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HomeMy WebLinkAbout0144 TURTLEBACK ROAD - Health 144 Turtleback Road Marstons Mills A= 046—096 of� Commonwealth of Massachusetts k Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments .......... 144 Turtleback Road r Property Address Chris and Jessica Davis Owner Owner's Name information is Marstons Mills MA 02648 8/26/2016 required for every page. City/Town State Zip Code Date of Inspecti-on----------- OD Inspection results must be submitted on this form. Inspection forms may not be altered in way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out sl:4� //61123 forms on the cornputer, use 1 Inspector: only the tab key to move your James D A uiar Jr. cursor-do not Name of Inspector -------- use the return key. Tri-S ec Corporation Company Name PC Box 1549 Company Address Westpoq____ MA 02790 City/Town State Zip Code 508-676-7784 4332 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: Passes ❑ Conditionally Passes D Fails F] Needs Further Evaluation by the Local Approving Authority 8/29/2016 Insp tor's a r Date The system inspecto submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DER The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 � Commonwealth of Massachusetts Title��~A�0�� �� ������~��~��� N������������~���� ����N*N�� �� ���� � �����w� Nwn����w~������nu N-��ummw Subsurface Sewage Disposal System Form Not for Voluntary Assessments 144 Turtleback Road ____________.___________ Property Address Chris and Jessica Davis ______________________ Owner Owno,'»Nanno information is W1ansVans Mills MA 02648 8/26/2018 required for -------------------------'--------- ���-- �pco��--- '�u�� Inspection -------- every page. ci��vwn , _ B. Certification (cont.) Inspection Summary: Check A.B.C.OnrE / always complete all ofSection D A) System Passes: | have not found any information which indicates that any of the failure criteria described -- in 310CK8R 15.303Orin 310 CK8R 15.304exist. Any failure criteria not evaluated are � indicated below. Comments: --' � � _ EU System Conditionally Passes: one or more system components as described in the "Conditional Pass" section need to be ^~ replaced or repaired. The aysham, upon completion of the replacement or rapoir, as approved by the Board ofHealth, will pass. determined," please explain. The septic tank is metal and over 20 years old* or the septic nk (whether metal or not) is Ic structurally unsound, exhibits substantial infilt>ration or e _M ration or tank failure is imminent. System 10 will pass inspection if the existing tank is replaced w' -aa complying septic tank as approved by the Board of Health. A metal septic tank will pass inspection * t"is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is;sAsthan 20 years old is available. Y /ND (Explain below)� Check the box for"yes", "no" or"not determined" (Y, N, ND) for the follolro-9--s-itatements. If"not t5ins-3/13 rive 5 officiai inspection Form:Subsurface Sewage Disposal System-Page zw`' t "IN Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments \a_ 144 Turtleback Road Property Address Chris and Jessica Davis Owner Owner's Name information is required for Marstons Mills AAA 02648 8/26/2016 -- - ------ -- ------ - - -- - - -- every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): _ ❑ Observation of sewage backup or break out or high static water level in the di i6ution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distri ion box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N X3 ND (Explain below): ❑ obstruction is removed ❑ Y ❑ IV ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumpin /r,,,,r,- th.n4 times a year due to broken or obstructed pipe(s). The system will pass inspection more approval of the Board of Health): ❑ broken pipe(s) e replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstructio s removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: i ❑ Conditions exist which require further evaluation by the B id of Health in order to determine if the system is failing to protect public health, safety or e environment. 1. System will pass unless Board of Health termines in accordance with 310 CM,R 15.303(1)(b)that the system is not functi ing in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 0 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 15ins•3/13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 3 of 17 — Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface sewage Disposal System Form 144 Turtleback Road Property Address Chris and Jessica Davis Owner Owner's Name information is Marstons Mills MA 02648 8/26/2016 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protec lic health, safety and environment: The system has a septic tank and soil absorption system (SAS) cfnd the SAS is within 100 feet of a surface water supply or tributary to a surfac water supply. r] The system has a septic tank and SAS and the SAS is wi!/hiza Zone 1 of a public water F1 The system has a septic tank and SAS and the SAS 'swithin 50 feet of a private water supply well. El The system has a septic tank and SAS and the SA s less than 100 feet but 50 feet or more from a private water supply well".. Method used to determine distance: 7' This system passes if the well water an sis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and t presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that other failure criteria are triggered. A copy of the analysis must be attached to this form. 0) 8vstmnn Failure Criteria Applicable hoAll Systems: You must indicate "Yes" mr"No/' to each mf the following for all inspections: Yes No Fl �� Backup uf sewage into facility or system component due to overloaded or �� �� clogged SAS O/cesspool �t� \ Commonwealth of Massachusetts :.� Title 5 Official Inspection Form A Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � 144 Turtleback urt eback Road Property Address Chris and Jessica Davis Owner ----------------- __._.....--------------- --- -- --- ------ Owner's Name information is required for Marstons Mills MA 02648 8/26/2016 -------------------- ------- every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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 SAS, cesspool or privy is below high ground water elevation. ❑. Any portion of 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 1 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. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.) ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a su a drinking water supply ❑ El the system is within 200 fe of a tributary to a surface drinking water supply ❑ ❑ the system is locat In a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) mapped Zone II of a public water supply well If you have answered "yes" to a question in Section E the system is considered a significant threat, or answered "yes" in Sectio above the large system has failed. The owner or operator of any large system considered a signyf cant threat under Section E or failed under Section D shall upgrade the system in accordance yv th 310 CMR 15.304. The system owner should contact the appropriate regional office of the,Department. 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 1'/ Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 144 Turtleback Road Property Address Chris and Jessica Davis Owner Owner's Name required for every page. CityfTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No z 11 Pumping information was provided by the owner, occupant, or Board of Health 11 z Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? El M Have large volumes of water been introduced to the system recently or as part of this inspection? E El Were as built plans of the! system obtained and examined? (If they were not available note as N/A) 0 El Was the facility or dwelling inspected for signs of sewage back up? M 1-1 Was the site inspected for signs of break out? z 1:1 Were all system components, excluding the SAS, located on site? z 0 Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? z [I Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: z [I Existing information. For example, a plan at the Board of Health. M El Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: 3 3 Number cf bedrooms (design): -------- Number of bedrooms (achuo|):DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of ------- : 330GPD__ | � � inspection Form:Subsurface Sewage Disposal System-Page a*n Commonwealth of Massachusetts _ ~,z Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 144 Turtleback Road Property Address Chris and Jessica Davis Owner ----------- ---_ ----- - Owner's Name information is required for Marstons Mills MA 02648 _8/26/2016_ ------------- — ---- --------- -- ----- every page. City/Town State Zip Code Date of Inspection D. System Information Description: 4 Number of current residents: -- - Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? pip ❑ Yes ❑ No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): 185 GPD -------- Detail: Sump pump? ❑ Yes ® No Last date of occupancy: currentDate Commercial/Industrial Flow Conditions: i� Type of Establishment: ---- -- -- Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): — — -------- Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the itle 5 system? ❑ Yes ❑ No Water meter readings, if availab - --- -- — - 15ins•3r13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 144 Turtleback Road Property Address Chris and Jessica Davis Owner ------- ----._.___-- -- --..---- Owner's Name ------ ------ --- ---- — information is required for Marstons Mills________ MA 02648 8/26/2016 -- ----- ------ --------..---- - -------- ---------- -- ---- ---------. . every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information. homeowner indicates once since 2012'Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: -- --- -- ---- -- -------- --- - gallons How was quantity pumped determined? - - Reason for pumping: - ----- - — Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3113 1 itle 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 1 F � Commonwealth of Massachusetts 1 - '' Title 5 Official Inspection Form `-i Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 144 Turtleback Road Property Address Chris and Jessica Davis Owner ------- --------------- ------- Owner's Name information is required for Marstons Mills INIA 02648 8/26/2016 —_---_--_.—__--- _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 4 years - Septic System repaired in 2012' Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer (locate on site plan): Depth below grade: 3.5 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: n/a feet Comments (on condition of joints, venting, evidence of leakage, etc.): "appears functional - there are 2 separate building sewers leaving the basement- both enter the same 1000 Gallon Septic Tank Septic Tank (locate on site plan): Depth below grade: 2.5 -- -feet ----------- _ Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain) If tank is metal, list age: - — — - years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 Gallon Sludge depth: 3--- ----- 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts 7 Title 5 Official Inspection Form -'- -- i, Subsurface Sewage Disposal System Form - Not for Voluntary Assessments - 144 Turtleback Road Property Address Chris and Jessica Davis Owner --------— -- - Owner's Name information is required for Marstons Mills _MA 02648 _8/26/2016 _ every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle _15" 3 Scum thickness Distance from top of scum to top of outlet tee or baffle 4 ----- Distance from bottom of scum to bottom of outlet tee or baffle 101, How were dimensions determined? field pole — — Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): *Septic Tank liquid levels were normal Grease Traplocate on site Ian): ( p Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polye lene ❑ other(explain): Dimensions: — — Scum thickness -- - -_- - Distance from top of scum tor/or baffle --- ----- - Distance from bottom of scutlet tee or baffle ---- -- Date of last pumping: -Date t5ins•3r13 Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts r� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments tee— 144 Turtleback Road ---- ------ ----_.__._.----- Property Address Chris and Jessica Davis Owner Owner's Name ---- ------- -- -- ---- ------- information is required for _Marstons Mills _ _ [VIA---- 02648 _8/26/2016 --------__-._-- ___-- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: ----- - Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain): Dimensions: --- ------- Capacity: ---- ------ -------- gallons Design Flow: -------- -- -- --- - -.... gallo per day Alarm present: Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: -------- Date Comments (condition of alarm and/floswitches, etc.): 'Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No 15ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts r9 Title 5 Official Inspection Form i' ) Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1_44 Turtleback Road Property Address Chris and Jessica Davis Owner Owner's Name------- -- --------- ---- ----- ----- information is Marstons Mills MA 02648 8/26/2016 required for — -------- - _.--- ---- - - — ---- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert normal Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Liquid levels were normal Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No' Alarms in working order: �❑ Yes ❑ No" Comments (note condition of pump chamber, condition pumps and appurtenances, etc.): ' If pumps or alarm are not Zinworking order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3r13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts ©, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �a 144 Turtleback Road Property Address Chris and Jessica Davis Owner Owner's Name information is required for Marstons Mills MA 02648 8/26/2016 — — .- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ---- ® leaching chambers number: 20---- ❑ leaching galleries number: -- ❑ leaching trenches number, length: — - -- ❑ leaching fields number, dimensions: ------ - - ❑ overflow cesspool number. -- ---- ❑ innovative/alternative system Type/name of technology: - — -- - .Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): `no signs of hydraulic failure or breakout were _- Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration -- -- — ..._..... Depth -top of liquid to inlet invert - --" Depth of solids layer -- — -- Depth of scum layer -- -- Dimensions of cesspool — -- — Materials of construc ' n --- - Indication of gr ndwater inflow ❑ Yes ❑ No l5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts w� Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form , Not for Voluntary Assessments \I 144 Turtleback Road Property Address Chris and Jessica Davis Owner ---------------------- Owner's Name information is required for Marstons Mills _ MA 02648 _8/26/2016 _ every page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, con Ion of vegetation, etc.): Privy (locate on site plan): Materials of construction: - ------ -- — ----- --- --- -- Dimensions /signs Depth of solidsComments (note conditioraulic failure, level of ponding, condition of vegetation, etc.): r 15ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 i Commonwealth of Massachusetts ) Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments \\a 144 Turtleback Road Property Address Chris and Jessica Davis Owner Owner's Name information is required for Marstons Mills --NIA 02648 8/26/2016 ---- ---- ------- — - — -- ------- -- --------- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form i' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 144 Turtleback Road Property Address Chris and Jessica Davis Owner Owner's Name information is Marstons Mills _NIA 02648 _8/26/2016 required for -- ---- ----. - - --- -- - - --- every page. CityrTown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells depth to water: 'greater than Estimated de high round p g g feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: Date Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database - explain: You must describe how you established the high ground water elevation: rg oundwater is not a concern in this location Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 < Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments \tea- 144 Turtleback Road Property Address _Chris and Jessica_ Davis _ _ — ___— Owner Owner's Name information is required for Marstons Mills MA 02648 8/26/2016 — _-____ _ -- --- -- every page. CityRown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information — Estimated depth to high groundwater E Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 [PROPOSED TOTAL 20 ARC 36HC PROPOSED 4" PVC VENT PIPE; (#3616BD) BIODIFFUSERS (H-20', EXACT LOCATION PER OWNER IN A FIELD CONFIGURATION N88051'26"W 135.00' c 6"OAK 6(p 10, OAK Jn OAK TIP 1 SHED m ----,7OxO' TP 2 I'v 0"OAK z r 0 DECK �p 03 "A IQ GAS _At p #144 -STONE- GPI EXISTING __ -;' / --A 2-BEDROOM DWELLING BH TOF 70.0'± Bencht CorneF Elev. 3- Appro> .. ....... ..1 . i _ 6'0 G) 1�\ 0 n MAP 46 LOT 96 py 2�\ \ 21,798 S.F.± < 0 c "o 0\,o w '1 SWING-TIES SCALE: 1" = 20' DESCRIPTION HC1 HC2 I BIODIFFUSER CORNER (1) 45.8' 26.6' BIODIFFUSER CORNER (2) 51.9' 36.2' BIODIFFUSER CORNER(3) 35.3' 33.0' BIODIFFUSER CORNER (4) 25.7' 22.0' 1�� SHED *(4 (3 N a N DECK C2 HC1 H,M #144 EXISTING 3-BEDROOM DWELLING BH TOF = 70.0'± ,ttE Town•of Barnstable P 0 1 5 Departinnent of Regulatory Services _ Public Health ' ' 'D�v><slton Date � �® 200 Main Street,Hyannis MA 02601 Date Scheduled Time Fee Pd.—� Soil Suitability Assessment fog' Sew e Disposal Performed By: (ld�u e:( �i dYie��k1, %I, C S C Witnessed S. LOCATION&GENERAL INFORMATION , Location Address q� 7UR7[CgA Ab Owner's Name CNRtS it)Z/ g QAYiS 1���5 5 l�CPu s Address 144 T0RT1E$4-M-RD. M-M. Assessor's Map/Parcel: 6416/act& Engineer's Name eAP6GZADG aw?"s .{ TG 6gj.5i.1eer(Vn3 NEW CONSTRUCITON REPAIR _ Telephone# ��— 47 7 S'FS 1 SOB-2- -0 3 7 Land Use: S(nsf e (awi((y cllitll i vi� Slopes Surface Stones Distances from: Open Water Body a ft Possible Wet Area 1 ft Drinking Water Well ft Drainage Way ft Property Line 71 0 ft Other ft SKETCH:(Street name,.dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Parent material(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole:_ _ Weeping from Pit Fpce Estimated Seasonal Hlgh Groundwater i 20 b5 5 DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: uirec_k-otrse "'" Depth Observed standing in obs,hole: (20• In. Depth to sell mottles., Depth to weeping from side of obs.hole: —In, • Groundwater Adjuatmcnt f[. Index Well# — Reading Date: Index Well level_.' Adj,&ctor- ,,_ _ Adj.Groundwater Level PERCOLATION TEST ]Hate s'z9 iz Time it A/y Observation Hole# Timo at 9" _ Depth of Perc 3® ^4/6 Time at 6" Start Pre-soak Time @ 1 I'0 b A H Time(9"-6") End Pre-soak 2 R ^ Rate Mindlach Site Suitability Assessment: Site Passed Yes Site Failed:_ Additional Testing Needed(Y/N) iV 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:XSEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE>LO'G Hole# i +2 Depth from Soil Horizon Soil Texture .S6i1 Color Soil Other Surface(in.) (USDA)' (Munsell) Mottling' •(Structure,Stones;Boulders. to w,%'Gravel) A LS lo,y. 3l2 6 -30 B L Yr1/9 DEEP OBSERVATION-HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil• Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulders. i e %G e r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, DEEP OBSERVATION HOLE LOG Bole# Depth from Soil Horizon 'Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders, Consistency. e n?i.eT:.k.,g51 Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No..r--" Yes Depth of Naturally OccurrinaPervious 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? YQ S If not,what is the depth of naturally occurring pervious material? Certification I certify that on "2--7 9 9 (date)I have passed the soil evaluatovexamination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise nd exp t ce described in 10 CMR 15.017. Signature 1119114 Datb Q:1S,EPTlC1PERCFORM.DOC t TOWN OF BAR NSTABLE LOCATION ` /ur Jh&KJk A4 SEWAGE# 2-® 1 VILLAGE/ xrs4on-,5 A ASSESSOR'S MAP&PARCEL 7 INSTALLER'S NAME&PHONE NO. CCet---W1A 1r de, rises LLC, 60'{{-f W7 SEPTIC TANK CAPACITY /000 G4 1 LEACHING FACILITY:(type) Mr-36 qrs" 0 d® (size) NO.OF BEDROOMS 3 OWNERCAf^ S op her- V uhCt Sea3 cct v Is PERMIT DATE: (p—�; —'Z O%-)— COMPLIANCE DATE: 6 o ® Jol Separation Distance Between the: NCI40 0103cr Ved Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Q t idO�. Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) AFeet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) /v`n , Feet FURNISHED BY C�/�t�o G'L'tCA Q✓1 siGj U-�- 3 Q_3.=3, drift beL C-4 8 c No. �.0 I Z _I !0 + Fee 00 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN PF BARNSTABLE, MASSACHUSETTS 2ppYicatiou for Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair A Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No. i4q T'0MTLE-4Ac C Ra Owner's Name,Address,and Tel.No. ,- Gaca4STvp�'r. t,-jeySr6Q t>AVIS `' Assessor's Map/Parcel `i o 9 (44 TV-TC.EQrk.V- 22.0 P-S'C7.Y•'S 'k("45 Installer's Name,Address,and Tel.No. Sol?-"77-9977 Designer's Name,Address,and Tel.No.5769- ;173-031-1 1 el;- 6 .w Type of Building: Dwelling No.of Bedrooms Z- Lot Size l 019 sq.ft. Garbage Grinder( ) Other Type of Building QC-C.ibe5LY"4`- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) a-'uo gpd Design flow provided 3 5 S o;L, gpd Plan Date gyp"a - A01 ,L Number of sheets � Revision Date Title C L j Ti j2a7j e.PZg4p(h Ado - &` !� Size of Septic Tank I j QQCa 6/.c -gA i Type of S.A.S. PO (3t0D1FFrQ-%0dC UQ 'F I 1 j j f Description of Soil pot l-s l; ;5p4 cr a --40 ` 5Ew ?LA Nature of Repairs or Alterations(Answer when applicable) Q1SQ 6-USTJOCZ_`DW C-I�U. 5JEj2T16-r -1. V- 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. SlgyW, Date Application Approved by Date -5- Application Disapproved by Date for the following reasons Permit No. 2 v (� - I Date Issued - -2 2 No. -' �O s Fee /DU I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TO*OF BARNSTABLE, MASSACHUSETTS Yes i 2pplitation for Disposaf6pstettt Construction Veritiit Application for a Permit to Construct( ) Repair(,g Upgrade( ) Aban (') ❑Complete System Individual Components Location Address or Lot No.1144tr0R?C.E Ack RD NM Owner's Name,Address,and Tel.No. Assessor's Map/Parcel `'f6 1969 (44TVfTL 6 RSTW 441".,S' � Installer's Name,Address,and Tel.No. $0$-q'17-$ig'7'7 ' Designer's Name,Address,and Tel.No. .509 ;173-037-7 6N1PSwIDE L.4.r,4 -J . 153 1 ;Z85 #j E [,� Type of Building: Dwelling No.of Bedrooms Lot Size o� 17 Gi$ -+' sq.ft. Garbage Grinder( ) Other Type of Building RE& bfU '7.T'('1Or L. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �.p�Q gpd Design flow provided ;�. gpd Plan Date (O—a Number of sheets Revision Date Title I" T'.�diT�,�� 94!fb 11 MASI, ," k IL � Size of Septic Tank I l L)Of� C � r]s�� Type/of S.A.S. `oZt7 �!ODI �'�S � IQ FI Description of Soil GUr4i2S s 5 �O�f / --soy 7L./d Nature of Repairs or Alterations(Answer when applicable) USC- GM ST 1 !0m C- 65t-"`9T` -t.Jk. Nc1,y Fi• �y �I3o ao 14R� d� -act 01onyyySE9C M.) F"i,E1A Date last inspected: i Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental.Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Sig j Date Cj Application Approved by �/ Date �, - •/ i Application Disapproved by Date for the following reasons Permit No. a v I _ ( / Date Issued 6 - S 2 6 72 ----------------------------------------------------- ------- ------- --- ----------------- --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compriante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) Abandoned( )by ( v4P E . D F 1"[92LYltlt�'•� lr4.C� at 1444 Tsg"-Lr�44.1 p D M%M has been constructed in accordance t with the provisions of Title 5 and the for Disposal System Construction Permit No. cc l) - ? dated Installer 6AOS UIDE Designer ;T E(J�I1.�1� UEt #bedrooms Approved design flow gpd The issuance of this permit haalllnnotpe construed as a guarantee that the syste ill fii t' n s^designed. (Q Date / Inspector ---------------------------------------------------------------------------------------------------------------------------------------- No. � a�� —/ �0 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem construction Hermit H Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at 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 completed within three years of the date of this pe It. Date l /.Z Approved by VL-J, ��� Town of Barnstable oFt r Regulatory Services Thomas F. Geiler, Director BARNSTABLE,MASS. : Public Health Division y MASS. �OrEo�',�9,r•`e Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 12 Sewage Permit# 2-0i"2_ V 7S Assessor's Map/Parcel 16 96 Installer & Designer Certification Form Designer: SL E-)� i()ee,,cr) Tv-)G Installer: C:a(?ew(de- LnferPciSz S LLC, Address: 2�5y Cccunkne.-ry I{Ihw�y Address: 1 © 30� Easy w��eh�m , M o i53$ Ca t4k- a2 e3 Z On 46 was issued a permit to install a (date) (installer) septic system at y`I -Tyt+e wacl( based on a design drawn by (address) 'TC, Co5%'t)eer(i)� Tioc, dated JUG Z 20 t 2 (designer) ✓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. Stripout (if required) was inspected and the soils \\ere found satisfactory. _ I certify that the septic system referenced above was installed with major changes (i.e, greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if req .nspected and the soils were found satisfactory. or NA" .t 1L JOHN L. s� o CHUj�"I:.L l tf' U --- I1.— (In. aller's Signati e) No CI1+T,�c7 ! ' ,ISI[4L`. esigner's Signatur (Affix esig er's mp 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. Li ulh c funns,driencrccrUlir,uiun Iunn.duc l� CATION �Gb 9G SEWAGE PERMIT NO. `C �2 2-�O o VILLAGE o�6 - CV I N S T A LLER'S NAME & ADDRESS B UIIDER OR OWNER , DATE PERMIT ISSUED � � � DAT E COMPLIANCE ISSUED _7/ �'L�'t' '�/��` .���' � � � 9r 0�/6 THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH . OF...... Appliratiun -for Roposal lVorks Tonotrnrtinn Prrntit A licatio is hereb 'm a for a Per it to Construct r it Individual pp t C st t ( ) o Repair ( ) an Sewage Disposal System at: /�-� cJ Tyr A. `/--•---------------••-- /� ocatio •Address. or Lot ��- lT .............................. a': .lC-.V....... .................................... Owner _ r Address Installer Address Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms----------O-Z---------------------------Expansion Attic (G-)-- Garbage Grinder ( ) Other—Type e of Building p., yp g�'.���e._ No. of persons..__..._------------- Showers (/) — Cafeteria ( ) P4Other fixtures ... .FZ-p--------------------------------------------------------------------------------------- ------------------------------ Design Flow..................L '-V-_---__---_-_-__gallons per person per day. Total daily flow................. ..............gallons. WSeptic Tank—Liquid capacity.°0-gallons Length................ Width................ Diameter................ Depth___._-.--.-._. x Disposal Trench—No. .................... Width-------------------- Total Length-------------------- Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... _Total leaching area.---.--.------_- sq. ft. Z Other Distribution box V) Dosing tank'( ) (J7Y 1,?4 p- 11- 77 Percolation Test Results Performed by--------------------------_............................................. Date--------------------------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water...---..------_.--_----- f� Test Pit No. Z----------------minutes per inch Depth of Test Pit.................... Depth to ground water--.--.------_-_.-_--___. -••••-.....- --------- - Description of Soil-- t �F - -- . ' W ....... ----- ------------------•--------------------- -----------------------------•----------------------------•----------------------------------- U Nature of Repai s 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 been issued by the board of ealth.. Signe ...._._.. �'f 4--.... -_•.. ' •- ------- Date Application Approved By------- - - �r ,- 7. - __ Date Application Disapproved for the following reasons:--•----------------- ---------------------------------------------------------------------- ---------------•-•- --------------••-•---•--•-•-----•-•-•-------•-------------•••-•-•------------•---...................................................................... ----------- --------------------- ------------- 71 ate PermitNo......................................................... Issued----- — -------------------------------- Date --------------------------------------------------------------------------------- .9 t- THE COMMONWEALTH OF MASSACHUSETTS BOARD F H ALTH ........ OF. .... Appliratiun -fur lh�ipuiittl Works Tontitrurtiuu Vrrmit Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst at R °ocatt'i •Addre�g. or L o. aR R /�1 ......! ................. .fie ' ` -1. `! .i '.................................... Owner } It r Address �. --._._t:•••G'. '".Q, r�,,,;----t.--'�1 1�►+'""---' '- .e�" ....... ......�'i,- iovv._T.-----•--•---------------- Installer Address UType of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms..._ _____________ ____Expansion Attic ( " • Garbage Grinder ( ) aOther—Type of Building*�!,0 ��_.�s►e. No. of persons.___---_------------- Showers Cafeteria ( ) dOther fixtures --- ' • , " ► "`-------------------------- ------- ------------------------------------------------------------------------------- W Design Flow..................11.v- ----------------gallons per person per day. Total daily flow..................P_6'�____._.__.._.-gallons. WSeptic Tank—Liquid capacitv.4100-gallons Length................ Width................. Diameter___:-: _ Depth._. x Disposal Trench—No.................. _______________ Width---------------------.Total Length Total leaching 1re1_;, ._._____.__ ___sq..It. Seepage Pit No___________ _ __ Diameter ___________--_ Depth?:bel�w inlet..:._._ __ ___.__ Total leaching tre l:.___.___________Sq. ft. z Other Distribution box ( ) Dosing tank ( )' * A2 + " /i*' 77. aPercolation Test Results Performed by------ ---- :-------------------------------------------------- Date---------------------------------------- Test Pit No. 1----------------minutes per inch Depth of ,Test Pit_....-............. Depth to ground water ._.__._._-._-... (14 Test Pit No. 2................minutes per inch Depth of 'Pest Pit-------------------- Depth to ground water__.__._.___._____-__._.. txs} -------------------- -- D Description of Soil__.°" .__. _._ ................ _ W VNature of Repal s 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 been issued by the board of ealth. aSigne ._.. ' = ------ ................................ Application Approved By ..... ✓^+�� Date Application Disapproved for the following reasons_____________________________-____________.__: Date Permit No. - ---- --•-------------- Issued.----------- - >-„Date" ytA THE,COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .: a ! .........OF......... t -. .. .......... .................... Trrtifiratr of Toutpliuurr T IS TO �C " IF Th at, the I-rf dual S,ew ge Disposal System constructed (47or Repaired ( ) by ------------- - Inst at.. -- '72iXthe � =. 'Z� s � F f 4 has been installed in accordance provtsions of arty e XI of The State Sanitary.,Code.,as.,described in the application for Disposal W`o'rks Construction Perir%it No ...............�_ ___._... dated......7"''_ ''._7_ _______________ THiASSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY ✓/ DATE Inspector Y`r. ....... .. .� .1 t�l-t, t•:,.,'., THE COMMONWEALTH OF MASSACHUSETTS BOARD QF7 HEALTH OF VV -- ••------ � FEE.... -•- -----..... Dinpulittl._ � n rurtion rutitOf" , ,E', Permission is hereby granted__` ----. I'Q•-- --- . _• . C. !1,�. -- . ••--•- --.--- ••--------------------- . to Construct i or Repatr ( � an ivldu S age Sysj� �; M Street as shown on the application for Disposal Works:ConstructWPP 't No._. _.. __..__ Dated... '�•_�'7'______________, --------- 9 M .. /f Board of Health - DATE. . /a FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - a' { L. D T t -S WE L L L 0 A T/ON _ .• , � 6S_ z6.�ih • , Q i3so ' PRoi�osEo Q � ? N ` ` s� ti/000 LAl9NI ' LOT /Db � LQ 1. suesait- ', FOUNAAT/ON !� LO 7 y �i z83 N m /8"ro /44" \ yoLE p 4o'z` \ L/GHT ,.RAVEL a L o c \ PR o p. o ls/fI TER Al /00o 0"qk- t0 ENC0UNTE'R ED PJe OP R=sstl.00' PROP N LEi4Cf/ j\ Ek PANS/oNi Box 2' LJ Gam_ STONE E 11 T ,Q�/ ¢5? 9g ' 5UL 7 OLD. Al / L L ROAD /{/p S C f3 M11\11MUIV -6u/LD/A16 .5E7-B19L' / ,eE0U/ Imo'E MS-N7"-5 5 "PT/ s ys T c 0,��,sTJe u c 7-/ 0.V �'p NIAo RM 7-0 "!-J V be O A./M C O fJ E .T 119 I'U�7 7-0 WA/ o R_ P.L. 7 H R E•C V L /-3 7- O,V S . Top of ', / C L. P O F 1 L. E FO UNIaA 771 Off/ 11./ O .��' C � L �- , /1-7PE,2v/ou5 cov'�5R /-I6,AjHD1-F CCVGA-I TO 7-0 A>)eEV"C^/-r �!✓4E'5 ,f/1F/L7-RA71J`16 57-0,4E f _ - _ba — � �t � I !! 2!"t✓to� . Box _ D/f�. IGH� 4 12oJf7. a,/Fool !O `t"1/eV. /,�„ / __ __� i/4"f+rdo7 �` ' o w,f35 NED _X_ NNAI.( ' '� C 'Si ; E e. ALL ,0/ T /NVERT 1 CR P f3 C /7'Y GUrJn rA fgr-re-r (5,q7-) /I'•tvE'Rr /n/VERT 6 /n/VE,e7• W O G,,q)25RGE GRt�fv ,2 B.F Opp .�, C&M 7-I FI E D PL Or LR1V L D C_,�9 7'/ O Al : 6F1,a/✓.S 7 1- S 4 01 1)f�7"E•.' rA AlOj / 9 SCE , �12ENC F�Ef:41/G L-oT 284 q4; sJs-/OWA' O/V g f'L /,9 N f2 E C ©i2 O E ZD '/1'J 7 HE ¢3 STf$L& 00U /TY 12EGIsT;ey OF aEFDS YTJc 7~19 ,V/< 7Fca B � fi' ;✓t/,tf_ p! ` Lf31V-D C v UR7 pLF�/�/ IV'o. 3 o�751 E SHEET NO. 2 v/`-t OF /O' © UND f-? LftCHilJG P / TS 7'c3 E 19 /A,71 Ull OF L. AJ'r-) S EP7•'l G 7"Jy AJ.I" X C E R 7"/ > 7`f-1,9 7" 7-14 E F'.o el N AT` o/e V _5140WN oN T—P15 PL,-9tJ /S 40C./97"C.D D/ / -r14 E G R D tJ S N o f� T/�' L3 0s csoRc ,ru D R T' / T C c�N P p >^ o iow. D A T'E~ T/ 7-•,L E 7-0 THE B U /L D /�Q .5$ 7- B�tc.IGC ,�EOUIRE " �; .M1SA/775 O /' TF�IE` -roG-,/N O� BARNS�'faBLE �7, �IBT w �4 _ p R,T,E B o Jy R D o Imo" , L -7"1 Af3TE , .'EG. Lf311 C A1"7' 4"VENT WITH CHARCOAL T.O.F. EL. 70.0'± FINISH GRADE OVER D-BOX= 70.4�±' 4"SCHEDULE 40 PVC MIN. SLOPE 1 % PROP FILTER TO ABOVE GRADE FINISHED GRAID�E OVER BIODIFFUSERS= 68,0' - 70,0' GENERAL NOTES �1®TES PROVIDE EXTENSION RISER SLOPE ai 2% MIN. WITH COVER OVER INLET& REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OUTLET TO WITHIN 6"OF F.G. RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN 3" METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 69.3'± F.G. OVER TANK EL. = 69,7± 5" DIA. OUTLET(S) F.G. (ONE PER OUTER ROWW}) CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. PROPOSED 4" 3.50'MAX. 4.07'MAX. '°--EXISTIi'�G��, (SEE NOTE 21) (SEE MOTE 21) TOP OF SAS/B.O. = Fjrj,93' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL S�..'v''�,ER �"'��4 I r -�- SCH.40 PVC SEWER [ � � ` SYSTEM UNLESS OTHERWISE NOTED. m - _--_-- a r SEWER PIPE a---- =- n 3"DROP MAX " n _ 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL MIN.SLOPE " T ELEVATION 65.93 FOR A DISTANCE OF 15 AROUND THE PERIMETER BE LESS THAN -� 1? 6 3 2"DROP MIN _3 9 �, L - 55± PROVIDE WATERTIGHT ER OF THE SAS. UNLESS A ff 11 4" PVC IN FROVE M JOINTS(TYP.) 1.33' Q 16" 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 10 t 14 \, 3.D'-r SEPTIC TANK 4"PVC OUT TO p 90, �P•) trp, 5 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE -- LEACHING FACILITY 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SPECIFIED DROP BETWEEN INLET AND OUTLET CONTRACTOR CONTRACTOR SHALL I 12" 6" „ SHALL VERIFY SIZE 48" VERIFY CONDITION OF i OUTLET TEE 65.90 . MIN. 65,73' 65.50 �-- 64.60 (laid flat) 2.875 (34.5 ).---.I 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. AND CONDITION OF EXISTING TEES 5•0� (TYP,•) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK GAS BAFFLE 6"CRUSHED STONE FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS (NP•) 5'MIN. 11.5' - OVER MECHANICALLY REQ'D NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE i 25'(TYP) AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM, BENCHMARK ELEVATION OF TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV/.= < 59.00' BIODIFFUSERS END VIEW 7Q00' ESTABLISHED ON CORNER OF THE BULKHEAD AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET ( ) EXISTING 1,000 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. BIODIFFUSERS PROFILE 9• CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION (PROFILE) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT (BY INFILTRATOR SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE CROSS SECTION V IEWp BIODIFFUSERS ';fll`�"3-RPA,C IOR TO� ER= ?= p EXISTI s� ELEVI"":TION PRIGI? H-�O DISTRIEUTION ®O DETAIL ARC 36HC ( 361 6©D) BIODIF USERS (H-20) TO THE DESIGN ENGINEER. 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. TO ANY WORK & NOTIFY EIu�..!NE�ER IF DIFFEI ENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING NOTES: TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM >. APPROPRIATE AUTHORITY. a PERC NO. 13651 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH k ,: ., ' INSPECTOR: Donald Desmarais,R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS SEPTIC SYSTEM COMPONENT. {'` LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE s. EVALUATOR: Michael Pimentel, E.I.T. x H - LOADING. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE _ sct. 1999 THEY SHALL WITHSTAND H 20 LO DING C.S.E.0 S E APPROVAL DATE: PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA I ° DATE: May 29,2012 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF ` SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. ALSO, CONTRACTOR SHALL ZONE 2 r ;� TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE EXCAVATE A TEST PIT M THE LOCATION OF THE PROPOSED SAS AT TIME OF r .. MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ELEV TOP= 70.00' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, INSTALLATION TO ENSURE NO GROUNDWATER IS ENCOUNTERED ABOVE EL.86.5T. - <60.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). r , --� ELEV WATER- 3_) ENTIRE PROPERTY IS LOCATED WITHIN THE GROUNDWATER PROTECTION .. - 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN OVERLAY DISTRICT AND THE ESTUARINE WATERSHEDS. ; ' ." PERC RATE <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. DEPTH OF PERC= 30"-48" 16. PROPOSED PROJECT IS LOCATED WITHIN: w n TEXTURAL CLASS: 1 ASSESSOR'S MAP 46 LOT 96 � _ MAP 46 + '- OWNER OF RECORD: CHRISTOPHER V. &JESSICA M. DAVIS PROPOSED INSPECTION PORT LOT 95 z ADDRESS: 144 TURTLEBACK ROAD WITH ACCESS BOX(TYP OF 2) LOCUS ,� 0" 70.00' PROPOSED TOTAL 20 ARC 36HC Loamy Sand MARTSONS MILLS, MA 02648 PROPOSED 4" PVC VENT PIPE; (#3616BD)BIODIFFUSERS (H-20) �_, ) . ,I A n 6 10Yr 3/2 69.50' EXACT LOCATION PER OWNER IN A FIELD CONFIGURATION o . FEMA FLOOD ZONE C N88 5126"W .. 11 B Loamy Sand COMMUNITY PANEL# 250001 0015 C 135.00' _ ''` tt 10Yr 5/8 30" 67.50' 17. DEED REFERENCE: L.C.C.#193784 Per( 18_ PLAN REFERENCE: L.C. PLAN#30751-E \ W t 48" - 66.00' 19. ALL DISTURBED AREAS SHALL BE RESIfORED"TO ORIGINAL CONDITION. . ,f & O 10 OAK B OAK ,v "� ZONE 2 .r 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY - _ cBN � 1 � �7 -: _ . • .-. � FOR SEPTIC SYSTEMUPGRADE. Jr-ENGINEERING'1NILLTIOT ASSUME ANY LfABILITY OAK ' ' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. \ ( ) \ TP 1 SHED m ., . �a•. s Coarse Sand 1 \ --- ,7ox0' Z / C 2.5Y 6/6 I a TP 2 In l lx i r'f 1 ;' _. 21. IN ACCORDANCE WITH 310 CMR 15.401 15.405 THE FOLLOWING LOCAL UPGRADE N t1 \ I APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7): \ rn n m 17 ct' m I / (1.) A 1.07'WAIVER(3.00'-4.07')FOR THE MAXIMUM COVER OVER THE LEACHING SYSTEM. I I . LOCUS PLAN (2.) A 0.50'WAIVER(3.00'-3.50') FOR THE MAXIMUM COVER OVER THE DISTRIBUTION BOX. \ I , z-10"OAK( PROPOSED H-20 DISTRIBUTION BOX I I ` SCALE: 1"= 1000' ���� 1 ` o MAP 46 120" 60.00' 10 ,� ���0 / \ / � No Mottling, Weeping or Standing Observed P Off' DECK 1 c„ % LOT 97 1� � A TEST PIT DATA w GAS M �/ DESIGN DATA LEGEND PERC N0. 13651 E ,I TI , S17� ,-� TANK x50.0 EXISTING SPOT GRADE � �` �'�' '� GALLON `' � INSPECTOR: Donald Desmarais, R.S. S #144 -STONE- T O BE UTILIZED IN THIS DESIGN - \ EXISTING 50 - - EXISTING CONTOUR <;A �'`�� � � P 3 MIN. PER TITLE 5 EVALUATOR: Michael Pimentel, E.I.T.ET G \ \ 2-BEDROOM NUMBER OF BEDROOMS(DESIGN) 5p PROPOSED SPOT GRADE DWELLING BHt '-� / C.S.E.APPROVAL DATE: Oct. 1999 / DESIGN FLOW 110 GAUDAY/BEDROOM o n TOF= 70.0'± 'i DATE: May 29,2012 r 5~ PROPOSED CONTOUR f+ l ' Benchmark TOTAL DESIGN FLOW 330 GAUDAY TEST PIT#: 2 m 03 , \ Comer of Bulkhead - / O �``% I Elev. =70.00' DESIGN FLOW X 200 % 660 GAUDAY G/H/W EXISTING OVERHEAD UTILITIES . ELEV TOP= 69.00' / s Approx. M.S.L. USE EXISTING 1,000 GALLON SEPTIC TANK - 159.00' W W EXISTING WATER LINE O ELEV WATER- SWING-TIES / \ / PERC RATE= GAS EXISTING GAS LINE SCALE: 1" =20' O ` / \ - - - - - - �' ` a `'� � X X X X X EXISTING FENCE LINE 4- DEPTH OF PER = DESCRIPTION HC1 HC2 �' \s I I � - EXISTiN E ,CHIN PIT INSTALL 20 -ARC 36HC (#3616BD) BIODIFFUSERS (H•-20) TEST PIT LOCATION 0 �-- - P' (LOCATION PER ASS ��UILT'l TEXTURAL CLASS: 1 BIODIFFUSER CORNER(1) 45.8 26.6 \ , \ I O � /// =v' O PL PUMPED, `"IL_E),kml BIODIFFUSER CORNER(2) 51.9' 36.2' O� '` ' f ' / CLEAN SAND 8 A.SAi`41DONED' SYSTEM CAPACITY 3� �� EXISTING 1,000 GALLON SEPTIC TANK G ' MAP 46 n BIODIFFUSER CORNER(3) 35.3 33.0 � � I. P ��� - -___ � `� (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD 0 69.00 LOT 96 ` O (100.0)(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING/DAY A Loamy Sand PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE 10Yr 3/2 BIODIFFUSER CORNER(4) 25.7' 22.0' R+2�\ \ 21,798 S F+ 4- 6" 68.50' 0 PROPOSED H-20 DISTRIBUTION BOX TOTALS: B Loamy Sand TOTAL NUMBER OF BIODIFFUSERS: 20 10Yr 5/8 ® PROPOSED ARC 36HC(#3616BD) BIODIFFUSER(H-20) SHED TOTAL NUMBER OF COUPLINGS: 0 n ' �--- ,g0 oa•� TOTAL LEACHING AREA: 480.0 30 66.50 , 2y 0 ���` 80 r ' 1 R A TOTAL LEACHING CAPACITY: 355.2 REV. DATE BY APP D. DESCRIPTION o ' PROPOSED SEPTIC SYSTEM UPGRADE ?p NOTE: PREPARED FOR: c 1) ELEG � O ONO- �O01) EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THIS CAPEWIDE ENTERPRISES (4 �� Ov EI, DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER Coarse Sand •�N�© C 2.5Y 6/6 MODIFIED APPROVAL FOR GENERAL USE ISSUED TO INFILTRATOR N SYSTEMS, INC., DATE OF ISSUANCE OCTOBER 3, 2003 (LAST MODIFIED LOCATED AT DECK MARCH 14, 2012). TRANSMITTAL NUMBER=X235253. c2 144 TURTLEBACK ROAD HC1 H,M MARSTONS MILLS, MA #144 SCALE: 1 I1N�CH =2020 FT. 40 DATE: J U N E 2, 2012 so FEET EXISTING 120" 59.00, 2-BEDROOM No Mottling,Weeping or Standing Observed�p.�jN OF,� DWELLING BH TOF= 70.0'± � JOHN L• cy�. . PREPARED BY: RESERVED FOR BOARD OF HEALTH USE R 1CLJR. JC ENGINEERING, INC. A 418p7 2854 CRANBERRY HIGHWAY %STER ,, EAST WAREHAM, MA 02538 SITE PLAN �r ` r 508.273.0377 SCALE: 1"=20' Drawn By: BSM Designed By:MCP Checked By:JLC JOB No.2228