HomeMy WebLinkAbout0026 DORY CIRCLE - Health 26 Dory Circle
Marstons Mills P
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6,40 z ti Fee l v v
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppfiration for Zisposal 6pstem Construction Permit
Application for a Permit.to Construct( ) Repair(vy Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 0% `D�+K 4A� Owner's Name,Address,and Te].NP.
,^ S*-r.r h.e h i N.aw.� �,}ut 1��1 o W t c Z
Assessor's Map/Parcel 13 1 t""L�Z� e�C. Dvtst C�.0 41,A4,I// Atf O a`1 CoYd
Instta�ller's N A es ,and Te o. Designer's Name,Address,and Tel.No.
02 SY w .y+ D Y
Type of Building:
Dwelling No.of Bedrooms Lot Size a S 9G,f sq.ft. Garbage Grinder( )
Other Type of Building S No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided '36 r, Z gpd
Plan Date d19 bo Number of sheets Revision Date
Title
Size of Septic Tank 1000 �'triff Type of S.A.S. e16 AZ /=�2u �i 'CNJ (s�►u�tS�
Description of Soil 216'e- lot
Nature of Repairs or Alterations(Answer when applicable) b04 0-- 2) r3oL,
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 Environme a of to place the system in operation until a Certificate of
Compliance has been issued by this Board oR f I alth.
Signed Date
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. �Ol n"' (� L( 0 Date Issued 02 "' 'l-U
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• No. 1U r'0
—b`« a 4
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer.
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
fpplication for Misposai *pstem (Construction Permit
Application for a Permit to Construct( ) Repair(rs) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. oX °L� "'e Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel Y I
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
� gJ`� cM,fYn i
�'t u l �.'✓viU +f'� Y2cJ (`,� w+.�� '.f /' rc, .+ r : f/avc. Cn i
Type of Building:
Dwelling No.of Bedrooms Lot Size 7 ij S_ sq.ft. Garbage Grinder( )
Other Type of Building ' S No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) z U gpd Design flow provided 5'-- Z gpd
Plan Date y �/G> Number of sheets Revision Date
Title
Size of Septic Tank / U o U .,'1 Type of S.A.S. ,)o /-f 2
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) _,,1. t4.16 Al i 4.
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-G qjde and.,not to place the system in operation until a Certificate of
Compliance has been issued by this Board,2flkalth.
Signed Date __9 ` /2 �U
Application Approved by D Aj Date
Application Disapproved by Date
for the following reasons
Permit No. o�U!D' 0 V Date Issued oZ — /a `l ()
------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( )
Abandoned( )by
at )C: i)(-., k t.c,.,-,.,(_ has been constructed in accordance
with the provisions of Title 5 and the for Disposal'Sy stem Construction Permit No.c2010-0t-(0 dated .2'1 A 10
Installer i-r I Designer TO
#bedrooms Approved design flow / ? 1 7 gpd
The issuance of is permit shall not be construed as a guarantee that the system will�rrct'o las/)designed.
Date j ( �/? Inspector `� / M' /C
1 t V
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Bisposaf *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( )
System located at-'-,, �.; e C t
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date o2_ ��- U Approved by
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DATE: 4/20/02
PROPERTY ADDRESS: 26 Dory Circle
-----------------------
Marstons Mills , Mass .
------------------------
02648
------------------------
On the above date, I Inspected the septic system at the abo a a � �/ED
This system consists of the following:
1 . 1-1000 gallon septic tank . MAY 0 3 2002
2 . 1-Distribution box . TOWN OFBARNSTABLE
3 . 1-1000 gallon precast leaching pit . ( 6 ' X9 ' HEALTHDEPT.
Based on my inspection, I certify the following condltions:;NAP I
4 . This is a title five septic system . ( 78 Code ) PARCEL ! 3
'5 . The septic system is in proper working order
at the present time . LOT —
6 . Pumped the septic tank at time of inspection . ,Z�
7 . The leaching pit is presently dry .
SIGNATURE:
Name;-i_p_ Macomber Jr.------
Company: Joseph_P_ Macomber_& Son , Inc .
Address; Box 66
--------------------
Centerville , Ma . 02632-0066
--------------------
Phone: 508-775-3338
---------------------
THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY
JOSEPH P. MACOMBER & SON, INC.
Tanks-Cesspools-Leachflelds
Pumped & Installed
Town Sewer Connectlons
P.O. Box 66 Centerville, MA 02632-0066
775.3338 775-6412
L
f
COMMONWEALTH OF MASSACHUSETTS
t EXECUTIVE OFFICE OF ENVIRONMENTAL, AFFAIRS
DEPARTMENT OF ENVIRONMENTAL, PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 26 Dory Circle
Marstons Mills , Mass .
Owner's Name: Joseph Kangi_sser
Owner's Address: 61 nl Pelican Ra3r_T)ri ve
Date of lnspectlon:Na-pies—Frerrda LTA-08
Name of Inspector: (please print) Joseph P .Maco.mber Jr .
Company Name: J . P .Macomber & Son Inc .
Mailing Address:Box 66
Centerville ,Mass . 02632
Telephone Number: 508-775-3338
CERTIFICATION STATEMENT
I cenify 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
rraining 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:
Passes
Conditionally Passes
Needs Further Evaluation by the Local Approving Authoriry
_ Fail ,fin
Inspector's Signature: Date;
The system inspector shall ubmit a copy of this inspection report to the Approving Authority(Board of Health or
DEP) within 30 days o(completing this inspection. If the system is a shared system or has a design now of 10,o00
gpd or g7eater, 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
. '•''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 I
Page 2 of I 1
OFFICIAL INSPECTION FORM- NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 26 Dory Circle
arstons Miiis ,Mass .
Owner: Joseph angisser
Date of Inspection: 4/20/02
Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D
A S s Passes:
have not found an information hich indicates that any of the failure criteria described in 310 CMR
15.30 or m CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
The septic system_ is in proper working order
at the present time .
B. System Conditionally Passes:
& One 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.
,42 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:
410 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:
4-4 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:
Page 3 of 1 1
OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
Property Address: 26 Dory Circle
Marstons Mills Mass .
Owner: Joseph Kangisser
Date of Inspection: 4/2 0/0 2
C. Further Evaluation is Required by the Board of Health:
A10) 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(1)(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:
4 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.
�d The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
40 The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
,00 The system has a septic tank and SAS and the SAS is less than 100 feet but 0 feet or more from a
private water supple 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-
3
Page 4 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 26 Dory Circle
Marstons Mills ,Mass .
Owner: Joseph Kangisser
Date of Inspection: 4/2 0/0 2
D. System Failure Criteria applicable to all systems:
Y PP Y
You must indicate "yes"or"no" to each of the following for all inspections:
Yes ?"B
of sewage into facility or system component due to overloaded or clogged SAS or cesspool
Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
/clogged SAS or cesspool
✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool r.GtO-j00� ,ory
Liquid depth in ae��ecl is less than 6"below invert or available volume is less than 'h day flow
Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped ,
Any portion of the SAS, cesspool or privy is below high ground water elevation.
ill"Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
/.eater supply.
E/_any portion of a cesspool or privy is within a Zone I of a public well.
_ 1,/ y portion of a cesspool or privy is within 50 feet of a private water supply well.
Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. (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.)
�C3 (Yes/No)The system fails. 1 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 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
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
kf"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
If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered
-Yes" in Section D above the large system has failed. The owner or operator of any large 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.
4
Page 5 of I 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 26 Dory Circle
Marstons Mills .Mass .
Owner: Joseph KanQisser
r
Date of Inspection: 4/2 0/0 2
Check if the following have been done. You must indicate"yes"or"no"as to each of the following:
' r
Yes No/
✓ Pumping information was provided by the owner, occupant, or Board of Health
-Were any of the system components pumped out in the previous two weeks
Has the system received normal flows in the previous two week period?
✓ Have large volumes of water been introduced to the system recently or as part of this inspection ?
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 ?
1
Were all system components,Acluding the SAS, located on site ?
t/ Were the septic tank manholes uncovered opened,and the interior
p p error 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 ?
P g P.
—lam — 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 ny/o�
Existing information. For example,a plan at the Board of Health.
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
5
Page 6 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 26 Dory Circle
Marstons Mi11s,Mass .
Owner:Joseph KanQisser
Date or Inspection: 4/2 0/0 2
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): Number of bedrooms(actual):
DESIGN flow based on 310 CZAR 15.203 (for example: 1 10 gpd x # of bedrooms): 6!
Number of current residents: T)
Does residence have a garbage grinder(yes or no):�_G_,
Is laundry on a separate sewage system ( es or no): zo (if yes separate inspection required)
Laundry system inspected j( es or no):
Seasonal use: (yes or no): ,�
Water meter readings, if available(last 2 years usage(gpd)): — ��0?�3 Y9 r�g'�► IM�1"'fie/
Sump pump(yes or no): �(10 O _ o
,�Y
Last date of occupancy: _��L�{, q 1�'�)�
COMMERCIALgNDUSTRIAL
Type of establishment:
Design flow(based on 310 CNfR 15.203): d1 gpd
Basis of design flow(seats/persons/sgft,etc.): If,
G-ease trap present(yes or no): _&,4
Indusrrial waste holding tank present (yes or no): ,l�A
Non-sanitary waste discharged to the Title 5 system (yes or no):
Water meter readings, if available:
Last date of occupancy/use:
OTHER(describe): _ l;4
GENERAL INFORMATION
Pumping Records
Source of information:
Was system pumped as pan of the inspection (yes or no 6y
If yes, volume pumped: iAAe9 gallons --/H�/ow� ��was quantity pumped determined? , � �
Reason for pumping:, x/y ,�'�,��•aJtC�it:7'/� '� / �L �.eo,�—
TYP 11OF SYSTEM
Z Septic tank, distribution box, soil absorption system
Single cesspool
�E Overflow cesspool
,fe Privy
s0 Shared system (yes or no)(if yes, attach previous inspection records, if any)
/L)alnnovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be
obtained from system owner)
Tight tank �O Attach a copy of the DEP approval
it l) Other(describe): /0
Approximate ae_e of all components, date installed (if known)and source of information:
Were sewage odors detected when arriving at the site(yes or no):
6
l II'
Page 7 of 1 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property, Address: 26 Dory Circle
Marstons Mills , Mass .
Owner: Joseph Kangisser
Date of Inspection: 4/2 0/0 2
BUILDING SEWER(locate on site plan)
�r
Depth below grade:
Materials of construction:,VJ ast iron _Z40 PVC other(explain): NA
Distance from private water supply well or suction line: IVt
Comments(on condition ofjoints, venting, evidence of leakage, etc.):
Joints appear tight . No evidence of leakage . The system is
vented through the house vents .
SEPTIC TANK: Zlocate on site plan)
Depth below grade:
Material of construction: concrete metal 4�c 1 fi r� be glassj&�,bolyethylene
GCS other(explain) A/�
If tank is metal list age:, Is age confirmed by a Certificate of Compliance (yes or no),, r (attach a copy of
certificate)Dimensions:
'?X �'//� 'r?
Sludge depth:
Distance from top of sludge to bottom of outlet tee or baffle: Q_
Scum thickness: 0
Distance from top of scum to top of outlet tee or baffle: d
Distance from bottom of scum to bon of out et tee or lfle:
How were dimensions determined:
Comments(on pumping recommendations; inlet and outlet tee or baffle condition, structural integrity, liquid levels
as related to outlet invert, evidence of-leakage, etc.):
Pump the septic tank annually . Garbage disposal present
Inlet & outlet tees are in place The tank is struc iikally,
sound and shows no evidence of leakage . Pump the tank at time
of inspection . Heavy scum & solids layers were present .
GREASE TRAA /8(locate on site plan)
Depth below grade: a
Material of construction42/ concreteL3�metakO fiberglassolyethylene4�f other
(explain): �q
Dimensions: I
Scum thickness:
Distance from top of scum to top of outlet tee or baffle: 14/,e
Distance from bottom of scum to bottom of outlet tee or baffle: A�is9
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.):
Grease trap is not present
7
Page 8 of 1 I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address:26 Dory Circle
Narstons MillsMass .
Owner: Joseph Kangisser
Date of Inspection: _4/2 0/Q 2
TIGHT or HOLDING TANIV&Ie- (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade: IVA
Material of construction: Vj concrete�Qmetal&9 fiberglass 4 aolyethyleneA other(explain):
Dimensions: sh
Capaciry: X14 gallons
Design Flow: 41,4 gallons/day
Alarm present (ye or no): 4/A
Alarm level: V19 Alarm in working order(yes or no):
Date of last pumping: 4!4
Comments(condition of alarm and float switches, etc.):
Tight or holding tanks are not present
DISTRIBUTION BOX: Zlf present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: X�?
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.):
Distribution box has one lateral . No evidence of solids
carry over . No evidence of leakage into or out of the box .
PUMP CHAMBER44.c2* (locate on site plan)
Pumps in working order(yes or no): tg
Alarms in working order(yes or no):
Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.):
Pump chamber is not present .
8
Page 9 of 1 1
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 26 Dory Circle
Mars tons mills , Mass .
Owner: Joseph KanQisser
Date of Inspection: 4/2 0/0 2
SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, excavation not required)
1-1000 gallon precast leaching pit . 6 ' X 9 ' The pit is
presently dry .
If SAS not located explain why:
Located ; See page 10
T�leaching pits, number:
.✓O leaching chambers, number: 0
.ele leaching galleries, number: _6
&,e_ leaching trenches, number, length:
leaching fields,number, dimensions:
We) overflow cesspool, number:
A�Q innovative/alternative system Type/name of technology: /i���' t`_i�
Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation,
etc.):
Loamy sand to medium fine sand . No signs of hydraulic failure or
ponding . Soils are dry . Vegetation is normal . The leaching pit
is presently dry .
CESSPOOL /t (cesspool must be pumped as part of inspection)(locate on site plan)
Number and configuration: 0
Depth—top of liquid to inlet invert:
Depth of solids layer:
Depth of scum laver:
Dimensions of cesspool: Abf
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.):
Cesspools are not present .
PRIVY4&/C (locate on site plan)
Materials of construction: tiA
Dimensions: _dam_
Depth of solids: I//14
Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.):
Privy is not present -
9
Pagc 10 of I I
OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Proper-Ty Address: 26 Dory Circle
arstons Milis , Mass .
Owoer: Joseph Kangisser
Datc of Inspcctioo: 4 20 02
SKETCH S
OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewigc disposal system including tics to at least two permanent reference landmarks or
ocnc?majks. Locatc ail wells within 100 (cct. LOcatc where public water supply enters the building.
I
R
10
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: 26 D o r e y Circle
arstons Mills ;lvlass .
Owner:Joseph Kangisser
Date of Inspection: 2
SITE EXAM
Slope
Surface water
Check:ellar
Shallow wells
Estimar.ed depth to ground water_�feet
Please indicate(check)all methods used to determine the high ground water elevation:
Alb, Oblain from s stem design plans on record-if checked, date of design plan reviewed: .L/A
Yi S 6bserved site Jatuttin roe bservation hole within 150 feet of SAS)
Necked with local Board of Health-explain:
Checked with local excavators, installers-(att h documentation)
Accessed USGS database-explain:
You mist describe how you established the high ground water elevation:
Used ; Gahrety & Miller Model . 12/16/94 Ground water elevations
abtZvp sea l pVel _
Used ; USr&�Prscation wP11 data Page #1 June 1992
Used ; USGS; Technic 1 Pylletin 92-000-1 Plate#2 Annual ground water
levels . Janua rY
Leaching
Pit -eet
Groundwater: Feet Below Bottom of Pit High Groundwater Adjustment 1.8 ft per Frimpter Method
Therefore, the vertical separation distance between the bottom�
Of the leaching pit and the adjusted groundwater table is
feet. '
11
l
y •n'+ST+.—n:•rr�--n— rr-mr•nTrtnrTnrnrre*.1r:-.-e'+17s.rl�rr*snnn1m11taTTa�ll�n.rt ..
TOWN OFBarnstable BOARD OF HEALTH
0 ,SUBSURFACF 9FWACF DISPOSAL ,SY� STFM INSPECTION FORM - PART D •- CERTIFICATION I
.•.••:nrrr-�. —..A
—TYPE OR PRINT CLEARLY—
nmn
PI?CPERTY ,INSPECTED
STREET ADDRESS 26 Dory Circle Marstons Mills , Mass . '
ASSESSORS MAP, BLOCK AND PARCEL # 076-039
OWNER' s NAME Joseph Karngisser
PART D - CERTIFICATION
NAME OF INSPECTOR Joseph P . Macomber Jr .
COMPANY NAME J . P .Macomber & Son Inc ew '
COMPANY ADDRESS Box 66 Centerville , Mass . 02632
Strevt Town or City state 11P
COMPANY TELEPHONE (508 ) 775 _ 3338 FAX ( 508 ) 790 - 1578
R
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposaj system at
this address and that the information reported is true, accurate ) and
omplete as of the time of ,inspection . The inspection was performed and any
recommendations regarding upgrade , maintenance , and repair are consistent
with my training and experience in the proper function and maintenance of on-
site sewage disposal systems :
Ch;,System:
one ;
PASSED
The inspection lrhich I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or the environment as defined in 310 CMR 16 , 303 . Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section of
this form .
System FAILED* \
The inspection wllicll I have con 'acted has found that the system fails to
protect the public health and the environment in accordance with Title
5 , 3.10 CMR 15 . 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection form ,
Inspector Signature ` Date l� e4A
_
ecopy of this rtification must be provided to the OWNER, the BUYER
Dn
Where applicable ) and the 130ARD OF HEALI'll.
* If the inspection FAILED, the owner or"" parator shall to
within one year of the date of the inspection , unless allowed dortrequiredm
otherwise as provided in. 3.10 CMR 16 , 305 ,
partd . doc
TOWN OF BARNST_ABLE
c"lop ATION O i��l/ /�C'. 3Fc�7� t�SEWAGE -� 2S
VILLAGEJ�L�oti �./' ASSESSOR'S MAP & LOT S
INSTALLER'S NAME & PHONE NO. X;P,,L
i
SEPTIC TANK CAPACITY /600
LEACHING FACILITY:{type} Zngo /i � (sue)
NO. OF, BEDROOMS -3 PRIVATE WELL OR PUBLIC WATER-
BUILDER OR'OWNER
DATE PERMIT ISSUEDi i l -7 �r
DATE COUPLIANCE ISSUED: � "] ?� �T-
VARIANCE GRANTED: Yes No
` e �
� M1
ri ,
No.--- -4-a�_ Fis......715 P
THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
44.-I.�1...............OF -------_.__--_--_____-_.--
ApplirFa#ion for Uhip ii al Works Tomitrnrtion ramit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at:
` o -�' . -�.o9.4:7; .1'�.9`.. ............... _ ' S -----------------------------------------------------
Location- d�drreesss or Lot No.
---------------------"""-•••-c _--`•_--+--...__...----•--•---------- ..........__
Owner Address
� Installer Address
Q Type of Building Size LoA')1.42 A________Sq. feet
U Dwelling—No. of Bedrooms--- Attic ) Garbage Grinder A b
Other—T e of Building No. of persons____________________________ Showers — Cafeteria
a Other fixtures _.__
W Design Flow_.__.__5�_______________.............gallons per person rper day. Total daily how____-__3�________. ___.______._ jIons.rP
W Septic Tank—Liquid capacity�g llons Lengths-____ Width.-1�.__ Diameter.__=__ Depth_is
"' ..a
x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------I........... Diameter........&........ Depth below inlet.____........... Total leaching area_ ....sq. ft.
Other Distribution box (Y Dosing-tank(�A p _ \ -
z Percolation Test Results Performed by.�' Z-16 4i-�_�-k-C-_____________ Dat,A.0jr-1_159,1A�8 OD
Test Pit No. L__ .__.minutes per inch Depth of Test Pit----N L�___.__.__ Depth to ground water_ i�c�5_C!.�.G-4�c9t.�
fi, Test Pit No. 2---4, _._minutes per inch Depth of Test Pit___�_0._______. Depth to ground water_-__'--_____________�.
R+ .......................................................... • ••-•-••••-•--••-•--•----•-•---....--..................................... ------
O
Description of Soil-.-T�A_-•1........ n `--.--- .......Lez.. .....
'
x •.-•-=�-... ......0--- Zn------ Zr ._" 1.0..__64- _ 96SP__-- t
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
f^IT(1a�,
the provisions of u.i LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed--- ...........s ...................................
Date
Application Approved BY.•••-•-•••� ._..._... �Q Date �
Date
Application Disapproved for the following reasons----------------------------------------•---------------------------•------------•-------------•---•--••-•--•---
•-•••---•------••---...-••----•••-------•-••-••••----•-•••---.._...•-•------------------------•--•---...--•---•-••-•-•-•-----------••-••••••••-•-••••••--------•---------•••••-•-----•••••--•--...------
Date
PermitNo.-------.. ----•----------•--- Issued.......................................................
1
VA kl_ 7(o �
- :. 5 No �� �' FEs.... .� .......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. _.
ApplirFation for Dh4paii al Works Tnnitrnrtinn ramit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at: _
Location,Address or Lot No.
. �� ��.................
Owner Address
a ----- .....�/...,c,�� ----------------------------------- ------------------------------•------------------------.---
Installer Address Q /Type of Building - Size Lot'-%A.sc,3_1......._Sq. feet
Dwelling—No. of Bedrooms...... ------------------------------------Expansion Attic �Ap) Garbage Grinder ( X L
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
al Other fixtures ............................
W Design Flow.....-. .�.......................... ..gallons per person per day. Total daily flow....... .......................gallons.,
WSeptic Tank—Liquid capacity`U_Qgallons Length '.( _... WidthAL- O._. Diameter---'----------------- Depth.`s_.� ..
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.........------------ Diameter-______F-A--_---__ Depth below inlet......?.......... Total leaching area.?_fXD....sq. ft.
Z Other Distribution box (yeb Dosing tank (Q-0) ,
'-' Percolation Test Results Performed by.. ,_� `t .\c _ `I'r_....__`�.Cr.............. Date: !:-�.__
aTest Pit No. 1___ �-.-___minutes per inch Depth of Test Pit---- ......... Depth to ground water_t_,A-5_�tc`�c.?r�R�ZL'
�+ ► f
fs, Test Pit No. 2...4� .._minutes per inch Depth of Test Pit----�_O......... Depth to ground water_______«_________________
a ....................................................... ---- i------ --------l- -----•----------------- -•------------•------_------
-i ,! ! f�' ^i i t3 !>�tt t: ..S. 3^ `'
Description of Soal.. - .....-:•-• .. . '1... J
................................................... .�....Z.....
W ---•------------------------•-----......-•----••-•••------------------•-----••---------....---•-•----.......•••---------•-•------••••-••------•.....-••----•--•----•-•-------•-•--•-••••--....----------
V Nature of Repairs or Alterations—Answer when applicable........................................................................................._......
----------------------------•-------•----•-•----•-----------------------------------..........-•--•------•-------•-•-•--••-•----••••--------------••--•---......--------------------------------••.-••--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
PIa E
the provisions of'TILE
T._;I of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Signed...................................................................................... ................................
�a�t ,- Date
Application Approved By.....•---- ��- �e-t^ .., .................................. ........ =-
Date
Application Disapproved for the following reasons:................................................................................................................
........................................................ •-----------------------•--••••••--•-------•---•'---------------------------- --------------••••--------•---------......•--------•-----...------
Date
PermitNo.-------- - ------------------- Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 'OF HEALTH
f�/J
i< e�. ..........OF............Y. �l?�4{..............................
..........t. v.. .-
(Inrtifiratr of Tuntphatt r
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( or Repaired ( )
---------------•---•-•-•-•-••----•----•---•----••---....................--------...--•-------
Installer
at..................._Ie c ....5--�----•--- � •'�-.----.�. `. !!''
has been installed in accordance with the prd isions of TITIE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No........ ----I.- dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
. DATE.--•----•--•............. ................. Inspector.................. . .-A�.....----------•-......---•••--••••--•-•-..-----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7oGC.-q.............OF................ji .r_.r.._..-.:: Ek;0 ......................._.... l-- _
No.... � b= FEE...2_.�.._....
r
����gsatl .�r�� nn�trnrtinn rranit
Permission is hereby granted............ ------........----------------...-•-------.......---....-•---•-----.....
to Construct 6el or Repair ( ) an Individual Sewage Disposal System
at No..........tea........5--........ ... ........= �1� r «`1-•a--
Street ��jj
as shown on the application for Disposal V4 rks Construction Permit No.A..162 rOil 7
_ . Dated----------- --------------- - ..
/ --------------------------------------------------------------------•-•-•-----•---------•--...-----------
/-� / G Board of health
DATE.............-------�---//-----•---------(---..
✓-•---/-----
......................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
SiaC-�r Z or Z
rJ
oT ?g
I-or
7-7 U
ti $7
988 \ �oZ,oU
%23.o. Le r S6
99 6
NJ
f'-S
t`^�� �° loci .Z Dw ��.,JG
8
or �',v„`�/•yam
�-VAT1o�JS �3As�O
va�PLjN 1Rss9 PLAK-) SCALL '� 1 T'►�.. f ►,e
a� `'yam �,� �O•o ' L c�i 5 7 `�o�.�c �stir��.
g Pt:TER
SULIIVArd
No- 29733
1�C/ST6F p FJ►1X�,1vC. {f ►Y�jr )AC.s��CIJM LAiM cXI��Fi�O S
�,/1 LLE
Ij
DESIGN DATA s � z
SINGLE"FAMILY - 3 BEDROOM
NO GARBAGE DISPOSAL
DAILY FLOW = 110 x 3 = 330 G.P.D. 6sC
SEPTIC TANK = 330 x 150% = 495 G.P.D.
USE 1000 GAL. TANK
DISPOSAL PIT - USE ( I ) 1000 GAL. woe RICHARO J4``'� ja SN OF
SIDEWALL AREA = 150 S.FA.
.
�AXTER Z, rr
150 S.F. x 2.5 = 375 G.P.D. oo No.24048 oQ 4' :' ".!
BOTTOM AREA = 50 S.F. "�,r �F��STEA�� q,�a 1l No. 2M3
50 S.F. x 1.0 = 50 G.P.D. �ai LAOSJ
TOTAL DESIGN = 425 G.P.D.
TOTAL DAILY FLOW = 330 G.P.D. •.;, . �°
PERCOLATION RATE : I" IN 2 MIN. OR LESS
qL�. c.o*nao►� eau s �oc.►ti � w�TK�� �t�. .��C . Tom ' 5 � .0
TEST HOLE # ?-579\2 Z c MtUNqer' ki-t— UXA5"J%TA4
e U, l Oo.Z F.G,�=�10 3 F.G. = �� o TOP FND.= l o�{
a c i s / I // :ice - _i ��i // - /f /.a /: s , ///r / JoJ
SCHED. 40 1000
1000 UAL.1 DIST. INV, GAL, 7,
NV,
EACH PIT[V, �2 BOX �o�,a SEPTIC ��1.o e .. .
WITH I' TANK3/4" TO INV, INV.------- _-..._ �__M-k&A .....sTorHi�D ,.z PROFILE -
�' 6 i'
NO.;,SCALE
El 9O,Z
1�10�n.�A CEcz
CERTIFIED PLOT PLAN
LOCATION
I CERTIFY THAT THE PROPOSED FOUNDATION t (Ass
SHOWN HEREON COMPLYS WITH SCALE �'_ � � DATE 5 -P s y 4
THE SIDELINE AND SETBACK
REQUIREMENTS OF THE TOWN OF PLAN REFERENCE
BARNSTABLE AND IS NOT LOCATED 'J y I-A'm; :�l r—,7 L\xa -r-
WITHIN THE IFLOODPLAIN,
DATE : 9- -86. c, V �J' .,_ BAXTER 8 NYE, INC.
THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS
INSTRUMENT SURVEY AND THE OFFSETS CIVIL ENGINEERS
SHOWN SHOULD NOT BE USED TO OSTERVILLE, MASS,
DETERMINE LOT LINES. APPLICANT Jam ett=
PROVIDE PRECAST CONCRETE 4"SCHEDULE 40 PVC MIN. SLOPE 1 % PROPOSED PVC VENT FINISHED GRADE OVER BIODIFFUSERS= 91 •Q' - 94•0' GENERAL NOTES
T.O.F. EL.= 95.2± EXTENSION RISER WITH CONCRETE INISH GRADE OVER D-BOX= 94.0 SLOPE @ 2%MIN.
COVER TO WITHIN 6 OF F.G. OVER INSPECTION PORT WITH
INLET AND OUTLET COVERS. REMOVABLE WATER-TIGHT COVER OVER 1• UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION
FINISH GRADE
RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX 3"OF F.G. (ONE PER
R ROW)WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 94.0'+_ FINISHED GRADE OVER TANK EL. = 94•2'± 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
DESIGN ENGINEER.
PROPOSED 4" 9"MIN. 9"MIN.
EXISTING 4" 36"MAX. 72"MAX. TOP OF SAS/B.O.= 88•00' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL
SEWER PIPE ��'-�, I PVC SEWER PIPE (SEE NOTE 21.) SYSTEM UNLESS OTHERWISE NOTED.
----- - ----.--- » 1» 3"DROP MAX " » PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN
6 3 2"DROP MIN 3 9 MIN.SLOPE 01% JOINTS(TYP.) ELEVATION =88.00' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A
10" '( 4"PVC IN FROM lj' Ldu1.33' 16" 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF
14" `L* '- SEPTIC TANK 4"PVC OUT TO (TYP-) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION.
LEACHING FACILITY 0.90' 10.75+(TYP) °
I NO
5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM.
6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL.
� CONTRACTOR CONTRACTOR SHALL � OUTLET TEE 9Q•40' MIN. 90,23' 87.5T 86.6T (laid flat) 2.875'(34.5") (STONELESS SYSTEM)
E SHALL VERIFY SIZE 48" VERIFY CONDITION OF 5 0, (TYP.) 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 (TYP) 11.50' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS
.
EXISTING SEPTIC AND REPLACE AS MODEL#A1801-4x22 OVER MECHANICALLY 5'MIN. NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH
TANK NECESSARY (GAS BAFFLE ON BOT.) COMPACTED BASE
25.0'(TYP FOR ALL ROWS) AND DESIGN ENGINEER.
5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM 97.00' ESTABLISHED
TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 77.00' ON A NAIL SET IN TREE AS SHOWN ON PLAN.
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. 20 - BIODIFFUSERS PROFILE BIODIFFUSERS END VIEW THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT
CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES
BOX
/�
20 - ARC 36HC ` H-20 BIODIFFUSERS TO THE DESIGN ENGINEER.
*CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL `#3616BD)
TO ANY WORK& NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT.DEEDED OR
TEST P I 1-g-
DATA 11 REGULATIONS.DETERMINATION OW ER/APPL CANHAS BEENDT IS TO OB AIN SUCH DETAS TO COLIANCEIERM NATION FROM ZONING
SWING-TIES MEASUREMENTS �;" � ,�` APPROPRIATE AUTHORITY.
PERC NO. '12832
R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS
INSPECTOR: David W.Stanton,
HC=1 HC-2 LOCATED UNDER PAVEMENT DRIVES OR TRAVELED WAYS IN WHICH CASE
2 DESCRIPTION IJ EVALUATOR: Michael Pimentet, E.I.T.
BIODIFFUSER CORNER(1) 43.2' 20.5' use
•. 6# THEY SHALL WITHSTAND H-20 LOADING.
ZONE 2 y C.S.E.APPROVAL DATE: Oct.27, 1999
January 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES.
BIODIFFUSER CORNER(2) 53.9 31.9' "' � � u DATE: ry 29,2010
(1 3) BIODIFFUSER CORNER O 3 50.9' 38.3' r TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE
� 0r'2 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY.
BIODIFFUSER CORNER(4) 39.5' 29.5'
ELEV TOP= 88.00 REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY
` ,�' ��� � � � +'"� �v � "'� `'
ELEV WATER= <77.00'
C-2 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3).
DECK LOCUS 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN
(4 � �. �"'` �`rt � � PERC RATE_ <2 min./inch
SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK.
#26 ,:.. =t; ; � �( DEPTH OF PERC= 60"-78"
EXISTING 16. PROPOSED PROJECT IS LOCATED WITHIN:
-
2-BEDROOM � x ''` �,^ � TEXTURAL CLASS 1 ASSESSOR'S MAP 13 PARCEL 11
DWELLING
C-1 OWNER OF RECORD: STEPHEN &MARY HUKALOWICZ
NV
f t Y u4 ► o» 88.00' ADDRESS: 26 DOVE LANE
' rµ '���✓ ��.- : . ,�. 2" Litter MARSTONS MILLS, MA 02648
$7.83
A Sandy Loam
10Yr 3/1 F F NE
aQ 1y 87.67'
4" E M A FLOOD ZONE
C
Benchmark TME k 0 \ Sandy Loam COMMUNITY PANEL# 250001 0015 C
Nail Set in Tree N B
SWING-TIES PLAN MAP 13 3 w 10Yr 5/6
Elev. =97.00' o �" _ �i 24" 86.00' 17. DEED REFERENCE: DEED BOOK 11607, PAGE 52
SCALE: 1"=20' -
` ✓/ ;. ,�
Approx. M.S.L. PARCEL 10
m Sandy Loam 18. PLAN REFERENCE: PLAN BOOK 284, PAGE 91
MAP 13 Z AK
a. ' 2.5Y 711
k,.
PARCEL 7 a � "��� � 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION.
r- PROPOSED DISTRIBUTION BOX * k ,.,, .. q 60 _ 83.00
P� Sp 2S1 +► ' 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY
Perc _ _ FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY
_>. t,,, 78» = w 81'.50' IT PURPOSE.
o�O p`1r PROPOSED TOTAL 20 ARC 36 HC(#3616BD) #.
,� FOR USES OF THIS PLAN OTHER THAN S INTENDED UR OSE.
H-20 BIODIFFUSERS IN FIELD CONFIGURATION ,
�96_- 21. IN ACCORDANCE WITH 310'CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE
/ PROPOSED INSPECTION PORT WITH Medium Sand APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7):
EXISTING DISTRIBUTION BOX TO BE ABANDONED - , ��o ACCESS BOX TO GRADE (TYP OF 4) C'2Av� 2.5Y 6/6 (1.) A 3.0'WAIVER(3.0-6.0')FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY.
36 PROPOSED PVC VENT PIPE (5-10%gravel)
EXISTING 1000 GALLON 22" � LOCUS PLAN
SEPTIC TANK TO BE UTILIZED 14� (LOCATION PER OWNER) /
AS PART OF THIS DESIGN 6.. &
2 (REMOVE ALL UNSUITABLE MATERIAL SCALE: 1"= 1000'
MOWN TO"C-2"SOIL AND REPLACE WITH 132" 77.00'
EXISTING LEACHING PIT TO BE a_�
(CLEAN COARSE SAND, IF NECESSARY No Mottling,Standing or Weeping Observed
PUMPED, FILLED WITH CLEAN -
COARSE SAND &ABANDONED- .w TEST PIT' DATA
SHEDa � TP2 6 �V DESIGN DATA LEGEND
PERC� NO. 12832-.,�1 s j 90ico 6 � � g0
#26 g``1 INSPECTOR: David W.Stanton, R.S. 50x0 EXISTING SPOT GRADE
�94 EXISTING � HMI,, .� TP 16" / NUMBER OF BEDROOMS(DESIGN) 3* EVALUATOR: Michaet Pimentei, E.I.T. - - 50 - -
2-BEDROOM ,g4 g
EXISTING CONTOUR
DWELLING / /age'' $" 88xQ DESIGN_ "�x�� �86 TOTAL DESIGN FLOW 330 AUD GAL/DA OOM C.S.E.APPROVAL DATE: 50
Oct.27, 1999 ��
\ PROPOSED CONTOUR
TOF -95.2_ DATE: January 29, 2010
�S
/ 86� J.P.1418/ DESIGN FLOW X 200 % 660 GAVDAY TEST PIT#: 2 ❑/H/W EXISTING OVER-HEAD UTILITIES
\�s
-4USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 90.00, GAS EXISTING GAS LINE
-� [BECK
/ / / _ _84 _ 8 4� *3 BEDROOM DESIGN ON RECORD WITH BOARD OF HEALTH ELEV WATER= <79.00'
� W W EXISTING WATER LINE
90 J� a PERC RATE=
¢�� "� �- / / / fCob � \ TEST PIT LOCATION
14 ��0 / / -82- o'� DEPTH OF PERC=
INSTALL 20 - ARC 36 (#3616BD) H-20 BIODIFFUSERS TEXTURAL CLASS: 1i EXISTING 1,000 GALLON SEPTIC TANK
\ SYSTEM CAPACITY PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE
rr oO \ / 90.00,2 Litter 89 83, ❑ PROPOSED DISTRIBUTION BOX
li� ��o �� (TOTAL L.F.OF BIODIFFUSERS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)= GPD » Sandy Loam
' �aQ z (100.0)(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHIN4G/DAY A 4" 10Yr 311 89s7' PROPOSED ARC 36HC(#3616BD)BIODIFFUSER(H-20)
MAP 13 /o Q
OG� PARCEL 11 I Sandy„J TOTALS: B » 10Yr 5/(;m
r 25,965 S.F.t 3 Q -� 24 88.00
j Q 04 � TOTAL NUMBER OF BIODIFFUSERS: 20 C-1 Sandy Loam REV. DATE BY APP'D. DESCRIPTION
TOTAL NUMBER OF COUPLINGS: 0 2.5Y 7/1
CID
" ,/ Q I TOTAL LEACHING AREA: 480.0 SQ.FT. PROPOSED SEPTIC SYSTEM UPGRADE
\ 0 TOTAL LEACHING CAPACITY: 355.2 GAL./DALY 60" 85.00'
PREPARED FOR:
�, ; CAPEWIDE ENTERPRISES
RN1 sg 9 NOTE:
80 S' EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE
.00 1 / DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROWAL LETTER C-2 Medium Sand LOCATED AT
NOTES: "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED T(O 2.5Y 6/6'
N83052'18,W ADVANCED DRAINAGE SYSTEMS, INC. ON OCTOBER 3,20103(LAST (5-10%gravel) 26 DOVE LANE
1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE � 48J3', MODIFIED JUNE 30, 2009). TRANSMITTAL NUMBER=W000)052. i MARSTONS MILLS, MA 02648
TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. --- _ i _ SCALE: 1 INCH = 20 FT. DATE: FEBRUARY 9,2010
132" 79.00'
2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE
LOCATION OF THE PROPOSED LEACHING FACILITY TO ENSURE ° 10 20 ao eo FEET
No Mottling,Standing or Weeping Observed
CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. JOHN L.a� PREPARED BY:
RESERVED FOR BOARD OF HEALTH USE CHURCHIL.L G�"m
REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS JC ENGINEERING, INC.
ARE NOT CONSISTENT WITH TEST PIT DATA. ° `No a1 7 2854 CRANBERRY HIGHWAY
EAST WAREHAM, MA 02538
3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED S'''"E PLAN
508.273.0377
ZONE 2 AND THE ESTUARINE WATERSHED. SCALE; 1"=20' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.1752
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