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HomeMy WebLinkAbout0105 FAIRHAVEN LANE - Health 1105,fairhaven _;Lane I"Mars#ons Mills P J : = A = 148 159 I No. I1,f— h�r� t i � BJ I J " Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Rpplicatiou for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(1J�Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./Or l.W� O Is Name,Address,and Tel.No. �4.ri5 Gc>���. ltS Assessor's Map/Parcel A!K tin r,n_%V�5 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. S-(-, t1 o�,d Yc�re--o0%0,,_RJ S4e,J lv0.e►S S-a 7 3-1 9= kl a n .3 Type of Building: Dwelling No.of Bedrooms z 3 Lot Size q G cl 7 sq.ft. Garbage Grinder(No Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 O gpd Design flow provided 3,�� gpd Plan Date /a a i r Number of sheets Revision Date Title Size of Septic Tank 000 Gal Type of S.A.S.�1_ Gi r Description of Soil jZ j/L o c.I V'_ CA, Vn �A V Q O X Nature of Repairs or Alterations(Answer when applicable) t `V L t; . s F� s 0 vr�_rj 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. S' ed Date 7 J Application Approved by Date 3J _av (-/ Application Disapproved Date for the following reasons Permit No. Date Issued 3/ 0 No.ZZ Fee /V V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for Misposal *pstem Construction permit Application for a Permit to Construct( ) Repair(Vf Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./o T L C.r� Owner's Name,Address,and Tel.No. -:Assessor's Map/Parcel �k..1!6 - 1 s� Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. ScaXt�',�,-V- kk odd Yc.��w��.l.-Rd S-1�vZ. ��.�.5 3C� a �13a Type of Building: Dwelling No.of Bedrooms 3 Lot Size Q G ci 7 sq.ft. Garbage Grinder(NC) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) ?O gpd Design flow provided 1 3:,2 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. L , („ C�nwr.b ct S U) ,� S�O- Description of Soil M gZ j /C o c r 5{- Gn vU Vn J A 2(s C) a o X ' Nature of Repairs or Alterations(Answer when applicable) kIv ' f'•4.r r•�V cry�� 3 • S �r� S�UfP f.J'tlyr�� 4 Date last t 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. jS';edd Date 1 Application Approved by "bate >7 131 ?0/(-/ Application Disapproved Date for the following reasons Permit No. 701 L(-Z-0 Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓) Upgraded( ) Abandoned( )by at M M A S has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit NA)l y` ?5O dated j 3l/ZQ1 q Installer S � � Designer S \A-ca e� / #bedrooms Approved design flow 7 S Z r/ N/ db The issuance of 's emit shall)not be construed as a guarantee that the system"li l as designed. U Date /1 1� Inspector P V tXV r V - - - - - �/J ------------- - No. ,ram (/1jV Fee:� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS k Misposal Epstein Construction Permit Permission is hereby granted to Construct( ) Repair( (o' Upgrade( ) Abandon( ) System located at \ Q�.S c. f C��t� l_Cn�9 M GS S ID n P-A \ 3 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date A4 47-U Approved by Town of Barnstable .°� '0 •a Regulatory Services Richard V. Scali, Interim Director • ,AR,,(BTABLE, 9 MASS. Public Health Division i639' �0 Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer & Designer Certification Form Date: ace t 04 Sewage Permit4 (Assessor's Map\parcel Designer: 572t)7-h:nw A. Installer: S c._c tA Address: Address: \ l 3 G t cJ 'yam C c�c�J CZJ On T k 1, LLA li6 c-,>\& was issued a permit to install a (date) (installer) septic system at ` ,� M%c1�Sbased on a design drawn by (address) dated -7 1)y (designer Ttertify 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. 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) tt�it A (Ins 's Signature) ��t7kAt ' (Designer's Signa e) (Affix Designers Stamp 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. QASeptic\Designer Certification Form Rev 8-14-13.doc TOWN OF BARNSTABLE - Y LOCATION , 0• �t.G i✓� L_N SEWAGE# JO SVILLAGE ASSESSOR'S MAP&PARCEL �H ►S tj, INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY t? k,y o C-c, LEACHING FACILITY:(type) L;C, U` (size) O trr �3�L2'rQ NO.OF BEDROOMS c�.cb�s 'k-3 3�s'Sts�c, r vvrd OWNER C4 Z S' Cro:r N k` PERMIT DATE: '� 1 7( i Q C.)J�4 COMPLIANCE DATE: Separation Distance Between the: tl 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 leaching facility) I _ Feet FURNISHED BY____s 9 163 Lk L� J lYP,6 �p � �rttE Town of Barnstable P# Department of Regulatory Services lql Public Health Division Date �ttaTeat�. nttas. , �A tdgp 200 Main Street,Hyannis MA 0260 Date Scheduled Time Fee Pd. ✓ Soil Suitability Assessment for Sewage Disposal Performed"By: 57 � � � T►'4 5 . f Witnessed By: o-V✓vv�Z f LOCATION& GENERAL INFORMATION Location Address "( ��. " �� �� Owner's Name o"r k S Address - r",/V\ L Assessor's Map/Pareel; ` 1`t Q�/15'► Engineer's Name `t*.) NEW CONSTRUCTION REPAIR Telephone# Land Use . Slopes(%) G Z Surface Stones Distances from: Open Water Body ft r Possible Wet Area ft Drinking Water Well f[ Drainage Way ft Property Line /© '7` ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) t Parent material(geologic) ByT 14 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: /i4" " Weeping from pit Fnce W ^ Estimated Seasonal High Groundwater P/A DE + ATION 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 Adjuatment f[. Index Weli# Fccadling Date: Index Well level Adj.#haor .-: A4J.Clroundwmer Level , s - PERCOLATION TEST bate Observation. Hole# Time at h" , rt , Depth of Pere —E Time at 6" Start Pre-soak Time -- Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:ISEPTIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,.Stones;Boulders. onsistencL%Gravel) DEEP OBSERVATION HOLE LOG Hole# 2— Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsWency.% a ]DE]EP OBSER•V`ATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistengy, Gravoll DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling '(Structure,Stones,Boulders. ency Flood Insurance Rate Mau: .„Above 500 year flood boundary No— Yes iWiiniu 500 yea:boundary No -✓ Yes- Within 100 year flood boundary No. ✓ Yes,,— Depth of Naturally occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the°soil absorption system? _ • If not,what is the depth of naturally occurring m g pervious material? Ceitifiication I certify that on r' �`� (date)I have passed the soil evaluator examination approved by the Department of Environ ntal Protection and that the above analysis was performed by me consistent with . the required train x rtise and experience described in 10 CMR 15.017. Signature Date Q:\SEMCVERCFORM.DOC ' TOWN OF , LOCATION: ,�k r VILLAGE: MU 2c�\`-t l `` S Imo- ` AI ` J� PERMIT#. INSTALLER'S NAME: INSTALLER'S PHONE k LEACHING FACILITY: (type) ('LAC (size) o �_ NO OF BEDROOMS: _ BUILDER OR OWNER: PERMIT DA : DRAW DIAGRAM ON BACK 4tc1� r o ,4A G3y AO 35 PA p �I 1 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS Z DEPARTMENT OF ENVIRONMENTAL PROTECTION n Y i qq f'L EJ L 01! p Ct s�ev 7liCi � .. TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION e Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner's Name: ANDREA WOOD - - Owner's Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Date of Inspection: 11/22/04 DEC 15 2004 Name of Inspector: (please print) JOHN GRACI,INC. 7Ub`r,N Ur Br,.,NSTABLE Company Name: SEPTIC INSPECTIONS HEF TH DEPT. Mailing Address: P.O.BOX 2119 TEATICKET,MA.02536 Telephone Number: 508-564-6813 FAX 508-564-7270 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and mainte nce of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Ti e 5(310 CMR 15.000). The system: X Passes _ Conditional ses _ Needs Furt aluation by the Local Approving Authority Fails Inspectors Signature: Date: 11/22/04 The system inspector shall submit a py of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspectio . 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 and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments SYSTEM PASSED TITLE V INSPECTION.RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. ****This report only 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. Titles S Incnactinn Fnrm A/15/)f10f) 1 Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: IV22/04 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: SYSTEM PASSED TITLE V INSPECTION. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. B. System Conditionally Passes: _ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements.If"not determined"please explain. n/a The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: n/a n/a Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): _ broken pipe(s)are replaced _ obstruction is removed _ distribution box is leveled or replaced ND explain: n/a n/a The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): _broken pipe(s)are replaced _obstruction is removed ND explain: n/a Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 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 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 I 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 n/a "This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: n/a Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all-inspections: Yes No X Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than ''/z day flow X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped SYSTEM WAS PUMPED 4 YEARS AGO PER OWNER . X Any portion of the SAS,cesspool or privy is below high ground water elevation. X Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _ X Any portion of a cesspool or privy is within a Zone 1 of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well. _ X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.] NO (Yes/No)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. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no _ X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well 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. A Page 5ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 Check if the following have been done.You must indicate "yes"or"no"as to each of the following: Yes No X _ Pumping information was provided by the owner, occupant,or Board of Health X Were any of the system components pumped out in the previous two weeks? X Has the system received normal flows in the previous two week period? X Have large volumes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(If they were not available note as N/A) X _ Was the facility or dwelling inspected for signs of sewage back up? X _ Was the site inspected for signs of break out? X _ Were all system components,excluding the SAS, located on site'? X _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no X Existing information.For example,a plan at the Board of Health. X _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(3)(b)] S Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM. PART C SYSTEM INFORMATION Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 FLOW CONDITIONS RESIDENTIAL 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 Number of current residents: 0 Does residence have a garbage grinder(yes or no): NO Is laundry on a separate sewage system(yes or no): NO [if yes separate inspection required] Laundry system inspected(yes or no): NO Seasonal use: (yes or no): NO Water meter readings, if available(last 2 years usage(gpd)): a o� 3S O U Sump pump(Yes or no): NO Last date of occupancy: 9/30/04 �3 � � COMMERCIAL/INDUSTRIAL Type of establishment: n/a t�� Design flow(based on 310 CMR 15.203): n/agpd Basis of design flow(seats/persons/sgft,etc.): n/a Grease trap present(yes or no): NO Industrial waste holding tank present(yes or no): NO Non-sanitary waste discharged to the Title 5 system(yes or no): NO Water meter readings, if available: n/a Last date of occupancy/use: n/a . OTHER(describe): n/a GENERAL INFORMATION Pumping Records Source of information: SYSTEM WAS PUMPED 4 YEARS AGO PER OWNER. Was system pumped as part of the inspection(yes or no): NO If yes,volume pumped: n/agallons--How was quantity pumped determined?n/a Reason for pumping: n/a TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(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) _Tight tank Attach a copy of the DEP approval Other(describe): n/a Approximate age of all components,date installed(if known)and source of information: 1986 PER OWNER Were sewage odors detected when arriving at the site(yes or no): NO Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 BUILDING SEWER(locate on site plan) Depth below grade: 18" Materials of construction:_cast iron X40 PVC_other(explain): n/a Distance from private water supply well or suction line: n/a Comments(on condition of joints,venting,evidence of leakage,etc.): TOWN WATER SEPTIC TANK: X(locate on site plan) Depth below grade: 12" Material of construction: Xconcrete_metal_fiberglass_polyethylene other(explain)n/a. If tank is metal list age: n/a Is age confirmed by a Certificate of Compliance(yes or no): NO(attach a copy of certificate) Dimensions: L 8' 6" H 5' 7" W 4' 10"" Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle:32" Scum thickness:2" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 16" How were dimensions determined: MEASURED Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): SEPTIC TANK AND ALL COMPONENTS ARE STRUCTURALLY SOUND AND FUNCTIONING PROPERLY. RECOMMEND PUMPING EVERY TWO YEARS TO PROLONG THE SYSTEM'S USEFUL LIFE. GREASE TRAP: _(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Scum thickness: n/a Distance from top of scum to top of outlet tee or baffle: n/a Distance from bottom of scum to bottom of outlet tee or baffle: n/a Date of last pumping: n/a Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): n/a 7 Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: n/a Material of construction:_concrete_metal_fiberglass_polyethylene_other(explain): n/a Dimensions: n/a Capacity: n/a gallons Design Flow: n/a gallons/day Alarm present(yes or no): N/A Alarm level: N/A Alarm in working order(yes or no):NO Date of last pumping: n/a Comments(condition of alarm and float switches,etc.): n/a DISTRIBUTION BOX:X(if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: LEVEL WITH BOTTOM OF PIPE 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.): D-BOX IS STRUCTURALLY SOUND. PUMP CHAMBER: _(locate on site plan) Pumps in working order(yes or no): NO Alarms in working order(yes or no):NO Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): n/a R Page 9ofII OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,excavation not required) If SAS not located explain why: n/a Type 1000 GALLON 6'X4' LEACH PIT leaching pits, number: 1 n/a leaching chambers, number: n/a n/a leaching galleries, number: n/a n/a leaching trenches, number, length: n/a n/a leaching fields, number: n/a n/a overflow cesspool, number: n/a n/a innovative/alternative system Type/name of technology: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation,etc.): LEACH PIT IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY.SYSTEM SHOWS NO SIGNS OF FAILURE.PIT WAS EMPTY AT TIME OF INSPECTION. STAIN LINES INDICATE THE PIT HAS 6" OF EFFECTIVE LEACHING LEFT IN IT. CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: n/a Depth—top of liquid to inlet invert: n/a Depth of solids layer: n/a Depth of scum layer: n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater inflow(yes or no): NO Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a PRIVY: (locate on site plan) Materials of construction: n/a Dimensions: n/a Depth of solids: n/a Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n/a 9 Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet.Locate where public water supply enters the building. C/ N CD ko 39 � Z 2-cl in Page 11 of 11 i I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) i Property Address: 105 FAIRHAVEN LANE MARSTONS MILLS,MA 02648 Owner: ANDREA WOOD Date of Inspection: 11/22/04 i SITE EXAM _Slope _Surface water _Check cellar _Shallow wells Estimated depth to ground water 12+feet I Please indicate(check)all methods used to determine the high ground water elevation: NO Obtained from system design plans on record-If checked,date of design plan reviewed: n/a YES Observed site(abutting property/observation hole within 150 feet of SAS) NO Checked with local Board of Health-explain: n/a NO Checked with local excavators, installers-(attach documentation) NO Accessed USGS database-explain: n/a You must describe how you established the high ground water elevation: HAND AUGER- 12+FT. I I I I I I 11 THE COMMONWEALTH OF MASSACHUSETTS BOARD F I-1 E T z s ��51...................OF....d% �/7.57. !t..� ... ................................ � Appliration for BiipooFal Works Tonitrur#inn 11amit Application is hereby made for a Permit to Construct ( t-j"or Repair ( ) an Individual Sewage ' posal Sy tem a ...................X...bc, ..Location-Ad ess or Lo No. .....S. C �-----•----------------- `..... `-©--•-- mil_ ,1r_C/l.Y..!: ..................._ —� Owner `t Address CZ� .................................. .............................. ................................................................. Installer Address cc�� Type of Building Size LotQC, __1_. ..Sq. feet Dwelling—No. of Bedrooms____________________________________________Expansion Attic #6 Garbage Grinder (5 aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures --------------• ----------•-•-•--•-•----•-----------•----••----•---••-------------------------------- Desi n Flow----•---- - a 3 W g .. ...................g lions per person per day. Total daily flow............. WSeptic Tank—Liquid capacity�OP.t?gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft Z Other Distribution box ( ) Dosing ta.4k WX Percolation Test Results Performed by.____...L-.I61 -t-pit �'._.._.._._.�zd���'� 0_ Date_-_�y�_ a Test Pit No. �SS.___.minutes per inch Depth of .___..__`__ :.__ Depi�f to ground,water....... .......... .. Test Pit No,.2�k�_i-iinutes per inch Depth of Test Pit..... ._.. Depth to ground water......................... a - 3.--------- -------------- J�..... -------0-- ----- ------ Description of Soil ...--- --� .. ,.�..�... 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 i I',LE 5 of the State Sanitary Code— The undersigned;further agrees not to place the system in operation until a Certificate of Compliance has bee ssued by the b r f"health. Signed-- i . ......................... ...... ......•--- �y�, Date Application Approved By................................ ------•___ .......•-------_... -.-6 Date Application Disapproved for the following reaso s ______________________________________________•___.___.-___...._-________________)........................_ .....................................•----••--------------••••••-•-•---------•--•-•-------------...-----•--•--•---------..._._......-----•••-----•-.................................................... Date PermitNo......................................................... Issued....................................................... Date IJ No....................... .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD _QF HE ..............OF...-...:....:...:' Appliration for Uhipaaal Works Toudrurtion "amit Application is hereby made for a Permit to Construct ( 44or Repair an Individual Sewage D t• posal YI 7-4- 2 !L-�-'r 1,c,, ......... _.Ae"UA Iress I Location .A Z,rl 0 or Lo No ....................... .............................................. .........C..................... Owner Address f................................. ......... �4 ....... ....... I.... ... ............................................................... Installer Address Type of Building Size Lot Sag,;:_Ii.?.Sq. feet Dwelling—No. of Bedrooms........:l...............................Expansion Attic 00 Garbage Grinder oq Other—Type of Building ...:........................ No. of persons............................ Showers Cafeteria Otherfi t .............................................................................................RA ugas ---------- ........................... Design Flow_____..... .......................gallons per person per day. Total daily flow.. ............gallons. --------------------.......... Depth..............__ Septic Tank—Liquid capacity C.?gallons Length________________ Width................ Diameter.__.......__._:. x Disposal Trench—No. .................... Width.._.........._...... Total Length_._..........-_...._ Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet............._...... Total leaching area..................sq ft Z Other Distribution box Dosing tank. In Percolation Test Results Performed by....................?a ..1 Date.... 1--j .Of _... " Test Pit No. Vt; 5�-'5 minutesperinch Depth of Tdt Pit oe Dept to ground water...._.. �X4 Test Pit NZ�i,�. .-,��Ml'inutes per inch Depth of Test Pit r .... Depth to ground water._._. -_ .. ........................ ........................ ---- - ------- - - ...... -------------­----*------""------------"------"------------ 0 Description of Soil....--- . . ......... .......ls.o.f... ............................... X Z ------------------------ ............... . .......... ...... ...... U ------------4:�-_ j. .... ...Sr!'.eZd ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable....................................................I............................................ .........................I.............................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beS"- ssued by the b r f health A, g . .................... ..................... ........ DateApplication Approved By......................... .... .1 .. . .... ... . ..................... .......Z.­�L.L .k.(Z Date Application Disapproved for the following reaso .................................................................... ---------.................. ......................................................................................... C .................................................................................................... �Ir ; Date c Permit No................................... n. .................. Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTV 4��. ...............OF..... .......................... (Intifiratr of Tompliatta Za4S IS TQX,-kRTIFY ; �L J) , Th4t the Individual Sewage Disposal System constructed 4.4-"'or Repaired by.... Jcal................ ...............w...... ..�­'­_ 7-----­-------­-­----------- InsW '5 L ...................................... .. . ....... . at...._'- f..... .. Z') has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal:Works Construction Permit No......................................... dated___._._.._.._.,_......._........._........_..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI UIkCTIQN SATISFACTORY. ..... ....... DATE.................. ......f( .................................. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS 'BOAR.W 10 ..............OF.... ........................ No.... .6......... FEE.........I .......... ............... Disposal York aTonotrwtion permit Permission i ��reby granted.... A.51..AA-, ..... ...... .......................................................................... to Construct LV) -or Repair (—..J an Individual Se age Dism b - "ystern 'q at No 7:7E,,�' �._s.................................................... Street 17 -1 t . .... ........ as shown on the application for Disposal Works Construction Permit No._V4�..-1.e.(?)ated............. . ......... ........... -------------------- ---------- ----------------------- ...... ie 7 ftfrd of Health DATE........... Aa4 9, .... 19 3, ..•.................................... ............ FORM 1255 A. M. SU KIN, INC.. BOSTON DOYLE ENC L N�ERI N�a` ,ASSOCIATES, 'I NC. 471AORINAVENUE FALMOUTH.MASSACHUSEUTS02536 s. TELEPHONE 617.540441i JOIIN P.DOYLE.KILS. JOHN P.DOYLE III r / sTEPHEN J.DOYLE T e Y `Location on=} �� �S� L a rl- �l vt • ��rn/vsliagaJ1��S�1Z�1 ,' d`-�1� IJS �' 1 � town FInapoctor: U • _ � �71 �U Back Hoe.:': y4 d A 3s •.• ," rf - Doyle P�ag �eerng Represona#,ive t wi ,. , e :f v 6.' 1 u p- M�.•� �,�`+3�t�' � a 9f R a-e_ a t x .. _T .. N- Deep Observat�on _Holes-Soils t aracter!sties - � sx t r � sa•:-' '`t� 9 a4t igi a +. `a r Observation Hole,Nos � � Observation Hole N1s `0,�` y �---_� Percolation Rates Notes: Baaed .ea the above data, suitable installation of a subsurface sewage disposal system -k .can F_— or carnet = be designed in accordance with. .the sdnimnm standards of Title 5.ot:th® ,8tate a �viro nta3. Code.. 'Reason for unsuitable -results if applicable : Of JOHN . •� _ � _ a u a Ego°' ....` . .... .:.. ; _.,..o .a ., a,-a` ••:�_-•a,r..-•..r:r.-a+.••_ ....-' ._ ,;. ...... ......,. . _ .. ....•.•-,�....--rm,rm _ ;cr4.-'--^•^'--^....» r. -y......... _-.—..-...,_.._.�...._,..�� .....ram:. , i A/'v p uX. Zoe 'Al ` Y' 102'q' ¢6 LE 4Gti 'P)7 .}�Po c E 3/ 2U :r —' A f E4 fE Al rA/T e3EM�r4l?Iw&r In �. - --- -- -' 12. G, � SI -FGn/C k . F M ` le- /D o 2 i SO . 1 y r 1, /SU ' fit uwMyE•CIA �k 3u/1SI115 sErallC4S oa fit' A4)rE u PE�2 6�XTrcca 71 T 7o wnr GA w S 297 q r f' oF'�Srs. `�N OF PHILIP � WEINIBERG 40. 3IST�6 :� EXISTING SPOT ELEVATION OA0 CERTIFIED PLOT PLAN EXISTING CONTOUR --- ® --- _ l FINISHED SPOT ELEVATION ( �r 7 cia/2Al" VFAI pQ FINISHED CONTOUR 0 ow4 e Tank le,e NOTE: The location of any .existing und,�rgvoound sewura&c, — - -- — wells, or other utilities shown on this plan is approx- IN imate only as determined from records and/or verbal i4.Z�,�/1'Til/�L4: n- information. The contractor is responsible for the W verification of the existing locations in the field. SCALE, . ¢� DATE 1. REDGE EIVGIldE�'�I�Pa� �� l� CILIf.NT.C-2. ,e Z I CERTIFY THAT THE PROPOSED EOISTERE J IStTERED JO® N0. 5// SUILDINO SHOWN ON THIS PLAN CIVIL LAND �„/ CONFORMS TO THE ZONING LAWS i N R .. DR.�Y p 0~ I��s��� MASS CH �L.P� 712 MAIN STREET �yy 8 _ �- HYANNIS MASS. ' SHEET.�.: OF DATE REG. LAND SURVEYOR ,�s ._�..a.�� .... .rsiaa* cS�•s;..„"'-.t,;;m„dy�n,i.:s.��---_s::� .:,..ya,<,isi ...,...,w......+.:_„.: ..... ........ _.._.._...._ .__., �.- --- - _ __._ ._� .. EITHER T.</E SEPT/C T,A,V < OR 20 FT• /"1//V• -� '—Ef?C�l/ivG PIT ARE MORE THA:`/ /2"SELOW •• /O FT M/A/• SHALL BE ,9QOUGNT TO G/QApE.(;-•+N .EXTRA r,4"opvc PIPE �1),Zxp CpNCRE'TE AIIA1. 017-6/ E,4J/Y CAST /,e0/Y COV—'A' SHALL !3E USE17 z�)R/vE H/.4 Y C U V E.4 o, j C,R.4oE CI- SANS L/QUIO LEVELD IA. i 6fNEOVLb140 ;�`o o _-�/B, • 1/e" f b M/N.I�/TGN GAL. 1 1 'I e f • • . 1 o WA SHED 570NE G' T T� a�t� D/ST a ... i-•'.'1 .�4"p-/�/a'7: r SEPT/C I�AI f A 1 • Nd • • • • i 1 1 �f4_u o •:.� BQX C 1 1 18 1 • set , _ o p EFFECT/✓E f • � • 1 1 • DEPTJ/ • too o WASHED STO/YE •' • j 0 111, • • • f • I 1 • �O o • o o �G7 EEPEX 2.S 3 RS • a P17 OR EQCII V. 113 fl , 1 1 • s . . r 1 e o 9 �5- Ip/7 e.09e4C/.7 ¢`!O �yAc�DA�E-3 ' //1/YERT AT BUILDING FT. /2'� PIAM. C.0 //1/LET SEPTIC T.4IV/C �9�y3 FT• _ SEETABULAT/oN I0V7-/ ET SEPTIC 7AV.I< FT. /,Vj,Fr D/STR/01/7`/O)V BOX �I SECT/ON OF GR®�/NO W�ITEfs T�L F OCITLETD/STR/,egl/T/UN BAX27F7 /N[.ET [.R-ACH/A(l1 PST 13-7�FT. S=WAGE 015R0,SA L SY.ST'E/>9 7A- 5 14AT'IDH I-.EA /VG PIT S FT SCALE %4•" _ /8_ o'' D/MENS/ON AD.ES/6N CR/TEMIA DIAfENS<aN al ;`/ FT• NVA9SER OF �� j)ByLE GiaRSAGED/SPOSAL !/W"r_NU�t/G SO/L BOG �jf,c. 17 7e iyl�kPaN/�o TOT4L EST/MA?ED FLOtw'33O _G.4L.�DAy SOIL TEST / SOIL 716rS742 r NUMBER OF Zo4cNIN6 FITS _.- 1 f'^FLEK • �'-EtE1! DATE OF SOIL TEST S/OB LEACH/NG PER P/T SQ. FT. U ` j oR £ RESULTS h//TNESSED BY A`j��� 90TTOM LCvgCH/NG PER P/T // $Q. FT i S v/3 PEIvCOLAT/ON RATE I �.� M//V,I/NCH TOTAL LEACH//YG AREA 2�''� SQ. FT. ZIPCOI�T/ON RATE 2 MIN. /NGN ': RESERI�ELE.4CHINGAREA�SQ. FT. _-/�IEo. SAd� - i � fp `, G✓/J u+ s 4 GOT 7 - �.4//� c �/F/ti �2 . C�—�st v t s /Jim'21 TJ /1 s L�i9 �A rrlt6G� J WEINBERG 1 'io. 355 ; ,L.1t f ._ >" 0 EL pFZEDGE E/VG•/NEE)FING CO.,J/VC. ELEV r •3 7/2 MAIN ST., f-IYANN/5, MA� S. 7 r NOGRDUNl7 Yt�i4TER —.NCOU1VTE.��s7 CL/ENT �Q�'E�/ /11C=:' UATE• ��/ .�(.l GfiOUNO YvATEoP AT' EL Et! DOYLE ENGINEERING ASSOCIATES, INC. 47 MORIN AVENUE FALMOUTH.MASSACHUSETfS 02536 TELEPHONE 617.540.4411 JOHN P.DOYLE.P.L.S. JOHN P.DOYLE ill STEPHEN J.DOYLE ' *PERCOLATION TESTS REMTS* � i Location on:. �� �S, L..aN t �N d'1UV L�E). Date: TomvVilhage i PAZTDKi J' 1,t J Town Inape ctor•: . Applicant tom-7cyl�JyJ Back Hoe Doyle Engineering Represenative: � Deep Observation Holes-Soils-Characteristics Observation Hole No: 10'� � Observation Hole N6: � E �0-D•0' r---, Percolation Rate . 0 - Notes: Based on the above data., suitable inmtallation of a subsurface sewage disposal system can or carnet C be designed in accordance with the adnimm standards of Title 5 of the States Envir I Code. Reason for unsuitable results if applicable : I Xp%4F ALAS o� JOHN F i �0. TES oa BllR�E� . ASSESSOR'S MAP NO. PARCEL 1 f-�'9 LOCATION _ SEWAGE PERMIT NO. VILLAGE f INSTALLER'S NAME ,i ADDRESS S'Oyu no B U I L D E R OR OWNER A DATE PERMIT ISSUED -- R - � DATE COMPLIANCE ISSUED �.� �, � , ..^.-er � .' s �b d •�� ��� � � � _ �- - ��d��- . I s ACCESS COVERS MUST BE WITHIN 9" MINIMUM. INVERT ELEVATIONS : DES I GN CR I TER I A : GENERAL NO TES : 6" OF F 1 N 1 SH GRADE 3. MAXIMUM COVER -INVERT OUT SEPTIC TANK: 96.7 DESIGN FLOW: FIRST 2' TO I. THIS PLAN I S FOR THE DESIGN AND CONSTRUCTION BE LEVEL M/N 2" OF PEA STONE INVERT IN DIST. BOX: 96.07 3 BEDROOMS AT 1l0 G.P.D. PER OR F I L TER FABRIC INVERT OUT DIST. BOX: 95.9 BEDROOM EQUALS 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4- DIAM PIPE 96.5 INVERT IN LEACH CHAMBER: 95.8 3/4" - l l/2" D lA. NO GARBAGE GRINDER 2. VERTICAL DATUM IS ASSUMED. FOR BENCH MARKS 96.7 95.9 12" DOUBLE WASHED STONE BOTTOM OF LEACH CHAMBER: 94•8 SET, SEE SITE PLAN. cAs 96.07 ��� 9 .8 94.8 ADJUSTED GROUND WATER: N/A BAFFLE SEPTIC TANK REQUIRED: 3 OUTLET 4 LC-6 LEACHING CHAMBERS OBSERVED GROUND WATER: N/A 330 G.P.D. X 20OX - 660 GAL. J. ALL CONSTRUCTION METHODS AND MATERIALS AND EXISTING 0-BOX W/3.5' STONE AROUND. 10•w x 38'1 x 12"d BOTTOM OF TEST HOLE #1 . 87.6 SEPTIC TANK PROVIDED: 1000 GAL. EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1000 GAL H-20 CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL SEPTIC TANK 6" CRUSHED S TONE OR SOIL ABSORPTION SYSTEM REQUIRED: . BOARD OF HEALTH REGULATIONS. COMPACTED BASE DESIGN PERC RATE ( 5 M/N/I NCH PROF l L E : NOT TO SCALE SOIL TEXTURAL CLASS - I 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFLUENT LOADING RATE - 0.74 GPD/SF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 330 GPD / 0.74 GPD/SF - 446 S.F. REQUIRED THAN 3• IN DEPTH SHALL BE CAPABLE OF WITH- N STANDING H-20 WHEEL LOADS. PROVIDED: 4 LC-6 LEACHING CHAMBERS W/3.5' STONE AROUND. A-476 S.F. 5. ALL SEWER PIPE SHALL BE SCHEDULE 40 PVC OR CATCH BASIN 476 S.F. x 0.74 - 352 G.P.D. APPROVED EQUAL. N 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED SOIL TEST PIT DA TA & PRECAST CONCRETE OR APPROVED POLYETHYLENE. 24 w INDICATES INDICATES BOTH SHALL BE WATERTIGHT, D-BOX SHALL BE WATER N �� 31 OZ ��/ `'� TERCOLAT ION - OBSERVED GROUNDWATER TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE qg. - OUTLET. TP #/ P#14382 TP #2 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE". HORIZON TEXTURE COLOR HORIZON TEXTURE COLOR 1-888-DIG-SAFE AND THE LOCAL WATER DEPT. l 0" 98.6 0" 98.6 FOR L OCA T I ON OF UNDERGROUND UT I L I TIES. A LOAMY IOYR A LOAMY IOYR SAND 3/3 SAND 3/3 8• SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE 6" - - - - - - - - - - - - - - - - - - - - 98. I 6" - - - - - - - - - - - - - - - - - - - - 98. 1 \ � � DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION LOAMY IOYR n LOAMY IOYR O SAND 4/6 OF THE SYSTEM TO ALLOW FOR SCHEDUL l NG OF THE SAND 4/6 O 20" - - - - - - - - - - - - - - - - - - - - 96.6 CONSTRUCTION INSPECTIONS. c/ MED-COARSE IOYR c MED-COARSE IOYR 9. EXISTING LEACH PIT TO BE PUMPED DRY AND \ SAND AND 6/6 SAND AND 6/6 t GRA VEL GRA VEL BACKF I L L ED. STONE DR/VEWAY t t GARAGE � � t n 42" t 1 � 132" NO WATER 87.6 120" NO WATER 88.6 � t EXISTING t DATE: MAY 9. 2014 DWELLING SM CORNER GRANITE STEP �, tt TEST BY: STEPHEN HAAS \ EL-101.37 o y WITNESSED BY: DONNA MIORANDI PERC RATE. C 2 MIN/INCH A. J,r Lk7� k ;dIL P.F EXISTING � O 0 SF�TIC TANK a 9 \\ ` 99.4 99.4 \ EXISTING LEACH PIT SEPTIC SYSTEM LEES / ON 105 PA l RHAVEN LANE . MAP 148 . PARCEL 159 TP-Is BARNS T.a► BL E' fMARSTONS MILLS ) MA . ,�9P.4 D-BOX PREPARED FOR %l LC-6 PRECAST LEACHING CHAMBERS 6� �� LEGEND C H R 1 S G O N N E / L A W/3.5't STONE AROUND \h•\0 N m \ A //�� � E CB CONCRETE BOUND L V T 5 -w WATER-L lNE SCALE / = 20 .JUL Y 22 2014 LOCUS ti 9S / 101 HYDRANT 20.297 S.F. GAS LINE STEPHEN A _ HAAS -4 \\ OHW- OVER HEAD WIRES 97.4 \ LIGHT POST ENGINEERING , INC + \\ -E- UNDERGROUND ELECTRIC LINE / J 2 3 FR o u t e 6 A -T UNDERGROUND TELEPHONE LINE // !�. I -8 '13 2 � / / � � � -�� Yca rmo u t h p c, r t MA 02675 -CTV- UNDERGROUND CABLEV/SION LINE ��\ � �� 508 � 362 o -I-40.4 SPOT ELEVATION / ...•.40-••- EXISTING CONTOUR 40 PROPOSED CONTOUR JOB NO: 14-026 LOCUS MAP 0 I 0 20 40