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HomeMy WebLinkAbout0092 WINDING COVE ROAD - Health 92 WIN G-COVE' 1� � _I ; ura5 �'1�115 I,I I. _ TOWN OF BARNSTABLE LOCATION '?a U'dN�vr.�c �r3caP i�r7 SEWAGE# aOi'l - a 1 VILLAGE AA�rS�c,�ss M,11c ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO._4bc,v,, K eiS3 y SEPTIC TANK CAPACITY r,�.s i Ea S LEACHING FACILITY:(type) soo!11c.\ o chcv r*5 (size) i X 2S x 2 NO.OF BEDROOMS 3 OWNER �ogoC Z�NS i PERMIT DATE: COMPLIANCE DATE: G Z-7 r )LI Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility ��a N S �t'cC Feet Private Water Supply Well and Leaching Facility(If any wells exist on` ; site or within 200 feet of leaching facility) t Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY� �-- A,_ �3 1 R Ro NT D --3& �. wr - 3� OJr l4 OD °�. T No. � c)- Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplitation for ]Disposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(.<Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Cev a 7za Owner's Name,Address,and Tel.No. nAarcto,v% N %jI5 :Roc->or ZCA.)S IC 1 Assessor's Map/Parcel O S-7 — O 1 ig Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. �v.s5�o.s A T%rCwn3TNC sob— YOO - 7/SS 45~5 Y77-5-7,1 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 30 o 011— sq.ft. Garbage Grinder( ) Other Type of Building h o-d sr No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '3 30 gpd Design flow provided 311 0,7 gpd Plan Date G_//0J/Y Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ')�a/jocV eAg-t e4 Description of Soil Nature of Repairs or Alterations(Answer when applicable) 'ems yj Ot! j S, A e rcowS/Sf�/,S ro 2 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. K ' Date Issued No. C Ay Fee / THE COMMONWEALTH:OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppritation for Misposal 6pstem`coustruttion permit Application for a Permit to Construct( ) Repair(✓Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.jWwtrJ,�jS Cov e- 1Z 0 Owner's Name,Address,and Tel.No. nnalctv�,s M�115 Ro6or Zc,J51< i Assessor's Map/Parcel © S 7 — p Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. DOvg\cS A T1z(ri INc lq"o Y00 - 7/S5 G Wv✓/c 's '°/77- 5?/j Type of Building: Dwelling No.of Bedrooms 3 Lot Size 3 D ,012. sq.ft. Garbage Grinder( ) Other Type of Building %n o u Sr No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 O gpd Design flow provided 3 q5,'7 gpd Plan Date G f i o /y Number of sheets 2 Revision Date Title Size of Septic Tank Type of S.A.S. �L 5co ate,/)o,y •Ct1 m A,015 Description of Soil Nature of Repairs or Alterations(Answer when applicable) :L ��� eV�� �,. A . S l c,,y5/5</ �•C n>� Ot SiUN � Date last inspected: Agreement: { ,g 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(ode and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed—_ Date Application Approved by G_ .. l e�:i~ Date 6 —�S LQ Application Disapproved by q Date for the following reasons f a Permit No. o I L4 ! Date Issued ' ------------------------------------------------------------------ ---—----- ---------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Reparred(✓) Upgraded( ) Abandoned O by j , o w r s T �j c at rf 2 G✓,,j c),.v$ has been cons ' cted' acco ce with the provisions of Title 5 and the for Disposal System Construction Permit No. ted Installerl-D1,10 _ 13f n3 ,.ic Designer [�of 1_5 #bedrooms Approved design flow / gpd The issuance of this permit ha not be Dristlued as a guarantee that the system wil nc 'O'n�as esig d. Date Inspector / ® ----------------------------- ----------------------------------------------------------------- - ------------ ------------------- No. a — � Fee f n a THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem struction permit Permission is hereby granted to Construct( ) Repair( ICpgrade( ) Abandon( ) System located at 9 2 d 44,1 G and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date 6 F"� Approved by ��\L� r - Town ®f Barnstable Ot THE 7 Re.gulat®ry Services Richard V. Scali, Interim Director BARNSPABU, p� KAISS, Pudic Health Division Thomas McXean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer R&Desigg er Certification Form „ 27 Q � - Assessor's Ma \Parcel O�� Date; �1 � � Sewage Permit# �Df �� p +�@ 1-e%-,►'�e�n�-ee 1V( 1?v rtivirl c ri Designer: .�,si �&304Q Inc Installer: Q A 'Address; t 7— W. Srpe Address: 9 0 ` %K 1� 26 32 On - � _ PA J�-J& �t c was issued a permit to install a (date) (installer) septic system at q 2 W.�„ 'g Cd-& ( M"L Sbased on a design drawn by (address) dated (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, 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 certified as-built by designer to follow. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in comph¢ ith the terms of the l\A approval letters (if applicable) itit 0�j _ MCLNTEE (Installer's Signature) ` CIVIL ,q No 95•103 F ! 1 d , s (Designer's Signature) X Designer S ) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DM- SION. CERTMCATE OF COIVIYLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- 9-MILT CARD ARE RECEIVED BY THE BARINSTABLE PUBLIC HEALTH DMSIOK THAIVI YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doe Town o f Barnstable P# Department of Regulatory Services tte.asncwi Public Health Division DateKASIL 1hs 200 Main Street,Hya ms MA 02601 Date Scheduled w Time Fee Pd.tv Soil S ability Assessment for Sewage Disposal Performed By: Witnessed By: Da,,,Ve5 elf Z.j" LOCATION&GENERALINFORMATWN Location Address 9 L. W. ^y , G Owner's Name rs�stS (l S Address Assessor'sMap/Parcel: o`J/`"'�,�,©�� Engineer's Name NEW CONSTRUCTION a- REPAIR _X � Telephone# '•St c' P<- 7j7 V 7 6 Land Use 1—"'1 CJ�st.�'tA L slopes(%) i �I, Surface Stones Y Distances from: Open Water Body Ir ft Possible Wet Area s'-- ft Drinking Water Well ft . y � � Drainage Way it Property Line 1�(' ft Other ft SKETCH:(Sheet name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) Y Parent material(geologic) U u fwQS►l Depth to Bedrock Depth to Groundwater: Standing Water in Hole: �T r Weeping from Pit Face 4 y Estimated Seasonal High Groundwater T7 DETERMINATION FOR SEASONAL,RIGH WATER TABLE Method Used: ea Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs,hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor . Adj.Groundwater Level PERCOLATION TEST Date Time Observation .L Hole# Time at 9" Depth of Perc -18' Time at 6" Start Pre-soak Time @ Time(9"-6') End Pre-soak (•0 F ' Rate Min!lath Site Suitability Assessment: Site Passed_ Site Failed Additional Testing Needed(Y" Original:Public Health Division Observation Hole Data To Be Completed on Back----— 4 ***If percolation test is to be conducted within 100'of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTIC\PERCFORM.DOC DEEP OBSERVATION-HOLE LOG Hole-# I Depth from Soil Horizon Sail Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistcnev.° fc ' C.. iPAU "m vk t Y 4 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mtmsell) Mottling (Structure,Stones,Boulders. % � -to UL .. to -f A o A-1 �- (_ ® 51. `.t 2� 6 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sail Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. Consistency.° f � i f ` DEEP OBSERVATION HOLE LOG; ' ' Hole# Depth from Soil Horizon i Sod Texture Soil Color. ' Soil Other Surface(in.) l (USDA) (Munsell) Mottling (Structure,Stones,Boulders. 7 isten ° � l t Flood Insurance Rate Man: Above 500 year flood boundary No Yes Within 500 year boundary No ^ Yes_ Within 100 year flood boundary No!Ke Yes_ Depth of Naturally Occurrine Pervious Material Does at least four feet of naturally occum.ng pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification hh I certify that on �'l�(date)I have passed the soil evaluator examination approved by the Department of En rotunental Protection and that the above analysis.was performed by me consistent with the required tla' g,expertise and ex ep rience described in 310 CMR 15.00. / Signature Date �1,7p7/1 Q:ISEPTIC\PERCFORM.DOC 1 COMMONWEALTH OF ivIASSACHL SETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON M 02108 (617)292-5500 P� D TRUDY COXE Secretary ARGEO PAUL CELLUCCI 7 D . STRUHS Governor Co sioner SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION y '910� 6 la ° Property Address:9d W1.y10,v6 CdV6rjeD, Name of Owner , LO Address of Owner: "TO. (9 c� ar Date of Inspection: Name of Inspector:(Please Print)C'( A,fiJ� �OK��E�GJ s9 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name: l;DWARD Cl6001F 1 Marling Address: (N 0�0z�l�- 5 N1�W�G ,�tS63 ` Telephone Number: ` D CERTIFICATION STATEMENT 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 _JFa�ils Inspector's Signature:( �` r�`` �Y� Date: The System Inspector 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. lf.-the system.is�,a shared system or has,a,design flow of 10,00_0 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental,Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. NOTES AND COMMENTS Vb lj/r(:L6/(J SEP I�/C ''- -4(1)k � l l•i A I 4 I � 'ry� �Y�I I Y9Y � �. �. ' ti� i ,i I• r11 J . ,. �.�k d; 0 ; d revised g S e1of1 1 9/.;2/9., Pa tabs Punted on Recycled Paper • ,�,. il.. i�Y, ifs ., , c _ ,.� .,. _� �� 7 C1�. , SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:V tk/k//V6 C Owner: Date of Inspectiion:3 INSPECTION SUMMARY: Checko B, C, o/ D: A. SYSTEM PASSES: 1 have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure criteria riot evaluated are indicated below. COMMENTS: i B. SYSTEM CONDITIONALLY PASSES: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health, will pass. Indicate yes,no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. _ The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached)indicating that the tank was installed within twenty (20)years prior to the date of the inspection;or the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a 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 obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced -. - The systsm required pumping-more than four-times-a",yearrdue to broken,.or obstructed pipe(s).- The system will pass inspection if(with approval of the Board of Health).: broken pipe(s) are replaced obstruction is removed Y.r I! .J ) lillo"Iiiq iki. ,'xii c, ' f r E r revised 9 98i/2/ Paggor11 Ir li � I' iJ 1'I:Ir I�0 ';• I..�117 Idl !4 s !`.I +o o.! rS .�` I � ill li.l � :1 'I Y! f 'tl � lU i liIIF�'li�'E, fr } a ..,- nan�( it 1:• 'I, t", c ir: c ,N ,,�:! i, i i.;,'ll, rj;i . SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 9),W twitV(' wuc Pei), Owner: Date of Inspection: C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT'rHE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD.OF HEALTH(AND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet 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 pprn. Method u ed.ta..de rmine.distaMe-_... (approxi[nation not valid). 3) OTHER 7t"•,�I�I II !� i �: • ,� is .:l 1 .i,t b j yi r,Yl'!'1' I+ Y: ^Y�:i'F.it1 �S iiiNlt? t1 161D t; 1, �i;)�'til �• ,, �� I�li 1 � .0 ovl� t� tll ,��Il� hl IIJI P , ! Ill :ri t: a w,i la .i f.gy .s0tv.0 ILl1 :F.a1i'htt i!'b1, ., I'' l i:t _�It '4 I p. IiiEt I revised 9,/2/98 ? Page 3or11 y a' n! .I i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address q2 W(Notm, COL/6- 0 Owner: Date of Inspection: D. SYSTEM FAILS: You must indicate either"Yes" or "No" to each of the following: 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 failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than V2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: You must indicate,'either"Yes" or "No" 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 10,001)§pd ltir greater(Large Sys,terrt)'`aiitdjhe system is a significant threat to public health and safety and the environment because one or morcatifttf5e following conditions exist: j'I i i i'l I G' . Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply t the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public i water supply well) ' I The owner or operator'bf any such system''shall upgrade the system'in Is�coe'rdance with 310 jCMA 1 g 3041�)'. �lees�co' lflthe local regional . •I;I b al; office of the Department for further information G lit d j1 ifl-' I ;, F.i £ is i I I-, tl , (j .;blj fip f:;:>.•>r(JCI revised 9/2""/§8 fake 4of11 i 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST i �f Property Address:,q)_ W-17V O IA/G (�c VC Owner: Date of Inspection:. Check if the following have been done:You must indicate either "Yes" or."No" as to each of the following:. F Yet, No Zy Pumping information was provided by the owner', occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and the system has been receiving rormal 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 NIA. - k I{ The facility or dwelling was inspected for signs'of sewage back-up. The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs:of breakout. _ All system component have been located on the site. The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions,depth of liquid, depth of sludge, depth of scum. The size and location of the Soil Absorption System on the site has been determined based on: 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) (15.302(30)] ----The facility owner (and-occupants; if different trorn owned were provided with information on the proper.maintenance of SubSurface Disposal Systems. •. ��.1,!I- ,I j, I:1 i i sa p:El't+t'1'�IdtVt6 1: ;ti;U.!;y` 'F ;: tl)' 1. ! :1 f+ i �•, , :3 .A °1lt - .1f_< < I7. \t kl,l yl. . 1?iA i') ,. �I No L iY,{j lii[1 +. ♦. ' �ed 9 P.ele,�Rr;Il i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C ' SYSTEM INFORMATION Property AddressC12 W(tUotfUG COO& Owner: Date of Inspection: 3 -13q y'q7 FLOW CONDITIONS RESIDENTIAL- % g.p.d./bedF�om. Design Wo�,Number of bedrooms(.� O Number of bedrooms(actuaq:�_ Total DESIGN flow356.. Number of current resid Garbage grinder(yes or no :Iff Laundry(separate system] (yes or%:W; If.yes,separate inspection required Laundry system inspected ( es or no) Seasonal use(yes or o Water meter readings,if available(last two year's usage(gpd): Sump Pump(yes or(&Y:A Last date of occupancy: cri my,VtgS COMMERCIALIINDUSTRIAL: Type of establishment: Design flow: qpd ( Based on 15.203) Basis of design flow Grease trap present:(yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: Last date of occupancy: OTHER:(Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and so off'iinnfor�tio ur a System pumped as part of inspection: (yes or no)-LID If yes:-;volume-pumped: _. „gallons.,. Reason for pumping: TY SYSTEM Septic tank/distribution box/soil absorption system ' Single cesspool Overflow cesspool: 111 1t , C r ;� 1I� til I�Y'�ifll 11 Privy Shared system(yes or no) (if yes, attach previous ins pecti'dfl!AMrds,if any) I/A Technology etc:Attach copy of up to date operation and maintenance contract Tight Tank E' Copy of DER:Approval, 15 Other APPROXIMATE AGE of all components, date installed(if known)and`source",of information '`IvSfi/?CL F/, a//CT I-: Sewage odors detected when arriving at the;tite:l(yes or(io %i; r , 4j :Y Ir) ralai��cr[+ S • I i , S YA. I.3is IE revised 9%21/98:: Page 6 or.ii _.._ E II' IYl •S� rl Ills'. !1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:q W)IUD/"NL cz-A/ Owner: G Date of Inspection:. BUILDING SEWER: (Locate on site plan) Depth below grade:_ Material of construction:_cast iron_40 PVC_other(explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints,venting, evidence of leakage,etc.) SEPTIC TANK:X (locate on site plan) Depth below grade: ,"P6 Material of construction: concrete_metal_Fiberglass _Polyethylene—other(explain) If tank is metal, list age_ Is age confirmed by Certificate of Compliance_(Yes/No) Dimensions:skgl k q,I UJ IleSI�H Sludge depth: NCfdS Distance from top of sludge to bottom of outlet tee or baffle:1 /MIQ{S Scum thickness: NL Distance from top of scum to top of outlet tee or baffle- Distance from bottom of scum to bottom of outlet tee or baffle:—' Ni How dimensions were determined: :09P6,M6745V12 - Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles,depth of liquid level in relati n to outle,(nvert, structural integrity, . evidence of leakage,etc.) K C« /4 1VSP6CTioN 21*c U pi),MC. Pv( 1jV(ET, rnnx.f2CTG7' 9aFFL67 QUIMEn GREASE TRAP: (locate on site plan) Depth below grade:_ Material of construction:_concrete_meteP 1 Fiberglass _Polyethyll'4." other(explain)ll �fl''I; Dimensions- Scum thickness: Distance from top'df scum to top of outlet te$or-baffle: Distance from bottom of scum 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.) revised 9i/2/98 Page 7of11 _..__...,. - _.. sy .- t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM I PART C SYSTEM INFORMATION(continued) E , a D Property Address:q,2 W(NQI► G CoVOJ � Owner: . Date of Inspection: TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (Vocate on site plan) Depth below grade:_ ; Material of construction:_concrete_metal_Fiberglass_Polyethylene—other(explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order:Yes_ No_ Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches,etc.) DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: ,7TQumrn Comments: (note if level and distribution is a al, evidence of solid _carryover, evidence of leakage into or out of box;,etc.) ©�U - PryO4/t=e%F aU �vo So�ioS PUMP CHAMBER:_ (locate on site plan) Y Pumps in workingorder:(Yes or No) Alarms in working order(Yes or No) 1 ff y, Comments (note condition of pump chamber,condition of pumps and appurtenances,etc:) w revised 9/2/9 Page 8ortl i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 014VtYj c-CA95-F—ID, Owner: Date of Inspection: SOIL ABSORPTION SYSTEM(SAS) (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: cv67 S/h ptt moo 64tcwu (,6-*,--r/ Pr leaching chambers,number:_ leaching galleries,number- leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition of soil, signs of Hydraulic failure,level of onding, damp soil, condition of vegetation, etc.) E/9cN P17 66511 AL-177667 0(16e NRZF F(1C(- 147' o�vE 7rmc CESSPOOLS: (locate on site plan) Number and configuration: Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater: inflow{eesspool mast be pumpedas•part-of inspection).- - - Comments: (note condition of soil, signs of hydraulic failure,level of ponding;`'condition of vegetation, etc.) ; Ili d c PRIVY:_ (locate on site plan) ? ,':! ..• Materials of construction:. r Dimensions: Depth of solids: ; Comments: (note condition of soil signs,of hydraulic failure;level of pondmg;cbnditidn,of vegetation,'Iitc.) I j; • dr ,1. revised 9�'V98 90 I .1 f . y SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM • PART C SYSTEM INFORMATION(continued) Property Address: `,Z W I U 0l/U& (f0 V C Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) /y, A t z 'i i revised . 9/.2/98'. Page 10of11 rf :r` SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: W I Ft/0 WC, COVE P-D Owner: Date of Inspection: 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 wells Estimated Depth to Groundwater Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observed Site(Abutting property, observation hole, basement sump etc.) Determined from local conditions Checked with local Board of health Checked FEMA Maps Checked pumping records Checked local excavators,installers Used USGS Data Describe how you established the High Groundwater Elevation. (Mu be completed) ��IJUIV)WYt'� �t9 TO O �/j � Ei::t.t t i j;`j k.0 ; 1; j J' revised 9/„2/9i$'i „n, Page.l�of,ll ;i.,tin' 4LiYr!r sr- '21wI I t.ri LOCATION SEWAGE PERMIT NO. 1Co7- Al VILLAGE INSTALLER'S NAME i ADDRESS t U I L D E R OR OWNER � T DATE PERMIT ISSUED Z QDAT E COMPLIANCE ISSUED ��y' kJ.,vOiae- Co rrer Pd c 4 y No. ...../3 — " F s...�0l Sdi R May, THE COMMONWEALTH OF MASSACHUSETTS 1 BOAR® OF HEALTH ��? ROGERPAUL TOWN BARNSTABLE MICHNIEWICZ .. .. .... .................O F....... ..................... .............................................. No.304ao CIVIL ApplirFation for Disposal Works Tonstrurtion rruti# o Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sew Dis System at: 1.7• WINDING COVE ROAD LOT 88 ................__......_...................................................................... _...--•-••-- ........•-•----••-----•---•......-••......--•--•-----------.........----.....--- Location-Address or Lot No. ..........C.OYS_BROOK.r....INC Owner ........................ ----------------------------- ._.........----d---res-.s------------------------------.-....-------- .............•..................Ad Installer Address dType of Building Size Lot...3 0 012_..........Sq. feet Dwelling—No. of Bedrooms........... ...............................Expansion Attic ( ) Garbage Grinder (no) `k Other—Type of Building ............................ Showers G., yP g --------•------•--...---.... No. of persons ( ) — Cafeteria ( ) Q' Other fixtures ............................ . WW Design Flow............................................gallons per person per day. Total daily flow..........330 _ allons. WSeptic Tank—Liquid capacity1000.gallons LengtO....-6 Width.4.'.71:0."Diameter................ DepthA'i-._8"_. x Disposal Trench—No..................... Width...--............. Total Length...........---....._.Total leaching area....................5q. ft. Seepage Pit No..... .............. Diameter.l�.._._...._... Depth below inlet5_�.67.....-.-. Total leaching area_2_`�_7.........sq. ft. Z Other Distribution box ( ) Dosin tank ( ) 0-4 8a e Cod SurveyConsultan 1/27/84 Percolation Test Resul s Performed by--•-•-•.p•---•.......................................•--•-............tldate-•--•---------•----•-•-•--••--.....-•--- aTest Pit No. I..............minutes per inch Depth of Test Pit...... i........ Depth to ground water..none tZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.....1............... Depth to ground water...none..................... a ••-•--•--•-•-•------•-------••----•••-•---•--•••-•-••-•-•••........•.................................................................. 0 Description of Soil...TP...#1 0-12" Wood•_loam.,._12"-36-" Subsoil-,......................................." . Upoorly graded sand. TP #...._ ..same as TP #1 W UNature of Repairs or Alterations—Answer when applicable................................................................................................ ..------.....•-----•-•-••----••-••••••-•••-•---••-----••••--•--••--•----••-•--•--•--•••-•--•--•---•••------....--•••-••---••--•--•-•---------------••-•-•-------•-•--•-•---••-••-•---••--••--•-••--•----- Agreement: The undersigned agrees to install the aforede ribed Individual Sewage Disposal System in accordance with the provisions of TITU 5 of the State Sanita C d e u ersigned further agrees not to place the system in operation until a Certificate of Compliance has e b oard of health. gne ....:........... .. ..... ............................•••--.... Application Approved By...........-• = =- z o Application Disapproved for he ollowing reasons-----------------------•-------------•--•----•-------•---------•---------------------...••.......-----........._ .....................•-----------..........--•--•--------....------------.........----.......------....-------------------•••-•--•-•------•••---•---•---•-----•--•-•--••----------------•-•-•-----•----- Date PermitNo.—........=....................................._.... Issued....................................................... Date i. N6$*Ilh t13#•-•-- Flms...... I"OF THE COMMONWEALTH OF MASSACHUSETTS y� BOARD OF HEALTH �02 ROGE PAU L c MICHNIEWICZ TOWN OF.....BARNST�L1 ....._.............................................. " No.304.2 ....................... i0 CIVI Appliraation for Disoosal Works Tontrnrtion rrm- Application is'hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Se a isp L� System at: WINDING COVE ROAD LOT 88 ................_.......................--••---.......-•••:....................................... .....••••--•-•-•••••-••••••••••-•._......_....._.._..............._•---••---..__.....---___...._. GOYS BROOK iocaijgglddress or Lot No. ......................__...................1111VV((;; -----------•-----._... ............---------..........--•--•-•----.......---.................._..................._...--- Owner --•-••-•-••-•--•-••Address Installer Address Type of-Building Size Lot...30.012..........Sq. feet Dwelling—No. of Bedrooms._..........................................Expansion Attic :( ) Garbage Grinder (no) Other—T e of Building .... No. of persons............................ Showers — Cafeteria Design Oth fixtures ......................0 0� ....-- ---P-----8------�------------------�-----= =o---------•-••-- gallons. W Flo ...........................................'.-gallons per person per, . Tonal daily flow............................................,t_on 811 W Septic Tank Llquld capacity2 ....gallons Length............... W dt ......... Diameter ete .. . Dept .___.........._. x Disposal Trench—No .................... W- thy-_-•----.-------_-- Total Length.................... Total leaching area.................... ft. Seepage Pit No..................... Diameter. d___...___._.. Depth below inlets..��.=___._. Total leaching area.257._...___sq. ft. Other Distribution box ( ) Dosin tank ( ) z ape Cod Survey Congultan 1/27/84 Percolation Test ResIs Performed by........................... �-�_r _.-•---- ate___ ..___.._.___.....__......... 1.4 04 Test Pit No. I................minutes per inch•- Depth of Test Pit..._ ___y______.a Depth to ground'water._none.____..__. Test Pit No. 2................minutes per. inch� Depth of Test Pit.._.�2......___. Depth to ground water_.n�ne---__-___. a 4.1 p TP �Y a-12`f Wood >� 1 1 . 36I bsox�I ��*�3 '° 14� �....Dec < on of So,1� _ Y a::..�� r` x pc �� y graded sand y -DTP f 2 _._ _ one �a TPt I _�,_... W -----•-••---------------------------------------------------------•--------........---•------..-......--------•---•--- ,U Nature of Repairs or Alterations—Answer when applicable................................................................................................ I ...--••-•-•••-------•-•---••--------•-------------------------••-•••--•--•-•-----•--•-------------•----•---•--•..---••_.....-•••-•----••------••-•------...•-•-----....-•••--••-------••••••••-•••---. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ill's;, 5 of the State Sanitary' .o —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b i s ed the oard of health. - gned- ------------------•--------------••-•------ ................................ Date Application Approved By_ ..fthfollowing ....... .......................-..... :............. ................................ ,6 ate ApplicationDisapproved f .,. reasons:•••--•--•---•••--•------>---------------••-•-- ......--•••------ . . •----•-•--•--••---------.....----------------------------••-•-••••-------_----- ---•-•...._..----------•--•----...........--------------------------...------------------------------------------------------------•••-• Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... Trr#ifiratr of TonapliFanrr THIS IS TOJ7,r, IFY, 'That the Individual Sewage Disposal System constructed) or Repaired ( ) by.. , Installer K' ,�'� .......... ......................7........................................ has been installed in accordance wi he provisions of Y m 5 of The State Sanitary Cod scribed in the application for Disposal Works C nstruction Permit Now e, ___._ .................... dated_. LK ....._...._..._.......... THE ISSUAN E THIS CERTIFICATE SHALL N�TBE CONSTRUE S k///G� E THAT THE SYSTEM WILL WTtpN SATISFACTORY. ,mF� DATE........3. Inspector-_--'" --•-----•---------••----•-••--•-•-----------------••-••----•--•••_••--- I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..OF........................................................ F�- ....••-- T �................... Dis os al Vorkg ondrudion 00Flerani# Permission is hereby granted-r (._: ._.. y to Construct or Repair ( d e ages: ' f System atNo.- -• `� - .._... --••-••--•-••-•-------•--------------•-•-----------••-••••- - = /.y� �Y(i / CfG.�"'e, Street as shown on the application for Disp Works Construction Permit No_________ ____:.___ Date d.......................................... ., --------------------- _ Board of Health DATE.................................. .....?:.'1 y....•-----•----•_-•---• w FORM 1255 HOBBS & WARREN, INC., PUBLISHERS LEGEND N -- 18 -- EXISTING CONTOUR x 16.82 EXISTING SPOT GRADE 28 3 -W EXISTING WATER SERVICE Roue LOCUS -U UNDERGROUND WIRES O SPRINKLER HEAD Q° Fo2Pr a TEST PIT 7„ w \S� \ > Tv%R N ° $ BENCHMARK S '20 QO 2 a •g8, � a a � CD X , LOCUS MAP NOT TO SCALE I �N i 9� LOT 88 'i , ,PAS 2 MB L 057-018 x 60.47 x 60,89 P8 2�2 30,012 ±SF x 59.56 I } 1 � I 0 LA 0 , / 0/ x 1.6 / x 60.53 x Q x 60.74 / 60.55 60.55 N / Z 60.80 07 Y x x 61.4 4 / -- _ - ._ DECK x 62.06 60.88 6148 x 62.17 frn 60.4 p 62.63 ,EXISTING 60.68 x �/ HOUSE(#92) 6 .6z T.D.F.=6J.5t: :...PAVED : BENCHMARK DRIVEWAY`I` ::. GARAGE OUTSIDE CORNER BOTTOM STEP EL.=63.24 j,...` x 62, 7 6 X x 62.40 62.30 EXISTING SEPTIC TANK 10'-� C/ TOP OF TANK, EL.=61.06 62.31 T INV.(OUT)=59.73± o.,Er1:1ID;-1 .21 C x 62 (. 61.55 J x °a 0 a Ul 61.60 i 0 G TP 1 1 2,16LA 0 4 EWAY ��� MgS.rq 54 120 oQQ� '0 ,P. :52.05 PETER T. �o+ o M%NTEE ` CIVIL EXISTING LEACH PIT ` /L°Qg 62.36 No. 35109 PUMP, FILLED WITHEG/STE 61,53 SAND AND ABANDON M 1 J ® ON x 62.11 62.24 6 57 W x 61, 61.99 ' ® J62.46 61,10 125.00' ELEC Box S 30'53'51" W OWNR OF RECORD 61.71 ROGORZENSKI, JOHN 60.38 60.71 60.89 PK SET.00 61.38 61.50 & HEATHER S92 COVE CO VE MARSTONSGMILLLS, MAOA02648 WINDI1 V�TG ROAD PLAN REFERENCE: PLAN BK. 272 - PGS. 29 & 30, LOT 88 Engineering by: SCALE DRAWN GCB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. 1"=20' P.T.M. 156-14 92 WINDING COVE ROAD, MARSTONS MILLS, MA 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 6/10/14 P.T.M. 1 of 2 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 J 1'ly NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:58.5 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & PROPOSED D-BOX PROPOSED S.A.S. OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVER PROVIDE TWO ACCESS MANHOLES TO WITHIN 3" T.O.F.=63.5f SET TO 6" OF GRADE OF FINISH GRADE FOR INSPECTION PURPOSES • - EXISTING F.G. EL.=61.0t F.G. EL.=62.3t F.G. EL.=61.0t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L - 64, 5 @ S=1q (MIN.) ]74'_iH % (MIN.) 4"SCH40 PVC40 PVC il 6' 10"1 . e;52� "4' • 14"EXISITNG 48" LIQUID INV.=59.73LEVEL GAS BAFFLEINV.=58.27 . 8.10 4'PROPOSED D-80X INV.=58.00 EXISITNG SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-10 RATED 3" LAYER OF 1/8" TO 1/2" DOUBLE WASHED STONE TOP CONC. ELEV.=58.8t (OR APPROVED FILTER FABRIC) BREAKOUT ELEV.=58.50 NOTES: INV. ELEV.=58.00 a saes eases eases 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE = ease aaaaB INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV. 56.00 1. 4' 8.5' 4' 2) D-BOX SHALL BE SET LEVEL & TRUE TO GRADE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0. ON A MECHANICALLY COMPACTED 6" CRUSHED STONE PERVIOUS MATERIAL BASE, AS SPECIFIED IN 310 CMR 15.221(2). 5' MIN. SEPARATION TO G.W. LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W., TP-2, EL=50.9 - 3/4" TO 1-1/2' DOUBLE 4) CONTRACTOR SHALL INSTALL A GAS 3AFFLE ON WASHED STONE THE OUTLET TEE. SEPTIC SYSTEM PROFILE SOIL LOG DATE: MAY 27, 2014 (REF#14,370) SOIL EVALUATOR: PETER MCENTEE PE(SE#1542) �EX/ST/NG WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT HOUSE(1192) ELEV. TP-1 DEPTH ELEv. TP-2 DEPTH ITO.F=63.5±1 62.5 FILL FILL 0" 62.4 D" 61.5 A 12" 61.6 A loll. GARAGE SANDY LOAM SANDY LOAM 10YR 4/2 10YR 4/2_ ��� 61.2 B 16•• 61.1 B. _ � _ 14.. SANDY LOAM SANDY LOAM 10YR 5/8 10YR 5/8 59.5 36" 59.4 36" 47.5 34.7 C PERC C 36"/48" 0 1 O MED. SAND MED. SAND 1 0 1 ^O. �• 2.5Y 6/6 2.5Y 6/6 1 1 �o �' 6ti A u0i Ln1 v 1 51.0 138" 50.9 138" 1 PERC RATE <2 MIN/IN. ("C" HORIZON) Ut NO GROUNDWATER ENCOUNTERED 12•$ S.A.S. LAYOUT GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. DESIGN CRITERIA 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. NUMBER OF BEDROOMS: 3 BEDROOMS 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. DESIGN PERCOLATION RATE: <2 MIN/IN 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. DAILY FLOW: 330 GPD 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF DESIGN FLOW: 330 GPD THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. GARBAGE GRINDER: NO-not allowed with design 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. .74 GPD/SF 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE EXISTING SEPTIC TANK: 1000 GALLON CAPACITY DIRECTED BY THE APPROVING AUTHORITIES. PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY USE 2-500 GALLON LEACHING 'CHAMBERS IN SERIES THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. 12, AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE TOTAL AREA:.............................................I................ 471.2 S.F. INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. Engineering by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. N.T.S. P.T.M. 156-14 12 West CrossfieW Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 92 WINDING COVE ROAD, MARSTONS MILLS, MA (508) 477-5313 6/10/14 P.T.M. 2 of 2 - Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02 332 REVISIONS: NO. DATE DA TE CIF TES r/NG PER C. , TEST DATA : . DIST. BOX DETAIL : LEACHING : FACILITY DETAIL SEPTIC TANK DETAIL : ,sl TEST -PIT DATA ZE A.. ee 7 a TEST By, R. DATE OF TESTING: TANA, To CONFORM TO TITLE 5 REOUIREMENTS. TO CONFORM TO T1 TL E 5 REOUIREMENTS: TP WITNESSEDBY: NO. OF OU rL E r5 _-57 rEST BY-' 4:: 51, Z_ (4z 7, 4� a I — I L —___ m If'�..l J. REMOVEABLE COVER WITNESSED BY... _r _r"v c o "t W00-0 11 r___� MANH& BROUGH T TO e 97 c� t" 9 e, c> FINISH GRADE. PrAsrow j L044f a FILL­-'12")WAX 3 CLEAR 3 Cl EAR P _11 I OUTLET PIPES 6"MIN, 2"MIN. 0 1 _5 0 EP rH OF rES T 6"M/N. AS REOUIRED INLET RATE INLET TEE - -�--ourtEr rEE t I BOX 4"C.I. /000 GAL., 94" 1 NIMUM OUTLET TEE DEPrH: SEP TIC TANK INLET AND ouaEr 4' 0" MI 11 A 0air 2 6 PRECAST OR BL TEES TO BE CAST L IOUID DEPTH 14 A r L.I.OUID DEP TH OF 4' SEEPAGE PIT. pooki-y /9" CONCR"ETE 64'A co - , I IRON, SCHED.40 24 N5TRUCTION DEP TH OF TEST P VC. OR CAST IN 6 /0, '29" 7' 91—N. 0 PLACE CONCRETE _VEL ST 15f­ c RA TE CONCRETE 34 BOTTOM ON LE 48LE84- U ONsrRucTIoN 'v' 'ru" WA 7'E r/q L INLET TEE PROVIDED WHERE SLOPE FO UNDA rION 5 0.08 Z OR - - ------- J. TA NK rO BEABLE TO WITHSTAN& OF INLET PIPE EXC4 BOTTOM OF TANK ON LEVEL STABLE BASE H-/0 L OA D I NG U&L ESS LINDER IN A PUMPED SYSTEM., 20 MIN 1 /�y,WASHED 3 TONE P4 VEMEN 7" OR IN DRI VE.H-20 1 rE L OA D I NG LINDER PA VEMEN T OR DRI VE, /0 c> /vo W'17Ae4pl "/o v�4 7�9_14!e RECOMMENDED MANUFACTURER: RECOMMENDED MANUFACTURER: (OR APPROVED EOUAL) OR APPROVED EOUQL) A? NO TE S_ : IN VER T EL E TIONS PLAN VIEW THIS PLAN/S FOR 7HE DESIGN AND CONSTRUCTION OF THE SEWAGE" SCALE : / DISPOSAL FACILIrYONLY. INV AT BUILDING SEP 2. ALL CONSTRUCTION METHODS AND MA;rERIALS SHALL CONFORM TO INV A7 TIC TANK ON) -1 4-1 INV A T SEPT(C TANK(CUT) MASS. D.E.O.E. TITLE 5 AND THE BOARD OF loc HEALTH REGULATIONS. 0 IN V A r DIs T Box(lAo INV AT D15r8O)((0UT) 9a. S7 -2 AT L EA CHING FA CIL I TY.- , 9(P-67 -PIT: BOSTON, . MASS. WORCESTER, MASS. too AT BOTTOM OF HALIFAX,. MASS. NORWELL, MASS. BEDFORD, MASS. LEXINGTON, MASS. MASS. HYANNIS, MASS., MANSFIELD, CRANSTON, R.I. DERRY, N.H. -2 9 c 47 B S . Jc) _3 DE.51GN DATA :,,'"',,", do C7 f= DESIGN FLOW.- _4 IV 4 N A% _4 _6 N Zm;_ eo 3 A REQUIRED SEPrIC TANI(: lei � Z3 A e IV C 4- 496- GAL. k CAPE COD � SURVEY SEPTIC AIVK PROVIDED GAL. CONSULTANTS REWIRED SIZE LEACHING FACILITY: P 0. BOX 56 'MASS. 02601 —.3 c, HYANNIS, Yw 17 775 -7155 DIVISION OF, BOSTON SURVEY CONSULTANTS INC. SIZE OF LEACHING FACILITY PROVIDED: ENGINEERING o SURVEYING PLANNING N TYPE OF sysrEAf TITLE: N 4) 44S i tk 7 -2 SEWAGE DISPOSALSYSTEM N DESIGN CC�Z,-4;�-' JQ L OCUS 'D' AN f J FO R: SCALE: A S SHOWN METERS FEET 0 r DATE: 4,�5 COMPIDESIGN: CHECK: DRAWN: coz 4-.) DA TOW FIELD: FILE NO: . DWG. NO: 6.4 0 JOB NO: o3 SHEET: OF: r E L7 IIN L T NJ 's ck