31 .941 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. T 48" OUTLET TEE 32.27' MIN. 32.10' BOTTOM 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 6" CRUSHED STONE 31 -nn- FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS ZABEL FILTER MODEL A`1801-4x22 OVER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 14.8'TO FND- (GAS BAFFLE ON BOTTOM) 3 COMPACTED BASE 6.25'(75-) EFFECTIVE LENGTH (TYP.)- MIN. 2.83'(34") --5.66'-- 2.83'(34") AND DESIGN ENGINEER. 6" CRUSHED STONE OUTLET DISTRIBUTION BOX 50.0' FOR BOTH TRENCHES 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 40.00'ESTABLISHED OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE 11.32* ON A HYDRANT BONNET BOLT AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 24.50' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. BIODIFFUSER PROFILE VIEW BIODIFFUSER END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10' 6' WIDTH 5' 87 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) DISTRIBUTION BOX DETAIL H-20 16" HIGH CAPACITY ADS (#1600BD) BIODIFFUSERS DETAILS TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY PLEVATION' NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. --------- 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 MAP 96 APPROPRIATE AUTHORITY. C PARCEL N84"54`46"E --------- f PERC NO 12395 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS 00 LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE INSPECTOR: Donna Z. Miorandi, R.S. THEY SHALL WITHSTAND H-20 LOADING. EVALUATOR: Michael Pimentel, E.I.T. ZONE 2 DATE: October 23, 2008 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. MAP 95 TEST PIT M 11 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE PARCEL19 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. 'A/ ELEV TOP 37.00' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, o ELEV WATER= <27.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). D ° d` '�' , ` � ' 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN PERC RATE <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. DEPTH OF PERC 28 ,-46" LO " 16. PROPOSED PROJECT IS LOCATED WITHIN: z MAP 95 g3 TEXTURAL CLASS: I ASSESSOR'S MAP 95 PARCEL 10 PARCEL 10GB/DH 0'jj OWNER OF RECORD: CHRISTOPHER D. &PAMELA K.WELCH 0 0.0 Islanfu 37.00' ADDRESS: 340 SEAPUIT ROAD ir 1%Benchmark Loamy Sand OSTERVILLE, MA Hydrant Bonnet Bolt A 1 OYr 3/1 36.67' Elev. =40.00' 4" FEMA FLOOD ZONE C Approx. M.S.L. COMMUNITY PANEL# 2500010018 D Me Loamy Sand B PROPOSED PVC VENT I OYr 5/6 co I-0 MAP 95 0 =) 1*11 , n4 17. DEED REFERENCE: L.C.C.#142001 0 y PIPE; EXACT LOCATION PARCEL 20 ",�PER OWNER 28" 34.67' < LO 18. PLAN REFERENCE: L.C. PLAN 5725-V I (%SHELL DRIVEWAY Perc W 0 z a EXISTING CESSPOOL& 46" 33.17' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. o o 32' IL 3. N­L 1. LEACHING PIT TO j3E C) N21o31'51"W Cn 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY (126 PUMPED AND REMOVED IIN Medium Sand 8.02' W :S 04:0 3.9' .66 0 ACCORDANCE WITH TITLE V C-1 2.5Y 6/6 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY W 2 ■ • FOR USES OF THIS PLAN OTHER Tk-�AN I"'S WTTN?CO--URPOSE. (Loose) TP1 3700 21. IN ACCORDANCE WITH 310 CMR 15.401 - 15.405,THE FOLLOWING LOCAL UPGRADE o L 80" 30.33' APPROVAL IS REQUESTED FROM 310 CMR 15.211: PROPOSED ACCESS PORT (TYP OF 2) GARAGE 1.) A 2.0'(5.0--3.0')WAIVER FROM MAXIMUM COVER OVER PROPOSED LEACHING FACILITY. ­: Po Fine Sand PROP. 16 - H2O 16" HIGH CAPACITY TP2 L J, 34.50' P LOCUS PLAN_ C-2 2.5Y 6/6 r INDEX PLAN ADS (#BD1600) BIODIFFUSERS 1� PROP.90'LONG SWEEPING (Variegated Colors) SCALE: 1"=80' 5 BEND w/C/O SCALE: 1"= 1000' 120" , 27.00' LP C CID No Mottling, Standing or Weeping Observed ---------------- ---------------- 000 DESIGN DATA TEST PIT DATA LEGEND 14 5) 6) 12395 NUMBER OF BEDROOMS(ASSESSOR) 5 PERC NO.INSPECTOR: Donna Z. Miorandi, R.S. 50xO EXISTING SPOT GRADE MAP 95 NUMBER OF BEDROOMS (DESIGN) 5 EVALUATOR: Michael Pimentel, E.I.T. 50 EXISTING CONTOUR GC-1 PROPOSED DISTRIBUTION BOX- PARCEL 10 DESIGN FLOW 110 GAUDAY/BEDROOM PROPOSED 1,500 GALLON SEPTIC TANK- 88,004 S.F.± TOTAL DESIGN FLOW 550 GAUDAY DATE: October 23, 2008 50 PROPOSED CONTOUR GARAGE DESIGN FLOW X 200 % 1100 GALIDAY TEST PIT M 2 E/T/C EXISTING UNDERGROUND UTILITIES USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV TOP= 34.50' PROPOSED SEWER PIPE TO BE ELEV WATER= <24.50' -W-W EXISTING WATER LINE #340 SLEEVED 10' EACH SIDE OF Cl) GC- CO 00 EXISTING WATERLINE CROSSING AS SHOWN PERC RATE CD TEST PIT LOCATION (y) 5-BEDROOM INSTALL 16- H2O 16" HIGH CAPACITY ADS (#BD1600) BICIDIFFLISERS DWELLING DEPTH OF PERC 3) 2) 1) .I r/DH TOF 40.2' ± SYSTEM CAPACITY TEXTURAL CLASS: 1 CP EXISTING CESSPOOL (4y\ 0 EXIST.PLUMBING TO BE PROPOSED 1,500 GALLON SEPTIC TANK 0 PROP.C/O. REPIPED TO EXIT (TOTAL LINEAR FEET OF TRENCHES)(7.90 SF/LF)(0.74 GPD/SQ.FT.)= GPD (TYP OF 3) HOUSE HERE, (100.00')(7.90 SF/LF)(0.74 GAUSQ.FT.)= 584.6 GAL. LEACHING DAY HCA INV.=37.5'± A 0" Loamy Sand 34.50' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE 1 OYr 3/1 TOTALS: - 34.17' ❑ PROPOSED DISTRIBUTION BOX 4 W 4-\ B Loamy Sand PROP. H-20 16" HIGH CAPACITY(#1600BD)BIODIFFUSER F--1 GARDEN TOTAL NUMBER OF BIODIFFUSERS: 16 1 OYr 5/6 z APPR X.ONLY 4-, LU > TOTAL LEACHING AREA: 790 SQ.FT. ' w TOTAL LEACHING CAPACITY: 584.6 GAL./DAY28" 32.17 > < CL REV. )ATE BY DESCRIPTION #340 "o- �,� PROPOSED SEPTIC SYSTEM UPGRADE EXISTING wl Medium Sand 5-BEDROOM 0 EFFECTIVE LEACHING AREA OF 7.90 SF/LF OBTAINED FROM THE C-1 0 2.5Y 6/6 PREPARED FOR: DWELLING I (Loose) LU DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER TOF = 40.2' +- C "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TOro '4LJRCI`flLL m CAPEWIDE ENTERPRISES iv "-----EXISTING CESSPOOL TO ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003(LAST 80" -3 - 27.83 MODIFIED JULY 23,2008). TRANSMITTAL NUMBER W000052. No 4 fl,7 BE PUMPED AND FILLED WITH CLEAN SAND LOCATED AT SWING TIE MEASUREMENTS I k 60 Fine Sand 340 SEAPU IT ROAD --�? 4� C-2 041-- 2.ted Y /6DESCRIPTION GC-1 GC-2 HCA CO (VariegColors) OSTERVILLE, MA 0 SEPTIC COVER IN (1) 22.5' 17.9' z 120", 24.50' SCALE: 1 INCH 20 FT. DATE: OCTOBER 23, 2008 0 10 20 40 80 FEET SEPTIC COVER OUT(2) 23.0' 23.6' No Mottling, Standing or Weeping Observed PREPARED BY: BIODIFFUSER CORNER(3) 43.6' 27.5' RESERVED FOR BOARD OF HEALTH USE JC ENGINEERING, INC. BIODIFFUSER CORNER(4) 49.4' 36.4' 2854 CRANBERRY HIGHWAY BIODIFFUSER CORNER(5) 31.1' 43.4' NOTE: EAST WAREHAM, MA 02538 BIODIFFUSER CORNER(6) 20.8' 36.2' :--::] SITE PLAN 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG 508.273.0377 i i - I SCALE: 1 20' THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. Drawn By: BSM Designed By:MCP Che�ed By:JLC JOB No.1509