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HomeMy WebLinkAbout0011 CHESLEY ROAD - Health I 11 Chesley Road Marstons Mills A= 101 —0611= 601 I r TOWN OF BARNSTABLE LOCATION I/ ('AgSky Re) SEWAGE# 'ZOO-i o S`L VILLAGE IP7 /f?, ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. C�,ppw/d.� �'�, el2y' �G 2,f SEPTIC TANK CAPACITY /Z SU ///O LEACHING FACILITY: (type) /gyp /r°le,*� io /�. (size) (�� 3 X YO NO.OF BEDROOMS JJ OWNER. PERMIT DATE: 3-1 b-®°I COMPLIANCE DATE: 3 -d 8 P®g Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility vo 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 �/-l�fi✓c(o�e .�'at.�iryp/1>C j Cs(sf. r J Aj it„o g sZ•v � z 61 33.o C3 &o•0 �2 3co w cI g v.s- �3 �g.o �� S`►•s No. 0 Fee / HE COMMONWEALTH OF MASSACHUSETTS Entered in com uter: i PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS . Yes ` YI�l�l LatIDIt for MiBpOSal *pStCltt COIYstCUttIOTY i3CrYtllt Application for a Permit to Construct( ) Repair(i/ upgrade( ) Abandon( ) ❑ stem Complete Sy stem y ❑Individual Components Location Address or Lot No. 11 Ck eslf j 2oRc1 MOM wner's Name,Address,and Tel.No. 5',Q,,d4q o L5,Q,,,, Assessor's Map/Parcel P0 �1.-p O 1 S�e f Installer's Name,Address,and Tel.No. �/� t-drtvO��e1 Designer's Name,Address,and Tel.No. TG �Z efv 2i� /1 d• z Z irSY tra,.,b,�. 6 rw-.e�;a< 1414 Y'©S 2,3 •-037-7 4_44ec-*.4+-M Type of Building: Dwelling No.of Bedrooms 7 Lot Size Y ® sq.ft. Garbage Grinder( ) Other Type of Building si ;/{ �,�„"/tj No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date 3-i'1 4004 Number of sheets Revision Date Title (i C-A eOn Size of Septic Tank %000 !ZtH Ex s.a Type of S.A.S.Cz) Si��.Mess T re,c(l,es Description of Soil �'o o Q(syvi C Ir Nature of Repairs or Alterations(Answer when applicable) VK.j5 A evyoh z rrt-*t.._ jv /l.e-o 1 30 r `r C?� Si-Zne(es3 T r�.t �. Date last inspected: 700 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by t ' oazd of Health. Si ed ® P Date Application Approved by Date Application Disapproved by - Date for the following reasons Permit No. XM (z_5 Date Issued ..._ .iw«.r..,,.,:n�'•.E:kn�>-�•'"N'*,kl"C'i`..'.^"y.+r..�.,: wvr+�rwbM'-.,.'.�`".' r .-...,..,- �... -.-....r. .. tdw�..-�iM.... •. ��.�"'..�.... r..:.,ylsn.r+y....�.-.-.-. No. 00 —` 1.1:r+ 11 f �` Fee ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: I PUBLIC HEALTH DIVISION_n,TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9ppl1catlDtY for MlspOsaY 6psteUt Construction J)Pt'IUIt Application for a Pe"imit to Construct( ) Repair/Upgrade( ) Abandon( ) ❑Complete System []Individual Components - Location Address or Lot No. 11 Ch e 5(t 7 ((a,rt A �1}(� I ,�wner's Name,Address,and Tel.No. S�"a„�1,2 n o t-54_- ►1+ jo Assessor's Map/Parcel 10 Installer's Name,Address,/and el.No Designer's Name,Address,and Tel.No: �ZJ � /6 d. i?gin 7C.3 Z�S-ly Z3 C r f.;,r<c o,"4 Yci -2.?3 -03-7-7 c.✓a.�,4,4.ry, Type of Building: Dwelling No.of Bedrooms 7 Lot Size qV 3&a + sq.ft. Garbage Grinder( ) Other Type of Building s s/r �,,,'/�i No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date 3-1 Z - Zcoj Number of sheets Revision Date Title l i C h ec I-, Size of Septic Tank /Dw g4.( f 5•r,nT Type of S.A.S.(Z) Description of Soil w n Yr Nature of Repairs or Alterations(Answer when applicable) !< r 6 z �r_,ti, !`a , , D . Date last inspected: ;au 9 k Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewagedisposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this-Board of Health. Si�gi~�e-d- { / ® -.,�/� Q Date Application Approved by �( 7 , /(� r Av/1 �j 1 Y Date 7� �,�` A Application Disapproved by 4 (. Date for the following reasons V Permit No. v �� Date Issued ---------------------- - - -- --- - -_----------- -------- --- ----------- _ -I--- _ - _- - - - - -L---- -THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(y/) Upgraded( ) Abandoned( )by C-Q Ot-La 644UIP i)t) LL t at I C ,-e 5k.c., a,,a) Yh4rs Ivh, #i l i c has been constructed in accor ance with the provisions of Title 5 and the for Disposal System Construction Permit No '' , dated Installer C4&kli c.k �'h�-C,c t roc 5 "C, Designer u Le-z , #bedrooms L4 Approved design flow 0C gpd The issuance of this permit shall not be construed as a guarantee that the system 1 finction s designed. Date 3//21 f Inspectors 1 __ ------------------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS 4 PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal *pstrm Construction Vgtnit Permission is hereby granted to Construct( ) Repair(ti/)� Upgrade( ) Abandon( ) System located at 11 64 0-51 u //U,Ad M A,/s(DW0 >vl 06 { and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction /mustfbe completed within three years of the date of this permit. Date 7 ll�q Approved by Tt T 'l'own of lilarnStatbie Regulatory Services Thomas F.Geiler, Director BAR k ABLE. "163�0.'AW Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508 .)•6304 Installer & Deli:jaer cation Form Date: Hnrcln lip 2-Co 9 Designer: ,:3�- Ern`t eF:-r<W. Tn Installer.Address: 2.8.5N Crc�,nb dlw� Address• Q Cos} WocOnom Carl_ q►b- Zook was issued a permit to install a (date) � (install�r) septic systerrt at based on a design drawn by (addtess) , dated !Ia____ rc,�, t2 2.(.)09 / (designer) _ ✓ X certify that the septic system referenced above was installed substantially according tc 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 arty componciv of the septic systorn) but in accordance with State & Local Regulations, Plan revision ot* certified as-built by designer to follow, LIP Arf eHl.RC-W.L. (It st l�isSignat -�)------- ��• nnl. 11 il0' ()Designer's St e) -� (Af i esrg e s y8tamp Here)_._. TV TO IIARMLE C D VIS C IFI 'TF: E L I _ BU%�� CEIYER BY THE BARNST A PI JHI IC �HIE Tif VISTON, Ci HeaUM/Septic;/t�c�si�terCertitivatial7 fa�nrm - TO 'd L9S0 SLZ 809 !:)NIN33NIDN33r WO 69: 80 600Z-8T-'NUW Town of Barns, table P# Department of Regulatory Services > �,►>it8, : Public Health Division Dare �Ar 16J ♦� 200 Main Street,Hyannis MA 02601 ` Date Scheduled / . Time Fee Pd. Soil Suitability Assessment for"Sewa a D's osal g Petformed By: Mlc.tAu. '1 iMWr�: E-X j C$.G Witnessed By: zo th LOCATION & GENERAL INFORMATION ks Location Address Owner's Name q,.c�ce+ 0L�eI M wSruv-s n"-Z 0)/ Address (I C u e s IeY ae d�c�. Assessor's Map/Parcel: ® 1 �V(®j /B 0 1 Engineer's Name L i4 P`44^1 o NEW CONSTRUCTION REPAIR `' Telephone# 5 09 — �4 29^`Eoa 73-637 Land Use s�OFNtOAR. Slopes(gb) 1-3'Io Surface Stones NIA Distances from: Open Water Body )150 ft Possible Wet Area ISp ft Drinking Water Well �) ft Drainage Way `46 ft Property Line �0 10 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In proximity to holes) SEE A"C14619 ?t•A►1 ^' Parent material(geologic) Ou1wW Depth to Bedrock 1Zd" 'B" Depth to Groundwater: Standing Water in Hole: ;1 Ito" '3(oS Weeping from Pit Face Estimated Seasonal High Groundwater I20" %c.- DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: � hIZEcr 08Sere *lam Depth Observed standing in obs.hole: D 170` SC.S in. Depth to soil mottles: Depth to weeping from side of obs.hole: -)126"84S in, Groundwater Adjustment Tt 1lj, ft. Index Well# 1 Reading Date: Index Well level Adj,tlactor, m Adj.Groundwater Level - "PERCOLATION TEST Date 3 09 Time 16:yo Observation 1 1 Hole# Time at 0" Depth of Perc 32'30 T Time at 6" Start Pre-soak Time @ i0:40 Time(9"-6") End Pre-soak Rate Min./Inch 1 1 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) N Original:.Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 1001 of wetland,you must first notify the. Barnstable Conservation Division at.least one(1) week prior to beginning. Q:ISEPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency.% ravel o_y„ FIu- 'y=14' A Swvn (oYR �It ILI s ' B SnNot L4Am , toYIC. 5�4 20' C boa �>< SAaO 2.5y Gt�1 t-00S� I1 Ai DEEP OBSERVATION HOLE LOG, Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) ' Mottling (Structure,Stones,Boulders. Consistency,% rave A �onnnY SqN� is`!R ��t Its-32" B Sgn,W 1'Oq►►'t 10`(It `'l4 3i-Itor C SNwo Z,gy. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA)' (Munsell) Mottling (Structure,Stones,Boulders. Con i to c ` o Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, I Flood•Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No ': Yes Within 100 year flood boundary No!'� Yes ' Depth of Naturally Occurring Pervious Material , Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �e If not,what is the depth of naturally occurring pervious maternal? Certification I certify that on � a7-�'9 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis.vyas performed by me consistent with . the required training,expertise a experience described in 310 CMR 15.017. 3 Signature Date---�-- Q\\EPT10PERCFORM.DOC COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PR TEQ-Ivan ^ F z m r d JUN 1 .4 2002 TOWN OF BARNSTABLE HEALTH DEPT. i TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A -, CERTIFICATION Property Address: 610 ROUTE 149- 11 CHESLEY RD MARSTONS MILLS, NIA 02648 Owner's Name: OLSON Owner's Address: PO BOX 263 MARSTONS MILLS MA 02648 _ Date of Inspection: 6/5/02 Name of Inspector: (please print) JOHN GRACI Company Name: SEPTIC INSPECTIONS Mailing Address: P.O. BOX 2119 TEATICKET, MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 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 triantenance 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: X PaI 'el=t� � _ Cosses _ Nevaluation by the Local Approving Authority Fa Inspector's Signature: Date: 6/5/02 The system inspector shall suf this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design now 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 SYSTEM PASSED TITLE V INSPECTiON. RECOMMEND PUMPING EVERY'TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE:: ' ****This report only describe's conditions at the time of inspection and undo (lie conditions of use al that lime.`phis inspection does not address how the system will perform in the future under the same or different conditions of use. T�tl.. C l.,c �rtinn T nrii wj r,!-) hlG r> , Page 2 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 610 ROUTE 1.49 11 CHESLEY RD MARSTONS MILLS, MA 02648 Owner: OLSON Date of Inspection: 6/5/02 Inspection Summary: Check A,B,C,D or E/.ALWAYS complete all of Section D A. System Passes: X 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: SYSTEM PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. B. System Conditionally Passes: _ One or more system compondiitvas desc6bdd6n 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. . i Answer yes, no or not determined(Y,N,ND) in the for the following statements. If"not determined"please explain. n/a 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: n/a n/a Observation of sewage backup or breakout 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: n/a n/a 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 Heaalth): brbken'pipe(s)are replaced _obstruction is removed ND explain: n/a E, Page 3 of I I OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) 4 Property Address: 610 ROUTE 149- 1.4 CHESLEY RD MARSTONS MILLS, MA 02648 Owner: OLSON Date of Inspection: 6/5/02 l } C. Further Evaluation is Required by the Board of Health: in order to determine if the s r evaluation b the Board of Healthstem is failing to Y _ Conditions exist which require further Y protect public health,safety or the,environment`, 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a maanoer;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 m 11 anner 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 I of a public water supply. _ The system has a septi"-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 n/a "This system passes if the well water`analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compound's`in`d icates th'af the well is fi•ee from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equalto or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attache'd'to this form. 3. Other: n/a i . f Z r Page 4 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM _ PART A CERTIFICATION(continued) Property Address: 610 ROUTE 149- 11.CHESLEY RD MARSTONS MILLS,MA 02648 Owner: OLSON Date of Inspection: 6/5/02 D. System Failure Criteria applicable m all systems: You must indicate"yes"or"no"to each of the'following for alLinspections: 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 ''/2 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 nLa. _ 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 i s 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 form.1 (YesLNo)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 fa►Is, i he 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 flow 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 X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well I: . , If you have answered"yes"to'any question in Section E the system is considered a significant threat,or answered "yes" in Section 1)above the large system has failed, The owner► i-olleramr of any liirge system considered a significant threat under Section E or failed under,Section D shaW upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional:office of the Department. d Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 610 ROUTE 149- 11 CHESLEY RD MARSTONS MILLS, MA 02648 Owner: OLSON , Date of Inspection: 6/5/02 Cheek 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'Jn 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) X _ Was the facility or dwelling' nspected for signs of sewage back up`? x X _ 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 ? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems`? 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 CM 15.302(3)(b)] Page 6 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE S;EWAGE DISPOSAL SYSTEM INSPECTION FORM 4 PART C SYSTEM INFORMATION Property Address: 610 ROUTE 149- 11 CHESLEY RD MARSTONS MILLS,MA 02648 Owner: OLSON Date of Inspection: 6/5/02 FLOW CONDITIONS RESIDENTIAL !''i Number of bedrooms(design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 Number of current residents: 2 . c. 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): NO Seasonal use:(yes or no): NO Water meter readings, if available(last 2 years usage(gpd)):44�a 017— U '6)C)0(7 Sump pump(yes or no): NO V _ S 31 Coo Last date of occupancy: n/a COMMERCIAL/INDUSTRIAL Type of establishment: n/a Design flow(based on 310 CMR015.203): n/agpd Basis of design flow(seats/persons/sgft;etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or nc)i NO Non-sanitary waste discharged to the Title 5'system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a ' OTHER(describe): n/a t i.. ' GENERAL INFORMATION Pumping Records Source of information: n/a Was system pumped as part of the inspection If or no): NO If yes,volume pumped: n/agallons-i�How was quantity pumped determined? n/a Reason for pumping: n/a TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(i:f 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 DGP approval Other(describe): n/a x - S. Approximate age of all components,date instalied(if known)and source of information: 25 YEARS BY OWNER ' Were sewage odors detected when arriving at°the site(yes or no): NO ,zt s,, h Page 7 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 610 ROUTE 149- 11 CHESLEY RD MARSTONS MILLS, MA 02648 Owner: OLSON Date of Inspection: 6/5/02 BUILDING SEWER(locate on site plan) Depth below grade:30" Materials of construction:_cast iron`=40 PVC Xother(explain): 20 PVC Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 24" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a If tank is metal list age: n/a Is Age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: 1000G L 8' 6" H 51711 W4' 101 " Sludge depth:3" Distance from top of sludge to bottom of outletttee or baffle: 31" Scum thickness:3" 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: 15" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): SEPTIC TANK AND ALL COMPOONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP:_(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a nendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related Comments(on pumping reconir to outlet invert,evidence of leakage, n/a , i i . ?1, 7 7 Page 8 of 1 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 610 ROUTE 149- 11,CHESLEY RD MARSTONS MILLS, MA 02648 Owner: OLSON Date of Inspection: 6/5/02 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A e or no : NO ' working order s Alarm level: N/A Alarm m o ) AI g (Y Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a fi+ DISTRIBUTION BOX:-(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: r/a P q 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.): n/a PUMP CHAMBER:_(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a i t 7 fG r 7, R Page 9 of l 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 610 ROUTE 149- 11 CHESLEY RD MARSTONS MILLS, MA 02648 Owner: OLSON Date of Inspection: 6/5/02 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type 1000 GAL 6' X 6' leaching pits, number: 1 n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil,signsr6f hydliraulic failure, level of ponding,damp soil,condition of vegetation,etc.): LEACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY.SYSTEM SHOWS NO SIGNS OF FAILURE. PIT HAS 8" OF LEACHING LEFT IN IT. BOTTOM IS AT 9'. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or rib): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a PRIVY: (locate on site plan) Materials of construction: Dimensions: n/a Depth of solids: n/a Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a . r . Q I " Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 610 ROUTE 149- 11 CHESLEY RD MARSTONS MILLS, MA 02648 Owner: OLSON 3 Date of Inspection: 6/5/02 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. pill . 9 { � 31 4 . ' 4 in Page I I of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 610 ROUTE 149- 11 CHESLEY RD MARSTONS MILLS,MA 02648 Owner: OLSON Date of Inspection: 6/5/02 SITE EXAM _Slope _Surface water I _Check cellar Shallow wells Estimated depth to ground water 12+feet Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record- If checked,date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Heaith-explain: n/a NO Checked with local excavaiors, installers-(attach documentation) NO Accessed USGS database-explain; n/a You must describe how you established the high ground water elevation: HAND AUGER- 12+ FT. ,t t THE COMMONWEALTH OF MASS�C."SETTS BOARD 9 HEALTHboy /y(�y►'lk� _. _..._..........OF............ ................................... - ........... C s� pplirttfiun -fur Btlipuiittl Workii Cnuni#rurttun Vrr Application is.hereby'made Pr a Permit to Construct ( ) or Repair ( ) an Indivi Sewage Disposal System t: _n� �Ca�'� �- #�--•--•. -- . ... ............ ......------------- . ----------••-----••----•--•--•-------•--•-•----- =--- .............. LL'catio - ss or Lot No. ' .............................. ' w Ow dress Owner A 6�. Installer Address UType of Building Size Lot_.X..�..Sq. feet Dwelling—No. of Bedrooms----------------3_-•._•______.___....___._Expansion Attic ( ) Garbage Grinder (� aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtu es ________________________ _ W Design Flow.__ .......... ...............gallons per person per day. Total daily flow.........3.�._--- _.__.-_---._-_gallons. WSeptic Tank- Liquid capacity- _gallons Length---------------- Width................ Diameter__-__-_-....__ Depth-__..___...._-. x Disposal Trench—No..................... Width___._________p ________ ______ Total leaching area-------------..-----sq. ft. Seepage Pit No.------•-/........ Diameter_/l_��f ........_ C�i.'.. Total leaching area---_r�___-�__sq. ft. z Other Distribution box ( ) Dosing tan�"ae_ 0-/a- 7 T aPercolation Test Results Performed by-------------............................................................. Date........... --------------- ---------- Test Pit No. 1_______________minutes per inch Dc$th of "Pest Pit_------------------ Depth to ground water__._.______.__.-___- ri, Test Pit No. 2................minutes per inch Depth of Test Pit.------------------- Depth to round water__._-._-_---___-__-__._. -•------------- - - - - - - •------ - - - -- -,x a O Description of Soil---- ..1� -� [�O C f �J - 'f'L gee$� •------------ --------- -- cc - V - --------- � '� = d'f / lQ -- -----ate y�l i -`�"'�`✓ W , ------------------------------------ -------------------------------------------------•-----•-------------•-•-•-------------------------------•--•---------•-----------------------------•-•---••--•---- U Nature of Repairs or Alterations—Answer when applicable----------------------------------------.-_............---------------------------.___._____-.. _.-•---------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued y the board of ljQalth. / tied---- •-• •... --.--- J '- ------ ------------- ................................ Date Application Approved By............. � . • --••• ••.•••. • - - l✓,�--- --- -- =�. -'D�--------- ate Application Disapproved for the following reasons:................................... -------------------------------------------------------------------- ------ ...••••---•••-•---••-••---•-•--••----•--•--•-----•-•----------•-••-••----•-•-•-------•---•-••----------•-•----••-----•---•--•--•-••••---•--•--•••--•----•------•---------------------- --------------- Date Permit No........................................................ Issued.--• x- 7`'� Date ^-- --- -- - - -- - - THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH _r 9,F Apli irtttion -for R_qpoiitt1 Forks Tvittitrurtion Vautit Application.is hereby'Made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage. Disposal System t ------•-•---••-••--............... .................•-••------•-•_•-•-• .........--•---•-•------------•...--••---•.....-----••- catio - ss or Lot No. ...�•-� = ... ....................... Owner ss fWa 't .......... -------------•---------------`...........a�dre-- Installer Address U Type of Building Size Lot.Ar.6�...Sq. feet Dwelling—No. of Bedrooms---------------J--_._-------_-.----.._.Expansion Attic ( ) Garbage Grinder aO}pier—Type of Building ............................ No. of persons....................... Showers ( ) Cafeteria ( ) tOtller,fixtu es ---- ---------- - --------------- -------------------------------- W Design Flow._ .._. _ tllons er erson er da Total dail flo ..-.... all -------- b' P P P Y Y w----- - ----•-•--- g� ons. Ix Septic "1 mik Liquid capacity gallons Length................ Width----------- .... Diameter................ Depth......_......... xDisposal Trench No. .................... Width_.. }" tal Len i Total leaching arcs... sq. ft. 3 Seepage Pit No. '...... ......... Diameter t��' ( t� n g � I...sq. ft. Total leaching I ea._.._... Z Other Distribution box ( ) Dosing tank ( ),D �-j(�" 7 7. Percolation Test Results:: Performed by----------------------------------------------------------•-------••---- Date--------------------------------------- Test Pit No. 1................minutes per inch Depth of "Pest Pit....._..-..-.-.__--- Depth to ground water....................-... w Test Pit No. 2............_--.-mintites per inch • Depth of Test Pit:....-__-._.-_._.._ Depth to around water ----- ------- - - - T Description of Soil...... --_P ----------- W t -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------- 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 Article YI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued y the:board of WhLi. r ned. >.,,.. Date Application Approved BY------ -==-- 'f"-""' - ----- -- -=--------- -_�"'��`'. _ Date Application Disapproved for the following reasons-...:........:>_ ------------------------------------•-------.-.-.-------------•-•-•---------•----------•---------------•..•.--•----•---•-------•--•-------•-------•-------...-•-----------•--•----- ------------- Date PermitNo.................................................' --•--------`-------- Issued--- "........................................ Date ,.1 THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH ..........OF......... ...:.......................................... Q0lertifirttte of T15lamphaurr IS I eTIFY, Tha the In ' ,Sewage Disposal System constructed ( A�Oor Repaired ( ) by +! ' fi -------------------------•--•--------------••--•--••--•••----•-- Installer 1 at i....Ak .............................................................. has been installed i'n accordance with the provisions of Ar I of.The State Sanitary Code as described in the application for Disposal Works Construction Permit_ No ---- .._..-212_`t:__....... dated ...}9 � '. .. _._____ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT RE CONSTRUED AS..A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE = Inspector_,:: -------- ----- -------------- THE COMMONWEALTH OF MASSACHUSETTS f BOARD O HEALTH �. 4p� j 1 ..� .. .... ...OF t l-- FEE..... ...... att tt Cy n.9 rttr-tip Vrr tt Permission is hereby granted.. tr l '.Ll --------------------------------••----- to Construct BIKor Repair ) Ind al Sewage Ip;s al em 77 as shown on the application for Dis osal Works C street .._.,„ / pp ks p onstruction Pe At No.. Dated..__ _. . � ��� ---------- '� _^ /• of Health' DATE.......................... FORM 1255 Hoess & WARREN. INC.. PUBLISHERS •+ .; _I . , w<• ..�....�..�....».�^.�..<,....«...�..^..���....�..+.........�.:.^...�.......«..^..�.....-...........:•Nx'..-.,w.�.^ter. - ..r ....^gym+..... ' i 49 71. 49 ;•, �� =Y 'ate/ €�rcaa�o�`��t t.. t AVERY -rG each 7" t ;,,' 'I9i4�,Tfi/U,�. �/. D G�D�V' /��`v v ��;�,/, ,•S���/c f q�� l c i :�i PROVIDE PRECAST CONCRETE G ERAL R OTES T.O.F. EL.= 81 .8' ± EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-BOX= 78.5' ' I V �3 4"SCHEDULE 40 PVC MIN. SLOPE 1 % FINISHED GRADE OVER DIFFUSERS = 7$,2' - 7$,5' COVER TO WITHIN 6"OF F.G. OVER INLET AND OUTLET COVERS. REMOVABLE COVER OVER RISER TO INSPECTION PORT WITH ACCESS BOX TO SLOPE @ 2% MIIN. 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE WITHIN 6"OF FINISHED GRADE WITHIN 6"OF F.G. (ONE PER TRENCH) METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL, 81 .1'± FINISHED GRADE OVER TANK EL. _ $1 ,0'-F' 5" DIA. OUTLET(S) CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE - r DESIGN ENGINEER. PROPOSED 4" 9"MIN. 36"MAX. 36 IN. 3. 4�SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL - -- -- PVC SEWER PIPE "MAX. TOP OF SAS/B.O. = 75.53' SYSTEM UNLESS OTHERWISE NOTED. 3"DROP MAX PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6.. 3,� _ OF = _ 2" DROP MIN 3 9 MIN.SLOPE@1% /-JOINTS (TYP.) ELEVATION =75.53' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 101, 4" PVC IN FROM /"/ 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP 14" = SEPTIC TANK 4"PVC OUT TO 1.33' THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. - - • LEACHING FACILITY (NP) 16 TYP 0.90, 10.7'5+TYP 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 12" 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. CONTRACTOR CONTRACTOR SHALL OUTLET TEE 75.50� MIN. 7j,33' SHALL VERIFY SIZE 48" VERIFY CONDITION OF 75.10� \-74,20' (LAID FLAT) 2.875'(34.5")--1---5.75' -I 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES 22"ZABEL FILTER 6"CRUSHED STONE 5 0� (�P-) FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS MODEL#Al801-4x22 OVER MECHANICALLY nrP NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE ( } 5' MIN. 11.50 AND DESIGN ENGINEER. 5 40.0'(TYP FOR BOTH TRENCHES} OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 80.00'ESTABLISHED - -- - - - - - - TO BE INSTALLED ON A LEVEL STABLE ON A NAIL SET IN PAVEMENT AS SHOWN ON PLAN. GROUND WATER ELEV.= < 69.00� - BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW BIODIFFUSER (PROFILE) BIODIFFUSER (END VIEW) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES //�� PROFILE .} �+ TO THE DESIGN ENGINEER. SEPTIC TANK f'Ifs®FILE DISTRIBUTION BOX ( -`�O) DETAIL 1 '" ARC 36HC ( � � 6 ®} !®D l F F U S E a� 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING NOTE: ENTIRE PROPERTY IS LOCATED WITHIN A DEP + * - TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROVED ZONE 2 AND THE ESTUARINE WATERSHED. • '� ` APPROPRIATE AUTHORITY. PERC NO. 12496 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS INSPECTOR: Donna Z. Miorandi, R.S. LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. EVALUATOR: Michael Pimentel, E.I.T. Benchmark *' March 9,2009 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. Nail set in Pavement DATE: Elev. =80.00' r 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE r TEST PIT#: Approx.M.S.L. s. - f w . { - �`�" &I it .,, • + MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ELEV TOP= 79.80 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ELEV WATER= <69.80' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). G \ \ (AR/�q� O • 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN w o /� PERC RATE _ <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ' L=56.28, F<.qy '90 LOCUS na 00213"W R=80.0 OUTS - - DEPTH OF PERC= 32"-50" 16. PROPOSED PROJECT IS LOCATED WITHIN: g7$ \ 0 + Y 45-p0 \ �>� "" o TEXTURAL CLASS: 1 ASSESSOR'S MAP 101 PARCEL 61-001 blin °m �o i OWNER OF RECORD: SANDRA OLSON Z LIGHT POST QG, '` ADDRESS: P.O. BOX 263 a / wv BIT. DRIVE \ \ \FOP 4'2 p 0 . o I ► 0,. Fill 79.80' MARSTONS MILLS, MA 02648 411 d+ A Loamy Sand 79.4T \ \ PROPOSED H-20 DISTRIBUTION BOX �� / 14 10Yr 3/1 78 63' FEMA FLOOD ZONE C \ `b / \ \ \ t '� COMMUNITY PANEL# 250001 00015 C CONC. WALK- 8 \ � ► a C "" B Sandy Loam 10Yr 5/6 17. DEED REFERENCE: BOOK 17261, PAGE 98 CONC. RAMP 1 + II 32° 77.13' -�� 18. PLAN REFERENCES: PLAN BOOK 419, PAGE 89 r I t/ Perc : I G✓ 1 1 +w M J/ '�' 50" 75.63' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. S ir7 + n. GA EXISTING f \ ,^' s1o39 \ 9 +. �/ 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY / 4-BEDROOM 76 �8' �\ "! . ,� tr / FOR SEPTIC SYSTEM UPGRADE- JC ENGINEERING WILL NOT ASSUME ANY LIABILITY I VP� DWELLING 889, �'' \ + '� l Coarse Sand FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. TO F= 81.8'± \ + ,� „ �r�l; !I,_� C 2.5Y 6/6 1 l TP 1� T 2 « + (Loose) MAP 101 79.8 7 1 LOCUS PLAN PARCEL 61-001 �i X / O � 44,360 S.F. ± ,�, � / ' - ` � � x �)> SCALE: 1" = 1000' 120" 69.80' I X � � I / / , \ � \'P� �� �® No Mottling, Standing or Weeping Observed LIN X X / / ' DESIGN DATA ��++ - }� LEGEND < � X j//Po//��j Xw 5.75' ? - T a:?T P! I Dt` TA 12496 � 50 - - EXISTING CONTOUR PERC NO.UP 35A SHED CO / / ( NUMBER OF BEDROOMS (DESIGN) 4 INSPECTOR: Donna Z. Miorandi, R.S. 50 PROPOSED SPOT GRADE DESIGN FLOW 110 GAUDAY/BEDROOM EVALUATOR: Michael Pimentel, E.I.T. TREEL/NE � / � TOTAL DESIGN FLOW 440 GAUDAY DATE: March 9,2009 r-5� PROPOSED CONTOUR 9 _ry"� DESIGN FLOW X 200 % 880 GAUDAY TEST PIT#: 2 ❑/H/W EXISTING OVERHEAD WIRES =rye moo. USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 79.00' -X-X-X-X-X- EXISTING FENCELINE PROPOSED TOTAL 16 ARC 36HC BIODIFFUSERS / �� ELEV WATER= 69.00, GAS EXISTING GAS LINE MAP 100 (8 BIODIFFUSERS EACH TRENCH) _� s W W EXISTING WATER LINE PERC RATE_ PARCEL 6-001 S70'�So" / a INSTALL 16 - ARC 36HC (#3616BD) BIODIFFUSERS TEST PIT LOCATION 33gT2, E PROPOSED INSPECTION PORT WITH / ryo DEPTH OF PERC= ACCESS BOX TO GRADE (TYP OF 2) TEXTURAL CLASS: 1 EXISTING LEACHING PIT SWING-TIES / SYSTEM CAPACITY DESCRIPTION HC 1 HC 2 ! t EXISTING 1,000 GALLON SEPTIC TANK (TOTAL L.F. OF BIODIFFUSERS)(7.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD BIODIFFUSER CORNER(1) 59.8' 73.0' / (80.0')(7.8 SF/LF)(OJ4 GAUSQ.FT.)= 462.3 GAL. LEACHING/DAY 0" 79.00' ........----- BIODIFFUSER CORNER(2) 70.9' 84.3' Fill PROPOSED 4"SOLID 'SCHEDULE 40 PVC PIPE .<v A „ Loamy Sand 78 67' BIODIFFUSER CORNER(3) 89.0' 87.5' / o MAP 101 TOTALS: " 10Yr 311 ❑ PROPOSED H-20 DISTRIBUTION BOX / ry�1r^� 14 77.83 BIODIFFUSER CORNER(4) 80.4' 76.5' PARCEL 61-004 TOTAL NUMBER OF BIODIFFUSERS: 16 B Sandy Loam ® PROPOSED ARC 36HC(#3616BD)BIODIFFUSER / TOTAL NUMBER OF COUPLINGS: 0 10Yr 5/6 TOTAL LEACHING AREA: 624.7 SQ.FT. 32" 76.33' TOTAL LEACHING CAPACITY: 462.3 GALJDAYDATE BY APP'D. DESCRIPTION PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR: HC 1 NOTE. Coarse Sand CAPEWIDE ENTERPRISES EFFECTIVE LEACHING AREA OF 7.80 SF/LF OBTAINED FROM THIE C 2.5Y 6/6 2) DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER (Loose) LOCATED AT "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO j (1) ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST 11 CHESLEY ROAD NOTE: MODIFIED JULY 23,2008). TRANSMITTAL NUMBER=W000052. MARSTONS MILLS, MA 1.) MAGNETIC MARKING TAPE SHALL BE PLACED I SCALE: 1 INCH = 20 FT. DATE: MARCH 12, 2009 HC 2 ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM 120" 69.00' 0 10 20 40 80 FEET COMPONENT, No Mottling, Standing or Weeping Observed �Fy +°F JOHN L. �a PREPARED BY: 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN RESERVED FOR BOARD OF HEALTH USE i o CHUJRHILL m JC ENGINEERING, INC. THE LOCATION OF THE PROPOSED LEACHING FACILITY clv.L 2854 CRANBERRY HIGHWAY 0 0 3) TO ENSURE CONSISTENCY WITH TEST PIT DATA (4) SHOWN ON THIS PLAN. REPORT TO ENGINEER AND ' EAST WAREHAM, MA 02538 SITE PLAN LOCAL BOARD OF HEALTH IF SOILS ARE NOT 508.273.0377 SCALE: 1"=20' CONSISTENT WITH TEST PIT DATA. m Drawn By: BSM Designed By:MCP Checked By:JLC JOB No.1575