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Home My WebLink About0235 SMOKE VALLEY ROAD - Health X235 Smoke Valley' Marstons Mills A = 097 - 008 - -J TOWN OF BARNSTABLE LOCATION S,An tee, /►IIe-, kd SEWAGE# 20 (I - 41`)' . VILLAGE "^r"�USSOR'S MAP&PARCEL R7 O INSTALLER'S NAME&PHONE NO. S L1,C Sd�=�IJ�SF7) SEPTIC TANK CAPACITY A500 G cd H d0 LEACHING FACILITY:(type) qlff 6-Q1 1&*J lm cha,44ni(size) V X laZ� NO.OF BEDROOMS ' OWNERv 4If� T PERMIT DATE: /Lq- L q- Zp t3 COMPLIANCE DATE: /O Z Separation Distance Between the: r Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility �QFeet Private Water Supply Well and Leaching Facility(If any wells exist on A/ site or within 200 feet of leaching facility) !V Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) [[ � Feet FURNISHED BY er s�„Q.,.��o{,, ►�T'Cr 0^.'�t 9 �-4-c - " 3 A A-G 1397=171,a` a7 t'+(o Ll No. go Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppliCatlon for Misposal *pstrm Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.d3 S 5ok tl74S A0 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel —1 o M4 a 15,72 NUJ 5W eer &<Y edp-aLA9 p4 crL Installer's Name,Address,and Tel.No.S 6F5 -Y 7,7 ",Y$-77 Designer's Name,Address,and Tel.Nos. 19,X73—03;7-7 Coo PO,.3 t D& QC3T Er UC_ C L=�JC--to b-t3f_tk& Cu 12u s-r t P 6Z� E—"'" Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building 62.ESI DELIT(A((,, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 50 1 t gpd Plan Date t b"a3—0101 Number of sheets Revision Date Title�� StaGefG-€ 1/t�C4�Z.l �C�-� �5't�Y�C-LLB Size of Septic Tank 1,5'00��.rl.L1G� ^ Type of S.A.S. 4_. 9 SOD Description of Soil (2C>& '5 ��1�-^ � 4 �V�IV Nature of Repairs or Alterations(Answer when applicable) N(71Q j gC nn L )t W_) Neu—) D -- 0, -r q d r- 44-4-otZ %Ae �t� gvu�tx Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of He,lth. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 90 15 Date Issued No. dC I� Fee THE C010,MONW,EALTH OF MASSACHUSETTS- Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for Misposal 6pstrut Construction j3erniit Application for a Permit to Construct( ) Repair( ) Upgrade( ) `Abandon( ) [:]Complete System ❑Individual Components Location Address or Lot No.a3 S Sdk OKE I!l AJ. P_ Tt'p Owner's Name,Address,and Tel.No. h A44RICIto B UUW�G U6AC'rV Assessor's Ma /Parcel TRU$'P p a i I W SW eVr Gl PALAg dJjU 9��. Installer's Name,Address,and el.No.ytjS_gj*r -,9277 Designer's Name,Address,and Tel.Nos d73•-037.1 Col PGL.�I D&- Sv lSf s'(,cG c. 2ia—to e-9f114Zr 57- t1A�1 Type of Building: Dwelling No.of Bedrooms 5 Lot Size 1.ZQ sq.ft. Garbage Grinder( ) Other--Type`of Building ape( 1TI d}(f No.of Persons Showers( Cafeteria( ) Other Fixtures F Design Flow(min.required) 5 50 gpd Design flow provided � ��/i f gpd Plan-, Date .•' ! h-"a�- r9_0(2 Number of sheets Revision Date .,Ti le _.wore, ti4u Wit/ RC#+-6 a57F*_11 cA L Size of Septic Tank ( 0D< upnJ Type of S.A.S. (AD�&.r14,Lw Lti�Wks*=& Description of Soil ,., Nature of Repairs or Alterations(Answer when applicable) i�1 F-1 D ) k AX ,5j4' C,74"4- `' N�a D A0K 70 41 inn C-* ) 4&4<'u19 4140� cad IP4 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. Signed � Date '",W Application Approved by Date /U' j-LJ"! 3 Application Disapproved by Date for the following reasons Permit No. 9015 It Date Issued T1-I L' COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by 62,64 AE-w!DC CP T5Q nQ II L.LC at a 35 : 7QO14_t=_7 (jWC1 s been constructed in accordance l with the provisions of Title 5 and the for Disposal System Construction Permit No.-1 b 1 3 1 f�` dated Installer (�A jD I V E EXI` 8R fiXtfr LQ<__ Designer #beldrooms -5 Approved design flow 5 1 gpd The issuance of this permit shall not be construed as a guarantee that the system V 1 fu�ncction dessiiggnnned: Date U l C, ��,��-�ii!/�(V, M Inspector No. ( t I Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at 03s: S=416rG E VfFLc.eLi and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date /O - A L( f 3 Approved by Town.of Ba rnstable rD 11 Department of Regulatory Services ° sAnnarwer� : Public Health Division bate " M.AO& �a19. �d,� 200 Main Street,Hyannis MA 02601 Date Scheduled— �V OWTime Fee 1?d. " Soil Suitability Assessmentfor Se r Performed By:_HiC,�GA Ptmeol fA CI•'f (5C Wifiessed By: I LOCATION dui GENERAI.IlVF'ORIVIAT'ION Location Address Z3 Owner's Name '2 ucic e�7 Y I Address Assessor's Map/Par 1: l �0 �I J g En sneer's Name 4«cn5@��k vtiJ;cC� b��c��AS 5G C-f�5ineertn5 NEW CONSTRUCTION REPAIR Telephone# SOb-2 7 3-L)3 7 7 Land Use rr,yl e. �ami 7 � Awt5 Slopes(`Yo) 2- Surface Stones — Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line 10 ft Other f[ SIMTCH:(Street name,dimensions of for,exact locations of test holes&Pere.tests,locate wetlands(n proiM y to holes) O ro e� can j Parent material(geologic) Ou WG5�1 Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Race Estimated Seasonal High Groundwater 7 LQ b5 S DETERMINATION FOR SEASONAL IIIIGH WATER I'ABI.,E Method Used: DCreck Obw,)ez}6co Depth Observed standing in obs.hole: 7 I LO In, Depth to soll mottles: ]n, Deptli to weeping from side of obs.hole: in, Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.&ctor,,,,,,,m,: Adj.Oroundwater Level n PEI RCOL,ATION TE ST Uate /0 21-13 '>hne_ 0,4/1 Observation Hole# Tlnte at 4" Depth of Pere. Time at 6" i V Start Pre-soak Time @ Time(9"-6") r / 09aM It,3sa�n End Pre-soak Rate Min./Inch -, 2' 42, Site Suitability Assessment: Site Passed 7 e5 Site Failed: Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\.S EP'PIC\PERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole.# Z Depth from Soil Horizon Soil Texture .Sdil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,Boulders. onsistericjai, el) "32- L S 32•-72- C—1 C S 2-.`(�°A 10 20`�� 72,12-0 C-Z DEEP OBSERVATION HOLE LOG Hole# 3,lrY Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% ravel LS Oyr_3/i 72-1'Lv C-2 HS DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) — - (USDA) (Muusell) Mottling (Structure,Stones,Boulders. . C t Con i to c Gravel) i t III VEEP OBSERVATION HOLE LOG mole# Depth from Soil Horizon Soil Texture Soil Color soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, 6 a a I'lood Insurance hate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No f Yes Within 100 year flood boundary No ✓ Yes Depth of Naturally Occurring_Pervious Material Does at least four feet of naturally occurring pervi us material exist in all areas observed throughout the area proposed for the soil absorption system? q If not,what is the depth of naturally occurring pervious material? Certification I certify that on �0�27-9 9 (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 training,expertise anj experie ce described in 10 CMR 15.017. Signature Date %a-23-13 Q:WEP nC\PERCFORM.DOC %■ %■ :: Town of Barnstable ■ 04 Regulatory Services Thomas F..Geiler, Director • MA".[.E, � Pubtic Health Division M�&6. �� Thomas McKean,Director '0�eo Mue.� 200 Main Street, Hyannis, MA 02601 Officc: 508-862-4644 Fax: 508.190-6304 Date: 10'21-I Sewage Permit# Zo �3-mil ►�I Assessor's Map/Parcel q7 1 © 8 Installer& Designer Certification Form Designer: 5C En. toeer(n Too, Installer: Co u;;cle- 6o erPr(sz5 LLCC Address: 265y cconinercV lit,hw�/ Address: I Co"11w-elL_,_U Sv ( . Ea.s i w�re h n rYl F !-1 ft' a z�3 8 _�� u1��✓1 On 1. Clx�rfn)-0 was issued a permit to install a (date) (installer) . septic system aT 235 5foo ke- V o Il er oa� based on a design drawn by (address) X Enn(#jeer(nS , Tg)c. dated 644e 7-3, 2013 (designer) I certify that the septic system referenced above was installed substantially according to Elie design, which-may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory, I certify that the septic system"referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to tollow. Stripout (if reql nspected and the soils were found satisfactory. OF Mk4,C - JOHN L CMUiiC•tI:L , JR. I (II aller's�Sig Lire) No Iao7 �s1EF". esigner's Signatur (Affix Zesi er s omp Here) PLEASE RETURN -0 BARNSTABLE PUBLIC HEALTH DIVISION CERTIIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q loll I'umu\doigncrccniricoliun IIMTI IUu; TOWN OF BARNSTABLE . L.00ATION SEWAGE # VILLAGE /✓� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. S g ;> SEPTIC TANK CAPACITY d LEACHING.FAC (type) ` (size) "NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: —� COMPLIANCE DATE: ..Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching FacilityIf an w ( we lls s ex ist on s' Y st site or within ttlu n 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by Feet -J i i I I O-d 1 t TOWN OF BARNSTABLE ;.LOCATION _ 3 5 S rrmo ky_ VA l l%e 91J SEWAGE # 7� b .::MLAGE O''L�-r 'E_, O ASSESSOR'S MAP & LOT O I "INSTALLER'S:NAME&PHONE NO. WEE. F&n 50 n 5:p+ i L 7(o ..SEPTIC TANK CAPACITY I5QQ `LEACHING FACILITY: (type) 3 in n.jr i M i'2 r_3 (size) NO. OF BEDROOMS BA Lk r3 BUILDER OR OWNER PERMITDATE: _ h— COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist < .on `site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i of 1-I oust. 35 (,11HEA DATE: 9/15/97 Cr;PERTY ADDRESS: 235--Smoke Valley RoadR15CE'V"® 81997 rn ^4.LS SsSEP :� 8 1997 Bq�csr02655 HEAMIDEPT.TO MV OF BARNSTAGLE On the above date, I Inspected the "ptic system at the -above address. This system consists of the following: I . 3.-6 ' x8 ' . block cesspools . ease-d on my Inf�c�ectlon, I certify the following conditions: 1 . This is not a title five sep.tic system. 2 . This is a sewage system that*3dry and is in proper working order at- the present time.' 3 . The sewage. system is about 35 years old. 4 . Front cesspools service the kitchen laundry 2-Bath 5 . Rightrear cesspool services the 1 -Bath • SIGNATURE: Name J P Macomber Jr_ ---- ------ Company:_J. P`Macogber &- Son_Inc . Address ' •--seat-bb-------�------- ' - --CentervilLe �Mass__02b32 Phone :---SO8_Z7 -.3338------- • 1 THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY )OSEPN P. MACOMBER & SON, INC. Tanks-C*upools-Leschf lelds Pump+d 9, Installtd Town Sewer Connections P.O. Box 66 ' Centerville, MA 02632.0066 775.3338 775-6412 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON. MA 02108 617.292.5500 N ILLIASt F H ELD TRI D1 CO Goscmor "' `L ARGEO PAUL CELLUCCI D \ID B STRI Lt Goscmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Corr..miss,o PART A CERTIFICATION Property p rt 235 Smoke Valle Road M A&16 Pro a Address: 9 1 5 97 Y �T `�f Owner: Date of Inspection: (If different) Name of Inspector: Joseph P. Macomber Jr . I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000) Company Name: Joseph P. Macomber & SQU, Inc . Mailing Address: 'BOX Center M 2-0066 Telephone Number: — — CERTIFICATION STATEMENT I cenify that I have personally inspected the sewage disposal system at this address and that the information reponed 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 ano maintenance of on-site se age disposal systems. The system: Passes Conditionally Passes Ni—eic F„nhcr Fv;ihi;mnn Rv the I nral Annrnvine Authority Inspector's Signal e The System Inspector s'iall submit a copy of this inspection report to the Approving Awhonry within thirty (30) days of completing mis ,n9peClion 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 repon to the appropriate regional office of the Department of Environmental Protection. The original should be sent to ri-)e synem owne and copies sent to the buyer, if applicable, and the approving,authority. INSPECTION SUMMARY: Check A, B, C, Or D: A) SYSTEM PASSES: ` k have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR t S 303 ,\n failu a criteria of evaluated are indicated below. Y �- COMMENTS: Dt,L1o, �Li4S PiY� ja �x�3 J�OJ^ t'S_ B) SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired The system. upon completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain wn) not The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Ceriiiiuie of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection o, the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or ex-filtration or rank 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. (r.vi..d 04/25/97) Page 1 of 10 DEP on the World Wide Web, hrtp:l/www.mapnet state.ma usrdep Printed on Recycled Paper 91' SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 235 Smoke Valley Road Osterville Ma owner: Estate Of Wilfred Godfrey Date of Inspection: 9/1 5/9 7 B) SYSTEM CONDITIONALLY PASSES (continued) 41e4e-1 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) FURTHER EVALUATION 15 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 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. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE 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. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. _,W�j�,s 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 less than 5 ppm. Method used to determine distance ti/g (approximation not valid). 3) OTHER (rwi..d 04/25/97) Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address:235 Smoke valley Road Osterville Ma Owner: Estate Of Wilfred Godfry Date of Inspection: 9/1 5/9 7 D) SYSTEM FAILS: You must indicate er, et "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 No 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 lev�jl�in the distribution box abo e 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 cloggguj or obstructed pipe(s). Number of times pumped __O. 7N0115*,, hl4 S kE�b UH4X4 i k�/v 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 portion 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) LARGE SYSTEM FAILS: You must 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 No �,rLd7 the system is within 400 feet of a surface drinking water supply /VZr the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area - IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and.facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. trovised 04/25/97) P&ge 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 235 Smoke Valley Road Osterville Ma Owner: Estate Of Wilfred Godfry Date of Inspection: 9/1 5/9 7 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 if 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,:Akcluding 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 Sub Surface Disposal System. Existing information. Ex. Plan at B.O.H. 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 Properly Address:235 Smoke Valley Road Osterville Ma Owner: Estate Of Wilfred Godfry Date of Inspection: 9/1 5/97 FLOW CONDITIONS RESIDENTIAL: Design flow. _g.p,d./bedroom for S.A.S. Number of bedrooms: �_ Number of current residents: Garbage grinder (yes or no). 0GO Laundry connected to sysi m (yes or no): 7 Seasonal use (yes or no): S water meter readings, if available (last two (2) year usage (gpd): IV?/ 1639��y Sump Pump (yes or no):_A2� /A!Y) "/"4:a Last date of occupancy.4wx 4 r"-/s�� J� COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: ylJ Igallons/day Grease trap present: (yes or no&-,,W industrial Waste Holding Tank present: (yes or noV�' Non-sanitary waste discharged to the Title 5 system: (yes or no)&Y V\'ater meter readings, if available Last date of occupancy: lew OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of 15fo mat ion: System pumped as pan of inspection: (yes or no)A�0_ If yes, volume pumped: 4 gallons Reason for pumping _� TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, anach previous inspection records, if any) f I/A Tech ology etc. Copy of up to date contract Other Z APPROXIMATE AGE of all components, date installed (if known) and source of information: Sewage odors detected when arriving at the site: (yes or no) (r.vij.d 04/25/97) D.q• 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:235 Smoke Valley Road Osterville Ma Owner: Estate Of Wilfred Godfry Date of Inspection: 9/1 5/9 7 BUILDING SEWER: (Locate on site plan) r/ Depth below grade: .Material of constrvction .1 cast iron,_ 40 PVC _ other (explain) Distance fro rp.tpriva a water supply well or suction line Diameter � Comments: (condition of joints, yenting, evidence of leakage, etc.) _ loll 1 ,4 SEPTIC TANK:/Li" (locate on site plan) Depth below grade: Material of construct ionV0 concreted 4meta"iberglass,t PolyethylenA�Ather(explain) If tank is metal, list agelf2d Is age confirmed by Certificate of Compliant (Yes/No) Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffler Scum thickness: Aw Distance from top of scum to top of outlet tee or baffler Distance from bosom of scum to bonom of outlet tee or baffle: .04 How dimensions were determined: Comments: trecommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) GREASE TRAP: !we— (locate on site plan) Depth below grade Material of construction il oncreteU/ netaL( FiberglasA,lJ ol yet hylenefj&ther(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffler Distance from bosom of scum to bottom of outlet tee or baffle:Azef Date of last pumping:` Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evi nce of leakage, e�� i n i^Q A'n./� E (r.vi..d 04/25/97) P.g• 6 of 10 . U SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 235 Smoke Valley Road Osterville Ma Owner: Estate Of Wilfred Godfry Date of Inspection: 9/1 5/9 7 TIGHT OR HOLDING TANK: !� 63ank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grader Material of con struction.f)Aconcret&VAmetaLVqFiberglasW,4Polyethylenet)Aother(explain) Dimensions: AM Capacity: 4J/0 gallons Design flow:_ 14 gallons/day Alarm level Alarm in working orderV4 Yes;A/A No Date of previous pumping: .( 19 Comments. (condition of inlet tee, condition of alarm and float switches, etc.) L —� -— -- DISTRIBUTION BOX44Q-0 (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.) - 1 PUMP CHAMBER:21wel (locate on site plan) Pumps in working order: (Yes or No)�� Alarms in working order (Yes or No)!L Comments: (note condition 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) Properly Address: 235 Smoke Valley Road Osterville Ma Owner: Estate Of Wilfred Godfry Date of Inspection: 9 1 1 5� 7 SOIL ABSORPTION SYSTEM (SAS): (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: leaching chambers, number: leaching galleries, number:= leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Alternative system: AA Name of Technology: A719`. Comments: In to conditip� of s il, signs hydr lic f ilure, le el of pondingz condition of ve etation, etc.) J' B >1 CESSPOOLS: (locate on site plan) Number and configuration: r Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: %�'�r L� ✓ d� 14J`e, ly Dimensions of cesspool Materials of construction: Indication of groundwater. nflow (ces pool mu t be pum d as part of inspection) �!� T /97✓J_ Comments: (note condit' of soil, signs of hydrauli failure, level of ponding, condition of vegetation, et PRIVY: , tite � (locate onplan) Materials of construction: Dimensions: Depth of solids:—Z241 Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revisal 04/25/97) P.g. 8 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYS1 EM INFORMATION (continued) Property Address: 235 Smoke valley Road Osterville Ma Owner: Estate Of Wilfred Godfry Dale of Inspection: 9/1 5/9 7 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at Feast two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) C! -P \ �Y7 \ \ I I I I = I I I i lr.�i..e G1/15/07 -.. . ...... ......_._ ...._... ...- ----Paq• 9 of-1-0-- .-.. ._..._ ._ .._-----. ...... ---.. ... . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:235 Smoke Valley Road Osterville Ma O"ner . Estate Of Wilfred Godfry Date of Inspection: 9/1 5/97 Depth to Croundwaiej&4y- Feel Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record _el Observat,on of Site (Abuning property, observa�tlo=`hole, basement sump etcJ Determine it from local conditions Chet" ••.uh local Board of health Check FEMA .Maps Check pumping records _ Check local excavators, installers Use IuSCS Data Describe n Your o•^ words hos. you Pktablished the High Groundwater Elevation. (Must be comol-t-1 J.P.Macomber & Son Inc. . Has installed systems ,at .120,.:Smoke Valley Road Ostervl1--�- Mass . Permit 9 95 170 Smoke Valley Road Osterville Permit # 85-580 . . No water encountered at 14 ' . (r.vi..d 0�/35/971 P&g• 10 of 10 rowN OF Barnstable WARD OF HEALTH SUIISURFACF 9FWA(;F, DISPOSAL SYSTEM IN811FCTION FORM - PART D - CFRTIFICAJIUN -TYPE OR PRINT CLEARLY- PROPERTY INSPEC7'ED STREET ADDRESS 235 Smoke VALLEY Road Osterville,Mass . ASSESSORS MAP , BLOCK AND PARCEL # OWNER ' s NAME Estate Of- Wilfred Godfrey PART D - CERTIFICATION NAME OF INSPECTOR Joseph P . Macomber Jr . COMPANY NAHE Joseph P. Macomber & 'ffon , Inc . COMPANY ADDRESS Box 66 Centerville , Ma . 02632-0066 Street Town or City S t A t I tIP COMPANY TELEPIIONC (508 ) 775 -3338 FAX ( 508 ) 790 -1 578 CERTIFICATION STATEMCNT v I certify that I have personally inspected the sewage disposa-1 system n L h i s nddress and that the information reported is true , accurate , and complete as of the time of ,inspection . The inspection was performed and any recommendations 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 : CXXXXXXXXXXXSystem PASSED The inspection which I have conducted has not found any information which indicates that the system fails to adequately protect public healLh or Lhe environment as defined in 310 CMR 15 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA sectio:l o : Lhis form , System FAILED* The inspection which I have conducted has found that the system fniis :c protect the public health and the environment in accordance with Tirl 5 , 310 CMR 15 , 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form , .inspector Signature A,'/z/11k441", Date 9/15/97 ne copy of this certification must be provided to the OWNER , the BUYER here applicable ) and Ghe 130ARD OF )ILrnL'I'll • If the inspection FAILED , the ownor or operator ahall upgrade tho 5yoterr. it- Pin one year of the date of the inspection , unless allowed or require-' otherwise as provided in 310 CMR 16 . 305 • Partd . do <� W 7 _ � Sbj1f 3J71 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION BE IT KNOVVN THAT Joseph,P. Macomber, Jr. Has satisfied the Department's qualifications as required and is hereby authorized to use the title CERTIFIED TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15.340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection_ lunc a. 1995 Acting Dircctor of the on of Watcr Pollution Control TOWN OF BARNSTABLE r °G UKATION Q 3 J On 0 k2, VA i i SEWAGE # VILLAGE OS"I'o �' + E ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. o C,` Roo a n so n 594+ +t- SEPTIC TANK,CAPACITY 1-500 LEACHING FACILITY: (type) 3 in A.k t m i T e r3 (size) �2-F 4- NO.OF BEDROOMS (?)AK.k 3- j/�� C-1� BUILDER OR OWNER Chi�,7 c. k* `C V ICJ PERMTTDATE: _ �a- �1 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any-wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by ,,,__,' 5 � �. ^ .i� ,9 y. i � '� �S _ ��,. `�: �\ 0/r / `' TOWN OF BARNSTABLE 1� LOCATION ,,13 ZC 5 wl 0 U,6 i I C-V 2 d SEWAGE # " VMLAGE_(O.) 1 tt ASSESSOR'S MAP & LO boa. INSTALLER'S NAME&PHONE NO. Zo „S-`?-7 7 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 4/— AP . -06®5 14 6 (size) ;L� NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: C COMPLIANCE DATE: G ' Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet. Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by _ N � rA- © T � _ w , - a} V, TOWN OF.-BARNSTABLE .� LOCATION SEWAGE I VILLAGE ` ��/(, ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of/leaching facility) Feet Furnished by J. y I /45 ��5 Smoke: (lo lle y �'o No. D > Fee $50. 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: '. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZIpprication for Migogal *pe;tem Construction Permit Application for a Permit to Construct( )Repair(xx�Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 235 Smoke Valley Rd Owner's Name,Address and Tel.No. 7 81 —7 2 9—7 8 9 5 ¢s�.ervl�le,Assessor's Map/ParcelMA Mortimer Buckley 20 Foxcroft Rd AA A A Winchester, MA 01890 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Service P O Box 1089 , Centerville, MA 02632 Type of Building: Dwelling No.of Bedrooms 4/5 Lot Size sq.ft. Garbage Grinder( n)D 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 sand Nature of Repairs or Alterations(Answer when applicable) T i 1 s p t i c consisting of 2 — 1500 gallon tanks, 2 D—boxes, 3 maximizers and 4 H-20 maximizers. 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 Bo of F141th. Signed + o Date Application Approved by Date Application Disapproved or the following reasons ` Permit No. Date Issued 1 I 0 ' � S0.00 / ' No. . ''`.,^..^�^:,....,•:....... �'�1� ; Fee THE,COMMONWEALTH OFF ASSACHUSETTS Entered in computer: PUBLIC-HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes r ��Yication fvr��ig��o�ar`-�pgtern �ongtruction �erntit Application for a Permit to Construct( )Repair(XX)Upgrade(i )Abandon( , ) ❑Complete System ❑Individual Components Location Address or Lot No. ',235 Smoke VaFl l @y Rd Owner's Name,Address and Tel.No. 7 81 —7 2 9-7 8 9 5 Assessor'sMap/Parcel QS�e-rvi-l-le, MA f Mprt6mer Buckley 20 Foxcroft Rd AA tAWinchester, MA 01890 Installer's Name,Address,and Tel.No.. � i Designer's Name,Address and Tel.No. W ERRobinson Septic Service P 0 Box 1089, Centegvill.e . °MA 02632 " 'Type of Building: J __1 Dwelling No.of Bedrooms 4,15 Lot ze y:ft. Garbage Grinder Other Type of Building I t,P,sons } 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 sand . Nature of Repairs or Alterations(Answer when applicable) Title 5 sent i c c onai s i na of 2 _ 1500 gallnn tanks, 9 n hoxEas, 3 maximizers and 4 H 20 maximizers. 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 Bo2Laof H lth. / Signed ! Date s Application Approved•b}_ Date �-- Application Disapproved f e following reasons f w Permit No;:' '� ate Issued TH1�C0 ONWEEAALTH'OF MASSACHUSETTS — g ( Buc9aey BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (XX)Upgraded( ) Abandoned( )by at 295 Smoke Valley Rd Osterville has be of onstructed in accordance with the provisions of Title 5:and the for Disposal System Construction Permit No. d,Md Installer W V. Rohi n-,can Septic SrV Designer / The issuance of this permit shall of be construed as a guarantee that the system will unction as designed. Date - L/.'" 8 Inspector No. Fee $5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION =BARNSTABLE, MASSACHUSETTS Buckley lwigpogal *proem Construction permit Permission is hereby granted to Construct( )Repair(X:j Upgrade( )Abandon( ) System located at 235 Smdbke Valley Rd Osterville, MA Tn at a l l ar W F Rnhi rtyron leapt i s Sery and as described4sin 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: Constru lion Yfiust be completed within three years of the date oft p it. e Date: Approved by /Y NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOU1T --ENGINEERED FLANS) 1, William.E.Robinson, Sr.. ,_hereby certify that the application for disposal works construction permit signed by me dated Y" ` /� concerning the property-located at 235 Smoke Valley Rd,Osterville.-_ meets all of the following criteria: * There are_no-wetlands within.100 feet.of the-proposed leaching facility. * There are-no private wells within 150 feet of the.proposed septic system. * There_is.no increase in.flow and/or_change,in-use.proposed. * There are no variances requested or needed. * If the proposed leaching facilitywill.be located.with 250 feet.of any wetlands,.the:.bottom-of the proposed leaching facility will.not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation.(according to the Engineering Division G.I.S.map) .. g y. B)'Observed Groundwater Table Evaluation(according to Health Division well map) _ :-DATE LICENSED-SEPTIC SYSTEM-INSTALLER.IN THE TOWN OF BARNSTABLE-NUMBER 20-1998 (Attach a sketch.plan-of the:proposed system. Also if the licensed installer posesses a certified plot.plan, this-plan-should-be submitted).- J w �'e _ w ,� > :. w .,� '" _ Y Ge�Ut RO7EC - ..fit; ,F, ,ro ,:x.. saw Osmw ussiae _� ;:_.-:* , w> . x, g :'. . ,r r .,. , 1 n. -,. ._ ,, <,:. r ♦ .x. ,`�. ¢Ialiabi ba mB .v ,4._. .,,,,.. , .. ^q .. ..:.. r , . . .::•. r .itis:`„ ' .q1 _olaoeRy d ,:...-> }. .,+,>::>., .._,3.-. :-_.. .. 4,.„ r , ,:. .... '..-.,.i.1,.. i.: .,• 1 "y" , "D.ASisoNCa6e-.. ., , .w «.. . •.- .. l ,s. .,-.. _. ,. �,�:_ ,i. Q MdulecemYnfinenb'. c �. < * j't mO ng aeWis�ddem epe . `, i.:_ * �F. - 4::�T", :Ytm OB,aeU aW/019 pyfp¢xp FfbEeE . i - ,. • ' _'— s ,Ot a+e AtdvT0el and M.1„ol I.aaPted. - : .. , ,E. . ` - -%t I i .. ,,ri .' - - a116Mea bleleedaarro9+ar ele vlJlaat .. .. 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STRAP RE0. NOTE: RIDGE BOARD OR BEAM MUST NOT BE LESS I q <81-6" (1) 2 x— NO DEPTH THAN THE RAFTER END CUT. INCREASE RIDE <8'-O" (2) 2 x_ YES SIZE AS NECESSARY FOR FULL BEARING <12'-O" (5) 2 x— YES SHEATHING -SEE �D1 X2" 5HEATHING SCHEDULE FOR MIN. 2E BLACKING REOUIREMENT5 z PLYWOOD z STUD WALL JOINT'S WHERE STUD WALL � BOTTOM n REQ'D Y BOTTOM SILL PLATE SILL PLATE SCHEDULE IL FLOOR SYSTEM— WHERE APPLICABLE FLOOR JOISTS DOUBLE 2 x 6 SILL rr< DOUBLE TOP I REINFORCED SCHEDULE R it CONCRETE STUD WALL FOUNDATION 3" x 3" PLATE WASHER (SIMPSON BPI/2-3) I" VIA. ANCHOR BOLTS 4'-0" o.c.UNLESS NOTED OTHERWISE NOTE: NOTE: NAIL PLYWOOD TO SILL E TOP PLATE AND RUN CONTINUOUS NAIL PLYWOOD TO BOTTOM SILL AND LAP UP THE STUDS 12" MIN. OVER THE BAND JOIST- 12" IN BOTH DIRECTIONS. OPTION: LAP PLYWOOD ® CENTER;OF BAND J015T FLOOR TO FLOOR LOAD TRANSFER FLOOR TO FLOOR LOAD TRANSFER TYPICAL WIND TIE DOWN DETAILS WIND SPEED - 110 TO 120 MPH r 1 I r 4 WIND PROV 151 ON5 1 - CODE: 750 CMR 5th EDITION (I RC 200q) i - BA5I G W I ND SPEED: V=110 MPH (TABLE R301.2(4)), - EXPOSURE GATE60RY: C - WIND DESIGN METHOD: AF4PA WOOD FRAME CONSTRUCTION MANUAL 2001 NA I L I NS 50HEDULf LOCATION SHEATHINS FASTENERS SPAC I NS BLOCK I N6 REaU I RED EDGE F I ELD AT PLYWOOD JOINTS EXTERIOR WALL5 (EXCEPT DES16NATED YY PLYWOOD 8d NAILS (o" o.c. 12" o.c. YE5 SHEAR kNALL5) INTERIOR WALL5 y2" G.W.B. SCREWS 7" o.c. 12" o.c. NO ROOF 5HEATHIN6 Y2" PLYWOOD Sd NAILS 6" o.c. 12" o.c. NO FLOOR 5HEATHIN6 5/4" PLYWOOD 5d NAILS 6" o.c. 12" o.c. NO NOTE: P52 6RAPE 055 15 PERMITTED TO BE SUBSTITUTED FOR PLYWOOD. I , PEMA ZONE All (EL. 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PLANT BED x ....... . um, Date Description • i : IOAK TO / r E REMOVEDWALL 4' RETAINING : / < GATE 21 N. .,\ 25.5 g 4 ♦ j POOL__► POOL APRON 1, e 047 i • + ; • ; ♦ `t-4 / 25 , . � x , /:, : , : , , : ' I EXISTING TI N RESIDENCE LA E 2�.3. v 2.3' , , G I 25 : , , i , , GATE I i r. • I � �I At , SPA r. � I. ,b�HADE �. 2�.5 � i ............... StRUGTURE 1 I I _ i G E 29 I , a. I COD 10 I ❑ — OL FENGE 25 , v + - (4' HGt:} � - ca I w .:,......�. ...._.�. ... '�� OUTDO RELOCATED I* I I .a ' , , , Cj SEPtIc SYS EM ..,�.... � OW R E / OR POOL.EAUIPL".'iEIV1`' ... � 2 ♦ , , ♦ . '... MASONRY c • , �■� aD • � WALL ._ : , , COD , \ — : : O �4 ,,\ .. ' .. \.� , _ + \.\ / ! Drawn By: PK Checked By: DH 9 Landscape t� Permit •� Plan Oil 201 Scale: I tin 'Sheet: �r_ FINISH GRADE OVER D-BOX- 22.8,+_ T.O.F. EL.= 31.0�+ FINISH GRADE OVER CHAMBERS_- 22.0 _ 22.8 GENERAL NOTES "DOUBLE WASHED PROVIDE EXTENSION RISER SLOPE @ 2%MIN. OVER SYSTEM 3/4"TO 1-1/2 REMOVABLE WATER-TIGHT COVER OVER STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. 23.2,+ 2"OF 1/8"TO 1/2"DOUBL WASHED � FOUNDATION = 30.0�± 5"DIA.OUTLET(S) MIN SLOPE 1% BOX TO F.G. (SEE NOTE#21) STONE OR GEOT IL _ �_TER F IC CODE AND ANY APPLICABLE LOCAL RULES. @ 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 20"MIN.ACCESS " DESIGN ENGINEER. N. COVER(3 TYP.) E RISERS NALL Lr 36"MAX. w TOP OF SAS= 19,83' �CCHAMBER WITH w 9 MIN. 9wVIN. 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROP. SCH.40 36"MAX. " " PVC SEWER PROP. SCH.40 BREAK T EL= 19.50' I LET PIPETS TO OF 19.00 36 MAX. R`qp SYSTEM UNLESS OTHERWISE NOTED. ��" 2"DROP MIN. " " PVC SEWER _ FINISHED G E 4. TO PREVENT BREAKOUT,IL THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN � - MIN.SLOPE 1% 6 3 3"DROP MAX. 3 9 MIN.SLOPE 1% -�� PROVIDE WATERTIGHT ELEVATION- 19.50 FOR A DISTANCE OF 15 AROUND THE PERIMETER OF THE SAS. UNLESS A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 10" " 4"PVC IN FROM JOINT44�UT TO (NP) o 0 0 O CI C� o o 0 O 0 0 po THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 14 SEPTIC TANK 28.0 ± 21.00 LEACHING FACILITY pp o o `�' p 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. � 12" 6" oo 00 0 0 0 � 0 21.25 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 48w OUTLET TEE 19.40� MIN. 19.23� 2' p 00 p 0 0 0 0 pp 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 6"CRUSHED STONE 00 00P o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS GAS BAFFLE OVER MECHANICALLY pp °° p NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH COMPACTED BASE AND DESIGN ENGINEER. 4.2'OFFSET TO FND � I _I 4.0' ' 5 4•0 8.5 (TYP) 4.0 4•83' 4'0 8. ELEVATIONS BASED ON N.G.V.D.29±DATUM. BENCHMARK ELEVATION OF 31.67, OUTLET DISTRIBUTION BOX (TYP.) ' w ESTABLISHED ON TOP OF CORNER OF STEP AS SHOWN ON PLAN. 6 CRUSHED STONE - - TO BE INSTALLED ON A LEVEL STABLE 42.0 OVER MECHANICALLY BASE. FIRST TWO FEET OF OUTLET , GROUND WATER ELEV.= '� 12.00' 12 83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION COMPACTED BASE PIPES TO BE LAID LEVEL. 17.00 THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK 5'MIN. CHAMBER END VIEW LENGTH 10-8 WIDTH 5-8 DEPTH 5_8 (Dimensions per Wiggin CROSS SECTION VIEW 500 GALLON CHAMBERS TO DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES 'CONTRACTOR TO VERIFY EXISTING Precast Corp:,Pocasset,MA) TYPICAL CHAMBER PROFILE CHAMBER DETAILS TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK& SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING SPECIAL NOTES: J "'"`'' s " p TEST PIT DATA TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM \ O �� .� ;' 14157 APPROPRIATE AUTHORITY. PERC NO. 14157 PERC NO. 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC \ � Donna Miorandli, RS INSPECTOR: Donna Miorandi, RS 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS SYSTEM COMPONENT. �[� �26� A \ x � ; �, Y INSPECTOR: EVALUATOR: Michael Pimentel, EIT,CSE EVALUATOR: Michael Pimentel, EIT,CSE LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE _� THEY SHALL WITHSTAND H-20 LOADING. 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED - _ I Oct. 1999 Oct. 1999 i� a C.S.E.APPROVAL DATE: C.S.E.APPROVAL DATE: LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. v, x 3. DOUBLE ASH CRUSHED STONE SHALL BE FREE ALL DIRT, UST FINES. \ \ ZONE 2 " � •° October21,2013 October21,2013 _ 1 D WASHED CR SH ONE OF T D AND i REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH +`?� DATE: DATE: �� - _ �! 14. WHERE REQUIRED,CONTRACTOR SHALL REMOVEALL LOAM,SUBSOIL AND UNSUITABLE TEST PIT DATA. \ V�3 . • ■ 1 TEST PIT M 2 \ ` O \ • +\ "� .. TEST PIT#:M , / + / " /` N_ f ELEV TOP= , MATERIAL IN AREA BENEATH AND FOR 5 FT ON ALL SIDES OF LEACHING FACILITY ; AND PARTIALLY � \ 13�� \- � v i20 �- _ ,, --. tea; "� ELEV TOP= 24.010' 24.00' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FROM CLAY 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS 28 k l -� tau °t FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). LOCATED WITHIN THE GROUNDWATER PROTECTION OVERLAY DISTRICT. \� �\ < 14.00' ELEV WATER= < 14.00--,� ~~ . :' ELEV WATER= \ \ 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN • \ / \ r PERC RATE_ <2 min./inch PERC RATE- SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 22 `, DEPTH OF PERC- 32"-50" DEPTH OF PERC= 16. PROPOSED PROJECT IS LOCATED WITHIN: . \ / kv ASSESSORS MAP 97 PARCEL 08 i Ln TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 - - / g OWNER OF RECORD: M. MARILYN BUCKLEY REALTY TRUST, a. M. MARILYN BUCKLEY&MORTIMER J. BUCKLEY, III, CO-TRUSTEES �? � n 0" 24.00' 0" 24.00' ADDRESS: 1578 NW SWEET BAY CIRCLE i Loamy Sand Loamy Sand LOCU q A PALM CITY, FL 34990 1 OYr 311 23.33' 8" 1 OYr 3/1 23.33' #235 FEMA FLOOD ZONE C / 14 ° Loamy Sand B Loamy Sand 4 BEDROOM FL.EL_31 - ;'6 C /' / EXISTING ` / B 10Yr 5/6 10Yr 5/6 COMMUNITY PANEL# 250001 0018 D w t w !� � . v " " �a - kf5 17. DEED REFERENCE: L.G.C.#197798 DWELLING w\-"`" \ - •. ,?�� w � � . 32 T__ 21.33 32 21.33 TOF= 31.0'± i✓ \ 11'�� / -t! 18. PLAN REFERENCE: L.C. PLAN 5725-12 Perk„ Coarse Sand cb ,, 50 oarse Sand 19.83 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. N BIT. DRIVEWAY CJ;' 2.5Y 6/6 0 v N ,1 C-1 20 Y 6 ,+ \ C,-1 10-2 /° ravel ou N `� / L=32.3 30 '` ° 10=20% ravel ( gravel) 20. PROPERTY LINE INFORMATION I ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY V- � ,:-... " f FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY �V. IN _2a.0 O FL E I I '" ~ ` : 72" gravel) 18.00, 72" 18.00' t �\ \ \ \ < Fp r- O 1 " ` t� .. FOR USE F THIS PLAN OTHER THAN ITS INTENDED PURPOSE. W �t •� �� q �� / 21. A 4"PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A o DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A Benchmark I Medium Sand _2 Medium Sand REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. Comer of Step / -�" Elev. -31.67' G2 2.5Y 6/6 C 2.5Y 6/6 N.G.V.D.29± / EXISTING SOIL ABSORPTION LOCUS PLAN SYSTEM TO BE ABANDONED SCALE: In 1000' 120" 14,00' 120" 14.00, \ / APPROXIMATE TIE-IN LOCATION; No Standing, Weeping or Mottling Observed No Standing,Weeping or Mottling Observed CONTRACTOR TO FIELD VERIFY \\ \ \ \ \ \ \ / DESIGN DATA TEST PIT DATA TEST PIT DATA LEGEND & PROVIDE CLEAN-OUT TO F.G. \ \ \ \ / / PERC NO. 14157 PERC NO. 14157 50x0' EXISTING SPOT GRADE NUMBER OF BEDROOMS(EXISTING) 4 INSPECTOR: Donna Miorandi, RS INSPECTOR: Donna Miorandi, RS � ;o ;; \ MAP' 97 NUMBER OF BEDROOMS(DESIGN) 5 - - 50 - - EXISTING CONTOUR EXISTING 1,500 GALLON SEPTIC ' \ 28� -� / EIT CSE EVALUATOR: Michael Pimentel EIT CSE w I \ \ +I PARCEL 08 DESIGN FLOW 110 GAUDAYBEDROOM EVALUATOR: Michael Pimentel, , TANK TO BE ABANDONED (i.e. I / Oct. 1999 Oct. 1999 50 PROPOSED CONTOUR � � � ( / � \ \ 1 � �/ ,--- /� --� / I, .i- / 129,422:±S.F. C.S.E.APPROVAL DATE: C.S.E.APPROVAL DATE: Z_ PUMPED, BOTTOM OPENED/ -4 ( I \ iv -26 (2.97± Ac.) TOTAL DESIGN FLOW 550 GAL/DAY October 21 2013 October 21,2013 RUPTURED AND FILLED w/CLEAN ( I J l �J / �2 DATE: DATE: 50 PROPOSED SPOT GRADE SAND) PER 310 CMR 15.354----� ( ;/ / / I DESIGN FLOW x 200 % = 1,100 GAUDAY �I / / TEST PIT#: 3 TEST PIT#: 4 ' / E/T/C EXISTING UTILITIES o - O / USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV TOP= 22.00' ELEV TOP= 22.00' _ / / / GAS EXISTING GAS LINE:. t / / ' O / / / ELEV WATER= < 12.010' ELEV,WATER= i2:00 \? O / / / 1 O_ -20-� PERC RATE- W W EXISTING WATER LINE y N N g\ /Oz / PERC RATE- <2 mm./finch - / / 5.1 ( , •mv / cP / ' 7r��, DEPTH OF PERC= 36"- " DEPTH OF PERC= TEST PIT LOCATION j �, D INSTALL 4 - 500 GAL. CHAMBERS w/AGGREGATE ' / I I m TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 J /_� / / �,, v O O O PROPOSED 1,500 GALLON SEPTIC TANK �O 1 �tV/NO PROPOSED 1,500 .. SIDEWALL`CAPACITY - �/ � O/ / / GALLON SEPTIC TANK O (LENGTH + WIDTH) (2 SIDES) (2'HIGH) (0.74 GPD/S.F.) - GAUDAY /�� / ✓I n m (42.0'+ 12.83')(2 ) (2') (0.74 GPD/S.F.) = 162.3 GAL/DAY w 22.00' 0" 22.00' O O O EXISTING 1,500 GALLON SEPTIC TANK ,�� ni q 0 Loamy Sand A Loamy Sand ,`U �� rn z BOTTOM CAPACITY $" 10Yr 3/1 21.33' 8w 10Yr 3/1 21.33' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE O ate/ / / / / / \ 1 O LENGTH x WIDTH 0.74 GPD/S.F. = GAUDAY O PROPOSED DISTRIBUTION BOX I 0 24-_ 22 O' ( ) ( - ) Loamy Sand B Loamy Sand Co i ) , / / / - 22x0 I-P (42.0 x 12.83) (0.74 GPD/S.F.) 398.8 GAL/DAY B 10Yr 5/6 1 OYr 5/6 TP 1 \ TP 4 " O� PROPOSED 500 GALLON LEACHING CHAMBER �/ 24x0 22x0' ' 36" 19.00 36 19.00 l g / / / `26� O Coarse S PROPOSED 4 -500 GALLON LEACHING P ` :.. TOTAL- erc DATE BY APP'D. DESCRIPTION oN CHAMBERS WITH AGGREGATE 4 and Rom' / / / / \ / O- 1 TOTAL NUMBER OF CHAMBERS 54 Coarse Sand 17.50 C-1 2.5Y 6/6 PROPOSED SEPTIC SYSTEM PLAN / \�TP 2 O PROPOSED INSPECTION PORT TOTAL LEACHING AREA 758.2 SQ.FT. C_1 2.5Y 6/6 (10-20%gravel) 4X0 O`. TOTAL LEACHING CAPACITY 561.1 GAL./DAY (10-20%gravel) PREPARED FOR: 72" 16.00' 72" 16.00' o _ CAPEWIDE ENTERPRISES PROP. DISTRIBUTION BOX / � GP - LOCATED AT C-2 Medium Sad C-2 2.5Y 6/6 2.5Y 6/6 235 SMOKE VALLEY ROAD OSTERVILLE, MA 02655 \ o \ \ \ \ FLOOD ZONE LINE DIVIDING ZONE C FROM ZONE Al 1 ti ��' (ELA 1) BASED ON ACTUAL OWTHE GROUND FIELD I g SCALE: 1 INCH = 20 FT. DATE: OCTOBER 23,2013 INSTRUMENT SURVEY(B.F.E. = 11.0' NGVD 29 BASED ON I 120" 12.00' 120" 12.00' , 0 10 20 40 80 FEET F.I.R.M. PANEL NUMBER 250001 0018 D, DATED 7-2-92). I �jH of ryas \ \ r,Q\ \ N - No Standing,Weeping or Mottling Observed No Standing,Weeping or Mottling Observed �P sq� �� PREPARED BY: N \ \ \ Xo N N I RESERVED FOR BOARD OF HEALTH USE CHURCHILLJR. s�� JC ENGINEERING, INC. VIL NO.I41807 2854 CRANBERRY HIGHWAY I \ \ \ \ I �°FF�F STE EAST WAREHAM, MA 02538 of lilt 508.273.0377 SITEPLAN Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.2548 SCALE: 1"=20' -- �- -- 1,- - - - -' 1- - FINISH GRADE OVER D-BOX22.8'± FINISH GRADE OVER CHAMBERS= 22.0' 22.8' GENERAL NOTES ) T.O.F. EL.= 31 .0± SLOPE @ 2%MIN.OVER SYSTEM 3/4"TO 1-1/2"DOUBLE WASHED PROVIDE EXTENSION RISER STONE TO CROWN OF PIPE REMOVABLE WATER-TIGHT COVER OVER 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET 8� •- INSPECTION PORT WITH ACCESS OUTLET TO WITHIN 6"INLET F.G. FINISH GhADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISHED GRADE BOX TO F.G. (SEE NOTE#21) CODE AND ANY APPLICABLE LOCAL RULES-.-_,_ FOUNDATION = 30. '± 23.2± 5"DIA.OUTLETS) MIN SLOPE 1% (NOT INSTALLED; CHAMBER RISERS STONE OR GEOTEXTILE FILTER FABRIC @ 0 USED AS INSPECTION PORTS INSTEAD 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 20"MIN.ACCESS } } COVER(3 TYP.) 9�MIN. I I TOP OF SAS= 19.$3' •PLACE RISERS ON ALL DESIGN ENGINEER. PROP. SCH.40 36 MAX. 9"MIN. 9"MIN. �; CHAMBERS WITH 36"MAX. � ^ , . INLET PIPES TO 6 OF 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PVC SEWER 19.00 36 MAX. BREAKOUT EL= 19.50 (20.05 '� FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED. PROP. SCH.40 , , 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN - -- ? " 2"DROP MIN. PVC SEWER (L_65,±) (19.05 ) (19.55 MIN.SLOPES 1% 6 3 3"DROP MAX. 3" 9" L-77± PROVIDE WATERTIGHT ELEVATION= 19.55' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 40 M MIN.SLOPE A 1% IL 10" 4"PVC IN FROM JOINTS(TYP.) �i o THE LINER S NOT LESS ESS THAN THE BREAKOUT ELEVATION. E LINER IS PLACE AT LEAST FIVE ET FROM S.A.S.AND THE TOP OF * '+ � � SEPTIC TANK 4"PVC OUT TO � 0 � 0 0 � � � � � � � O 28`0 - 14 21.00, • LEACHING FACILITY o0 00 �' o 0 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. (21.00 ) oo 00- 21 .25' 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. " " 48" OUTLETTEE 19.40' M N. - 19.23' (19.22') 2' o 0 0 0 0 00 oo o� 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK (21 .25 ) 11�.39' °° o 0o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS 6"CRUSHED STONE o 0 0 0 = 0 o GAS BAFFLE OVER MECHANICALLY oo � � � � � � � � � NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 4.8'OFFSET TO FND COMPACTED BASE An, 8 5 P I � AND DESIGN ENGINEER. (TY ) 4.0' 4.83' 4'0 8. ELEVATIONS BASED ON N.G.V.D. 29±DATUM. BENCHMARK ELEVATION OF 31.67' 5 X P. SHOWN ON PLAN. BOX 6"CRUSHED STONE OUTLET DISTRIBUTION (TY ) TO BE INSTALLED ON A LEVEL STABLE 42.0' � - ESTABLISHED ON TOP OF CORNER OF STEP AS OVER MECHANICALLY - < 12.00' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET 17.00' GROUND WATER ELEV.= 12.83' PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT PROPOSED 1,500 GALLON CONCRETE SEPTIC TANK 5'MIN. CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES LENGTH 10'-8" WIDTH 5'-8" DEPTH '- " CROSS SECTION VIEW (17.05 ) 500 GALLON CHAMBERS TO THE DESIGN ENGINEER. "CONTRACTOR TO VERIFY EXISTING -'�-8 Precast Corp Pocasset,MA) TYPICAL CHAMBER PROFILE ELEVATION PRIOR TO ANY WORK& SEPTIC TANK PROFILE H-20 DISTRIBUTION BOX DETAIL H-20 CHAMBER DETAILS 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING SPECIAL NOTES: �24� -� \ 3 j TEST PIT DATA TEST PIT'DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM \� \ r• 14157 APPROPRIATE AUTHORITY. �, b PERC NO. 14157 PERC NO. - LOADING UNLESS 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. I \ / Donna Miorandi RS INSPECTOR: Donna Miorandi, RS 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H 10 LO INSPECTOR: -.26` \ " m ,N' LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED LEACHING FACILITY TO \ u - -. i'� : ,""' ; , � � � --d, �_- ; - , -. :a + EVALUATOR: Michael Pimentel, EIT,CSE EVALUATOR: Michael Pimentel EIT CSE THEY SHALL WITHSTAND H-20 LOADING. ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD w/ \ I / s: t �.� . �: ;§ Oct. 1999 OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. \ /'� Oct. 1999 C.S.E.APPROVAL DATE. 3 - ,x _ y C.S.E.APPROVAL DATE: 4 � \ Z. ,{ _ � � 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. O ZONE 2 October 21, 2013 DATE: October 21, 2013 3. ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS AND PARTIALLY LOCATED WITHIN THE �, DATE: / k \ ' \ � � '� "� � 14. WHERE REQUIRED CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE GROUNDWATER PROTECTION OVERLAY DISTRICT. r` Q j • 1 TEST PIT#: 2 ` ` � OV 3 \ �'" \\� �;�-" _ t,� , „-, _' �. � TEST PIT#: MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. \ `' • y'� f Y `_' TOP= 24.00' ELEV TOP= 24.00, REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, j SWING-TIES SCALE: 1"=20' �2 9N 1• l �2° 8 � � • � ;` ,k � ;,. ,� ELEV I `� -�' ,, _ 4 ,-0 w;, � FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15 255(3). ' / / _` .:�, ELEV WATER= < 14.00 ELEV WATER= <14.00 \ _::, DESCRIPTION HC-1 HC-2 HC-3 \ Q ` K O y 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN / \ v • \ Q PERC RATE_ <2 min./inch PERC RATE= SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. CLEAN-OUT(1) 50.8' 5.0' N :, ,�• d _ " " 22 f �' 32 -50 DEPTH OF PERC= 16. PROPOSED PROJECT IS LOCATED WITHIN: SEPTIC COVER IN 2 - 66.7 126.3 i y DEPTH OF PERC- O 3p ! N \ \ ASSESSOR'S MAP 97 PARCEL 08 • 3 't - TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 SEPTIC COVER OUT(3) - 74:2' 132.8' / i \ z '� ff OWNER OF RECORD: M. MARILYN BUCKLEY REALTY TRUST, ,� � BUCKLEY&MORTIMER J. BUCKLEY, III, CO-TRUSTEES DISTRIBUTION BOX(4) - 122.0' 152.5' �4, / 3 M. MARILYN .X, 24 �O \ cU O 0" 24.00' 0" 24.00' ADDRESS: 1578 NW SWEET BAY CIRCLE CHAMBER COVER(5) - 124.2' 155.7' / / c �!L / -� _ , ;,, y r LOCUS A Loamy Sand A Loamy Sand O`c 3 \ r ` r 8" 10Yr 3/1 23.33' $" 23.33' PALM CITY FL 34990 10Yr 3/1 CHAMBER COVER(6) -- 146.4 171.2 / ' `' �� , ' . �� ' n a. ' p*4 FEMA FLOOD ZONE C #235 r / = - Loam Sand Loam Sand f f % Y B COMMUNITY PANEL# 250001 0018 D EXISTING 1±x y 4-BEDROOM . FL.EL=31'� `'6' A B 10Yr 5/6 10Yr 5/6 / \ ° '' d 1 / / DWELLING 17. DEED REFERENCE: L.C.C.#197798 TOF= 31.0'± ---- W'-V \ lx' 32" 21.33' 32" 21.33' 18. PLAN REFERENCE: L.C. PLAN 5725-12 / \ � jl kk. " 19.83' Coarse Sand AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. / 1 50 Coarse Sand 19. ALL DISTURBED co 1 ✓i 2.5Y 6/6 HC- ,„"► ( ry ry C-1 BIT. DRIVEWAY Q K 2.5Y 6/6 C-1 ° \ 00 N N / / / 32 3.±x 4 \3 \ �,.`, w C-1 (10-20%gravel) (10-20/o gravel) 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY E`- �� FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY \ ; \\ \\ ( / tNV•` Q \ ' - \ 72 18.00 72 18.0 " " 0 FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. 21. A 4"PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A � f 1 / „tt , •• „- • r •r �. , . •� _ n . ,i'`'I � �f DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A \\ \ s \ Benchmark t Medium Sand Medium Sand REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. Comer of Step / / �- '� C_2 2.5Y 6/6 C_2 2.5Y 6/6 , Elev. =31.67' / / EXISTING SOIL ABSORPTION \ 4- -lipN.G.V.D.29± , LOCUS PLAN SYSTEM TO BE ABANDONED "- \ \ \ \ (1 C-2 ��/ 26� - SCALE: 1 - 1000 120" 14.00' 120" 14.00' LEGEND No Standing,Weeping or Mottling Observed No Standing,Weeping or Mottling Observed AS-BUILT CLEAN-OUT \ / �+ /^� TEST PIT DATA TEST PIT DATA 50x0' EXISTING SPOT GRADE INV.=25.30' DESIGN DATA PERC NO. 14157 PERC NO. 14157 - - 50 - - EXISTING CONTOUR \ \ 3 NUMBER OF BEDROOMS(EXISTING) 4 \ INSPECTOR: Donna Miorandi, RS INSPECTOR: Donna Miorandi,RS _ 50 PROPOSED CONTOUR MAP 97 NUMBER OF BEDROOMS(DESIGN) 5 EXISTING 1,500 GALLON,SEPTIC ' \ 28 / EVALUATOR: Michael Pimentel, EIT,CSE EVALUATOR: Michael Pimentel, EIT,CSE 50 PROPOSED SPOT GRADE TANK TO BE ABANDONED (i.e. I \ ` !: / PARCEL 08 t / 1 \ \ ` / ' DESIGN FLOW 110 GAUDAY/BEDROOM C.S.E.APPROVAL DATE: Oct. 1999 C.S.E.APPROVAL DATE: Oct. 1999 PUMPED, BOTTOM OPENED/ s Go \ I f / ;,�-- / 129,422±S.F. �, J �- TOTAL DESIGN FLOW 550 GAUDAY October 21, 2013 DATE: October 21, 2013 E/T/C EXISTING UTILITIES RUPTURED AND FILLED w/CLEAN - ' ' / 1 -26 // �/ (2.97±Ac.) DATE: TEST PIT GAS EXISTING GAS LINE I �'' ,i / `?' DESIGN FLOW x 200 % = 1,100 GAUDAY 3 TEST PIT#: 4 SAND) PER 310 CMR 15.354 --�._ ! - _ � ' p / / // / USE PROPD' SED' 1,500 GALLON SEPTIC TANK ELEV TOP= 22.00' ELEV TOP „ 22.00' ' --- - _ < W W EXISTING WATER LINE / _ p / .� /// / � < 12.00 ELEV WATER- 12.00' r- ELEV WATER- Q / o N 2g O . t - 20-, PERC RATE_ <2 minfnch PERC RATE_ �:/ 3 N k1r // / ,✓ O Z TEST PIT LOCATION w/ / 6 l �• \ / rrn / DEPTH OF PERC= 36"-54" DEPTH OF PERC= O O O AS-BUILT 1,500 GALLON SEPTIC TANK ' /C ) v v m INSTALL 4 - 500 GAL. CHAMBERS W/ AGGREGATE 441 p Q /� , / ' �� ! 'o / TEXTURAL CLASS: 1 TEXTURAL CLASS: 1 2 AS-BUILT 1,500 ,U, SIDEWALL.CAPACITY O O O EXISTING 1,50o GALLON SEPTIC TANK /"/ / / / / ( GALLON SEPTIC TANK \ O (LENGTH + WIDTH) (2 SIDES) (2'HIGH) (0.74 GPD/S.F.) = GAUDAY / �/ n M '+ PD/S.F. = 162.3 GAUDAY wi / � i ' � n (42.0 12.83)(2) (2 ) (0.74 G ) 0" 22 00, 0" 22 00 AS-BUILT 4"SOLID SCHEDULE 40 PVC PIPE [u o ,� (3 ( A 13/ Loamy Sand Loamy Sand ' cZr►Z 10Yr 3/1 21.33' A 8" 10Yr 3/1 AS-BUILT H-20 DISTRIBUTION BOX O Q BOTTOM CAPACITY $" 21.33' �� i - � AS-BUILT 500 GALLON H-20 LEACHING CHAMBER / / / / 24-_ i TP 3 -v (LENGTH x WIDTH) (0.74 GPD/S.F.) GAUDAY O AS-BUILT H-20 DISTRIBUTION BOX Loam Sand Loamy Sand 22x0 \ (42.0'x 12.83') (0.74 GPD/S.F.) = 398.8 GAUDAY B 10Yr 5/6 B 10Yr 5/6 (96,87') ACTUAL ELEVATION"AS-BUILT" to � TP 1 TP 4 / r ' 22x0' " ^ 19.00, / 24x0 (4 AS-BUILT 4-�0 GALLON H-20 LEACHING 36 ,fit.. 19.00 36 DESCRIPTION I �p TOTALS: Perc REV. DATE BY APP D. o ` (5 R �� CHAMBERS WITH AGGREGATE 4 Coarse Sand cV / FS TOTAL NUMBER OF CHAMBERS 54 Coarse Sand 17.50 2.5Y 6/6 "AS-BUILT" SEPTIC SYSTEM TOTAL LEACHING AREA 758.2 SQ.FT. 2.5Y 6/6 G1 0 C-1 (10-20/o gravel) / O TOTAL LEACHING CAPACITY 561.1 iGAL./DAY (10 20%gravel) PREPARED FOR: 2TP 4xo'� � ,. �• GP - ,� �� CAPEWIDE ENTERPRISES AS-BUILT PLAN LOCATED AT Medium Sand Medium Sand r \ ( ' (6 �` C-2 2.5Y 6/6 C-2 2.5Y 6/6 235 SMOKE VALLEY ROAD 1 '� \ \ \ J OSTERVILLE MA 02655 / \ �� \ \ \ \ FLOOD ZONE LINE DIVIDING ZONE C FROM ZONE Al I �. I SCALE: 1 INCH = 20 FT. DATE: OCTOBER 29,2013 \ 'Po \ (EL.11) BASED ON ACTUAL ON-THE-GROUND FIELD o y 1 \ \ \ INSTRUMENT SURVEY(B.F.E. = 11.0' NGVD 29 BASED ON 120" 12.00' 120 12.00' 0 10 20 ao so FED F.I.R.M. PANEL NUMBER 250001 0018 D, DATED 7-2-92). ' ►Al/ No Standing,Weeping or Mottling Observed No Standing,Weeping or Mottling Observed J H OF Tulg9cy N I \ \ \ \ r'�, N n► by ^ g`� JOHN L G�� PREPARED BY: J \ \ \ I o RESERVED FOR BOARD OF HEALTH USE o CHURCHILL JR N JC ENGINEERING, INC. ti IVIL 2854 CRANBERRY HIGHWAY N .4180 EAST WAREHAM, MA 02538 o �GIST 508.273.0377 SITE PLAN ' �� Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.2548 SCALE: 1"=20' i