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HomeMy WebLinkAbout0124 WAKEBY ROAD - Health 124 WAKEBY Ro 4' ronk r No. 17 ©� Fee 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftphcation for Oispisal Opstem Construction i3ermit Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. i A 4 WM<G" R� Owner's Name,Address,and Tel.No. MM DAV tD "A iZ" STi�t4 7 Assessor's Map/Parcel 4-3 Ar 0 la-tl WAKE3 K P t> t-Wd P6S Installer's Name,Address,and Tel.No. 508-q't Z-8c 917 Designer's Name,Address and Tel.No. 568E-'sZ� -63-� �gO�etJt17� T 2L�l�1�GGG� aC_ C1VC'Cl Z�. -- !S Type of Building: DwellingNo.of Bedrooms Lot Size ¢,�j, �O c� — sq.ft. Garbage Grinder( ) Other Type of Building Z6UtDEX TM-<, No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 341 .4 gpd Plan Date f 1- _7_aD I`1 Number of sheets ( Revision Date Title I X4 WAKE(311 k0AA N�1�1 7 C S Size of Septic Tank 1,aC 4=C-W,,� Type of S.A.S. Description of Soil ft'_b ed&L1;d -5*IJD <9 Nature of Repairs or Alterations(Answer when applicable) 0c5E 7d/V- _ AJ6k) h 00)(� Zn LA) .57®0 0 LJtZ&-a &�'r= 64 4,g(Ae-x.s wcTLt 'f PyA-.r o..-- 4 Sy9Lb0,L/D t0d- 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 H th. j Si Date Application Approved by / - Date ( -0 Application Disapproved by 00 Date for the following reasons Permit No. 'OD 1-4 " 4 Date Issued 1 1 1 1 312.0 1 } No. FeAI 0 i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes ` PUBLIC'. ALTH DIVISION- TOWN OF BARNSTABLE, MASSACHUSETTS q.. 4plication for Mis#asai Opstem Construction j3ermit Iry Application for a Permit to Construct Repair UU Abandon Complete System Individual Components PP ( ) P (IL1 PSG' ( ) ( ) ❑ P Y ❑ P Location Address or Lot No. I A4 W A l�'I f RD Owner's Name,Address and Tel.No. T 7'�Pt�� M�1Ta.R� Assessor's Map/Parcel 3/(pQ M bavtD AKA Rzs-Y S/J-q :Klt> M&SOilfTs Installer's Name,Address,and Tel.No. 509­477-$87 7 Designer's Name,Address and Tel.No. <1AP&,,0i D Cr �i 7'6W#J�S Z G &W GCtluiji54 IVCW SIVL I$3 'V-0"a c&y-4,l A-t, S T Get 66 tWP9 Z A 54 CR643;99 N/(-a`f ccA*Y •�c.��2e`r( wt Type of Building: DwellingNo.of Bedrooms Lot Size { a��.�0 O "' sq.ft. Garbage Grinder( ) Other Type of Building Z6Ut D6xjrc 4-C.,, No.of Persons Showers( ) Cafeteria( ) Other Fixtures LL tt Design Flow(min.required) gpd Design flow provided 3T� •� gpd Plan Date I I ` 7-Z (-1 Number of sheets Revision Date Title ( X4 WW1<3&&q RAX;> MA%?SrQ6-).5 !'mot 1 4.X-5; l Size of Septic Tank 11000 G—ALLONS Type of S.A.S.ta) 5700 C VLL6?0 C4Agago_S Description of Soil kitZ - eoA 56 -50 1J_b ?LO(A Nature of Repairs or Alterations(Answer when applicable) OSC 6K/SZt4J Gr I10 DO C.*4_L b tj S 0 r IC. w c lbf �r -T o .,a4 SyF yr✓i�G�J c " 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 'L Compliance has been issued by this Board of H th. t Signed ` 1 Date Application Approved by �/, Date W,I,it 1 2-0 I1 `Application Disapproved by ,10' V Date / i for the following reasons ii Permit No. 1 L)f Date Issued f 1 ! 1 31 Z O I 'r j:_.. __ • ------------•---------------- -- - - - -- - ------ _ -- --- -- - --- - _ -. -- -- --• -- ----- ------ ---- R THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS := x Certificate of Compliance TIES IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by C71PEW(7)G at 1 aT 14IAK96N RD/Qb M M has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer C/4Kw(rS Designer S<. "a(0GtN_-kbQ6r XWC ' #bedrooms Approved design flow vo�© gpd The issuance of this permit shall not be construed as a guarantee that the system will function as(dbsigrie . h Date 1/ ! I / Inspector J --- --- ------- - - - - ------ -------- ------------------------------------------------------ --------------- -- . .. . . . No.0014 - ` 01 Fee4/W CV THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Construction j)ermit 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. Provided:9onstruction must be completed within three years of the date of this permit. Date f 113 2 q Approved by D­__ `- -� �. TOWN OF BARNSTABLE ,LOCATION L4 WA KFb 4 SEWAGE# A('J 1 — q-0 I VILLAGE�� 1��95 M(LLS ASSESSOR'S MAP&PARCEL o INSTALLER'S NAME&PHONE NO.C_AW- Q f�ZZI SEPTIC TANK CAPACITY I '000 , ts/ LEACHING FACILITY.(type) 500 C,&4L g6kr s (size) f a23 NO.OF BEDROOMS OWNER DAVi o HA9&q PERMIT DATE: f 1 ®ate 1°1 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility i A Feet Private Water Supply Well and Leaching Facility(If any wells exist,on site or within 200 feet of leaching facility) NIA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) N A Feet FURNISHED BY �(�1.�� I iBel'. 2®9 t (: ... . to —5t Cr V $ a Lis, Susan Edgely 1 2 4 rWakeby Road Mar'stons MI1.1s,Mass. 029549 ' System consists of 1 -1000 gallon septic tank. 1 -Distribution box. 1 -1000 gallon precast leaching pit. L j �: `p�- , i� / � / � ;� _ ►a.� `'�'��,� � �rt�;r�-one h'1.t1�5 11/22/2017 14 :09 5092730387 95770 P. 002/002 Town of Barnstable Regulatory Services Richard V.Seali,Interim Director t anMereet.e, Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form / Date: I t'2Z-I� Sewage Permit#ab 0—q0 Assessor's Map\Parcel Designer: �'Te)C. Installer: Cae�Wide. r',nk�rQcis Address: 2851 C-Cag10 e.r(X Riig sway_ Address: 1 3 CCrv,m erc(o( fQ!ik WareAAam_, HA 6253 8 1.losknae4 HA 0 2 (a 119 On °' 1 •- Cuee aicL r:ottre(EW was issued a permit to install a (date) (installer) septic system at 14 try wak 4.p y Road based on a design drawn by (address) -5C :Q16- dated Noyanber 7, Z407. (designer certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (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 certifiedb low. Strip w ted a d the s 'as-byilt y designer to fol tp out(�f as inspected n oils were found satisfactory. I certify that the system referenced above was construe ` nee with the terms s - o t e IAA a nroval letters(if applicable)-.. . � s _ oa qc,� a� JOHN►, Gar^ U CHUR ILL JpL /EA�SE' Signat e) A N .4 L Sigtta (Affix igne s S mp Here) TO BARNSTABLE PUBLIC HEA H D IS N. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTP THIS FORM AND A& BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUEMIC HEALTH DIVISION. THANK YOU. O:\Septic�Dcsigner Certification Form Rev 8-14-13.doe Town of Barnstable . P# 15�;7/ 9 Department of Regulatory Services Public Health Division Date O f owlMARS. , . 200 Main Street,Hyannis MA 02601 PQ Date Scheduled Time Fee Pd. U6 —+ a Soil Suitability Assessment for age Disposal Performed-By: KclnaA 1(41'le�w U,TT c sG Witnessed By: LOCATION&.GENERAL INFORMATION Location Address Owner's Name l>Av f A €�T�QNrTI MARK (;t4- WAKISON P-C),&I. M M Address L11A1Q_1sY R i) .M^, dt-�3 l01®0 dApew(a� E,�e-t�er�tcs�S Assessor's Map/Parcel: Engineer's Name-ITC 6,0 .0jeZIEW& NEW CONSTRUCTION REPAIR Telephone# 5 v 8— i Z — g 9,71 Lund Use r5t(\5ke [QJVt+�'9 Aw(,tIlY1C slopes(96) _ Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way i ft Property Line 210 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands fFn proximity to holes) ..See, etc i j Parent material(geologic) QL*4405�1 Depth to Bedrock Depth to Oroundwater. Standing Water in Hole: ll Weeping from Pit FAce ^ Estimated Seasonal High Oroundwater DETERMINATION FOR SEASONALMIGH WATER TABLE Method Used: DtfeLt &Sei✓altctn Depth Observed standing in obs.hole: �./____—___ __ In, Depth to Boll mottles: Depth to weeping from side of obs,hole: In, Groundwater Adjusttttent tt. Index Well-# Reading Date: index Well level. Adj.factor, ,� Adj.Groundwater Level e PERCOLATION TEST Bute 11� Time 11 cm Observation Hole# Time at 9" T Depth of Pere n " .« Time at 6" Start Pre-soak Time @ Time(911•611 _ End Pre-soak Rate Mif JIach Site Suitability Assessment: Site Passed t,5 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:\SEPTICU'BRCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# 1 + 2 ' Depth from Soli Horizon Soil Texture Sd11 Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. %'Gravel) ® -� LS iU4� 3%1 -36 -S S/6 2_ DEEP OBSERVATION HOLE LOG Hole# Depth from, Soil Horizon. Soil Texture Soil Color• Soil Other Surface(in.j`' (USDA) (Munsell)' Mottling (Structure',Stones,Boulders. s DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. DEEP OBSERVATION HOLE L Hole#LOG. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Slopes;Boulder;, Consistency. 11myel) Flood Insurance Rate Man: Above 500 year flood boundary No— Yes__z Within500 Year boundary No-AZ Yes,_, Within 100 year flood boundary No. Yes , Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious mtiterial exist in all areas observed throughout the area proposed for the soil absorption system? YY e S If not,what is the depth of naturally occurring pervious material's�.._.. Certification r c a on �� 27 9 date I have passed the soil evaluator examination approved by the I certify th t (date) Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise andSerienco described in 10 CMR 15.017. Signature Date Q:ISBPTIC BRCPORM.DOC A c . Susan Edgely 124 Wakeby Road Marstons MIlls,Mass. i Os6.!a System consists of 1 -1000 gallon septic tank. 1 -Disttibution box. I 1 -1000 gallon precast leaching pit. f f r 5% r, DATE:�4/10/00 PROPERTY ADDRESS:124 �_. Wakeby_Road________ Marstons --0 2 U.9------------------ On the above date, I Inspected the septic system at the above address. This .system consists of the following: 1 . 1 -1000 gallon septic tank. ® 3 G O 2. 1 -Distribution box. 3 . 1 -1000 gallon precast leaching pit. Based on my Inspection, I certify the following conditions: 4 . This is a title five septic system. 9 78 Code ) 5. The septic system is in proper working order at the present time. 6. Pumped septic tank at time of insp@ction. ; ,. Waste water is 51 " below the invert pipe of the leaching pit. SIGNATURE:Company: Joseeh_P: Macomber_& Son , Inc . Address Box_66_____ Centerville Ma__02632-0066 Phone:___508 775_3338_______ THIS CERTIFICATION DOES NOT CONSTITUTE A QUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. Tanks•Cesspools•leichflelds Pumped L Instilled Town Sewer Connectlons P.O. Box 66 Centerville, MA 02632-0066 775.3338 775•6412 z . go , N q. ' COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON MA 02108 (617)292-5500 TRUDY COXI Secretar; ARGEO PAUL CELLUCCI DAVID B. STRUH,' Governor Commission: SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION P.opertyAddress: 124 Wakeby Road Nmwofowrw Susan Edgely Marstons Mi�1s,Mass. AddressofOwner:Z0 U1 Cy reet Data of Inspection:4 10/0 0 Wa ter town,Mass. 0 2 4 7 2 Name of Inspector:(Please Print) Joseph P.Macomber Jr. 1 am a DEP approved system inspector pursuant to Section 15.340 of Tide 5(310 CMR 15.000) Company Name: J.P.Macom SSQ�nn Inc_ Maaing Address: -� 6 e n e r v i i-ie,Mass. 02632 Telephone Number: 8-7 7 5-3 3 3 8 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 4upector s Signature: 4 Date: The System Inspect shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)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 of the Department otrEnvironmettttd Protection. The original should to sent touts system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS revised 9/2/98 Pagel of11 �, Printed on Recycled Paper f - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORMA PART A CERTIFICATION(oorrdMWW Pr,peftyAd&.&1:124 Wakeby Road Marstons Mills,Mass. own«: Susan Edgely Det s or tiap.etson: 4/1 0/0 0 MiSP£CT$ON SUMMARY: Cheok A. B, C, or D. A. SYSTEM PASSES: I have-not found any Information which Indicates that any of the failure conditions described In 310 CMR 4.303 exist. Any fallw• criteria not evaluated are Indicated below. COMMENTS: B. SYSTEM CONDITIONALLY PASSES: _Q One or more system components as described In the 'Conditional Peas'section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes, no,or not determined(Y,N.or NO). Describe basis of determination In all Instances. If'not determined',explain why not. The septic tank Is metal,unless the owner or operator has provided the system Inspector with a copy of a Cwtftsts of CompUence(attached)Indicating that the tank was Installed within twenty(20)years prior to the date of the 4upecdon: or the septic tank, whether or not metal,Is cracked,structurally unsound, shows substantial InNtration or exfilvation, or rant failure is Imminent. The system will pass Inspection If the existing septic tank Is replaced with a complying 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 obstrucud pipets) or due to a broken, settled or uneven distribution box. The system will pass Inspection If(with approval of the Board of Health). broken pips(s)we replaced obstruction Is removed distribution box Is levelled or replaced 4)0- The syrtam required pumpMg'Tnon than1our'dmes wyeardue to broken or obstructed pipeW. The iyrtsm ww-pww— Inspection If(with approval of the Board of Hesith): broken pips(+)are replaced obstruction Is removed revised 9/2/98 Page 2of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) NopwtyAd&"s: 124 Wakeby Road Marstons Mills,Mass. Ownw: Susan Edgely Date of Inapecti A/1 0/0 0 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: _AM Conditions exist which require further evaluation by the Board of Health In order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CM[R 16.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH.WILL.PRO.TECT THE PUBLIC HEALTH AND SAFETY AND THE OfMONMENT: N6 Cesspool or privy is within 50 feet of surface water f Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: ALD The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS Is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance _(approximation not valid).- 3) OTHER AIX IVA revised 9/2/98 Page 3orn SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Prop.rtyAddress:124 Wakeby Road Marstons Mills,Mass. Owner: Susan Edgely Data of 4'sp'cti°": 4/1 0/0 0 D. SYSTEM FAILS: You must Indicate either "Yes" or "No' to each of the following: �a I have determined that one or more of the following failure conditions exist as described In 310 CMR 15.303. The basis for this determination is Identified below. The Board of Health should be contacted to determine what will be necessary to correct the taliur Yes No / 1/ Backup of sewage irrwfeciNtyer•*,ehn+oompone"fdo*to an over{wdedordegged-6A&orcesspd. ;i- �•" ` 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 we dislr�utiion px above outlet Invert due to an overloaded or clogged SAS or cesspool. 1C t;level In 6-"- Liquid depth in' lesi than 6"below Invert or available volume Is less than 1I2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped J. Any portion of the Soil Absorption System, cesspool or privy Is below the high groundwater elevation. Any portion of a cesspool or privy Is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy Is-within a Zone I of a public well. Any portion of a cesspool or privy Is within 60 feet of a private water supply well. Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic.compounds, ammonia nitrogen-and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate either "Yes' or "No" to each of the following: The following criteria apply to large systems In addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system Is a significant threat to pu health and safety and the environment because one or more of the following conditions exist: Yss No y the system Is within 400 feet of a surface drinking water supply the system•ia-within 200 teet *urt -'-ini"if!pwow.-ouply• '• the system Is located in a nitrogen sensitive area(Interim Wellhead Protection Area;IWPA)or a mapped Zone 11 of a publi water supply well) The owner or operator of any such system shall upgrade the system In accordance with 310 CMR 15.304(2). Please consult the local region office of the Department for further infognation. revised 9/2/98 Paet4oru j SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM PART B CHECKLIST Property Address: 124 Wakeby Road Marstons Mills,Mass" owner: Susan Edgely Date of Inspection: 4/1 0/0 0 Check if the following have been done:You must indicate either"Yes" or"No" as to each of the following: Yes No Pumping information was provided by the owner, occupant,or Board of Health. None of the system•compoaants waraiman puwipod►fapa"east two weww sad-*AO-aystem hubmwzecataiag4NOM l flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. ZThe system does not receive non-sanitary or industrial waste flow. _ The site was Inspected for signs of breakout. _ All system components,Si Iuding the Soil Absorption System,have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge,depth of scum. The size and location of the Soil Absorption System orrthe site has been determined based on:- Existing information. For example, Plan at B.O.H. _ Determined in the field(if any of the failure criteria related to Part C is at Issue,approximation of distance is unacceptable) — (15.30213)Ib)) The facility owner land.ocrupants.lf differeW frcai.o�waer),WSjApra�ridad wl2h i.,+nr.++ntiOQ;D * �p �<<++�^tom^-^^�^f SubSurface Disposal Systems. i revised 9/2/98 Page Sof11 l i i SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM PART C SYSTEM INFORMATION Property Address: 124 Wakeby Road Marstons Mills,Mass. Owner: Susan Edgely Dace of Inspection: 4/1 0/0 0 FLOW CONDITIONS RESIDENTIAL: Design flow:_,dL_g.p.d./bedroom. Number of bedrooms l esi )' Number of bedrooms(actuaq:�' Total DESIGN flow Number of current residents: Garbage grinder(yes or no): � Laundry(separate system) �es orC:Y — If yes, sepacateJnspection.required Laundry system inspected V 1 or no) Seasonal use(yea or no):AM Water meter readings,if available(last two year's usage(gpd): �� �/ Sump Pump(yes or no): — ` .d AV P r 7 w Last date of occupancy: �` 1) COMMERCIAUINDUSTRIAL: Type of establishment: Design flow: d ( Based on 15.203) Basis of design flow A1.4 Grease trap present:(yes or no) Industrial Waste Holding Tank present: (yes or no)_Az,�L Non-sanitary waste discharged to the Title 5 system: (yes or no) - Water meter readings,if available: Af Last date of occupancy:_ OTHER:(Describe) 40 Last date of occupancy: ' GENERAL INFORMATION PUMPING RECORDS and sourcgeoft formation: System pumped as part of inspection: (yes or no) If yes,volume pumped: 1c,19 gallons Reason for pumping: _�41�Y � -- A - - TYPE,qF SYSTEM Septic tank/distribution box/soil absorption system 4Single cesspool A Overflow cesspool :4Privy 6 Shared system(yes or no) (if yes, attach previous inspection records,If any) I/A Technology tc.Attach copy of up to date operation and maintenance contract A, Tight Tank A$ Copy of DEP Approval Other C APPROXIMATE AGE of all components, date installediif known)-and source of4riformation: 1� Sews"odors detected when•arriving at the site: (yes or no) revised 9/2/98 Page 6orii I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION,FORM PART C SYSTEM INFORMATION(coarti wed) Property Address: 124 Wakeby Road Marstons Mills,Mass. Owner: Susan Edgely Dane of bupecdon: 4/1 0/0 0 BUILDING SEWER: (Locate on site plan) rl Depth below grade: Material of construction:_ca t Iron Z0 PVC Oother(explain) Distance frorrl private water supply well or suction line o Diameter !�V Comments: (condition of joints,venting,evidence of feak"o,-etc.) -• JOINTS appear ti ht No evidence System venteq through SEPTIC TANK: .V (locate on she plan) r/ Depth below grade/ Material of construction: concretet) metal�Fiberglass UJZPolyethyleneal)ether(explain) If tank is Inetal,list age_&d Js.age.confirmed by Certificate of Compliance (Yes/No) Dimensions:p6rr'A!'- 0, Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: d- Scum thickness:_ Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to botto)9 of outlet ee or baffle: How dimensions were determined: Comments: (recommendation for pumping_condition of inlet and outlet tees or-baffles, depth of liquid level In relation to outlet Invert, structuralmintegrity, evidence of leakage,etc.) Pump the septic tank PVPry 2-1 gParc Tn 1 at & outlet shows no Pvidp (n-P of eaka7e GREASE TRAP: (locate on site plan) Depth below grade:A&i Material of constructiontticoncrete(/gmet&WAFiberglasW 4 Polyethylene� other(explain) Dimensions Scum thickness: Distance from top of scum to top of outlet tee or baffler Distance from bottom of dscum to bottom of outlet tee or baffle: Date of last pumping: , Comments: (recommendation for pumping, condition of Inlet and outlet tees or baffles, depth of liquid level In relation to outlet Invert, structural integrity, evidence of leakage,etc.) Grease trap iS not nrAcant revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C I ' SYSTEM INFORMATION(condrwed) Property Address: 124 Wakeby Road Marstons Mills,Mass. Owner: Susan Edgely Qsw of k-p"dOn:4/1 0/0 0 TIGHT OR HOLDING TANK.Lg*— (Tank must be pumped prior to, or at time of,Inspection) (locate on site plan) Depth below grade: V*1 Material of construction-Aconcrete4 metalalliberglass.*Polyethyleno4fdWher(expialn) A Dimensions: Capacity: ZO gallons Design flow: A1,L gallons/day Alarm present Alarm level:_Alarm In working order:YesA/i Now/ Date of previous pumping: WO_ Comments: icondition of mist tee, condition of alarm and float switches,etc.) Tight or holding tanks arP not present. DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outfit invert: Comments: (note if level and distribution is equal, evidenoe of solids carryover, evidence of leakage Into or out of box, etc.) — — Distribution No evidence of solids CMTYY—over,No evidence or ieakage into or out of the hn_ PUMP CHAMBER:-)dwe (locate on site plan) Pumps in working order:(Yes or No) .-�Alarms In working order(Yes or No) Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) Pump c-hamhPr is not nrecant . revised 9/2/98 Page Iof11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:124 Wakeby Road Marstons Mills,Mass. Owner: Susan Edgely Dace of Inspecti-4/10/0 0 SOIL ABSORPTION SYSTEM(SAS)2 (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located, explain: Type: leaching pits, number: leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields, number, dime sions: overflow cesspool,number: Alternative system: Name of Technology: 1 e 1ve ( 78 Code Comments: Inote condition of soil, signs of hydraulic failure,level of ponding, damp soil, condition of vegetation, etc.) Loamy sand to medium fine sand.No signs of hydraulin fai hire VegeLarion is nor a . Wd6Lea r is i y one nc es below the invert Aipe. CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: AM Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: AM inflow (cesspool must be pumped as part of inspection) I Cesspnnl g arp nnf- prrmccnt Comments: (note condition of soil, signs of hydraulic failure,-level of pending,condition of.vegetation, etc.) Cesspools arp not a rpgpn♦- PRIVY:/JQdfe (locate on site plan) Materjals of construction: �/i5E Dimensions: Depth of solids:&A Comments: (note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation;etc.) Privy is not =rpgpnf- revised 9/2/98 Page 9of11 SUSSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C . SYSTEM INFOMATION fc*ad u*4 PropwiyAd&*": 124 Wakeby Road Marstons Mi11s,Mass. OWTW: Susan Edgely D-W of h.�.csfon:4/1 0/0 0 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include des vo at least two permansnt reference landmarks or benchmarks locate all wells within 100'(Locate when public water supply comas Into house) -P i revised 9/22/98 hge10of11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ° • PART C SYSTEM WFORMATION(continued) PtoWWAddress: 124 Wakeby Road Marstons Mills,Mass. owner: Susan Edgely D&U of Inspection:4/1 0/0 0 NRCS Report name Soil Type_ Typical depth to groundwater USGS Date website visited Observation Wells checked Groundwater depth: Shallow Moderate Deep _ SITE EXAM Slope Surface water Check Cellar Shallow wa0s Estimated Depth to Groundwater t�0 Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Site (Abutting property, bservation hole, basement sump etc.) f'1Cbs.,v.d termined from local conditions Checked with local Board of health Checked FEMA Maps _zchecked pumping records Checked local excavators,Installers Used USGS Data Describe how you established the High Groundwater Elevation. JMuFt be completed) Used water Contours Map. Gahrety & Miller Model 12/16/94 r revised 9/2/98 page norn it y •'+..Sr+r,-nrT-.-n- rnrmr•n1Rfs-nn rerrrr..rn7.+-T-n�nrrn+nn nern7rrs7rrenl�T �,�«.�«..--,r-•_t 1 TOWN OF Barnstable BOARD OF HEALTH r+ 0 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D .- CERTIFICATION I «•T••ter••.••,•I-T..IR«.�1T.Trl.l'.,.1S1 T11!'A'i1f7TTT:Tt'1�"'11i.1•'t7�-T�RI�.IAt/1�t�1A'IRt fR1i TrT'1'T�.�...A -TYPE OR PRINT CLEARLY- PROPERTY INSPECTED 124 Wakeb Road Marstons Mills Mass. STREET ADDRESS v ASSESSORS MAP, BLOCK AND PARCEL i OWNER' s NAME Susan Edgerly PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & ScrK 'Inc. COMPANY ADDRESS Box 66 Centerville,Mass. 02632, Street Town or City State LIP COMPANY TELEPHONE ( 508 ) 775 - 3338 FAX ( 508) 790- 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true , accurate, and om lete as of the ti me of -i nspection .nspection , The inspection was P performed and any recommendations regarding upgrade , maintenance , and repair are consistent with my training and experience in the proper function and maintenance of on- site sewage disposal systems . Check one ; ' _J/Systeui PASSED The inspection trhich I have conducted has not found any information which indicates that the system fails to adequately protect public healLh or' Lhe environment as defined in 310 CMR 15 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have con\_dlocted has found that the system fails to Protect the j-)ublic Health and the environment in accordance with Title 5 , 310 CMR 15 . 303, and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature - l/r�lJ '45�rz- Date ne copy of this certification must be provided to the OWNER, the BUYER ( where applicable ) and the 130ARD OF HEAL1'll. * If the inspection FAILED, the owner or" "Perator shall u within one year of the date of the inspection , unless allowed dortrequiredm otherwise as provided in' 3.10 CHR 15 . 305 . partd -doc NoFsa....... .............. THE COMMONWEALTH OF MASSACHUSETTS d �) BOARD OF HEALTH �....o F ......... 1 ..(2 s.... ............................... ... .......... Appliration -for Bhip ottl Works Tonitrnrtion Vrrmit Application is�reby'made fora it to Construct (V/) or Repair ( ) an Individual Sewage Disposal System at: J D�Af 04 r L�cat... = : s r Lot 1 Lrdtv���/ im S c j.. O ner A dress Installer )—ef ta)9 e� S' Address d Type of Buildin o Size Lot--- `_____Sq. feet V Dwelling 7NO. of Bedrooms._-_:-_-7.................................Expansion Attic ( ) Garbage Grinder (Al-� aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtiTes --------- -------------------------------------------- W Design Flow........: 2 cJ -.....................gallons per person per day. Total daily flow..........--._-___-__-_--.-.-------gallons. WSeptic Tank L Liquid capacitv--(gallons Length................ Width------.......... Diameter----------.----- Depth.----.-._...--- x Disposal Trench—No____________________• Width---------- ------- Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No-----/-------------- Diameter-----f ____ Depth below inlet.................... Total leaching area...--.------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) -i-0 , Z- /&/-77 aPercolation Test Results Performed by------------------ ------------------------------------------------------- Date--------------------------------------.. Test Pit No. I................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+' . ----------•-.--- ---- j j -- ---------=--- O Descript Description/of Soils �� -��y�-: �� ` `'�'f✓` ----------------------------- W •-------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---- ---------------------- UNature of Repairs or Alterations—Answer when applicable.-..........:................................................................................... Agreement: The undersigned agrees to install the aforedescribed dividual Se e Disposal System in accordance with the provisions of Article XI of the State Sanitary Code h ndersigl d further agrees not to place the system in operation until a Certificate of Compliance has been i ed b ar of `alt77 . igne s -•-- l9 ----- --------------- at--e Application Approved By---• t -----. Da<7 Application Disapproved for the following reasons:---•--------•-•------- •----------------------------------------------------------•---------•---•-------- ------ ---...-•-•---•------•--------•---•--•----------------•---•---------------------------•--------•------.--_.. Date PermitNo......................................................... Issued........................................................ Date F No.. ..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH _ Application -for IN!ip ial Worko Tonstrurtion Vrrutit Application is hereby'made for a Permit to Construct ( 'or Repair ( ) an Individual Sewage Disposal System at ............................................... ------------------ ---------% .............................................. ds �rr�r/ C'tiOn Ady P i� t iti i � T, a Ulf,. O ner t Lh,� 1"t'�"M�+ �wres •4^ a' Installer Address Type of Buildin x Size Lot__- 'r";�_ `_ Sq. feet Dwelling No. of Bedrooms____ Expansion Attic ( ) Garbage Grinder (A/4j .. ------ Other—Type of Building .......................... No. of persons.--_______-_____.___________ Showery ( ) — Cafeteria ( ) dOther fist es ----------------- ------ ---------------------------------------------------------- ---------------------------- Design Flow_.._.....< __.4 _____________gallons pqr person per day. Total daily flow...........: -------------------------gallons. Septic Punka-Liquid capaclty_1460_gallons !Lerlgth---------------- Width......-......... Diameter__.-------------Depth-____._.___-_--- T Disposal Trench—No_ _________________:__ Width__ Total Length-------------------- Total leaching area--------____........sq. ft. x - Seepage Pit No-____(______________ Diameter rr_;._ Depth below.inlet-----_.............. Total leaching area--____- ________sq. ft. Z Other Distribution box ( ) Dosing tank ( ) !-!*d i, .1 f Percolation Test Results Performed by---------.- a -- -------- --------- -•------•• ------•- -----:-_. Date---------------------------------------- Test Pit No. I................minutes per inch Depth of Test Pit---_-___________.__- Depth to ground water,_________-___-_--_ f� Test Pit No. 2................minutes per inch Depth of Test. Pit-------------------- Depth to ground water-_-_-________________-.- ---------..__....-...........&.. ;- ------ Descrip onjof Soil ...� 1 .� - x `-----=---- ------------------- :------------------------------------ -- UNature of Repairs or Alterations—Answer when applicable._-____- '__-----------------------------....................--------------------.--------- - ..-. Agreement: h The undersigned agrees to install the aforedescribed` ividual Se. * e isposal System in accordance with the provisions of Article XI of the State Sanitary Code h ndersig d fu her agrees not to place,the system in operation until a Certificate of Compliance has been is ed b r o ealt k ° '`//: ' igne ---••••----------------• _------ •• -- ................ • _ at Application Approved By ------------- = ...- Date , Application Disapproved for the following reasons_---------------------------------------------------------- --------------- ----•------------__-------------------------------------------------------------- == Date PermitNo.--••---_...-----•-••-•••------•••-------•••............. Issued.............. ---------------------_-----•-••-------• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ...... ..........OF....... .., '............................................... Tntifirate of fI'omphaurr IS .S TO ` IFY, the Individual Sewage Disposal System constructed or Repaired ( ) by -• -•-•• ---- •. ........................ ... s Insta at has been installed in accordance , ith the provisions of Ar X of Th State Sanitary Code as described in the application for Disposal Works Construction Permit No,**.. _.:_:_:_s _f. _.___ dated.._ N- R-""'_! _ ____________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.? DATE 0'V1 Inspector,, :,THE COMMONWEALTH OF MASSACHUSETTS BOARD OFIHEALTH ...... :..--...-.. :.... ...OF E No__....on ........... FEE__. __...__ti... IPork noo urtioll rrmit Permtssto�` '�,�is . eby granted---- �!-- ;to Cons c s('"" r Rep it ( ) f Indivtl Sew sPos S at NoA '�7 - �" Street as shown on the application for Dispo al Works Construction Per o-------._ --'__. d__ ------- .__.. -- Board of Health DATE------.•............. ...... --- ----•- t . FORM 1255 HOBBS"& WARR.EN.-INC.. PUBLISHERS - f _ - i ►ocav ��.�.. .,� v eXP44,1510 J D ,ntt.UPA !a N Y E C.EC'T%r+tEt7 PLCt)-r Plt-.4V-j .,No. t4334 'S Er- LOC AT10I-J M44 Q 5`rO Q S �9 D 5ulxt can_ GEKTt F Y T$4AT Th1E FbvtJV&TVQ 5u�u ' PLAt,1 REF'cR.�t.1G�. � Wr-e E apt CaMPL�IS W t TN Ta1E 5 t v�.0►-ice ��"�-- l , AW > SETVAC4 SAC-QU Zek(eWTS ot= TNT -To w►. oV= 15 16zN SIAM tom'. -PL N j woo K. z0 CA DATE4ddC AATEQ- 4. U'4 F-- t►.tG_ REGIS-r�3Zcb LAi-IV SU�u�'�otZS TMt M-AN IS 0 64 pN OSTE2V:t_t..G p A,tA�S. u.tSrlZcJAAE%-JT S�ev�Y -ct.t `0��•S�TS St-kotiw R u�SE A To '� 11OT t_t 1Ji:S _J FINISH GRADE OVER D-BOX = 90.2'± FINISH GRADE OVER CHAMBERS 90.1' - 90.2' (PROPOSED VENT WITH CHARCOAL GENERAL NOTES ' FILTER TO ABOVE GRADE T.O.F. EL=_ 92.0 ± � SLOPE � 2% MIN. OVER SYSTEM �-PROVIDE EXTENSION RISER �-REMOVABLE WATER-TIGHT COVER OVER :3/4"TO 1-1/2" DOUBLE WASHED 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION WITH COVER OVER INLET & RISER TO WITHIN 6"OF FINISHED GRADE r- 4" SCHEDULE 40 PVC r INSPECTION PORT WITH ACCESS STONE TO CROWN OF PIPE OUTLET TO WITHIN 6" OF F G. ME-i HODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE , F.G. OVER TANK EL = 90 8'{- 5" DIA. OUTLET(S) MIN SLOPE 1% BOX TO F.G. (SF E NOTE 21) 2" OF 1/8" TO 1/2" DOUBLE WASHED CODE AND ANY APPLICABLE LOCAL RULES. @ FND. EL.= 90.8 +_ . . . i STONE OR GEOTEXTILE FILTER FABRIC 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 20"MIN.ACCESS I TOP OF SAS - $7.00' PLACE RISERS ON ALL DESIGN ENGINEER. COVER(TYP OF 3) 9" MIN. - CHAMBERS WITH PROPOSED 4" 3.20' MAX. I I 36" MAX. � ( ,�„ rT P}P�S,7 J 6„ OF I 3 4" SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL ✓�: SEVVEF FIFE ; 86.00 SEE NOTE 23 ! ,. 1 --- I BREAKOUT EL = 86.50' --- ��_ SYSTEM UNLESS OTHERWISE NOTED ' FINISHIED GRADE (--j- 9 f j ; 4, TO PREVENT BREAKOUT. THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 3" DROP MAX } �11 f L=60 } PROVIDE WATERTIGHT ---i - -- 6' 2" DROP MIN 3 9 i _ WN �C)77 }}I ELEVATION = 86.50' FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE SAS. UNLESS A + I - 4 PVC IN FROM JOINTS (TYP ; 1 r_13" ��'� -_ ��� -� j� �-l --� �--� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S AND THE TOP OF 14" , ) SEPTIC TANK 4" PVC OUT TO i-1 0 L_� U I L-1 L-_-� o o I L__-_! L�i 0 L_ _J L__-J � o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION i LEACHING FACILITY � �- I o I ,-, -- r-� , � r----, - r--t � , r, � of n > c +- !-- , - ��r 00 +�� �� 0 5. SLOPE ALL SOT PIPE AT o.0,o MINlMU"Iy1. 0--, -- 1 o0o L_.I L � L_..-i � L_J L-J L-� �� L-1 i-� CONTRACTOR TO PROVIDE 12" 6" o0 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. CONTRACTOR SHALL I CONTRACTOR SHALL \ 86.40' -� I MIN- 2' r � �� 0 0 CD 00 SPECIFIED DROP BETWEEN 41 " VERIFY CONDITION OF OUTLET TEE $6.23 II t t 1 0 -J oo u cDo 7 R T BE NOTIFIED PRIOR TO BACK VERIFY SIZE AND 8 ! 0000 0 0 (�� o LOCAL BOARD OF HEALTH AND DESIGN ENGINEER O INLET AND OUTLET CONDITION OF EXISTING TEES GAS BAFFLE 6" CRUSHED STONE oo L-J 0 0 o 0 00 0 {-J o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION- SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE 4 0' J 4.0' f ( ! ( AND DESIGN ENGINEER. OUTLET DISTRIBUTION BOX 1 4.83 � 8 ELEVATIONS BASED ON APPROXIMATE M.S.L DATUM. BENCHMARK ELEVATION OF 92.00, TO BE INSTALLED ON A LEVEL STABLE --- - -----25.0' -- - -------- - i (TYP.) ESTABLISHED ON THE CORNER OF THE BULKHEAD AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV= < 78.70' GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. /8' '4.00 - 12.83' 9 CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1 ,000 G 5' MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW 2 - 500 GALLON CHAMBERS CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES _ TYPICAL CHAMBER PROFILE TO THE DESIGN ENGINEER SEPTIC TANK PROFILE DISTRIBI��'�`" ° ��X DETAfL H-20 CN !� "����' DETAILS TO ANY WORK$� NOTIFY ENGINEER L"vn ,ti.,Y t NOT TO SCALE 10 ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE �..��• ,r,�,u,vI: v ��,"f � `'�'�",R !F DIFFERENT. NOT TO SCALE NOT TO SCALE - _ WATERTIGHT. TEST PIT DATA 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING T 3� A� , D r PERC NO. 15519 REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM a I d F INSPECTOR: _Donald Desmarais. RS APPROPRIATE AUTHORITY. !d (.�' • �; EVALUATOR Michael Pimentel, EIT, CSE 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED ' f Oct. '999 UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR C.S.E. APPROVAL DATE: -- TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. j u DATE: November 1, 2017 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. > 9S ;E 45 sint?� by TEST PIT# - --- 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE i Bench-ark ' r� ELEV TOP = 90,20' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. Nail in Tree r. _ ELEV WATER = < 78.70' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, Elevation = 92.00' ;; r �'+ •, Approx. M S.L. r C`' a FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). ,.HF ` O 1GJ' , . �� C1 PERC RATE _ <2 min./inch '�l 91 �' { RO 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN N89" 10' 17"E R=13 3 4.01 48" -66" _ �'= r ♦ � ,�\ i, �~ � 7. _ DEPTH OF PERC = SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. 47.39' L L=92.61 16 PROPOSED PROJECT IS LOCATED WITHIN: f EX. ELF',. vu is i $T TEXTURAL CLASS: LSA PATIO 1 90x7' ' /r ASSESSOR'S MAP 43 PARCEL 60 12"OAK r x n ` LOCUS 0i S r - OWNER OF RECORD: DAVID C. MARRY AND STEPHEN R. MARRY, JR -_SHED Q - . _ o ,. /!/ 1! -�� -.. 0" - - 90.20' LSA F' C' ` q ADDRESS. 124 WAKEBY ROAD ' -:. 3 LP o \` �' , Loamy 10Yr 3ii _ MARSTONS MILLS, MA 02648 12" AK i P + ! r �Q t 6" 89.70' FEMA FLOOD ZONE---- X -_-- x �+4 t \ Loamy an 1 90X4TP 1 LSA 90x1' � 10Yr 5/6 COMMUMTY PANEL# 9M1 % 12"OAK --... Y PROPOSED �_- \ 87.20' ! t - y �� 3 17. DEED REFERENCE: BOOK 23004, PAGE 85 - x 90x2' INSPECTION PORT I - ii t C_1611 Silt Loam �< 12"OAK x 90x1' ; .i N."';. 2.5Y 6/2 18 PLAN REFERENCE: PLAN BOOK 309, PAGE 75 GZ z PATIO TP 2 - =� _ - 86.20' -o 9Ox2 e�- _ 48" X-` - X ' =X- TV;N PROPOSED 2-500 GALLON (� C +` 19 ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION m fn #124 e"oAK O 1=1-20 LEACHING CHAMBERS I 4 },1 ZONE 2 r. �' �' DECK 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY 11 EXISTING PROP. y I co D BOX FOR SEPTIC SYSTEM !JPGRADE. " --NG)NFFRIVG Wl1_1_NOT ASSUME ANY 1-1ABIUTY r - 2-BEDROOM _ p c'r FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE w DWELLING v PROPOSED 4" PVC VENT PIPE; _. m m EXACT LOCATION PER OWNER 'r8 R - Med.-Coarse Sand 21 A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A TOF = 92.0'± GRAVEL C-L DRIVEWAY 90x1, �BOVS 2 5Y Erb DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. 12*OAK 90x2' 22, OWNER /APPLICANT/ CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL LOCUS PLAN REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. 3 1 _ 23. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE SCALE: 1" - 1000 138'" 78.70' APPROVAL IS REQUESTED FROM 310 CMR 15.221(7): PARCEL 001 001 \` O /� Jr- 90x4' 90x° MAP 43 0.) A 0.20' WAIVER (3.0' - 3.2') FOR THE MAXIMUM COVER OVER THE LEACHING FACILITY I A 90x3 No Standing, Weeping or Mottling Observed PARCEL6" ` TEST PIT DATA I � DESIGN DATA LEGEND P z PERC NO 15519 / I o INSPECTOR: Donald Desmarais, RS- 50x0 EXISTING SPOT GRADE t 1 �m NUMBER OF BEDROOMS 2 (3 MIN DESIGN PER TITLE 51 9OX4' 90x1 z DESIGN FLOW 110 GAUDAYBEDROUM EVALUATOR: Michael Pimentei, EIT, CSE - - 50 - - EXISTING CONTOUR Oct. 1999 � �+ C.S.E. APPROVAL DATE: PROPOSED CONTOUR -x- -x x-x-x x x-x-x-x-x m �� k I £ TOTAL DESIGN FLOW 220 GAL/DAY -�--r- TREELIN { Y ` � MAP 43 DATE: November 1, 2017 I , m PARCEL 60 DESIGN FLOW x 200 % = 660 GAUDAY TEST PIT#: 2 EXISTING LANDSCAPED AREA £0 21,.200 S-F ± O USE EXISTING 1,000 GALLON SEPTIC TANK I o n ELEV TOP = _ 90.20' - EXISTING OVERHEAD UTILITIES \, ti ELEV WATER = < 78.70' oo / I O EXISTING WATER LINE PERC RATE _ /UYWIRE 90 INSTALL 2 - 500 GAL. CHAMBERS w/ AGGRIEGATE - -- �. TEST PIT LOCATION - S89' 10' 17"W � ° R=1174.01 1 SIDEWALL CAPACITY DEPTH OF PERC = _ -_ _ 47.39' L=77.61 TEXTURAL CLASS: 1 EXISTING 1,000 GALLON SEPTIC TANK (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GPNLJDAY ❑/H/w a/ / ❑/H/W D/H/W �( � �7ckE ��+w n/H/W H/W - (25.0' + 12.83') ( 2 ) ( 2' ) ( 0 74 GPD/ S.F.) =112.0 GALiDAY U.P. _ _ _ - - - - - -� - - --� EDGE OF PAVEMENT PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE WAKEBY ROAD SWING-TIES SCALE: 1"=20' BOTTOM CAPACITY 0" 90.20' A Loamy Sand PROPOSED DISTRIBUTION BOX (40' WIDE LAYOUT) HC-1 HC-2 (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAL/DAY 10Yr 311 DEGCRIPTION ' (25.0' x 12.83') (0.74 GPD/S.F.) = 237.4 GAL/DAY 6 89.70 PROPOSED 500 GALLON LEACHING CHAMBER CORNER OF S T ONE '1) 39.4' 1 49 7' ------ B ! Loamy Sand T I 10Yr 516 CORNER OF STONE (2) 52.2' i 60.3' TOTALS: 36" 87.20' CORNER OF STONE (3) 56.0' 52.4' TOTAL. NUMBER OF CHAMBERS 2 C-1 Silt Loam ----- -� -r� -- -- -------------- _ 2.5Y 612 --{-------- t- + - REV. DATE 1 BY APP'D 1 DESCRIPTION CORNER OF STONE (4 44 3' 39 6' TOTAL LEACHING AREA 4722 SQ.FT. 48" - 86.20' TOTAL LEACHING CAPACITY 349.4 GAL/DAY PROPOSED SEPTIC SYSTEM UPGRADE PREPARED FOR: CAPEWIDE ENTERPRISES Med.-Coarse Sand C-2 2.5Y 6/6 ' LOCATED AT ^) 124 WAKEBY ROAD 11 MARSTONS MILLS, MA 02648 r--12.8'--•I r-HC-1 NOTES: � � • _- --- --- -39.1' 17 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC #124 O 138" - -- 78.70' SCALE 1 INCH = 20 FT DATE: NOVEMBER 7, 20EE f� ',Q �J 4p 80 FEET SYSTEM COMPONENT. EXISTING N _ No Standing, Weeping or Mottling Observed �P`�VA OF M, 2 ) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED 2-BEDROOM O --- of �y PREPARED BY: LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN DWELLING RESERVE D FOR BOARD OF HEALTH USE c JOHNL JC ENGINEERING, INC. �` CNVRCWLL JR. m REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TOF = 92.0'± �2 4 3 -t--�6.3� �o:"eon y � I 2854 CRANBERRY HIGHWAY R EAST WAREHAM, MA 02538 TEST PIT DATA ( ( PF `+ 3 ) PROPERTY IS LOCATED WITHIN THE WELLHEAD PROTECTION OVERLAY DISTRICT SITE PLAN 1 508.273.0377 GROUNDWATER PROTECTION OVERLAY DISTRICT AND ESTUARINE WATERSHEDS. SCALE 20' T Drawn By: BSM Designed By:MCP Checked 6y ,JLC JOB No. 3986