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0167 WINDING COVE ROAD - Health
167 Winding Cover Marstons Mills A 057 051` TOW OF T STABLE ;LO :ATION 6 7 � SEWAGE# 9q7 VILLAGE A ESSOR'S MAP&PARCEL INSTALLERS NAME&PHONE NO. helz SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER YA- i7S0� PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY ����,F t-Iv� 1 1 No. _ �, Fee 'THE COMMONWEALTH OF MASSACHU�ETT�� Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes pplication for �Diopogal 6p6tem Con0truction Permit Application for a Permit to Construct( ) Repair( )�✓U�ppgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. 1 �(/j l rl Cf`°r �C� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Q j 7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Bu ding: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ? Design Flow(min.required) -3 t 6? gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmen ode and not to place the system in operation until a Certificate of Compliance has been issu;e'd by this Board o Sig Date Application Approved by Application Disapproved by: Date for the following reasons Permit No. Date Issued t� No. J Fee t/ l'-'_'' THE COMMONWEALTH OF MASSAC41JSE-' "' Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppYication for4hgoal *pzteln Construction Permit Application for a Permit to Construct( ) Repair( /)�Upgrade( ) Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. �6/ (rf lr1� Cl"'e *��(7 Owner's Name,Address;and Tel.No. ' Assessor's Map/Parcel O Jl 7 46;p 06_1 ' ` Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of B ding: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided V -= gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: - The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmen Code and not to place the system in operation until a Certificate of 1 Compliance has been issued by this Board of� a th. 'w Sig ed Date Application Approved by' ate Application Disapproved by: Date for the following reasons ' Permit No. 77 q / Date Issued �0- 3 ,. $Y„ —————————------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance f THIS IS TO CERTIFY,thaUhe On-site Sewage Disposal System Constructed ( ) Repaired (vgraded ( ) Abandoned( )by /a Jat 167 /1Gf� has been constructed in accordance l with the provisions of Title and the for Disposal S stem Construction Permit No. -44 Lf" dated 6 . P � P Y. � � . Installer �� _6 �� Designer �� #bedrooms ApprovedA"n flow gpd The issuance of this permAIVII-�O� ot be construed as a guarantee that the syste°n will fun t'on s sighed. Date Lr r, Inspector —————— � �—ff =———————————————— No. —7`1`" 7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS x""Ui5 ogal � ztem Congtr-uction permit � p Permission is hereby granted to Construct ( ) Repair (G Upgrade ( ) Abandon ( ) System located at /� [�rf �i _ (/� �� and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be co leted within three 2years of the d of this pe /mil �— Date ( v Approve Town of Barnstable °Ft"E r Regulatory Services Thomas F. Geiler,Director • BAMSTABLE. 9�A MASS. �m� Public Health Division �E039. A Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 10 Designer: _Shay Environmental Services, Inc. Installer: Rodney Fisher Address: P.O. Box 627 Address: 585 Kelley Street East Falmouth, MA 02536 Harwich, MA On 10/3/07 Rodney Fisher was issued a permit to install a (date) (installer) septic system at 167 Winding Cove Road, Marstons Mills, MA based on a design drawn by (address) Shay Environmental Services, Inc. dated October 1,2007 (designer) XX 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. 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 rtified as-bu' by designer to follow. or M Ste { ` ( nsta is ignature) CARi<.aC`J o E. �A SHAY N No. 1181 0 ! 1p FIST � esigner's Signature) (Affix ' U p Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form Y G CaTown of Barnstable P# Department.of Regulatory Services Public Health Division Date ty'9 200 Main Street,Hyannis MA 02601 21 /7yl/► ' Date Scheduled D Time Fee Pd. x Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address Owner's Name MA g rci� Address ,\l9M . M,M'r t Assessor's Map/Parcel: b J } f 51 Engineer's Name VCK_r1__Z 1 1n NEW CONSTRUCTION REPAIR Telephone# a�L) --iIA916 Land Use ,�eJ1C`Qdl��O� Slopes(%) (37v Surface Stones Distances from: Open Water Body !V 0!_tSL ft Possible Wet Area I- ►A R Drinking Water Well ! _ft / Drainage Way'' � A• ft Property Line r^0 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands�n proximity to holes) T . - _ _mot v a, Ce,�s .DSO c_n r- �" CD rn Parent material(geologic) ou�QS\r, Depth to Bedrock Depth to Groundwater: Standing Water in Hole: K)rjrV CYDS• Weeping from Pit Pace NOf)2 Estimated Seasonal High Groundwater t 2 'C� ►�S Sy571e.� DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: _ in. Depth to soil mottles: Depth to weeping from side of obs.hole: In. Groundwater Adjustment fr. Index Well# Reading Date: Index Well level�_ r Adl.factor...,,,.•4 Adj.Oro undwater Level,,m PERCOLATION TEST Date '1. -Time I►:a Fl Observation Time at 4" .0 .- ----- Hole# Depth of Perc ,Asa � Time at 6" TU � QN— Start Pre-soak Time @ 1 i f Time (9".G") End Pre-soaker Rate Min./Inch L2 M PI Site Suitability Assessment: Site Passed Site-Failed: Additional Testing Needed(Y/N) /mot Original: Public Health Division Observation Hole Data To Be Completed on Back----------- % MW ***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:4SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# #1 Depth from Soil Horizon Soil Texture ;Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. t o i torum rlr.nl s� DEEP OBSERVATION HOLE LOG Hole# ;$,ck Depth from Soil Horizon Soil Texture Surface(in.) (USDA) Soul Color Soil Other (Munsell) Mottling (Structure,Stones,Boulders. �a, .a.5 Y DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. n ' te Ve I DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture , Soil Color Soil Surface(in.) (USDA) Other (Munsell) Mottling (Structure,Stones;Boulders. on . { ' I Flood Insurance Rate Map• Above 500 year flood boundary No_ Yes 'V Within 500 year boundary No Yes Within 100 year flood boundary No S Depth of Naturally Occurrine Pervious Materlal arDoes at least four feet of naturally occurring pervious material exist in all areas-observed throughout the ea proposed for the soil absorption system. If not,what is the depth of naturally occurring pervious material? .Certification I certify that on D (date)I have passed the soil evaluator examination approved by the Department of E o 1 Protection and that the above analysis was performed by me consistent with . +"7"the required tr pin ,ex e i a experience described in 310 CMR 15.017. u:Si nature U g Date _--- Q:WEPTlC%PERCFORM.DOC TOWN OF BARNSTABLE SEWAGE # VILLAGE ae ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO 0� SEPTIC TANK CAPACITY D60 LEACHING FACILITY: (type) (b � NO.OF BEDROOMS 3 ftEHbDER-QR OWNER PERMIT DATE: �_COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by Page 10 of 1 I OFFICIAL SUB ORFACE INSPESEWAGE ON D SPOSAL SYSTEM INS—NOT FOR PECTION FORM S I PART C SYSTEM INFORMATION(continued) i 1 property Address: 167 Winding Cove Road i Marston Mills No 02668 Owner: Marilyn 11.1tuon Date of lospectlon: July 20,2005 SKETCH OF SEWAGE DISPOSAL SYSTEM ttes to stem including _ benchmarks.Locate allthe sewage wells withinsal 00 fee Locate where public waterpP y et two nte'atthe building. dmerks of Winding Cove Road 47 28 31 23 1, Driveway #1 77 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION ,F ` TITLE 5 Y OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS F3 SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 167 Winding Cove Road Marstons Mills MA 02648 Owner's Name: Marilyn Brainson Owner's Address: Same9�- Date of Inspection: July 20,2005 Job#05-217 Name of Inspector: PATRICK M.O'CONNELL Company Name: SEPTIC INSPECTION SERVICES CO. Mailing Address: 189 CAMMETT ROAD MARSTONS MILLS MA 02648 Telephone Number: 508-428-1779 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposaf system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: �w1111111I � �•�H OF,., Passes q Conditionally Passes Needs Further Evaluation by the Local proving Authority TRI •ycGn' X Fails M• —m+ — — — L :c� Inspector's Signature: Date: July 20, 2005 '.,��� •�� • F��Q�Q.* �i FSINSPE�.. • The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Healt��� �� DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments: Liquid level in tank is over top of tank with high stains to top of risers. System fails due to hydraulic failure,however system is not an immediate health hazard. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A. CERTIFICATION (continued) Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.3C4 exist.Any failure criteria not evaluated are indicated below. Comments: 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. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Title i lnenartinn Fnrm 4/1 VIAN) 2 Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 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 public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(l)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply o-tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. _ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, 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,provided that no other failure criteria are trigg.-red.A copy of the analysis must be attached to this form. 3. Other: Tifla C Tnenan+inn 17^r Aii e»nnn 3 Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yea No _X_ _ Backup of sewage into facility or system component due to 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 _X_ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than '/z day flow _X_ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped X_ Any portion of the SAS,cesspool or privy is below high ground water elevation. _X_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. _X_ Any portion of a cesspool or privy is within a Zone I of a public well. _X_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _X_ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for 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,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this forma _Yes_(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd• 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) 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 _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone I1 of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department. Titla S Inonartinn 17r% m 411;nnnn 4 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 Check if the following have been done.You must indicate"yes"or"no"as to each of the following: Yes No _}:_ _ Pumping information was provided by the owner,occupant,or Board of Health _X_ Were any of the system components pumped out in the previous two weeks? _X_ _ Has the system received normal flows in the previous two week period? _X_ Have large volumes of water been introduced to the system recently or as part of this inspection? _X_ _ Were as built plans of the system obtained and examined?(If they mere not available note as N/A) _X_ _ Was the facility or dwelling inspected for signs of sewage back up? _X_ _ Was the site inspected for signs of break out? _X_ _ Were all system components,excluding the SAS, located on site? _X_ _ Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? _X _ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes no _X_ _ Existing information. For example,a plan at the Board of Health. _X Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)J Title S Tnenart4m Rnrm Ail qi,)nnn 5 Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms):330 Number of current residents: 2 Does residence have a garbage grinder(yes or no): No Is laundry on a separate sewage system(yes or no): No [if yes separate inspection required] Laundry system inspected(yes or no): N/A Seasonal use:(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): 2003—95,000 gal.2004—70,000 gal.=226 gpd. Sump pump(yes or no): No Last date of occupancy: Currently Occupied COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): 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/use: OTHER(describe): GENERAL INFORMATION Pumping Records: Pumped two years ago. Source of information: Homeowner Was system pumped as part of the inspection(yes or no): No If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM _X_Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 1983 Were sewage odors detected when arriving at the site(yes or no): No Titla Q Inenartinn i?nrm All;/1A0A 6 Page 7 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 BUILDING SEWER: XX (locate on site plan) Depth below grade: 3' Materials of construction:_cast iron X_40 PVC_other(explain): Distance from private water supply well or suction line: - Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: XX (locate on site plan) Depth below grade: 3' Material of construction: concrete_metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) Dimensions:8.5 long X 5.2 wide-1000 gal. Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: STICK WITH HINGE FLAP. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Liquid level over top of tank,Previously full to top of risers. GREASE TRAP: No (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Title S Tncnartinn Pnrm A/1 r%l')A n 7 I Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 TIGHT or HOLDING TANK: No (tank must be pumped at time of inspection) (locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass_polyethylene other(explain): Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: XX (if present must be opened) (locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Box full to top. PUMP CHAMBER: No (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.): T41a C 1nonar4inn Pe% m FIl r,11nf 0 8 L i Page 9 of 11 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 SOIL ABSORPTION SYSTEM(SAS): XX (locate on site plan,excavation not required) If SAS not located explain why: Type _X leaching pits,number: One 6X 6 Leaching Pit leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): Leaching pit is in hydraulic failure and backing up into tank. No breakout at time of inspection CESSPOOLS: No (cesspool must be pumped as part of inspection) (locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: No (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): Title i 1"ar%prtinn Rnrm AII' /11Ann 9 • Page 10 of 1.1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locate where public water supply enters the building. Winding Cove Road 47 28 31 23 Driveway #167 Titles 1� 1ncnortinn Rnrm Ai1,q/1n00 10 r Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 167 Winding Cove Road Marstons Mills Ma 02648 Owner: Marilyn Brainson Date of Inspection: July 20,2005 SITE EXAM Slope None Surface water None Check cellar Dry Shallow wells None Estimated depth to ground water Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: A pert test will be performed prior to repair to determine groundwater elevation. Titla{lnenar4inn Anrm 4/1 Vl 11 nnn I_ , LO��AI� ION? << SEWAGE PERMIT NO. V I_L L A G S A1//s INSTA LLER'S NA E i ADDRESS S U I L D E R OR OWNER DATE PERMIT I SUED 7,, '3 DATE COMPLIANCE ISSUED �� 1 T Wov WAi�iz N o. THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH fi� ..........OF........ g! 14 A 9 111 6LA............................. Application for Disposal Marks Tanstrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: Yoh db 4Y ......Cnx...... ................M-4----------------------------------------Ler.. -- -- - -- ........ .....106#00 tion-Address or Lot No ............................ Owner Addre s �iz ................................................... ......... ....................................................... Installer Address Type of Building Size Lot.23.,p4_4.-..Sq. feet Dwelling—No. of Bedrooms............. U ..........................Expansion Attic Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) 04 Other fixtures ........................................... --------------------------*.......... ------- ...........Design Flow.................. :*' �.c S 'gallons per person per day. Total daily flow.............. ............gallons. Septic Tank—Liquid capacity gallons Length................ Width................ Diameter................ Depth................ " ' Disposal Trench—No. ................... Width........A.......... Total Length...................j.... Total leaching area... .........sq. ft. iameter..........9..... Depth below inlet........6........ Total leaching area ft. Seepage Pit D40........../-------- Z Other Distribution box Dosing tank 04 - Percolation Test Results Performed by_t�_- _�_+�YLT...... Date........ .`14� ..... Test Pit No. I......-Z.-t'..minutes per inch Depth of Test Pit........(. ..... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ......"------------- .........."......... ...... ........................................................................... 0 Description of Soil................................ W 4 ..i " ---------------------------*.*.......*............*..................... ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I TLZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hia&Jxeen issued by the board of health. i ignecr t &L Qj�. . ..... ....................... ........ ..If. ........... Application Approved By...'�2..., - \ ....................... ......... ....... .. .......... ..... .. ..... . ..... ............ g Date 4L .. . ..... ---------—----------- ------------------- Application Disapproved r t following reasons:....... .. . ......................................................................--- ............................................/)/ ..... ............................ ................ ............................................................................... ............... ..... .. Date PermitNo.................................................... Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. .� �..........OF.... is ............................. Appliration for Disposal Works Tons ion Prruti# Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at ................'.. k_a�i:' .. .....C=:�)�..... L.......;�.' .......................................... � .. .0........_.................. Location.Address or Lot No. ................_.........................•. ........................................... .....---................................... .......................... ... Owner Address .................................................. ....................................................•..... ........................_.......... Installer Address Type of Building Size Lot.. ��Z ..Sq. feet U Dwelling—No. of Bedrooms............. .....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .............................................. Design Flow..................1 `:..................gallons per person per day. Total daily flow..............._f� rr.�............gallons. WSeptic Tank—Liquid capacity/Q-Ogallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width........A.......... Total Length...............,.... Total leaching area...................sq. ft. Seepage Pit No........../........ Diameter................ Depth below inlet.......6........ Total leaching area.;O�^.Q...sq. ft. Z Other Distribution box ( Vf Dosing tank ( ) 1 . /+ 1 `'" Percolation Test Results Performed byI�+�?:? c:.:+1*1.��h........1 .:.��. ?'t �'C� Date........f' _l..t .I. .�'`� W Test Pit Nn. I.....:2-.-..minutes per inch Depth of Test Pit........1.2,,,__ Depth to ground water.... ........ LZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ............................................................... ...... ..................................................................... ODescription of Soil--•--•.................•........... .. r...........--•--...-----•----••.................................................._..._._.._.. U /` L D4.0 ................ . ..--------.............--••---•--............----•-•--••- -•------------------------------------- ..... W UNature of Repairs or Alterations—Answer when applicable............................................................................................... ' -•-•...........................................•--•----•-•-••-•----.......---•----................................__.....---................•--••-••...:......._...._..........................._. Agreement: The undersigned agrees to install the aforedescribed Individual Se •ag Dis sal System in accordance with the provisions of TITI.i 5 of the State Sanitary Code— The undersigneurther agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Igned. ..._.... Application Approved B/r / . _ `f Date Application Disapproved lowing reasons:----...1'. �/. . ......................................................................_-- . .......-•-----•---••------•------•.............................................�......... ... ---••-................................................... ......•••- Date — ti.�., Permit No................ .... .. Issued...................................................... k. .. .- 04 — Date 6THEE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l.j..t..........OF............�?l .� T r� 1 ........................... Trv;'f utt#r of Toutplianq T f S IS TO CERTIF ' r at the" ndividual Sewage Disposal System constructed V Or Repaired fi � P �' ( ) ( ) b ---x :... ... . •- ....._..--• .....•----•-•-•--••--•.................................•••••-•-......-••-•-••.... at...... .... ... r -- .. - ------------------------------------- has been installed in acc dance with the provisions of TIyTTL,B 5 of The State Sanitary Co as ribed in the application for Dispo Works Construction Permit No...6-- ..'".��6........... dated...__1 �„?...................... THE ISSU NCE OF THIS CERTIFICATE SHALL NOT BE CONSTR AS A GUARANTEE THAT THE SYSTEIIA WI FU CTION SATISFACTORY. r""� DATE..•J .!Z •./ ..........................................-..... Inspector. . •------•------•---•----•-•--•-•--•----............--•---................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �, ^ / ......I.....? ..�............OF........-�`.-:-,. 11:.-"�-. jT.. 4..€ , . 1 .................. NoO. 7 tP FzE... + 11 Disposal Works Tonstrurtiou prruti# Permissionhereby granted......................................................................................................................................___- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No . Street ' as shown on the application for Disposal Works Construction Permit ..No.. --_ ------- Dated :�.�.. .................... DATE................................................................................ Board .. Health FORM C-1255 CITY& TOWN FORMS, INC. 369-9708 9 ,I St►.�GLC FAMI►-Y - :3 BC-ORooM 'V II ►Jo" GAegBAGE 69JWE)E12. C)/,%• F%.-ovv _ I10 A 3 - 330G.PP 5Fppr, TAFjK = 33ox15o% = 495G.P. Q 7/ i i • i'J5E- l000 GAL. 0i5Po5AL PIT v5E 1000 GAL. I S►DGY+/ALL AREA = 1 jo 5.�' � � /oL•g j� 1 150 5.F x �.•5 = 3? 5 �.Po � �' 50T TO/4t 7r G S.F X I• 5 D G.P CA 1� s.�- �u�' BUT 7� i -TOTA I- p E.,51 GN : .g 2 5 (P,P. D. �W O a }�5c. Z3j 7yy9� j -T•oT Al.. D A I I..%( F L O►r( = 3 3 o G P D, ��0�•0 S a N�c v per =c� j PER.coLATlou RATES I''IN 2MIN or--Lr=55 Miy. 99. 7 11A OF t c / RlCHARD ALAN i.► A' o W. BARTER o, a J014 No.24048 I r I,; ► h© SUS T6-�T `�Zo.3/ fo2,0 TOP FND=/oG.o G6• % ,�r�y 96•S 9a.o 967 97,o ►000 INv. D►ST. INV. Gat.. SEPTIC Z I 000 INV. G TANK I Gat.. 9C.D LEAGl1 . INV. INV. II iyEv. w u 9c.Z 9G•� � .SAS I'�3/q•I%L I WASUGD . 6TvNE 1 /Z GE2TIFIGp PLoT PLA1J it/o vt/,tr 1.J0 SCP.I.E GE RT1FY 'fNAT THE PQ.vPASE7 H5�5NowN P►-Ar1 RE�ECZEN CE NER�oId LOMPLYS WiTN-[HE �,IlJEL►N o -T �Q AuD SET�GK fL6Qv1R.>✓MENT� oF -C1-�E- -(c� 72 t_OCP.-rEP-INITVA A'E Fl 0oD PL 114 D AT E BA�cTE�e 1�.IYE INS• REG l SZ�26U'►.AN s u T►A 15.P L a 1.1 I S N CrT 4 t,5 c r,> o Id A Q O S'r E•9-V I LL.E IW5TRuMENT Su9vey -Tke o1=F5ET5 SuOuLD NOT t3E VSEDTG CDETEFLI^ItiIE � C. -r VINES APPLICA►`a.1- ,�/�//.��77 ���/i✓ �" I II map 2-1W DIAM. ACCESS MANHOLES ✓W 'y a. �lr. r. E'.•':•t:.••b•.vr'�wt-1►:'�r�.'�•.•iu:+a\•`: *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. VENT PIPE •Least 24 inches tall) c _ III 10' min. from Schedule 40 PVC w/Charcoal Odor Filter Existing Foundation house to septic tank �) �. T Ss c tank covers must be _ / y D-BOX cover must be ^� q� TOP OF FOUNDATION ELEV. 100.00 within 6 in. of finished grads -- within 6 st. of finished grade Grade over Septic Tank- 99.00 Grade over D-Box- 98.00 de over SAS- 9e.00 f ESTABLISHED VEGETATIVE COVER INLET • OUT J P+, t AN THE ACCESS COVERS FOR THE SEPTIC TANK. ' !I S 0.02 a HOLE H-10 .' BACKFlLL NTH CLEAN SANDDISTRIBUTIONs y h•••'.• 1 IANP N T '•�1:,:t• ,•, BOX D COM 0 EN 1• •n+' 1• V• +i r L t NATIVE OR PER(SAND) .�.- rrr• s •e r'r t r 1 y ^*v AN 8 INCHES BELOW FINISHED 5. � �k^- SET DEEPER THAN �• Isr. eo �'.'�• r :.Maximum Cover ry r. S- 3 M m n• •r •, .V n �M 01 �•?. •1.. •r. 1 h+ PORT 10 BE mot''P CAPPED INSPECTION T r 4' VC '•r� i'• t b �►- EXIST. ., �•, :;'�:t:l ,,� GRADE SHALL RAISED TO WITHIN 8. OF 'i k 1 ',t'r 2' ii ,• M,\s- '•1'' GRADE �s 1 0 R 1 FINISHED.0 TO W17HIN 8'OF GRADE •i• .,..,..INSTALLED AND BE `/ a•�• r' ALL '•r' r Irr c 1 AL. s� 't �r .1•000 G F i li'X.T. PIPE s'0. �i ,.• •1•• STEEL REINFORCED PRECAST CONCRETE a: 40' P oo i' „t '•I A 9a2s �.•' TANK TGP of ureT ELEv na+ r r SEPTIC ,•.•% T. u"DATt�+ E M E IS FD •!r FROM •G •r'`• "•i w IN TA -TI GA A R. A v N i 6, r. "C: S LL TUF ?E S BAFFLES 0 EQU LS k i 1 r• 7.� •r r7 1 ''1' '•\•: I W a, •'w5�: :�:. '•,:•��,; •;'• •�:.. PLAN V E s " H 10 ''i'•• 1 M •u" J INV. ELEVATION -99.00 t' '.i: ✓o S CONCRETE WALK-OUT II Ki t• 1'i, 3-2+' REMOVABLE COVERS 4, E II > a, '11j�•, '•�• 'It' ��007M1agfOltCe OQ6 NAVIlOii�O rTile Agii in6, iu; I \ w y 8 tn.of 3/4'-1 1/2' ai II• i 2B' `Pli . r. .,.,.r , w W compacted stone C at a 4 ROWS OF 4 UNITS AT B.ZS'/UNIT+ 2 END CAPS 28.00' BOTTOM ELEVATION - 92.23 :; ti , 3 min. clearance + , 4 ; ,Y GENERAL NOTES SYSTEM PROFILE INS B• min�12�mM. inlet to outlet e.ImIn, ' '"`�'uqu7T7@wf-- ouTLET -}j- 1. Contractor is responsible for Digsafe notification, VERIFICATION Not to Scale 8 in.of 3/4'-1 1/2' Bottom of Test Hole 1 Elev.- 87.00 3' MIN ABOVE BOTTOM OF 4" 6 4" 10•min. t.• „ and protection of all underground utilities and pipes. compacted stone TEST PIT OR GROUND WATER S' -7' �. . 3' -Y NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE BFF. WIDTS 12.70' EXISTING SUITABLE MATERIAL �� 2. The septic tank and distri ution box shall be set ;, E 4'-0' min. level on 6 of 3/4 -1 1%2 stone. 0 am soft j• Liquid depth 3. Backfill should be clean sand or gravel with no stones over 3" in size. BOTTOM OF TP-t.: - 87.00 SOIL ABSORPTI❑N SYSTEM (SECTION) ,;. 4. This system is subject to inspection during installation .. ;,r;•,,•, ••, �� •.,.,,.;,5•:*•• •,; „ `. :" ''} by Carmen E. Shay - Environmental Services, Inc. INFILTATROR HIGH CAPACITY (H-20 LOADING)/ GEORGE O'BRIEN B:_o. 4' -10• 5. The contractor shall install this system in accordance (OR EQUIVALENT) CROSS SECTION END-SECTION with Title V of the Massachusetts state code, the approved plan NOTE: OVERALL HEIGHT OF INFILTRATOR IS 18" and Local Regulations. 6. If, during installation the contractor encounters any TYPICAL 1000 GALLON SEPTIC TANK - soil conditions or site conditions that are different NOT TO SCALE from those shown on the soil log or in our design installation must halt & immediate notification be made to Carmen E. Shay - Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the PERCOLATION TEST septic system unless noted as H-20 septic components. . Install 'Tuf-Tito as baffles or equals on all outlet tee ends. 8 g q 9. All Distribution Lines shall be 4" diameter Sch. 40 NSF PVC pipes. P P Test: AUGUST 31 2007 "Date of Percolation Dt , Test Performed By. CARMEN E. SHAY, R.`a., C.S.E. 10. All solid piping, tees & fittings shall be 4 diameter Results Witnessed By. DONNA MIORANDI, 9ARNSTABLE BOH Schedule 40 NSF PVC pipes with water tight joints. Y 9a _ EXCAVATOR: SHAY ENV. SRVCS., INC. 11. MUNICIPAL WAT R IS AVAILABLE TO THE SITE and Surrounding ... _ �`` E - _ 9 Percolation Rate: Less Than 2 MPI ® 4d ® TP1 •� 0 - c 0 - Properties. NO PRIVATE WELLS WITHIN 150 FEET of PROPOSED SAS P I 0 / Test Hole Test Hole / .- N 1 No. 2 - / o 0 1 / 6 - 1 / V. DEPTH SOILS ELEV. NOTE: DEP TH SOILS ELE 0 98.00 0 98.00 THE PROPERTY LINES ARE APPROXIMATE AND / / Sandy SandyCOMPILED FROM THE PLAN BY BAXZTER & NYE ENGINEERING 120• 7 I // �i Loamy Loa ENTITLED "CERTIFIED PLOT PLAN OF LOT #70 WINGDING COVE ROAD, 10 rR 3/2 10 A 3/2 M.AND ISNOTMA" INT INTENDED TO LBESA SURVEY PLOT PLAN °"- 8' Sandy Sandy Ar 97.50 0"- 8" r 97.50 Loam loam THE IT SHOULD EPTIDC BE USED FOR NO SYSTEM INSTALLATION. OTHER THAN / 10YR5 10YR5 r .. 6"- 48' Be 94.00 6"- 48" Bs 94.00 Coarse Coarse NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE Sand Sand FROM THE EXISTING LEACH PIT TO BE DISPOSED LOT #70 / / 23 Y 7/4 2s Y 7/4 OF As PER BOARD OF HEALTH SPECIFICATIONS. 23,744 Square Feet 4/- i / 38'- 1321G 87.00 38"- 132 C, 87.00 EXISTING LEACH PIT To BE PUMPED DRY & FILLED IN PLACE ASSESSORS MAP - 57 LOT 51 1 i 1 it ZONING - RESIDENTIAL / 1 LOT 69 # .Pere 1 Dept to Pere: 48" to 66" Pere Rbti- Less than 2 MPI ' PROJECT BENCH MARK I / % Groundwate�`�-,observed - NONE TOP OF FOUNDATIONj / i // r _ T = O� THE PROPERTY WETLANDS ARE LOCATED WITHIN A 200' RADIUS No Observed E3H�` ELEV. = 100.00 (Assumed) J i / ADJUSTED H2O Elev. = None )ALL OUTLET PIPES FROM THE [DISTRIBUTION BOX SHALL BE SSETLEVEL FOR AT LEAST 2 FT. t 2" CONCRETE COVER </ DECK i/ '� - t,• ,: 6 5" OUTLET "' .: .a••r• - LEGEND LOT #7 KNOCKOUTS ;. 'r.. 2• _ 5 12" INLET _ DENOTES PROPOSED - T 88X0 _ OUTLET 6' t' SPOT GRADE EXISTING 1 2 x 104.46 DENOTES EXISTING j 3 BEDROOM 15.5" ' 4" - scH• 40 To 1 75*SPOT GRADE PLAN-SECTION CROSS SECTION pL PROPERTY LINE / HOUSE 1 EXIST. j ;� SOD 167 \DRIVEWAY N 6 HOLE DISTRIBUTION BOX 7 PROPOSED CONTOUR i NOT TO SCALE 97- - - - --97 EXISTING CONTOUR I O EXIST. 1 Design Calculations `� 1000 gal. o� , 11 ® DEEP TEST HOLE & / U Septic Tank PERCOLATION TEST LOCATION I Number of Becdrooms: 3 Equivalent to 330 Gal./Day (330 Gal./Day Min. per Title V) 3 5 LEACH ePi - ---92 Garbage Grindeer: No - FENCE �� 1 Leaching Capatcity Proposed: 330 Gal./Day Minimum (Min. Per Title V) Septic Tank - '2 x 330 Gal./Day - 660 USE EXIST. 1,000 GAL. Septic Tank. 4 1 i inch E 1 RPTIiON AREA: Using percolation rate of G2 m n. TEST HOLE SOIL ABSO 9 P / O � 1 PRIVATE DRINKING WATER WELL ELEV.= 98�00 Bottom Area: 0.74 gal/sq. ft. x 490.88 sq. ft. = 363.25 gallons / 26 6 1 Sidewall Area: NOT USED / r 1 Providing: = 363.2.5 gallons REVISIONS i t 12 9 ; - ` t9� flan• 4 ROWS IOD 6-OUICK4 STANDARD CHAMBER UNITS WITH NO NO. DATE: DEFINITION y STONE FOR AN SAS HAVING THE_DIMENSIONS: 12.7' x 26.0' 9� g 0' 1 Bottom Area: (General Use Approval for 4.72 SF/LF of INF1'TRATOR TEST HOLE #2 1 1 1 6 UNITS + 2 END CAPS per ROW = 26.0 FT ELEV.= 98.00 ; ; 4 ROWS x 26.0 x 4.72 SF/LF = 490.88 14 DESIGN FLOW (PROVIDED: 0.74(490.88 S.F.) = 363.25 GPD Bedroom m Bedroom / 125•�Q' `----------------- ATTIC / - A - -,- PROPOSED C FOR :PREPARED2nd FLOOR IgOA1wP�� SUBSURFACE SEWAGE DISPOSAL SYSTEM I N� OF MS. MARILYN D. BRAINS ON # 1 67 WINDING COVEROAD Bedroom ( MARSTONS MILLS, MA 02648 # 167 WINDING COVE ROAD MARSTONS MILLS, MA 02 648 PREPARED BY: o m° m° Kitchen ��HOFMgss CAR.IEN E. )SHA Y a o A `" ENVIRONMENTAL SERVICES, INC. l` Dining Living Room 0 20 40 50 U NO. P.O. BOX 627 FIRST FLooR EAST FALMOUTH, MA 02536 SCALE: 1 "=20' S NiTAVRO TEL/FAX : 508-539-7966 3 BR HOUSE FLOOR SCHEMATIC SCALE: 1"=20' �, DRAWN BY: CES DATE: OCTOBER 2, 2007 (Description Provided By Owner) PROJECT#SD-1058 ILENAME: SD1058PP.DWG SHEET 1 OF 1 I !