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0061 EVERGREEN DRIVE - Health
61 Evergreen Drive Marstons Mills IA= 103 -.:137 . i 1 Y t, } r ARCHITECTURAL PLANS DRAWN DEPICT VLSUgL CONDITIONS FROM FIELD MEASUREMENTS AND ASSUMED CONSTROCDONIN SOME INSTANCES.GENERAL CONTRACTOR TO PERFORM SELECT DEMOLITION AT ARAM AFFECTED BY RENOVATION AND STRUCTURAL AND OTHER MODIFICATIONS PRIOR TO STARTING CONSTRUCTION.IF ACTUAL CONDITIONS DIFFER/VARY FROM DRAWN CONDITIONS!DIMENSIONS AS SHOWN ON ARCHITECTURAL DRAWINGS,TIM ARCHITECT MUST BE NOTIFIED MMIATELY AND WORK STOPPED UNTIL CONDITIONS ARE DOCUMENTED AND VERIFIED AND PLANS MODIFIED AS MUMED. EXISTING 2X4 WALL GONSTRUGTION 12-0" SOLID BUILT UP P05TAT HIP �AAN:2424 NEW2x5 E ERIORH L CONSTRUCTION VENTINGUNITEXIST. m . TYPIC AL BUILT UP POSI AT ENDS— i fV 1 EXISITING MAS rERBur BEDROOM -- K-N y i i n CLOSET IN ININDOW5 AND WINDOW WELLS D 1 * ' 2•-8" ' 4 - 4 m �IRETE FOUNDATION WALL T NEW OPENING) CUSTOM TILE 5H0 R NGRETE FOOTING °oo m z R � REM I T LA r T 6" LNEV04ALUTLOORFRAMINC, MA5TER XI IN FAMILY k! BATH, ROOM n PROVIDE VENT!FAN ABOVE Y M BATHROOM BIDET 9 O O EXIST A HI EXI T.PORCH m \—SOLID BUILT-UP POST AT HIP EXISTING COLUMNS 3'-0" o FIRST FLOOR PLAN A 2 5GALE 1/4"=V:6 G\SjERED,gRC <cl CIA o � � I g 'a H C/) ADAM ALEXANDER MORING A I.A.MA REG.#20682 UWDD/TY PERMIT SET 11.1-7U15 DRAWDM DATES/REMONS \\ N PLAN- PROPOSED ADDITION 4 a=3 N06°24100"E 180.79, APN 1103 - 107 1 43,636±SF (CALC) PROPOSED POOL HOUSE 30.4' 16o EXISTING L \ IN—GROUND 0o N POOL � z z 00 Ioo - N ] N N I O� I No. 6 1 j STY. I + m / WD. F I I I BUILDING SETBACK LINE (TYP). L = 158.87' R = 750.09' EVERGREEN (PUBLIC — 40' WIDE) DRIVE I HEREBY CERTIFIY THAT, TO THE BEST OF MY ABILITY, AND IN MY PROFESSIONAL OPINION, THE PROPOSED CONSTRUCTION SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKREQUIREMENTS OF THE TOWN OF BARNSTABLE ZONING BY—LAW. SITE PLAN JOB No.: 12123 IN DATE: 13NOV17 BARN STABLE (MARSTONS MILLS) MA SCALE: 1 = 40' PREPARED FOR STEVEN COLE richard j. hood, pls � land surveyors — engineers 12 settlers path — sandwich, ma 02563 Ph: 508.833.7100 TOWN OF BARNSTABLE LOCATION e / FQ rif Cr,e P6AZ L SEWAGE # q — t31 VILLAGE )✓4/1 J'T�w,5 J*/«1' ASSESSOR'S MAP & LO / INSTALLER'S NAME&PHONE NO. ,(� J� SEPTIC TANK CAPACITY LEACHING FACILrFY: (type) 9, P C (size) NO.OF BEDROOMS ? BUILDER OR OWNER a C o i!!!!- PERMITDATE: 1Q, f 6 J/,- COMPLIANCE DATE: Ctl Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Layy wells exist on site or within 200 feet of le Feet Edge of Wetland and Leac ' g Fexistwithin 300 fe tof)e c g fac Feet Furnished by s i' ICA �a26. 9 Da � I s� • y �r l f y A, 8� .: � l v �= No. I —V I14- Fee 1H�� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for ligpogal Opgtem Congtructton Permit Application for a Permit to Construct( )Repair( .A Upgrade(VAbandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. lr-._e4 13(� f Owner's Name,Address and Tel.No. ale- ram i l f Ylc 5 Le L uer4q Veen fJ r`�c� V Assessor's Map/Parcel r � fY)Q rs10 X$ m i(t S Igs Ke�Name,Address,and Tel.No. Designer's.Name,Address and Tel.N . �J C�on+�^a r� Zne . M a cA n n eS Cmn Sc Hl i 3t �o �3gS-5ex- g '� � L� 04*)ohS Po�a�ati s-F ndL0*1ll D "7 Type of Building: Dwelling No.of Bedrooms -3 Lot Size sq.ft. Garbage Grinder(A) Other Type of Building Home No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 3q g gallons. Plan Date 1 o/y @0/Q_ Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soft; Nature of Repairs or Alterations(Answer when applicable) !"IaV22t — 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 provisio Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been ue s aft alth (� Signed Y Date 7 Application Approved b Date Application Disapproved f the follow reasons Permit No.ZO14— 3I7_� Date Issued WZ917-0-11 `;� V ,-sus,.:, f•, No. "�� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC, EALTH DIVISION -TOWN OF-BARNSTABLE, MASSACHUSETTS ZippYitation for Migpooal 6pgtem Congtruction Permit Application for a Permit to Construct( . )Repair( �-l�Upgrade(VAbandon( ) O Complete System El Individual Components Location Address or Lot No. Ede t-e e1 i (� U Owner's Name,Address and Tel.No. ' s Ma/i TS'�" (Ylc� s & /Cuer,q Veen (Jr� J Assessor's Map/Parcel r (( � fy)Gi rs-fo?S Installer's Name,Address,and Tel.No. {¢ Designer's.Name,Address and Tel.No. P Krn eon+rAciv r�s Inc . MO G1 nn es C'©n su hL7�,c,,� 313 N >n 2c)Kuk ry dIC 06 •- (_, 0 e00 S Po lbo(e_ i rga- EGs+ xndu�lc� 4aS3� Sag- 3$S- S 9 93 oa- -ao Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(/) Other Type of Building Ho mer No.of Persons Showers( ) Cafeteria( ) Other Fixtures b Design Flow 3 3d gallons per day. Calculated daily flow 7Z_ gallons. Plan Date /0I y/a0l a.. Number of sheets 3 Revision Date Title ` Size of Septic Tank Type of S.A.S. Description of Soil ti Nature of Repairs or Alterations(Answer when applicable) Date last inspected: 4 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisio , of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been tsu*e .,�/ rs o d df ealthSigned f-Date T Application Approved b Date Application Disapproved f the follo reasons 1 Permit No. Date Issued S/24 J'Z014 _77- 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 PV-m 00n-Ir a at ��1 EyQr�l ceto n n&)e (1�n rC-M�n!& no', I IS has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.&Iq— 3 12.. dated, 6'k,14 �14 Installer py M 0 n rr-f n r-M/,z- , r- Designer _In n iThe issuance oft s jt s allof be construed as a uarantee that the s stn�w l arth/eti� a desl ned. Nvok Date pl /�Y g Inspector y ,mrf/ �1/I r !p I � r t:v N.. Zo i,-' ^ 3 (Z Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS j3i5po5a1 *p5tem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(,(Abandon( ) System located at t0 l L tl21'q ree 0 0n V ,/d�Q�:� and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this pe r Date: o 1 7iq i Z y l 4 Approved by L t (/ r' Town of Barnstable P# �_� �i �.�. Department of Regulatory Services pSNE'lp� Public Health Division Date <7 hm J)� 200 Main Street,Hyannis MA 02601 Fee Pd. • BARMARABLE, • A� r .0$ n j�¢ l l - Arfo ra Date Scheduled q. I O / 6 Time j Soil Suitability Assessment for Sewage Disposal M Performed By: ' �4/4W, 1 l4� .�-,�- NA/CS { Witnessed By: LOCATION& GENERAL INFORMATION Location Address 61 Evergreen Drive Owner's Name Edward F.Callahan Marstons Mills Address 61 Evergreen Dr.,Marstons Mills Assessor's Map/Parcel: 103/41r I Engineer's Name Shawn Maclnnes,PE NEW CONSTRUCTION REPAIR X Telephone# 50S-274-2091 Land Use l,44-W Slopes(%) Surface Stones Distances from: Open Water Body V ft Possible Wet Area ft Drinking Water Well JLVO ft Drainage Way 7 /a ft Property Line /O ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&_ne.re.tests-locate wetlands in proximity to holes) --- — -- LU N87°30'5 I T I 251.12' - iuC) • I � n OU re�0 Z o N m .., 1 � � u. m i 1O4- 1 F r-t Q io4 o $ I I W I P I 1 N \ Z R - 1 o0 � F 274.G2' w 583°18'42 W pg uNuj U Z251A w Q mzw.. m Parent material(geologic) GL4C1M,- Au►.' "4i A Depth to Bedrock _ a Depth to Groundwater: Standing Water in Hole: A.,1 4 Weeping from Pit Face ^dA y Estimated Seasonal High Groundwater 1.3 Z DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well 4 Reading Date: Index Well level Adj.factor Adj.Groundwater Level r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,%Gravel) d - y o —(�o A SL 1(3 6- gG Q SL `� r �� Y� 5V CfCe C ( NIA s,T sJb4v,� /0 1f9 �/Y s0i�- (3 2 DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gravel) v - ti sL cU �r�sus (I Cz M DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.%Gravel) Flood Insurance Rate Map: f Above 500 year flood boundary No_ Yes Within 500 year boundary No '� Yes Within 100 year flood boundary No Yes E Town of Barnstable °FTHE 1p Regulatory Services ti Richard V. Scali, Director i k � BARNSTABLE �Mass. ` Public Health Division y M . � i639• ArE p Mara Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit# Assessor's Map/Parcel J�o� Installer & Designer Certification Form Designer: HA�c� rs GM5 uL ft, Installer: K/0C Dc,w.-/l 5 H A"#j H A c?,�.N fS t P& Address: Address: 31,7 tJ� ilia 3 �,�s� mc,��c z/ft U, w On 715 all 11 P4-6,C Y-.(( was issued a permit to install a (d te) (installer) septic,system at 6 / Czyrrp"c , DL4 mmrf{k.,Ad/sbased on a design drawn by (ad rec7 ss) �Wmcm) MfTw� dated 10&b2 QEY (designer) V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (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. Stripout (if required) was inspected and the soils were found satisfactory. I certify,that the system efere ced above was constructed i ith the terms of the I/ ap al letter (if ap licable). SHAWN yes ! o MACINNES U CIVIL N (Installer's Signature No. 41328 �4 STER�O�Q' NA L ECG\ (Designer's Signature) (Affix Designer's tamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice forms\designercertification form.doc (03 j Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: �J U only the tab key to move your Robert Paolini cursor-do not Name of Inspector use the return key. Capewide Enterprises,LLC. Company Name t� P.O.Box 763 Company Address Centerville Ma. 02632 enm City/Town State Zip Code (508)428-4028 S14454 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site UA sewage dilsposal 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 ❑ Fails 777• ❑ Needs Further Evaluation by the Local Approving Authority `- 1/10/11 t Inspector's atu Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner 0,6 and copies sent to the buyer, if applicable, and the approving authority. ****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. V� 1 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewa�DisposalI Syste�Im•Page 1 of 17 r. y Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma, 02648 1/10/11 every page. CityiTown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. , *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ° 61 Evergreen Dr. M Property Address Edward Callahan Owner Owner's Name information is required for Marstons'Mills Ma. 02648 1/10/11 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): N C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(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 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City!Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent 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: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No El ® Backup 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 ❑ ` ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments q 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ® Any portion of a cesspool or privy is within a Zone 1 of a public well. 0 ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. El ® 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ -❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II 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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 t5ins•11/10 p g p y g Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate"yes"or"no" as to each of the following: 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) M ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if.different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (gP ))� Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 1/10/11Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. CityiTown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy.of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City(Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ❑ No Building Sewer(locate on site plan): Depth below grade: 21 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank(locate on site plan): Depth below grade: 16"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallon Sludge depth: 3" t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5-Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 2911 Scum thickness 1 Distance from top of scum to top of outlet tee or baffle 711 Distance from bottom of scum to bottom of outlet tee or baffle 13" How were dimensions determined? Measured Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pump tank every two years.lnlet and outlet tees are in place.No evidence of Ieakage.Tank appears structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 r - Commonwealth of Massachusetts W Title 5 Official Inspection Form Sulbsurface Sewage Disposal System Form -Not for Voluntary Assessments 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City/Town State. Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of`current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert I I No 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.): Box is Ievel.Box has one outlet Iateral.No evidence of solids carryover.No evidence of leakage. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City./Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Sandy dry soil.No signs of hydraulic failure.Leaching pit was dry at time of inspection.Stain line observed 58" below invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 61 Evergreen Dr. Property Address Edward Callahan Owner- Owner's Name information is Marstons Mills Ma. 02648 1/10/11 required for every page. City./Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): r t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer I Custom Map Abutters Map Size zoom OutJ11111 11JIn .11 R r ��yy�}•�� •9 r R If y � / � T JA 131 3 5 71 5 y �F 9 d„ 0 20. Feet MENEM ..... _ ...... . .... Set Scale 1" = 20 I Aerial Photos I MAP DISCLAIMER (`nnvrinhf')nnr_,)nlf1 Tnvin of RornefohIn AAA All rinhfe reconn httn-//66.?Ol.95.?.1(/arr.imc/annaenann/man.aqnx?nronertvTD=I01117k..mnnnarhark 1(1/�./�.��� Commonwealth of Massachusetts W Title" 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 61 Evergreen Dr. Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: Bottom of LP 60' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: As-Built ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17' Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 61 Evergreen Dr. M Property Address Edward Callahan Owner Owner's Name information is required for Marstons Mills Ma. 02648 1/10/11 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 i NOG024 00,,E 1 80.79' — o ---1 APN 103- 107 43,G3G±5F (CALL) �1 i 0 m EXISTING SEPTIC SYSTEM EXIST. SHED SHOWN AS PER AS-BUILT \ ON FILE WITH BOARD OF HEALTH. e I � x1oy5 0 J _104 _ Z a PROPOSED o* 5 09 N N N COVERED °�� x,0y_ — W I I _ PORCH O+r No. G 1 un k 10 I - X°' 12 STY, 9 PROPOSED WD. FR. z2.G' GARAGE EXPANSION o _ 5G.5'_ /p6 PROPOSED COVERED PORCH BIT. CONC. PROPOSED t DRIVE STOOP BUILDING SETBACK 15.0 UTILITY N �� 1 O CLUSTE 1 L = 1 58.8T___ _ _ TRANSFORMER °° --- R=750.09' 0 ----- EDGE Of PAVEMENT BENCHMARK: MAG NAIL SET ELEV. = 100.00 (ASSUMED) EVERGREEN (PUBLIC — 40' WIDE) DRIVE N O Pl I HEREBY CERTIFIY THAT, TO THE BEST OF MY ABILITY; AND IN MY M PROFESSIONAL OPINION, THE PROPOSED CONSTRUCTION SHOWN Z HEREON CONFORMS TO THE HORIZONTAL 5ETBACKREQUIREMENT5 5 OF THE TOWN OF BARNSTABLE ZONING BY-LAW. a z 0 3 SITE PLAN JOB No.: 12 123 v. IN DATE: 13AUG 12 DARNSTADLE (MAR5TON5 MILLS) MA SCALE: I" = 40' PREPARED FOR N 5TEVEN COLE RICHARD S9G o N J. OD rlchard j. hood, p15 No 03503, st ° M land surveyors - engineers i 22 deep wood drive - forestdale - ma 02G44 � LAD Ph: 505.533.7100 a c m U LOC � TION SEWACE: PERMIT NO. VILLAGE ' . / per.13 � INSTA LLER'S NAME i ADDRESS' N1 O eu / o zLcs-o�vS BUILDER OR OWN R DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 4 Z3 ZB� 1 a V F-ra ro h No. -.....'Z ..................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF• H T ....OF........ - -------- -------�._................... Appliration for Diipuiial Workii Tomtrurtiun., Urrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage, Disposal System at: i`' .............................................. ............................a------------------- ---------- ®......------.................-----------•......................... ocat'o - ddress or Lot No. ---...s.., ......................... Address I ----------------------------------------------------------- ............� � Installer Address Type of BuildinZ., Size Lot............................Sq.� U Dwelling(No. of Bedrooms___. ._3............................Expansion Attic ( ) Garbage Grinder Other—Type e of Building.............. No. of ersons._......_...............____ Showers — Cafeteria a YP g • . P ( ) ( ) a' Other fixtSz>j s W Design Flow................V........................ per person per day. Total daily flow_____`.'.�_�.��..-._.._.............._gallons. WSeptic.Tank—Liquid capacity-- - - _gallons Length................. Width---------------- Diameter................ Depth................ x Disposal Trench—No..................... Width.....-.......__ __ Total Length.....__..../�__..... Total leaching area........____.._f____sq. ft. Seepage Pit No./tom _._-- Diameter.._./�� .. Depth below inlet.._._..r _.___._ Total leaching areaS _sq. ft. Z Other Distribution box ( osing tank ( ) 3 ►" Percolation Test Results H Performed by......................................................................... Date--------------------------- ----- .. aTest Pit No. 1/_�.1._.minutes per inch Depth of Test .Pit...../3....... Depth to ground water-------A/af (% Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ --------------_-----------------------------•------• --------•---•--•------------.................................... O Description of Soil /� ^�' f ./ C �xt_P' ............................................ U ---------... / --.....----•----•-•---------------------- ----------------------------------------------------------------------------------------------------•--•----------------- W •--•--•--•-----------------------------••----------•---•------•----------------•--•----------••----------•-•--•-....---------------------------•---------••------------------.-------------------------- UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ ------------------•------------------•---------•-----------------------------------••••--••-.-••-••-•---•-----------------------•-•-------------------•--•--------•--------•--•----•••-......_......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 4—L y g g p y of the State Sanitary Code he undersi undersigned further agrees not to lace the system in operation until a Certificate of Compliance has bee s e h� aKthe boa health. � 2...............APPlication Approved By----• --------------------- ate Date Application Disapproved for the following reasons:---••----=--------------------------•----------------------------------------------------------------------_..._ ..-•---------------------•-••---------•--.....--•--•-----•--•------------------------------•----------------------------•--.------------------------------------------------------------------•-------- Date PermitNo......................................................... Issued....................................................... Date 3 � f No...................... d�n FER.............................. THE COMMONWEALTH OF MASSACHUSETTS ` 9 BOARD OF A9� a...... ' :t cflt� ------.OF.............:.::............::.... ..................................................... Appliration for Uhipas al Worbi Tonstrurtiun Vautit Application is hereby made for a Permit to Construct ( )-or Repair ( ) an Individual Sewage Disposal System at ..... ..................... .........•-•-•-••-•••--• ---•-... ..---•-•----••--•---••-•-- Loc � �difgss W � �0INo. - �,. �, ...........- �iTr+'_• V i .Address a -•-•••--••-•----•-----••••••••••. ••••••••--•••-••••.....................••.--•-•---•--•--•••- ................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder aOther pe of Building 3----------- No. of persons____________________________ Showers ( ) — Cafeterias a Other'fixtwf;s -y................................................ Y gallons. W Desagnr Flow:__. __ »_ -_•_gallons per person per day Total'•dai flow.....:.... ................ � Seprie'.T$xilz—Li��' itv a'Ions Length___.. .._.___._ *VVidth ............. D' e _--___._______ Depth................ Disposal Trench-�V _»......__. Width.................... Total Length.................... � ing area....................sq. ft. x Seepage Pit No--------------------- Diameter.................. Depth below inlet....._. .___.__ .. Total leaching area,,--. .`....sq. ft{ Other Distribizfige �� �/) Ste® Z �/ --------------------------------------- .Date....................................... Percolation Test Resu1 Performed::try______________________________»__. Test Pit'"No. I----------------minutes:per,inch Depth of Test Pit:___________________ Depth to ground water_.________________ Test Pit No. -.tff•...minutes'per inch Depth of Test' Pit__ D th to round water_- pM�__ x •..... •••• ....................••... ....................................................... ODescription of Soil . `-•................•••--•.........---••--•---•......-•••••-•-••---------------------••--•-------=......------ w 3 t3 �X --- -ate UNature'f'Aj*d or Alterations—Answei y when applicable___________________________ - ^.` Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT 3 p of the State Sanitary Code— The undersigned further agrees not to place the system i operation until a Certificate of Compliance has.been issued by the board of health ,. },• i' ApplicationApproved BY-----•••-- ------------'---------------- ._._....--•-----._ --'-•--•-- -- .........................----•----- Date Application Disapproved for the following reas .----- .................................................... ..................................................... •••-••••••-•-•-••---•.......••-••--•--•.........................•---••--....•••••-•------•-•••-•---•-••-•-•-----------••------------•-•----••-----._..------•-------••-------••...--------•---....•--•- Date Permit No.....--•••................ --•••-•• Issued-.............----- ...---•-----------• ----................................ Date i THE COMMONWEALTH Oi'MASSACHUSETTS X BOARD Oy HEAL ..................OF...........................1....................... ...................... �rrtifiratr of ToutpliFanrr-THIS IS TO CERTIFY, That t nd;vidual ewage isposal System constructed ( ) or Repaired ( ) by .. r . _...... -•--- Aft X. tj __ •--------•--•------- -------- ---- .............. ------. has been installed in accordance with the provisions of T j fOT46,State Sanitary C 4_, ; descri d k the application for Disposal Works Construction Permit IN ____ __________________________________ da.ted___-_-___-_-.____________________._._.____._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE:....... ..,P'� .............• Inspector......... .. .....•._._....-- I r THE COMMONWEALTH OF MASSACHUSETTS BOARD- HEAL 'OS ............. L'................... ..OF...------- .-.... .............................................................. . No._.:.. FEE..............••••...... in��al Chun ttr# an rraui = 41 Permission 0_�ereby granted ------------- ` y`J � � "� = a .. 4. to Cons %L or R a� (fj a�n�Ind�v� al Se G,, s�o� S t ��y� at No........................................................................................................----- -- ---....... •-----..............................y............................ . as shown on the application for Disposal Works Construction�P "fit tN �;��_._ _____ Dated.._._��._���~.�:.'�...... . CIA. �. ..: .............................. ..... ....................... / Board of Health` DATE............... ........................f FORM 1255 HOBBS & WARREN, INC., PUBLISHERS e 4 �+ P n FX1SC,ul, So. S,aN,Dw1Cl4 — ° P Sol �. SM�- goll, I qq Mf>^ S. .u. i LANELr�14 Tl � S'S� c _ k-1,�•t. trN�2 j I .OF �4+Y HARRY — / 3. 00 hJ o )4 EARL 5Tt— 7/?/.3 e v LANTERY. N rrA� Ck - L=l sT,�..L Gn I' I n - o o ID y_ 99, o0 Ce-LLP,k _}LA- I le—�0 yjI As.—�' tPe.e•l�c. e � I IN f\ \A H*D w / L �(0/l3 i [rL g8 co oo+ 11 6Lo)z �o 5 `. Sti S ;`.f C ou 37n`'\ C 7 t Y) I tt.t-�' cti ��^or H �r of Cov+�.. oo ri A Sti C�'Ajri^°►�- C'�D� - - i v� � ro V C,(�osi C�i� S�T tr' P-li l,A.,j R = 750. 09 Fok {�au ,o)rJ r f A NA W I L 0 3 Tor )09 72 60- NO yN n j1/ '3 1T V L c, 6COP �� I coo CAS f-i �00 ,i N Rti:s�`rvFZ�%', tom• e y• S ITt Lt;vt1 HA4RY F �Jw p� C'/STEM o f 3 S fSSrOP4 y � �• 3 , (, 35 t � lcgo, �s , O cr Slu C lr /--AM1Ly '�W Lrltll,(, w�3 s3OsLMS. h1 v 6AKfsA6e Fe , w - 110 Y3 = 3 3 o CP-0- 13 r) L• 6LL.-9'0. ° /, D o c C A L. J A uk LA Sv C,� X -L Ssb>✓l r!AAji,E-(Ly ASSOC, E T f O COS' — G• D Lr. S 6�N O• Y"1 . c i�Y ►� x X -Z_ 0 1 377 9/ Gl o f CAQ •y- ----------------- i VENT PIPE SCHEDULE 40 PVC RISER COVER TO BE WITHIN G° RISER COVER TO BE WITHIN G" WITH CHARCOAL FILTER ;M; 9 MIN. COVER 6 OF FINISHED GRADE MIN. 24 TALL MIN. COVER TO J` ? TFF OF FINISHED GRADE TOF = 10G.97 ACCESS PORTS 110 I o4.54` +/- WATER TESTED FOR LEVEL , -' LEVEL 105.00' +/- 2 4 7.1 4" PIPE PVC EXISTING PIPE i 5= 0.02 FT/FT Y . xw w 4" SCHEDULE 2" PEA5TONE I G.4 +/- LF 40 PVC PIPE ' S LIQUID LEVEL 5- O'O 1 �� 1 01 .00' 5= 0. 13 FT/FT 11 .O +/- LF 14" i G.O +/- LF LE55 2' LEVEL C3 C3 ® C3 ® ® PIPE INVERT Ot ® C3 ® C3 ® ® C3 jM1e 103.00' +J- 4, 102,37` 100.2 !00.09' i GAS 5AFFLE C3 C3 ® CI ® ® 0 . Ul PLACE D-BOX ON 6" OF 100.00' ® ® ® i 98.00' BU1 DING MECHANICALLY COMPACTED STONE 4' I 17' 4' : . _ � - 3/4"TO 1 !/2" D15TKIBUTION 2 - 500 GAL, PRECAST CONC. LEACH DOUBLE WASHED STONE NOG024 00IIE BOX CHAMBERS (H-20) �` 4'-1 o" 8 X 'G"X 3'-O" 4' MIN. PROPOSED 1500 GALLON EPTIC TANK 180 79� H- 10 AREA = 12.8`X 25.0' LOCUS MAP NOT TO SCALE -- SEPTIC SY TEM PROI=ILE GROUNDWATER ELEVATION 94.00' (SEE NOTE I G) NOT SCALE ` DATE:.SEPTEMBER 18, 2012 HEALTH DEPARTMENT: DAVID W.STANTON R,S. AP i 1 O 3_ I O 7 TEST HOLE I -G5E = 105.0 501L EVALUATOR:SHAWN MACINNE5 J I��1J DEPTH FROM SOIL 501L 501E OTHER 4 3,G 3 G±5 F SURFACE ES) HORIZON TEXTURE COLOR RLU MOITTLING (STRUCSTONETURE. ETC NOTES: (CALC) I 0-4 O 1 . VERTICAL DATUM: T.O.F ELEVATION = I 0G,97' (ASSUMED) 4-G A 5ANDY LOAM I OYR 413 2. SEPTIC SYSTEM SHALL BE INSTALLED ACCORDING TO 310 CMR p� 15.00 (TITLE V) AND THE TOWN OF 5ARN5TA15LE BOARD OF HEALTH G.-4G 5 BANDY LOAM I OYR 5/8 REGULATIONS. I MED.5ILTY 3. ALL PIPES SHALL BE 4" SCHEDULE 40 PVC TEST 4G-8G Cl 5AND I OYR s/4 M 4. THE DISTRIBUTION BOX SHALL BE WATER TESTED TO INSURE 5.A.5 - 2 500 GALLON HOLES 8s- 132 C2 MEDIUM I OYR 6/3 LEVELNESS AND EQUAL FLOW. 5AN0 5. THE INSTALLER 15 TO VERIFY THE LOCATION OF UTILITIES AND < LEACH CHAMBERS TP (H-20) WITH 4 FEET OF DTP SEWER LINE ELEVATIONS PRIOR TO INSTALLATION. STONE ALL AROUND P G. SOIL ABOVE C LAYER(SHOWN ON 501L LOGS) SHALL BE REMOVED AND REPLACED WITH CLEAN 5AND ACCORDING TO MASS, DATE:5EPTEM5ER 15, 2012 HEALTH DEPARTMENT:DAVID W.STANTON IR.5, LOCAL SPECIFICATIONS IN THE 5.A.5. AREA. TEST HOLE 2-GSE = 105.0 501L EVALUATOR:511AWN MACINNE5 7, EXCAVATION FOR AREA WHERE FILL 15 REQUIRED SHALL EXTEND 5' \ DEPTH FROM SOIL SOIL OTHER LATERALLY BEYOND S.A.S. EXIST. SHED I SURFACE Holt TEXTURE COLOR SOIL (STRUCTURE, 8. SYSTEM 15 NOT DESIGNED FOR GARBAGE GRINDER. (INCHE5) HORIZON (USDA) (MUN5ELL) MOTTLING 5TONE5,ETC.) 9. ALL PRE CAST UNITS ARE \ �<0 - �� 0-4 0 STONE,MECHANICALLY COMPOACTED BE LACED ON G" MIN. CRUSHED o 4-G A HANDY LOAM I OYR 4/3 1 10. MIN, PIPE SLOPE 1/8 IN/FT, 1/4 IN/FT PREFERRED, 1 1 . MANHOLE COVERS ARE TO BE WITHIN 9" OF FINISHED GRADE. G-46 B SANDY LOAM I OYR 5/8 12. SEPTIC TANK TEES SHALL CONFORM TO MA55 � LOCAL r MED.5ILTY REGULATIONS. C I 5AND 1 DYR 6/4 ( ) 9 . �s D-BOX 46-86 13. ALL STONE 15 TO BE DOUBLE WASHED ACCORDING TO MASS. CA N s G�, 8G- 132 C2 MEDIUM I OYR 6/3 LOCAL REGULATIONS. W_ 'J '�c� O .� 4 z HAND 14. GROUND COVER OVER SYSTEM COMPONENTS SHALL NOT I EXCEED 3 UNLESS COMPONENTS ARE H-20. C 2C `(,� Q N NO GROUNDWATER ENCOUNTERED AT }32" ELEVATION �4.oa 15, CONTRACTOR TO NOTIFY HEALTH AGENT AT TIME OF 0 PERC AT GO" - <2 MIN/IN PERC AT 25 GALS. N O OG �• _ EXCAVATION TO VERIFY SOIL ABSORPTION MATERIAL 15 O� ib _ Q SATISFACTORY, i G. CONTRACTOR TO NOTIFY HEALTH AGENT AT TIME OF EXISTING LEACHII`IG PIT i -`�?� N DESIGN CALCULATIONS: EXCAVATION TO VERIFY 4 FEET OF SUITABLE MATERIAL BELOW 501L ABANDON IN PLACE - � ABSORPTION SYSTEM. PROPO 00 �`J10NUMBER OF BEDROOMS: 3 GAL ECA5T �- GARBAGE D15PO5AL UNIT: NONE 5E TANK(H-24) LOCUS INFORMATION ` TOTAL ESTIMATED FLOW: (I 10 GAL/BEDROOM/DAY X 3 15EDROOM5) = 330 GPD REQUIRED SEPTIC TANK CAPACITY = 200% = GGO GALLONS CURRENT OWNER: COLS FAMILY REALTY TRUST ACTUAL TANK SIZE: 1040 GALLONS (USE EXISTING) TITLE REFERENCE: CERTIFICATE: t 22998 A55E5SOR5 MAP/PARCEL: 103 - 137 LEACHING AREA REQUIRED: LOT SIZE: 43,G3G S.F. 501L CLA55 - I FLOOD ZONE: ZONE X PERC RATE - <2 MIN/IN. LTAR- 0,74 GPD/FT. 330 GPD/0.74 GPD/5.F. = 445.95 5F U5E: 44G SF 9/2/14 EDIT PER BOH COMMENTS LEACHING CAPACITY: Date DESCRIPTION Drawn Checked I 2-500 GALLON LEACHING CHAMBERS (H-10) WITH 4' OF STONE ON 51DFS R E V I S 1 0 N S 51DE5 = [(25.0 + 12.8)X 21 X 2 = 151 .2 5F ` BOTTOM = [(25.0'X 12.8T = 320.0 5F 1 , TOTAL AREA = 471 .2 5F SEPTIC SYSTEM UPGRADE DESIGN 51TE PLAN BIT. CONC. FOR COLE 1 DRIVE TOTAL CAPACITY: AT I II = 20 471 5F X 0,74 GPD/5F = 348 GPD 61 EVERGREEN DRIVE 1N BENCHMARK: MAG _ - - MARSTONS MILLS NAIL SET ------ NOTE: THE PROPERTY LINES ARE COMPILED FROM ���"`�f 's+ss ELEV. - 100.00 FIELD SURVEY PERFORMED BY HOOD SURVEY ���' " y GROUP, DATED SEPTEMBER 2012 AND 15 NOT go SN N SCALE: 1" = 20' DATE: OCTO13ER 4, 2012 (ASSUMED) INTENDED TO BE A SURVEYED PLOT PLAN. IT o MaCINES SHOULD BE USED FOR NO PURPOSE OTHER THAN CIVIL N MACINNES CONSULTING SEPTIC 5Y5TEM INSTALLATION No.41328 / UTILITY o ��G\�o, P.O. BOX '1'182 L 5 6.87 NAL EAST SANDWICH, MA 02537 C LU 5TE (508) 274-2091 ED /ON C5 i-7�1C'O91 "„�► T FORMER ENGINEER .. ""� DRAWN BY: SGM EDGE 0- PAVEMENT CHECKED BY: SGM 12- 2 51 SHEET I Of I