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HomeMy WebLinkAbout0076 TURTLEBACK ROAD - Health _ 76 TURTLEBACK ROAD, MARSTONS MILLS _ A=047-086 _ ----- -� TOWN OF BARNSTABLE (LOCATION SEWAGE# VILLAGE ASSESSOR'S MAPP&PARCEL INSTALLER'S NAME&PHONE NO. ` pe LA `cz. SEPTIC TANK CAPACITY O 0 LEACHING FACILITY:(type) S OOgj.► ( ►t 5 size) ( 3L,19 X p C� NO.OF BEDROOMS f OWNER A L. ( O KD PERMIT DATE: 'a - Zp t COMPLIANCE DATE: 01- 13 RO( f Separation Distance Between the: 00 GA0U4J p T4Z*, Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility a Q4,oUw7tKZ1 eet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 4 _Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) - Feet FURNISHED BY 0_AP&mjD 6_V4771909405 Ir° 2® i S Y - 36 , 0 -�re3 01010 a3� s No. ._ � Fee /D® THt COMIMON ASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - RNSTABLE; MASSACHUSETTS ftpf ration for Mispos stetu Cottstructiou ertrtit Application for a Permit to Construct( ) Repair)o Upgrade( ) Abandon( XComplete System ❑Individual Components Location Address or Lot No. q 6 Ti up-maOACK. ?xAi> Owner's Name,Address,and Tel.No. MM I RlCOA" # -TuL a OAL-40'VJ Assessor's Map/Parcel TJ " p-s L Installer's Name,Address,and Tel.No. _50J -if`I-1 gS?7 Designer's Name,Address,and Tel.No.509-413-03-17 C A®ec wtpft—e "'Te2FRCses ce` TL EL�G/06r;;'Lt NCL VLJc- 1 3 t l L ND&-:E MA 4?54 ""Q) f AAA Type of Building: Dwelling No.of Bedrooms Lot Size (( sq.ft. Garbage Grinder( ) Other Type of Building V(��1 1 —No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 s o gpd Design flow provided 3 .q' gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank (,o 00 GA&A D t l Type of S.A.S. La) 500 CAC. td L IJJ& C44C$dr-F Description of Soil C O AD-S 9 &AL)b 'Q tOQ U SiaE I?CAX( Nature of Repairs or Alterations(Answer when applicable) ofX7 ,E_bx) csG-ft. C_ `T5kfjK, w eu..) H-d U D'@ O X _n (//a) 9-ad SD t7 c-,"-Ct. Lu 17 OF= A669C-C-of $J PZ&UP)1 Oa— Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt Signed , Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. &0/4 — 3 0 5 Date Issued 144 f Sr - No. 5 TH / Fee \ CO'II�MON ASSACHUSETTS Entered in computer. Yes PUBLIC HEALTH DIVISION - RNSTABLE, MASSACHUSETTS ltllItatton for 418t1o£� tent Construction Permit Application for a Permit to Construct( ) Repair X Upgrade(,)"Abandon( ) 'Complete System ❑Individual Components Location Address or Lot No. •76?Uttr'L. eAGG 'Xq 4p owner's Name,Address,and Tel.No. I Assessor sMap/Parcel Installer's Name Address and Tel.No. Designer's Name Address and Tel.No.50%_313—03-17 CApGwlDig GNTraeji+¢x5e$ Type of Building: Dwelling No.of Bedrooms Lot Size `f sq.ft. Garbage Grinder( ) Other Type of Building .,-�,,h_No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 2,t�q gpd Plan Date —an -16 lL Number of sheets_ Revision Date Title -Aa>—M e c mill Size of Septic Tank 0a Type of S.A.S. � ® C--� r�i !&�lbw& C.L1�{[( Description of Soil A g K `Nature of Repairs or Alterations(Answer when applicable) _ Nt` Tn w ex—1 4-a u D-G oT Z/� 14-,ao _5,-on -i`eF0'C e.3•—s'�� 1 L C f T/f/ZIP` Date last inspected: 4tiR , w 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 iy Signed Date —ad Application Approved by Date l Application Disapproved by Date for the following reasons Permit No. ac/� o t� f 5 Date Issued n 41 TH E COMMONWEALTH OF MASSACHUSETTS ,.. BARNSTABLE,MASSACHUSETTS - Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned.( )by C A PLC W 0' 0", T R,0 5E L-LC—' 11 y at /7 —�4� ? �/� � k7) MM has been constructed �in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. -/O ated �- Installer C DR?1 � <c�' (�5� Designer A ��+.'1�txY� nt7&Y #bedrooms Approved design flow 3 3<0 gpd The issuance of this permit sh 1 not be co sstrrued as a guarantee that the system-will-fanGti n=as design . Date q � 1 `1 Inspector �— ..................................................... ----------------------------------------------------------------------------------------------------------------------------------------- No. c%��` (3 Fee 16C THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction permit Permission is hereby granted to Construct( ) Repair(><) Upgrade( ) Abandon( ) System located at 14 _T U PZ (' e�64, P 0A 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. i Provided:Construction must be co }l/eyed within three years of the date of this permit. Date /y Approved . i j i 9/24/2014 03:47 5082730367 :3351 P. 001/001 Town of Barnstable % Regulatory Services Thomas F. Geiler,Director BAM9rAWX. • Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: ` -21-t y Sewage Permit# ab l q -30 5 Assessor's Map/Parcel y 7 Installer& Designer Certification Form Designer: 3-G E��t{,ee;f,nr� T�-iC Installer: CaOzw(de_ C-,nt'erec(sz5, LI-G Address: 2h511 Con4ae;ry Address: 151, Gomme.crul S4fee_+ ��sl wc+rehc+r�n Hft e�:38 �tusln �e, NR dZ(o `/ q On $-a1'0-014 Cgew+de. Entere4sz-s was issued a permit to install a (date) (installer) septic system at 76-Cu({le-back goa� based on a design drawn by (address) �f✓ E����rleerirl� , Ty1G. dated Aug,,sk- 20 yc� (designer) v T 1 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. 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 cern ied as-built by designer to follow. Stripout(if req ' nspected and the soils Were found satisfactory. �,�Mor► , CHUkL.+C ... ,_ JR. nstaller's ature) NC IL esigner's Signatur (Affix esi e s Wmp Here) PLEASE RETURN O BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q li,nn.duc 1 Town.of Barnstable P# . Department of Regulatory Services L a►twsrnetu Public Health Division Date MASS. i639 200 Main Street,Hyannis MA 02601 lflJ NII�'�' AM V ' Date Scheduled— Time Fee Pd. Soil Suitability Assessment for Se e D)ispo � g- 0 Performed By: �IJw 1� N• &rMo E i y �T CS E Witnessed B : � l LOCATION& GENERAL INFORMATION Location Address Owner's Name � �� ►2'� �,�1-ten Address Assessor's Map/Parcel: v LJ"?�0 � Engineer's Name ,�* ^✓, {.SU may) crICB� I)c NEW CONSTRUCTION ii REPAIR V Telephone# -50S-4-1') -- 5&'Z.'� 5bg-273-637J Land Use Q Id tinil Gt I 6(tA S h Slopes(%) d_�� Surface Stones 0 Distances from: Open Water Body , 1,0 U ft Possible Wet Area > QO ft Drinking Water Well 2-is—oft Drainage Way > 16 y ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) l l U Parent material(geologic) �(A�WaSJ1 Depth to Bedrock > 1�� Depth to Groundwater. Standing Water in Hole:_„t 0Y1 a Weeping from Pit Fnee / 10 Y R Estimated Seasonal High Groundwater '7 /J DETE RMINATION FOR SEASONAL IIIG]FI WATER'I'ABA.,E 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 le�cl _ � Adj,factor m� Adj.droundwater level PERCOLATION TEST Datt 1 i Thne A ±f Observation Hole# _ Time at 9" _ Depth of Perc 60-7S Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak r Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) ' Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conseltvation Division at least one(1)week prior to beginning. Q:SEPT[CAPERCFORM.DOC DEE,ROBSERVATION BOLE LOG Hole# 1 . Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. onsistency,%Graven G-a �a- LS vi - 6 SA .DEEP OBSERVATION BOLE LOG Dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. - Cojisistency,%Gravel) �ya LIS 10YI.3/z `la,- 6b LS /OY/Z 6 Sod a,s 'b DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Con i to c O DEEP OBSERVATION HOLE LOG Bole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Flood Insurance Rate Man: Above 500 year flood boundary No` Yes Within 500 year boundary No X Yes Within 100 year flood boundary No 4 Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perv1 us material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Celrtification I certify that on cZ d (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 and xperieennccee\described in�10 CMR 15.017. Signature -(i�/��'C J Date Q:W14PT1CtPERCPORM.DOC OWN OF BARNSTABLE v LOCAAION, ��J A SEWAGE # 9Z VILLAGE l'% r)01/J ��i16 ASSESSOR'S MAP& LOTOY�- 086 INSTALLER'S NAME&PHONE NO. l�n 0 20011-E y►1AP UJ SEPTIC TANK CAPACITY �i DU 0 G`��• LEACHING FACILITY: (type) Cc,/sec (size) NO.OF BEDROOMS /I BUILDER OR OWNER [rC9v1 s l` &/I-D PERMTIDATE: 7-3 l-2'6 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 ofle4ching facility) Feet Furnished by �,w 1,;7 � G6 c O 2k ct ° -� V r ~O ASSESSORSMAPNO t No. PARC%NO: � Fee / THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppfication for Migogar *proem Congtruction Permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. >6 /�?T e & Owner's Name,Address and Tel.No. Assessor's Map/Parcel 10u;3 ALA 412. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. G Qa ooA-BuA rv.5 Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Rep4irs orjAlterations(Answer when applicap e) 3 a X & rui-Fee cli3 telaS 18 5To� _ an T(9 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 issuO by this Board of Signed Date ' 3 y/Frd Application Approved by Date _71" F-K Application Disapproved for the following reasons Permit No. " Date Issued ——————————————————————————————————————— I A K `* No. r Fee THE.COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN'OFBARNSTABLE., MASSACHUSETTS ft plicaction for ;Migogar *pgtem Congtructiou Permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. 7,6 2 Owner's Name,Address and Tel.No. Assessor's Map/Parcel p7,925«d 7 /l�r'// L 0V�)I R V 1 r� ,R. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Ga2 r h6ex -.PU5 Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Rep rs or terations(Answer when/apppIiii a II(e /9 /�/s/, d o X /O y - ('c,//C�' C AiY/ 2S S✓�2vy✓►9�9 /J7�d!/ 'e+l e— 3,1A � r ¢ k Date last inspected: } Agreement: The undersigned agrees to ensure the construction and m 'ntenance 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 issuej by this Board of th. / Signed c Date - 3 —/ b Application Approved by Date Application Disapproved for the following reasons Permit No. R 'r Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTAB°LE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE81IFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(vl-on � by / .*pli t Ao' Installer at Ly G has been constructed in accordance with the provisions of Title 5 and the for Dis osal System Constructtot�,Permit No. .9 ated Date Insp or THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THA ' THE SYS- TEM WILL FUNCTION SATISFACTORY. No. % 'y7�./�.:/+ ------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS - PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS &gaal *pgtem Cow5truction Permit Permission is hereby granted to Gd 2..Ao� &rn vJ to construct( )repair�an On-site Sewage Syste located at No.# 6 %v2 T c Street and as described in the above Application for Disposal System Construction Permit. No. Date The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within three years of the date below. Date: l Approved —� Board of Health CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) k F� I ereby certify that the application for disposal works construction permit signed by me dated 3/ cono"ng the property located at ✓v/ZJ e ®/ i�fi meets e11 of the following criteria: t sw. • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. » r `- . / SIGNED: DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUfVIBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a ceitified plot plan, this plan should be.submitted]. Q U- N... ik 'r qt+ t k c Ns a, 0 t s 9 D1sl^;3o7� Q- i \ fl ASSESSORSalb nut 07 �..a Commonwealth of Massachusetts PAKIN®:. Executive of Environmental Affairs T DEP Department of 12 Environmental Protection NV s Uwe SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FDRM,: 0 PART A , -- 'goo CERTIFICATION t ` Z Property Address: 76 T urtleback R d. M arskon M ills, M a. 9 CA Address of Owner: Helen David (if different) 528 Old Long Ridge Rd. Stanford, CT 06903 Date of Inspection: 06/24/96 Name of Inspector: Michael D eD ecko Company Name, Address and Telephone number: Atlantic Environmental P.o Box 2384 - M ashpee Ma 02649. Tel : (508) 4771420 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of inspection . The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. The system ---- Passes ---- Conditionally Passes Needs further evaluation by the local Approving Authority - Fails 4 I ns ector ' s S i ak %' "\�,,��.Date: 06/25/96 The system Inspector shall submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office or the Department of Environmental Protection. The original should be sent to the system owner and copy sent to the buyer, if applicable and the approving authority. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 76 T urtleback R oad. M arston M ills,M a. Owners : Helen David Date of Inspection : 06/24/96 INSPECTION SUMMARY: Check A, B, C, or D A) SYSTEM PASSES: --- I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CM 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 completion of the replacement or repair, passes inspection. Indicate yes, no, or not determinate (Y,N, or ND). Describe basis of determination in all instances. If "not determinated", explain why not. --- The septic tank is metal, cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. ---- 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). ..... broken pipes]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 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address : 76 T urtleback R oad. M arston M ills, M a. O wner : H elen D avid. Date of Inspection : 06124/96 C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: ---- Conditions exist which require further evaluation by the Board of Health in order to de- termine if the system is failing to protect the public health , safety and the environ- ment. 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 SAFETYAND THE ENVIRONMENT: ---- Cesspool or privy is within 50 feet of a surface of water ---- Cesspool or privy is within 50 feet of a bordering vegetated wetland or a small marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNC- TIONING 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 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 is within 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 than 100 feet but 50 feet or more from a private water supply well, unless a well water analy- sis 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 notrogen is equal to or less than 5 ppm. D) SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 CM R 15.303. T he basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to cor- rect the failure. Backup of sewage into facility or system component due to an overloaded or or clogged SAS or cesspool. . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 76 T urtleback R oad. M arston M ills, M a Owner: Helen David Date of Inspection : 06/24/96 D) SYS T E M FAI LS (continued) Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. --- Static liquid level in the distribution box above outlet invert due to an over- loaded or clogged SAS or cesspool. --- Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. --- Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). number of times pumped --- Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. --- Any portion of cesspool or privy is!within 100 feet of a surface water supply ortributary 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 ana- lysis. 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. I I 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 76 T urtleback R oad. M arston M ills M a. Owner: Helen David Date of Inspection : 06/24/96 E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above : The design flow of 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 11 of a public water supply well. The owner or operator of any such system shall bring the system and facility into full compli- ance 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. S SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 76 T urtleback R oad. M arston M ills M a. Owner: Helen David. Date of Inspection: 06/24/96 i Check if the following have been done : -x Pumping information was requested of the owner , occupant and Board of Health. --x None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during the period. Large volumes of water have not been introduced into the system recently or as part of this inspection. i --x As built plans have been obtained and examined. Note if they are not available with NIA. --x The facility or dwelling was inspected for signs of sewage back-up. --x The system does not receive non-sanitary or industrial waste flow. --x The site was inspected for signs of breakout. --x All system components, excluding the Soil Absorption System, have been located on the site. ---x The septic tank manholes were uncovered, opened and the interior of the sep- tic tank was inspected for conditions of baffles or tees, material of construc- tion, dimensions, depth of liquid, depth of sludge, depth of scum. ---x The size and location of the Soil Absorption System on the site has been deter- mined based on existing information or approximated by non-intrusive methods ---x The facility owners 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 Property Address: 76 Turtleback Road. Marston Mills Ma. Owner: Helen David Date of Inspection: 06/24/96 RESIDENTIAL: Design flow: 3-cSo gallons Number of bedrooms : a� Number of current residents: o Z- Garbage grinder (yes or no) : N U Laundry connected to system(yes or no): y� Seasonal use(yes or no) : rx� Water meter readings,if available: Last date of occupancy: COMMERCIAL/INDUSTRIAL : Type of establishment: Design flow : gallons/day Grease trap present: (yes or no) Industrial waste holding tank present (yes or no) : Non-sanitary waste discharged to the Title 5 system (yes or no) : Water meter readings, if available Last date of occupancy : Other: (Describe) ............................................................................................................ Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information : !? .:................................................ System pumped as part of inspection(yes or no):....t:?5-2)......... if yes, volume pumped: .................... gallons Reasonfor pumping:............................................................................................................ � M SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 76 T urtleback R oad. M arston M ills, M a. Owner: Helen David. Date of inspection: 06/24/96 TYPE OF SYSTEM --- Septic tank/distribution box/soil absorption system --- Single cesspool --- Overflow cesspool --- Privy --- Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain).... .....�.P..a:;4................................... APPROXIMATE AGE of all components, date installed if known and source of information t.:�..................... ....... ......�S.,` ...5................................................................................. .............:.................................................................................................................................. ................................ Sewage odors detected when arriving at the site: (yes or no)....!?. . SEPTIC TANK : .... 45... (locate on site plan) Depth below grade: ... 1'Z Material of construction: .. ... concrete ......... metal ........ FR P ........ other (explain) . ................................................ ................................... ........ ......................... ............................ ?....... b J� Dimensions: Sludge depth :...5.'�...... Distance from top of sludge to bottom of outlet tee or baffle:......a .�............... Scum thickness :....... .:......... Distance from top of scum to top of outlet tee or baffle: ...........l.v. ..................... Distance from bottom of scum to bottom of outlet tee or baffle :......1-0................. 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`� .`. .Y'���dt".f:4....— `:' ..:.r:..:-.....�•X�F�`:G ,ICt��+=:�...�i�. r ''::L�:i-?::. Trt�::'�1.�5-.��w..�t..... 4i �"�'�, 1 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 76 T urtleback R oad. Marston M ills, M a. Owner: Helen David. Date of inspection: 0612V96 GREASE- TRAP : ...... (locate on Site plan) 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:....................................... D[stance from bottom 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.)........................ .... .............................. .............................................................................................................. TIGHT OR HOLDING TANKS:...N. .. (locate on site plan) Depth below grade:............... Material of construction:........concrete........metal.........FR P..........other (explain).......... ................................................................................................................................... . Dimensions:............................ Capacity:....................gallons Design flow:...............gallons/day Alarm level:............................. Comments: (condition of inlet tee, condition of alarm and float switches, etc.) ................................................................................................................................................ ................................................................................................................................................ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 76 T urtleback R oad. M arston M ills M a. Owner: Helen David Date of inspection: 06/24/96 DISTRIBUTION BO J. .9. (locate on site plan) Depth of liquid level above outlet invert:.................... Comment: (note if level and distribution equal evidence of solids carryover, evidence of leakage into orout of box, etc.).................................................................................................................. PUMP CHAMBER:....N.v... (locate on the site) Pumps in working order: (yes or no)............... Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.).................... ................................................................................................................................................ SOILABSORPTION SYSTEM (SAS):....u;5..a..... (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: ..!..\.�.x..4... leaching chambers,number:........ leaching galleries, number:........... leaching trenches,number , length:..................... leaching fields, number, dimensions:................... overflow cesspool,number:.......... Comments: (note condition of soil , signs of hydraulic failure, level of ponding, condition of vegetation, S e�t)c.).. �{!r�s�?v('^c�:.fl_V. ��X?.:.�....�5�.1�..C�?�,� ;"a.`.ir'.iF �S ` 11� 4; .r ~:...� �....�:r?;Ac� Gyr�_�t�,+�r,;6.., ..:.�.`�..�C.�.....��iR�,~`.s�.�.o,..�`.�.... 4 l SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property address: 76 Turtleback Road. Marston Mills Ma. Owner: Helen David Date of inspection: 06/24/96 II CESSPOOLS:......No.... (locate on site plan) Number and configuration: .................................... Depth-top of liquid to inlet invert: ........................... Depth of solids layer: ............................................... Depth of scum layer: ............................................... Dimensions of cesspool: ...................... Materials of construction: ..................... Indicator of ground water: .................... inflow (cesspool must be pumped as part of inspection) ................................................................................................. ................................................................................................. Comments: (note condition of sail, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) ...................................... . PRIVY : ..... (locate on the site) Material of construction: ................................... Dimensions: ...................... Depth of solids: ................ Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) . ................. ................................................................................................................................................ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address : 76 T urtleback R oad. M arston M ills, M a. Owner: Helen David. Date of inspection: 06/24/96 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate at wells within 100' T � c�ouc c3 I DEPTH TO GROUNDWATER: Depth to groundwater: 1..5O..feet Method of determination or approximative: ..�i. at•r,,c�\gc�e r.�t.�....��.hQ:- �._............................................................... ............................... ................................................................................................................................................ ................................................................................................................................................ E7' No...;-L.13......... Fly ;;..2........ THE COMMONWEALTH OF MASSACHUSETTS �� BOARD OF HEALTH 1 --- --- ----.....OF........AIAM ------------------------- Appliration for Bisposal Works C onstrurtion Vrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 3o� _ ��TCc l ac% - ...-------- -J!l /c • L /lf �p -- 1 ---- --------------- ram- .ST ........................................... Location-Address or No. -------------0 "w-=------.�� s_.7...........------------------------. .......------------ a ... ................= Ysp.... o Owner Address a °.r..........IKLr..T-�� ..-.............................. ---------------•-------------------------------..........._._.. Installer Address 3�� Q Type of Building Size Lot.-Alp-------_____ ......Sq. feet U Dwelling—No. of Bedrooms-------3_._------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) Cafeteria ( ) P-1 Other fixtures ...................................................... Design Flow.......... ................ allons per person per day. Total daily flow---------S_a.d---------------------gallons. WSeptic Tank—Liquid capacity-_ --__-____gallons Length................ Width_-__-.-_-_.____- Diameter................ Depth........... x Disposal Trench—No.._..... ..,,.�� _ NVidth _-------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.Mw� ..%/-if eter.................... Depth below inlet.................... Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------------------------------------- -------------------------•-•------- Date---------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water----__-_--_______----.-. (ZA Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ W' --------------------------------------------------------------------------------------------------------•------------------------------------------------- ODescription of Soil--------------------•---------------•-------•--`------. -•------•-----------•---------= ---------------------------------------------------------------------- -------------------------------f-�h4�...------.I -------w".........1°'fT `r✓a �'.�rE f =------------------ � ------------------------------------------------------------------- J`-— 6o Tay 1w 7 ----------------- U Nature of Repairs or Alterations—Answer when applicable.----------------------------------------------------------------------------------------------- ------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee",- sued by the board of health. Signed-x--0-�.-.-�.,dt1(tE�,l��4 =�---•1�9��=------------- --�-�D c-�--3------ ApplicationApproved e - ......------•------------------------------------------------------•-- ---- 7 Late Application Disapproved for the following reasons---------------------------------------------------------------------- ------------------------------------•----- .'..... Date PermitNo......................................................... Issued......................................................... Date No......................... FEE.............................. THE COMMONWEALTH'OF MASSACHUSETTS BOARD OF HEALTH ...................................---.:..OF..................................... ...---------------------------------------•----- A11131 raftull for Jaipoiia1 Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systemj°a',.tj'%,. :t e-,L, _ 4� ,s'✓ 3 it r 7 Glr, i t /7 !r !? fl,x' "rl`,J ! - ,/^`, 6'" jY Location-Address or Lot No. Owner V Address W t` Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..............2............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria P-' Other fixtures ......................................................d - ..................................... W Design Flow..............: . per person per day. Total daily flow............................__________._..__gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width________________ Diameter---------------- Depth_______.__.__--. x Disposal Trench—No................. r Width.................... Total Length.................... Total leaching area__-_.______._______-sq. ft. Diamfi 3 Seepage Pit No...... �' �_:_ eter.................... Depth below inlet.................... Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date---------------------------------------- ,� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-_.__________________--. (i Test Pit No, 2................minutes per inch Depth of Test Pit-________•-_____•__- Depth to ground water____-__________-___-___. P� --------------------------------'--``-'-------•---•----------•---------------------------------••_.._......................................................... 0 Description of.-Soil........................................................................................................................................................................ V --••-•------•---•-.------•-------. -----•--•-••.=-•-----•--•=-•-•-..A:----•-•=•-•••-•-•-•-------•-•-•----•---•--•---...-----=...................... .....................................--------- W -• r- r ,_ UNature of Repairs or Alterations—Answer when applicable.____......................................::................................................... -------------------••----•-•-------------•_.....---------------•-----•------------•••--•-••--•----•---•--•••---------------.....---------------------------------------------------•------------------ Agreement: The undersigned' agrees to install the-aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article aI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. C _ Signed- rt` i i� 'a : ate Application Approved BY 'r --••:-.----••---•-••--•-••••-•-•-----. ----•---•------••----••--------•-•--•-- . Application Disapproved for the following reasons--------------------------------------------------------------------------------------------•-------------------- --------------------------•-•----••-•-----•-•----•-------••----•-•-------••••----•----•-•-•-•-------•-•------------••-•-------•-•------------------------------•---------------------.--.-----=--------- Date PermitNo.--•••-•-••-••••---------••.-t•-•-•--------------------- Issued_---------------------------•- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF....... ... ... -,. ....-..,m... c � . �rxtif irab 11 Toutphatirr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) b '` ........................... -----------------------------------•......--•--•---•-------- --------•••----••-••••---,--••-- .� r y . , y i t _6� � � m� ' Installer at........., r� .: r w` 4 � 4'4 A _ t�._._ _ �.tl I- f has been installed in accordance with the provisions of article XI of Th6 State Sanitary Code as described in the application for Disposal Works Construction Permit No_ ..................---------•--.----- dated.______ E THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A CUAGNTEE THAT THE SYSTEM WIL FU CTION ATISFACTORY. DATE----,------ -- -•-••--•••-•= Inspect �,e �''• THE COMMONWEALTH OF MASSACHUSETTS =A BOARD OF HEALTH , ,. OF...... .''�-..rsY x. $gp/ Permission Is hereby granted � •------- '- - _ ..e- ---------------------------------- rs.r n r cam.; _t'.= to Construct )'or Repair ( ) Individual Sewage Disposal System F .- � r at No.....W'E "� " ,F"�3... •. t. <sT 4; ry r' / E �f ,/ 4 ..., 'I'a , e¢' Street as shown on the application for Disposal Works Construction Pe No _____ ated___ c_ ' < �` PP P =:- .......... ---- a th - --------------------_ ---•- Board of He DATE.. -- FORM 1255 H BBS & WARREN, INC.. PUBLISHERS FINISH GRADE OVER D-BOX= 67.0''f' PROP.VENT WITH CHARCOAL FILTER TO ABOVE GRADE T.O.F. EL.= 71 .0'± FINISH GRADE OVER CHAMBERS= 65.0' - 67.0' GENERAL NOTE S PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2%MIN. OVER SYSTEM 3/4"TO 1-1/2"DOUBLE WASHED STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS OUTLET TO WITHIN 6"OF F.G. METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE F.G. OVER TANK EL. = 68,8'± 5" DIA. OUTLET(S) MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) STONE OR GEOTOEXTI EOFI TER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. END. EL.= 69.7 ± 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE TOP OF SAS= 61 ,00' PLACE RISERS ON ALL DESIGN ENGINEER. PROPOSED 4" 5.60'MAX. 6.00'MAX. CHAMBERS WITH EXISTING 4" SEE NOTE 22 " 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE SCH.40 PVC 4"PVC TEE 60.00 SEE NOTE 22 BREAKOUT EL= 60.50� INLET PIPES TO 6 OF SYSTEM UNLESS OTHERWISE NOTED. " SEWER PIPE , FINISHED GRADE 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6" 3" 3 DROP MAX L-18 _ -- 2"DROP MIN 3" 9" _ + -- MIN.SLOPE @ t% PROVIDE WATERTIGHT ELEVATION =60.50 FOR A DISTANCE OF 15 AROUND THE PERIMETER OF THE SAS. UNLESS A I " " ,,/�JOINTS(TYP.) ,� 10 4 PVC IN FROM 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF IL�.j 14" _�` 6,5'± SEPTIC TANK 4"PVC OUT TO C� 0 0 O 0 0 0 0 0 0 O o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. B.F.E. EL.= CONTRACTOR TO PROVIDE - © LEACHING FACILITY o0 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 64.4'± SPECIFIED DROP BETWEEN " " o0 0 0 0 0 0 0 0 0 0 0 INLET AND OUTLET CONTRACTOR " CONTRACTOR SHALL OUTLET TEE 60.40� M N. 6 601%; 2' o 0 0 0 0 o0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48 VERIFY CONDITION OF 00 � C:)KD 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION F EXISTING TEES AND REPLACE AS GAS BAFFLE Vk%6"CRUSHED STONE o 0 0 00 FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS EXISTING E OVER MECHANICALLY o _ NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY I COMPACTED BASE 4.0'j-8.5'(TYP) � 4.0 4.0)' � 4.0' AND DESIGN ENGINEER. OUTLET DISTRIBUTION BOX 4.$3 8. ELEVATIONS BASED ON APPROXIMATE U.S.G.S. DATUM. BENCHMARK ELEVATION OF -- - TO BE INSTALLED ON A LEVEL STABLE 25.0' (NP.) 60.00'ESTABLISHED ON A MAGNAIL SET IN ROAD AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET zr8.00, GROUND WATER ELEV.= < 52.50' 12.83 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT EXISTING 1, 2 - 500 GALLON CHAMBERS 5'MIN. CHAMBER END VIEW -- 000 GALLON CONCRETE SEPTIC TANK CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY EXISTING SEPTIC TANK PROFILE H-20 DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE H-20 CHAMBER DETAILS FE=64.4'+_),Top of SAS'theeforeminim msetbaccks lower than basement rrequiedfrom elevation(i.e. TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK& NOT TO SCALE house to SAS is 10; proposed = 16.8'. 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING TEST PIT DATA REGULATIONS. OWNERIAPPLICANT IS TO OBTAIN SUCH DETERMINATION FROM xk, APPROPRIATE AUTHORITY. CO ,; ,ram PERC NO. 14465 APPROXIMATE LOCATION OF EXISTING ^ r " '! INSPECTOR: Donna Miorandi, RS 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS / SAS (4 CULTECS) D-SOX TO BE a,=" ZONE 2 x LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE rn n EVALUATOR: Bradley M.Bertolo,EIT REMOVED & REPLACED w/CLEAN l,. � N t'' THEY SHALL WITHSTAND H-20 LOADING. / I / COARSE SAND PER 310 CMR 255(3). ✓. C.S.E.APPROVAL DATE July 2003 - d- _ ,ty � �� " � '' � WA CRUSHED STONE SHALL BE FREE OF ALL DIRT, UST AND FINES. I \ DOUBLE August 14,2014 13 OU E SHED EE D �, / DATE: / 62x2' 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE 4 PROPOSED 4 PVC VENT PIPE, . ; TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. 12 CO EXACT LOCATION PER OWNER MAP 47fi` h ELEV TOP= :64.00' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, Benchmark 10" 0 4" LOT 85 ", --�" .-- M FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). f= a ELEV WATER= <'54.00' Magnail in Road o w cal y ` 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN Elev. =60.00' 2Y. 14" 20' (3 4°' k x k PERC RATE c 2 m in./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. Approx. U.S.G.S - 6 DEPTH OF PERC= 60"-78" 16. PROPOSED PROJECT IS LOCATED WITHIN: i N ' 0' N -� LOCUS TEXTURAL CLASS: 1 ASSESSOR'S MAP 47 LOT 86 : . w l PROPOSED INSPECTION PORT STg"5g,4p" Y p r - - I cn W PORTION OF EX. RET.WALL �' 1 N r E OWNER OF RECORD: RICHARD A. &JULIA E. DALTON c=) TO BE REPLACED AS SHOWN ' / = 4) PROPOSED 2-5010 GALLON 67 H 20 LEACHING CHAMBERS W 62x5' -. "'' - nor' 0" 64.00' _ - Q WITH AGGREGATE a _ F >t y ADDRESS: 76 TURTLEBACK ROAD LO o / �� {_'- + Fill - MARSTONS MILLS, MA 02648 Cn GAS- AS (2LP OLD LEACHING PIT TO BE REMOVED / �"-- GAS--____ GAsra� _ w C � f 24" 62.00' FEMA FLOOD ZONE C a ,G K. RET.WALL x ' a y . COMMUNITY PANEL# 25001C0541J c� co EXISTING Loam Sand (j / s (1 EX.STIG 1,000 GALLON SEPTSEP t s , TANK „ t / 10Yr3/2 16" c I� E ��° 17. DEED REFERENCE: L.C.C. 164346 qs TO BE UTILIZED IN THIS DESIGN > 42" 60.50' } / 14" r O r 18. PLAN REFERENCE: L.C. PLAN 30751-E(SHEET 2) B Loamy Sand (� / o / 65x3' �`` OB g _eb 10Yr 5/6 19. ALL DISTURBED.AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. / o N r��� A,o� \G o �INV.=66�5%1- t ti ' '► 59.00 J to co 18" PR. H-20"D-BOX" p 60" -, - ", 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY �O rn / \-f- ..: It - >wl Pere y cq 1 r,q FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY Q "I6v' �O Q c�� HC-2 �'OC' 69x3' s I I ! Z0 N E 2 y , 78" 57.50' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. m ,Q TP 2 T' 1 S' / n " L(/ 1. A 4 PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A 411 / CH/ Med.to Coarse Sand DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A 62x5' 64x0' � •r' M. H. <���.�:°: �t.r >� � C P 0 1 69xT HCA 2.5Y 6/3 REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. �' /� 22. IN ACCORDANCE WITH 310 CMR 15.461 -15.405,THE FOLLOWING LOCAL UPGRADE `STEP / LOCUS PLAN APPROVALS ARE REQUESTED FROM 310 CMR 15.221 7 ,r ` ( ) (1.) A 3.00'WAIVER(3.00'-6.00')FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY. 12' � 69x9' #76 SCALE: 1"= 1000' 120« 54.00' (2.) A 2.60'WAIVER(3.00'-5.60')FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. / 4 EXISTING No Mottling,Standing or Weeping Observed /✓_� 16" 0 3-BEDROOM DWELLING DESIGN DATA TEST PIT DATA LEGEND w 16 co 16" TOF=71.0'± f w--_ _W _ BFE=64.4'± PERC NO. 14465 50xO' EXISTING SPOT GRADE w w w INSPECTOR: Donna Miorandi, RS - - 50 - - - -,r w NUMBER OF BEDROOMS (DESIGN) 3 EXISTING CONTOUR 1' ( � EVALUATOR: Bradley M.Bertolo, EIT I 16 T MAP 47 DESIGN FLOW 110 GAUDAY/BEDROOM s 50 PROPOSED CONTOUR c0 Jul 2003 '_L�_ -� INV.=6&0-s-� 16 ? �' / Q LOT 86 TOTAL DESIGN FLOW 330 GAUDAY C.S.E.APPROVAL DATE., y cr 22,564±S.F. DATE: August 14,2014 50 PROPOSED SPOT GRADE ° 660 >� U � DESIGN FLOW x 200 /o = GAUDAY / TEST PIT#: 2 m � GAS EXISTING GAS LINE / USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 62.50' / IV ELEV WATER= <52.50 T/C EXISTING TELEPHONE&CABLE PERC RATE= ELEC EXISTING ELECTRIC LINE BIT QRIV W W EXISTING WATER LINE EcoINSTALL 2 - 500 GAL. CHAMBERS W/AGGREGATE DEPTH OF PERC ITEXTURAL CLASS: 1 TEST PIT LOCATION SIDEWALL CAPACITY (LENGTH + WIDTH) (2 SIDES) (2'HIGH) (0.74 GPD/S.F.) = GAUDAY EXISTING 1,000 GALLON SEPTIC TANK/ (25.0 12.83)(2 ) (2 ) (0.74 GPD/S.F.) 112:.0 GAUDAY 0" 62.50' BOTTOM CAPACITY Fill PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE QQ- � (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY 24" 60.50' PROPOSED H-20 DISTRIBUTION BOX ! (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAL/DAY Y Loamy Sand / A �p PROPOSED 500 GALLON H-20 LEACHING CHAMBER 10 r 3/2 �/ c - TOTALS: 42 59.00 I TOTAL NUMBER OF CHAMBERS 2 B Loamy Sand REV. DATE BY APP'D. DESCRIPTION I 10Yr 5/6 TOTAL LEACHING AREA 472.2 SQ.FT. 60" 57.50' PROPOSED SEPTIC SYSTEM UPGRADE TOTAL LEACHING CAPACITY 349.4 GAL./DAY PREPARED FOR: / CAPEWIDE ENTERPRISES 1 Med.to Coarse Sand C 2.5Y 6/3 LOCATED AT SWING-TIES 76 TURTLEBACK ROAD DESCRIPTION HCA HC-2 MARSTONS MILLS, MA 02648 NOTES: 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF CORNER OF STONE(1) 27.0' 17.1' " ' SCALE: 1 INCH = 10 FT. DATE: AUGUST 20,2014 EACH SEPTIC SYSTEM COMPONENT. 120 52.50 MAP 46 CORNER OF STONE(2) 48.6' 26.8' g g g � O� 8_q 0 5 �0 20 ao FEET No Mottlin , Standin or Weepin Observed �°"�N o n�a LOT 92 Silo CORNER OF STONE(3) 54.T 36.2' JOHN L. cy���+ PREPARED BY: 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF 1g 002y�.F RESERVED FOR BOARD OF HEALTH USE CHU HILL JR. THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST JC ENGINEERING, INC. PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL �3 CORNER OF STONE(4) 36.T 29.T .a Iso7 2854 CRANBERRY HIGHWAY BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. A EAST WAREHAM MA 02538 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE GROUNDWATER SITE PLAN SO8.273.0377 PROTECTION OVERLAY DISTRICT AND THE ESTUARINE WATERSHEDS. f r SCALE: 1"= 10' Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.2849