HomeMy WebLinkAbout0115 EVERGREEN DRIVE - Health IVlarsions.Mills
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TOWN OF BARNSTABLE
LOCATION �'� ���� ��kJ<' SEWAGE #
VILLAGE ASSESS 3,MAP & LOT 04
' NAME E NO.
INSTALLERS &PHONE
SEPTIC TANK CAPACITY
LEACHING FACII,TTY: (type) �� v�-/� C-- (size)
z.
NO.OF BEDROOMS_
BUILDER OR OWNER
PERMTTDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (lf any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility (If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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A T 10 S E W A,37 G E PERMIT NO.
VILLAGE
INSTALLER' y
ME i ADDRESS
}
Ld ",
��- qga&,,t,�6,4,
OR OWNER
DATE PERMIT ISSUED . a3
DATE COMPLIANCE ISSUED
L
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No.C'2D9 FEE C
COMMONWEAL
9 Board of Health, V�ST'A e UC , MA.
APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
1
Application for a Permit to Construct( ) RepairXupgrade( ) Abandon( ) - ❑Complete System oqpdividual Components
Location (� v�2G2 ��C M,m,' Owner's Name
Map/Parcel# S Address 3AM$
Lot# 3 Telephone#
Installer's Name Designer's Name
Address Address o
Telephone# Telephone# 15 C?
Type of Building 5ti n Lot Size -43, sq.ft.
Dwelling-No.of Bedrooms 4�--�f�1C.—W �, /y Garbage grinder(414-
Other-Type of Building � C n� ,eA QC`_LW- No.of persons (�Q Showers (eCafeteria (v)""
Other Fixtures Lir U A-re QL e fiSi Tcvl t. 6 n k, i,AuiyWy
Design Flow (min.required) P�,2>Q gpd Calculated design flow 2LZ Design flow provided �J gpd
Plan: Date 3114�r-��- Number of sheets Revision Date
Title Do so 5u n,t c—ry ��CSR 'Dt Sr--�—nr A 34Cc-� ,t
Description of Soil(s)
Soil Evaluator Form No. Name of Soil Evaluator C - Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS G�.�CG'C,�C� ��an
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further a4grees to of to Ala system" Aeration until a Certificate o Com fiance has been issued by the Board of Health.
Sign Dat _
3 /7
Inspections
R v Y. -1:..A�<.,,�-y.�.y....+r-..rr.�,..-....r..�--•`,11a'.a�4• ,..ham=-"r h•, \ �'�' `-�.�.+.+-"4.'.,� �
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Board of Health, MA. ~
APPLICATION FOP,]ASPOSAL-SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct( ) RepaiX Upgrade( ) Abandon( ) - ❑Complete System.►9.Individual Components
Location VCR-(a�C �J C• M•{�t Owner's Name VZ t7e C k ?a I
- ' Map/Par el# 'P ��^,1� Address JPA r-
+ Lot# Telephone#
Installer's Namej Deinr'ses Name
g
w
Address MA
Sot..
. �Nka H Address .a pX C 2� rA
Telephone# SO _(,y�,-� \u Telephone# Syg_ o( -5i
17�Type of Building StC ,z n`Ihi Q` Lot Size 43, +S 3 sq.ft.
Dwelling-No.of Bedrooms 1c`�cF� Garbage grinder
Other-Type of Building \ lS1 C(��n? . 'C f� No.of persons c:^Q Showers (eCafeteria (li�
Other Fixtures LA U AT O D_Y . k;Tcyi Er j !_AuN QBY
Design Flow(min.required) ?) gpd Calculated design flow ja Design flow provided �J�1 •$ gpd
Plan: Date 1 141 04 Number of sheets i �-R;e-viision Date
Title r;�6i>U 5,0eA Qb.-,tz-J�6 r'Q`` c�JCS�? Yt S(�i�4C� ��t6�szlr,t
Description of Soils) -� a
Soil Evaluator Form No. Name of Soil Evaluator CA.arum�a•t �1i��Date of Evaluation
DESCRIPTION OF REPAIRS OR ALTERATIONS
r
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
further a�grllees to not to ppnlafce-tt+h,a fsystem in operation until a Certificate of Com fiance has been issued by the Board of Health.
Signed 1"J� �i dCiU�, / Dates?)/ U >
Inspections
- -���....• �:.��..�_-s:_-�-:._ ..- ` ---�_.._._ -.,.___> •---�.-.� - -�-x-. �_,�.._ ._._ _ __ . ::=e-...���..��..`tom,_
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FEE
I IV COMMONWEALTH Of MASSACHUSETTS
Board of Health;
CERTIFICATE OF COMPLIANCE
Description of Work: %dridividual Component(s) 0 Complete System , �r
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired ( /Upgraded ( ),Abandoned ( )
by: � _h4 l/C_ p I I a-' , 11
at �� �7 �l/QyGjY���'7�00 VT
has been i stalled in accordan4 with the p ovis/ions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
application// 1.L a��l-1 , dated �/ It)t4 Approved Design Flow (gpd)
Installer ' // i P,l r p\,\ /n
Designer: Inspector: l�n _/_Ut.J C Date:
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
No. ar FEE 'SO
COMMONWEALTH Of MASSAC14USETTS
Board of Health, /,!,L���� , MA.
➢ ISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission isl hereby granted to; Construct( ) Repair( ) Upgrade( ) Abandon( ) an individual sewage disposal system
at l/ /'l//��'� }�°p� (1� ��� �f�jf �1 / Il S as described in the application for
tDisposal System Construction Permit No. dated
Provided: Construction shall be completed within three years of the date o thiis perrnt>All local conditions must be met.
r� Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date,_5✓/9/0 aBoard of Healtht,�\ �\
TOWN OF BARNSTABLE
LOCATION f lf��� �� SEWAGE #= �
VILLAGE ASSESS.r MAP & L_OT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) (size) YC I OJ 011
j NO. BEDRbOMS
BUILDER OR OWSIER ✓`� �'?L� �r i��
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the.: .
Maximum Adjusted Groundwater.-. ble to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leac ng Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furtiisbed by
aof
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VG;Zb/Z114 IN. 44 tAA 16001nni
7 v v
Town of Barnstable
' Ck4Regulatory Services
,;!l Thomas F. Geiler, Director
e,�xyarea�,.�•
l6 9.' / Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis,NIA 02601
Office: 50$-862-4644 Fay: 50$-790-6304
Installer& Designer Certification Form
Date: 3.29/04
Designer. Shav Environmental Services Installer: Roberts Septic Service
Address: 34 Thatchers Lane :address: 5 Trenton Street
East Falmouth. NIA 02534 Yarmouth, NiA
On 3 15'04 Roberts Septic Service was issued a permit to install a
(date) (uist.allcr i
septic system at 115 Evergreen Drive. Marstons !Milts based on a design drawn by
(address)
Shay-Environmental Services dated 3;15iO4
(designer)
XX 1 certify that the septic system referenced above "gas installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box andior septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State &: Local Regulations. Plan revision or
certified as-built by desHmer to follo,.%•.
OF
(Installer's Signature) Aa
(Designer's Signature) (Affix st e )
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DINS '. CERTIFICATE
OF COMPLIA`CE WILL NOT BE ISSUED UNTIL BOTH THIS FORNZ AND AS-
BUILT CARD ARE RECEIVED BY THE BAkNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Heakh:Sep.k%Designer Cecifczcicln Form
Wino_?r_Z01�1716 T1 is 047. t uc2nt Tn. PAGE:1
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S�i . 20-01 13 : 82 BARNSTABLE HEALTH 'OEPT 50879063U4
\OTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only,
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION
FORM
to F-4J LISIA19Y hereby certify that the engineered plan signed by me
uL:eC i concerning the property located at
[ts ;<', is"1 ;�ivy 1— �`�''�+��` _ meets all of the
fcl'o.vang ::nteria: .
This failed system.is connected to a residential dwelling only. There ue no
:om.mtrcia! or business uses associated with the dwelling:
• T? e soil is class:red as CLASS I and the percolation rate is less than or equal to
-n:nutes per inch. The applicant may use historical data to conclude this fsic: or may.
.:3nduCt Pre!irnwafy tests at the site without a health agent present
• There :s no increase :n flow and/or change. in use proposed
• There are no variances requested or needed.
• The bottom of the proposed leaching facility will not be located less than fourteen
:l,j fee; aoove the maximum adjusted groundwater table elevation. fAdiust chc
-nundwatcr table using the Frimptor method when appticablel
Please complete the following:
.1 i "fOp �( Ground Surface Elevation (using GIS intorma!ton) ='D 0T (1"
61 G.W E;cvat:on _ ad;ustment for high G.W./}.. '
FI=FR.FNCF BETWEEN \ and B
Di J
S:(�'►rED 'i DATE:
NOTICE
3asec jrr•n t,-,e anvc r.formation, a repair pcnTu( wil! be Mucci for 'bedrooms
bedrooms are authorized :n future without eng:ncerec
.ept, syste^t plan,. _ --- —
�r_nn!r,:ou pciccam9
Permit Number: Date:
Completed by:
s
HIGH GROUNDWATER LEVEL COMPUTATION
Site Location: 1 ..:? v� /�.�yi3 j 1 v���°�1 �� Lot No. 31
Owner: Address: a Oyc
Contractor: } i ' ' ;�cr;c�;.^ss1r�?., Address: �C Arr',C-1,"Ve-t, va-U\
Notes:
STEP 1 Measure depth to water table
tonearest 1/10 ft. .............................................................................. .Date 4o
month/day/year
STEP 2 Using Water-Level Range Zone
and Index Well Map locate
site and determine: ��
OA Appropriate index well.................................................... `
OB Water-level range zone .....................................................
STEP 3 Using monthly report "Current
Water Resources Conditions"
determine current depth to
water level for index well G5v a 6
mont /year
STEP 4 Using Table of Water-level Adjustments
for index well (STEP 2A), current depth
to water level for index well (STEP 3),
and water-level zone (STEP 2B)
determine water-level adjustment ..........................................................................................
STEP 5 Estimate depth to high water
by subtracting the water•
level adjustment (STEP 4)
from measured depth to water
level at site (STEP 1) ............................................ .
h
Figure 13.--Reproducible computation form.
15
Fss_.. 2
THE COMMONWEALTH OF MASSACHUSETTS
, -, BOARD-,OFwwHEALTH
I�, o� A �y �--
........................................O F................................... 4� ...---...................
Applirativit for Dig nnttl Iforks Tonhvdion ramit
Application is hereby made for a Permit to Construct X ) or Repair ( ) an Individual Sewage Disposal
L i Add ss or,• t •o. •-
6.
Owner Address
W
Installer Address
Type of Buildin- Size Lot..._..[....... .......... —
U Dwelling 7N.o. of Bedrooms............ .....Expansion Attic ( Garbage Grinder
�-, —
04 Other—Type of BuildingNo. of persons............................ Showers Cafeteria
dOther fixture
W Design Flow.................57:5................gallons per person qr daft. Total daily flog................x3. �.�............ga�lons."
WSeptic Tank—Liquid capacity.t600gallons Length.. "<:.. Width..A:� Diameter................ Depth................
x Disposal Trench—No..................... Width_...._.`.._..__..... Total Length......._........ Total leaching area...................sq. ft.
3 Seepage Pit No........�'........... Diameter......... ,.. Depth below inlet........ ..... Total leaching area..9 ...sq. ft.
z Other Distribution box ( ) Dosin
Percolation Test Resuys Performed by... .. .. �-............ Date... Z _��.1..........
Test Pit No. l.. `Zminutes per inch Depth of Tes it._.1? ®_________. Depth to ground water_ ___. -�Z
(� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Dr tion o SoI� . ®..........._...
W
... ..: c .........................................................................•---•--..
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
....---•-•-•--•-....--•---.......--•-----•--•-•-•............................................•-------------...........---.............--••-------...........---..............------•-•..........._......
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITA U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has beenmsued the board of h
Signe
•--- --•--•---...-•at ^
e.....-•----
Application Approved BY - -•-•-•--••----•
Date
Application Disapproved for the follouring reasons:...........................---•--•........................................................ ........___
..........
---......
---------------
-------
---.--..-------------
---.--------
-----------
.---------
---..-------..-•---------
------
--------
••---
----
..-----
-
Date
PermitNo...................................................--- Issued................................. ........_.........
Date
THE COMMONWEALTH OF-MASSACHUSETTS
.-- • BOAROF HEALTH
---........�.?c -�.! .......oF............ -:�.... .( ........................
Appliratiun for Disposal Works Tonstrurtiurt f rrutit
Application is hereby made for a Permit to Construct X ) or Repair ( ) an Individual Sewage Disposal
System at• 1
.......1.:::1 .. .t... .. F ..... ... 1 lA2sr
j5. --.. -- ..._......-......__�.._..__....
LZt* Add
Owner Address
a .....Installers....•-- ........................ ..............Address .... ... .. ....:..--
- ..... ..... ........
Type of Buildin Size Lot...... ____Al—�... SM_AA2+ .
U Dwellingo. of Bedrooms...............; .........................Expansion Attic ( Garbage Grinder
Other—T e of Building No, of persons............................ Showers — Cafeteria
p' Other fixtures
Design Flow.................52�5...............gallons per person jjr day,. Total daLly,floy►r............... .�y. ...........0lons.,,
Diameter________________ lle th.._..___G.
Septic Tank—Liquid capacity.!�`?'�gallons Length....... Width..d:� p
W Disposal-Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft.
x
3 Seepage Pit No........A........... Diameter.......... ...... Depth below inlet.._......-5(.. ..... Total leaching area;Z.O_C.?__...sq. ft.
Z Other Distribution box ( ) Dosin tank ( )
Percolation Test Resul s Performed by-__ . ... . .:......... Date... t.� .' ............
aTest Pit No. 1.. _.Z-minutes per inch Depth of Test it-_.1 U...___. Depth to ground water.d ... ;1_,'
f? Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
x ..............••...... ...... �....... ..
o .:. c T3 sue!1::..............� . ✓ts
D�r tion of Soil . �.:...: ........................��...------•- •............... !�---:..--- •--•-•----•-•--..:.:....._.....-•---..............
..h�� ------------------------------------------------------••••-•••••-••-....._••_...
w - ------- -- ---- ---
VNature 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 TITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b ued the board of heA4h.
Signe :. '.. {�..
Datr e,,Application Approved By......
..............
,,.•.s ...,. ! _____-•--•-----_----••---•--•----••------- .......
Date
Application Disapproved for the following reasons:.................................................................................. ___•.•__---
••.............•••-••.....••••---••...._..•-•---•--•----.....-•••-.........•-••••••••••••••••-------••...._..•--•••••••••••••....••••-----••-----•-•••--•••...............----..... _ ......•---•-
Date
—
PermitNo......................................................--- Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF... ' ............................................................................ .
(IPrtif irate of TompliMnrI
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by...................................................•-•-•---•--.......................__.. ._ ....••-•-•••••-•••-••••-••••-•--•--...........•••••-•••-••••••--•..............•--.-........-
Installerr
at_......... ,. ........... ........J�J._..... ?7----: •. -------••----•..............................••--•--•--•--••-•-------........_....... '
has been installed in accordance with the provisions of TIT F 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.__. - :r�'/ir.............. dated...............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WI/t,L F/UNCTION SATISFACTORY.
DATE..... .:2. ..1,� .................................................... Inspector.... j .✓•....................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
3i!'.tr'..... ...........................................OF.....................................................
No. •
Fim.......................
Disposal Works Tunstrixrtiun f rrutit
Permissionis hereby granted......................................................................................................................................
to Construct r Repair ( ) an Individual Sewage Disposal system
atNo....... ...... ........&..:--------• - '--..: .........................•--•-----...._.._......-----.......................
Street
as shown on the li tion for Disposal Works Construction Permit No.............. _.._. Dated..........................................
__.....................................................-
Board of Health
DATE... .----�.---�......................................................
FORM 1256 ITY 8c TOWN FORMS, INC.369-9708
51►.1G�L: FAMILY - 3 Bc -PoM �E10 5y®�-/Z
I.lo GA¢BAGE 69j&'D62 �` � ' - .Sq.L er•Z. \
vA1LY FLOW - 110x 3x 33oG•PC) N -$ .3
5EPTtG -rA%JK = Z30x15(>% _- A95G.PO- bl9
u5c- I 000
015Po5AL_ PIT u5E ICU 00
5%V%VJALL A2CA 150 S.F 5�.9 �+ I
150
BOTTOM AREA a �� .�F.- . . CoT 3Z S sr PQOP. .
(oil
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-T COT A L. Cl S'51 GN * .4.2 5 G,P D. SS.� PftoP r#Af- 9 Cn
-roTAL DAILY
PE2GoLATIoN RATE , I''IN ?-MIN o1`1 965•
51.7 gyp.
601 1
r P�"Y OF PIP S C, � �,P\S'A Of-,
S WILLIAM
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SHEET NUMBERS A9-7 0 1
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TYPICAL 1000 GALLON SEPTIC TANK . w
:_�
_ , ,. NOT TO SCALE _,�
NOTE. ALL PIPES ARE 70 6E 4 SCHEDULE 40 P.V.C. VENT PIPE (O Least 24 inchee tall) 0 tom. -r�.;,_�;..,«
10' min. from Schedule 40 PVC w/Charcoal Odor Filter SECTION A -A ,,�
2-Ir DIAM, ACCESS MkNHOLES r+s£' `.y.., �.Y ,► i'WF "'•:',' .:'..
house to septic tank .
Existing Foundation V LEACHING SYSTEM
g t>c tank avers must be PROFILE VIEW OF ADDITION TO L CHIN Y
T.O.F. elw. 100.00 within 6 In. of finished grade _ _ ,., - 6 ,_._.t:
do over SAS 96.00 3 of 1/6 1/2 Washed Peastone "
Craft over Septic Tank'- 96.00 Grade ow D-Box - 98.00 r . _ ., •. Rr... .•, r t
Wa r•.r ♦•.,♦ ..•.n'. '. �,. '«.• �t- a 5, r as
3/4 ,to 1 1/2 shed Crushed Stone ,._ ._.,_R•e�._. •�.Ja + ..
A1„•fr``
1' PVC(CAPPED)MISPECTON PORT TO BE �y'i`}t y y g R • ,;a_ .- .S . 0.02 TOP Load- Elov. -95.00
8 HOLE INSTALLED AND TO BE MTMIN 6.OF GRADE
T of SAS-Elev. -94.50 ? .xse cxn.E
-20 DIST. BOX aP , �•+, y,.
12 0.01 or Greater 1' -:�h y,�..z, !� tr> 3 ..,: z . '. .�y ares+_ •F ,.
� N eatK � INLET v�-ti
to EXIST. 1000 GA . ti
EXIST. PIPE - ,
/ \ r-Si" '4i'b'•
FRa+ FOUNDATIOAI w _ SEPTIC TANK ts' 1 foot o"Effect"Deco, :+ ou ,
u.
H-10 N N 20'
p r soft PVC TEE p THE ACCESS COVERS FOR THE SEPTIC TANK,
i 11 REWIRED d u7 S 5 Units 8 625 30 �. DISTRIBUTION BOX AND LEACHING COMPONENT
CONCRETE FULL FotJNDAnON� ,n 0.83 10 inches) '-" -
u 1 TO REDUCE rn .r
u rn ( ) 3 3r r„ +�c�'.� ;�-. •r-.prr,�T ..,�• SET DEEPER THAN 6 INCHES BELOW FINISHED w ea
WATER VELOCITY II tl GRADE SHALL BE RAISED TO WITHIN 6' OF
IN D-BOX i i II •- FINISHED GRADE / uetiu rnb
SYSTEM PROFILE m ar r> 31,25 STEEL REINFORCED PRECAST CONCRETE oem rune
' p }. oteuisa..R�rm..rl....o�r.� ±R [�' I'Z'
.,.y O 37,zrJ' :seta n z.....Pa'�r rvv '.�. ..w �+:
Not to Scale - i i 4' 4' II Effective Length PLAN VIEW
INSTALL TUF-TITE GAS BAFFLES OR EQUALS
w2. GENERAL NOTES
,�' 3-24•REMOVABLE COVERS
6 in.of 3/4•-1 1/2• Effect" Vldth / j 1. Contractor is responsible for Digsafe notification
compacted stone •s
m INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE D'BRIEN ' ' ' 'y' P 9 pipes.
,,. + ..- 4• and protection of all underground utilities and I es.
Bottom of Test Hcls 1 Elev.-86.00 3 min, clearance
v Obs. Groundwater - Test Hole 1 Elev.- NONE OBSERVED (OR EQUIVALENT) Not to Scale INLET s' minT_ f min. inlet to outlet 2. The septic tank and distri L{tion box shall be set
• ___.}. e•mh+. �� s+�l<T � . level on 6" of 3/4 -1 1p2 stone.
NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" /EFFECTIVE HEIGHT IS 10" ia•mb LfquZdTevef WET 3. Backfill should be clean sand or gravel with no
-7• +`' LLLJII 5 -7-
5' stones over 3" in size.
4. This system is subject to inspection during installation
T• E oo.I " Liquid depth
by Carmen E. Shay .- Environmental Services, Inc. '
NOTE: ALL COMPONENTS MUST HAVE RISERS TO WiTHIN 6" BELOW GRADE '• 5. The contractor shall install this system in accordance
with Title V of the Massachusetts state code, the approved plan
r R• ) and Local Regulations.
6•-D• 4' -to• 6. if, during installation the contractor encounters any
`CROSS SECTION END-SECTION soil conditions or site conditions that are different
from those shown on the soil log or in our design
installation must halt & immediate notification be
made to Carmen E Shay r- Environmental Services, Inc.
7. No vehicle or heavy machinery shall drive over the
septic system unless noted as H-20 septic components.
8. Install Tuf-rite gas baffles or equals on all outlet tee ends.
9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes.
R�-rL LA1 v 10. All solid piping, tees & fittings shall be 4" diameter
PERCOLATION TEST Schedule 40 NSF PVC pipes with water tight joints.
(40 FOOT RIGHT OF WAY) " 11. Municipal Water is Connected to ALL OF The Residence and Abutting
Date of Percolation Test: JANIUARY 5, 2004
r 9$ Test Performed By. CARMEN E. SHAY, R.S., C.S.E. Properties Within 150 Feet.
96 Results Witnessed By. WAIVER per BARNSTABLE BOH
Excavator: Roberts Septic Service
S 54d 53' 28" 1V Percolation Rate: Less Than 5 min./inch ® 50" BELOW GRADE.
NOTE:
THE PROPERTY LINES ARE APPROXIMATE AND
129.31' Test Hole
j COMPILED FROM THE SURVEY PLAN GENERATED BY
BAXTER &"NYE OF OSTERVILLE, MA, DATED 1 1/26/79
DEPTH SOILS ELEV. ENTITLED CERTIFIED PLOT PLAN OF LOT 31 EVERGREEN DRIVE,
va •0 i 0 98.00 BARNSTABLE, MA", AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN
f i tp �� Loamy Sand IT SHOULD BE USED FOR NO PURPOSE OTHER THAN
sty, THE SEPTIC SYSTEM INSTALLATION.
0•-8• A, 97.331
/ Loamy San
THERE ARE NO WETLANDS LOCATED WITHIN A 200' RADIUS OF THE SAS.
I LOT #31 �, 6'- 36• B,K 95.00,
SILT LOAM I
43,783 Square Feet
i I ' NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE
36"-48' o, 94.00 i FROM THE EXISTING SEPTIC SYSTEM TO BE DISPOSED
I f �
t / OF AS PER BOARD OF HEALTH SPECIFICATIONS.
t Mod
Sand
�� \\ EXISTING EXISTING SAS TO BE PUMPED DRY & FILLED IN PLACE OR
\
GARAGE �- `� /� �fi' 48"-144 c, 86.001 REMOVED TO FACILITATE INSTALATION OF NEW SAS IF REQUIRED.
ASSESSORS MAP - 125 PARCEL - 063
Perc #1 " ZONING - RESIDENTIAL
Depth to Perc: 50 to 68
Perc Rate=<5 min./inch u
\ /
\ 1 Groundwater Not Observed
i _
__
44 F Elev. 1 OM TEST N E BOTTOM 0 HOLE
THERE Af'� NO WETLANDS LOCATEt? WITHIN �i 200 RADIUS OF THE SAS.
ADJUSTED H2O Elev. = No Adjustment Required. _
i \ �.'/ -r> ` ALL OUTLET PIPES FROM THE
(v DISTRIBUTION
PDX SHALL LEGEND
n`? \\\' t /i'/ \`\ j SET LEVEL FORK AT LEAST,2 FT. 12• CONCRETE COVER
` ...., 6 -.5" OUTLET a •w.< .a.♦-
2 DENOTES PROPOSED
OUTLE
LOT #32 �M' ; e �\ I1 11 i KNocKours 88X0
,� \t a ,2• INLET SPOT GRADE
6• 6• DENOTES EXISTING
104.46SPOT GRADE
i �/ 15.5• t.zs•
f ➢ PLAN-SECTION CROSS SECTION PL
PROPERTY LINE
�\\• �� ROUSE #116 ,
6 HOLE H-20 DISTRIBUTION BOX
{,q�}---- PROPOSED CONTOUR
NOT TO SCALE
\ EXIST. 1000 9�1.
\
r EXISTING, Septic Tank \ \ I __. 97- - - - - -97 EXISTING CONTOUR
\, 3 BEDROOM
�\ r HOUSE , --- �+ ® DEEP TEST HOLE &
� `i Design Calculations;
t\ i DECK o' + -43' 5 \ PERCOLATION TEST LOCATION
�-
\ ;;ir ' •, \\ Number of Bedrooms: 3 Equlvalenit to 330 Gal,/Day (330 Gal./Day Min, per Title V)
1 I ` rut t Garbage Grinder. No
a« �` �i•'', t\ tt Leaching Capacity Proposed: 330 G<al./Day Minimum (Min. Per Title V) -------0 FENCE
I 1 t J C�'Y . ��:. ' �� \\ ► Septic Tank - 3 x 330 Gal./Day - 660 USE EXIST. 1,000 GAL. Septic Tank.
I t \ 8• ,'� •^I?,;I :�';• �' t SOIL ABSORPTION AREA: Usingpercolation rate of <2 min. inch
a \ I Bottom Area: 0.74 gal/sq. ft. x 370 sq. ft. 273.8 gallons PRIVATE DRINKING WATER WELL
7. S' �\ 1 Sidewall Area: 0.74 gat./sq. ft. x 78 sq. ft. _ 58 gallons REVISIONS
Providing: 331.80 gallons
4 PVC
� Vent Pipe `� � >
Use: (5) INFILTRATOR HIGH CAPACITY H-10 UNITS, HAVING A 0,83' (10 INCHES) EFFECTIVE DEPTH,
EST HOLE #1 �`� i TO BE USED WITH 4.0' OF WASHED STOhNE ON THE SIDES, AND 3.5' OF WASHED STONE NO. DATE: DEFINITION
f I \ .� i ON THE ENDS. NO STONE UNDER.
\ ` ELEV.= 98.00
, l t _.
Failed
LEACH PIT 3
+ t I (Approx.)
! 1 \ t
f \ 1 I
41' 13n
S40d
PROPOSED
171.78
f t
t PREPARED FOR .
SUBSURFACE SEWAGE DISPOSAL SYSTEM
i PROJECT BENCH MARK i OF
i I , TOP OF FOUNDATION
FREDRICK H . PRiP- # 115 EVERGREEN DRIVE
f' i ELEV. 100.00 (Assumed)
t # 115 EVERGREEN DRIVE MARSTONS MILLS , MA
t
t ,
l
N PREPARED BY:
MARSTONS MILS, _ MA 02648
, � Sq- {9 CAR.JfEN E. SffA Y
LOT #30 c e �- ENVIRONMENTAL SERVICES INC.
x z
.
P.O. BOX 627
EAST FALMOUTH, MA 02536
TES
•. �P�'s
I
gNI7AR TEL/FAX : 508-548-0796
o SCALE. 1 =20 DRAWN BY: CE5 DATE:` MARCH 14 4
200
PROJECT SD-536 FILENAME: SD536PP.DWG SHEET 1 OF 1