HomeMy WebLinkAbout0082 TREE TOP CIRCLE - Health 82 Treetop Circle
Marstons Mills
\ A = 150 030 Lot 20
i�
TOWN OF BARNSTABLE
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-LOCATION, 5?;2 -rrg�4op 0;rG1C- SEWAGE # 0009 -37/
4`ILLAGE J?Jsrs-tons o2, /S ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. e¢B EEXCAVA7so.v .
SEPTIC TANK CAPACITY /5'00 Aal
LEACHING FACILITY: (type) IZ, .giod�-(Tysor5 (size) // x ZS"
NO. OF BEDROOMS 3
BUILDER OR OWNER Lori S: 1119..
PERMIT DATE: //-l3 -0 9 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
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TOWN OF BARNSTABLE
LOCATION tc.. SEWAGE #
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VILLAGE ASSESSOR'S MAP & LOT
M (S
INSTALLER'S NAME & Pk& N
SEPTIC TANK CAPACITY t
LEACHING FACILITY:(type) ��Ga GAl (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER LGr� �0- 4000, �
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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Town of Barnsta le P#
Department of Regulatory Services
: mmirrABtE, : Public Health Division Date
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059. 16� 200 Main Street,I4yannis MA 026 1
Date Scheduled (7 6 1 Time I Fee Pd. (J6�
Soil Suitability'Ass ss ent or Sewage isposal
✓
Performed B : G f 'J i•''
Y -51� sed By:_ W r
L,U:C 'IC?N a& GENEIAT.INI?QRMlN
Location Address (y n Trm 4�f C ,rC(e_ Owner's Name 14,o47f
VA. �I c�'1 S� Address
Assessor's Map/Parcel: lsv Ot v Engineer's Name cFA
NEW CONSTRUCTION REPAIR Telephone#
Land.Use . l�SVir �b�i Slopes(30) z } Surface Stones
Distances from: Open Water Body:2� . ft Possible Wet Area LC-U_ft Drinking Water Well7l 15G ft
Drainage Way_>Ld u ft Property Line 3e� — ft. Other ft
"
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
s�
_ � 2
G
Parent material(geologic) Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: A J f _ Weeping from Pit Face,
Estimated Seasonal High Groundwater
DETERMINATION FOP.SEASONAL H G `wATE
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles; _ in.
Depth to weeping from side of obs.hole: In. Groundwater Adjustment ft•
Index Well# Reading Date: Index Well level Adj.factor , Adj,Groundwater Level
PMC&ATI N T 1D te„ `. 7rFmp.
Observation
Hole# f- Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time @ -tt,! _gt n Cril Time(9"-6")
End Pre-soak C� )4 0X--'"ZM
Rate Min./Inch
t 3
Site Suitability Assessment: Site Passed 7` Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation test is to be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least one(1) week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
DEEP OBSERVATION HOLE LOG '` Hobe# i
Depth from Soil Horizon Soil Texture Soil Color
Surface(in.) Soil. Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel
3j3
i s (2- ,
-3 OL c�, sL� i�� t �) 16 YIZ57
DEEP OBSERVATION 1TOLE.:LOG ; .: ..Hole#. z ,
Depth from Soil Horizon Soil Texture Soil Color
Surface(in.) Soil Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
-'2 A SI(L lu��/3
Lo
DEEP OgSERVATTON HOLE.LO..` Hole:#
Depth from Soil Horizon Soil Texture Soil Color Soil
Surface(in.) Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel
r
DEEP OBSERVATION HOLE LOG :
SurfaceHole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
in.)( (USDA) (Munsell)
( sell) Mottling (Structure,Stones,Boulders.
Consistency, o Grav 1
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes_
Within 500 year boundary. No 1< Yes
Within 100 year flood boundary NoPK_ Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? �Ye-5
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on i 1 lgla I (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 tra• • g,expertise and experience described in 310 CMR 15.017.E
Signature Date
Q:\SEPTIC\PERCFORM.DOC
I 'I
TerraFilter, LLC.
P.O. Box 227 10 Main 51.
:�- Sturbridge,MA 01566
Terra
ns a l� rer Tel: (508)347-5508
(877)347-7263
Fax:(508)347-9857
PART I TITLE 5: % of Shaken Sample Retained in#4 Sieve <45% of Initial Sample
%+3" %GRAVEL I %SAND %SILT and CLAY
0.0 44.7 53.5 1.8
.......................................PASS
PART 11 TITLE 5: Sieve Test on Remaining Portion of Sample
TITLE 5 - Sieve Test
100.0
90.0
80.0 ! I
i
70.0
w
60.0
Z I \ I
z 50.0
i
LU I i
IX 40.0 -
w I
30.0
I ! I I
20.0
10.0
0.0
10 1 0.1 0.01 0.001
GRAIN SIZE-mm
SIEVE PASSING
SAMPLE TITLE 5 PASS/
SIZE PASSING PASSING TITLE 5 PASSING RANGE(310 CMR 15.255) FAIL
SIEVE RANGE
#4 100.0 100% � Pass
IOU
#50 25.4 10-100% T—' Pass
26.4 0 0
#100 7.8 0-20% Aca Pass
0 7.8 N
#200 3.2 0-5% Ai Pass
0 3.2 ')
PREPARED FOR Engineeiing Works, Inc. OBTAINED BY: Peter McEntee
PHONE/FAX#• SAMPLE SOURCE: 1 82 Treetop Circle,Marston Mills,MA
TF PROJECT#: TF 2009-021 SAMPLE RECEIVED, 25-1un-09
www.TerraFilter.com 7/6/2009
No.aO 09 -3-7 I Fee to-
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:__\.�
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
01ppricatiou for Di5po5al *psStem Construction Permit
Application for a Permit to Construct( ) Repair(.Upgrade( ) Abandon( ) ❑ stem Complete S p y ❑Individual Components
Location Address or Lot No. g Z Tr-ee+og 6 r Li L Owner's Name Address,and Tel.No.
M c%(-s�Fo nS At 115 A4 A 1-O r i 51 tU q -
Assessor's Map/Parcel 406,0 G D r S e) S 2 Tf e.4 -ta,P L►ctAl c A 1 I� is
Irytt,le s Came,Address,and Tel.No. Designer's Name,Address and Tel.No.
iJ xC.ava�ton I4Te4berc LP �n9inee��n,g Gvo�kS 5o 4 8- �Z - 53(3
�dr�s+rao�.l� res+c1 �lA
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(min.required) gpd Design flow provided gpd
Plan Date �] 111199 Number of sheets Revision Date
Title _PrQPQ6eA0 IC S /s+a f'i'1 U O04�a Ct,.1L_
Size of Septic Tank 1 5 0,
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.
Signed g - Date 11110105
Application Approved by Date
Application Disapproved by: Date
for the following reasons
Permit No. 00Q - r--�7 I Date Issued
- — --------- — .�
� No aQ'Vq, ` 'S'Rr :�=�", � ►- �.__',\�, a:+."""�'�, Fee
Y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: /
_.. PUBLIC' HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
- 2pplitation for Dioo$af 6p5tem Cowaruction Permit
Application for a Permit to Construct O Repair( Upgrade O Abandon O ❑Complete System ❑Individual Components
b
Location Address or Lot No. Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel I Gj )
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
�t,I ff ( �-ff-1f ��C1Cl_!G: k'i
Type of Building:
t'Dwelling No.of Bedrooms Lot Size 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 i 1 ii'Cl Number of sheets Revision Date
Title �� �G '' V.j <3 �y,Jt tC "��\i > f ! L) .=CIf L'if'IC
Size of Septic Tank ( � rirt. ( Type of'S.A.S.
Description of Soil �.
r
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.
Signed `�r"�lri�i� •�}i �C" L9 Date t I i c, +r,.
Application Approved by Date
' Application Disapproved by Date
for the following reasons
Permit No. V 0— ' Date Issued _
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( )
Abandoned( )by
at �� . ( t' 4 f'.' has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
r
Installer Ko t'C { 61 Designer i' ;r, i , ,r ! „-i (.!
i
#bedrooms 7 Approved desl flo a ) gpd
The issuance of th s per it shall not be construed as a guarantee that the system wil fun t'on as design d.
Date Up! Inspector �+✓
—_--=— —— ——— — ————————————————— —————————
No. 1 � { l 1 Fee + 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
DiZpo5at *pfStem Construction Permit
Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( )
System located at n
Y ) �
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty '
to comply with Title S and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this permit.
Date ` r � Approved by
12/02/20Q9 16:152 5084775313 ENGINEERING WORKS PAGE 01
Town of Barnstable
Regulatory SeMeea
ThOMae F. Ceder,Director `
eodre:
Public Health Division
Tbomas McKean,Director
2W Main Street, Hysaois,MA 02601
Ufte: 50"24644
Fax: 508-7904304
Date: 1'`L 'L Sewage Permit# Assessor's Map/Pared d
Installer&T)esianex Cer§A3
Deemer: 6„
r-+k V>,Iy .y �A C_ - Installer: Cce.••r•,`�-�e*•.
Address: )7- W• Cc*i s-2.4-1 cat 6ZA Address: 14
i rot C-_k MR ZL144 r�a �yy
i Eget��^o—was issued a permit to install a
t
On 13 1 -
s
(date) t (installer)
sephc system at �� �r� r"' on a• based design drawn b Y
(address)
'Pd,�-t,-r, MC—&t-C-A dated
( esigzaer)
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. Stnpout (if required) was inVeeW and the will
were found satisfactory.
I certify that the septic system referenced above was installed witty 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 accords=with Stye &Local Regulations. Plaza revision or
certified as-built by designer to follow. Str pout(if required)was mwpected and the soils
were found satisfactory. OF
S PETER T. ,
errs St McENTEE N
CIVIL
No.35109
9Fo,XT
a'�o
'gner's Signature (A U
PLEASERE—TUMNTo T
B
q:loffioe f0nn@Wd bin fm.due
TOWN OF BARNSTABLE
2tTREE;ITOP"r�IRCLE MARSTONS MILLS 96-353
LOQA'TION` , SEWAGE #
"1ILLAGE M'?RSTONS MILLS ASSESSOR'S MAP & LOT/a, 00Q
INSTALLER'S NAME&PHONE NO. ELL I S BROTHERS CONST CO. 362-6237
SEPTIC TANK CAPACITY %6,00
LEACHING FACILITY: (type) 3/2-0- (size)
NO.OF BEDROOMS 3
BUILDER OR OWNER
PERMTTDATE: 11/18/96 COMPLIANCE DATE: 2z
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
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NO. THEt'COMMONWEALTH OF MASSACHUSETTS �. ,, FEE
TOWYOARD OF HEALTH
of �,L�R-J S?A f3LtC
Appliration for Dt,iposat 14�yotrm Towitrurtion ramit
Application is hereby made for a Permit to Install ( ) or Repair/Replace an Individual Sewage Disposal
System at: �-
- �2 T6�-/oeV C/a( C (- 4Td29fe/Avt0r AJFs-fd07f � a�
/ J/oe_V,�lress �1�,�� /�� C/�� or LotNf+j/f s0�✓' 4
t45
Cole---
Owneerrr /K Address%
�J�- Installer Address
Type of Building Size Lot ¢v Sq.feet
((Dwelling—No.of Bedrooms T/�J'��F� ihy trials Expansion Attic ( ) Gbage Grinder
Other—Type of Building No.of persons Showers ( )—Cafeteria t
Other fixtures
Design Flow gallons per person per day. Calculated dais flow 3 gallons.
/SlalT k— i Y-7
acity gallons L ngth—Width Diameter Depth 4- r f.4ap.
a� Width_'a? Total Length 7-4 Total leaching area 304+8&q.ft=4 7V-3
Seepage Pit No. Diameter Depth below inlet Total leaching area sq.ft. 1-61-IL
Other Distribution box ( Dosing tank ) TZ-178 ^ B 1!39^36
Percolation Test Rg�s It M Performed by �10 �'N'�' C4 S S°n`�"1 � Date
Test Pit No. 1/`t�—�inutes per inch Depth of Te t Pit l Sr 2 Depth to ground water ae/lf
Test Pit No.2�'I—minutes inch Depth of Test Pit /DX' Depth to ground water ✓ o O�J.
Description of Soil'�S ' b•T Zk f;6.71U,1 -/ Ti.1 /_ S/-7f Z
9AN• R.bf� -p9o- zcf e7 10 /Tr �dh
,,,�tpg..�L�-vtCt�C 4.28•Z�o3 SB '-� " Sv /2'-10" �.cc
Nature of Repairs or Alterations—Answer when applicable p cly re" a/ �<
Agreement: — The undersigned agrees to install the afor ibed Individual Sewage isposal System in accordance s�
with the provisions of TITLE 5 of the State Environ ntal ode — ndersi ned further agrees not to place the
system in operation until a Certificate of Complia en issue y o f IIe�/
Sign
Date
Application Approved By
&T4 '.7 ?p Iq
Date
Application Disapproved for the following reasons:
Date
Permit No. 3Issued 'J�/T Y
Date
020
No.. ' 1-THE OMMONWEALTH OF-MASSACHUSETTS -, w FEE
f.
_ ° �,. r OARD OF , HEALTH �.
-54
Appliration for Bioposttl it�ystrm Tonstrurtion Vamit
Application is hereby made for a Permit to Install ( ) or Repair/Replace ) an Individual Sewage Disposal
System a �2 �J?( �� �$U-d % f-Sso-Vrt
�v
zoo ocalion-Address � ,,,..�.. or Lot N
Si ✓,fit 'T e.x 7: di ae r f�►�y c
Owner Address
Installer Address
Type of Building �y � Size Lot 4v e,0U Sq.feet
,(Dwelling—No.of Bedrooms hvf oz-/s Expansion Attic ( ) Garbage Grinder (10�6
Other—Type of Building No.of persons Showers ( )—Cafeteria
Other fixtures
Design Flow gallons per person per day.Calculated daily flow ' alloe-Yns.
/ j; t� k i��Ui gaga acity Iva) gallons L ngth Width S� Diameter Depth
—l o. Width Total Length Total leaching area \Sq.ft.��T�
Seepage Pit No. Diameter Depth below inlet Total leaching area sq.ft.
Other Distribution box �'K Dosing tank
Percolation Test u t Performed by L-_ Date 04
Test Pit No. 1/14 ~ mutes per inch Depth of Test Pit /S 2 Depth to ground water N4�C�
Test Pit No.2 minutes,,1�er inch Depth of Test Pit /S•'"� Depth to ground water +x a/�Se
Description of Soil'gf a"'`' �r : Af f/ /lA /^ ?�/ // "'f Z
S� !a 8, /2''_. 1v" �,c c =
Nature of Repairs or Alterations—Answer when applicable �'� `/12
�r3S'' 47.
Agreement: — The undersigned agrees to install the aforre/ede c ibed Individual Sewage Disposal System in accordance
with the provisions of TITLE 5 of the State Environ dntal ode — ndersigned further agrees not to place the
system in operation until a Certificate of Complia en issue y oofhe44
Signe
Date
Application Approved By e
l Date f
Application Disapproved for the following reasons:
Date
Permit No. Issued .�
- Date
yy,
II'' v_-rs<�z ea'Q vi'oiVi try.,...•.a-oAac�irye�=b. --",Yv�'Y.n r�tr.a:�i_>i3'bn.���e#,_sica i.�Y+LS'6`afti+o sRy.yfYY.YOdi'tio'er Z+aS.n..� �e.ti'ti.n YtrivYO i.s':��a•._1 aL`;Ys-�o:_itrabili-�«irr�..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD- OF HEALTH
- C�I'rtifir�tr Df(nDm�littnrr
THIS IS TO CERTIFY,..,,That the On-Site Sewage Disposal System installed ( ) or Repaired/Replaced ( )
on by
for at
has been constructed in accordance with the provisions of E 5 of e StateEnvironmental Code as described in the
application for Disposal System Construction Permit No. dated
Use of this system is conditioned on compliance with the provisions set forth Ne w:
r THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
F
SYSTEM WILL FUNCTION AS DESIGNED. This Certificate expires on
Date
DATE r i Inspector \ 7
NO. � THE COMMONWEALTH OF MASSACHUSETTS FEE ��
.sr j o d:K
BOARD OF HEALTH
�tS 1D5 1�DtP11t�T/onstrurtiDri Prrittt
Permission s hereby granted to ��(ILaLi���
to Cons uct ) epair/Re lac ( � �aan On-Site Sewa ,!Dispo Mal . ter .cated
S re'et
as described on the 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. /
• o
' Boa d• 'e Ith
All construction mus be c mp eted within three years of the date below.
DATE
Forth 1255 H&W HOBBS&WARREN TM Publishers
I
BORTOLOTTI CONS'VRUCTION,INC. n
765 WAKEBY ROAD,MARSTONS MILLS, MA 02648 VI
508-771-9399 508-428-8926 FAX: 508-428-9399 _� MAR
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM A
PART A
CERTIFICATION
Property Address: _ q`Q
Date of Inspection:, - '►-q P Inspector's Name:
Owner's Name and Address:
./171`51
CERTLFICATION TATEMENT•
I certify that I have personally inspected the sewage disposal system at this address and that the informa-
tion reported below is true,accurate and complete as of the time of inspection. The inspection was per-
formed based on my training and experience in the proper function and maintenance of on-site sewage
disposal systems. The System:
Passes Allmon MP
Conditionally Passes
---Needs Further Eva lion By the Local Aproving Authority pdCLNa
V Fails -In Signature: _ _ Datc:
The System Inspector shall Its
a co of this if
report to the Approving authority within thir-
ty(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 Department of Environmental Protection. The original should be sent to the system owner
and copies sent to the buyer, if applicable and the approving authority.
.INSPECTIONSUMMARY: \b�
9 �
A)SYSTEM PASSES:
1 have not found any information which indicates that the system violates any of the failure
criteria as defined in 310 CNIR 15.303. Any failure criteria not evaluated are indicated
below.
B)SYSTEM CONDITIONALLY PASSES;
One or more system components need to be replaced or repaired. The system, upon comple-
tion of the replacement or repair, passes inspection.
Indicate yes, nor,or not determined(Y,N,OR ND). Describe basis of determination in all instances. If
"not determined",explain why not.
The septic tank is metal,cracked, structurally unsound, shows substantial infiltration or
exfiltration,or tank failure is imminent. 'file system will pass inspection if the existing sep-
tic tank is replaced with a conforming septic tank as approved by The Board of Health.
Sewage backkup or breakout or high static wafer level observed'in the distribution box is due
to broken or obstructed pipe(s)or due to a broken, settled oi-uneven distribution box. The
system wilt pass inspection if(with approval of The Board of Health):
- 1 -
P
SUBSURFACE SEW G A E DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Broken pipe(s)replaced
Obstruction is removed
Distribution Box is levelled or replaced
The System required pumping more titan four tintes 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 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 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 11EALTH (AND PUBLIC WATER
SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTION-
ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE
ENVIRONMENT:
The system has a septic tank and soil absorption system and is within IOU Feet to a surface
water supply or tributary to a surface water supply.
The system has a septic tank and soil absorption system and is with a Zone I of a public
water supply well.
The system has a septic tank and soil absorption system and is within 50 Feet of a private
water supply well.
The system has a septic tank and soil absorption system and is less titan 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
the facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less
than 5-ppm
D)SY EM FAILS:
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 a contacted to determine what will be necessary to correct the failure.
Backup of sewage into facility or system component due to an overloaded or clogged SAS
or cesspool.
Discharge or ponding of e[luent to the surface of the ground or surface waters due to an
overloaded or clogged SAS or cesspool.
Static liquid level in the distribution box above outlet invert due to an overloaded or clog-
ged SAS or cesspool.
Liquid depth in cesspool is less than G"below invert or available volume is less than 1/2
day flow.
Required pumping more than 4 times in the last year NOT due to clogged or obstructed
pipe(s). Number of times pumped
-2-
1
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(continued)
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: .
The following criteria apply to a large system in addition to the criteria above:
The design flow of a system is 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:
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 lI 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.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Check if the following have been done: -
_4ZPumping information was requested of the owner,occupant, and Board of Health.
; 1one of the system components have been pumped for atleast 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.
k-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.
_,e!!�Ihe system does not receive non-sanitary or industrial waste flow.
;-'the site was inspected for signs of breakout.
;/All system components,excluding the Soil Absorption System, have been located on site.
The septic tank manholes were uncovered,opened,and the interior of the septic tank was in-
spected for condition of baffles or tees,material of construction,dimensions,depth of liquid,
/depth of sludge,depth of scum.
P/The size and location of the Soil Absorption System on the site has been determined based on
existing information or approximated by non-intrusive methods.
-3-
r-
e
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST(continued)
The facility owner(and occupants, if different from owner)were provided with information on
the proper maintenance of Subsurface Disposal System
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
FLOW CONDITIONS
RESIDENTIAL:
Design Flow: gallons Number of Bedrooms:v Number of Current Residents: ,3
Garbage Grinder: A16 Laundry Connected To System: YeS Seasonal Use:
Water Meter Readings,if available:
Last Date of Occupancy: ( C.l/'I� �i 7
COMMERCIAL/INDUSTRIAL: ND
Type of Establishment:
Design Flow: gallons/day Grease Trap Present: (yes or no)
Industrial Waste Holding Tank Present:
Non-Sanitary Waste Discharged To The Title V System:
Water Meter Readings, If Available: Last Date of Occupancy:
OTHER: Describe)
Last Date of Occupancy:
GENERAL INFORMATION
PUMPING RECORDS and source of information: v u
System Pumped as part of inspection: L If yes,volume pumped: - gallons
Reason for pumping:
TYPE OF SYSTEM:
Septic Tank/Distribution Box/Soil Absorption System
Single Cesspool
Overflow Cesspool
Privy
Shared System(If es,attach previous inspection records, if any)
Other(explain): IS,.
APP OXEVIATE AGE of all components,date installed(if known)and source of information:
Sewage odors defected when arrivfng at the si e:
-4-
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
GENERAL INFORMATION (continued)
SEPTIC TANK:
Depth below grade: it Material of Construction: concrete metal FRP Other
(explain)
Dimisions:�S, ,Y1-y ,� Sludge Depth: Scum Thickness:
Distance from top of sludge to bottom of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Comments: (recommendation 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.) ,�s
4 O N
G
GREASE TRAP:_
Depth Below Grade: Material of Construction: concrete metal FRP Other
(explain) _
Dimensions: Scum Thickness:
Distance from top of scum to top of outlet tee or baffle:
Comments: (recommendation 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.)
TIGHT OR HOLDING TANK:
Depth Below Grade: Material of Construction—concrele_metal_FRP_Other(explain)
Dimensions: Capacity: gallons Design Flow: gallons/day
Alarm Level:
Comments: (condition of inlet tee,condition of alarm and float switches,etc.)
DISTRIBUTION BOX::
Depth of liquid level above outlet invert:
Comments: (note if level and distribution is equal,evidence of solids carryover, evidence of leakage into
or out of box,etc.)
PUMP CHAMBER:
Pump is in working order:
Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.)
-5-
1
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
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:
Comments: (note co ration of soil, signs of hydraulic failure level of ponding,condition off vegetation,
O e .) '4 Pa— a 0e`��Pr>!" !xis
tF _ Ce l
CESSPOOLS:
Number and configuration: Depth-top of liquid to inlet invert:
� P P q
Depth of solids layer: Depth of scum layer: Dimensions of Cesspool:
Materials of construction: Indication of groundwater:
Inflow(cesspool must be pumped as part of inspection)
Comments: (note condition of soilk, signs of hydraulic failure, level of ponding,condition of vegetation,
etc.) . .
PRIVY:
Materials of construction: Dimensions:
Depth of Solids:
Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,
etc.)
f
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
SKETCH OF SEWAGE DISPOSAL SYSTEM:
Include ties to atleast two permanent references,landmarks or benchmarks.
Locate all wells within 100 Feet.
1 �
1�
I
U
DEPTH TO GROUNDWATER:
Depth to groundwater: Feet
Method of Determination or Approximation: / r i �Tm�+r ,$. ,� A
-7-
TOWN OF BARNSTABLE
LOCATION a _721'P ( 2,�-1)_11P SEWAGE#
VILLAGE.4Z"2rZ ASSESS 'S MAP&LOT/K_Q 0�0,
NAME&PHONE NO. /
SEPTIC TANK CAPACITY / 0 G)Q/. �dJ�i`C, i�
LEACHING FACILITY: (type) �� �i/. (size) /_ C3�Gls
NO.OF BEDROOMS—
BUILDECOR OWNER / r`
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
/"� i
�� .�U
��
l
��, V�
O
4` ,
PJ�
TOWN OF BARNSTABLE
E.2-TREEiTOP CIRCLE , MARSTONS MILLS 96-353
LOCATION SEWAGE #
MARSTONS MILLS
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. ELL IS BROTHERS CONST CO. 362-6237
SEPTIC TANK CAPACITY % co 0
Lo
LEACHING FACII.TTY: (type) 3� �1,221 s cti (size) /�� � .��I x
NO.,OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: 11/18/96 COMPLIANCE DATE: - !o- / -Z
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
z
:Yy
t
{
FORT\'[ 11 SOIL EVALUATOR FORM
Page 1 of
No. Date:
Commonwealth of Massachusetts
gq��srrac-� , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
-- L=v �aw ego- 3&t 9 Date: 7-9-9
Performed B J ..�...... t
y: ...... .... .. ..,............ ....... .................. . ......................
Witnessed B �2.... t��.°-...... . ....... .erv-r-...,�.�. . ..�:�...:.� �.._ 90-._`z c S._.. ._... ..
,.
Owrcr's N.=.
t«a on naa.�:of /*�,/ 62 �nI� ,vy �!/�C to Lo rL \ S 1 L✓b
L01 ISO _S�Xie� i�� S Address..nd 1P,y i r2 7 e7-c
Telephone Iyv`artsT%5"1 '
4jjrf - 2s "A-4 S�P2 3a -c3AAaPsms4tr r-q 0Zc, 46
New Construction ❑ Repair
Office Review
Published Soil Survey Available: No ❑ Yes
. ZO
av
191 ....... Publication Scale -.:. �.,....... Soil Map Unit,,
Year Published K ,, � / Z&,Z
Drainage Class / ads &}I4 Soil Limitations _ ._❑ Ce9s5
Surficial Geologic Report Available: No ❑ Yes M,�Z A. 610-0
Year Published ....... Publication Scale _ /9
........ ..
Geologic Material (Map Unit) ��� ..._ .� `..... ....... . "'�.............:.......... ..
7 _ (`
Landform 71.. ...........
Flood Insurance Rate Map:
Above 500 dear flood boundary No El Yes
Within 500 .year flood boundary No ❑Yes ❑
❑ ' .,C ,�
Within 100 vear flood boundary No El Yes
Wetland Area: r//� Z�Ovv�—�s"�
National Wetland Inventory Map (map.unit)
Wetlands Conservancy Program Map (map unit) ..................... ...........
Current Water Resource Conditions (USGS): Month
Range :Above Normal ONO al Belc v Normal ElOther References Reviewed: U '�" 1C �le v�
W, 4!' �q� a ��
DEP APPROVED FORM. 12/07/95
F0101 11 SOIL 'EVALUATOR DORM
Page 2 of
Location Address or Lot No. Z /G���' w 6 12 !l v Zt-zo
/Yf�'Kza S/-ZA✓
On-site Review
Deep Hole Number Date:. 77 Time::. /.!Oj Weather s✓N A ..
Location (identify on site plan) Ifr,a.12:Y-4v
Land Use ..QGs/OC.�%r%mac.. : Slope (°/� /. % Surface Stones
Vegetation
LandformL!1�
Position on landscape (sketch on the back) �lL-�—
Distances from:
Open Water Body ?;UDG it feet Drainage way 90 feet
Possible Wet Area �,�'4.. feet Property Line ..yc feet
Drinking Water Well feet Other �'� WO-�'L /
f t) 428. z963
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, %
Gravel)
�� ► �32 ' �`� � �'/r CJd� �rR �� oy/j �/ 6 �7/d-✓
132
�14
f9N0
e�� � 02.
CUuK-r&oe4;2
Parent Material (geologic) d !J rlT /_° I ZDepthtoBedrock: x �L
Depth to Groundwater: Standing Water in the Hole: '0" Weeping from Pit Face: Na V Er-
Estimated Seaso-al High Ground Water: l � !'4,11,04 11 jr 04 Vr"C 9/-1 K
1.e'411•.�n
UEP APPROVED FORM- 12/07/95
• 1
FORM 11 SOIL'EVALUATOR 11,010
Page 3 of 8
Location Address or Lot No. ��2 ��`� /��'' �'a<<� ""� *Zb
4)
On-site Review
Dee Hole Number 2- Dat :.:.-. :9—94 ime:.... "/ Weather Y*1v
• p
Location (identify on site plan) I<� ��..Y.' ZU t �2x Zv �t off . J
B FF /✓ a�
Land Use Slope M) _ � Surface Stones
Vegetation �✓
9w _
Landform
Position on landscape (sketch on the back) JF Sf"°7lc...
�f� 4✓_ /.�G?� 7-�1-9L
Distances from: ` '�'¢r;
open Water Body �� feet Drainage way /Zoa feet
Possible We Area '�/'�... feet Property Line ...Zo �s feet
Drinking Water Well .://1-:. feet Other 7:5."v4'1..4
DEEP OBSERVATION HOLE L OG� i
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, %
Grave
/2 '� 2v �/« G(�►'GG !IQ'i 6.7
loxvty soh// yQ io
(/eta VA St( O lob
� 0 Y
/V Y,
r�
7cOSE
a
Parent Material (geologic) �G%��f 'Qo I 2 DepthtoBedrock:N/ '1/�
�t dw Weeping from Pit Face:
Depth to Groundwater: Standing Water in the Hole: 'Y p g —
Estimated Seasonal High Ground Water: �> � / P ri-.,,c —
DEP APPROVED FORM- 12/07/95
4of. f-
S,Iva
FORM 12 - PERCOLATION TEST
Location. Address or Lot No. _ . g Z //lc2' e/'e-C
COMMONWEALTH OF MASSACHUSETTS
��oL�►/S/�Ifd��� , Massachusetts
Percolation Test*
Date: Time:,
Observation Hole # /
Depth of Perc
Start Pre-soak
End Pre-soak
Time at 12"
Time at 9"
Time at 6"
Time (9"-6")
Rate Min. I/h '2 '1 l0/1�y� 4-rrSr
'GL= SniG /fo�z .
* Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed Site Failed ❑
......................................................................................................................................_......................
Performed By: G / T° 4/2-- L
Witnessed By: �� ����� /�l��•T �• 0 ./�
�If y
Comments: -�- �T/?n�. rt� 't -f Z
..: .: ::::.:. ::::: . 4 .: : : JTi� : . . /. ::
-/ 41 I I ,_ C✓GCS �f v// /-f o K 1 �v�
/J L o Lv G/K4 f7 C. .y q /,`C-4<
DEP APPROVED FORM-12/07/95
FORM 14 - SO,hL LVALLIATOIZ 1�ORNl
Page $-of 0,
,. S j L✓1
Location Address or Lot No. 4�'t,eC � r
'�t�"�
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole....Al/ inches
Depth weeping from side of observation hole ..A. `inches
Depth to soil mottles "' inches �„� •� ,�,�
❑ Ground water adjustment ...:............... feet
Index Well Number .................. Reading Date ................... Index well level
Adjustment factor ................... Adjusted ground water level .....................................
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? L f
If not, what is the depth of naturally occurring pervious material? )"'i.L L��s
Certification
I certify that on 'G///�9�(date) I have passed the soil evaluator examination
approved by the DLpartment of Environmental Pro
tection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017.
FA
Signatu Date
DEP APPROVED FORM- 12/07/95
I
K-
;f ——100—— EXISTING CONTOUR
x 100.98 EXISTING SPOT GRADE d�l,
q� — VEGETATED WETLAND `fl�
G --6 H.tM.-- OVERHEAD WIRES '
1 198 P G EXISTING GAS SERVICE .10�02
W EXISTING WATER SERVICE3>
TEST PIT jjo• ".alp p8�, �4� 3
N BENCHMARK `3 OS
I 42 48,
5 30 30" E LEGEND •
. 0 0. N N
LOCUS
® W TOP
.G o
O
N z
46 20„
VIATOPFlEI.D DR
26
115 66, E mo OLD STAGE RD
' L LOCUS MAP
NOT TO SCALE
`• I
End of drainage
droino ditch/no outlet
( ; 9?_ditch _ _ k 1 edge of' lawn
� 01'64
01,90
O
1103,08 •`'`c jam. 9 `\\ O `\\
TBM No. 2 _
Outside car. Bulkhead x �- � O `� '—
I I EL.=103.41 (Assigned) �� �� ��• ,
TOP OF BANK
I I (DRAINAGE DITCH) -102,53 +
�,.
I PATIO 101.77
26'
w I I O O O 8 W 101.73`
y
- I - - x 102.36 _ - g ao` 0
co M :o a) o�p
I a,I " PATIO DECK
I•ol :o � Im
I I it 102.00
a)
� ••..x 102.69 103,03EXISTING
I e
HOUSE (#82)
T.0.F.=103.74±
I �
p3.1
I
? TP-1 102.45
I TBM No. 1 1 ,
i I Rt. outside cor. Lndg. 2
EL.=103.91 (Assigned)
X 102,88
POLYLINER 5' OFF S.A.S. STRIPOUT ( 1 101 1 102,63
I TOP OF LINER, EL.=100.0 TO EL.=94.8t i_i(/) Ln
i
i I BOTTOM OF LINER, EL.=98.5 (SEE NOTE 11) I i i�
LOT 20 L ' .L
103.24 40,800f S.F. ° STONE 02•34
MOP 50 DRI VEWA -verit 1 (�
Ponce/ 30 0`?,SO o
102.46
R�169' 1 pavement �01
1 103.21 k4ss 1 1 fREE
18Sof01PETER T. TOP CIRCLE
� 1 o � �
McENTEE
CIVIL N _ PROPOSED SEPTIC SYSTEM UPGRADE PLAN
No. 35109
S1ER �� zew
82 TREE TOP CIRCLE, MARSTONS MILLS, MA
Prepared for: Lori Silva, 82 Tree Top Circle, Marstons Mills, MA 02648
Engineering by: SCALE DRAWN JOB. NO.
t PLAN REVISION 11/12/09 Engineering Works, Inc. 1"=20' P.T.M. 156-09
1) ADD VARIANCE REQUEST 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO.
2) ADD POLY LINER (508) 477-5313 7/11/09 P.T.M. 1 1 of 2
)a '
a
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL:99.83
FOR A DISTANCE OF 15' AROUND THE
PERIMETER OF THE S.A.S.
SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT
T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE CHARCOAL
EXISTING � F.G. EL.=101.7t � F.G. EL: 101.4f F.G. EL- 101.3(MAX.) VENT
MAINTAIN 2% GRADE (MIN.) OVER S.A.S.
L = 25' BIAXIAL GEOGRID-BX TYPE INSPECTION
S=1% (MIN.) ® S=1%7(MIN.) S=18%((MIN.) EXTEND 1 FT. BEYOND S.A.S. PORT -7 T
4'SCH40 PVC 4"SCH40 PVC 4'SCH40 PVC 12"
6"
10"1 6 11.3" TO
1a ' INVERT
INV.=100.74 48" LIQUID I�
LEVY INV.=99.71 PROPOSED INV.=99.54
GAS BAFFLE 4 ROWS OF 4 UNITS AT 6.25'/UNIT = 25.0'
INV.=100.49 �� INV.=99.44
EXIST. SEWER 4 OUTLETS (MIN.) SOIL ABSORPTION SYSTEM (PROFILE)
INV.=101.24t PROPOSED SEPTIC TANK H-20 RATED
BIAXIAL GEOGRID / BX TYPE
PRODUCED BY TENSAR CORP.
ATLANI GEORGIA
RESTORED PAVED PARKING
COMPACTED, CLEAN GRAVEL BACKFILL
NOTES: BACKFILL WITH CLEAN PERC SAND
TO TOP OF CHAMBERS
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE
INVERTS, PRIOR TO INSTALLATION. BREAKOUT EL.=TOP EL.
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE TO TOP ELEV.=99.83
GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED
INV. ELEV.=99.44 }' ='Y c�
STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). BOTTOM ELEV.=98.50
III�IIIII®IIIII®II
3) INSTALL INLET & OUTLET TEES AS REQUIRED. STRIPOUT TO EL.=94.8t 2.83'
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' MIN. ABOVE BOTTOM OF
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.3'
EXISTING SUITABLE
NO G.W., EL=90.8 - MATERIAL
USE 4 ROWS OF 4-HIGH CAPACITY ADS BIODUFUSER UNITS
SEPTIC SYSTEM PROFILE WITH NO SEPARATION BETWEEN EACH ROW & NO STONE
TYPICAL SECTION
N.T.S. N.T.S.
GENERAL NOTES:
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
" 6-4' POLYSEAL OUTLETS BOARD OF HEALTH AND THE DESIGN ENGINEER.
22" 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS
4" 4 1-4* POLYSEAL INLETS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE <
LOCAL RULES AND REGULATIONSS, EXCEPT AS REQUEST BELOW:
-310 CMR 15.405(1)(b):
4" TOP 1) A 6' variance, SAS to cellar wall, four a 14' setback.
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE
N n % O DESIGN ENGINEER.
'- Lo 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN
ENGINEER BEFORE CONSTRUCTION CONTINUES.
5. ALL ELEVATIONS BASED ON ASSUMED DATUM.
H-20 RATED 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF-
Top View Section
D�LJOX`/ HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.
y 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
B. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S.
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
SOIL LOG AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
DIRECTED BY THE APPROVING AUTHORITIES.
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
DATE: JUNE 17, 2009 (REF#12,584) THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
SOIL EVALUATOR: PETER MCENTEE PE(SE#1542) CONSTRUCTION.
WITNESS: DAVID STANTON R.S. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
HEALTH AGENT IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3).
ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. -
102.9 A 0 102.8 A 0 75"
SANDY LOAM SANDY LOAM
101.9 10YR 3/3 101.8 10YR 3/3
12' 12" _
B B
SANDY LOAM SANDY LOAM
10YR 5/6 10YR 5/6
99.9 C1 36" 99.8 C1 36"
SANDY LOAM SANDY LOAM 76„
W/BOULDERS W/BOULDERS
(DENSE TILL) (DENSE TILL) PROFILE
10YR 5/6 10YR 5/6
94.9 C2 96" 94.8 C2 96"
M-C SAND M-C SAND 16"
2.5Y 6/4 2.5Y 6/4
SAMPLED FOR 11.2"
SIEVE ANALYSIS
90.9 144" 90.8 144"
SIEVE ANALYSIS RESULTS: SAND/GRAVEL(98.2%) CLASS 1 �-34" 111.
NO GROUNDWATER ENCOUNTERED SECTION END CAP
16" HIGH CAPACITY (H-20) BIODIFFUSER UNIT
DESIGN CRITERIA MODEL 16" HICAP
NUMBER OF BEDROOMS: 3 BEDROOMS LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT
SOIL TEXTURAL CLASS: CLASS I EFFECTIVE LENGTH 75" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY
DESIGN PERCOLATION RATE: <2 MIN/IN DIFFER SUGHTLY FROM ACTUAL PRODUCT APPEARANCE.
DAILY FLOW: 330 G.P.D. SIDE WALL HEIGHT 11.2"
DESIGN FLOW: 330 G.P.D. OVERALL HEIGHT 16"
GARBAGE GRINDER: NO OVERALL WIDTH 34" 4640 TRUEMAN BLVD
PROPOSED SEPTIC TANK: 1500 GAL. CAPACITY 13.6 CF HILLIARD, OHIO 43026
LEACHING AREA REQUIRED: (330) = 445.9 S.F. CAPACITY (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC.
.74
DISTRIBUTION BOX: 4 OUTLETS (MINIMUM) PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 4 ROWS OF 4 HIGH CAPACITY ADS BIODUFUSER H-20 UNITS 82 TREE TOP CIRCLE, MARSTONS MILLS, MA
NO STONE (SAS DIMENSIONS ARE 11.3' x 25.0') Prepared for: Lori Silva, 82 Tree Top Circle, Marstons Mills, MA 02648
SIDEWALL AREA: NOT APPLICABLE Engineering by: SCALE DRAWN JOB. NO.
BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.70 SF/LF) Engineering Works, Inc. NTS P.T.M. 156-09
(BIODIFFUSERS) 16 UNITS x 6.25 LF x 4.70 SF/LF = 470.0 SF
12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0.
DESIGN FLOW PROVIDED: 0.74(470.0 S.F.) = 347.8 G.P.D. (508) 477-5313 7/11/09 P.T.M. 2 of 2
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► PROFILE Oh PROPOSED SEWAGE SYSTEM
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SYSTEM DESIGNED BY THE TOWN, OF 16-ledM61.6 REGULATIONS AND 1 i2
{ STATE TITLE V FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4"= 1 ' 8 "r, - '•4
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1 . ALL _ PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE
2. ALL PIPES SHALL BE SLOPED PER FOOT ,
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` 3 . DESIGN FLOW 3 BEDROOMS AT t ! 0 BALDAY PER BR = GAL/DAY
SEPTIC TANK SIZE "o X 4-,eg�= GGb GAL . i
USE.Aq401. GAL. W/ �� GARBAGE DISPOSAL�>.�,.,. _ .�.' I !
4. LEACHING SYSTEM : USE TAat� E (4- 0- �11=�t1so�s ��4yrL�AC4*J6t4�AMr;CJC5� i� I
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EFFECTIVE AREA :,,, SIDE(I)CI + �� 3Z o•--r441 _ 4
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TOTAL REQ 'D FLOWS X _ .
RESERVE FLOW GAL / DAY �6ayj5, •� �+
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uZ24s '�a•Jvw,4t4 aoav" �>Nm t�A-r�Nt �.► CTz)XV=�aoo APPROVED BY
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DATE
PROPERTY OWNER : �-- ��t �`
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