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0036 EVERGREEN DRIVE - Health
36 EVERGREEN DRIVE„ - - A= 126 075 J►'1aYST� s .t ZS TOWN OF BARNSTABLE LOCATION 3b �- Nees SEWAGE# a0(8- J VILLAGE Nai o o 1��<<s ASSESSOR'S IMAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 3-5-o6 G4. Ck c—vw%-Lcr.) (size) & 43a NO.OF BEDROOMS —t OWNER PERMIT DATE: Q' oZ S'�� COMPLIANCE DATE: OcT— d-0/6 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachi cili Feet FURNISHED BY C 'o 3 317 �( c r 44r6, _ 3 53 3= 2,� 3�0 ;*ht p�uw� r TOWN OF BARNSTABLE LOCATION 3� L ycj 1` SEWAGE# VILLAGE 1 I�w-ti k 1s ASSESSOR'S IIMAP&PARCEL 0 INSTALLER'S NAME&PHONE NO. 6.33.6- 376.5 SEPTIC TANK CAPACITY klt-06 CO( CEx�s%•AS) , r � LEACHING FACILITY:(type)3-5-6 r g. Ch,-rtiba.) (size) k 3 43.1 I NO.OF BEDROOMS 4 t- I OWNER PERMIT DATE: Q- oZ S=I& COMPLIANCE DATE: OG7—- i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If an wetlands exist within 300 feet of leachi cili iV Feet i FURNISHED BY i % C I 0 3 � I r r 44,�, e c%oA No. Fee 1"L / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: "I, PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes �ipIication for ]Disposal Opstem (Construction permit Application for a Permit to Construct( ) Repair V1%pgrad&( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 b EV eu-s Me 9r t e Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 3L Ev ree M44MOVS ttAr Installer's Name Address,and Tel.No. .fo8-3a6'39 Desi ner's Name,Address,and Tel.No. 6n8.360- 331 l o56c;Atc pdfoSS �'-o-aa� Rt 1z dt wee odSB Type of Building: / Dwelling No.of Bedrooms T Lot Size q3 65:3 sq.ft. Garbage Grinder(Nf Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) y410 gpd Design flow provided V yl gpd Plan Date J�-(y l flu i a,OIB Number of sheets Revision Date Title Size of Septic Tank /,606 6,q. (dgjtj i Aa) Type of S.A.S. -4-00 G . Description of Soil .S Nature of Repairs or Alterations(Answer when applicable) a,✓ (St: 3- OOC� lr� lV 0�Stor e Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board f Health. Signed Date SE7 "161 13 Application Approved by Date J-` Application Disapproved by Date for the following reasons Permit No. AO V75 Date Issued �" s N,o.�IPO t r,- ` / 1 # Fee 0Z / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ./ :._- Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yication for Disposal 6 steYrt Const ruction Permit Application for a Permit to Construct( ) Repair((�)'1,;Upgrad&( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 3 6 v e r-S i`tete I�f �r v e Owner's Name,Address,and Tel.No. .Sc�-6- Mg2S7uAS 1 +.tlS �`o�oei'� (t hC:.l Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Jc,&-_;,>Z 3965" Designer's Name,Address,and Tel.No. ;;0� 36p- 31 t �,fVCt M0..Cc k t" Sic! \ TIr,J`c.\ l 1C-3er oSi�r�,1`c v.��sS �'•o • 3�ti '81 ',a�1" SC..,�alw,c c,aS3 Type of Building: Dwelling No.of Bedrooms 7 Lot Size 1-13, P5 sq.ft. Garbage Grinder(IVO Other Type of Building No.of Persons Showers( ) Cafeteria( ) ; Other Fixtures Design Flow(min.required) yy O gpd Design flow provided gpd Plan Date�"�I•, l f3 G t N " Number of sheets Revision Date 51- T' l 1146 qc— Title / Size of Septic Tank /4 000 C'_ �F x l Si+n c� Type of S.A.S. ,3-SGO 6,��, �FiacN ct�ii titd/�.�5 Description of Soil (I Nature of Repairs or Alterations(Answer when applicable) Svc s l c�� l rw I SI.�c v 3 �jaoGr�� (04i LDS U),TA\ L4 Ct S-k(,A 'f Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed / Date Sr,`,,3/7/,3,_-20/j5 Application Approved by Date Application Disapproved by Date for the following reasons ' Permit No. go Date Issued s 9 1 -- - ----- - - - - - - - - -- --- - --- ----- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(p,)' Upgraded( ) Abandoned O by S or c/,r c Cn r l T at 3k E '1 cr e�T ev\ 2. - .1(C:r i i c.,v rl s has been constructed in accordance q with the provisions of Title 5 and the for Disposal System Construction Permit No.�1s- 215dated I P Installer C e `1 0-C C:�.�t Sid Designer ��rrC,N #bedrooms Approved design flow ( gpd The issuance of this permit sh/1 nooZbonstrued as a guarantee that the system wi�as Date !/FJ Inspectoor - ---- --------------------- ------- - ------- --•----------.------------------- --------- . - No. b l o� f 5 Fee 1 13 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS -Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(if Upgrade( ) Abandon( ) System located at 3 k F v t,0 per,\ v 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 co m leted within three years of the date of this permit. Date — -- ( Approved by t Town of Barnstable .� r.� Regulatory Services Richard V. Scak Interim Director snaxsrA MASS Public Health Division 039. - Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624W Fax: 508-790-6304 Installer& Designer Certification Form Date: J�' Sewage Permit# �� Assessor's Map\Parcel l�� ®„7 Designer: e ( Installer: 2 (,� O V A Address: Pn ', ex 9U Address: P&Vy YA Ogjew\l) 114e-., &2,�,3 9 On ` ��v�� M aC,a IL5Z was issued a permit to install a (date) (installer) septic system at '(eLv\ J)f . k• M1 based on a design drawn by (address) T `Tre_. � Z v- dated \ desi er �ceify that th septic ys em referenced above was installed substantial) according to Y g GL the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. .I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the IAA approval letters (if applicable) of (Installer's Signature) I N_,�P, 11---" a*-. No. I esigner's Signature) (Affix ere) PLEASE RETURN TO B STABLE PUBLIC HEALTH D ON. CERTIFICATE OF COMPLIANCE WILL OT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc I . I Town of M--nstable P# 1 Val _ Department of Regulatory Services s� Public Health Division .c, Bate =�� + tee$ 200 Main Street:Hyannis MA 02601 Date Scheduled Time Fee Pd Soil Suitability Assessment for S ge Disposal Y/C�V Witnessed B . Performed By: Y LOCATION&GENERAL'INFORMATION Location Address'.3� eveee a � '• ; Ownea'sName I�pB � �S M) L ,S A A , Address S Assessor's Map/P4teel: 12-to l Q7-S', I Engineer's Name NEW CONSIRUt0N REPAIR IV �. Telephone# _l_`-ES l 1��n�t t� slopes(96).. .© Land Use Surface Stones Distances from: Open Water Body? 2 () ft y Possible Wee Area Drinking Water Well ��ft Drainage way?'I Du ft. Ptoprrty Line >l e) ft Other ft SKETCH:($treet name,dimensiods'of lo4 exact locations of test holes&perc tests,locate wetlands in proximity to holes) T1C/ 0- I s I • I • t I Parent material(gedlogic) l uLL� Cr'''TS I Depth to Bedrock be Depth to Groundwaldr. Standing Water in Hole: I Weeping from Pit Face ' / I Estimated Seasonal;fth Groundwater N i Dt� n TION FOR SEASONAL HIGH WATER T'AILE Methr+d Used: __ Depth db�e ed n obs.hole: in. Depth to$ala:"otilest Jn. Depth toiweeping from side of obs.hole: I in. GiiOundWater AdJuetlnent • index well#_ _ _ Reading Date-, Index Well levt'1 Adj.thetbC- Adj.Owundwaler Level,,,,,, PERCOLATION TEST - Date Time Observation I line at 9" Hole# ; tt • , Depth of Pere 51. Time at 6" V Start Pre-soak Time.0 I [ 'lime(9"•6") End Pre-soak L Rate MinAnch Site Suitability AsscosmenC Site Passed - Site Failed; Additional Testing Needed(YIN) original:,Public l•ie'alth Division Observation Hole Data To Be Completed on.Back. ***If percolaii0n test is to be conducted within 100' of wetland,you must first notify the Barnstable C6#servation Division at least one(1) wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole# I _ Other Depth from Soii Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsistenc %Gravel t'- %) E 0 I 3f G - -OBSERVATION HOLE DEEP LOG Hole# " wilier Depth from Soil Horizon Soil Texture Soil Color Soil Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.96 Gravel) y a wt DEEP OBSERVATION HOLE LOG Hole# Other 1 Texture Soil Color Soil Depth from Soil Horizon Sot ture Stones Boulders. P Sttvc Surface(in.) (USDA) (Munsell) Mottling Consistency, 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. Con isten I t Flood Insurance Rate May: Above 500 year flood boundary No— Yes-Z Within 500 year boundary Nt_ Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material_ Does at least four feet of naturally occurring p v' is material exist.in all areas observed throughout the area proposed for the;soil absorption system? If not,what is the depth of naturally occurring p vi us material? Certification l �j I certify that on l t (date)I have passed the soil evaluator examination approved by the Department of viro ental Protection and that the above analysis was performed by me consistent with the required t aini xpertise d experie a described in :10 CMR 15:0G1 . Signature 1 Date Q:SEPTICIPERCFORM.DOC I Town of Baastable. P# 5 2S' - Departmeni of Regulatory Services Jsy. ' Public Health Division Date s6 S&y tee$ 200 Main Street,Hyannis MA 02601 Date Scheduled / Time v Fee Pd. i • I • Soil Suitabili Assessment for Se Disposal B pu Performed By: V' r � \ � Witnessed y: j LOCATION &GENERAL INFORMATION Location Address'. E� .fG n i Owners Name MW . � WJv ,, rr fM Address Assessor's Map/P4rcel: l�� 7 � I Engineer's Name !V'C.°.Y�-� U ohs NEW CONSTRUtgSIN REPAIR Telephone# o 6 Land Use .J / �1r a Slopes(%') b - Surface Stones Distances from: Open Water Body / ft Possible Wet!Arreea / Q ft Drinking Water Well��ft Drainage Way >1 U 2 ft Property Line J l ft Other ft SKETCH:(Street name,dimensions of lo4 exact locations of test holes&perc tests,locate wetlands in proxitnity to holes) S�L t' x0 i . I i • U11` A S r/ Parent material(gedlogic) I Depth to Bedrock Depth to Groundwakdr. 16dig Water in Hole:' • J U�' i Weeping from Pit Face Estimated Seasonal Nigh Groundwater "' � D �( TION FOR SEASONAL ffiGH WATER T"LE Method Used: ! Depth dbserved standing in obs.hole: In. Depth to Spll mottles: in, Depth toiweeping from side of obs.hole: ! in, arttundwater AdJuStment f• 1 ! A rfactor.,,,.,�. Adj.Owundwaterlevel,,.,m, Index Well# Reading Date Index Well lev4I df i PERCOLATION TEST Date TIOW Observation 13 I Time at 91, Hole# t I S 16 Time at G" Depth of Perc /0 G 3 I 'riime(9"•G") Start Pre-soak Time.@ 6 3 to End Pre-soak � M- Rite MinJlnch 1 e_ — Site Suitability Asse¢smeat Site Passed Site Failed; Additional Testing Needed(YIN) Original:.Public 14.41th Division Observation Hole Data To'Be Completed on Back------ • ***If percola>4i0n testis to be conducted within 100' of wetland,you must first notif Y the i Barnstable C64servation Division at least one (I) wedk prior to beginning. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture , Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.g'a Gravel ZTV CJ" - ° C- �o q- 06A d (1-3jv DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. pp Consistenc %Gra el � 112 _T7-- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistenc 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. F sten Flood Insurance Rate Map: 1 Above 500 year flood bounds ryNo_ 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 pe i us aterial exist.in all areas observed throughout the area proposed for the soil absorption system? le If not,what is the depth of naturally occurring per ious material? _._._..� Certification c� I certify that on 1 (date)I have passed the soil evaluator examination approved by the Department of viro ental Protection and that the above.analysis was performed by me consistent with the required t. inin ,exp tise a perience de ribed in 3:10 CMR 15.0 7. 2 l`b Signature Date Q:\.SEPTIC\PERCFORM.DOC 1. k r COMMONWEALTH OF MASSACHUSETTS r EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON. MA 02108 617-292-5500 r` WILLIAM F.WELD TRUDY COXE Governor Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A CERTIFICATION 36 Evergreen Drive Property Address: Marstons „Is r MA Address of Owner: Wm McLean Date of Inspection: L' �f (If different) Name of Inspector: Wm E Robinson Sr I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: Wm E Robinson Septic Service Mailing Address: PO Box 1089 C _ntervi 1 1 e, MA 02632 Telephone NumberY 5 0 8 7 7 c,_R 7 7 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 lime of inspection. The inspection was performed based on my tr i an experienc roper function and maintenance of on-site sewage disposal systems. The system: 7� _✓Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Signature: Date: ---fit The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, or D: AI J5 TEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI S STEM 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. Indicat yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. _ The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04/25/97) Page 1 of 10 DEP on the World Wide Web: http:ltwww.magnet.state.ma.usldep £'j Printed on Recycled Paper SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 36 Evergreen Dr, Marstons Mills Owner: McLean Date of Inspection: % a_ /,p_ 9 BJ SYSTEM CONDITIONALLY PASSES (continued) _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER ALUATION IS REQUIRED BY THE BOARD OF HEALTH: Con itions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the pu is health, safety and the environment. 1) rSYS EM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WH CH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 fee. of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYST M WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE YSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENV RONMENT: _ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) O HER (zev1xed 04115117) Page 2 of 10 I A, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 36 Evergreen Dr Marstons Mills P Y g Owner: McLean Date of Inspection: l5L /g- 2-1 D) STEM FAILS: You m t indicate ei; ,er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis or this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct t e failure. Yes N Backup of sewage into facility or system component due to an 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. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LA GE SYSTEM FAILS: You ust indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes o the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA) or a mapped Zone II of a public water supply well) The o ner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requir ments of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 36 Evergreen Dr, Marstons Mills Owner: McLean Date of Inspection: j.2 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No _ Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that,period. Large volumes of water have not been introduced into the system recently or l ` as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components, excluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. _ Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) (revised 04/25/97) Page 4 of 10 L SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 36 Evergreen Dr, Marstons Mills Owner: McLean Date of Inspection: FLOW CONDITIONS RESIDENTIAL: Design flow: 4//6 g.p.d./bedroom for S.A.S. Number of bedrooms: 4/ Number of current residents:/CL Garbage grinder (yes or no): Laundry connected to system (ryes or no)/'-� Seasonal use (yes or no):2t- O Water meter readings, if available (last two (2) year usage (gpd): 1996 - 143 , 000q Sump Pump (yes or no):_A_6 1997 — 143 , 000g Last date of occupancy: COMMERCIAUI N D USTR IAL: Type of establishment: Design flow: gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS nd source of information: A-, Systemllumped as part of inspection: (yes or no)A D If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM L-1"S'eptic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: �s 2/z S 6 �V Sewage odors detected when arriving at the site: (yes or no)f� (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 36 Evergreen Dr, Miarstons Mills Owner: McLean Date of Inspection: jd2 BUI DING SEWER: (Coca on site plan) Depth ow grade: Material f construction: _cast iron _40 PVC _other (explain) Distance from private water supply well or suction line Diamete Comme ts: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK:_✓ (locate on Site plan) Depth below grade:J--6l � Material of construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) If tank is metal, list age — Is age confirmed by Certificate of Compliance —(Yes/No) Dimensions: O X Sludge depth: — ? • ' Distance from top of sludge to bottom of outlet tee or baffle: S Scum thickness: '/—3`' ' Distance from top of scum to top of outlet tee or baffle: , Distance from bottom of scum to bottom of outlet tee or baffle: How dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth,of liquid level i rk relation outl vert, structural integrity, � � �L_s evidence of leakage, etc.) `�� �— l� l n- r a n cam/! GP +�- AC> % GREA TRAP: (locate o ite plan) Depth belo grade: Material of nstruction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensio s: Scum t ickness: Dist from top of scum to top of outlet tee or baffle: Distance m bottom of scum to bottom of outlet tee or baffle: Date of last umping: Comments: (recomme ation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, vidence of leakage, etc.) (revised 04/25/97) Page 6 of 10 r— SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 36 Evergreen Dr, Marstons Mills Owner: McLean Date of Inspection: / g /2� C' 17 TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection) (loca on site plan) Depth ow grade: Material f construction: _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimension Capacity: gallons Design flo gallons/day Alarm lev I: Alarm in working order _ Yes; _ No Date of evious pumping: Comment (condition V inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert:_ Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.)_.g PUMP C AMBER:_ (locate o site plan) Pumps n working order: (Yes or No) Alarm in working order (Yes or No) Com ts: (note con 'tion of pump chamber, condition of pumps and appurtenances, etc.) (revised 04/25/97) Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 36 Evergreen Dr, Marstons Mills Owner: McLean Date of Inspection: '7 SOIL ABSORPTION SYSTEM (SAS): V (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:Ji leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic ^failure, level of�onding, conditi �o`f vegetatio , etc.1 6 / l CESS OOLS: _ (locate on site plan) Numbe and configuration: Depth-t p of liquid to inlet invert: Depth o solids layer: Depth o scum layer: Dimensi ns of cesspool: Materials of construction: Indicatio of groundwater: inf'ow (cesspool must be pumped as part of inspection) i Com ents: (note c dition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIV)on (locatite plan)Mate construction: Dimensions: Deptlids _ ComnNnts: (note cd dition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) Page 8 of 10 i r_ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 36 Evergreen Dr, Marstons Mills Owner: McLean Date of Inspection: 1;.-- 12-,$'I SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) , 1 i (revised 04/25/97) Page 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 36 Evergreen Dr, Marstons Mills Owner: McLean Date of Inspection: ( '3-- I t2—; '7 Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record 1//Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it from local conditions _ Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation. (Must be completed) d ;— �a Gv �. is < 5 (revised 04/25/97) Page 10 of 10 LOCATION SEWAGE PERMIT NO. VILLAGE �gm;& 2� INSTA7 LLER'S NAME i ADDRESS r ®-qIL.DI-N-- 0 R OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1,el 2 '�� yv No... �.. ... Fps.............. ........... THE COMMONWEALTH OF MASSACHUSETTS'A ®®AR® F HEAL %�.ism.f..............._0F..... . . .0 -------------------------------- , in for Uhipmal Works Tnnitrurtinn Prrutit 1 Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System Z-O.T. t• / .............. ......... oca4o No. ..................................... -0; . .. . ?!Y, _ Owner d ess staller Address Type of Building Size Lot._V.3,A©V_Sq. feet V Dwelling—No. of Bedrooms.................. .................Expansion Attic ( ) Garbage Grinder (P '4 Other—Type of Building No. of persons........�........__._ Showers — Cafeteria Ql Other fixture .._ � -------------------- --- ------ W Design Flow....................ry5-----------------gallons per person per day. Total daily flow--------- �._.__._.____.....____..gallons. WSeptic Tank—Liquid capacit)f A60gallons Length................ Width---------------- Diameter_______.--_--__- Depth................ x Disposal Trench—=No..................... Width ....... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------1----------- Diameter........... Depth below inlet.................... Total leaching area4..4.�,_sq. ft. Z Other Distribution box,,( ) Dosing tank ( ) Percolation Test Result , Performed by.................................... ... p Date � Test Pit No. 1---2........minutes per inch Depth of Test Pit----j.- :____-- Depth to ground water_____. (s, Test Pit No. 2.... _7:":minutes per inch Depth of Test Pit------ ... Depth to ground water--- � Description of So .. _. ..-•------------------ `..-•- ---- ------- ...... .. _=--•�• - Mil p w Qatu::r::ehof qe .... ------ ---- �`IIU Repairs or Alterations—Answer when applicable.______________________________________________•---------.----_----__-___----__-------•------__. •------•-•--------------------------------•--------------------------------....---......-••••••••••---•----••••------------•-------•-•------••......--•----•.......................................... Agreement: The undersigned agrees to install the aforedescribed Indivi al Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code edado rsi ed further agrees not to place th system in operation until a Certificate of Compliance has bees ' health.Signed ApplicationAppro ed B . •-------•-••.........................•••-••-•--•--•--....--••-••--....... ....�.._Y.._.. Date Application Disappro d f o the following reasons:_....._...e ..............._._._._ .._.. ................•----•--------•-•-•--•.....•••--.....----•--•--•-•••-•--•...-•---._....-•-•••-•-----•••••-••-•-•-----•....•----------------------------------•----•-•--------•-------.................. Date PermitNo......................................................... Issued....................................................... Date Fss...` .............. THE COMMONWEALTH OF MASSACHUSETTS4 BOARD OF HEA1 J-------------------OF...., � �. ....... Appliration for Disposal Works Tonstrnrtion 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System2_1 . ...1: ..... .. .._ .....................' . . ...... .Coca ion- .......... � ..:' `.. .. •-•----- ....... No. :. .. ` .._ ..... + - ,fig. Owner [�`� .. f nstaller Address d Type of Building Size Lot. .:.._._Sq. fee Dwelling—No. of Bedrooms.................. ..____..__..__..Expanslonttic ( ) Garbage Grinder (` a Other—Type of Building •___________________________ No. of persons. .... .)"� ....._.:__ ( ) Cafeteria ( ) _ Showers Other fixture ----------- ------ ...............•-••--•--- Desi Flow.................. ..........•--------.gallons per erson' er day. Total daily flow.__._..__ ..__._._..........gallons. ---• -- w g P P P Y Y �" . WSeptic Tank—Liquid capacit,OM.gallons Length::._.._ Width ,............. Diameter_.-- _--______ Depth................ x Disposal Trench—No. ..................... Width . Total Length Total.leaching area............_. sq. ft. N Total leachin Seepage Pit No________ ___________ Diameter f. ....... Depth below"inlet.._...._ . ,,. g ar en A ..sq. ft. Z Other Distribution box ( ) Dosing tank (' aPercolation Test Result Performed by......................................................f-.---•--•-_--_---- Date......................................... Test Pit No. L._._: Z:_minutes per inch Depth of. Test Pit � �:�__._ Depth to ground water f3, Test Pit No. 2..__.....��"._-._minutes per inch Depth of Test Pit...... •._..•.. Depth to ground water..,A .--------•-•- « -- D Description of So>� `' •--- L!. ... .........................i , '""" .. .. # "� w U x U ture of Repairs or Alterations—Answer when applicable_.,...... .... .................. ..............................:............... ......... :.. --------------------------------•------------•---•------------------.--•-••--•••••--•--•-----........-•---•••-••------- ---------------- .................................................---------- Agreement: The undersigned agrees to install the aforedescribed Indivi al Sewage Disposal System in accordance with s the provisions of TITIS 5 of the State Sanitary Code— The u rsi ed further agrees not to place thr system in • operation until a Certificate of Compliance has bee. 's d bo health f Signed :-- -- .............................................. -- .... Application Appro ed B e Date Application Disappro 'd f the following reasons:.......... ------:--•- ................................................. -----------------•-•----------.--....-••----------••...----••-----•--....----•-•. Date PermitNo......................................................... Issued-........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......... .......................................................................... Y (5rdifiratr ,af Tantplittnrr THIS TO •ERTIFY, That the Individual Sewage Disposal System constructed � or Repaired- by ( ) -••--••.--.. l . -------------------------------------- •----•-----------•-------.---------- •------------ .----------..-.-----------------.._. Installer at. " 'rl. ......:: � •----------•----------------•--••----•------.......--•--------------....--•---------......------------------. has been installed in accorda 'wit the provisions of TIT r f he State Sanitary Code as described in the application for Disposal Wo s nstruction Permit NoYF--- .............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL 1' �/ ION SATISFACTORY. DATE....._/.. s_...- --•--------------------••---•--•--•---•--------.._. Inspector-•- - THE COMMONWEALTH OF MASSACHU SETTS BOARD OF HEALTH "" 11W. OF.................•------•---••............................._.......----.--.. -ell No.. .................... FEE... �.............. Tnn#rudivn rrntt# Permissionis hereby anted----•--•' ------- -------•--•-•• ---••-•---••-•-•-----------•--•------•----....-----------------.....-----...•----...........-•-•-•----- to Construct ( •�f'�o , air ) ndivid wage Disposal System Street as shown on the application for Disposal,", rks Construction Permit ................ Dated.......................................... ..•••.....••----.-•---- ---••••-------•-•-•-••------------•---•-•....--•••----•--------•-----------•. DATE S------- -----L- A Board of Health ---- FORM 1255 A. M. SULKIN, INC.. BOSTON w. z i�. /�.�L� � '� �) �i�.� 1 a � '3 N` ' /__o T s" h LET 7 Z . '2._0 r S' "DILL✓E pu.w / a• a r � qIv IV F' lf lw l - "J L --- — !qq a , Ohl Al t - a . . , '7 � 3or:i� /Sat' c CS M'Of7S� " D G No.109W O f F 1 5 LEGEND ,' "� � ,, 4w CERTIFIED PLOP PLAN EXISTING . SPOT ELEVATION . Ox0 EXISTING. CONTOUR 0- .� �tya R000R FINISHED 'SPOT ELEVATION ,( 6mI1cE %1/l,.�l •�S �� .' � .t,: FINISHED CONTOUR - 0 ;. ELDREOGE. !"y �N t APPROVED BOARD OF "HEALTHST AAAA i''DATE AGENT �;. . SCALE, /. � q.0 DATED 14FILDREDGE ENGINEERING CQ IN s, CLIENT l •' i CERTIFY THAT .YNE �'R'0'Pb80 L TERE REGISTlItEO J08"NO. fir.6'1—P -BUILDING SHOWN ON THIS wLArN , IL LAND. : CONFORMS :TO THE : 20NING L'AW>�I NEER URYEYO DR.BY % ,,q.t .' OF..`:BARNSTAB: E . MAS , 712 MAIN STREET CH. BY /3, : HYANN I S, MASS. O REO. LAND .SURV SNEET_l.. F . '� DAT E , EY.OR /VOTE /F E/TNER THESEPT/C TAoVAk OR �~ 20 J-T. 11/1V. L.E�4CH/NG P/T °4RE MORE 77NA V-/2"BELO.W `0 /a Pr- MiN GR�D&: A 24'Y7/AM ETER CoNCe FTE COVER }e- SHALL BIF BROIl6HT TO 41-AOE. 'AN EXTRA y CONC/tc'TIE i 4"PVC PIPl ! tiE.4Vy C^ST /•.PO/V COVER S/�.4LL L3E USED /N OR/Vz-WAY, PEiQ fT. 2 9G M/N. CD/VCR�TE 4 1t co ✓ER G'L EAN SANS - -- - - _ - •UPI//D LEVEL - . . � d` 4"CAST 2 LAYER IRON P/PE M IOCJo GIRL. o+ o o P Q o OF • !N:PlTCN D/ST, o ! • • • • • • • • D •4 WASHED SMNe TANK , b • • . . . . • • , a + BOX o • ! 8 • • • • • r • .• • • •+ / / • o + N . • e ! •EFFECT/✓E • ` • y 3 4 - 1 �2 �. • o r • • pEPTH • • ! • • o WASI'JED STO�YE s,a - •. o • • • • • 0• • 1 poa 4-7o • • 'v ! ! • • • • • • • -78 • D ' PRECAST SEE./NX aAr !N/iiCl!'f ELENAT/ONS 'PIT -AmetciTy s48 crftc /oAy • •v . • • . . . . • • a • P/7OR EQ!!/V. sc 92,a INVERT AT oU/LD/NG 90.0 FT 6 FT D/AM. INLET S,CPT/C :T.4NK : 90.8 FT. /o FT. '01A. . C�,SEErABUL.4TION� +0117LET SEPTIC rAw< 99-6 INLET D/STRAS&T/ON BOX FT GROuVD WA7. r TiIBLE O�ITLETDISTR/BIIT/ON Box. SECT/ON OF f INLET LEACH/NG oiT ,: 9�.n FT SEWAGE 01SPOUSAL SYSTEM, w LE.4GHlNG •�+/T lME/y oN A4W /O T LAT N S=ALE I �,. / -.O p 3. DES/6N_. C�4/TER/.4. .Hvs/a" 8 6 FT. NUMBER OF BEDROOMS `. 3 D/MENS/ON me Aft" L S / D/SPOSA UN T .SDlL TEST TOTAL EJT/N/�tTEp'FLO/V 33 o G.4t.�DAY SO/L TEST At/ SO/4 TFST2 4,IK/MPBER QF Z.-ACM/NT.,o'/7S / fELGrK loop ELAWY, j 0,O ,0�4 TE OF SOIL TEST S/OE LEACH/NG PER P/T /�� Sga PT. D Z p-Z RESULTS PVITNESSED BY 9oTT4M L,64CN/NG PER P/T 7� $Q PT LoA-� !"1 « RERCOL/►T/ON tA7-4W#/ � CSC MMOVINCH TOTAL LEACH/N6 �4REA' �6 SO FT_ et S//r'bS olL V Sr/is S o IL /�ehCOL�17yGN RATE fie'• 7�t.4s✓ /ylN.�INCH .QESERt�E LEAC'HlN6 AREA �'I'd_.54. .iT. - l=IN'E Sfp-nlU t Z 3 I L�IiC T2G lz =ec/J . . �� v E tt1 Of $fi,�ss � OF"Ag,4 7 6JZAV4GL �o�+2sE T �' ��?° AKA ��� s ✓o �e /Ter' . p� 'ROBERT 8RUCE ELDRE a MORSE i EA.ARED4GEENII(t►lAfJWIP//VfGW JIVC. No.10951 O 7/2' MAIN .9T.� f/yANN/9 MASS: �O �FFsc w� NG G/gOUNh Yl/i4,TE R A VC04J/VTER EO CL/EN r. �{rQ.suW4, IONA � S T/� ''GRCllN kV,4TE.Q_Ai- "Ie !, SL le 9 D.1TE' S / u 40 g }� • T PlT a F G�'i+conNG i� p/T /5 } C L �pM om 4ar G i.✓c` , N { � 'M 6 In Nous� � /0T yf t f t .J]c•Q tar e) k I o9.T� Al s } ��11 — =y f �-titl7° 39 aye , t /nJ �/ b dATS }n /t5 /Sr $�T13R MKS { % I F ��of t CERTIFIED PLOT PLAN N f ' �``A� s��•y L1JT L//, LAND Cod2, ROBERT r M�1 jZSTonls /1�1/LL S BRUCE -4 t r v ELDRE y IN �osu SCALE, lic�yo/ DATE, 7 8y I CERTIFY THAT THEu/`'� /NG MI SISYE,RED, RE®I TEREQ SHOWN ON THIS PLAN IS LOCATED Joe ,�A. � o y ON THE GROUND AS INDICATED A� CIVIL ' ,AND �� .�. 'Et�4IAlEER iURbEY01t ` Q . Y� , CONFORMS TO THE YONIN® l.AM18 OF SARNSTA®LE, MASS. �F 2 M A.I N 'S. T R E.ET- •oY! ...,.,..,,6 ANttS; :MASpS: `i �T,,:L ME REG. LAND SURVEYOR -_ MARSTONS MILLS CB DH O LOT 8 ya LOCUS RACE Q S,2 20'S6 o LOT 41 SH BAEL ^ AREA=43,853t S.F. LOT 9 0NoJ �P 3 G 3OQ 46 G .o LOCUS MAP °' LOCUS INFORMATION w G�� 59.1 6� PLAN REF: LCP#12034-D SH.2 LOT 10 TITLE REF: CTF#173739 PARCEL ID: MAP 126 PAR. 075 ZONING: "RF" SETBACKS: 30'-15'-15' UnC FLOOD ZONE: "X" COMMUNITY PANEL: 25001CO542J DATED:07/16/14 CB/DH GRAVEL 155.5' ���`- _ DRIVEWAY PROPOPSED SITE AND SEPTIC UPGRADE PLAN a o = LOCATED AT: #36 36 EVERGREEN DRIVE ,; _ C MARSTONS MILLS, MA. m� PREPARED FOR: ow°, % --��__ � o - _��'d = 69.9 NEo ROBERT J. & KAREN W. w - w TA l - _- ,- �• S MARKS 67.4- --- %I y Q:. JULY 18, 2018 REV: SEPTEMBER 12, 2018 S73'S2, w �Q , , 4a'• 3 LOT 54 T -46 3' � TP-, •Q� ''' .o of _i eo Tp�a Q� ryo ;M q�g/ -----� TP-2 $ n D R ✓ "Tr4e, ` I ^ LOT 42 MEYER & SONS, INC. GRAPHIC SCALE P.O. BOX 981' 30 0 15 30 80 120 ` . EAST SANDWICH, MA. 02537 PH: (508)360-3311 LOT 53 FAX: (774)413-9468 ( IN FM ) meyerandsonsincOgmail.com 1 inch = 30 ft SHEET 1 OF 2 J 2014 NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GENERAL NOTES: TOP OF GAR. SLAB SEPTIC TANK GRADE SHALL NOT BE < EL•63.65 FOR A DISTANCE INSTALL RISERS & COVERS OVER INLET & 15 A. ' AROUND THE PERIMETER OF THE S. S. EL=69.SOf " PROPOSED D-BOX PROPOSED S.A.S. 1- ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL OUTLET AND SET TO 6 OF FINISH GRADE INSTALL RISER & COVER BOARD OF HEALTH AND THE DESIGN ENGINEER. INSTALL LOCKING COVERS IF AT FINISH GRADE SET TO 6" OF GRADE INSTALL A RISER OVER ONE CHAMBER (MIIN) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS F.G. EL=68.50t F.G. EL=68.Of AND SET TO 3" OF F.G. OF THE ��ANENVIRONME CODE. TITLE V. AND ANY APPLICABLE F.G. EL: 66.65t F.G. EL- 66.65 MAX. 3. THE SEWAGE DISOSAL SYSTEM SHALL NOT BE BACKFlLLED PRIOR ( - TO INSPECTION-Nw DESIGN D APPROVAL BY THE BOARD OF HEALTH AND THE im Ms 9' MIN CO ER/ 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 36' MAX COVER L - 105' L - 25'(MAX) s FROM THOSE ORE NN HEREON ERE N SHALL REPORTED TO THE DESIGN O S-1X (MIN.) EL=67.40 O S=1X (MIN.) O S-1X (MIN.) 3/4" - 1-1/2` 4-SCH40 PVC 4'SCH40 PVC 4 SCH40 PVC 2" OF 3/8' DOUBLE WASHED 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. .; STONE OR FILTER FABRIC. DOUBLE WASHED STONE 10' 6 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF INV.=66.35 14 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 48'LIQUID HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. INV.=66.10 E3131tr3T� O ®8®8 �� E-� 7. DWELLING IS SERVICED BY PRIVATE WELL PROPOSED ®0000 00000 ' GAS BAFFLE 00000001'30I30 S.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED �� INV.=64.0 Tt�0000000000 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. INV.=64.20 DB-5 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO STARTING WORK. EXISTING 1.000 GALLON SEPTIC TANK !FFE 3 X 8.5' 3.25' 1p p=NG LEACHING TO BE PUMPED. CRUSHED AND REMOVED PER TITLE 5. EXisT. SEWER OUTLET CTIVE LENGTH = 32.0' 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY INV. ELEV.= 62.651AAND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING BREAKOUT 13. NO KNOWN ABUTTING PRIVATE WEDS WITHIN 150 FT. OF PROPOSED LEACHING PIPE INVERTS PRIOR TO CONSTRUCTION EL. 63.65 14. ALL PIPING TO BE 4" SCH 40 O 1/8/FT (UNLESS SPEC. ) 2) D-BOX SHALL BE SET LEVEL AND TRUE TO TOP CONC. ELEV.= 63.65 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW GRADE ON A MECHANICALLY COMPACTED SIX INV. ELEV.= 62.65 FOR THE USE OF A GARBAGE GRINDER. ®!!!I 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING INCH CRUSHED STONE BASE, AS SPECIFIED IN ®®®a®® 310 CMR 15.221(2) BOTTOM EL.= 60.65 ON ®®®® 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK 4' 5 FT.WITW 1500 GALLON SEPTIC TANK IF FAILED, DAMAGED, NOT H2O LOADING, OR UNDERSIZED. V. SEPARATION 5.45 FT. EFFECTIVE WIDTH 4) INSTALL INLET & OUTLET TEES W/ SOIL ABSORPTION SYSTEM (SECTION) GAS BAFFLE AS REQUIRED BOTTOM OF TESTHOLE EL- 55.20 SEPTIC SYSTEM PROFILE _ (500 GALLON LEACH CHAMBER) N.T.S. SOIL LOGS P#: 15661 SOIL LOGS P#: 15754 DATE: MAY 7, 2018 DATE: AUGUST 27, 2018 SOIL EVALUATOR: DARREN MEYER, CSE 1614 SOIL EVALUATOR: DARREN M. MEYER, RS, CSE OF ASP WITNESS: DONALD DESMARAIS, BARNS. HEALTH WITNESS: DON DESMARAIS, BARNSTABLE HEALTH o DA R N Elev.- TP-1 depth Elev. TP-2 -Depth Elev. TP-3 Depth El". TP-4 Depth E 66.60 O E A 0" 66.20 O E A 0" 67.10 O E A 0" 66.95 O E A 0" No. 1140 Ub L0� SAND L0� SAND " LOAMYSAD LOAMY D S DESIGN CRITERIA ,p�� 65.42 B 3/2 14 65.28 B 11 66.43 B 8' 66.28 B 3/2 8' �NITAR�1`� (Y LDS s I�SAND LOAMY SAND Low SAND NUMBER OF BEDROOMS: 4 BEDROOM DESIGN /8 / / 5/8 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) 64.18 29" 63.78 29" 63.92 38" 63.77 38' i DESIGN PERCOLATION RATE: <2 MIN/IN C C C C DAILY FLOW: 110 G.P.D. X 4 BR DESIGN FLOW: 440 G.P.D. PERC TEST MEDIUM MEDIUM PERC TEST MEDIUM MEDIUM OEL 62.27 " SAND SAND O EL 62-40 SAND SAND GARBAGE GRINDER: NO (not designed for garbage grinder) 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 2.5Y 6/4 SEPTIC TANK: 440 gpd x 200% = 880 gpd RE-USE EXIST. 1,000G SEPTIC TANK 55.60 132" 55.20 132" 56.10 132" 55.95 132" LEACHING AREA REQUIRED: (440)/0.74 = 594.59 S.F. PERC RATE <2 MIN/IN. (-Cl- HORIZON) PERC RATE <2 MIN/IN. (-Cl- HORIZON) NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED USE THREE (3) 500 GALLON PRECAST LEACH CHAMBERS PROPOSED SITE AND SEPTIC UPGRADE PLAN W/ 3.25' STONE ON ENDS AND 4' ON SIDES: 32' L x 13' W x 2' D 36 EVERGREEN DRIVE, MARSTONS MILLS, MA BOTTOM AREA: 32 x 13 = 416 SF i Prepared for: Marks SIDE AREA: (32 + 13) X 2 X 2 = 180 SF System Design and Topography Plan by: SCALE DRAWN DATE TOTAL SQUARE FEET PROVIDED = 596 vs. 594.59 REQ'D • I, Daman M. Meyer. It . CSE, hereby certify that 1 am aumntly e approved by MADEP pur MEYER&SONS,INC. N.T.S. DMM 07/18/18suant to 310 CMR 15.017. PO BOX981 to conduct_soil evaluations and that the above analysis tm been performed by me consistent with the EAST SANDW/CH,MA 02537 REV DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74(596 S.F.) = 441 G.P.D. vs. 440 G.P.D. req d requirements of 310 CMR 15.017. 1 further certify that I have passed the Soil Eval. Exam In October. 1999. 50e.3622922 09/12/18 DMM 2 of 2 i J NOTES: J 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS J 24'-0" 6's &DIMENSIONS IN THE FIELD Z 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, j 16'-3" 2'-s" s'o' DETAILS,&FINISHES IN THE FIELD WITH OWNER i cn o o') 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT LU QO(D ANDERSEN ANDERSEN FIRST FLOOR TO BE 7'-0"ABOVE SUBFLOOR CN A251 A251 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS r" STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 Q W I I I I I 5.) 110 MPH EXPOSURE B WIND ZONE m F- _N LLj I I I 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, �:W� I I I OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING W G-o up 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e L/360 LOAD 0 of m m s 8.) ALL WINDOW AND DOOR HEADERS 4'0"OR LESS TO BE 3-2 x 8 W/2K,2J ` ch CO Q 2 ANDERSEN 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL V T d A251 0 SIMPSON COMPONENTS A4 10.) ALL CONCRETE USED FOR FOUNDATION WALLS, FOOTINGS&SLABS TO BE 3000 PSI AT 28 DAYS A A TT11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE A4 4 DURING FRAMING CONSTRUCTION luI 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE,900 PSI MIN. 13.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY NEW EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION c ANDERSEN GARAGE INSTALLER/CONTRACTOR FOR THE STRETCH ENERGY CODE CLOS. EXIST. GARAGE '0"x 6W 24'-0" 6'-6" YPASS III DOOR 111 ® NEW GARAGE&MUDROOM +6,, III 10'-7 1/2" 2'-9" 10'-7 1/2" Q CONCRETE FLOORS TO �' NEW nl MATCH EXISTING GARAGE a III TEMPERED TEMPERED MUDROO REMOVE WINDOW ANDERSEN ANDERSEN &CUT WALL FOR TW2442 TW2442 - NEW 2'8"DOOR F) ANDERSEN A251 - J I i J DN. V I I U) o H LF WALL I Z '° I I O 12'0'X TO"O.H.DOOR I I U) CONC. w 7 APRON A4Yl% I I O Q I I A I I A u- 2 A4 i O i 4 4 6'-0" 12'-0" 6'-0° 3'-3' 3'-3' W B I © I za'-o" 6 s A4 I NEW I O V rern i Z FIRST FLOOR PLAN INSTALL I I INSTALL 0 C) W ACCESS I i ACCESPANELS Q. W PANEL I I W - Q SMOKE DETECTOR I I Q QC CARBON MONOXIDE DETECTOR Y W ®HEAT DETECTOR I I W Q w IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS - z M CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION I I SCALE TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE W I I 4 i0 1/4" - 1 -0" U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE I I 0.30 MEND. 0.55 4 20 o,13-5 30 15/19 101<FT.DEEP) 15119 I I <11,49 NOTES: DATE : 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. A/nn/n0 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR ANDERSE ANDERSEN Y 29 G19 OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL TW2442 TW2442 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS 10'-7 1/2" 2'-9" 10'-7 1/2• 4.13+5 MEANS IRS CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR &R13 CAVITY INSULATION SECOND FLOOR PLAN J CB/DH ASSESSORS REF: OA"E %` Fnd Map 126 Parcel 075 vt`de e �,��6 Fnd dDH �A� \ Boa ATV FLOOD ZONE: °Je `\ Zone X - Not A Flood Zone d�D�dge `\ \ As Per FEMA Map #25001C0542J July 16, 2014 v ZONE:RF 9ce/DH \ \� Fnd Setbacks: Front: 30' O Tel Stone` - Joao. Side: 15' Rear: 15' Ori ve \ Lot 41 \ 55.1. \ \ 43,852f SF `� �\ �� o Elec �^ Gen \ n \aU0 \ \ \\ � � 58.9' \\ \ 0 AC 1. 1 \ \ I 1 Approx Septic ` 3 System as per 5 / r BOH Cord & Q0 Field Location Legend: o�\ �y , ® Catch Basin \ �, 1 Hydrant \ \ y 0 Iron Pipe \ l El CB/0H N / Light Post 2� ��� 0$ © Gas Gate (round) S Underground Utility Line .10'min 31.6' Proposed \ Risers Found 0c Mudroom \ 6 4 e0GGr\ And Garage \ \ ,�2. �1((`O° o pl VAS$4 IF of 0(a Cy`f�f nd e RD 3 R1 H UFtE 12 0 - ��eo\r.� �t \ 343 R � ore s E�igZ�o�J� v° PLAN OF NEW MUDROOM& GARAGE N AT 36 EVERGREEN DRIVE BARNSTABLE (MARSTONS MILLS) NOTES: MASS, DATE: 191APRI19 SCALE: 1%-40' 1.) The structures shown were located on the ground 0 5 20 30 40 60 80 FEET by conventional survey methods on April 4, 2019. 2.) The property line information shown hereon was PREPARED FOR: compiled from avai+able record information. RJM Evergreen Trust 3.) This plan is not for recording and is not to be used for construction layout or deed description PREPARED BY: r1 ��1 � �� purposes ICa. p va 23 W Bay Road, Suite G Osterville MA 02E55 DWG #: C807_1G1 cpp1 FIELD BY. WHK/ASK (508) 420-3994 / 420-3995fox