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HomeMy WebLinkAbout0156 SANTUIT-NEWTOWN ROAD - Health 156 Santuit-Newtown Road Marstons Mills A = 031 005009 TOWN OF BARNSTABLE LOCATION 5 S an ewtow v% 12�), SEWAGE# VILLAGE 6'j k t ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.`P o(�, °g. Oj it Cg.Zv, C_ ( SEPTIC TANK CAPACITY ( (� LEACHING FACILITY:(type)(Z) Soo %P 1(c n L.(_. (size) 'a x iC Z NO.OF BEDROOMS OWNER PERMIT DATE: 10 t0,? 12Z b Y!J COMPLIANCE DATE: Separation Distance Between the: / Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �O N Q 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 60 ��4->- VYaL ° no uM -1jJ63 I' IH- ' �r5�� No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y 4plitation for Misposal *pstem ConstrUttion permit Application for a Permit to Construct( ) Repait(X Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. t 5(® TO tY_ wner's Name,Address,and Tel.No. Assessor's Ma /Parcel IZb kYA0 �e14d tx � 4W�� Me-_a�" p 3 � aJ PA*rr DV_"APrW3eo Installer's Name,4ddress,and Tel.No. 5�-4711—SFS7'7 Designer's Name Address and Tel.No. 50% -,>X?3-03-17 Ce ".lam bFP 2254 fEt��l Type of Building: Dwelling No.of Bedrooms Lot Size 2 'sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 336 gpd Design flow provided ��� gpd Plan Date ��i 7,0_%Q I!) Number of sheets r Revision Date Title IJ�r® SAO tot L-0! Cao t. ) P.6� k -n)&)_1Q H4�c� Size of Septic Tank l , ���AJ_4 ' Type of S.A.S.��� 5G® (RYJ{v c&Qgs_ Description of Soil Nature of Repairs or Alterations(Answer when applicable)CJ!5 Eezr 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. Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued --- - -- - -_----- -------_------____------ - - -- -- ---- 4_ z. R' /} • .'^'� , �� #, Fee No..--- f � w•. v THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yt/' y PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS f ftplication for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair,,( =-Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components x , Location Address or Lot No. 15(, �OVJTV(Y a J^ wner's Name,Address,and Tel.No. Assessor's Map/Parcel R�1 IZYA J- 0A'R0 f� 4401Ec 415 A46U.47"r Installer's Name,Address,and el.No. �' '4'X?— 9Y^i Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 4:"Q 0452 tsq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures f� Design Flow(min.required) �� gpd Design flow provided gpd Plan Date . In=7'ao ej Number of sheets Revision Date Title ' � l�t��'� — f-?i1T(�4 c * ) �"�C�d �� =41 ( Size of Septic Tank �TT4Lno CtA�LOA C! Type of S.A.S. Description of Soil _ 1� 5 ,r A o 447 Y,5 -'-f7,r A-/ Nature of Repairs or Alterations(Answer when applicable) _ C—yiCTIN60GQ 4::.. an- 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. i � Si d Date Application Approved by Date � Application Disapproved by Date for the following reasons Permit No. y Date Issued t --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifitat>e of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(A Upgraded( ) Abandoned( )by at has been constructed in accordance ` with the provisions of Title 5 and the for Disposal System Construction Permit No� > ,31� dated �0�( y/J Installer Designer —'l, �G� ���/ #bedrooms Approved design flow gpd The issuance of this permi shall not be construed as a guarantee that the system will func ion designed. Date ) , { Inspector i C _ t IcN ------------------------------------------------------------------------.----------------------------------------------------------------- No. / ✓ r/ _ Fee !CJ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Btsposal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at I / d� �� \ . iTy1 �MAKiT D4 IS MT, i , 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 b completed within three years of the date of this permit. Date !� Approved by r .� Oct 16 19 12:23 PM Capewide Enterprises 5084774977 p.01 Town of Barnstable ,THE Regulatory Services Richard V, Scali,Interim Director BARNBTA9LG � . Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508.862.4644 Fax: 508-790-6304 Installer&C Designer Certification Form Date: D-I -I�� Sewage Permits# ,k 12 - A I Assessor's MnplParcel Designer: fie: t,'re,;,l ;. To'c' lnstaller; Address: 2b:;y C•r;,,,loorX lit—�i'`=" Address; t=75 C•cu41'0t,cC"l Srr r'c_t l:�7�( l�.'c�:��ti�,Y� "l '� UZ�i�i:: �C.54��1-� '1f� 4'Z`•{ cr On Q - � • t&� ��wttl�. C.4 L�'itt+r ►��� was issued a permit to install a (date) (installer) septic system at 1 sontV,t. ,v cW ro w•n R a ail based on a design drawn by �._. (address) S t- (:Y1C�tYIC�Ci��1�) 1 jg,; t `/L.tEb2( 7 261 j / (designer) V I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip uut (if required) was inspected and the soils were found sutisfactory. 1 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 conilutncnt of the septic system) but in accordance with Stale & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required) was inspected and the soils wire found saiisfactolw. 1 certifv that the s%stern referenced above was constructed ' e with the wrens of the 11A upproval letters (if applicable) .toH I L CHU �•1•,.` (�' ;s fiGHll.l JR.•, C1 L ( nstullcr' Sign' re) a N0�4180t l •( r;ner's Sign rturZTABLE- (Affix Desk er amp Here) SE RE'l URN TU PUBLIC 11EALT /nt SION. CER'rIF1CATE W CONIPLIANCE WILL NOT HE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE REt"F.IVED 13Y THE HAAMSTABLE PUBLIC HEALTH DIVI'S10N. THANK QaSeplic'Dc:,g^_. =e': c2:itii;l'on+1 Rey R-14.133 du 'Sz 23 0 COMMONWEALTH OF MASSACHUSETTS u f EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION Oq 5�0v TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A r SAVV I r CERTIFICATION ' c o Property Address: 1561ewtown Road MAP r Marstons Mills MA 02648 J " o w Owner's Name: John Sullivan PARCEL ; 065 Q d �� "'� t) Owner's Address: 60 Birchcroft Road ;O7 r m' Canton MA 02021 ED Rate of Inspection: July 12,2004 (n rrn Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAR MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 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 perfonned based on my i training and experience in the proper function and maintenance of on site sewage disposal systems. I am a "q%W11111 1j approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: HOF S'S�Gs Passes _X_ Conditionally Passes ATRt K •Z Needs Further Evaluation by the Local Approving Authority = : -I= Fails = L , Inspector's Signature Date: 7/12/2004 SINSQE �`�� The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments: Pipe from tank to d-box is collapsed and d-box is deteriorated and leaking. Leaching pit was empty at time of inspection and has never had more than 6"standing water. ****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. Title 5 Inspection Form 6/15/2000 page I Page 2 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 156 Newtown Road,Marstons Mills Owner: John Sullivan Date of Inspection:July 12,2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: _XX_ 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. 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: X%_ 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): :) _X_ broken pipe(s)are replaced obstruction is removed _X_ distribution box is leveled or replaced ND explain: Pipe between tank and d-box collapsed and d-box leaking needs to be replaced. 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 pipes)are replaced obstruction is removed ND explain: Page 3 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 156 Newtown Road,Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 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(l)(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 **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliforn bacteria and volatile organic compounds indicates that the well is fi•ee 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 fonn. 3. Other: Page 4 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 156 Newtown Road, Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 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 _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 the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area— IWPA)or a mapped Zone 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. ., Page 5 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 156 Newtown Road, Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 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 fi-om 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_ — Detennined 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)] Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 156 Newtown Road, Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 1 10 gpd x#of bedrooms): 330 Number of current residems: 2 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): Yes Water meter readings, if available(last 2 years usage(gpd)): 2002—65,000 gal. 2003—23,000 gal.= 121 gpd. Sump pump(yes or no): Yes Last date of occupancy: Currently Occupied on Weekends COMM ERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats!persons/sgft,etc.): _ Grease trap present(yes or no): Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: _ OTHER(describe): GENERAL INFORMATION Pumping Records: Last pumped over one year ago. Source of information: Homeowner Was system pumped as part of the inspection(yes or no No If yes, volume pumped: gallons-- How was quantity pumped determined.' Reason for pumping: TYPE OF SYSTEM XX_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): Approximate age of all components, date installed(if known)and source of information: 21 years Were sewage odors detected when arriving at the site(yes or no): No Page 7 of 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 156 Newtown Road, Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 BUILDING SEWER: XX (locate on site plan) Depth below grade: V Materials of construction:_cast iron _XX_40 PVC_other(explain): Distance from private water supply well or suction line: 35' Comments(on condition of joints, venting,evidence of leakage, etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 1' Material of construction:_X_concrete_metal _fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no): _(attach a copy of certificate) Dimensions: 8.5' long x 5.2'wide- 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 28" Scum thickness: 1" Distance from top of scum to top of outlet tee or baffle: 7" Distance from bottom of scum to bottom of outlet tee or baffle: 13" Flow were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees intact and clear,liquid level at bottom of outlet pipe GREASE TRAP: No (locate on site plan) Depth below grade:__ Material of construction: _concrete_metal_fiberglass_polyethylene other (explain): —— Dimensions: Scum thickness: _ Distance from top of scum to top of outlet tee or baffle:Distance from bottom of scum to bottom of outlet tee or b_affle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Page 8 of OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 156 Newtown Road, Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: XX (if present must be opened) XX (locate on site plan) Depth of liquid level above outlet invert: 0" Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box, etc.): Box deteriorated and leaking needs to be replaced No high stains or solids present PUMP CHAMBER: No (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber, condition of pumps and appurtenances,etc,): r Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 156 Newtown Road,Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 SOIL ABSORPTION SYSTEM (SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type XX_ leaching pits,number: One 600 gal pit. leaching chambers,number: leaching galleries,number: leaching trenches, number, length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Pit empty at time of inspection,never had more than 6" standing water. CESSPOOLS: No (cesspool must be pumped as part of inspection) (locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: No (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): n Page 10 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 156 Newtown Road,Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 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. Newtown Road fS4} �l�elc ' B'I a Y 1 1000 gal tank 600 gal pit Page 1 1 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE IDISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 156 Newtown Road, Marstons Mills Owner: John Sullivan Date of Inspection: July 12,2004 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water: More than 30 feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record- If checked,date of design plan reviewed: _ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) X Accessed USGS database-explain: USGS topo map and town GIS You must describe how you established the high ground water elevation: Town groundwater contour map shows water at el.55 and topo map shows property above el. 120. No.[ 'J �/ Fee zves THE COMMONWEALTH OF MASSACHUSETTS Entered in compute PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for MispoBal *pstrm Construction Permit Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) ❑Complete System 'Individual Components Location Address or Lot No. 15fa SAIJTv i-r N eWrCw+J 40 Owner's Name,Address,and Tel.No. c�M c V-t t Y IDAROAtzA S'r< GPNG A� Assessor's Map/Parcel tj 3 1 6 p S �(� Installer's Name,Address,and Tel.No.50 -477- 997'7 Designer's Name,Address,and Tel.No. 153 GIN s i NA99PQ' tj 1A Type of Building: Dwelling No.of Bedrooms Lot Size 5-9 t)L sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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. ) ` Sig ed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued Fee L 00 THE COMMONWEALTH OF MASSACHUSETTS k,;Entered in computer: PUBLIC HEALTH DIVISION . TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plication for Vsposal *pstem (Construction Permit Application for a Permit to Construct( ) Repair X Upgrade( ) Abandon( ) ❑Complete System [Individual Components Location Address or Lot No.15(o SA/JTV Cr m evjrc;w++J r.Tj Owner's Name,Address,and Tel.No. M M G1XJ C. t 15AQ•9AIZA St4GPHGRD Assessor's Nlap/Parcel 0 31 DOS o09 } Installer's Name,Address,and Tel.No.$O —477— gsri Designer's Name,Address,and Tel.No. 153 60"0t ZU*G ST NA�� 4P NIA Type of Building: + Dwelling No.of Bedrooms Lot Size 59 1}41 - sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures 7F Design Flow(min.'required) gpd Desigti flow provided gpd F Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 'TAG Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ) X Si ed Date �/� / Application Approved by Date p ) 7` Application Disapproved by Date t for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance 5 THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( .) Repaired(x)_ Upgraded( ) Abandoned( )by N0 I, a & PRj 009 Llelc at SAO( kQf f QE4j7-0W&) P!?) M M has been constructed in accordance �� of Tit with the provisions le 5 and the for Disposal System Construction Permit No.�©) y dated 1 Installer CAIPJD6 Ev ®4t5a- l //amuc�— Designer NlA4 #bedrooms Approved design$ow gpd The issuance of this permit shall not be construed as a guarantee that the system will f inction as designed. 1I i Date ! %fit �1/ Inspector r.�/I t ,�0 <� /�t'c V(/) y ------------ -------=-_----------------- --- No. rV16 Fee n THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS MispoBal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(�) Upgrade( ) Abandon( ) System located at 1 `% 5ArQTV 1-' N cge y fou)j oo6rp r''lA STw!C M l".,5 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 -ust a fom to�4hn three years of the date of this e rm it. 9 i Date [ Approved No. Fe THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for ;igpogat *pgtem Congtructiott Permit Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.1 S(o /y�%w 5t 111i zC/I - Owner's Name,Address and Tel.No. Assessor's Map/Parcel p0 l Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ✓as�p� ��/3���os Type of Building: Dwelling No.of Bedrooms �' Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of S. Repairrs or Alterations(Answer when applicable) ^�1Y4,Z_ ' oil ff'oTG T.e,eA AD f Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed ® 8 kn, Date Application Approved by Date Application Disapproved for the following reasons Permit No. �' Date Issued No. Fee�` / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: — v Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zi do��Ytcatcott for �tg�ogaY �pgtem �tCon�true tt Permit Application for a Permit to Construct(Z-jRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. lvlle w O4elkf Owner's Narge, ddress and Tel.No. f?1�r5Tdhs /19i%/f ,/oLis� ,S v�/i✓.�a`l Assessor's Map/Parcel 0 —(905-0m Installer's Name Add ss,and Tel.No. Designer's Name,Address and Tel.No. Joszp� /,�1��,/-vaS Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets `` Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil / Nature of Repair/.s or Alterations(Answer when applicable)�i=/✓�t4�r P/f/= ��� J' i�rG T `J/c �O - 6oX l�l�SO /�i:p�iar/:' Z2— Sox 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 Certifi- cate of Compliance has been issued by thi Bo�arc of Health. / Signed �r"� Date / Application Approved by �vW�1// Date Y Application Disapproved for the following reasons t✓ �\ 446 r s /I Permit No. '� Date Issued V /(/ 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 Rr_- �c% p_" 0- at /SG /1//=w ra41h �? /���'S�'ahJ �� s ,/ has been constructed in/accordance with the pro isions of Title 5 and the for Disposal System Construction Permit No ' dated -70�I V/ Installer �ds� � �-G /3 � Designer The issuance of this'permit shall not be construed as a guarantee that the s ste w,�ii functi o n as dees gned. Dated Inspector A.; — v'- -- F^----------------------Fee \�( ��✓ No THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,MASSACHUSETTS &.5po.5al *p$tem Congtrurtton Permit Permission is hereby granted to Construct( �)Repair( )Upgrade( )Abandon( ) System located at /SG -'u/Tarat�h i ' , and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Cpnstru c4ion must be completed within three years of the date of t is pe. it: Date:_. 1 Approved by f r f T Ri No../... ® :. Fxs.. ....: THE COMMONWEALTH OF MASSACHUSETTS BOARD OjF� HHEALTH / Q� .--.OF..............J. ....f'T S�/��V.x •-----..._................ Application for Bitipmal Warkli Tonotrnrtiort rnmit Application is hereby made for a Perm o C nst ct (_—' or Repair ( ) an Individual Sewage Disposal System at: 0 ,el.................. ........ ................... Location-Address or Lot No. ......................_.. ------•------•--------/ Owner Address ... a ........................... �5:.._........� .�_�._�..c$ 1_ - Installer Address Type of Building Size Lot_.511PY.K.Sq. feet Dwelling—No. of Bedrooms........... ............................Expansion Attic (�� Garbage Grinder ( N�o Other—Type T e of Building ............. No. of ersons...._.................. Showers a YP g ------•-•------ P ----- ( ) — Cafeteria ( ) A" Other fixtures -----------------------•----••-. . W Design Flow................ ...............gallons per person per day. Total daily flow............... _ .p................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.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) '~ Percolation Test Results Performed by........ --(.. . .. .............. Date................ _4 ,aj Test Pit No. I.....�*.0minutes per inch Depth of Test Pit........_. .. Depth to ground water....... .... ---- (i Test Pit No. 2........�.minutes per inch Depth of Test Pit........ __�Depth to ground water.... ................. -� - ---... ........ .......... _ h °�••_-------••-•------------•--------. 0 Description of Soil.....................••-•--------...-•-•----....---...--•-•......... .......------ -- --- ------------------------------------•---•----------------------- x + �., .... --•.-•••---•----•---------c :. .. .............................. -•-----•-••-------• W �' s= .�� UNature of Repairs or Alterations—Ans r when applicable................. .......................................................................... .----•-•••-•------------------•--------------------•----....•-------------•------•..._......------------.....----------•--•----•----•-••--•---•--•••----------•-------•---••••..........•--••••--.-•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi M 5 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 o ealth. Signed----...... . . ......... ........................ ....... .(-- ApplicationApproved By......................................... ---- -................................................ _... .l�. . ................. ate Application Disapproved for the following r 11 sons--------------••-•---••-----•--•-----------•----........--------------- ...................................... ..............•-•---------......-•-•----------•------•-•-----................................------ ....................----.....------------------•----------- -•----...... .........----- Date PermitNo......................................................... IssuecL....................................................... Date --- --------------------------------------------------------------------------------------------------- ,xr No..Of......:.............. FEE..&._!............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------ .%Qw-w__OF............... r� L -C ............................ ApplirFation for Uiiipoii ai Works Tonitrurtion rrm t Application is hereby made for a Permit to Construct (�r or Repair ( ) an Individual Sewage Disposal System at: Location-Address r or Lot No. 1.��1 --�— Owner Address a ...................................................................D.4-'..5..C.0 d. �Z.... .. .................................... Installer Address d Type of Building Size Lot... 5_q `I K__Sq. feet V Dwelling—No. of Bedrooms...........,_............................Expansion Attic (A-0 Garbage Grinder ( A'V aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) OI Other fixtures ------------------------------•. - W Design Flow................. ...............gallons per person per day. Total daily flow............... ..�_iO................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.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank ( ) . '/ Percolation Test Results Performed by........ _./.-_444-._____..._ �!�f-----•-------- Date----------------�5..-��_} aTest Pit No. 1.....L+St Sminutes per inch Depth of Test Pit_.__._.____/__._.__ Depth to ground water........ .......... ... Gi, Test Pit No. 2..___....�nminutes per inch Depth of Test Pit........ Depth to ground water.__.��.-. � Ix --••----------------•------• . -- N g ; ODescription of Soil-------------------------------------•-•• .....••-••-••-•-•---•-----•----•--...---------•--. ----- - t .y........................................ r ---------------�- fl ,�._._.. ----•-•- U Nature of Repairs or Alterations—Answer when applicable_____________________________________________________ _____________ __________ -------------------------------•--•------------...-----•-----------------•-----•---•••••-•-------•----------•••-•••---•--••--•••••-----•---••••-•-•-----•--------•-•--•-•..........-••...--•••---_..._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE, 5 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 o health. Signed.. ..._._. ../•--_... .-•..................•-- ....... Application Approved By---•----------•••..................••---- ------------.....---------•-........._•-•_.... ..._..1:f� ate Application Disapproved for the following re ons:. ----••------•............................•-•-........------------------......----------=--._._......__-•---- ...........•••••••-••-•••••••-------------•-•------•------•••-------------•--•-•-•--=--.....-•-••--•---••-••••-•----•-••---------------•-•-•----------•-•-••-----•------...---••-•••---•----••-•--•----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O/F� HEAL/TH ..........7 4)-e:l--------OF............../,� �I ,[/��`t................................ (Irrtif iratr of Toutphattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructedj�-<or Repaired ( ) by :- ,arrt. ,4... 11.�.5..�... ...---••--- ....... Installer at.......................................................... ��--4t-------7.. �`*�t�1�� � �'�" ........ ------- Installer .... has been installed in accordance with the provisions of TIT F. 5 of The State Sanitary Cod as/- es ribed in the - application for Disposal Works Construction Permit No.._& /�_�................ dated_.�_�111/F.j'�_--------_--_--___.__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU A GUARANTEE THAT THE SYSTEM 1N�L LION SATISFACTORY. DATE...S / Inspector.. __ ....--•.......................•----------.._.................--••---_•-•-• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No... t...v! !: ','........OF.................... '.. / t-C............................... FEE...... 0........... Disposal Vorkg T-1onstrttrtion rrutit Permission is reby granted � �"':�_S__.........�/1.r1.S Ql� to Construct r Repair ( ) an Individual Sewage Disposal System atNo................................... ( (� ....... ..__•4---.... ,f.A� (),�'V/:—-----le -------------- -----_____-__ Street as shown on the plica •on for Disposal Works Construction Permit N -_ __�-Dated ...•........... ...------. . -•--•- • 'Board of Health DATE. .-..... ......... ..................................................... FORM 1255 A. M. SULKIN, INC., BOSTON r Y. Qi a ,• �.> 77, DW 141 S �s a M dl 4'X s r , ooi,T. a ,y J M r0's e.,g OAlo Ya T `' u 4-f i 7 pt/z Tr r4.`t�7 99 4 Q S � t.4 ' z MORSE ��i� o - l._.•� 't r v U ,p No.10951�p Q' � ONAI.���\ t ' . LEGEND x EXISTING SPOT ELEVATION Ono CERTIFIED PLOT PLAN EXISTING CONTOUR - 0 — ; ; r�. Goy sr�N-?'c��T'// "�,�,�•��;� IN r ! FINISHED SPOT ELEVATION ( !� ROBERt FINISHED CONTOUR ---- 0 — ' etiuc �? i T`) /V s t i 4-4 f7 15 ELDRED I Pd • x3 k . APPROVED , BOARD OF HEALTH � z 1;ffr .DATE. AGENT SCALE+ DATES ���} �. t 'L DREDGE ENGINEERING ca /N GR N�;.' l� •"� i CLIXMT ,,,. .,,.,,. I CERTIFY THAT THE PRO PQSEpr ` EGISTERE REOIST Ep JOp ;t0.FA BUILDING SHOWN ON THIS PLAId`{y� CIVIL LAND CONFORMS TO THE ZONING LAIC$;` Q ;. E G1 EER U OF SARNSTASLE MAS a;,.} 712 MAIN STREET. CH. By, ' ' C Il 77 8 SHEET OF A E ` REG. LAND SURVEYOR , ' .$, a. ^'.r way a r_., _.. ..?`.. w ".. s,.'Y - ",. ....:r. a ''•: y�. 2�FT. M/�f• " N0"TE /F E/TN.-R 7NZr.SE?T/C TANk OR.. r LERCN/ivG P/T ARE MORE TI'lAiV /a Rr. i►vAv. GRAOF,A 24',P/A.t.I ET.ER Ca�yE.�FTa COv.�iQ ' Si~PVC PiPF' SJ/ALL 8.� ,B/PO�JGI4/? TO GI�.4O�'.�AN F,�1C`T .•i CONCRETE M/#V. P/TCN He-4VY C-A ST /A O V CO -T Alf,4L L"" DE 41SEO �_ EL, .<O•z� COYEJ?S ��P�FT. !F//V O.4/VEyVAy 2 n4iN. CONCRLt•TE + �► '°` ,, , /_ G AaE COVER CLEAN .SANG . . . . . 6AC/CF/LL :. � L/QU�O LEVEL -•"- • 'LAYER DIY •• / P P .• I 3 b- MIN:s�ererr l �° o . GAL. • •a O e • • • . • •I • po O n %a'Pt/r J D/ST, o O WASHED ST3�NE SEPT/C T.4N/t4 ®OX . a r• • • . . . • • . • t . br-:: _. o s o • e $ • • •.• • � .•ate e r o e • •EFFECTI✓L' °� . 34 • o r • • pEPTN • • • • • v o bVASHED STOkE o • e • • . • • • e 100 • 377 s •Q•e • • • t • • • • • 0,0 o (/3 ,4 .k o 3 • a. • • • • t • • •• p ••y ORE(:;►ST SEAS"A6e lNNE'RT &LEYAT/ANs P/T C f��t cr TyGarC�D•? ,? a • • • • • • •• e to o �L gP/�T OR EQL!/V. /NYERT AT AU/LD/NG 9 `l• FT 6 FT: D/AM. /A/LET SEPr/C r.4,vK 5?.P FT t Z FT. O/.4M. C(SEE 748VL.A7JO/V> OUTLET SEP77C TA,V.J<. g'6.Ar /=T. /INLET DsSTR'/B!?IGIk BOX �•�- FT. _ SECT/ON OF GROUND it�TER TAGLE OUTLET.D/STiQ/B�/T/ON®QX �,�•` FT /HEFT LEACRI VG JaI T 5 lo" Fr SEWAGE O/S/�O�S,ae t SY3T�1�! L Ell CfV/N!S P/T 7A®tILA?'lDN 01MEN_T/0N A 3 FT. DES/6/Y CR/TE/�/�4 D/MENS/ON $ PT. NUMBER OF BEOi?OQJyS DIMENS/GN G '`� FT. M'A!. GA-gdAGE v/sPOs.4L uV/r n/��E SOIL LAG 7.07-AL 42.4L.1DAV -SO/L TEST A/ SO/L 7ES7-02 "/L. TL:$T XUMdER OF LEACXhVCr P/TS ELrff 9 9,6 S/OgL&AC/�I/IVG PZRP/T /S / S!� FT. .DATE OF SO/L TEST ®OTTOM LEr�I CNING osm PIT/ l 13 a T. ,�. 0— RESULTS AVITNESSED BY ✓ ��C Ufl/ S4•=.f Z PEo@COLAT/ON RATE A'/ LE5-5 ftl,%IJNCM TOTAL LEACH/NG AREA Z G 4 S FT L U s� �? h? ��t Q. PERCOLA77ON RATE/k2 /►�/NflNC// 1 RESERVE LEACH/N6 AREA '�-� q SQ. FT. "✓ s�3 s n.L 2,v -7 ' A n LAN OF �f0 F 19 S 7 f_ ' L t� T- ffaad� /VJ A AS 76 A 5 P)JROBERT � L- RUCE �G`` V A , �, MSnvla` U[ ELDR D d U MORSE �, ELOREDGE�/�iG/NCR/I i !A/C. A A p No.30951 0 k 7..6 9o�FGIST yp SiIRyEiO �rS/ONAL.EN� W .NO 42#10ONP ;-V,4r a 1�NCOlJNT1�'REO, CA./.E•NT GRO UNO, N/./!TER AT ELEI/ _ JOB ND 3 2-2-L A SHEET Z OF GRADE D -FINISH G E OVER BOX 108,9 _ GENERAL FINISH GRADE'. OVER CHAMBERS = 108.7 - 1 G E E AL NOTES T.O.F. EL.- 111 .1 _ 09.0 0 I PROVIDE EXTENSION-RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2/o MIN. OVER SYSTEM 3/4"TO 1-1/2" DOUBLE WASHED 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS STONE TO CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL OUTLET TO WITHIN 6"OF F.G. ee MIN SLOPE 1% "� " CODE AND ANY APPLICABLE LOCAL RULES. BOX TO F: E F 1 GRA DE G, (SEE NOTE 21 2 O /8 TO 1/2 DOUBLE WASHED FINISH '+ F.G. OVER TANK EL. -109.5 ± 5 DIA. OUTLET(S) ( ) 1 9.8 _0 FND. EL. STONIE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN.MUST BE APPROVED BY THE BOARD OF HEALTH AN THE E D DESIGN ENGINEER. 20"MIN.ACCESS TOP F A = ' PLACE RISERS ON ALL O S s 1 ee P. F 3 06.03 TY O COVERI ,e 9 MN,e 3.( ) CHAMBERS WITH 4 H 4 SCHEDULE 0 PVC-PIPE WITH I . H WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROPOSED 4 e, 9 MIN.MAX.6 ee EXISTING 4 !P �. .._.u,_�� . _ _, �.�- »-m,�a,...-.� #-_ PVC SEWER PIPE 105.20 36 MAX. BREAKOUT EL= 105,70' INLET PIPES TO 6 OF SYSTEM UNLESS OTHERWISE NOTED: SEWER PIPE FINISHED GRADE rr�r _ 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN ~� 6" 3" 3" DROP MAX 9„ L=30 ± WATERTIGHT ELEVATION = 105.70' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A _ _ 2 DROP MIN 3 _ MIN.SLOPE@1 PROVIDE WAT 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 4" PVC IN FROM JOINTS (TYP.) � ,� 13" ee - o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 0 TANK 4 PVC OUT TO C� CI � C� � 0 � C� � 0 0 0 0 � e � SEPTIC o 0 I o 0 14 07.1 ± LEACHING FACILITY o0 00> 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 0 00 0 0 II 12" 6" oo o o 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. CONTRACTOR TO PROVIDE CONTRACTOR SHALL CONTRACTOR SHALL 2 o 105.87' MIN. 105.50' © 0 0 0 0 0 Q 0 o0 OUTLET TEE 7. .LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK SPECIFIED DROP BETWEEN VERIFY SIZE AND 48" VERIFY CONDITION OF 00 o p oo FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS INLET AND OUTLET CONDITION OF EXISTING TEES GAS BAFFLE 6"CRUSHED STONE o 0 o CD NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY a °° 0 O FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 4 0' ( AND DESIGN ENGINEER. 8.5' TYP 4.0' 5 ( ) 4.@ 4.g3' 4 0 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF OUTLET DISTRIBUTION BOX TYP. 110.00' ESTABLISHED ON THE CORNER OF THE BULKHEAD AS SHOWN ON PLAN. - I TO BE INSTALLED ON A LEVEL STABLE 25.0' ( ) 9: BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV.- 97.70 CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION 103.20 12.8 3 THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK SITE ON S AT PI PESLEVEL. EXISTING ,500 GALLON CONCRETE SEPTIC TANK5' MIN. CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES 2 - 500 GALLON CHAMBERS CROSS SECTION VIEW TO THE DESIGN ENGINEER. p ` TYPICAL CHAMBER PROFILE �+ CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANKPROFILE DISTRIBUTION D A L C 'I L7 R DETAILS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE I TO ANY WORK& NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE WATERTIGHT. . _ -•- 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING ;�,. .. TEST FAIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOTES: PERC NO. TPT-19-175" APPROPRIATE AUTHORITY, f INSPECTOR: David W.Stanton, RS 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED E PLACED ALONG THE TOP EDGE OF EACH SEPTIC I 1.) MAGNETIC MARKING TAPE SHALL B ' SYSTEMCOMPONENT. - o �- ®N E I I EVALUATOR: Michael Pimentel, EIT,CSE UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR RAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. C.S.E.APPROVAL DATE: Oct.Ot27, 1999 w._ h 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED October 7, 2019 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES: LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. DATE:- } HEALTH IF OILS ARE NOT CONSISTENT WITH TEST PIT#: 1 REPORT TO ENGINEER AND LOCAL BOARD OF HEAL S ) 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE TEST PIT DATA. F ELEV TOP= 108.70' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, 3.) PROPERTY IS LOCATED WITHIN THE GROUNDWATER PROTECTION OVERLAY DISTRICT AND , ���� � � � � - �� ��.� �� ELEV WATER- � <97.70 FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). ESTUARINE WATERSHEDS. ; .; '�"°••„ _ PERC RATE <2 min./inch 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ', _ ��� � ._- __.. •,,- ____ � . - .�_. LOCUS _:.) g DEPTH OF PERC=� 42"-60" 16. PROPOSED PROJECT IS LOCATED WITHIN: TEXTURAL CLASS: 1 ASSESSORS MAP 31 PARCEL 9 , OWNER OF RECORD: RYAN BARNICLE & DANIELLE MELLOTT . 0" 108.70 ADDRESS: 3 NATHAN PRATT DRIVE, APT. 203 / + Fill CONCORD, MA Y • r 1 4" 108.37' FEMA FLOOD ZONE X EXISTING LEACHING PIT TO BE • 1t COMMUNITY PANEL# 25001 CO537J _ Sandy Loam PUMPED, FILED WITH CLEAN + r� r+ B SAND &ABANDONED , w' ? - _ 10Yr 5/6 17. DEED REFERENCE: BOOK 29420, PAGE 40 TING 1 000 GALLON SEPTIC / (4c.� r ' EXISTING s , � (APPROXIMATE � TANK TO BE UTILIZED IN THIS DESIGN /} o ( �- O - -'» „ 18. PLAN REFERENCE: PLAN BOOK 374, PAGE 93 O Perc - 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 60 103.70 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USE ONLY ZONE li > f, � t ,,, , � •� FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT A ,.BUMF ANY LIABILITY.. FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. ee 21. A 4 PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A i / \ T ... t T •'i Med. to Coarse Sand ee _ ? DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A C 49 I, f n 5Y 6/6 REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. MAP 31 } LP �r' 109x2 � 22. CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AIND ALL REQUIRED PERMITS AND $e, APPROVALS FOR THIS PROJECT. LOT 8 Benchmark LOCUS PLAN x ' D 109 6 x ' 109 9 ! EXISTING DISTRIBUTION �"\ Bulkhead Corner o°j 23. IN ACCORDANCE.WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE Elevation=110.00' ^ / SOX TO BE ABANDONED SCALE: 1"= 1000' APPROVAL IS REQUESTED FROM 310 CMR 15.211: \/ 12 (APPROXIMATE LOCATION} 132" 97.70' 1. '- ' A 5.0 WAIVER r x. M.S.L. E 20.0 15.0 FOR THE SETBACK FROM THE SAS TO THE A o EXISTING HOUSE \�\ PP 109x2' FULL BASEMENT. No Mottling, Standing or Weeping Observed J e ar DESI GN DATA TEST PIT DATA LEGEND �- 108x6 / DECK s k TPT 19 17 5 ti - -f- 4 F PERC NO. 0 50x0 EXISTING SPOT GRAD { E I _ NUMBER OF BEDROOMS EXISTING 3 INSPECTOR: David W.Stanton RS I e _ f I 109x5 NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pimentel, EIT, CSE - 50 _ EXISTING CONTOUR #156 PROP. TP 1 ' Oct. 27, 1999 10$x7 C.S.E.APPROVAL DATE. ,r 110 O i� / DESIGN FLOW GAUDAYJBEDROOM 50 PROPOSED CONTOUR � -•!� O CO OUR I . EXISTING D-BOX �� MAP 31 3-BEDROOM +:i ..:;.: O .,_;:::'': 108x5'� DATE: October 7,2019 L07 9 J S� O TOTAL DESIGN FLOW 3® GAUDAY LSA EXISTINGLANDSCAPED Q- k, DWELLING 2 S AREA 48_S.F. J TEST PIT#: .i 59,0 � I� ':: •:'.> �./ - DESIGN FLOW x 200 % = 660 GAUDAY O ❑ H/W EXISTING OVERHEAD S O E D UTILITIES T 1 I T F 111.1 _ `I� ELEV OP 09.00 O USE EXISTING 1,500 GALLON SEPTIC TANK .,t 'I I 109x2' 190x0 .�/ W W EXISTING WATER LINE TP 2 ELEV WATER= <98.00 f / \ / PERC RATE _ A f GAS EXISTING GAS LINE _ 0 _ / GREGATE AL. HAMBERS w/ AG I / \ INSTALL 2 500 G C 0 0 DEPTH OF PERC= O .�� � � \ �/'� _ SIDEWALL CAPACITY � TEST PIT LOCATION �\ GPS 3 f�� PROPOSED 2-500 GALLON TEXTURAL CLASS: 1 (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY GPS z LEACHING CHAMBERS � - (25.0'+ 12.83')(2 } (2' ) (0.74 GPDlS.F.) =112.0 GAUDAY EXISTING 1,500 GALLON SEPTIC TANK j o f s / � 0 2 \ P ee_ e 6 _ � - SCALE: 1 20 SWING TIES L � / PROPOSED ee , I f 109 0 0 ,e INSPECTION PORT BOTTOM CAPACITY 0 PROPOSED 4 SOLID SCHEDULE 40 PVC PIPE I V 3 DESCRIPTION HCA HC-2 Fill / _ f (LENGTH WI WIDTH) 0.74 GPD/S.F. GAUDAY x D e� e PROPOSED DISTRIBUTION BOX �I 4 108.67 G O = e 2.5.0 x 12.$3 0.74 GPD/S.F. 237.4 GAUDAY CORNER OF STONE 1 20.2 41.1 _ / B Sandy Loam O PROPOSED 500 GALLON LEACHING CHAMBER / 3 CORNER OF STONE(2) 45.0' 62.4' 10Yr 5/6 TOTALS: d � STONE 3 45.8 68.8 CORNER OF S O ( ) 2 - - " ' F AMBERS ^- TOTAL O CH "v � 42 105.50 REV. BY DATE APP D. COR NER OF STONE 4 21.9 50.4 E DE SCRIPTION O /Q G TOTAL LEACHING AREA 472.2 SQ.FT. j h �� /� ♦ / 3� - CAPACITY 349.4 GA ./DAY • 3 yo 1�,. MAP 31 TOTAL LEACHING cAPACI L PROPOSED SEPTIC SYSTEM UPGRADE LOT 10 � o _ PREPARED FOR: �. 0 �- CAPEWIDE (ENTERPRISES � s I C-z y � M . to a an Med. Coarse Sand G O � (2 2.5Y 6/6 G LOCATED O C ED AT J I - '9 .o O / 156 SANT IT �U N WT 1 E OWN ROAD #156 i MARSTONS MILLS, MA 02648 I EXISTING I 1 5• 1 3 � 3-BEDROOM . :�.:,;.... SCALE: 1 INCH = 20 FT. DATE: OCTOBER 7, 2019 DWELLING i� e: .,:: 0 132" 98.00' I OF ASS 0 10 20 40 80 FEET i C-1 / I s� No Mottling, Standing or Wee in Observed / i 9, 9 P g cs I 4 ( G JOHN L a PREPARED BY: � CHURCH I RESERVED FOR BOARD OF HEALTH USE C lL JR. t7 vt L JC ENGINEERING, INC. No. 41807 1so 2854 CRANBERRY HIGHWAY EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 - Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.4854 SCALE: 1"=20' I I I