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HomeMy WebLinkAbout0045 WOODLAND AVENUE - Health 45 :Woodiand Avenue . Osterville . A = 140 214, TOWN OF BARNSTABLE LOCATION 45:� f e rA -.4---LlE SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL j-40t� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 15- LEACHING FACILITY: (type) (�Xt C- t�-t (size) NO.OF BEDROOMS OWNER �I PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) rt Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Icy Feet FURNISHED BY I N VAID ,' r Fee No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitation for Disposal *pstem ConstTULtio t 3dermlt � 5) Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ndividual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Assessor's Map/Parcel /90 V I v' o Xo5 Ins lllle�s Name,Address ant TT NNoo. �--7/ g3 jg s er's Name,Addre�ss,,and Tel.No. j� _a �� r C�U'inP��r� Tim Ot'S I o s O O Type of Building: p )Dwelling No.of Bedrooms y Lot Size J S� WC).v- =sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design w provided gpd Plan Date T" rt-n-X% ads. ao r I Number of sheets Revision Date Title P- 1��,r —I_ Q_MM ram+ irn Le„ lra cn6 � Size of Septic Tank J 50 -/d Type of S.A.S. Description of Soil Nature of Repairs or Al erations(Answer when applicable) C Date last inspected: Agreement: The undersigned agrees to ensure the construction and mat nance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environme Co and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health Signed Date /�1 Application Approved by %` Date Application Disapproved by Date for the following reasons Permit No. U�� �� Date Issued / No. —/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: N fir` PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS es 01pplitation for Mispo8al 6pe-tem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon,( ) ❑Complete System ndividual Components Location Address or Lot No. ! ' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: a Dwelling No.of Bedrooms ( Lot Size (S, WC sq.ft. Garbage Grinder( ) Othef, Type of Building ` No.,of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 'gpd Design ow provided.l� gpd 4 � Y Plan Date Fe—Fe , , Vic, <,l! ,Number of sheets 'ev sign Date Title lofn(1-octet ( Size of Septic Tank `�6� <; /�^//� Type of S.A.S. Description of Soil J Nature of Repairs orAlteiations(Answer when applicable) < r' 4,', - - E } ' Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system m accordance with the provisions of Title 5 of the Environmental Cod ne�a d not to place the system i p ration until a`Certificate of Compliance has been issued by this Board of Health.,--" Signed ,%1 Date Application Approved byr f f_ Date Application Disapproved by Date for the following reasons, Permit No. )'U n / �°� Date Issued f 6 - - , THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS j F �/' � '"�`• Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(•,.�) Upgraded( ) Abandoned( )by J 7, f �J^ �' 0 , at L(< � Al °0'� has been constructed in accordance 1 with the provisions of Title 5 and the for Pisposal System Construction Permit No 2 d(I — dated Installer 14rsLA- 4,ie.A 1 �C 1 Designer���� #bedrooms f '0 Approved design flow _ gpd The issuance of this e it sha not be construed;.as a guarantee that the system ill funct n digned. ,g Date � # � Inspector IF ~� No. a 1 Fee t 1THE COMMONWEALTH OF MASSACHUSETTS , PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS `. "ft MISiposal 6pstem Construction Vermit � Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) ___ System located at y5 Y 1 1 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:ConstV ttiqion m st be completed within three years of the date of this permi . A Date d �p Approved by ° 1 f, " JTO OF BARNSTABLE FC LOCATION S u� f N`� SEWAGE # 20o 3 VI ,AGE ASSESSOR'S MAP & LOT L l INSTALLER'S NAME&PHONE NO. corms I' I- SEPTIC TANK CAPACITY ^ LEACHING FACIL=: (type) 9 V cL,o (size) �� k.2 NO.OF BEDROOMS L BUILDER OR OWNER ✓�u PERMITDATE: —COMPLIANCE DATE: 3_Z D�" Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Y-- /� `� . - � �� , �5�� �i�� 3 . ,--�' �� � ` b. r j (,. 3�i � I � \ � ��� ,�o.� � E .s� ,. � 6 ,, • ,.. No. ay 3 - J tJ° Fee$5 0. 0 01 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓� Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYtcatton for Mtgpogar *pgtera Con5tructtott perffltt Application for a Permit to Construct( )Repair�X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.4 5 V o o d i a n d .4 v e Owner's Name,Address and Tel.No.%e t e/L /a 2 n o// AssorsMap/Pa�rcef Ma.34. 02655 45 Noodeand Avenue O.6te/z el Nazz. 02655 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—2 7 3-0 3 7 7 a. P. Nacomtxe2 & Son Inc. 1C. Enyinee/ziny Inc. 2854 C/zantez zy BOX 66 Cente2U-l.iee, Na.6,3. 02632 Highway Cant 1dazeham, Na,6,5. 02538 Type of Building: . DwellingXX No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank I DUd Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Adding 3-5 0 0 g a i i o n .leach.i;rz chamge/zz hacked in 4' o/ 1%" htone. 33. 5'X12. 9'X2' 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 Certifi- cate of Compliance has been issu d by�thi%BdVealth. Signed Date 11112103 Application Approved by o Date .2 1 103 Application Disapproved for the following reasons Permit No. P-0o 3 Date Issued 1 I a 0 3 a U d 3 4J� ,y - " `�. - Fee$5 0. 0 0 No. Entered in computer: t/� ' THE'COMMONWEALTH OF MASSACHUSETTS T -.- Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS rication €o`r Migooar *pgtem Con0truction Fermat .�. Application for a Permit to Construct( )RepairYX )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.4 5 1d o o d Q and v a Owner's Name,Address and Tel.No.%�e e 2 7 a 2 n O ` 4•ste vvibe Nas.s. 02655 4'5 Yoodiand Avenue Assessor s Map/Parcel 0.6 t o It v.i tt e-, r"f a.6.s. 026 5 5 G Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No.5 0 8—2 7 3—0 3 7 7 �. I. Nacomt}elt 9 Son Inc. ;C. Cng.ineeaing Inc. 2854 C2ang.ea/ty Box 66 Cen.teavi�Qe;�las.s. 02632 Il.ighway Cast ( a4zham, Naz.3. 02538 Type of Building: DwellingXX No.of Bedrooms 4 s Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other`Fixtures . Design Flow i gallons per day-7 Calculated daily flow gallons. A f Plan Date Number of sheets l Revision Date Title Size of Septic Tank 1 Duo Type of S.A.S. Description of Soil 4 i Nature of Repairs or Alterations(Answer when applicable) Ad d i n g 3 5 0 0 0 ga i i o a e a c h.i n chamRea s hackad in 4' oP 1 V .tone- 33. 5"X12. 9'X2' t. r` J 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 Certifi- cate of Compliance has been issu d by thi B d -ealth. Signed Date 1112103 Application"A p gved by / /,J Date 10 2lo 3 Application Disapproved for the following reasons Permit No. a uo 3 Date Issued ► a THE COMMONWEALTH OF MASSACHUSETTS ' ' BARNSTABLE, MASSACHUSETTS - Certificate of Compliance ,r THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired'(X'X4 Upgraded( ) -� Abandoned( )by a• P. l7acomtxea Son Inc. 1 t1 .-at45 Noodeand Avenue Nte.¢v.i-teei0a.6,6. has been constructed ia accordance ` with the provisions of Title 5 and the for Disposal System Construction Permit No. 7 U a 3- `` 6 da ed Installer �• P. Nacom&ea 9 Son Inc. Designer X C - n t:K V. N(_ c The issuance of this permit shall not be construed as a guarantee that the sypf ,,k,. " ill iLctionls esigned. Date I L4 I 1A Inspector ✓ ————— No. ` )wi � - Ctl,b Fee�'S0. 00 V a� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE S MASSACHUSETTS 1=iopoar *raem Conotruction Permit Permission is hereby granted to Construct( )RepairT(X,l Upgrade( )Abandon( ) System located at 45 ldoodiand Avenue 0btenv� ale, Pass. 1 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this perLrut. J c; i a I 7 Approved by - v �. ��Date: 11 /l ' I / q TO OF BARNSTABLE FC LOCATION HSu AAV SEWAGE # 5'6 . VILLAGE S tir I I,Z ASSESSOR'S MAP & LOT G I INSTALLER'S NAME&PHONE N0. A4 U l.U!^^fK'/* SEPTIC TANK CAPACITY Q nq I ,1t LEACHING FACILITY: (tyuej (size) NO, OF BEDROOMS BUILDER OR OWNER PERMrrDATE: 0 COMPLIANCE DATE: 3Z d� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 9 � - TOWN OF BARNSTABLE LOC;ATION< SEWAGE # VII:1 AGE V U1IleASSESS 'S MAP & LOT R-SNAME&PHONE NO. r O /ns(� Q SEPTIC TANK CAPACITY / 01 LEACHING FACILITY:(type) �P_�Ci'1 �> �/� (size) 1600 NO.OF BEDROOMS BUILDER m PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: 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 ll ching f di r Feet Furnished by r r or I t i BORTOLOTTI CONSTRUCTION,INC. -` & 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 508-771-9399 508-428-8926 FAX: 5118-428-9399 ✓y "v6' r r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PA RT A .. CERTIFICATION Property Address: Date of Inspection: Inspector's Name: Owner's Name and ress: Ak 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: 9 Passes Conditionally Passes Needs Further Ev uation B the Local Aproving Authority` Fails f Inspector's Signature: Date:_ The System Inspector shall submit copy of this inspection report to the Approving authority within thir- ty(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* A)SYSTF 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 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 Wiiltration,or tank failure is imminent. 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); - .1 - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Broken pipe(s)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed C)FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by The Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE 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 Cesspool or privy is within 50 Feet of a bordering vegetated wetland or a salt marsh. 2)SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH. (AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER.THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE 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. 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 private water supply well. 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 bacteria and volatile organic compounds indicates that the well is free from pollution from the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: 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. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of efluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an clog- ged overloaded or clo g ged 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)!LQ1:due to clogged or obstructed pipe(s). Number of times pumped -2- i 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 1 of a public well. Any portion of a cesspool or privy is within 50 Feet of a private water supply well. Any portion of a cesspool or privy is less than 100 Feet but greater than 50 Feet from a private water supply well with.no acceptable water quality analysis. 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 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 Il 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. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the following have been done: . ✓Pumping information was requested of the owner,occupant,and Board of Health. _�i'None 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. t/As-built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. ✓The system does not receive non-sanitary or industrial waste flow. 4--.The site was inspected for signs of breakout." J - All system components,excluding the Soil Absorption System, have been located on site. The septic tank manholes were uncovered,opened,and the interior of the septic tank was in- ' spected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge,depth of scum. _,Zfhe size and location of the Soil Absorption System on the site has been determined based on existing information or approximatedby non-intrusive methods. -3- R .k;'.Ir',ma °is.`Rti-stir• ie'}:r.4 h"a Y a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) V The facility 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: Design Flow: 3 Mgallons Number of Bedrooms: Number of Current Residents:_ Garbage Grinder:_ Laundry Connected To System: '' Seasonal Use:A-)b Water Meter Readings, if available. Last Date of Occupancy: C�(lYh'� COMMERCIALMDUSTRIAL: /vU Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings, If Available: Last Date of Occupancy: OTHER: Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: L Ue^ wa System Pumped as part of inspection: A-10 If yes,volume pumped. gallons Reason for pumping: TYPE F SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspection records, if any) Other(explain): P OXIMATE AGE of all components,date installed(if known)and source of information: C ' \ Sewage odors detected when arriving at t site: -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM . PART C GENERAL INFORMATION (continued) SEPTIC TANK: Depth below grade: Material of Construction:.V concrete metal FRP Other (explain) Dimisions: ' '7' .Sludge Depth: Scum Thickness:. Distance from top of sludge to bottom of outlet tee or baffle: 33 ' 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.) C� CI��CVJ ✓-V ,� a ` Depth Below Grade: Material of Construction: concrete metal FRP Other (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.) t , TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction: concrete metal FRP Otlier(explain) Dimensions: Capacity: g llons Design Flow: gallons/day Alarm Level: Comments: (condition of inlet lee,condition of alarm and float switches,,etc.) f . DISTRIBUTION BOX: Depth of liquid level above outlet invert: Comments: (note ' el and distribution is equal.evidenc of solids carryover, evidence of leakage into or o of box,etc.) v " c: 6 l s :PUMP CHAMBER. �'E� Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) _5,_ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (couliuued) SOIL ABSORPTION SYSTEM(SAS): y (Locate on site plan, if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits, number: 1 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 jevel ofpond' 4cgndition of veg tation, etc. - p�� '4 it o � CESSPOOLS:-G Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of Cesspool: Materials of construction: Indication of groundwater: Inflow(cesspool must be pumped as part of inspection) Comments: (note condition of soilk, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) PRIVY:40 Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) -6 - I - e� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landinarks or benchmarks. Locate all wells within 100 Feet, 5ijQ 10 I ' c ' 01 I II DEPTH TO GROUNDWATER: i Depth to groundwater: / Feet Method of Determination or Ap roximation: - 7- f It-se ON LO A1-iL�/ C����(7�d � C� SEWAGE G� PERMIT N0• VILLAGE INSTA LLER'S N ME & ADDRESS ok �-k, §Or BUILDER OR OWNER DA T E PERMIT ISSUEDA7 e DAT E COMPLIANCE ISSUED _ I.a6 o _ ` No.........U/. °2:.. _ " ........................ THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEALTH -------------OF.....16 ... Appliratilllnn for Bispuoal Works Tomtrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .... __- - •- �. _' � .... ... ... ........ �•�•j-•• •. ...................................................... ocati orNLot No. ......•... . • —U!�✓1!CK•••..._.. ...............-•-•-•..........................•. ............... Installer Address dType o uilding Size Lot....4.� ........Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) pa Other—Type of Building ............................ No. of.persons............................ Showers ( /°) — Cafeteria ( ) a' Other fixtures -----•-------••--------•----••-•----••. . d ••-•-•---------------- o ��20 W Design Flow__________________________________________gallons per person per day. Total daily flow...__.._.___..________.___..__..._.___._____gallons. WSeptic Tank—Liquid*capacity D.0...gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width-................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.................... Diameter-------------------- Pepth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing t '-' Percolation Test Results Performed by...................................... f® 7d� -•••-•�•-......... .../2 Test Pit No. 1------V--_-_minutes per inch Depth of Test Pit.................... Depth to ground water.:...-444114:----_.._.-•--..... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ri .Description of Soil........................ r G �Y.�, U ............................................3.... � -.•-----'('"'�c�(' ----` ------------------------------------•------------------------------------------------•-----...... - W ••••-•----•--------•---------------•----------•-•-•-------••-•••---••-------•---•-•••••----•----••••--••••-•-•••---........•----••----••••••--•---•--•••-•----•••----•---------••-••-----•••----•....... UNature of Repairs or Alterations—Answer when applicable............................................................................................... -••---•-------------•--------------•-------•----•--•------------------------........••...........-•••--•••••••---•------•••-•------•..................••.................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i1i'U. 5 of the State Sanitary Code—T dersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b boar of health. Sin ..... _ QITi Plz Date Application Approved B `�!_ 1.l1..... ................. �9��' � : w Date Application Disapproved for the following reasons-............................................................................................................... -•................•--•-•-----••------•-•......------------------•-•--••-•-----•••._....--•••-------•--•----•--•-•----•-----•••••-•--•••••-••••-•--•••-•--•••---•••-•••--------••-----••••••-•--......-•- /Z_ „ Date Permit No......................................................... Issued...� 7................ .__...--------�L-J--.......................... Date No.......... Fins......".--..... THE COMMONWEALTH OF MASSACHUSETTS BOARD . E HEALTH P � �t OF.. *.......................... ....-..- - �fr�....-- ApplirFa#ion for 14sp s ai IV.j.qrks Tonstrnrtiun ramit Application is hereby made for,,a Permit to Construct:.( ) or Repair ) an Individual Sewage Disposal System at .............. ............' - ..............� �. ........................... ... ......... r,4 /fj� oc n-Address b*t.a ,1'^=_r/ or Lot No. j n'+ .... ��//-(iing ,� ...__........... -•-----...�..�iW'C(�2j... ........ ............................. ............... f . ._... ress...------- - Installer. Address Type of Buil `_ '.' Size Lot............................Sq. feet Dwelling—No. of Bedrooms...... �'.'________......._--------Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building No, of ersons____________________________ Showers OYP g .............•-••----------- P ( I) — Cafeteria.................................) ther xtures , :.-••••• •••-••w.-••••.._...•-•••',-•••-••••---.....••••-•-•-•-••----••••---•-•-•-••••••••--••••- !11 W Design Flow........................ ._________:--____-___gallons per person per day. Total daily flow______._..__ __..___..................gallons. WSeptic Tank—Liquid capacrty_._�V.O.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No.....;............... Diameter.................... pth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing to R Percolation Test Results . Performed b ............ ........................ Date........................................ Test Pit No.. I.......V____minutes per inch Depth of Test Pit..................... Depth to ground water_.___r' -.. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil.........................` �` M � ---.... ----------- -------.....------• U ............................................ ------------------------------------- -----------•-•-•---------•--••-•-•-------•-----------------...-----------------------------.._._._..._._ W a . 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 7iT'Z 5 of the State Sanitary Code— T kea signed further agrees not to place the system in operation until a Certificate of Compliance has been issued b r of healthSig ed_• .......................................... " Date A I Application-Approved roved B PP PP y-••••• - W l+t ----------------•-•--•-.._.... ..... e.. Date Application Disapproved for the f ollowing reasons: _______________________________________________________________................................. .. Date r Permit No................................. =-'--------=- Issued................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OE EALTH s ............. G 1✓......OF.............. ...................................................................... Trrfifird-A Tompliatta THIS IS T C RTItFY hat the Individual' Sewage Disposal System constructed ( or Repaired ( ) by---------------------- l . ._.... ...._... r__....! of Installer at--------------- - /------ (..., : ........ . .__- •• has been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.. _ 9____.............. dated_-_../P---2_14-_y0........... THE ISSUANCE OF THA CERTIFICATE SHALL NOT BE CONSTRUED. S A GUARANTEE THAT THE SYSTEM WILL /FUNCTIOIN",SATISFACTORY. 1 DATE.....-- -1- - 7 _............................................ Inspector../... •----•....<:/o`------•----• -----•------------•----- C THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH .........OF................... ..... _..._..�. ......................... +� FEE.....'5.,,t~ `":... Disposal r g � s� irin ran t Permissionisreby granted---------•---•--- -----•-------------•---- ............................._:.............--.... to Construct ( w7 or Repair ( an Ind �6ual Sewage Di s osal System Street as shown on the application for Disposal Works Construction Per No__ ___________ ___ Dated..���4.-:V............ r � .. -------••-••--•--•.._..._.....•_•-•. /�_ ._ 71( Board".of'4 Heal + DATE /_...-•---•-----------------------------------••._.......•__-=---- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS �, .� +.to GAMa:A .f-E- 6-QI Qc,T=-� r;7A&I L`.1 F'L AW s 110 ,4 S ,EPT"1G ISO 7' • 4-95 6.P.D. USA k oc>c. 614 L. PUSS SIT - _)S---l c>cx:� GAJ-. Wo C?1>L". •O-zz:. 1 :, �MPJX/ALL AtzE.A = l5o S.F. 1� SF x 2.S - :�77S G-P?D. TOTAL 4'L5 G•,P.D. ` 4z 4� PMOC-0LQTI00 2ATE Q 02 LF-SS. � P'eoP � �4xR .0 G • c+l ge s LOAM "QPB �Ocrb I 11.JV.` 11 O 4 4'PPS Dt5r. luv. GAS. 1(,`) �$�� uv r `Sox Sepric t o A Ta N K to 00 9 s Y ,b,,,, «rv. L�,cN •� PIT ' sttila wiru °f wasNes> I.O� �•O. P LC)-(T w 41 LaCAT►OV,4 - � !2. ►.►o So Ia.LE•- SC_AL �if•�D Tt4 ,T7 AT� t l�n (�VhTL�- ' GGtzTIt -j 'GNAT` C Fez � �w�u a L 5 t.3cr,.v u �a�..! WZ-27t_C51.1 cc trtnLVS -SIDE_LiuC= AUK of Twe pt.. `plc OVIS `41 • "? B A)(TS W u,.el~ tQG. t2i�.GIS•i'c.lZ�.b i,.,A,1.EG 5'U2V�Yok=� TI-415 V LAW oS QOT 0" A.W 05?EC'Vtl.l� o SASS. * -�1' BC j'u Dm'rczmo4 = LoT (-i we— A�'p�1 CA►,tT ,A�ff 1 i • 4 i FT RU [ I ! xil- ®® _ I " ~®® I ®® y m j i! Ii N ®® O i _I. . ,; I ill►, . I� i ! g ► I II „ jl I it ®® Ij ®® o® II ! ! LI I• I� is I I i i I II I �F i 14W r� Vv O SCALE 1/45,-T DATE March UZ,20„ M.W. DESIGN ADDITION/ALTERATION FOR DONNA DRISCOLL M.W. ORAVMNBY0 45 WOODLAND AVE.OSTERVILLE. , �� 17 UPPER cou►maD-s.DENNIS MA- APPROVED DRAWING# 1DF7 (508.)3982359 ' y .1 K�c• 6d � KbM ffieIL Wd -----—--------------------- /Maelf 0C /2X1 18• a � jr x � ' o ---- - _ - -- ---- --------- --------------- __fiiFFEFEEaEoE=aa£E3=_aESE=_EEEfiFF3E2Eii3ae3E__fi__F3�— • a • s_-__________ a__________ P•w i0 2 lr-W ]Rd it li it li 6 q ,.. • •- .. . r •. .-. .. r- e. • sdP {'d s-iP -- r ----------------- BMTSPAEN0 I •------------------------- >--------------------- ---------- ------- -------------- - --- ----- r. .,• , r_ .•y.a .• 1 1 _ __ _• r_ e . ♦. � 1 • - 7Td m IN '�� ' $il�li 9 C 0 __._— asiaaeaa=Faaaa-___E_=ace'353�q=a_e'eaaaafifiaaaa_a____a=�-==-REF=fiia=:3's'ai -_ —------------—________ __________ ' m Ella m � a /at�le�+e'o 7 • /9(7001ir O.C. 33 s � � m J m i ^ I . _________________________ -----•- Z sO�T iP�S• 1SB• ` f CX- 4r8M' l r . r i SCALE 19--1'a DATE Mara,oZMJJ M.W. DESIGN ADDITION/ALTERATION FOR DONNA DRISCOLL oRawN ev M.W. rsEwsEo 45 WOODLAND AVE.OSTERVILLE,MA, � "LWER TM R°'s.DENNIS APPROVED DRAWING#3OF7 (508)398 2359 P e IN w a � , X ' Ip z S I s�ls'o�ss so �s s X w�t iw r�INis ly w w rz O °!- Ycq!9.- y 9 9 la J m It K 'v e 1 1 r 4 y b 3dp S b 8 A ° egg $ a 6 a a by b e a g ��p g lit Ig ma I C oWALLS BLELSHEAMMM lowLo Ba C I i �m z s'o z 8 s p ------------ a A tatr 4 B B-01T C� 4 m MU"Wro MIAVOW coaxWmowvanceffW me sa ea' tae tva 4 L 9 . Wd m "P - ± a Cl) \ I-r 8-tr "n 4 r •O �. m m As 3� Hp Z y ,�� eooKa o�c =o m -Z O G WALUI o 61%SHEAM#NG �BdX' 1SB. SCALE DATE Mwch0.2++ M.W. DESIGN ADDITION/ALTERATION FOR DONNA DRISCOLL "'°°'°�°A'm°�'"°e'""'° DRAWN Sv M.W. REVISED "u�4mm°e .mna� ,7 UPPER cbturry RD.S.DENNIS 45 WOODLAND AVE.OSTERVILLE,MA. APPROVED DRAWING 4OF7 °b�°°" 'P °°"�" (508)398 2359 ratr uo m o n m s B b O a • m b S G C a 8 duo d A X O mg m O ! mCl) m o �1 m Zr m DN > � is g -------------------------- C A - . --------- co YJ n N O Z v r D ,aw ar taw ar _ ____ ______ T G¢ Sn1RA(g SIOfGf� cl15E O ttw -o m _ m Z ® Harr atttr ra 0 0 CM Y � , a W-r IF-W 9 L u l� P i 431W SCAM v4t1'4r DATE NWfchos,a011 M.W. DESIGN ADDITION/ALTERATION FOR DONNA DRISCOLL DRAWN BY M.W. REVISED - UV-v m— 17 UPPER COUNTY RD,S.DENNIS 45 WOODLAND AVE.OSTERVILLE,MA. m��� APPROVED DRAWING# SOP7 res0hftd.0a®PmNmWYWl . (508)398 2359 `Il! - • .I TL Li G r o . I m F = ®� . I rl m Lj ©®Ir It z Y � 'r Z Y .. 1, rr r I i , II 0��(� g! ! g! 00 - o ED : t _ t I. O [M-7 M-7. ®® _ I ' ZF=0 I I. ®IM ® ®® � ,��area��w�e M.W. DESIGN SCALE ,--114=V-0 DATE August 31,2011 .GARAGE ADDITION t PORCH ALTERATION FOR DONNA.DRISCOLL Pt�mo�Mw „I UPPER COUNTY RD,s DENNIS . U of eRsa planawAlwN P� vwrwnn��aaMntureet ewm (5�85�398 2359 ` DRAWNBY M•W• RewsED.:. _ _ - '45 WOODLAND AVE, OSTERVILLE MA: ,�b�eia�oaa„ aseb'aw. -APPROVED DRAWING# 1 OF2: - I CORNER V tsC KCMVVCU �J ® m J O 1 s ' Ix IN-GROUND / TOP OF FOUNDATION CORM. z POOL BENCHMARK EL. =35.97' i5 a � AT TOP OF y FOUNDATION I PAVED EXISTING 5.5' w DRIVE ENCLOSED a X PORCH TO O o"' o BE REBUILT � (3) o I ' — (4) co 1 ' 21.4' EX. GARAGE ' (TO BE CONVERTED 39.9' x >,, CO Lr TO LIVING AREA) O O .. x a a HC 2 y o N PROPOS�D b GARAGE N / I E? 'STING 1UC0-LL,LL:71,i / WC 1 o x HC 3 . " I SEPTIC TANK TO BE PUIN.%1P;E CRUSHED, AND FILLED 'Al H % END w ' r'1 \ CLEAN SAND—' WALL � X 75' 16' � x (6) 1 p2' _ - EXISTING (5) ' � 4-BEDROOM X 2) x o ",- _ SOIL ABSORPTION SYSTEM POOL FILTER PIPING TO'BE� " X SLEEVED 10-FT EITHER SIDE N = rl (F SEWER CROSSING LOCATION APPROX.) PROPOSED N81'0 . . 1500 GALLON 151- , �y x SEPTIC TANK 0 38 —F-r WA WING TIES Y X RELOCATED POOL PUMP ESCRIPTION WC 1 HC 2 HC 3 HC 4 AND SHOWER ENCLOSURE IP EPTIC COVER(1) 8.8' 17.7' 35.4' . FND ZONING DISTRICT- RC: i,,Assv r �P \\OF MA31 cyGs EPTIC COVER(2) 15.6 13.2 28.3 MIN. LOT AREA: 43,560 S.F. oa. FfTs o=� �oNN FAN ARAGE CORNER(3) 16.3' 21.0' MIN. FRONTAGE: 20 FT 10HN o CNUR�µ���JR MIN. LOT WIDTH: 100 FT ARAGE CORNER(4) 27.6' 29.7' FRONT SETBACK: 20 FT ARAGE CORNER(5) 24.1' 45.7' SIDE SETBACK: 10 FT o�FSSR °° DOFF N y REAR SETBACK: 10 FTC ARAGE CORNER(6) 9.3' 40.6' REV#1: 8/15/11 RELOCATED GARAGE TO BE 20 FT MIN. FROM WAY PROPOSED TANK REPLACEMENT SCALE: 1 INCH = 10 FT. DATE: FEBRUARY28, 2011 ; 0 5 10 20 40 FEET S IS SHOWN ON ASSESSOR'S MAP 140, PARCEL 214 PREPARED FOR: =R OF RECORD: PETER TARNOFF 45 WOODLAND AVENUE PETER TARNOFF PREPARED BY: OSTERVILLE, MA02655 LOCATED AT JC ENGINEERING, INC. , REFERENCE: DEED BOOK 10677, PAGE 262 2854 CRANBERRY HIGHWAY R TO "PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR PETER TARNOFF, 45 WOODLAND AVENUE EAST WAREHAM, MA 02538 )ODLAND AVENUE" BY THIS FIRM, DATED MARCH 3, 3003 ON FILE AT THE BARNSTABLE ID OF HEALTH. THE EXISTING SEWAGE DISPOSAL SYSTEM IS CURRENTLY SIZED OSTERVILLE, MA 02655 508.273.0377 k 4-BEDROOM DWELLING. Drawn By: BMB Designed By:BMB Checked By:JLC JOB No.1947 0 TOP OF FOUNDATION = 35.97' FINISH GRADE OVER D-BOX= 32.8' PROVIDE RISER TO WITHIN 6"OF FINISHED GRADE FINISH GRADE OVER TANK EL.= REMOVABLE COVER FINISHED GRADE OVER OUTLET COVER 33.8' 5" DIA. OUTLET(S) @ FOUNDATION = VARIES PROPOSED 4" PROPOSED 4" SCHEDULE 40 PVC SCHEDULE 40 PVC 2"DROP MIN. TO CONNECT TO EXISTING 4"PVC^_ MIN.SLOPE Q 1% 6"1 3" 3"DROP MAX. 3" 9" = MIN.SLOPE 1% L = 75' L =27' _ - » 1 4" PVC OUT TO� 3 1 -�� 14 30.75 i EXISTING 4" PVC I LEACHING FACILITY 'I - - N FROM 1000 GAL. 12" 31 .0' MIN. SEPTIC TANK -�----'- j + 48» OUTLET TEE 29y$7+ � � .—J I 29,74 22"ZABEL FILTER tm 10.0' MODEL#A1801-4x22 5 OUTLET DISTRIBUTION BOX 6"CRUSHED STONE OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET PIPES TO BE LAID LEVEL. PROPOSED 1500 GALLON CONCRETE SEPTIC TANK DIMENSION AS PER LENGTH 10' 6' WIDTH 5' 8" DEPTH 5' 8" WIGGIN PRECAST CORP. CROSS SECTION VIEW SEPTIC TANK PROFILE 79 BARLOWS LANDING RD. DISTRIBUTION BOX DETAIL POCASSET, MA NOT TO SCALE NOT TO SCALE (800)564-6774 �' -----' - - EDGE OF PAVEMENT WOODLAND (UNDEFINED L.O.) AVENUE —32 86°2643'E 143.00' CB/DH 32 MAP 140 %- \ 3 PARCEL 214 \ 15,000 S.F.± \ \ Q � I i � `` I I #45 o r Q ` EXIST' a 4-13EDR� rn O DWELLh HC;4 kv Co a x IN-GROUND / TOP OF FOUNDA,ION CH M ER l Z ' r ' POOL BENCHMARK EL. = 35.97' I a V ' I AT TOP OF W FOUNDATION x i EXISTING 5'a w x CY ) ENCLOSED PAVED -- ' PORCH TO O -DRIVE 0 o I I BE REBUILT ' o U) I I 21.4' EX. GARAGE p 2 (TO BE CONVERTED Co ir -- TO LIVING AREA) a a (3) x HC 2 ir O ' (4) n U 2' 16' 1 / ' EXISTING 1000-GALLON HC 3 x WC 0 --� SEPTIC TANK TO BE PUMPED, zo CRUSHED, AND FILLED WITH END � x o ' � f\ CLEAN SAND WALL 1 I 7 OSED - �P� \\-��_ fX GARAGE EXISTING 4-BEDROOM X X _ 2) SOIL ABSORPTION (6) ' SYSTEM (5) ) POOL FILTER PIPING TOB-E - r�r r'i��. - -.�..,.. -. 10.0' x SLEEVED 10-FT EITHER SIDEOF SEWER CROSSING (LOCATION APPROX.) PROPOSED N81°00'00"►N x 1500 GALLON 151.38' SEPTIC TANK � OFT _ SWING TIES WAY x RELOCATED POOL PUMP DESCRIPTION WC 1 HC 2 HC 3 HC 4 AND SHOWER ENCLOSURE -X�_. IP FND SEPTIC COVER(1) 8.8' 17.7' 35.4' �►!,� ZONING DISTRICT-RC: - SEPTIC COVER(2) 15.6' 13.2' 28.3' MIN. LOT AREA: 43,560 S.F. a GARAGE CORNER(3) 8.3' 30.7' MIN. FRONTAGE: 20 FT JOHN L. _? JOHN L. GARAGE CORNER(4) 23.4' 37.0' MIN. LOT WIDTH: 100 FT s CHNR 8066 R. CHU CINVIL ILL JR. V FRONT SETBACK: 20 FT GARAGE CORNER(5) 45.7' 27.7' 54.5' SIDE SETBACK: 10 FT GI REAR SETBACK: 10 FT GARAGE CORNER(6) 31.1' 17.0' 50.5' + PROPOSED TANK REPLACEMENT SCALE: 1 INCH = 10 FT. DATE: FEBRUARY 28, 2011 NOTES: 0 5 10 20 40 FEET 1. LOCUS IS SHOWN ON ASSESSOR'S MAP 140, PARCEL 214 PREPARED FOR: 2. OWNER OF RECORD: PETER TARNOFF PETER TARNOFF PREPARED BY: 45 WOODLAND AVENUE OSTERVILLE, MA 02655 LOCATED AT JC ENGINEERING, INC. 3. DEED REFERENCE: DEED BOOK 10677, PAGE 262 2854 CRANBERRY HIGHWAY 4. REFER TO"PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR PETER TARNOFF, 45 WOODLAND AVENUE EAST WAREHAM MA 02538 45 WOODLAND AVENUE" BY THIS FIRM, DATED MARCH 3, 3003 ON FILE AT THE BARNSTABLE ' BOARD OF HEALTH. THE EXISTING SEWAGE DISPOSAL SYSTEM IS CURRENTLY SIZED OSTERVILLE, MA 02655 - _ �--508.273.0377 FOR A 4-BEDROOM DWELLING. Drawn By: BMB Designed By:BMB 1 Checked By:JLC JOB No.1947 TOP OF FOUNDATION ELEV. = 35.97' ROVIDE PRECAST CONCRETE 5"DIA. OUTLET(S) FINISH GRADE OVER CHAMBERS = 32,40' - 32,8rj' GENERAL NOTE S EXTENSION RISER WITH CONCRETE COVER TO WITHIN 6" REMOVABLE COVER SLOPE @ 2% MIN. OVER SYSTEM 4"SCHEDULE 40 PVC MIN SLOPE 1% 3/4"TO 1-1/2" DOUBLE WASHED STONE TO CROWN OF PIPE 1- UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION OF FINISHED GRADE ABOVE FINISH GRADE OVER D-BOX=32.80 METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE FINISH GRADE 33.30, FINISH GRADE � OUTLET COVER @ FND. EL.= OVER TANK EL.= 33.30 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD 20" MIN.ACCESS COVER TOP OF SAS = 30.50' PLACE RISERS ON ALL CHAMBERS OF HEALTH AND THE DESIGN ENGINEER. (TYPICAL FOR 2) 36"MAX. 9"MIN. TO 6"OF FINISHED GRADE 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL EXISTING 4" 29.67' 36"MAX. BE USED IN DISPOSAL SYSTEM UNLESS OTHERWISE NOTED. j PVC PIPE 1 BREAKOUT EL = 30,17 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 6" 3" 3„ 9„ I-=97' S=1.0% MIN. PROVIDE WATERTIGHT ELEVATION = 30.17' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS 2"DROP MIN. JOINTS (TYP.) A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 10" 3"DROP MAX. 4"PVC I5NK O oo THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 0 0 0 0 0 14" SEPTIC T 4"PVC OUT TO o 00 E AT 1.0% MINIMUM. 31 .75 ± LEACHING FACILITY o o C:Do0 00 o0 6. THI5. S SYSTEM S NOTE ALL SOLID DESIGNED FOR A GARBAGE DISPOSAL. 3_1 .27 ± o 31 .48 ± �� *CONTRACTOR TO 29,87' MIN. 29,70' 2, o � 0 0 � 0 � � 0 0 CD CD � � 0 � � � o0 7 OSTEMCAL OS NEARLY COMPLEARD OF HEALTH O BE NOTIFIED E AND READY FORO BACK FILLING WHEN *CONTRACTOR TO CONTRACTOR SHALL VERIFY SIZE 48 VERIFY o 0 0o INSPECTION. SYSTEM IS NOT TO VERIFY AND CONDITION OF TANK AND TEES '----OUTLET TEE WITH 0 6"CRUSHED STONE ! 0 0 0 o 00 oo BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. ��� 0 8. ELEVATIONS BASED ON ASSUMED DATUM OF 35.00'MSL OBTAINED AND REPLACE AS NECESSARY �OVER MECHANICALLY o 0 GAS BAFFLE ON _ 8.T _ BOTTOM COMPACTED BASE 4.0' 8.5'(TYP.) 4.0' 4.0' 4.9' (TYP.) 4.0' 9. CONTRACTOR SHAFROM A NAIL IN A LL VEREE IFY ALL UTON PLAN. ILITY LOCATIONS PRIOR TO CONSTRUCTION f 5 OUTLET DISTRIBUTION BOX 33.5 THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE TO BE INSTALLED FEET A LEVEL STABLE , GROUND WATER ELEV.- 6� (U•S•G•S•) AT 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY BASE. FIRST TWO FEET OF OUTLET 27.67 12 9� DISCREPANCIES TO THE DESIGN ENGINEER. EXISTING 1000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. 3- 5OO GAL. CHAMBERS 5'MIN. 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE LENGTH $�-6" WIDTH 4 DEPTH '-7" CROSS SECTION VIEW STRUCTURES SHALL BE MADE WATERTIGHT. TYPICAL CHAMBER PROFILE CHAMBER END VIEW 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL CHAMBER DETAILS ZONING REGULATIONS. OWNEwAPPLICANTISTO OBTAIN SUCH NOT TO SCALE NOT TO SCALE NOT TO SCALE DETERMINATION FROM APPROPRIATE AUTHORITY. - _- --- -----_ - _ - - - . • -« .o r -- • - - 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS �••�; * «�� . TEST PIT DATA LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE • r • * �I. THEY SHALL WITHSTAND H-20 LOADING. �' • ` ��� { , (. • r ' SOIL EVALUATOR: Samuel Philos Jensen• 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND X WOODLAND (UNDEFINED �l� ` , # 7 �' r _ a' ` DATE: September25, 2003 FINES. A , . , TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND L.O.) A VE V a a a m r --") � r • * a( t � N UNSUITABLE MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF E _ �, : • ti • �� ; ELEV TOP: 32.64' • • ' , *� , f+�}_I j LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN /31 7 ) a •' ` } ♦`a ELEV WATER: 6'(U.S.G.S.) COARSE SAND FREE FROM CLAY, FINES OR OTHER UNSUITABLE MATERIAL IN X x '_-- . r • ♦o ACCORDANCE WITH 310 CMR 15.255(3). . , -. • PERC RATE. <2 Min./In. � , * r • � • �',Q,� ♦, w 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN X 31.8 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. y- •' �' ` ,' DEPTH OF PERC = 35"-53" �" � a � r ,�( • ,�, 16. PRO S85026'43"E • r.�p : . ♦ TEXTURAL CLASS LO WI POSED PROJECT IS CATED THIN - 1 • a `°M *"• ` ASSESSORS MAP 140 PARCEL 214 43.0 as r • �/j�r��`1rr • • ♦ • • r 1 • a CB/DH ♦ ,f• *� • ••• e• • r • • �• 17. OWNER OF RECORD: TARNOFF, PETER& DONNA M DRISCOLL / FND, HELD ► • : ' �'(! • i-, ~�o`. •r * • • • i !!�� N rlt �, y •• ��, + • ' -�,- w 0 32 ADDRESS: 46 COUNTRY DR. / MAP 140 • ,� ,� _ 1 _ WESTON, MA 02493 Z t3 • U b I 1 ♦ • ' ii i,, �� • r . *• r• • • • II • A Sandy Loam 10YR 4/4 • " t4 • FEMA FLOOD ZONE C • a PARCEL 214 �.,af1C�f[ � �''� 3 II ` ` ',y.• 10" 31.81' AS SHOWN ON COMMUNITY PANEL# 250001 0016 D •• • • • • 1 32. 15,000 S.F.± a - �_: ". ♦.♦4 a . . 18. PLAN REFERENCE: • • r • • `, B Sandy Loam 10YR 6/8 1' TO AN INC AND DATED JANUARY 1 975. d "PLAN OF LAND IN BARNSTABLE (OSTERVILLE), MASS., FOR PRISCILLA M. DAVIS,'- t rt .Neck A � • + SCALED 30 FEETH A 6 1 ef `arkeri - 6 1111 P n►td 30 22 34.4 _ ' g- �' ` 35" 19. DEED REFERENCE: 33.6 Co, se 1a 0 1. BOOK 10677 PAGE 262 * ,_ ,q �i Perc. y O 20. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL . 53" � `iar , ' r` CONDITION. f, 21. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY O " HC(1) 33.4 k ' . ' �� ' FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY J • >5x b ` k y 4 C1 F-M-C Sand 2.5Y 7/2 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. cv W #45 N EXISTING Z o � 4-BEDROOM �J LOCUS PLAN SCALE: 1"= 1000' Z " IN-GROUND DWELLING O i POOL TOP OF FOUNDATION B.M. a Elev. 35.Tre DESIGN DATA LEGEND EL. =35.9T � Elev. =35.00' No Standing Water, Assumed W�ping, or Obsery Bottling EXISTING CONTOUR NUMBER OF BEDROOMS: 4 z REMOVE ALL UNSUITABLE DESIGN FLOW: 110 GPD/BDRM 120" 22.64' X w a 50 PROPOSED SPOT GRADES ENCLOSED 00 MATERIAL WITH 5-FT OF TOTAL DESIGN FLOW: 440 GPD Z PORCH p PROPOSED S.A.S. TO o DESIGN FLOW X 200 % = 880 GPD Note: Shallow refuse pit (4) V MAP encountered on southwest side 50 PROPOSED CONTOUR ELEVATION 27.64' o e rn USE EXISTING 1000 GALLON SEPTIC TANK of test pit. --.. (5) EXISTING OVERHEAD UTILITIES s X 140 Bottom Depth=60"(El.=27.64') 9 15.9' 34.6 � t���POI GARAGE 1' INSTALL THREE - EXISTING WATERLINE IOJ�C PORCH (ON SLAB) 4 PARCEL 135 500 GALLON CHAMBERS 3' N/F DAVIS CAS EXISTING GASLINE SIDEWALL CAPACITY HC (2) O EXISTING FENCE 34.6 / x (LENGTH +WIDTH)(2 SIDES)(EFF. HEIGHT)(.74 GPD/SQ.FT.)=GPD X 34.8 -�'� (33.5'+ 12.9')(2)(2')(.74 GAUSQ.FT.)= 137.3 GAL. LEACHING/DAY % TEST PIT LOCATION 0 h BOTTOM CAPACITY O O EXISTING 1000 GALLON SEPTIC TANK 1G 4.5 PAVED --= M LENGTH WIDTH .74 GPD/S .FT. = GPD L P � :: (LENGTH)(WIDTH) Q ) ''' 33.5')(1 .9') (.74 USQ.FT.)= 319.8 GAL. LEACHING/DAY 4"SOLID SCHEDULE 40 PVC PIPE 2.9 DRIVE \ x 0 TOTALS: Q DISTRIBUTION BOX X TOTAL LEACHING AREA 617.8 SQ.FT. ® 500 GAL. LEACHING CHAMBER 33' X 3 2 TOTAL LEACHING CAPACITY 457.1 GPD 3: N81"00'00, 12 9� x 151.38, 32.8 REV. DATE BY APP'D. DESCRIPTION POOL FILTER PIPING TO BE 1 0 c3) 3 (6) PROPOSED SEPTIC SYSTEM UPGRADE SLEEVED 10-FT EITHER SIDE 1 � WAY. OF SEWER CROSSING PREPARED FOR: (LOCATION APPROX.) IP PETER TARNOFF EXISTING LEACHING PIT TO BE 3\�„ FND PUMPED AND FILLED WITH CLEAN SAND LOCATED AT (LOCATION APPROXIMATE) EXISTING 1000-GAL SWING TIES 45 WOODLAND AVENUE SEPTIC TANK DISTRIBUTION BOX OSTERVILLE, MASS. DESCRIPTION HC(1) HC (2) RESERVED FOR BOARD OF HEALTH USE INSTALL THREE 500-GALLON SAS CORNER(3) 68.60' 36.14' SCALE: 1 INCH = 10 FT. DATE: NOVEMBER 4, 2003 INFILTRATION CHAMBERS SAS CORNER(4) 43.92' 38.65' ���,�+OF 0 5 10 20 40 FEET SAS CORNER(5) 55.06' 50.20' 40 PREPARED BY: �„L JC ENGINEERING, INC. SAS CORNER(6) 76.22' 48.30' No 41p07 2854 CRANBERRY HIGHWAY -- - EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 SCALE: 1"= 10' Drawn y: SJ Designed By:Si Checked By:JLC JOB No 551