HomeMy WebLinkAbout0016 VAN GOGH DRIVE - Health 15 Van Gogh Drive
Osterville.
A= 146 - 126
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TOWN OF BARNSTABLE
LOCATION (to iAtJ Goe&4 OR SEWAGE# A019 —q f3
VILLAGE ®S ASSESSOR'S MAP&PARCEL m
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INSTALLER'S NAME&PHONE NO.CAei UJk0GAo .T n Ojik q,0
SEPTIC TANK CAPACITY ,600 C—,A,dLc.ON.r
LEACHING FACILITY. (type)Ca) 500 9AC,q (j 'Qsize) i-.x,Ts r �S
NO.OF BEDROOMS I
OWNER- M M(E / PATML y A 1'-[a4M N
PERMIT DATE: COMPLIANCE DATE: JO -;Lq- ;10 iq
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility NIA Feet
Private Water Supply Well and Leaching Facility(If any wells exist on l/
site or within 200 feet of leaching facility) NIA Feet
Edge of Wetland and Leaching Facility(If any wetlands exist-within o
300 feet of leaching facility) Feet
FURNISHED BY dAV C-U `0 r"PP_-_XT og- !za e
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No. 9/ o 0 �'/ Fee V V
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THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01pplifation for Nspo8al *pstrm cunstruttion VErmit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. `(p � ' Owner's Name,Address,an Tel.No.
Assessor's Map/Parcel j ��� k� ������ ���LWS �l�
Installer's Name,4ddress,and fel.No. Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size `L sq.ft.' Garbage Grinder( )
Other Type of Building 1' Mb&1 11jf,No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided 3(`i.C(, gpd
Plan Date ty —a)"JM f Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S. (A)Nno G*U au [asc
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 56 6Y,, rrg_& I1Q p® (M $
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
Application Approved by Date 10 ^�
Application Disapproved by Date
for the following reasons
Permit No. Date Issued f 0 ^
K No. �, Fee
THE COMMONWEALTH O MASSACHUSETTS Entered m computer:
PUBLIC HEALTH DIVISION ::TOWN OF, BARNSTABLE, MASSACHUSETTS Yes
ftplit'ation for Disposal 6 stem Construction Vermit
Application for a'Permit to Construct( ) Repair( Upgrade( ), Abandon( ) ❑Complete System ❑Individual Components
LocationWdress or Lot No. (G V40 e-" b1L Owner's Name,Address,an4 Tel.No.
�\ / ( �C�F-0 �X4�lMlls P, rao—,/A Mr$ !V
Assessor's Map/Parcel 1 C6 rem �, t OS?-
Installer's Name, ddress,and el.No. 561-(}2 '')- 711 Designer's Name,Address,and Tel.No. S4 •��3•0 3 7 r
C��,tiL'wlD��l�0e�7 1A lWl
Type of Building: -
Dwelling No.of Bedrooms Lot Size L sq.ft. Garbage Grinder
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided `�'� gpd
-~-`Plan. Date V,``a�".1-iD f q Number of sheets
� � �-( Revision Date
{ _Title a G.<.k.� .
A Size of Septic Tank p Type of S.A.S.CA 500 G26f4blu 6644"i9t1c
Description of Soil 164 664AS C4i : P �% ,
y
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Nature of Repairs or Alterations(An wer when applicable)_ U Si . - � S T!d[_! U® 66'P�ft C_ ` i
,U -1A6 K
Date last inspected: ..i ._.•�_ E '-
Agreement: � "
The undersigned agrees"to--_eiisare•the c nst?b ion 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 16->C? "—Loe
--..°a�-ApplicationApproyed y _.- -:�
b -Date
Application Disapproved by `/ ' Date
for the following reasons
Permit No. 6 Date Issued to-
t
THE COMMONWEALTH OF MASSACHUSETTS j
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X Upgraded( )
Abandoned( )by � Lt1lDE/ b�.t 02-7 V FL Q1_6
at I(p I( *j -D;L 6A7- has been constructed in accordance -
1 y
with the provisions of Title 5 and the for Disposal System Construction Permit No. 0101 1p- L 113 dated
Installer (� (-]�eJl*b 16 /jQ0(AA2j Dom, 6U�_ Cr) Designer �� I¢AA,&
#bedrooms �� Approved design flowell gpd
The issuance of this f pe .t shall not be construed as a guarantee that the system will ctio designe;
Date ) f Inspector
------------------------------------------------------------------------------------ ----------------------------------------------------
No. �`�f 1 /3 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction permit
Permission is hereby granted to Construct( ) 'Repair( Upgrade( ) Abandon( )
System located at VAkj &_6C—A bAA UE nz- j
and as described in the above Application for Disposal System Construction Permit. The applicant recogr-ized 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 permit. /
Date � y 7-� — ( 1 Approved by ,
��
Oct. 30, 2419 11 : 10AM No, 3548 1
Town of Barnstable
Regulatory Services
a BA&NBtABI�, a
Richard V. Scali,Interim Director
Public Health Division
�. 'boo• ��
h�olo Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 = )~apt: 508-790-6304
Installer&Designer Certification Form
Date: �0' 0��9 Sewage Permit# 9-01-1—c4 r 3 Assessor's Map\Parcel 6 (�
Designer: SL Enc iyjeec►ii j + Inc,. Installer: ' Caee_Wi'Ae C-."l-erpt(se3
Address: Zb5N Lra.,Verrry 4i*way Address: 1515 Ccollhe,c,cCO &4eJ
CaA Weteeln< o , Mft 61.53b Mos�nee NA 02(dL0
on Gap e.rui de LnEtir p;ise� was issued a permit to install a
(date) (installer) ? u t
septic system at t 40 U h f U based on a design drawn by
(a ress
C Eo6Coe.e_6o c) "�rG- dated OCA. 231 Zo Il
(designer)
✓ I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank. Strip out (if required) was inspected and the soils
were found satisfactory,
I certify that the septic system referenced above was installed with major changes i(i.e.Y/
greater than 10'. lateral relocation of the SAS or any'Vertical relocation of any component
of the septic system) but in accordance with State&Local Regulations, Plan revision or
certified as-built by designer to follow. Strip out(if required)was inspected and the soils'
were found satisfactory.
I certify that the system referenced above was constructed ' e with the terms
of the I\A approval letters (if applicable) o��y�� °
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2� JOHN
° CHURCHILLJK.
CI
(In We Signature) NO reor
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( igner's ]INSTABLE
(Affix Des' ter amp Here)
PL SE RETURN TO PUBLIC HIEALTI DI SION', CERTIFIC.ArTE'
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH TIIIS FORM AND 'AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTI1,DIVISION
THANK YOU,
QASeptic\Designer CertlficaVon lForm Rev 8-14-13.doc
I
o�I"E Town of Barnstable PT# TPT-19-1.60
Department of Inspectional Services
i BARSTABLE.
MASS.
1679. Public Health Division
�0
200 Main Street,Hyannis MA 02601
Office: 508-862.4644
Date Scheduled 10/1-7/19 Time 10:00 AM
Soil Suitability Assessment for Sewage Disposal
Performed By: Michael Pimentel, EIT, CSE Witnessed By: David W. Stanton, RS
LOCATION &-GENERAL INFORMATION
Locaiion Address: 16 Van Gogh Drive Owner's Name: George Aymie And Patricia Mahan
Osterville, MA Owner's Address: 16 Van Gogh.Drive, Osterville, MA
Assessor's Map/Parcel: 146/126 Certified Soil Evaluators Name: Michael Pimentel, EIT
Certified Soil evaluators Email: mpimentel@jcengineeringinc.co
New Construction or Repair: Repair Certified Soil Evaluators Telephone# (508) 273-0377
Land Use Single Family Dwelling Slopes(%) 1-2%, Surface Stones None
Distances from: Open Water Body >100 It Possible Wet Area >100 ft. Drinking Water Well N/A ft
Drainage Way N/A ft Property Line >10. ft Other fi
Parent material(geologic) Outwash Depth to Bedrock >132"
Depth to Groundwater: Standing Water in Hole: >132" Weeping from Pit Pace >132"
Estimated Seasonal High Groundwater >132"
DTRVNTIORSEAOKkHIGI WATERII U TABLE*
Method Used: Direct Observation
Depth Observed standing in obs.hole: >132" in. Depth to soil mottles: >132" in.
Depth to weeping from side of obs.hole: >132" in. Groundwater Adjustment N A ft.
Index Well# Reading Date: In Well level Adj.factor Adj.Groundwater Level
PERCOLATIONJEST Date Time
Observation
Hole#
Time at:9" - -
Depth of Pcrc Time at 6" - -
Start Pre-soak Time @ Time(9"-6") - -
End Pre-soak Perc Rate taken from perc test results dated
Rate Min./Inch 7-26-83 per permit# 83-692,
Site Suitability Assessment: Site Passed X Site tailed: Additional'Testing Needed(Y/N) N
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes X
Within 500 year boundary No X Yes
Within 100 year flood boundary No X 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? N/A
Certification
1 certify that on. 10-27-99 (date)1 have passed the soil evaluator examination approved by the Department of
Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise
and experience described in 310 CMR 15.017.
Signature 10-23-1
Date 9
SKETCH: (Or you can attach a separate sheet)
(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
SEE ATTACHED PROPOSED SEPTIC SYSTEM UPGRADE PLAN
DATED OCTOBER 23, 2019
r
Deep Observation Hole Log " Hole#: 1 &2:
Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other
(in) (USDA) (Munsell) (Structure,Stones,Boulders,
Consistency,%Gravel
0 - 12" Fill
12" - 14" A Loamy Sand, 1 OYr 3/1
14" - 36"
B Loamy Sand 10Yr 518
36" - 132" C Medium Sand 2.5Y 6/6
Deep Observation Hole Log
Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other
(in) (USDA) (Munsell)
(Structure,.Stones;Boulders,
Consistent %Gravel)
Deep Observation Hole Log' ' Hole#:
Depth.from Surface Soil Horizon Soil Texture' Soil'Color Soil Mottling Other
(in) (USDA) (Munsell) (Structure,Stones,Boulders,,
Consistency,%Gravel
Deep Observation.Hole Log Hole#.•
Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other
(in) (USDA) (Munsell)
(Structure,Stones,Boulders,
Consistency,%Gravel
L
FEs.......��. . ...........
1�. THE COMMONWEALTH OF MASSACHUSETTS a -
��� BOARD OF HEALTH
U -...-.oF....................../... ..r l % -------------- --------------
ppliration fur Diupuuttl lftrk�T mitrurfiun rumit
plication is hereby made for aXermit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
stem a ,�--
'�Z' --- --------
.._ ..... ...--..--_..
J Location-Add s or Lot No.
—............. ,, .la,......�t.CL..-
Owner Address
�............ �.S._C� .'1...-•..........................................................
Installer Address
d Type of Building Size Lot.._...._� q. feet
U Dwelling-No. of Bedrooms__________ ________________________________Expansion Attic Gar Grinder�L.
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures .
d ---------•----•----..........................................
Design Flow.................................. .........gallons per person per day. Total daily flow............_.__..._......................._gallons.
WSeptic Tank—Liquid capacity U allons Length................ Width................ Diameter __.._..... Depth................
x Disposal Trench—No.................
Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...................... Diameter.................... Depth below inlet.,.................. Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) Z w
'~ Percolation Test Results Performed by.......................................................................... Date.... ._ ....
as Test Pit No. I.._. .. minutes per inch Depth of Test Pit....... Depth to ground water._
f= Test Pit No. 2............. .. Iinutes per inch Depth of Test Pit_..._.___...._...__. Depth to ground water___.___^ _�I._
---------------------------------------------- . . --•------
Descriptionof Soil............................................................................... • ••. -
W --- .........................................................-............................................................ �-•-•--...
UU Nature of Repairs or Alterations—Answer when applicable _
P PP 7. C—------------------------------------------------------------•---
•-•---....-•----------•-----•-----•-------•-•-----•......--•-•--•--•--•-.....•--•...............•--•••••.....-•------•----•--------•-•••--••--•-••...._.....•--•--•-••••-•----•-•-.......------•........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has been issued b the board of healt
Si ned ......... Ze'e'0'1' ff-
Application Approved By...... __. ! ................ a
,/ "- ------------------
Date
....._.. --
Application Disapproved for the following reasons-------------•-----------------------------------------....-•--•---------•---•--••-- •----....
------------------------------------------------------------------------------•-•---------•--•••---•.----
Date
PermitNo......................................................... Issued........................................................
Date
FEa.......9.,. ..............
THE'COMMONWEALTH. OF MASSACHUSETTS
BOARD OF HEALTH
..... OF......................� ra .!/5.
�Appliratiun for U44pu,ittl Workii Tunutrurttun Prrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: f-�` ��/�' G O
.....................................��...�...1._....... �� . --------- ------ �f� . ...................... n�..
Location-Addr s or Lot No.
w_..._ ..
Owner Address
/+ /
........D , G�._... .... P
.�.5.__S 40l:. ........................
Installer Address
d Type of Building Size Lot...... feet
V Dwelling—No. of Bedrooms........... ..........................Expansion Attic X4--o Garba/e Grinder*<2v�._---
aOther—Type
of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures ------------------------------------•--•----..............------------------------------ ----•----•--...-•---------...-----........------•-•-----.....
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity/(3.0_(]lons Length................ Width................ Diameter........._...... Depth................
.
x Disposal Trench—No...............(... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.............._..... Depth below inlet__.:._.__......_._._ Total leaching area..................sq. ft.
z Other Distribution box ( ) Dosing tank ( )--•-•-.----.--•-•--•--•-•-------•------.•-••••--•- Date..... ...........G_' ..........
aPercolation Test Results Performed by........................ '2.
a Test Pit No. 1---- .. ygrlinutes per inch Depth of Test Pit........-� Depth to ground water.._.
fi Test Pit No. 2____________ __minutes per inch Depth of Test Pit...._p p ______________ Depth to ground water..:.__./
...................................... ..._......--- -• --
--------------------------------------------
O Description of Soil-------------••------...................----•---------------------••---•-y.(- tr' .!'Al.._ :
x �, l . J
W
----------------------------------------------------•--------------•--
U Nature of Repairs or Alterations—Answer when applicable............ .......` . ..................................................................
--------------------------------------------------•--------•------------------------........_-----..........._--•--•-•----------------....•---------•-----------..._...------------.......•••-----------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITILj 5 of the State Sanitary Code— The.undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has been issued b the board of healt C
/� z �3
Signed 4...f�G� ..... •---•---. -.-
.--••------- -------
Application Approved By----.._.�.n-4--'-f_�--r !' ! -------------•-............ g - a -_.
Date
Application Disapproved for the following reason :...............................................................................................................
-------------------••----._...----•--•---••-----------------------------......------........•----------•.---•-----.......-------------------•--••--------•-------------...------------•-------•---•--•--
Date
PermitNo......................................................... Issued_........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF..........................:...............................
(9rdifirate of flompthture
THIS IS TO CER�LEY, That the Individual Sewage Disposal System constructed' '�j{'j or Repaired ( )
.�.�.------..--
Installer �-
at--------------------•--•----•-•---------•---.....---------- _ - 'z---------------.. •� - 1�._.__..._
has been installed in accordance with tlfe provisions of TIT FF 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.. _._.._ Z........... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No._... .�- .Z. ...........................................OF....................._.......... ......... !�
�.
FEE........................
�io�ouul or�,� �on,�#rnrfuan ernti#
Permission is ereby granted-------------------------- ......--- /� (` C-O'1"_t .............................................
to Construct ( ,y or Repair ( ) an Individual Sewage Disposal Iystem �-
.-�
Cr�S"f' .............. � Streel� -`"'--.----.C.�� Q. "'f..�1/�....o S�.
at No.....................................................
as shown on the application for D• pos Works Construction Per it No/..�___'............. Dated..........................................
' " •:-� ..............................................
Board of Health
,FORM 1 5 A. M. SULKIN, INC., BOSTON - -
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I-V ` CERTIFIED PLOT. PLAN
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EXISTING CONTOUR ——— 0 _�.. �,�T _F£ +�y L v ?" 4 `tni
FINISHED SPOT ELEVATION.' A RDBeRr �N DT� �/i�-�
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APPROVED , BOARD OF HEALTtH 3- \
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SCALE
DATE AGENT DATE ,
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" EDGE ENGINEER11VO Ca IN C I CERTIFY THAT THE PROPOSED
Ow- LIkNT
EGISTERE REGISTERED, ° ' JOB NQ.ir, BUILDING SHOWN ON THIS PLAN
CIVIL LAND:'' `' a- 'f CONFORMS TO THE ZONING --LAWS
••.—..•. OF BARNSTASLE MASS.
ENGINEER
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HYANNIS MASS$ G� _
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�FSSIONAl.Ea6
Q ND G.ROGlNvrYi4TC� fNCOUNTE.e=ca LI GL/ENT,G `r-F�,3 a ,
NO I-VA TE.P 4 7- &L.2rV, ZS.Z_F� - DRTE
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H`LGH GRpUNI).-WATfR LEVEL COMPU7A710N
S i to .Locat ion: U�i✓ 1 �6G/f 'bP_ yi:: ;z Lot No. Z
Owner: i�5/Lc _r..3¢.vyt- Address:
Contractor: Ad.dress•'
Notes:
STEP 1 Measure depth to water table 7`5
to nearest 1/10 ft. _7/Z/-/
date
STEP 2 Usin:g (dater-Level Range Zone
and Index Well Map locate `T
site and determine:
A) Appropr i ate index we1,1 . • ..,.`• i
B) Water-level range zone ".. . . • ,
STEP 3 Using monthly report"Current
Water Resources Conditions"
determine current depth to
water level for index well
mo yr. .
STEP 4 Using Table of Water-level
Adjustments for index well
_STEP 2A__)�_current depth to. .
water level for index well
(STEP 3) , and water-level
zone (STEP 26) determine. [ �
water-level adjustment . .. . . . . . . . . . . . . . . . . . . ... . . . . . . . . .
STEP 5 Esticiate depth to high water
by subtracting the water-
level adjustment (STEP 4)
from measured depth to water
level at site (STEP 1) . . . . . . . . .
LOCATION GAT ML N� �►.Ot�N 1 � r NO.
DATE 07
VILLAGE OS71EQV 1 LL E
FEE 1�3
APPLICANT. (yl .11��a._ Ir$PMEIJTGbR;P. i;
ADDRESS., C.E1.1TE lQNt LL _ TELEPHONE NO."1"7 1-.16 (Non-refundablet
ENGINEER E LO D G. N t�t E TELEPHONE NO. I I • 114 j
DATE SCHEDULED.. J_VL`( �LCp 198'S .�.-..... C '
Applicants signature
ISOIT
SUB-DIVISION NAME '�JMM Qi @ OST �Iia 'DATE _ TIME 9 3d
EXPANSION AREA: YES ✓ N0 .I O H�1.� Q. t L LI 2 ENGINEER
TOWN WATER✓ PRIVATE WELL �C�+' J A C4 P&1 BOARD OF HEALTH
Ju 4traC:Q I- EXCAVATOR
SKETCH: (Street .name,etc. ,dimensions of lot,. exact location of test holes and
percolation. tests, locate wetlands in proximity .to test holes
NOTES
I�
1+
16,o6
51.so I e ii
V� A= 19,oti t
N
�.wao
Mr °T,?
PERCOLATION RATE: G LM I I I t-46t
TEST HOLE NO: ELEVATION: TEST HOLE NO: ELEVATION:
L o ABM "�� .
3 3
5 I ���� � 5
9
10 10
12 12
13 13
14 � 14
15 15
16 16
SUITABLE FOR SUB-SURFACE SEWAGE: m LEACHING FIELD LEACHING PITS
LEACHING TRENCHES
UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS:
NOTE: ENGINEERING PLANS MUST_ SHQTgi ,tNUMBZRASSIGNED ON PERC TEST APPLICATION
s .. da
ORIGINAL: COMPLETED T 5 �' ED O §OARD OF HEALTH
t
RPTAINED HY APPLICANT f "
copy
T.O.F.EL.= 39.9't FINISH GRADE OVER D-BOX= 38.9't FINISH GRADE OVER CHAMBERS= 38.7' 39.2' GENERAL NOTES
PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. OVER SYSTEM 3/4"TO 1-1/2" DOUBLE WASHED 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION
WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE 4'SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS STONE TO CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL
FINISH GRADE OUTLET TO WITHIN 6"OF F.G. MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) 2"OF 1/8"TO 1/2"DOUBLE WASHED CODE AND ANY APPLICABLE LOCAL RULES.
@ FND. EL= 38.0�± F.G. OVER TANK EL = 39.0'# 5" DIA. OUTLET(S)
ONE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE
20"MIN.ACCESS 1 I DESIGN ENGINEER.
COVER(TYP.oi=3) 9"MIN. TOP OF SAS= 36.21� PLACE RISERS ON ALL
PROPOSED V' 9"MIN. CHAMBERS WITH 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL
EXISTING 4 PVC SEWER PIPE 36 MAX. 35.38' 36"MAX. , INLET PIPES TO 6"OF SYSTEM UNLESS OTHERWISE NOTED.
SEWER PIPE BREAKOUT EL= 35.88 FINISHED GRADE 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN
6" 3"- 3 DROP MAX 3„ 9„ L-24 ± _ ELEVATION =35.88 FOR A DISTANCE OF 15 AROUND THE PERIMETER.OFTHE SAS. UNLESS A
„ 2" DROP MIN MIN.SLOPE @ 1% PROVIDE WATERTIGHT
r _- i�JOINTS (TYP.) o 0 0 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF
4 PVC IN FROM ��
14" * �� SEPTIC TANK 4" PVC OUT TO 0 0 Q 0 0 0 o o O o o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
35.9 - LEACHING FACILITY o0 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM.
0 0 0 0 0 0 0 0 0
CONTRACTOR TO PROVIDE � � � C:)- 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
CONTRACTOR SHALL CONTRACTOR SHALL 35.66 MIN. 35.49 0 (-�
SPECIFIED DROP BETWEEN VERIFY SIZE AND 48" VERIFY CONDITION OF OUTLET TEE 2 0 0 0 LJ 100 0 0 0 �C 7, LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK
INLET AND OUTLET o 0 0 o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM 1S
CONDITION OF EXISTING TEES GAS BAFFLE 6"CRUSHED STONE o 0 C� 001 00 0 0 0 0 o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY o
AND DESIGN ENGINEER.
TANK NECESSARY COMPACTED BASE 4 0' 8 5' (TYP) - I 4.0 4 0' 4.0' $. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 40.00'
5 OUTLET DISTRIBUTION BOX 4.83
TO BE INSTALLED ON A LEVEL STABLE 25.0' (TYP.) ESTABLISHED ON THE CORNER OF STOOP AS SHOWN ON PLAN.
BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV= < 28.00' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION
EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 33.38 12.83 THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT
' 2 - 500 GALLON CHAMBERS 5' MIN. CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES
CROSS SECTION VIEW TO THE DESIGN ENGINEER.
SEPTIC TANK PROFILE
DETAIL TYPICAL GHAMBER PROFILE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE
*CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR
TO ANY WORK& NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE WATERTIGHT.
NOTES: O, 711 �. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING
�� REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM
1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC 1... ,, ., PERC NO. TPT-19-160 APPROPRIATE AUTHORITY.
SYSTEM COMPONENT.
- f, INSPECTOR: David W. Stanton, RS 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED
2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED
EVALUATOR: Michael Pimentel EIT CSE UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR
�.a,•,; TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING.
LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. -.. n C.S.E. APPROVAL DATE: Oct. 27, 1999
REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH
1t DATE: October 17, 2019 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
TEST PIT DATA.
TEST PIT#: 1
14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE
3.) PROPERTY IS PARTIALLY LOCATED WITHIN THE GROUNDWATER PROTECTION OVERLAY _ MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY.
DISTRICT, AND PARTIALLY WITHIN DEP APPROVED ZONE 2. p p... S t ELEV TOP 39.00
� `` ;r C3�r'A� �,'6 . �, _ � REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY,
ELEV WATER- <28.00
4.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS. S r 1' ' ZONE 2 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).
O v.; PERC RATE_ <2 min./inch"
U.P.# 1556/2 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
5.) SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A COURTESY FOR THE "' �. „ `` .'' SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
INSTALLER. INSTALLER SHALL VERIFY SWING TIE MEASUREMENTS IN THE FIELD PRIOR TO , N )) DEPTH OF PERC= C Soil
INSTALLING THE SYSTEM. CONTRACTOR SHALL NOTIFY ENGINEER IF MEASUREMENTS APPEAR \ � x 16. PROPOSED PROJECT IS LOCATED WITHIN:
TO BE INCORRECT. _ , ® f - s :, -r. TEXTURAL ASSESSOR'S MAP 146 PARCEL 126
oy APPROXIMATE LOCATION OF EXISTING LEACHING EX CLASS: 1
PIT TO BE PUMPED AND FILLED WITH CLEAN, . , 7
COARSE SAND &ABANDONED (TYP. OF 2} ! a �, t OWNER OF RECORD: GEORGE C. AYMIE AND PATRICIA M. MAHAN
o
�<t`Q py -' 0„ 39.00' ADDRESS: 16 VAN GOGH DRIVE
JW ' „ , LOCUS Fill OSTERVILLE, MA
12
�R SS MAP 146 ZONE 2 12" 38.00' FEMA FLOOD ZONE X
LOT 104 A Loamy Sand COMMUNITY PANEL# 25001 C0544J
,.
20" 60 93 10Yr 3/1
17. DEED REFERENCE: CERT.#197480
'" r> Loamy Sand 18. PLAN REFERENCE: LAND COURT#34625-F
B 10Yr 5/8
h ►moo APPROXIMATE LOCATION OF EXISTING 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
S �'� ' , DISTRIBUTION BOX TO BE ABANDONED _ �, L 36" 36.00'
v \ ® , • 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
N:
PROPOSED INSPECTION PORT ��' 39x2' Qyss . FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
/ Gqs N84 � �. FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE.
vP 120'±
17 �� 'r ` _ - 21. A 4" PERFORATED SCH: 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A
. S _ p v'd, r .. �•, �.:. ;.:. Y._ . �„' Q� , Medium Sand „
C 2.5Y 6/6 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A
LP , REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS.
�APPROXIMATE LOCATION OF EXISTING
GA 38x6 \p / / / 1,000 GALLON SEPTIC TANK TO BE 22. CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL REQUIRED PERMITS AND
15 S�, y UTILIZED IN THIS DESIGN LOCUS PLAN
) e N APPROVALS FOR THIS PROJECT.
TWIN` L�/'l
N 10" W.----w 39x0' w ��5�� / SCALE: 1"= 1000' „
N ` / TP 2 G 1
N o 39x0' \�k, AS, ` °y ° / 132 28.00'
"' ` �� GA C-1 No Mottling, Standing or Weeping Observed
Cis ' o 12„ bi t✓, ` S Q GAS ' , `3�` / g p 9
\ Z I 6= 4) \�, 6 / *Perc rate taken from perc test results
38x8' , / /�� dated 7-26-83 per permit#83-692. LEGEND
�1011 1 BUSH 50x0 EXISTING SPOT GRADE
39x1' ) (TYP) w i / / NUMBER OF BEDROOMS(EXISTING) 2
TP �' NUMBER OF BEDROOMS(DESIGN) 3 (PER PERMIT#83-692) TEST ! DATA - - 5Q - - EXISTING CONTOUR
v� / PERC NO. TPT-19-160
'70 , / DESIGN FLOW 110 GAUDAY/BEDROOM row PROPOSED CONTOUR
�� x0, / TOF=39.9± / INSPECTOR: David W. Stanton, RS
TOTAL DESIGN FLOW 330 GAUDAY
o O a \ EVALUATOR: Michael Pimentel EIT CSE LSA EXISTING LANDSCAPED AREA
o h \ #16 / \ DESIGN FLOW x 200 % 660 GAUDAY
` \elm ,� C.S.E. APPROVAL DATE: Oct. 27, 1999 p/H/W EXISTING OVERHEAD UTILITIES
3„ 7„ 2g 6' EXISTING .p
2 BEDROOM USE EXISTING 1,000 GALLON SEPTIC TANK DATE: October 17, 2019
PROP. ! DWELLING X / \ TEST PIT#: 2 W W EXISTING WATER LINE
N o O LP D-BOX cn
INSTALL 2 - 500 GAL. CHAMBERS W/AGGREGATE ELEv TOP= 39.00 gas EXISTING GAS LINE
(1/ �, (3 I4, I MAP 146 , ELEV WATER= <28.00`
OJ N c� Benchmark j / / -n / SIDEWALL CAPACITY TEST PIT LOCATION
LOT 126
39x5' Top Cnr. Of Stoop O 15,300 S.F. t PERC RATE_
/ (LENGTH + WIDTH) (2 SIDES) (2 HIGH) (0.74 GPD/S.F.) = GAUDAY
Q 14 ^q** 123, Elevation=40.00' / O / (25.0'+ 12.83') (2) (2' ) (0.74 GPD/S.F.) =112.0 GAUDAY EXISTING 1,000 GALLON SEPTIC TANK
15 /U -- 2) Approx. M.S.L. Z / DEPTH OF PERC= O O
e / $OTTOM CAPACITY TEXTURAL CLASS: 1 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
J Za
a HC- .-o m / / (LENGTH x WIDTH) (0.74 GPD/S.F.) _ GAUDAY
y� sts PROPOSED 2-500 GALLON /I �Q PROPOSED DISTRIBUTION BOX
C_j / LEACHING CHAMBERS / ?m, -v (25.0 x 12.83) (0.74 GPD/S.F.) 237.4 GAUDAY
O Il / w/AGGREGATE v 4 0 off
39.00 Q PROPOSED 500 GALLON LEACHING CHAMBER
Fill
c� f Q �- ' m m �, / TOTALS: 12" 38.00'
GRAVEL / Lu
/
/ DRIVEWAY / WIC M N �1 O o I TOTAL NUMBER OF CHAMBERS 2 A Loamy 1 Yr3/1
nd
Z 0
O ch TOTAL LEACHING AREA 472.2 SQ.FT. 14" 37.83' REV. DATE BY APP'D. DESCRIPTION
®I O ' 1 m CO TOTAL LEACHING CAPACITY 349.4 GAL./DAY PROPOSED P T P
N O OSED SEPTIC C SYSTEM GRADE
B Loamy Sand
S 6/ / 10Yr 5/8 PREPARED FOR:
GAS s� 361' 36.00' CAPEWIDE ENTERPRISES
Gfis GAS 23,24"E n I
~\GAS I LOCATED AT
1 VAN DRIVE
1� GAS 1 / ' ' ' Medium Sand 6 GOGH
THE GAS / 2.5Y6/6 OSTERVILLE, MA 02655
SWING-TIES / / ' ' SCALE: 1 INCH 10 FT. DATE: OCTOBER 23, 2019
DESCRIPTION HC-1 HC-2 of M 0 5 10 20 4o FEET
MAP 145
�" PREPARED BY:
CORNER OF STONE(1) 33.5' 31.8' RESERVED FOR BOARD OF HEALTH USE 132" 28.00' cHu qwL R. N JC ENGINEERING, INC.
LOT 77
CORNER OF STONE(2) 52.0' 31.4' No Mottling, standing or weeping Observed N0' 41�07 2854 CRANBERRY HIGHWAY
CORNER OF STONE (3) 59.8' 43.6' PLAN- �, � ► /
EAST WAREHAM, MA 02538
CORNER OF STONE (4) 44.6' 43.9' SITE 508.273.0377
SCALE: 1"= 10' Drawn By: ATB Designed By:MCP Checked By:JI JOB No.4841