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0137 ROSELAND TERRACE - Health
137 Roseland Terrace Centerville ---- - - A= 103 — 124 � � IT TOWN OF BARNSTABLE LOCATION 31 Q y SI�a✓`� �C r f , SEWAGE# 100ct— 02C1 `PILLAGE IM- (\A i lk 5 ASSESSOR'S MAP&PARCEL I d l Z INSTALLER'S NAME&PHONE NO. 0��p,, J-f cr? & �10 2 SEPTIC TANK CAPACITY \000 L+ i O LEACHING FACILITY:(type) J peep a« �+G Ie (size) I)"I X S' NO. OF BEDROOMS 3 OWNER rr,n e- PERMIT DATE: COMPLIANCE DATE: 9-13-0� Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N 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). feet FURNISHED BY e4p4, ldg C�i2(�2�'��3� U-C y s r+� d3.1 R 2 D5.q '�2 �°•g t, 3 55.E ?a3 as,v (jy �� 6y yd•4 �� ��.s 3�1 y8•S" No. f dU� � � 4�^ I n I�J7Yt^jy� E k�jj� J Rev, ,e)o; Fee�� THE COMMONWEALTH OF MASSACHUSETTS 'j Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes. ftplitafion for Mispo8al *pBtrm Cunstruttiun 3permIt Application for a Permit to Construct( ) Repair(>4 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. j;3 7 r{ose l4 r d Tevrr aC a Owner's Name,Address,and Tel.No. 2%n M �u nes S A144sro✓15 Assessor's Map/Parcel fa 3- 12 y Installer's (,Name,Address,and Tel.No.�/ajOtcriG4 eyt jyP„)es Designer's Name,Address,and Tel.No. ?7— 5'313 l�r,r�-ssvn4•p Type of Building: Dwelling No.of Bedrooms Lot Size ZO,o O-7 sq.ft. Garbage Grinder( ) Other Type of Building S s file- �Aly i 1 V No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date 2 3a Oq Number of sheets Revision Date Title l`3 1 Size of Septic Tank i GO o Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) f)4i)7L—6 aj S SS Date last inspected: look 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 H Sian4) C—N Date ZDo 07 Application Approved by Date � Application Disapproved by Date for the following reasons Permit No. f)-ell Date Issued '� No. Fee THE COMMONWEALTH OF MASSACHUSETTS 3 Entered in computer: I PUBLIC HEALTHDIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes fltlfltation for ]Disposal *Pstem (tonstruttion Permit Application for a Permit to Construct( ) Repair(>j Upgrade( ) Abandon( ) ,❑Complete System ❑Individual Components Location Address or Lot No. 151 TP/-,a t P Owner's Name,Address,and Tel.No., E 2 4 Al 144rtssc4S rriillS Assessor's Map/Parcel /0 3- t 2 H SA n� Installer's Name,Address,and Tel.No.�'crJu ,( 1�k,�„)es Designer's Name,Address,and Tel.No. } Ce-A1 Lrvt!1 r 313 (zit<.;�l7fal n Type of Building: Dwelling No.of Bedrooms 3 Lot Size Z<< o O 7 sq.ft. Garbage Grinder( ) Other Type of Building Si ncl c y No.of Persons Showers( ) Cafeteria( ) P Other Fixtures Design Flow(min.required) gpd Design flow provided �'� gpd Plan Date 1 2 - Oq Number of sheets Revision Date Title 13 1 Size of Septic Tank (oo o 2a�s,�,.tij Type of S.A.S. S1 v U-ASS 3aea (� W �� e_ ��> Description of Soil Nature of Repairs or Alterations(Answer when applicable) S% 2� Date last inspected: c7lS ! +- � r 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.. Si. Date 2- Z S ` Application Approved by i1r-� !`-_. • Date "7 Application Disapproved byU Date -for the following reasons Permit No. 2 W r 01 C1 Date Issued .2 'd _ - --- -- -- = - - -- =-- - --- ------_------ -------_-- --------= - -- -------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO C RTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired()( ) Upgraded( ) Abandoned( )by Q©2t,J C�..e C� (J( S �..�- at ��J 1 2,c7 � n�,�, T.t!I t�,u I �v►s 1 �5 has been constructed in accordance A with the provisions of Title 5 and the for Disposal System Construction Permit No. oopi-o� dated ; - t Installer (i��p" W OnArf GS Designer r t�-tSz-Lil-`t �ult � #bedrooms �j Approved design flow 3 Q gpd r t, The issuance of this permit shall not be construed as a guarantee that the system will functionNdesigned. Date f ;� - Inspector - - - - No. �(b Ci " oj q I Fee /1(� ` THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS Misposal bpstem Construction Permit Permission is hereby granted to Construct( ) Repair',(-')"` Upgrade( ) Abandon( ) System located at J (6.,k A tn.-,_A —V-,t I ✓y- o A,-,) 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.' /� r Date j j'/� Approved by-------------- 1. C 02/26/2009 20:50 5084775313 ENGINEERING WORKS PAGE 01 Town of Barnstable Regulatory Services Tbomas F. Geiler,Director Public Health Division Thomas McKean,Director 2001Vt1a Street, Hyannis,MA 02601 OMM: SOS-ft2-.4"4 Fax: 30-790.6304 Date: �- �� Sewage.Permitlt 201E� -02-`( Assessor's Msp/PWMl 1101/1 2j M crric A Da*mr. - �.+G. 5 Instalter: w'p�e Gn �c•5�,.� T 1 Address: Crc s Zd Addrem: f-0- tic x 74 r s h- 4L(,eTZG3'z- pII�2-l(- t+J;d,Q SAi" f;. i issued a permit to install a (ins er septic system at 37 fZoSc land TE rC M based on a design drawn by ( ew) e-7 4t-t , dated 1 -o ecq I cartify 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 disbibution.box and/or septic tank. Stripout (if acquired) was inspected and the soils were found satisfiw-tory. I certify that the septic system referenced above was installed with 'or changes (i.e. greater thaw 10' lateral relocation of the SAS or any vertical any component of the septic system).but in accordance with State&Local revision or certified as-built by designer to follow, Stripout(ifmq d the soils worn found satisfactory, PETER T. G✓ ' MCENTEE civil_ No. 35109 er.s i ture) finer s mature signer s Stamp T T TH D E M%M, ANDEWCEI"D D BY BARNST DIVMON. gcWft tbtM9"plV=tiFm0im funmdoc 0-2/2E/2009 20: 49 5084775313 ENGINEERING WORKS PAGE 01. i Town of Barnstible Regulatory `�Skrvikes F Thomas F. Getler,Director . f Public Health Division m� Thomm McKmn,Dimetor P 200 Main Stmet, HysanK IAA 02601 i �i 1 F lit 5�1� Fes: 508-7304 Date. �w sewne Permit# r a WoTarve rN {y� � (Z issued a pit to i=Wl t (installer) septiic system at e- f- bated on a desip iko wn by 1' t 4t� dated 1Its �! 1 certify that the septic system refffmced above was hmUcd mbstaWidly swcorft to fe C104n, which may include Minor approved changes such as kWal Yeltation of tb;: "I p distribution box and/or septic tank. Stripout (if required) was inspMDd and the soils ,F we M. found satisfactory. .i I tify that the optic s8ear, r f�tri� above was insWlc d with n jam ch&mges (Le. #, greater than 10' latcrl relocation of the SAS or my vertical My CCMpanwt: t.r of the sgAic system) but in am ce with State&Lceal AM-Won of. ' caet�fed as-built b designer to follow. Stri out if d the soi1i Y p (� �l a were found wfisfitctory. PETER T" McENTEE CIVIL h: V € Uldgner s signawn) (Affix Designer's S ►p TM4— 19 MMTABU xC_W grgARD RECEMD BY THE BAMTABLE ML •. -1+ J }'� q:k�i�[ae:Ftien� fa�cn.dvE b 31 77 L0:0AT'ION SEWAGE PERMIT NO. -/' /s' Qs L�,ri T�a act VILLAGE INSTA LLER'S NAME & ADDRESS BUILDER OR . OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED 9-,2r-77 31 ry NO> Z ., Fsa.......t.................._ THE COMMONWEALTH OF MASSACHUSETTS 3, /a BOARD OF HEALTH Al Appliration .for 43itipmal Works Tonstrnrtinn Prrntit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: /•_! (n/'---� /���tion•Ad�r �f .Ll�_d \�� _�7 Ito..--••--•-•---------•^---..�`{ n r ............ Address Installer Address d Type of Building Size Sq. feet V Dwelling—No. of Bedrooms---------------- .__._......_.Expansion' Attic ( ) Garbage Grinder per-, Other—Type of Building ............................ No. of persons--------Z/---------------- Showers ( ) — Cafeteria �— Q' Other fixtures ------------------------------- -- ,$ __________________________gallons per person per day. Total daily flow_______--�_10, gallons. W Design Flow_._.__._. _. g P P P Y Y g WSeptic Tank—Liquid capacity!"O_.gallons Length................ Width................ Diameter................ Depth---............. x Disposal Trench-No_ ____________________ Width._. _. ______.__ Total Length.................... Total leaching area-.-.--..____---___-_sq. ft. Seepage Pit No.__....�__-_________ Diameter______-V_�i� Depth below inlet_.._..______�_ rTotal leaching area..................sq. ft. Z Other Distribution box Dosing tank ( Percolation Test Results Performed b W Y------- ------------------------------------------------------------------ Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...-.--_.--------.--.._: r., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ --------f --------------- -- ------- -- ---..... .. --•------------- O Description of Soil e9 �' Pt[i!� '. AY -^ 5AN x V ------------------------------------------------------------------------ --"'-------••-----------------------------•-•-•--------------'-------- ------------------------------------------------------ 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b en issued bythj board of health. Sign( - -•-lam_ '___-----_----:------------ Date ApplicationApproved BY------- 2 -..._..'---•---------------------------------'----------------•---•-••----- Date Application Disapproved for the following reasons________________________________________________________________________________________________________________ • • --•--'...............'-•-._._...---------••--'_........••---•-••------------ ...__._..._._._._. ••-•------•-----------•---------._....----------------_---•- Date Permit No. , �' "'---...--•---•----•'-..... Issued. ....................................................e — 7 7ate Date j y. THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH i ........_ ...... ......OF.......................................................................................... " .� VI.J"atiun -for. 13ifyosal Workii Ton,itrnrtion Vrrniit Appltca -on is herey`•inade for a Permit to Construct ( ) or Repair ( )- an Individual Sewage Disposal System at .. Location.Address or ILot No. •--•------••----------•........................................................................... ....................................... ................................................. Owner Addiess- W a -------------------------------------------•----...-•--------------------------------------------- -----------...-=--------------------...------------------------------------:---------------------- Installer Address Type of Building Size Lot----------------------------Sq. feet Dwelling.—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) ..j aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) "' Other fixtures W Design Flow............................................gallons 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....................sq. ft. Seepage Pit No..---/------------- Diameter____-_ 1E ' _ Depth below. inlet...___.._.....-.Total leaching area------------------sq. ft. ;f Z Other Distribution box Dosing tank ( ) Percolation Test Results Performed by------- -- ----------------------------------------------------------- Date-------------------------' }4: ,aa Test Pit No. 1................minutes per inch Depth of "Pest Pit..................... Depth to ground.water..._______ 2 ;Tq Test Pit No. 2----------------minutes per inch Depth of Test Pit:................... Depth to ground water--...._______-.____-.--. P4 _ �..... "� -•- ---------•---- s ................................................ Description of Soil__Wo----- A _...*_',-54v •!-...P�", ,�, 1 �"{ 'Kr'�" - -------�.... � V -----•---••-----------------------------------------------------•-------....................... iL+ W --------------------------------------------------------------------------------------------•--------------••-•----------------------------------------------------------------------------------------- U Nature of Repairs or Alterations-Answer when applicable.......................------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with 1 the provisions'of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. i // Signed =............................................................................... --- -----••------�Z- v/ Date Application Approved By_____ _ `'- Date Application Disapproved fo the following reasons:--------------•-•---------------•--------------•--•---•-•----•-------------------------------------------------- --...-•-•--------•------•-------•-----------------------------•-•--.......•------------•-•-•---•----•--- •---•-•.._..............._._..------......' ........ ----------------------------------- Date Permit No._- .................................. Issued..... ' Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ..........................................OF..................................................................................... �rrtifirntr of f.1,11mphttnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Y , s{, Installer at........................................... ---- has been installed in accordance with the provisions of Article XI of The State Sanitary 'Code as described in the application for Disposal Works Construction Permit No.___._. -»................. dated----- __?�t_�• _"�.. _......... . THE ISSUANCE OF THIS CERTIFICATE SHALE, NOT BE CONSTRUED AS A GUARANTEEr'THT THE SYSTEM WIL FUNCTION SATISFACTORY. h _ DATE.............' ?7-------------------•----•---•-••-------- Inspector-------- ----•--------------------------------------------•-••--••---•---- • i THE COMMONWEALTH OF MAS`SaqOH'MSETTS " BOARD OFp� ,HE'ALTH t ��� OF.................... ..................................... 0......................... i, FEE--/ Di ipaiitt1 WorkiiCnnn�trnrtl at- rrmit Permission is hereby granted--------------------------------------------------------------------------------------------•------------------•-------------------•---•----- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo..................................................................................................... ....... --------------------------------•--•.......--•-----------._....--•-------•------- Street as shown on the application for Disposal Works Construction Permit. No f I`........ Dated___ 40_41«__-71_...... y Bo d of Health DATE ------------------ -- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -ova _ ►10 X 3 = 3�C? 4 r> y CLc (5z,c..i►. r -._. e.Ale ew 7MA.,<. \ GIF 1- 0 1 'h t `K of it.f t C WILl1AM fs' /Qr A' 44 'e -1 F C. f NYE y . S i t^j r ,p No 19°34 too , �� t�Crr'r�...�,j. ►°` �ti .,:/GTE~�;,a`,t,�� '. - A^• .�,� - � -:»'..cam;; -�-:•�c-'" o .� e4 IN✓•r 9G.7 94.0 M Q P PC /CXa a 0 M � ,&,,ram��p C�✓a x�s� E.QTt�t E 80 LbGA.TiON STONS i /G6.S D faC '. .�it0 '' 4e /Z 'O -t:-A4 AV,41V4L�- dam✓ ts�t" TaAT t �,',/)• 71 I C E cZ T►F`q T 1-4 A T' A V-1 R r G'GyIe t= Wr,ZG0a1 GaMPLVS WIT►-i TNEr -SIVE r...t"E~ Akjt3 SETE%AGbC %zCqutlZEktEuTS OG TNe To WQ off' DATE RcGtSrc.�Et� ta,uc� SuZv�.Ya�c� Tt-41 PLAiW I'S WOT E5MEV 0k4 aN OSTER:VtLt o MAS�s• if.t�t'�cJ,tnGW i QVCs•{ T��C. UH t=yC.t"S S► OiJt� APPt.i CA.I.,lT' I� 4 . 7-W4-% /` ,r.V.r r,r re, r)r rrr,4:tcllt-: Ln-r Liw a BORTOLOTTI CONSTRUCTION, INC. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address Prop Se 4z-s 5rw s 1�12 Date of Inspec} Map` arcel Owner / I (� 70 PART A — CHECKLIST CHECK IF THE FOLLOWING HAVE BEEN DONE: 1/"PUMPING INFORMATION WAS REQUESTED OF THE OWNER,OCCUPANT,AND BOARD OF HEALTH. ✓NONE OF THE SYSTEM COMPONENTS HAVE BEEN PUMPED FOR AT LEAST TWO WEEKS AND THE SYSTEM HAS BEEN RECEIVING NORMAL FLOW RATES DURING THAT PERIOD. LARGE COLUMES OF WATER HAVE NOT BEEN INTRODUCED INTO THE SYSTEM RECENTLY OR AS PART OF THIS INSPECTION. AS-BUILT PLANS HAVE BEEN OBTAINED AND EXAMINED. NOTE IF THEY ARE NOT AVAILABLE WITH N/A. THE FACILITY OR DWELLING WAS INSPECTED FOR SIGNS OF SEWAGE BACK-UP. l-THE SITE WAS INSPECTED FOR SIGNS OF BREAKOUT. V' ALL SYSTEM COMPONENTS,EXCLUDING THE SAS,HAVE BEEN LOCATED ON THE SITE. r/ THE SEPTIC TANK MANHOLES WERE UNCOVERED,OPENED,AND THE INTERIOR OF THE SEPTIC TANK WAS INSPECTED FOR CONDITION OF BAFFLES OR TEES,MATERIAL OF CONSTRUCTION,DIMENSIONS,DEPTH OF LIQUID,DEPTH OF SLUDGE, DEPTH OF SCUM. THE SIZE AND LOCATION OF THE SAS ON THE SITE HAS BEEN DETERMINED BASED ON EXISTING INFORMATION OR APPROXIMATED BY NON-INTRUSIVE METHODS. THE FACILITY OWNER(AND OCCUPANTS,IF DIFFERENT FROM OWNER)WERE PROVIDED WITH INFORMATION ON THE PROPER MAINTENANCE OF SSDS. PART B — SYSTEM INFORMATION FL.OW CONDITIONS RESIDENTIAL p2No of Bedrooms No of Current esidents _ ` Garbage Grinder LV S Laundry Connected to System C) Seasonal Use NON RESIDENTIAL: Calculated flow WATER METER READINGS,IF AVAILABLE: GALLONS Pumping Records and Source of Information: SYSTEM PUMPED AS PART OF INSPECTION? IF YES,VOLUME PUMPED = GALS Reason for Pumping: TYPE OF SYST�M: ✓ Septic tank/distribution box/soil absorption system Single Cesspool Overflow Cesspool Privy Shared system (if yes, attach previous inspection records, if any) Other(explain) Approximate age of all components,. Date installed,if known. Source of information. SEWAGE ODORS DETECTED WHEN ARRIVING AT THE SITE? Q SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B — SYSTEM INFORMATION (Continued) SEPTIC TANK: Depth below grade: Cox Dimensions: G s, )e 6, X S i Material of construction: Concrete Metal FRP o Other} Sludge Depth ii Distance from top of sludge to bottom of outlet tee or baffle Scum Thickness Distance from Top of Scum to top of outlet tee or baffle I?ILI/7t Distance from bottom of Scum to bottom of outlet tee or baffle Comments: S !C- /90 �cc<m c1�cJ 3'� ��d� ff rl f� Q DISTRIBUTION BOX: DEPTH OF LIQUID LEVEL ABOVE OUTLET INVERT Comments: PUMP CHAMBER: b- Pum s in working order? Comments: SOIL ABSORPTION SYSTEM (SAS): IF NOT PRESENT,EXPLAIN: TYPE: /- 1006 411G> Comments: - S 0 A 111. ,4 CESSPOOLS: / U Number and configuration Depth-top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimension of cesspool - I Materials of construction Indication of groundwater inflow(cesspool must be pumped) Comments: PRIVY: Materials of construction Dimensions Depth of solids Comments: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B — SYSTEM INFORMATION (Continued) SKETCH OF SEWAGE DISPOSAL SYSTEM: INCLUDE TIES TO AT LEAST TWO PERMANENT REFERENCES, LANDMARKS OR BENCHMARKS. LOCATE ALL WELLS WITHIN 100' 6r O �1Ap i DEPTH TO GROUNDWATER: DEPTH TO GROUNDWATER METHOD OF DETERMINATION OR APPROXIMATION: Ae- 'P f ' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C — FAILURE CRITERIA (Indicate Y—yes N—no ND—not determined.Describe basis of determination.If"not determined",explain why not.) Backup of Sewage into Facility? I Discharge or ponding of effluent to the surface of the ground or surface waters? Static liquid level in the districution box above outlet invert? l� Liquid depth in cesspool, 6"below invert or available volume, 1/2 day flow? Required pumping 4 times or more in the last year? Number of times pumped Septic tank is metal?cracked?structurally unsound?substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS,cesspool or privy, below the high groundwater elevation? Within 50 feet of a surface water? Within 100 feet of a surface water supply or tributary to a surface water supply? Within a Zone I of a public well? Within 50 feet of a private water supply well? Within 50 feet of a bordering vegetated wetland or salt marsh (cesspools&privies only, not the SAS)? Less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds,amonia nitrogen and nitrate nitrogen. PART D - CERTIFICATION INSPECTOR: ROBERT J. BORTOLOTTI ADDRESS: 765 WAKEBY ROAD, MARSTONS MILLS COMPANY: BORTOLOTTI CONSTRUCTION INC. MA 02648 (508)771-9399 CERTIFICATION STATEMENT I CERTIFY THAT I HAVE PERSONALLY INSPECTED THE SEWAGE DISPOSAL SYSTEM AT THIS ADDRESS AND THAT THE INFORMATION REPORTED IS TRUE,ACCURATE AND COMPLETE AS OF THE TIME OF INSPECTION, THE INSPECTION WAS PERFORMED AND ANY RECOMMENDATION REGARDING UPGRADE,MAINTENANCE AND REPAIR ARE CONSISTENT WITH MY TRAINING AND EXPERIENCE IN THE PROPER FUNCTION AND MAINTENANCE OF ON—SITE SEWAGE DISPOSAL SYSTEMS. CHECK ONE: V I HAVE NOT FOUND ANY INFORMATION WHICH INDICATES THAT THE SYSTEM FAILS TO ADEQUATELY PROTECT PUBLIC HEALTH OR THE ENVIRONMENT AS DEFINED IN 310 CMF 15.303. ANY FAILURE CRITERIA NOT EVALUATED ARE AS STATED IN THE"FAILURE CRITERIA"SECTION OF THIS FORM. I HAVE DETERMINED THAT THE SYSTEM FAILS TO PROTECT PUBLIC HEALTH AND THE ENVIRONMENT AS DEFINED IN 310 CMR 15.303. THE BASIS FOR THIS DETERMINATION IS PROVIDED IN THE"FAILURE CRITERIA"SECTION OF THIS FORM. INSPECTOR'S SIGNATURE: DATE: 6 ORIGINAL TO SYSTEM OWNER,COPIES:BUYER(if applicable),APPROVING AUTHORITY 3 _ COMMONWEALTH OF MASSACHUSETTS vE0 I EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRSFEB 2 4 1998 DEPARTMENT OF ENVIRONMENTAL PRO E TI0NWHOFSAR,VSra�� ONE WINTER STREET. BOSTON. MA 02108 617-192-5 OQ ®d �tTH�EPT. SV•`� W ILLIAM F WELD TRUDY COXE GovernorSecretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Commissioner PART A .x � CERTIFICATION 137 Roselandf r0errace Address of Owner: Robert Thorne Property Address: Marstons Mill� MA Date of Inspection: —oZG— -t $ (If different) Name of Inspector: Wm E Robinson Sr 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: Wm E Robinson Septic Service Mailing Address: PO Box 1 089 ntt rvi 1 1 P; NIA 02632 Telephone Number;_ 5 0 8 7 7 5—A 7 7 A CERTIFICATION STATEMENT e 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site see+age disposal systems. The system ,/Passes _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority Fails i Inspector's Signature: Zv ' Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of•,th ?Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, ari- t o approving authont�. INSPECTION SUMMARY: Check A, B, C, or D. AJ SYSTEM PASSES: Y/1 I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. —� Any failure criteria not evaluated are indicated below. COMMENTS: BJ S STEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indic e yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not. _ The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. Pegs 1 of 10 (revised 04/25/97) .l) P on the World Wide Web: httpJ/www.magnet.state.ma.usltlep i i�J Printed on Recycled Paper SUBS 1• RFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A t CERTIFICATION (continued) ' Property Address: 137 Roseland Terri, Marstons Mills Owner: Thorne Date of Inspection:,2^A.5 B) S STEM CONDITIONALLY PASSES (continued) _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FU�iHER EVALUATION IS REQUIRED B' '1IE BOARD OF HEALTH: Conditions exist which require furff�h6r evaluation by the Board of Health in order to determine if the system is failing to protect the \public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. 21 STEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT HE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ,ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. _ The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. i The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or I; less than 5 ppm. Method used to determine distance (approximation not valid). I 3) O�HER { (sevined 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 137 Roseland Terr, Marstons Mills Owner: Thorne Date of Inspection: 2-,LO,.C�r D SYSTEM FAILS: You ust indicate ewer "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes o Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped _. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portior. of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LA GE SYSTEM FAILS: You ust indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes o the system .is within 400 feet of a surface drinking water supply the system its within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area- IWPA) or a mapped Zone II of a public water supply well) The o ner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program require ents of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM , PART B CHECKLIST Property Address: 137 Roseland Terr, Marstons Mills Owner: Thorne Date of Inspection: -7 ^77t,®—01 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes/ No � Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note 0 they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. All system components, excluding the Soil Absorption System, have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of TI Sub-Surface Disposal System. Existing information. Ex. Plan at B.O.H. _Z11 _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) [15.302(3)(b)] (revised 04/25/97) Page 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 137 Roseland Terr, Marstons Mills Owner: Thorne Date of Inspection: ;--°1.© - j; FLOW CONDITIONS RESIDENTIAL: Al a Design flow: VO- g.p.d./bedroom for S.A.S. Number of bedrooms: 3- "/ Number of current residents:13 Garbage grinder (yes or no): ,+-O Laundry connected to system (yes or no): Seasonal use (yes or no):�0 Water meter readings, if available (last two (2) year usage (gpd): 1996 - 59 , 000g Sump Pump (yes or no)li.fl 1997 - 67, 000g Last date of occupancy:J=-Z 6 y9 COM ERCIAUINDUSTRIAL: Type o I stablishment: Design fl w: gallons/day Grease tra present: (yes or no)_ Industrial Aaste Holding Tank present: (yes or no)_ Non-sanita waste discharged to the Title 5 system: (yes or no)_ ,V2 ter met r readings, if available: Last date f occupann,: OTHER: ( esc be) Last date occupancy' GENERAL INFORMATION PUMPING RECORDS and source of i formation: System pumped as part of inspection: (yes or no) If yes, volume pumped: gallons Reason for pumping: TYPE OF STEM 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) I/A Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: /,:r Sewage odors detected when arriving at the site: (yes or no) (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 137 Roseland Terr, Marstons Mills Owner: Thorne Date of Inspection: 9 B ILDING SEWER: (Lo to on site plan) Depth elow grade: Materia of construction: _cast iron _40 PVC _other (explain) Dista a from private water supply well or suction line Diame r Comme ts: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK:_ (locate on site plan) Depth below grade: /U Material of construction: 1/concrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(Yes/No) Dimensions: Sludge depth: 3 "'1-/' r 1, Distance from top of sludge to bottom of outlet tee or baffler_ Scum thickness: S'-?, )I Distance from top of scum to top of outlet tee or baffle:_ 3 )J Distance from bottom of scum to bottom of outlet tee or baffler How dimensions were determined: o Comments: (recommendation for pumping, condition of inlet and outl�e tees or baffles, depth of liquid level in relation to outlet invert, structural integrity evidence of leakage, etc.) , a ® �` p GREA TRAP: (locate n site plan) Depth elow grade: Materi of construction: _concrete _metal _Fiberglass _Polyethylene _other(explain) Dime sions: Scum thickness: Dista ce from top of scum to top of outlet tee or baffle: Dista a from bottom of scum to bottom of outlet tee or baffle: Date o last pumping: Commen s: (recomm ndation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural iniegrity, vidence of leakage, etc.) (revised 04/25/97) Page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 137 Roseland Terri, Marstons Mills Owner: Thorne Date of Inspection: T GHT OR HOLDING TANK: (Tank must be pumped prior to, or at time, of inspection) (lo to on site plan) Dept below grade: Mater al of construction: _concrete _metal _Fiberglass _Polyethylene _other(explain) Dim nsions: Cap city: gallons De ign flow: gallons/day Alar level: Alarm in working order _ Yes; _ No Date f previous pumping: Com ents: (condi ion of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX`_ (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP C MBER:_ (locate on ite plan) Pumps in orking order: (Yes or No) Alarms i working order (Yes or No) Comme ts: (note c it of pump chamber, condition of pumps and appurtenances, etc.) (revised 04/25/97) Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 137 Roseland Terr, Marstons Mills Owner: Thorne Date of Inspection: a—AD,$ F SOIL ABSORPTION SYSTEM (SAS): t/ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: l leaching chambers, number:_ leaching galleries, number: leaching trenches, number length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulicfailure, level ponding, c ndition of ve etation, etc.) ' 0 v CESSP LS: _ (locate o site plan) Number an configuration: Depth-top o liquid to inlet invert: Depth of so ds layer: Depth of sc layer: Dimensions f cesspool: Materials of onstruction: Indication o groundwater: in ow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY: _ (locate on site Ian) Materials of co struction: Dimensions: Depth of solids _ Comments: (note condition f soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) Page 8 of 10 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 137 Roseland Terr, Marstons Mills Owner: Thorne Date of Inspection: ;Z-a-7-c, -'� 'a— SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) I �I P lice (revised 04/25/97) Page 9 of 10 " n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 137 Roseland Terr, Marstons Mills Owner: Thorne Date of Inspection: A_a p-`7 9 Depth to Groundwater ) X Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it from local conditions —1zCheck with local Board of health 1/Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation. (Must be completed) 13 o/f-ri 19, (revised 04/25/97) Page 10 of 10 Town of Barnstable P it Department of Regulatory Services ffAREA ` Public Realth Division Date Q MAM $ 200 Main Street,Hyannis MA 02601 D G�� Time Fee Pd. 1 QQ c-CV). Date Scheduled ,foil Suitability Assessment for Sewage I)is osal � a �, U Witnessed By: ! Performed By: �� LOCATION& GENERAL INFORMATION ) f�✓-� �r'4v / Owner's Name �J,l l �C�r�`,el �,►�� r'Q Location Address n /�ptGt..Q. ,/�� � ~� f Address -7 Engineer's Name j2p !�,41,e Assessor's Map/Parcel: 1 l Telephone# S�F- ?3 '�� NEW CONSTRU('1'lON REPAIR ,�r / , ,n tea 1 Slopes(4'0) Surface Stones /"/a-' land Use ' � � ft Possible Wet Area �_ft Drinking Water Well Distances from: Open Water Body ft Drainage Way 7 2� ft Property Line ft Other ft SKETCH:($treet name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) i i pr; *rY7 111�1acla rC Depth to Bedrock f 01jf-� �^ t 3 Parent material(geologic) N !� m Pit Face Depth to Groundwater. Standing Water in Hole: /(� Weeping fro Estimated Seasona]:High Groundwater . DtTERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: In. in. Depth to sall mettles; ft Depth observed standing in obs.hole: in, Groundwater Adjustment Depth toiweeping from side of obs.hole: - p �,factor AEI Ori?undwater Level,..m Index Well# _ Reading Date: Index Well level d PERCOLATION TEST D�ett 1 2 v x Observation 2 Time at 9" - -- -- Hole# Time at 6" �- Depth of Perc " jv� r✓� Time(9"-6")Start Pre-soak Pre-soak Time.@ y Li End Pre-soak tlZ 2 2 Rate Tvrn./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 testis to be conducted within 100' of wetland,you must first notify the Barnstable C4#servation Division at least one(1)week prior to beginning. n•%cFv'rfr.XPERCrbaM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil ' Other Surface(in.) (USDA) (Munsell) Mottling (Strut'ure,Stones,Boulders. Con istenc % ravel F-2-4 63 SL Q 54 -13 �5 C M-r- 5C.-4 DEEP OBSERVATION HOLE LOG. Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent % ravel $-1� Lo DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) {USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent Gravel 'DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture "Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent ra el Flood Insurant~e Rate Map: Above 500 year flood boundary No— , Yes Within 100 year boundary No K Yes Within 100 year flood boundary No Yes Depth of Natutally Occurring Pervious Material Does at least fo feet of naturally occurring pervious material exist in all areas observed throughout the area proposed fbr the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on. 0 (date)I have passed the soil evaluator examination approved by the Department of environmental Protection and that the above analysis was performed by Me consistent with the required traini pertise and experience described in 310 CMR 15.017. Signature Date it Q:SEPTICWERCMRM.DOC 17 TOWN OF BARNSTABLE LOCATION I3� Bs �Dn� `�_l?"��' t�, SEWAGE # VILLAGEII ASSESSOR'S MAP & LOT IVSprcTvpi NAME PHONE SEPTIC TANK CAPACITY ��' 5, 2 - LEACHING FACILITY:(type) C/J _Jame)(� NO. OF BEDROOMS o2 PRIVATTE WELL <CRPUBLIC WATER ' -, BUILDER OR OWNE,t-; 'C�(.�tr?�J DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANT D: Yes No --c2��� �P•.B�z-��•�-emu �/a/�'" �1A TIC - LEGEND " -- - 98 -- EXISTING CONTOUR LOCUS x 100.98 EXISTING SPOT GRADE R° U UNDERGROUND WIRES r"P�°gyp G EXISTING GAS SERVICE 0m W EXISTING WATER SERVICE a'o TEST PIT Lakeside or o a � P � BENCHMARK Q w 0 z S 59.12'58" E ; �oJ�>� s Shubael 162.50' Pond 1 _ _ CHAIN LINK FENCE 96.67 v. - - _..__ ---_s__�-w_ - _.-_.-_�-- � -_-- akeside Dr 96.65.x V0rT _._) 98,22 x LOCUS MAP NOT TO SCALE : SWING . EXISTING LEACH PIT SET Rt I TO BE PUMPED, FILLED W/ _g8-" ( GENERAL NOTES:' SAND & ABANDONED -----257-PT 2 28' 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. -2 --- -+----- - -----y �b 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS �? pF `; 4 w �__En-0EQ p�_____y T �� OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE edge S.AJS. i �z LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: "• •• . , .. . . . . ••• - ' "' -310 CMR 15.405(1)(b): ,� 1) A 2' variance to the 3' maximum cover requirement, for 5' of EXISTING SEPTIC TANK TP=1 �^� max. cover. S.A.S. shall be H-20 and vented. TOP OF TANK, EL.=97.66t O 98 30 x A ;n 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 1 INV.(OUT)=96.33t 99.18 x N `n' TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE w 98.73 x x 99.37 a DESIGN ENGINEER, orn j ' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING o i� /���// -- N FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN r ao / //,/ ENGINEER BEFORE CONSTRUCTION CONTINUES. DECK DECK 98.70 x 8H. d d + 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 'p / 99.62 - Gate �] 0 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF GARAGE o�-�- M STOCKADE FENCE THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF Z V) HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. EXISTING / 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 98.82 x HOUSE37> i �#1 , Benchmark Set 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. T O F.=100.9.fi Cor. of Conc. PAd 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS I�lo,,�'�'/// / /� EL.=100.00' (Assumed) �� gF �qSs AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE • �� �// f 1 �Q�. 9�y DIRECTED BY THE APPROVING AUTHORITIES. 99.22 x o PETER T. o� 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY McENTEE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 99.57 x \ f o� CIVIL CONSTRUCTION. 0. 35109 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS PAVED X C� (� �'EGI TE��O �� IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND ____ DRIVEWAY LOT 15 99.17 �� S ` ��,� REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE \9cQ 98.72 x APN 103-124 f� INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. �. U 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND -_--- 20,007 S.F.f IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. ``,96` = ------- - HOUSE LOCATION TAKEN FROM "CERTIFIED PLOT PLAN" BY BAXTER & NYE, 8/17/77 ---- ---}6�rjZ^ ---------_____-----98--- --k, C - N 58.18'26" w - PROPOSED SEPTIC SYSTEM UPGRADE PLAN 137 ROSELAND TERRACE, MARSTONS MILLS, MA prl edge of pavement Prepared for: Erin McGuinness, 137 Roseland Terr., Morstons Mills, MA 02648 °�� SCALE DRAWN JOB. NO. ROSELAND TERRACE Engineering by: 1"=20' P.T.M. 102-09 `• Engineering Works, Inc. f` - 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0. (508) 477-5313 1/23/09 P.T.M. 1 of 2 s • _ r NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:94.3 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. !, 21" 5-4" POLYSEAL OUTLETS INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL INSPECTION',PORT OVER END UNIT CHARCOAL 2" 2" 1-4" POLYSEAL INLETS T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE VENT EXISTING F.G. EL.=99.2t F.G. EL: 98.5t F.G. EL: 99.3(MAX.) s. MAINTAIN 2% GRADE (MIN.) OVER S.A.S. N 00 INSPECTION 00 L = 23' L = 7'(MAX) 1 PORT ® S=1% (MIN.) 0 S=1% (MIN.) J 4"SCH40 PVC 4"SCH40 PVC N Top View Section 1Dt s 11.3" TO D-BOX 14" INVERT EXISTING 48" LIQUID LEVEL GAS�BAFFLE iNV.=96.17 PROPOSED INV.=96.00 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25.0' INV.=96.33t D-BOX INV.=93.94 EXISTING 4 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE) EXISTING SEPTIC TANK ESTABLISH VEGETATIVE COVER 13ACKFILL WITH"'ftEAN NATIVE OR 75 PERC SAND TO TOP OF CHAMBERS NOTES: 1) D-BOX SHALL BE SET LEVEL AND TRUE TO GRADE , ON A MECHANICALLY COMPACTED SIX INCH CRUSHED BREAKOUT=TOP STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). TOP ELEV.=94.33 2) INSTALL INLET & OUTLET TEES AS REQUIRED. INV. ELEV.=93.94 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM ELEV.=93.00 III�IIIIII�IIIII®II AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 2.83' �r 76" `I 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE 5' MIN. ABOVE BOTTOM OF INVERTS PRIOR TO CONSTRUCTION. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3' EXISTING SUITABLE PROFILE NO G.W., EL=87.0 = MATERIAL SEPTIC SYSTEM PROFILE WITHOWS NO SEPARATION' BETW ENAEDACBI ROW &ENOUNITS STONE TYPICAL SECTION 16" N.T.S. w zs 11.2" 1 // !� N ) A SOIL LOG 34"- or- DESIGN CRITERIA ;`--25-�-T DATE: JANUARY 20, 2009 (REF#12,453) SECTION END CAP PROP. S.A.S. i'' SOIL EVALUATOR: PETER McENTEE PE NUMBER OF BEDROOMS: 3 BEDROOMS r --------- WITNESS: DONNA MIORANDI R.S. 16"" HIGH CAPACITY(H-20) BIODIFFUSER UNIT q� HEALTH AGENT LE SOIL TEXTURAL CLASS: CLASS 1 ar TO HOUSEL ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH DESIGN PERCOLATION RATE: <2 MIN/IN o' (wo 0., 0., MODEL 16" HICAP DAILY FLOW: 330 G.P.D- - ..�-�L ��9 N N 98 ' A SANDY 98 5 A LOAM SANDY LOAM LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY DECK DESIGN FLOW: 330 G.P.D. -r 10YR 4/2 10YR 4/2 EFFECTIVE LENGTH 75"i 97.8 g" 97.8 g" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE. GARBAGE GRINDER: NO _ " B - B SIDE WALL HE►GHT 11.2" !SANDY LOAM SANDY LOAM LEACHING AREA REQUIRED: (330) = 445.9 S.F. ��/�'j ';!/; ';' 10YR 5/8 10YR 5/8 OVERALL HEIGHT 16" ;`. / ";�EXIS77NCfff'/ 96.5 24" 96.0 30" OVERALL WIDTH 34" 4640 TRUEMAN BLVD 74 '' HOUSE (#137) //, C1 C1 HILLIARD, OHIO 43026 EXISTING SEPTIC TANK: 1000 GALLON CAPACITY /.�T.O.F.=t00:9t% SILT LOAM SILT LOAM 13.6 CF , ;�;.';': /, 10YR 5 3 10YR 5 3 CAPACITY PROPOSED D-BOX:: 1 INLET, 4 OUTLET (MINIMUM), H-10 RATED ;r, / / (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. ( ) i/ /./, / 94.0 54" 94.0 54„ .sA' III"" .tea C2 (2 PERC USE 4 ROWS OF 4 - 16" H-20 ADS BIODIFFUSER UNITS �- PROPOSED SEPTIC SYSTEM UPGRADE PLAN W/ NO STONE FOR AN S.A.S. WITH DIMENSIONS 11 .3' x 25.0' iM-C SAND M-C SAND 6s" 137 ROSELAND TERRACE, MARSTONS MILLS, MA (HIGH CAPACITY INFILTRATORS MAY BE SUBSTITUTED) '2,5Y 6/4 2.5Y 6/4 Prepared for: Erin McGuinness, 137 Roseland Terr., Marstons Mills, MA 02648 SIDEWALL AREA: NOT APPLICABLE BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.7 SF/LF OF BIODIFFUSER) 87.0 138" 87.0 138" Engineering by: SCALE DRAWN J08. N0. Engineering Works, Inc. NTS P.T.M. 102-09 16 UNITS x 6.26 LF x 4.7 SF/LF = 470.0 SF PERC. RATE <2 MIN/IN. ("C2" HORIZON) 9 9 S.A.S. LAYOUT f NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 x 470.0 = 347.8 GPD (508) 477-5313 1/23/09 P.T.M. 2 Of 2 1