HomeMy WebLinkAbout0023 BRACKEN FERN ROAD - Health 23 Bracken. Fern '&J,
Marstons Mills
A=.043 —007 - 007
Ill
TOWN OF BARNSTABLE
LOCATION P3 GnAXcn F-cTn Rod SEWAGE # 00S-387
VILLAGE Msrs4on5 M,' IS ASSESSOR'S MAP & LOT Qq3 - 8
INSTALLER'S NAME&PHONE NO. Rc6s=ri Cam,YnW EXCct0m1 o,\
SEPTIC TANK CAPACITY 1000 Sam)
LEACHING FACILITY: (type) _SO 9ml Ckarn-6 (size) f a 'x P-T X 2-
NO. OF BEDROOMS 3
BUILDER OR OWNER
PERMITDATE: S-k•OS 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) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
y Furnished by
AI
A
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3
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AS A
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No. ' Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ZIpplicatton for 33tzpooal *p.5tem Cougtructiou Permit
Application for a Permit to Construct( . )Repair( )Upgrade(mom 1 andon( ) El Complete System O Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No. '
23 r®ctet�� M
® lcboel Evau k 5D9 -4,Z13 �853
Assessor's Map/Parcel te) . a'° 23 G�'i.e�i-ern�d •A i t kS�M�
In taller's Name,Address,and Tel No. Designer's Name,Address and Tel.No.
K
1414aberr�'b If o(-e_rtdo_b,AA 61 X D (P�Jdalq MA I
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design.Flow 33D gallons per day. Calculated daily flow 33 b gallons.
Plan Date 7 11,5 10 Number of sheets Revision Date
Title r
Size of Septic Tank I 1000 Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
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 is ed by this Bo of Hea
Sign. Date
Application Approved by a Date
Application Disapproved for the following reaus
Permit No. Date Issued
No. a� . .:s y ;1 Fee
y
' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF'BARNSTABLE, MASSACHUSETTS
fication for �i�poga�f *patent Cous uuction 3permit
'~ Application fora Permit to Constnict( , )Repair( )Upgrade ✓rbandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 101ner's Name,Address and Tel.No.
23 rnc�Cen?► n •�° i c�1 C►el I:Vgt) 1 6 D8- tt2$ -�853•
Assessor's Map/Parcel23 Bra cV to r n• cl A• A i i(S A U A4 9
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 4
Robert. 6j•1 41(3 £xcnvC lon Cn3-i net�kn t
-t bt-�S
H'ftabe�� UL1 10(_e,5-d0 0, MA Iz W. Lid_ f- c Ic(o MA
Type of Building: 1
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design.Flow 'An gallons per day. Calculated daily flow 33- h gallons.
Plan Date ' Number of sheets P Revision Date
Title .SPDA 1( S y!5kDCn 1)CV i f C, r L-0 2 r Cnr V n tl }P r(1 2r4 1'JJ AA I
Size of Septic Tank 1000 "j Type of S.A.S. A
Description of Soil
S •,
Nature of Repairs or'Alterations(Answer when applicable)
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 issued by this B%MW
Signe ADate 06
Application Approved by ,I Date
Application Disapproved for the following re s s
v
Permit No. Date Issued
i
---- --.-- ---- ------------------------- --
5�-r 00r THE COMMONWEALTH OF MASSACHUSETTS W
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
2 THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( )Upgraded
Abandoned( )by
t
at Q r S has bee constructed in accordance
with the provisions of Title 5ranJd the for Disposal System Construction Permit No dated
Installer ��1 4-a �-i Designer
The issuance of this permit shall not be construed as a guarantee that the ys em wiKu-ctio ,as desigagd.
Date Q' ri Inspector s. UJIJ)----
_ ———— �--�-------------------------- `y-
No.4 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Dtgpogaf *pgtem Con5tructiou Derma
Permission is hereby granted to Construct( )Repair( )Upgrade(�bandon( )
System located at �. ( 1 r'L e n r> _�/t��� )p
r
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:Cons ctio�,must be completed within three years of the date of h'is permit. (�
Date: Approved by,.
5/25/01
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION
FORM
I, '��µ✓ Mc_ Eh , hereby certify that the engineered plan signed by me
dated � )l.� U 3 , concerning the property located at
�3 1`� ts✓t �''V A meets all of the
following criteria:
This failed system is connected to a residential dwelling only. There are no
commercial or business uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5
minutes per inch. The applicant may use historical data to conclude this fact or may
conduct preliminary tests at the site without a health agent present.
• There is no increase in flow and/or change in use proposed .1 �2>
• There are no variances requested or needed.
• The bottom of the proposed leaching facility will not be located less than fourteen
(14) feet above the maximum adjusted groundwater table elevation. [Adjust the
groundwater table using the Frimptor method when applicable]'
Please complete the following:
A) Top of Ground Surface Elevation (using GIS information)
B) G.W. Elevation _+ adjustment for high G.W. -
DIFFERENCE BETWEEN-A and B
SIGNED : L DATE:
NOTICE
Based.upon the above information, a repair permit will be issued for bedrooms
maximum. No additional bedrooms are authorized in the future without engineered
septic system plans.
q:health folder:percexmp
Town of Barnstable
Regulatory Services
Thomas F.Geller,Director
N r Public Health Division
w,rM' Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-190-6304
Installer& Designer Certification Fora
Date: 8 z 0 Sewage Permit# �oQ,�-387 Assessor's Map1Parcel_ 3/00 7/.0
0-7
Designer: Rk�� c � -� Installer: a. c.ri G;1-4.q
Address: Z- iJ j _ �, >s "' / Address: 1y Teo,, e rrL4 La
On 8-9-OS Exc AL/A-T sow was issued a permit to install a
(date) (installer)
septic system at r c Q-t ,, lg,� _ _._based on a design drawn by
(address) o
- -- -- dated
(designer)
9e-- 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.
I certify that the septic system referenced above was installed with major changes (i.e.
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.
H OF M'9ss
PETER
(Installer's Si ) WENTEECP
CIVIL cn
-o No.35109
/STEAD'®�c`�e
(Designer's Signature)_ (Affix ides Here)
PLEASE RETURN TO &ARNSTARLE 1!11 BLIC HEALTH DIVINION. CERTIFICATE OI±
cU1Vii'LIANCE 36'ILL NOT I3I; ISSUED UNTIL Bt3TFI TIIIIS F®It]VI AN 2 . 5-11KI T CARD ARE
ItECIJIVEID BY TFIE BARN STABLE L'BLIEALTIFI DIVISIt,N. T][ AN1K �Il.
Q:HealtIVSeptic/Desiper Certification Form 3-26-04.tloc
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■' Complete items 1,2,and 3.Also complete A. Sig ture
item 4 if Restricted Delivery is desired. ❑Age1t
■ Print your name and address on the reverse X ❑Addressee
so that we can return the card to you. B. eive (Printed N me) C. Date of Delivery
■ Attach this card to the back of the mailpiece,}
or on the front if space permits.
D. Is&livery address. reeN7 bm to , 1? ❑Yes
1. Article Addressed to: ,�
If YES,enter d�live address>beI''P ❑ No
Mr Michael-Evaul See n�,
23 Bracken Fern Road
Marstons Mills, MA 02648 s. Service Type `x
❑Certified Mail ❑YExpnress Matl
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number l ;;; 70 03 1680 ;0 0 0 4 =5 4.5`8 :`2 7i800 '
(Transfer from service label) : + xis o �� r� i i
Jay
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1549'
UNITED STATES POSTAL SERVICE
Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please printyo'ur:.rf% e, address,,ancL24P+4-ira is k x + i
.PUBLIC HEALTH DIVISION j P
TOWN OF BARNSTABLr i
200 MAIN S T REET
HYANNIS, MASSACHUSETTS. 02601.
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OFFICIAL
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Postage $ a,•ji
O Certified Fee
Mp Return Reciept Fee d` x ostmark
(Endorsement Required) Here
O Restricted Delivery Fee JUL 2 9 2W5
cO (Endorsement Required)
.A
Total Postage&Fees $
m
O Sent To
O
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orPOBoxNo. r1�3--�-_QJS.�n..f^_PP ...
City State,2I144
Ma ra
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Certified Mail Provides:o A mailing receipt (asianat/)ZOOZ eunf bOdE Wood sd
n A unique identifier for your mailpiece
a A record of delivery kept by the Postal Service for two years
Important Reminders:
a Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile.
n Certified Mail is not available for any class of international mail.
® NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
e For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
m For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted-Delivery".
o If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
Internet access to delivery information is not available on mail
addressed to APOs and FPOs.
f
�FIKE tp�f►
Town of Barnstable
BARNSTABLE, * Regulatory Services
9� MASS.
rF 1639. ,0 Thomas F. Geiler,Director
pO MA'S A
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 29, 2005
Mr Michael Evaul
23 Bracken Fern Road
Marstons Mills, MA 02648
NON-COMPLIANCE WITH STATE ENVIRONMENTAL CODE TITLE V.
The septic system owned b you located at 23 Bracken Fern Road Marstons Mills MA was inspected
p Y YY � p
on June 21 , 2005 by Patrick M. O'Connell a certified septic inspector for the State of Massachusetts.
The inspection of your septic system showed that your system has "Failed" under guidelines of 1995
TITLE 5 (310 CMR 15.00) DUE TO THE FOLLOWING:
Leaching pit full to top of structure, has no effective leaching.
You have two years from the date of the system inspection to bring the system into compliance.
If there are any questions about this reminder,please feel free to contact the Barnstable Health
Department.
BARNSTABLE HEAL H DEPARTMENT
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
a ; d DEPARTMENT OF ENVIRONMENTAL PROTECTION
F
ti
v0
O., Sy0
TITLE 5
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CF ITIFICATION ,
Property hAddress: 23 Brackenfern Road `
Marstons Mills MA 02648 t`
Owner's Name: Michael Evaul
Owner's Address: Same CD
Date of Inspection: June 21,2005 Job#05-185
Name of Inspector: PATRICK M. O'CONNELL
Company Name: SEPTIC INSPECTION SERVICES CO. Co
Mailing Address: 189 CAMMETT ROAD
MARSTONS MILLS MA 02648
Telephone Number: 508-428-1779
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported
below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my
training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: `%1111111111►/114
Passes
Conditionally Passes &
Needs Further Evaluation by the Local Approving Authority = IC :m
X F y
Inspector's Signature: Date: 6/21/05
INSPE�
The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Head $tI�11N��`
DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000
gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the
DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving
authority.
Notes and Comments: Leaching pit full to top of structure,has no effective leaching.
****This report only describes conditions at the time of inspection and under the conditions of use at that
time.This inspection does not address how the system will perform in the future under the same or different
conditions of use.
Title 5 Inspection Form 6/15/2000 page 1
Page 2 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 23 Brackenfern Road, Marstons Mills
Owner: .Michael Evaul
Date of Inspection: June 21,2005
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A. System Passes:
I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
B. System Conditionally Passes:
On.-or more system components as described in the"Conditional Pass"section need to be replaced or
repaired.The system,upon completion of the replacement or repair, as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND) in the for the following statements. If"not determined"please
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain.:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
Titles G TnCnPptinn F7— 6/1 1;170nn 2
Page 3 of 11
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 23 Brackenfern Road, Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
C. Further Evaluation is Required by the Board of Health:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health, safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(b)that the
system is not functioning in a manner which will protect public health,safety and the environment:
_ Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
_ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
_ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used to determine distance
"This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
Titles 3
Page 4 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 23 Brackenfern Road,Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
D. System Failure Criteria applicable to all systems:
You must indicate"yes"or"no"to each of the following for all inspections:
Yes No
X _ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
_X— Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
—X— _ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
_ _X_ Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow
—X— Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped
_ _X_ Any portion of the SAS,cesspool or privy is below high ground water elevation.
—X— Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
—X_ Any portion of a cesspool or privy is within a Zone I of a public well.
_ _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
_ _X_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this forma
_Yes_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large Systems:
To be considered a large system the system must serve a facility with a design now of 10,000 gpd to 15,000
gPd•
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
yes no
the system is within 400 feet of a surface drinking water supply
_ the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—I WPA)or a mapped
Zone 11 of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered
n
yes in Section D above the large system has failed.The owner or operator of any large g system considered a
significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR
15.304.The system owner should contact the appropriate regional office of the Department.
TrtiA C Tncnar+inn Rnrm 4
r
Page 5 of l I
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 23 Brackenfern Road, Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
Yes No
_X_ _ :Pumping information was provided by the owner,occupant, or Board of Health
_X_ Were any of the system components pumped out in the previous two weeks'?
_X_ _ :Has the system received normal flows in the previous two week period?
_X_ :Have large volumes of water been introduced to the system recently or as part of this inspection
_X_ _ Were as built plans of the system obtained and examined?(If they were not available note as N/A)
Was the facility or dwelling inspected for signs of sewage back up?
Was the site inspected for signs of break out?
_X_ _ Were all system components,excluding the SAS, located on site
X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the
condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of
scum?
Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurface sewage disposal systems 9
The size and location of the Soil Absorption System (SAS)on the site has been determined based on:
Yes no
_X_ _ Existing information. For example, a plan at the Board of Health.
X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of
distance is unacceptable) [310 CMR 15.302(3)(b)J
T41a C inenarfinn 17nrm All Ci)nnn 5
Page 6 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 23 Brackenfern Road,Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203 (for example: 1 10 gpd x# of bedrooms): 330
Number of current residents: 4
Does residence have a garbage grinder(yes or no): No
Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required]
Laundry system inspected(yes or no):
Seasonal use: (yes or no): No
Water meter readings, if available(last 2 years usage(gpd)): 2003—112,000 gal.2004—116,000 gal.=312 gpd.
Sump pump(yes or no): No
Last date of occupancy: Currently Occupied
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): god
Basis of design flow(seats/persons/sgft,etc.):
Grease trap present(yes or no): _
Industrial waste holding tank present(yes or no):
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records: Tank pumped last year.
Source of information: Owner
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped: gallons--How was quantity pumped determined?
Reason for pumping:
TYPE OF SYSTEM
_X_Septic tank,distribution box, soil absorption system
_Single cesspool
_Overflow cesspool
Privy
_Shared system(yes or no)(if yes, attach previous inspection records, if any)
_Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight tank _Attach a copy of the DEP approval
_Other(describe):
Approximate age of all components,date installed(if known)and source of information:
1989
Were sewage odors detected when arriving at the site(yes or no): No
Tifly G inenorfinn Rnrm Oil r11')nnn 6
Page 7 of-II
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 23 Brackenfern Road,Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
BUILDING SEWER: XX (locate on site plan)
Depth below grade: V
Materials of construction:_cast iron _X_40 PVC_other(explain):
Distance from private water supply well or suction line: -
Comments(on condition of joints, venting,evidence of leakage,etc.):
SEPTIC TANK: XX (locate on site plan)
Depth below grade: V
Material of construction:_X_concrete_metal_fiberglass_polyethylene
—other(explain)
If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of
certificate)
Dimensions:8.5' long x 5.2' wide—1000 gal.
Sludge deph: 2"
Distance from top of sludge to bottom of outlet tee or baffle: 28"
Scum thickness: 1"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: 12"
How were dimensions determined: STICK WITH HINGE FLAP.
Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert,evidence of leakage,etc.):
Liquid level currently at bottom of outlet pipe,tank has previously been full to top.
GREASE TRAP: No (locate on site plan)
Depth below grade:
Material of construction:_concrete_metal_fiberglass_polyethylene_other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of leakage, etc.):
Titia G Inen-rtinn T7nrm 411;i)nnn 7
Page 8 of 1 I
OF
FICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 23 Brackenfern Road,Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan)
Depth below grade:
Material of construction: concrete metal fiberglass polyethylene other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: XX (if present must be opened) (locate on site plan)
Depth of liquid level above outlet invert: 4"
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.):
Liquid level over outlet pipe and box has staining to top.
PUMP CHAMBER: No (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no):
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
T41a Tnenantinn 17nrm All cionnn 8
Page 9 of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 23 Brackenfern Road,Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required)
If SAS not located explain why:
Type
_X_leaching pits,number: One 6x6 pit.
leaching chambers, number:
leaching galleries,number:
leaching trenches, number, length:
leaching fields,number,dimensions:
overflow cesspool,number:
innovative/alternative system Type/name of technology:
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,
etc.): Leaching pit full over top of structure.Pit fails due to absence of effective leaching.
CESSPOOLS: No (cesspool must be pumped as part of inspection) (locate on site plan)
Number and configuration:
Depth—top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.):
PRIVY: No (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc.):
T41a; Incna�*inn Rnrm A/1 S/7nnn 9
I
Page 10 of 1
r
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 23 Brackenfern Road,Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building.
Brackenfern Road
Water service
Driveway
#23
31.
27
40
36 39 51
Titla C incnartinn Fnrm All C/7nAl) to
Page 1 I of 11
OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 23 Brackenfern Road, Marstons Mills
Owner: Michael Evaul
Date of Inspection: June 21,2005
SITE EXAM
Slope None
Surface water None
Check cellar Dry
Shallow wells None
Estimated depth to ground water
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain:
Checked with local excavators, installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
A perc test will be performed prior to repair to determine groundwater elevation.
Titla C incnam;nn 17nr AlI VIAW) I I
):�,�JOWN OF BBAARNSTABLE
LOCATION����' /.�/'f+c���i 1 eGy ACP4 SEWAGE
VILLAGE 1.tee f A('11 ASSESSOR'S MAP & LOT QD -007-007
INSTALLER'S NAME & PHONE NO.
SEPTIC TANK CAPACITY ;®od
LEACHING FACILITY:(type) (size) jCoo
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER s /T
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
r
l�
3-1
i.
J
�r Fz;:s
THE COMMONWEALTH OF MASSACHUSETTS 4 -1
BOAR® OF HEALTH
......./.� �.................0F..........&�,2—%AhZ-----......................................
d 3-0�.......(
07
•— d 0
Appliratilan for Diipus�al larks Toutitrnrtiun rrmi#
Application is hereby made for a Permit to Construct (&) or Repair ( ) an Individual Sewage Disposal
System at:
iE�.4t�i E�✓ lr...��L1.--..y/�,�5®�o.✓S' / �C -----•................./_C,T &
Location-Address or Lot No.
_.��SI .._..dam.-...�6�CIAf�!1.......... ............... ..................../r�lCRC�C��.. �C.n._._!cB ..............
Owner Address
,-1
Installer Address
Q Type of Building Size Lot-----A0 AQ1......Sq. feet
U Dwelling—No. of Bedrooms__ 'lY`S6..........................Expansion Attic ) Garbage Grinder )
` do
4 Other—Type of Building No. of persons............................ Showers — Cafeteria
a' Other fixtures ____________________________
W Design Flow.................................5.,57.._gallons per person per day. Total daily flow............................a.-Q....._gallons.
W Septic Tank—Liquid capacitylMo..gallons LengthTflm(.a..... Width.g'.-10 Diameter- Depth. '.....
x Disposal Trench—No. .................... Width_-_--__-_--___-_-- Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No....mL--------- Diameter-----LQ........... Depth below inlet...4 ............. Total leaching area..,25.?......sq. ft.
Z Other Distribution box (X) Dosing tank ( )
Percolation Test Results Performed by..........f..... ..................................... Date...F/....._._._.......•__..
aj Test Pit No. 1......tZ......minutes per inch Depth of Test Pit...l�........... Depth to ground water....... _ -_---.
Test Pit No. 2...............minutes per inch Depth of Test Pit.................... Depth to ground water V
---------•-- --•--------------•-------•••-•••----•------------•-............------•---------------•-•............
.......---- ----••---
O '
x Description of Soil----a----Z---;... lz.. � sab s�.i�---------•--------------------------------------------------------- ---.AURM---
wILSON
•-••-•----...----•...................................................•--•-••----•-••--•---••--•--•--------•---------------------.......................
U Nature of Repairs or Alterations—Answer when applicable................................................................
-----------------------------------------------------------•--------------------------•-•-••---•------------------------------------•-------•--•-•-........•---•-•-•--------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a ordance with'p�v�u
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has een issued by the boa d of health. q
Signed ............... e
i ... Da[
Application Approved BY ........ C ------------------- - / -----/�5---� v'° .-.$..../....
..
Date
Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------- ...------....................--
.......................... ........ ....... ....... ...... .. ... .................................................. ......... ...................... .. . ............... ........................................
0 Date
Permit No. .......lf 9-" d _3A- Issued ...........------ ..............................------------......
Date
1
J
Fizz 7.6
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
``
Appliratiun for Diupuuttl Works Tondrurtiun Prrutit
Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal
System at:
.� e,�c�✓ � ,�� ��. ,- �.,r�� .� �� ................................... ......................................................
.. ............__ . - - ... -••--•...._..... _. ..
Location-Address or Lot"No,e? d
...................... <a-----gin f'�r (/
Owner, A //
r
Installer Address 9 0c)
Type of Building ,/ Size Lot............................Sq. fit
U Dwelling—No. of Bedrooms...___4_hr�. ____.......•.............Expansion Attic (4/6) Garbage Grinder (
-4 Other—Type of Building ---------------------------• No. of persons-------•------------•------. Showers ( ) — Cafeteria ( )
P4Other fixtures --------•--•---------------------•----..._..._..-•----.....--•-•-------•--------------------------•-••--•--•-----------_...._
WDesign Flow....................................'_gallons per person per day. Total daily (low............................................g il�s.
WSeptic Tank—Liquid'capacity...1vogallons Length.__.. _._. Width.._.......a� ._ Diameter________________ Depth..__.________...
x Disposal Trench—No. .................... Width.................... Total Length............I....... Total leaching area------ �...sq. ft.
3 Seepage Pit No...... ��._____- Diameter....__.1-6 _...__ Depth below inlet..... .......... Total leaching area..........__._....sq. ft.
Z Other Distribution box ( � Dosing tank ( )
t—' Percolation Test Results Performed by------------_�J --;--------------------- Date--------
t-_- �!�_: ........_ /�``./�
-------•---'•-- ......
Test Pit No. 1......__..Z...minutes per inch Depth of Test Pit...... ........ Depth to ground water..
Test
(s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wa OF-
.............+.......... ..._........................I............?.................................-........--.........- . �� . .
O Description of Soil........ __.._._.. ....1..c,__.,em._.. --__.nat N ALLYN
WILSON
-----•----•----------•--------------------------------•--•--- -------------------------------•----------------------------------••----------------•-----•---------- ....M:3t1=
V Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------- _ �� ,Qs
••-• ---------•----•••-•-••------•••----------------------•-•-.........._......._..................------••••-•--------••••-----•-----------------•--•-----••-------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a rdance withGevig-
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the/o�id�rip
system in operation until a Certificate of Compliance has,been issued by the board of he dth.
Signed -- ------- -- ---- -."'"'.°.---. ................................................ �,,�....�..�--
ApplicationApproved By -------) V-- j - ------------------------------------------------- .......----------------- y r ------
Application Disapproved for the following reasons: ............................................................ ..... ...............................................................
............................... .--.-----------------...........................--.--............................---.--.--.--.-----.............................................--.----.------ ........................................
.Tare
Permit No. Issued
Dare
THE COMMONWEALTH OF MASSACHUSETTS
�-- BOARD OF HEALTH
.. Vie...................... OF .. i .tis'.✓. -�. ....................................................
Tjortifirate of Clontplin re
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed Repaired ( )
by---- s��. ........C, 5T.:.' '-=-------------------------
- _ Installer y�
at ,�a ?. �J cL'.fr'.�i G'i: // C:�C ✓�/......Z` ....-..-... ±:/'. � �G1. %��1.........1'� ....................
has been installed in accordance with the provisions of TITLE 5 of The State Environmenta de as described in
the application for Disposal Works Construction Permit No. ..t� -::. --- -- ------------ date
=----- ----------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON T E AS A A NTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE----- .........................................................------....... Inspector -------------_------------- ---.........:...................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/�liGe.i.t/ OF... /.=�NrS'T` .? C .........................
Nog?-//y ....... ..................................
�.. .... FEE........................
- �iu�ruu 1 lurk �uat��riun rruti�
Permission is ereby granted -- -.- �. .. = f ...
to Construct ( or Repair ( an Individual Sewage Dispo System
at No..Z'�7".._ �. r' '! ...............
� ri..... .;1 ......... ��',�-�... .'......---- ^%.... ..................
Street
as shown on the application for Disposal Works Construction Permit � ....... Dated..........................................
Board of Health
DATE................................................................................
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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`4 LEGEND
R, r
ExrsnNc Plr PB 448 /PG 85
TO BE PUMPED & Ra
FILLED W/ SAND PROPOSED CONTOUR LOCUS
z3 ' 99 PROPOSED SPOT GRADE el R°od
EXISTING SEPTIC TANK I _ - — w°� m
TOP OF TANK EL: 98.42 P EXISTING CONTOUR ^
lNV(OUT) EL: 97.09f Ot`' 11t _ _• __ _ ---- _— .- yter Rd 3 yerN Or
✓ ter- _ x 9 .u3 EXISTING SPOT GRADE a
TEST PIT °o
'
N 92'08'04" W -' iJ EXISTING WATER SERVICE pe"" 4 4`o�o�-
zr
VTR/POUT x 9 '.3 / �"► BENCHMARK �a
25 ----•.I -- SEE NOTE 11
0 �.. f"' _ __ I
LOCUS MAP N.T.S.PROP. �
O 0N
.- ..-fig L ,-•. ..,.r: ._ ;
�100 GENERAL NOTES:
7
6 .
Sf'F xg�9. .r k 1 L)G�. '�5
r'� 1 ALL BOARD HOFGHEALOTHTANOPTHE DESIGNLAN MUST SENGINEERVED BY THE LOCAL
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
�CKI�MARK --��_— OF THE STATE ENVIRONMENTAL CODE, TITLE V. AND ANY APPLICABLE
BULKHEAD CORNERLOCAL RULES AND REGULATIONS.
ELEV=100.00 (ASSUMED) x �,6, f- u00.28i ABOVE I
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
rROUNV TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
DESIGN ENGINEER.
DECK SWiaL#MI1Nf;
EXISTING POOL 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
HOUSE(#23) ENGINEER BEFORE CONSTRUCTION CONTINUES.
! T.O.F.=101.00 5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
��^r '� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
C) THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF
LO; I sD ,�j� HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
o ! x 7 �?, ?r` LOT % 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
'Y 99 ,78 - ` x ck 1 1 ^� 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' Of THE S.A.S.
9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED
=r 1 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR.
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION.
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
9 IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S:
LOOT. 8 I AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3).
APN 04,.�-007-007 f PA VED
18,oo S.F. I I rah?I EWA Y
HOUSE LOCATION TAKEN FROM CERTIFIED PLOT PLAN IN MARSTONS MILLS, MA,
1 , o PETER T. DATED 11/27/89, BY BAXTER & NYE, INC. OSTERVILLE. MA
- o McENTEE
-� R ,�407 44 M CIVIL PROPOSED SEPTIC SYSTEM UPGRADE
No. 35109
!, RFGl5��H-- �A 23 BRACKEN FERN ROAD, MARSTONS MILLS, MA
£S p 4 Prepared for: Michael Evaul, 23 Bracken Fern Rd, Marstons Mills, MA
pr -fit;r�tyaetl gQ Engineering by: SCALE DRAWN JOB. N0.
��� EngineeringWorks 1"-20' P.T.M. 178-05
BRACKEN FERN ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0.
(508) 477-5313 7/15/05 P.T.M. 1 of 2
{ TOP OF FOUNDATION NOTE: TO PREVENT BREAKOUT, THE PROPOSED
F.G. EL: 99.3t FINISH GRADE SHALL NOT BE < EL:96.5
(EXISTING) (EXISTING) FOR A DISTANCE OF 15' AROUND THE
F.G. EL: 99.8t F.G. EL: 99.4t F.G. EL: 99.5t PERIMETER OF THE S.A.S.
(EXISTING) (EXISTING) (EXISTING) MAINTAIN 2% MIN SLOPE OVER S.A.S.
INSTALL RISERS OVER INLET & OUTLET INSTALL RISER OVER D-BOX TO INSTALL RISER OVER CHAMBER/S
TO WITHIN 6" OF FINISH GRADE WITHIN 6" OF FINISH GRADE SHOWN ON PLAN AND SET COVER/S
WITHIN 6' OF FINISH GRADE
is L =3' L =5'
6 4" SCH 40 PVC 4" SCH 40 PVC 2" LAYER OF 1/8" TO 1/2
10 0 S= 1% (MIN.) 6" ® S= 1% (MIN.) ®® gi �a DOUBLE WASHED STONE
!: AEXISTING E3063
v EXISTING 1000 GALLON 2' EFF. DEPTH ®®�®�� 3/4"-1 1/2"
SEPTIC TANK INV. ELEV.=97.00 D-BOX �,�� OOUBLE WASHED
W/ RISER INV. ELEV.=96.83 3.5' 5.2' 3.5'
INV. ELEV.=97.09t EFFECTIVE WIDTH = 12.2' STONE
(EXISTING)
INSTALL INLET & OUTLET TEES INV, ELEV.=96.00
GAS BAFFLE TO BE INSTALLED ON
OUTLET TEE AS MANUFACTURED BY TOP CONC. ELEV.=96.8 —BREAKOUT ELEV.=96.5
TUF-TITE, ZABEL, OR EQUAL INV. ELEV.=96.00 seas
e�ea®era
D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE ®®®m18m63 �®
ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BOTTOM ELEV.=94.00
4' 2 x 8.5' = 17.0' 4'
STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). pF
5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 25.0' MgSS
SEPTIC SYSTEM PROFILE T.P. EXCAVATION OR G.W. ��P� 4e-
11
LEACHING SYSTEM SECTION PETER T. s
BOTTOM OF TP , EL.=89.0 McENTEE
N.T.S. o CIVIL
No. 35109
Gl
(3) 5" DIA.OUTLETS
,i°- 15,5" -I I--16"--1 2• DESIGN CRITERIA
1 " SOIL LOG NUMBER OF BEDROOMS: 3 BEDROOMS
15.e" 0 i DATE: JUNE 30, 2005 SOIL TYPE: CLASS I
�'---- 250 "—"yI SOIL EVALUATOR: PETER T. McENTEE P.E., C.S.E. DESIGN PERCOLATION RATE: 2 MIN./IN.
2" r INSPECTOR: NOT REQUIRED DAILY FLOW: 330 G.P.D.
H-10 LOADING + I N DESIGN FLOW: 330 G.P.D
D-BOX PIROP. S•A•S° cV GARBAGE GRINDER: NO
NSA
Elev. TP Depth
LEACHING AREA REQUIRED: (330) = 445.9 S.F.
99.0 A SANDY LOAM 0' .74
10YR 3/3 EXISTING SEPTIC TANK: 1000 GALLON (ESTIMATED)
I®®®® ® ®®I®®
E@®®®®®®®®®® 33" �q�• �6� 98.5 $ SANDY LOAM 6,.
INVERT I®®®®®®®®®®6� N
24" ®Q�®lE�®®I®®®® 1OYR 5/8 USE 2-500 GALLON LEACHING CHAMBERS IN SERIES
96.0 36"'
102" C1 SILT LOAM SIDEWALL AREA: 2(12,2' + 25.0') X 2 = 148.8 S.F.
5Y 5/3 BOTTOM AREA: 12.2' x 25.0' = 305.0 S.F.
93.0 72" TOTAL AREA:
453.8 S.F.
4° KNOCKOUT EXISTING
Zo• oiA, COVER HOUSE(#23) C1 DESIGN FLOW PROVIDED: 0.74(453.8) = 335.8 G.P.D.
KNocxour \1 a° KNocKour 62" T.0.F.=101.00 M-C SAND
�J 2.5Y 6/6 EEngineeringWorks
ROPOSED SEPTIC SYSTEM UPGRADE
4' KNOCKOUT
o
ACKEN FERN ROAD, MARSTONS MILLS, MA
89.0 120" or: Michael Evaul, 23 Bracken Fern Rd, Marstons Mills, MA
500 GALLON CAPACITY, H-10 LOADING
PERC RATE '<2 MIN/IN. ("C" HORIZON) by: SCALE DRAWN JOB. NO.
CHAMBERS S.A.S. LAYOUT WorksN.T.S. P.T.M. 178-05
KTSNO G.W. ENCOUNTERED«.TS. ssfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
5313 7/15/05 P.T.M. 2 Of 2