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HomeMy WebLinkAbout0051 COVENTRY LANE - Health S? t oventry Lane, West Barnstable A= 110 - 004 - 005 'Town of Barnstable Regulatory Services Thomas F. Geller,Director PARNBTABLB, l Public Health Division 14AM. 1699• , Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 office: 508-862-4644 hay: 508 Date — ...i l;t C',�w_.. Sewage Permit#• 2010; 3 3v Assessor's Map/Parcel Installer & Designer Certification Fclrm .� •� - Cf�tfSd_� c Ga(�ew;ck_ rtF Designer:; (� E-rl����e c,c tr�...1.. v�C Installer:,^� :._._... Address; l�'S`1 C:cc,r,�:'ccc' tk��+�w�� Address: Qo 3ov- 7b3 qA �54� 273 6377 o2kv3�- f c is "P16A was issued a permit to Install a ate septic system at o'°`..�)�c `"`'Y'`" _ based on a design drawn by _._.._ .,._.o - :r1;jte��-�.ccr,�j . . e:_ dated '5':ly 2 _ _............ --...- (designCr) I certify that the; septic system referenced above was installed substantially according to the design, which may include ;ninon approved changes such as lateral relocation of the distributican box and/or septic tank. Stripout (if required) was inspected and the coils were found satisfactory. _ I certify that the septic system rei'ercnced above was installed with tntajor changes I.i.e. greater than 1 W lateral relocation of the SAS or any vertical relocat4-I of any con-Iponc°m of the septic system) but in accordance with State& Focal Regulations. flan revision or oertified as-built by designer to follow. Stripout (if required) ected and the soy k, were found satisfactory. O CH C I yt (Ins LL ler'S Signature IVil Alec e slgncr s S matter (Affix I)e gn lure P USE RETURN TO BARNSTABLE PUBLI : 1. . DIV ,ION. I'II'ICA lwr: OF COMPLIANCE WILL NOT BE ISS E JUNTIL BOTH THIS FQRN ANI) AS- IiU T CARD ARE RECEIVED BYTF L BARNSTABLE PUBLIU REALTI:I DIVISION, q tnrticc lifrrrl9kiC9i�ynerct;rtifit:iittun I'oinl duC T0 'd 2-9£0 £LZ 809 DNI2A33NIDN33C Wd S£: £0 0T0Z—TT—Einu TOWN OF BARNSTABLE LOCATION S-1 Cn v SEWAGE# VILLAGE LU •`�c�r v� ASSSESSOR'S MAP&PARCEL 1 t o if'US INSTALLER'S NAME&PHONE NO. .V b Z g SEPTIC TANK CAPACITY N0 00 LEACHING FACILITY: (type) a I J-f 3to 1-2, (size) J 1,S• x 90--t,35- NO.OF BEDROOMS OWNER A-U PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility '75', lO 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 $wi�. �✓ PJ� SAS ��-� J- N CV co o!J 6 R' pw d �G G f �o16_ 33 a No. Y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Tippricatiou for Digozal *pgtem Cou5tructiou permit Application for a Permit to Construct( ) Repairk) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. S 1 r_u,1.2-,+R j 1,4"f- Owner's Name,Address,and Tel.No. l2r Assessor's Map/Parcel l o^ L� —p j Installer's Name,Address,and Tel.No.64(.,,a,u. Designer's Name,Address and Tel.No. kAIq qo1�6 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 3Of 6 t� + sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3-6 gpd Design flow provided 3 32 • (, gpd Plan Date ? —Z2 - -L v fc Number of sheets Revision Date Title �,'1 *:j Size of Septic Tank 10( %:) Type of S.A.S. �2Rs�N�S � Description of Soil �7L•J r7 V Nature of Repairs or Alterations(Answer when applicable) ' n 1 6­0-hL -IWVK T-b 'J -3D)(_ 1 S �"_�nS) Date last inspected: l a Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of th. (� Signed Date (5 2- Application Approved by Date off- Application Disapproved by: Date for the following reasons l Permit No. a0lo3� Date Issued ��(d Y rev "(i� � ��.. i .,,r$. ,� Na. ...- ~��' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF`BARNSTABLE, MASSACHUSETTSN. Yes 0(pplication for �Ditpo al *p�tem CCow5truction Permit Application for a Permit to Construct( j` Repair k) 4Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. S 1 GO-j�w+4-R L e.n< Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. `a o -173 -7-7 Type of Building: Dwelling No.of Bedrooms Lot Size 301G ,� + sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 6 gpd Design flow provided 3 S-z gpd Plan 'Date ? - -L c t. . Number of sheets Revision Date Title �j'I �o.rcrt Size of Septic Tank (l��b Type of S.A.S. rcjp e 1-P_�5 ' Description of Soil! D1 `` oA L Nature of Repairs or Alterations(Answer when applicable) �4C•S r l S_J) ��L j ' T U Date last inspected: '2":>1 0 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 ealth. Signed Date 2 Application Approved by Date x 'Pw� (/ Application Disapproved by: Date for the following reasons � r1 Permit No a o ` 3 J2 d Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS CCertifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (Q<_) Upgraded ( ) Abandoned( )by Cal!-F.u�• cQ.� �t p,/ti.)e y Lk-C . at S Cy ve.N--/Z\/ (.qr�q L-J t 5 i 6A(-n) }{ l- has been /I,�constructed "in accordance 'l with the provisions of Title 5 and the for Disposal System Construction Permit No. (90b— 3/d dated d v Installer C 1e.,,a i.�..� e�t'it Q�' e Designer .� �• 6 tL¢_t, � #bedrooms 3 Approved design flow 33o, gpd The issuance of his p rmit shall not be construed as a guarantee that the system will tunct'o a designed. Date fl Inspector �J No. v i.� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS 1=tt pota l *p,5tem Con5truction Permit Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon ( ) System located at S j CQ V Lre?f (?y L•4*-kq le lei ` �,qr h) h,*13 ,. 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. Provieed: Construction must be completed within three years of the date of thissrit. Date ��� 16 Approved by C '' ' Submit by Email HIGH GROUND-WATER LEVEL COMPUTATION Date: July 28, 2010 Site Location: 51 Coventry Lane, West Barnstable, MA Permit: Owner: David O. & Kristina S. Curley Phone: Contractor: Capewide Enterprises Phone: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. (depth is in feet below land surface) Date: 7/22/10 7.0 mm yy feet below is STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: A) Appropriate index well SDW-52 B) Water-level range zone A STEP 3 Using monthly "Current Water Resources Conditions" determine current depth to water level for index well. 06/29/10 46.58 m m/yy STEP 4 Using Table of Potential Water Level Rise for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 213) determine water-level adjustment. 0.70 STEP'5 Estimate depth to high water by subtracting the water-level adjustment (STEP 4) from 6.3 measured depth to water level at site (STEP 1). NOTE* Tables 1-9 "Potential Water-Level Rise" are attached as worksheets to this file. monthly index well data: www.capecodcommission.org/wells.html TRANS. NO.: CITY/TOWN: West Barnstable APPLICANT: Capewide Enterprises ADDRESS: 51 Coventry Lane, West Barnstable, MA DESIGN FLOW: 330 gpd REVIEWED BY: DATE: N/A OK NO GENE ", Legal boundaries denoted [310 CMR 15.220(4)(a)] X Street, Lot, tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] X Locus Provided [310 CMR 15.2204(t)] X Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for components) [310 CMR 15.220(4)] X Easements shown [310 CMR 15.220(4)(b)] X System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not, a variance is required [310 CMR 15.412(4)] X Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] X Location all buildings existing and proposed 310 CMR 15.220(4)(c)] X Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] X System Calculations [310 CMR 15.220(4)(f)] X daily flow X septic tank capacity (required and provided) X soil absorption system (required and provided) X whether system designed for garbage grinder X North arrow [310 CMR 15.220(4)(g)] X Existing and proposed contours [310 CMR 15.220(4)(g)] X Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] X Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and(i)] X Location and date of percolation tests (performed at proper elevation?) [310 CMR 15.220(4)(i)] X Percolation test results match loading rate? [310 CMR 15.242] X Certification statement by Soil Evaluator [310 CMR 15.220(4)0)] X Observed and Adjusted groundwater (method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)] X Address 51 Coventry Lane,West Barnstable, MA Sheet 1 of 7 Location of every water supply, public and private, [310 CMR N/A OK NO 15.220(4)(k)] X within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply X within 250 feet of the proposed system location in the case X within 150 feet of the proposed system location in the case of private water supply wells X Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. [310 CMR 15.220(4)(1)] X Water lines and other subsurface utilities located [310 CMR. 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[1]) X Profile of system showing invert elevations of all system components and the bottom of the SAS [310 CMR15.220(4)(o)] X Stamp of designer [310 CMR 15.220(1) and 310 CMR. 15.220(2)] X Stamp of Registered Land Surveyor(required if construction activities within 5 ft. of lot line) [310 CMR 15.220(3)] X Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR. 15.102(2) or as approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] X Test hole adequate to demonstrate four feet of suitable material? [310 CMR 15.103(4)] X Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3)] X Benchmark within 50-75' of system [310 CMR 15.220(4)(q)] X Materials specifications noted? [various sections of 310 CMR 15.000] X System components not> 36" deep (unless Local Upgrade Approval or LUA requested) [310 CMR 15.405(1(b)] X Address 51 Coventry Lane West Barnstable MA Sheet 2 of 7 N/A OK NO Size OK? [310 CMR 15.223(1)] X Inlet tee located ten inches below flow line [310 CMR 15.227(6)] X Outlet tee 14" or 14" + 5" per foot for increase ft depth [310 CMR 15.227(6)] X Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] X Note regarding installation on stable compacted base [310 CMR 15.228(1)] X Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15.227(2)] X Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for upgrades under LUA [310 CMR 15.405(1)(k)] X Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(1) and 310 CMR 15.232(3)(f)] X Three access covers (inlet and outlet must be 20" or greater) - middle access at least 8" (by 7/07) [310 CMR 15.228(2)] X Access to within 6 " of grade - one port for systems<1000gpd, two for systems>1000 gpd [310 CMR 15.228(2)] X All at-grade covers secured to unauthorized access? [310 CMR 15.E 28(2)] X > 10 ft from building foundation [310 CMR 15.211(1)] X Buoyancy calculation Required/Done [310 CMR 15.221(8)] X H-20 Where appropriate? [310 CMR 15.226(3)] X Setbacks from resources [310 CMR 15.211] X VluCti pCompartmentTanks §` F r Required when other than single-family dwelling or flow>1000 gpd L310 CMR 15.223(1)(b)] X First compartment 200% daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and (3)] X "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter [310 CMR 15.224(4)] X Address 51 Coventry Lane, West Barnstable MA Sheet 3 of 7 N/A OK NO 'BbTNGSRAT�D ®THERIP�ING Located at least ten feet from any water line? [310 CMR 15.222(2)] X Disposal piping at least 18" below water line (when water and sewer cross, see 310 CMR 15.211(1)[1]) X Cleanouts required/provided ? [310 CMR,15.222(8)] X Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] X Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable [310 CMR 15.222(6)] X Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] X Siphonproblem/ (leachfield below pump chamber) X Endcaps or vent manifold specified? X Size and orientation of discharge holes specified? (not smaller than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] X Materials specified (310 CMR 15.251(5) specifies various pipe types allowed) X Ow Stable compacted base [310 CMR 15.221(2) and 310 CMR 15 232(2)(a)] X Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a)] X Riser if deeper than 9" [310 CMR 15.232(3)(f)] X Inside minimum dimension 12" [310 CMR 15.232(2)(b)] X Minimum sum 6" [310 CMR15.232(3)(e)] X Watertight cover if<2000gpd); waterproof manhole if>2000g5d [3 101 CMR 15.232(3)(d)] X PVI��PCIAIVIBERS e Capacity(emergency storage above working=design flow)? [310 a CMR 231(2)] X Proper setbacks [310 CMR 15.211 (same as septic tanks)] X Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5)] X Service components accessible (not too deep with piping, disconnects accessible) X Alarm floats - alarm on circuit separate from pumps specified? X Exceeds two units must have two pumps operating in lead-lag mode. [310 CMR 15.231(6) and(8)] X Stable Compacted Base [310 CMR 15.221(2)] X Buoyancy calculations needed ?Provided? [310 CMR 15.221(8)] X Address 51 Coventry Lane, West Barnstable MA Sheet 4 of 7 N/A OK NO SOIL 'Al AABPs F T ,w T�ON�S��STE>11S�SAS GLNERA F,_ Calculations correct? X 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] X Required separation to groundwater? [310 CMR 15.212)] X Aggregatespecified as double washed [310 CMR 15.247(2)] X System Venting required/provided? (system under driveway or >36" deep) [310 CMR 15.241] X Inspection ports specified and within 3"final grade? [310 CMR 15.240(13)] X Breakout requirements met? (No violation of breakout elevation within 15 ft of SAS unless barrier) [310 CMR 15.211(1)[4] and Guidance Document] X GAI;LERIES;PITSCHAIVIBEi2S31_OGMR '5.2` 3 f Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] X Each structure with one inspection manhole (if>2000 gpd must be to grade) [310 CMR 15.253(2)] X Aggregate I'minimum- 4' maximum. [310 CMR 15.253(1)(b)] X 2' sidewall credit maximum [310 CMR 15.253(1)(a)] X In bed configuration, inlet every 40 sq. ft. [310 CMR 15.253(6)] X TRENCHES�3�10 CIYI�R1�5 251. `�� � Width 2'minimum 3'maximum [310 CMR 15.251(1)(b)] X 100 feet-maximum length [310 CMR 15.251(1)(a)] X Minimum separation 2x effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 251(1)(d)] X Situated along contours [310 CMR 15.251(2)] X Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] X E�D�SAS�(11M�axiinum s�ze`of�bedorfie1d50000 gpc�)� �� �-�.. � ' �` y�� minimum 2 distribution lines [310 CMR 15.252(2)(a)] X Maximum separation between lines 6' [310 CM R15.252(2)(d)] X Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e)] X Aggregate depth below discharge pipes 6" minimum, 12" maximum. [310 CMR 15.252(2)(g)] X Separation between beds 10'minimum. [310 CMR 15.252(2)(0] X Bottom area used in calculations only [310 CMR 15.252(2)(i)] X Address 51 Coventry Lane West Barnstable MA Sheet 5 of 7 N A O f� �`OK Pressure Dosed System ? Provided pump and piping calculations as re uired [310 CMR 15.220(4)(r)] X Pressure dosing required on all systems>2000gpd or alternative systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals] X If used in gravelless system -make sure jet is directed as not to scour soil interface [Guidance Document] X Inspections once per year(systems<2000 gpd) or quarterly (>2000g d) good to note on plan [310 CMR 15.254(2)(d)] Construction in fill - Did the plan specify that the fill shall meet the specification of 310 CMR 15.255(3)? X Impervious barrier and/or retaining wall ? [Guidance Document] X Impervious barrier installation must be supervised by designer [310 CMR 15.255(2)(b)] X Retaining wall must be designed by Registered Professional Engineer [310 CMR 15.255(2)(a)] X Side slope not exceed 3:1 ? [310 CMR 15.255(2)] X Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] X At least 5 ft. from impervious barrier to edge of SAS (10 ft. recommended) [310 CMR 15.255 (2)(e)] X Gravelless�S stem y �A"���rovalle ters � Check DEP Approval letters for credits and design conditions X If used with pressure dosing do not allow pressure discharge to scour soil interface X 4lternatrve Septic%Sys em[I/ 4ppro aLLe te,r) Was DEP Approval Letter provided and/or have you reviewed the letter for conditions? X Is the technology being properly applied and does it meet all DEP Approval Conditions? X Is there a note on the plan regarding the requirement for perpetual maintenance agreement? X Any alarms involved on separate circuits X Did the applicant submit an operation and maintenance manual? X Has applicant submitted a copy of a maintenance X Are the variances listed on the plan? [310 CMR 15.220 (4)( )] X RLS Stamp necessary on plan if a component is within five feet of property line [310 CMR 15.412(4)] X New construction or increased flow proposed - [Refer to 310 CMR 15.414] X Address 51 Coventry Lane,West Barnstable MA Sheet 6 of 7 Natrog N/A OK NO Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] X Is the system proposed on the same lot as served by private well ? [310 CMR 15.214(2)] X Are the nitrogen loads proposed in compliance? [310 CMR 15 216(1)] X Mcsce[laneou p-` �� „ �✓ �� � J �� ,,,. , ��, h Pumping to septic tank ? [ 310 CMR 15.229] X Shared System [310 CMR 15.290] X Address 51 Coventry Lane West Barnstable MA Sheet 7 of 7 Town of Barnstable P# 301 �p Department of Regulatory Services ,,�,,�A8M : Public Health Division Date a 1 6s9. � 200 Main Street,Hyannis MA 02601 rED MA't A Date Scheduled �1 a L Time 10 im Fee Pd. V� Soil Suitability Assessment for Sewage Disposal Performed By: t'(�h�� Ci(Y1Fa�wl , G jj, CS C Witnessed By: Donald Desm area("% LOCATION & GENERAt,-IN 4 ORNIATtON Location Address C/ 4 Owner's Name CV(le 0 iie/ Address -';06V- Assessor's Map/Parcel: ' [7 ,U U Engineer's Name je(.,(6e k SL C,Plyineat-0 NEW CONSTRUCTION REPAIR Telephone# ,, o 8-2-13 -0 3-7 7 Land Use st,-►Sle �-C nify dweltln) Slopes(%) ,5"-/O Surface Stones Distances from: Open Water Body - ft Possible Wet Area - ft Drinking Water Well •'7155 ft Drainage Way ft Property Line 7/b ft Other - ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes) See. awok4t Ptah Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: A'1 R Weeping from fit Face Estimated Seasonal High Groundwater 75,(o -.S DET R1VItNATION FOR SEASONAL>TIGH V�. TE 'AR V Method Used: Cate Cad Carnrn(STr'n Depth Observed standing in obs.hole: NI in. Depth to soil mottles; __ ._'`•IA in Depth to weeping from side of obs.hole: `/ _ in. Groundwater Adjustment__ 5,70 __ft. a Index Well# SO't► '2 Reading Date: 6-29-/� Index Well level `��•S Adj.faCCDP y i� Adj.Groundwater L.evel_t b bg s I�EI-C(JLkt:ON TOT - Observation Hole# 1 Time at 9" Depth of Perc PIA Time at 6" Start Pre-soak Time @ Time(9"-6") �. End Pre-soak Rate Min./Inch Qu(Ur�rl SlZi/e alwlyS�s do C-Y So Site Suitability Assessment: Site Passed ��'S Site Failed: Additional Testing Needed(Y/N) Al Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1) week prior to.beginning. Q:\.SEPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# i Depth from Soil Horizon Soil Texture Soil Color Surface(in.) Soil . Other _ (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel Fi l l 3b- G-I CIS 2.5Y �/3 G 2 Silk I004rl 2.SY'/i tv2-W- C-3 HS 2,5 Y b/3 -72- Iyy Gy LS 2.5V V3 ,yy--19y C-5 MS 2.5 Y%6 - fcas 2 DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel ^ 1-;tj 3b-5O c- MS 2..5 Y /3 ., "awl 6 -72 G-3 M S 2. Y "/3 ^ 72 -I yy G- y `S 2.51"/3 kor�ces cF silf /yy-lgY C-5 2,5r b /ayse DEEP`OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel DEEP:OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consiste o Gravel Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No Yes- Within 100 year flood boundary No Yes- Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ye.S If not,what is the depth of naturally occurring pervious material? Certification I certify that on 16'27-`i9 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise an expe ' e described in 310 CMR 15.017. Signature Date '7-2-9-/0 Q:\SEPTIC\PERCFORM.DOC 60:5- ,4cello, w o Mq yE 1 BORTOLOTTI CONSTRUCTION,INC. TIokvolr 199� �' 765 WAKEBY ROAD,MARSTONS MILLS,MA 02648 y��ryp�ty 508-771-9399 508-428-8926 FAX: 508-428-9399 Gr SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO L PART A CERTIFICATION Property Address / Date of Inspection: Ins toes ame• ' Owner's N nd A dress: _CERTIFICATION STATEMENT! I certify that I have personally inspected the sewage disposal system at this address and that the informa- tion reported below is true,accurate and complete as of the time of inspection. The inspection was per- formed based on my training and experience in the proper function and maintenance of on-site sewage disposal Kstems. The System: Passes Conditionally Passes Needs Further Eval tion By he Local Aproving Authority Fails Inspector's Signature: Date: g/oaj The System Inspector shall submit a copy of this inspection report to the Approving authority within thir- ty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SIIMMARY• A)SYSy4M PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CUR 15.303. Any failure criteria not evaluated are indicated below. B)SYSTEM CONDITIONALLY PASSES; One or more system components need to be replaced or repaired. The system, upon comple- tion of the replacement or repair,passes inspection. Indicate yes,nor,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,cracked, structurally unsound, shows substantial infiltration or exfiltration,or tank failure is imminent. The system will pass inspection if the existing sep- tic tank is replaced with a conforming septic tank as approved by The Board of Health. Sewage backkup 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): - .1 - `.-AI SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM � *"{ PART A CERTIFICATION (continued) r ti�Q a Broken pipes)replaced Obstruction is removed Distribution Box is levelled or replaced The System required pumping more than four times a year due to broken or obstructed pipe.(s). The system will pass inspection if(with approval of The Board of Health): Broken pipe(s)are replaced Obstruction is removed 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 stem is failing to protect the public health, safety and the environment. the system g p 1)SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE 1 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 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 APPROPRIATE)DETERMINES THAT THE SYSTEM IS FUNCTION- ING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic to absorption system i tank and soil abso tion stem and is within 100 Feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is with a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 Feet of a private water supply well. The system has a septic tank and soil absorption system and is less than 100 Feet but 50 Feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from the facility and the presence of-ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. D)SYSTEM FAILS: I have determined that the system violates one or more of the following failure criteria as defined in 310 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. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of efluent 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 clog- ged SAS or cesspool.' Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow. Required pumping more than 4,times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped - 2- 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 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: The following criteria apply to a large system in addition to the criteria above: The design flow of a system is 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: The system is within 400 Feet of a surface drinking water supply The system is within 200 Feet of a tributary to a surface drinking water supply The system is located in a nitrogen sensitive area Interim Wellhead Protection Area (IWPA)or a mapped Zone II of a public water supply well. The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Check if the following have been done: - __k.,'Pumping information was requested of the owner,occupant,and Board of Health. None of the system components have been pumped for atleast two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. VlAs-built plans have been obtained and examined. Note if they are not available with N/A. L-Ithe 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. 4/All system components,excluding the Soil Absorption System,have been located on site. _ The septic tank manholes were uncovered,opened,and the interior of the septic tank was in- spected 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 or approximated by non-intrusive methods. -3- , :. f �C r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST(continued) f-"fhe facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Subsurface Disposal System SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART SYSTEM INFORMATION FLOW CONDITIONS RF.SIDENTLAi.e � Design Flow: U gallons Number of Bedrooms: Number of Current Residents: 'T Garbage Grinder: Laundry Connected To System Seasonal Use: Water Meter Readings, i ailable: Last Date of Occupan COMMFRCLAI./LNDUSTRIAL:/C/O Type of Establishment: Design Flow: gallons/day Grease Trap Present: (yes or no) Industrial Waste Holding Tank Present: Non-Sanitary Waste Discharged To The Title V System: Water Meter Readings, If Available: Last Date of Occupancy: OTHER: Describe) Last Date of Occupancy: GENERAL INFORMATION PUMPING RECORDS and-source_of,information: - ?� _ System Pumped as part of inspection:_ If yes,volume pumpV_ � ed dons Reason for pumping: TYPE F SYSTEM: Septic Tank/Distribution Box/Soil Absorption System Single Cesspool Overflow Cesspool Privy Shared System(If yes,attach previous inspection records, if any) Other(explain): P OXIMATE AGE of all components,date installed(if known)and source of information: Sewage odors deter d when arriving at these: AJO -4- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C GENERAL INFORMATION (continued) SEPTIC TANK: ✓ - ,,f I / Depth below grade: /n ,/ZP 4aterial of Construction. //concrete metal FRP_Other (explain) l?Wsions: ;S)((o,k Sludge Depth:_ Z�:P" Scum Thickness:�PN Distance from top of sludge to bottom of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: 7 ' Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in r tion to ou et invert, structural 'rite grity,evidence of leakage,etc.) �i 4 GREASE TRAP: Depth Below Grade: Material of Construction: concrete metal FRP Other (explain) Dimensions: Scum Thickness: Distance from top of scum to top of outlet tee or baffle: Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert, structural integrity,evidence of leakage, etc.) TIGHT OR HOLDING TANK: Depth Below Grade: Material of Construction:—concrete—metal FRP_Other(explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm Level: Comments:(condition of inlet tee,condition<of alarin.and,f!oat switches, etc.) - - - =- • DISTRIBUTION BOX: ✓ Depth of liquid level above outlet invert: V<& � Comments: (note if le an_d distribution is equ4i, vi a of solids carryover,evidence f leakaggio or out of box,etc.) PUMP CHAMBER: Pump is in working order: Comments: (note condition of pump chamber,condition of pumps and appurtenances,etc.) 5- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) SOIL ABSORPTION SYSTEM(SAS): (Locate on site plan, if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: Type: Leaching pits,number: Leaching chambers, number:Leaching galleries,number: Leaching trenches, number, length: Leaching fields, number,dimensions: Overflow cesspool, number: Comments: (note condition of s 1 si s of draulic failure level of ponding,condition of vegetation, etc.)�i C12e c 3 � - dJ, ?Q CESSPOOLS: 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(cesspool must be pumped as part of inspection) Comments: (note condition of soilk, signs of hydraulic failure, level of ponding,condition of vegetation, etc.) PRIVY: Materials of construction: Dimensions: Depth of Solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation, etc.) -6- SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (conlinued) SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to atleast two permanent references, landmarks or benchmarks. Locate all wells within 100 Feet. `C 53 � DEPTH TO GROUNDWATER: Depth to groundwater: %Z Feet ; Me od of Determination or Appr9ximati9n: /�l0 ell %Cll( -7- r_ �R 1 ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 449 Rte. 130 • Sandwich,MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508) 888-6446 CLIENT: Reef_Realty LOCATION: Lot 4 ADDRESS: School St. Coventry Lane W. Dennis, MA 02670 W. Barnstable, MA SAMPLE DATE: 6-7-94 COLLECTED BY: Fred Clifford DATE RECEIVED: 6-7-94 TIME: 12:00 N SAMPLE ID: 4C JOB TYPE: New well WELL DEPTH: 66' RESULTS OF ANALYSIS: Parameters Units Recommended Result Limit Coliform bacteria/100ml (MF Method) 0 0 pH pH units 6.0-8.5 6.48 Conductance umhos/cm 500 92 Sodium mg/L 28.0 9.2 Nitrate-N mg/L 10.0 0.15 Iron mg/L 0.3 0.20 Volatile Organics NONE EPA 502.2 * ug/L DETECTED COMt1ENTS: * See report attached. Yes No WATER IS SUITABLE FOR DRINKI SES OR PARAMETERS TE xxx yt , Date Ro ld J. ari IT = Less Than Laboratory irector 67 QUPIDWATE= ANAL`ITICAL L, 508 759 14. . M 5 ti; t GROUNDWATER ANALYTICAL EPA WHOD 502.2 Volatile Organics (GC/PID/ELCD) Field ID: 4C Lab ID: 7887-01 Project: Reef Realty/Clifford/Lot 4 Coventry Batch ID: 06 07394 Client: Envirotech Received: 06-07-94- Cont/Prsv: �40ml VOA Vial/NaHSO4 Cool Analyzed: 06-08-94 Matr;x: Aqueous PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) BRL 0.5 Dichlorodifluoromethane BRL 0.5 Chloromethane BRL 0.5 Vinyl Chloride BRL 0.5 Bromomethane BRL 0.5 Chloroethane BRL 0.5 Trichlorofluoromethane BRL 0.5 1,1-Dichloroethene BRL 0.5 Methylene Chloride BRL 0.5 trans-1,2-Dichloroethene BRL 0.5 1,1-Dichloroethane BRL 0.5 2,2-Dichloropropane BRL 0.5 cis-1,2-Dichloroethene BRL 0.5 Chloroform BRL 0.5 Bromochloromethane BRL 0.5 1,1, 1-Trichioroethane BRL 0.5 1,1-Dichloropropene BRL 0.5 Carbon Tetrachloride BRL 0.5 Benzene BRL 0.5 1,2-Dichloroethane BRL 0.5 Tr,chloroethene BRL 0.5 1,2-Dichloropropane BRL 0.5 Bromodichloromethane BRL 0.5 Dibromomethane BRL 0.5 cis-1,3-Dichloropropene BRL 0.5 Toluene BRL 0.5 trans-1,3-Dichloropropene BRL 0.5 1,1,2-Trichloroethane BRL 0.5 Tetrachloroethene BRL 0.5 1,3-Dichloropropane BRL 0.5 Dibromochloromethane BRL 0.5 1,2-Dibromoethane (EDB) BRL 0.5 Chlorobenzene BRL 0.5 Ethylbenzene 0.5. 1,,1,1,2-Tetrachloroethane BRL 0.5 m=p-XyleneRL 0.5 o-Xylene BRLBRL 0.5 Styrene BRL 0.5 Isopropyl Benzene BRL 0.5 Bromoform BRL 0.5 1,1,2,2-Tetrachloroethane BRL 0.5 1,2,3-Trichloropropane BRL 0.5 r,-Propylbenzene BRL 0.5 Gromobenzene (Continued) Page 1 of 2 GROUNDWATER ANALYTICAL EPA METHOD 502.2 (continued) Volatile Organics (G /PID/ELCO) Field ID: 4C Lab ID: 7887-01 Pro Re ef Realty/Clifford/Lot 4 Coventry Batch IU VG3-02034 ProClient:ject;: Envirotech Analyzed: 06-08-94 PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) 1,3,5-Trimethylbenzene BRL 0.5 2-00orotoluene BRL 0.5 4-Chlorotoluene BRL 0.5 tert-Butylbenzene BRL 0.5 1,2,4-Trimethylbenzene BRL 0.5 sec-Butylbenzene BRL 0.5 p Isopro%pltoluene BRL 0.5 1,3-Dichlorobenzene BRL 0.5 1,4-Dichlorobenzene BRL 0.5 n-Butylbenzene BRL 0.5 1,2-Dichlorobenzene BRL 0.5 1,2-Dibromo-3-Chloropropane (DBCP) BRL 0.5 1,2,4-Trichlorobenzene BRL 0.5 Hexachlorobutadiene BRL 0.5 Naphthalene BRL 0.5 1,2,3-Trichlorobenzene BRL 0.5 BRL - Below Reporting Limit. Method Reference: Method 502.2 - Volatile Organic Compounds in Water by Purge and Trap capillary Column Gas Chromatography with Photoionization and Electrolytic conductivity Detectors in Series. US EPA EPA-600/4-88/039 (1988). Page 2 of 2 V TOWN OF BARNSTABLE L' A 10N to �/� /Yl n�J 1yr� SEWAGE LJ f�U VILLAGE6114A6dAte,�Q -��-� ASSESZr,,�7- &!LLOT On jl S12GZ70R-SNAME&PHONE Nj. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDRO BUILDER O OWNE PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of le hi� cili &2�" g� Feet Furnished b c���— ''�.� ,, G1 o N'�f� ,.�5 � 3 �� ��� r t�� TOWN OF BARNSTABLE „ G'r�710N 1 SEWAGE # . VILLAGE /w, �r� _ ASSESSOR'S MAP Cz LOT &iNSTALLER'S NAME & PHONE NO. 0 SEPTIC TANK CAPACITY 4 D 000 1 O\LEACHING FACILITY:(type) b a ff� ` (size) RNO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER L BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: -'I ° '-I VARIANCE GRANTED: Yes No I i s r"% L/ vow No... ...3.... Fps.. /az).. go THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Uiripoial Works Cfoatotratrtion rantit Applica n is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ... °.X....ZI......!1VQV.-IN...--LAvv�--- - ...... �. =s........_. Location-Address or Lot No. ............................ .......... • ------•------------------ ----- •••----•----......------•--........-••-----------.....-••-.....---•--•........••••................ �(� / � Address - Installer Address ?? UType of Building 2 Size Lot.01—k.1..75......_..Sq. feet ,., Dwelling—No. of Bedrooms.-_._._.___-J_•_______________________.__Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) $14 Other fixtures _-----------• -------- ---- -----------------------------•......------•-•---------. ---•......•••••------•-••--•--•-....---•--•••.......-•------- d " 5. W Design Flow..................5. ....._..._...._...gallons per person per day. Total daily flow-----------3v- 3 ......................gallons. WSeptic Tank—Liquid capacityl-0MzalIons Length._$.6-_.. Width.... Diameter................ Depth...'EF� x Disposal Trench--No. .._4&AR......... Width------- 1......... Total Length---- Total leaching area .5.&/Q_.3T.+- 3 Seepage Pit No_----- --- ........ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed by..1HD/AA5....m:�XU4.V......t.............. Date.... 3................ ,.a Test Pit No. I.....`..Z----minutes per inch Depth of Test Pit...MO."....... Depth to ground water....l.D..Z...... fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---"--------- - ---------- ---•-- Description of Soil -1 7D. .... .....SU3�d.�.L........_..�Z-.-8- ' C( �.!V....MrJ S'�h' w - ------------•---------------------------•---------------------------------•-•---------------------------------------------- ----------------------------.........._.. ......-...... x U Nature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The undersigned agrees to install the afor de cribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environ e tal Code— ndersigned further agrees not to place the system in operatio ntil a Certificate of Compli� been..i ued_y he bo r f health. Signed ........: ... . . .... ......(Q. �e -�••�.J...... ................ ......,�...:�..-�.....,.Pf.../ Application Disapproved for the following reasons: .. ..... ._.................... ............................... -- ............................................... ....................---- -- -- ............................................................................................................................................................................................................... D`e PermitNo. ....../-..t-/.........15. .0----------------------- Issued .................................................................... — — — — — t 1 No_q��.a/p Tt`�� t HE �COMM'ONWEALTH OF MASSACHUSETTS 3 0 ) 9 BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun fur Uiripuuul Hlurkii Tutuitrttrtitun Prrutit Applica on is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: " Lo Co /F- t LA we AS. S !�s mAP !10 A -S .........C. 1... !---�`�-----------------•-------------------•-----.---•- -•----5Es. = -..__.._�'..�..1- ...._....... Location-:\ddrrss � or Lot No. � .......................................... .........• ............................�. ''/l O�cn � N Address a .......MA 4...• r E ........................................................... -•••-•--•••-----•--••-------•-••••-. Installer Address d Type of Building Size Lot.3d... i ......_..Sq. feet Dwelling No. of Bedrooms_____________?_---------------------------- Expansion Attic Garba e Grinder.� D� g— ; (J ) g ( ) 04 Other—Type of Building ........_... ................ p . ._ ( ) ( )............. No. of ersons............._....._.. Showers Cafeteria ?, 04 g Other fixtures ................gallons per person per day. Total daily flow.;........_3 3v • -_gal_._ s. d W Design Flow-------------•-• - S- �--�---------------------•----- Ions. Gl Septic Tank—Liquid ca acty1..0...Z.. allons Len th__S--�-Z---- Width....�._17..__. Diameter-- De th_.4,--' •- C Disposal Trench--No. .__06&....... Width....__5---------- Total Length_._.32'_......_. Total leaching area5.'?..Cc/ ..sq—€t. ---- Diameter.-_--------------- Depth below inlet..................... Total lea chin area............_....s ft. Z Other SeepagDistribution T box ( ) Dosing tank ( ) g q aPercolation Test Results Performed by.::THt!/ \A5.... A1V.....P .............. Date....3.-L1_ 3.....__..._..... ,.a Test Pit No. 1....`.L....minutes per inch Depth of Test Pit---MO.......... Depth to ground water....L0.2.1!........ fxq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0+ " ---------------------------------•--------------------••--••-•-------------.------�----------.--•-•------------------•--------- D Description of Soil.....��-..: 1 �1�_1�........SJI��I�i�------------�Z-...�_`f.---..C�.A.!�.... �,r2.._ S.oi�►„1.....---•----•-•---- v `�- ! ? n? !r`' ,..� ✓� 7_..7►yr�c ' r�7------------------------------------------------•-------.........------------ W ........................................................................................................................................................................................................ UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environ ental Code—The undersigned further agrees not to place the system in operation ntil a Certificate of Compliand has been i ued by the bo rd`of health. `l .....cr, Application Approved B -.....-.... .- - -- - ----------------------------------------------------------------- -- /...� .... .�..t. Application Disapproved for the following reafonf: ................................... ......................_........... ............................................................. ........... .............................................. ................ . ................ . . ....--....................... ---- ................ ........................................ Dace PermitNo. ......7..y.. -------- ------_---- Issued ...... . .................i................................................................. Dare' `+ — — �`—— `——r. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C>e>r#ifirate of Compliztnee THIS IS CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY ' ..................... .. ...w ..l1 .....r....AV_------------- ----._---. ------.....-------- ----.......................................-------------------..........-------- at .......... .4,57------- .....— �.........�.---- of 5 of T��,c Q ;x............................... has been installed in accordance with the pro s o s o he State Environmental Code as described in the application for Disposal Works Construction Permit No. ------ ..�.6-..--------- dated ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................... - ..�.......-.. .( - Inspector \\ . ....:...... L/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No.. I FEE..p/7n........... �iu�uuttl urk����unu,�•#�rilan rrutit Permission is hereby granted............ )--).Akk......C(_l��'71-A-I.. .1/ ---•-------- .............................................. to Construct (X) or Repair ( ) an Individual Sewage Disposal System ' at No........... ~ .......V. ...--.... s <y .. a ...... >��.(1• t/. Street as shown on the application for Disposal Works Construction Permit No._7 13_ .Dated............... / ........... Board of Health DATE................ ..... FORM 36508 HOBBS ec WARREN.INC..PUBLISHERS No.W-!Y--�7---- Fee--- ---- BOARD OF HEALTH TOWN OF BARNSTABLE Application for Vell Con5tructionPermit Applic tion is h by made for a perpit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: - - ------------------------------------------- ------------- Location — A ress As sors Ma and Parcel P - � - :—Owner- ---------— -Vie`-/-�L s - -�2 - --- ---- - � e Address Installer =Driller / Address Type of Building Z /7 Dwelling------—------- ------------------ --------------------- Other - Type of Building------------_-------------------- No. of Persons---------------------------------------- Type of Well— - i� — — - Capacity-- --- —`i�— - —--— ------- -- - Purpose of Well_ _�� --__ ________—_______—________-- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation u 7_ j n has been issued by the Board of Health. Signed i - - - d ate Application Approved By (ai date ----- ------------- -- � Application Disapproved for the following reasons:-------------------------------------------------- ----------- -----------— -- ----- _-- -----— ------------------------------------------------------------------------ date Permit No. ---------------- ------- - Issued--- -- -- - --- ---— ---— date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by--------- A �------------------------------------------------------------------- - - - --- --- Installer at---------�'. - - --- ----- --:---1-- - - - - -- --- -- has been installed in accordance with the pr'oJisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. Dated----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. — — -- Inspector-------------------------------------------- --— DATE--------------------------------------- - �,�„�,. .-•J^��tC'�c'-�r'�:?.�'n.f`i,,� �` '�'.�fV�'+'t,"�?�"K"�.rL.r'"7"'-.,"`�M��`^'�•�-'r�'Lnr'Y.^...t'Y'���'f'�tl�+pynryjv't�`�1.�i.�+-y.+"Vti.Y.�,lt•�'i'+�.+-+-�E..^_w,'�r�+�' �No. fv --- Tee--'- --------- BOARD OF HEALTH TOWN OF BARNSTABLE Application ArVell Congtruction ermit A plil tion is hereby made)or a pe it to Construct ( ), Alter ( ), or Repair ( )an individual Well at: - nLocation — As Asses�Lsors Map and Parcel Owner Address Installer —Driller Address Type of Building Dwelling — J-- - --------------------- Other - Type of Building------------------------------------ No. of Persons------------------------------— --- Type of Well— - /� r•rr - --- Capacity-- -./7 -------- ---- ------------------------------- Purpose of Well---- -- ----=--------------— -------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation u i C t' 'cate;.of o n has been issued by the Board of Health. Signed g date T Application Approved By date -' -- Application Disapproved for the following reasons:--------------------------------------------------------------------- ------------------------------------- -------------- - -— ------------------- date PermitNo. ---------- ------——---------------- Issued--------------------------------------------------------------------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) ----------------------- Installer at- atl--- -- �: -:---i-----= ----^_c Qa l------------------------------ has been installed in accordance with the pr isions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit No. -01 1:?----Dated---------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------- - ----_ -- -- Inspector----------------------------------------— - ------------- BOARD OF HEALTH TOWN OF BARNSTABLE Well �Congtruct ion Permit No. -� ___ I s ` Fee---� - Permission is hereby granted--- - -------- "` --- - - -—------- to Construct ( Alter ( ), or Repair ( ) an Individual Well at: No. --— ---/'G a _�°. 1 u_�-- _ t. ���` _� ?------------------------ Street as shown on the application for a Well Construction Permit No.--- --- ------- -- —-- Dated--- G: =- �--------------------------------------- ---- -------------------------------------------- -DATE - QBoard of Health ----�-'"-�-=-� t�------- ---- - G9 �� I _ or 13 reopos o \ J 10 �i (oq � e 40 d � b Ito p�itov2: e PoT EtEV'• �9 � ' r EuEV A UL ENVIROTECH LABORATORIES, INC. MA Cert. No.: M-MA 063 - C L'V 449 Rte. 130 Sandwich,MA 02563 (508)888-6460 . 1-800-339-6460 FAX(508) 888-6446 CLIENT: Reef_Realty LOCATION: Lot 4 ADDRESS: School St. Coventry Lane W. Dennis, MA 02670 W. Barnstable, MA SAMPLE DATE: 6-7-94 COLLECTED BY: Fred Clifford DATE RECEIVED: 6-7-94 TIME: 12:00 N SAMPLE ID: 4C JOB TYPE: New well WELL DEPTH: 66' RE'SLIT-TS OF ANALYSIS: Parameters Units Recommended Result Limit Coliform bacteria/100ml (MF Method) 0 0 pH pH units 6.0-8.5 6.48 Conductance umhos/cm 500 92 Sodium mg/L 28.0 9.2 Nitrate-N mg/L 10.0 0.15 Iron mg/L 0.3 0.20 i Volatile Organics NONE EPA 502.2 * ug/L DETECTED COMMENTS: * See report attached. Yes No WATER IS SUITABLE FOR DRINK SES OR PARAMETERS XXX y� n Date b `Y/ Ro ld J. ari IT = Less Than Laboratory irector 6+. ANALYTICAL L. 508 759 �. , t 5 GROUNDWATER ANALYTICAL EPA METHOD 502.2 Volatile Organics (GC/PID/ELCD) Field ID: 4C Lab ID: 7887-01 Project: Reef Realty/Clifford/Lot 4 Coventry Batch ID: VG 00203-W Client: Envirotech Sampled:Received: 06-07-94 -94 Cont/Prsv: 40ml VOA Vial/NaHSO4 Cool Analyzed: 06-0 -94 Matrix: Aqueous PARAMETER CONCENTRATION REPORTING LIMIT (ug/L) (ug/L) Dichlorodifluoromethane BRL 0.5 Chloromethane BRL 0.5 Vinyl Chloride BRL 0.5 Bromomethane BRL 0.5 Chloroethane BRL 0.5 Trichlorofluoromethane BRL 0.5 1,1-Dichloroethene BRL 0.5 Methylene Chloride BRL 0.5 BRL 0.5 trans-1,2-Dichloroethene BRL 0.5 1,1-Dichloroethane ; BRL 0.5 2,,2-Dichloropropene cis-1,2-Dichloroethene BRL 0,5 BRL 0.5 Chloroform BRL 0.5 Bromochloromethane BRL 0.5 1,1, 1-Trichloroethane 1, 1-Dichloropropene 0.5 BRL 0.5 Carbon Tetrachloride e BRL 0.5 Benzene BRL 0.5 1,2-Dichloroethane BRL 0.5 Trichloroethene BRL 0.5 11 2-Dichloropropene BRL 0.5 Bromodichloromethane W bromomethane BRL 0.5 BRL 0.5 cis-1,3-Dichloropropene Toluene BR 0.5 L trans-1,3-Dichloropropene BRL 0.5 BRL 0.5 1.,1,2-Trichloroethane BRL 0.5 Tetrachloroethene BRL 0.5 1,3-Dichloroproppene Dibromochloromethane BRL 0.5 BRL 0.5 1.,2-Dibromoethane (EDB) BRL Chlorobenzene 0,5 Ethylbenzene BRL 0.5 1•,1,1,2-Tetrachloroethane BRL 0.5. m+p-Xylene BRL 0.5 0.5 o Xylene BRL 0.5 Styrene BRL 0.5 Isopropyl Benzene BRL Bromoform BRL 0.5 1,1,2,2-Tetrachloroethane BRL 0.5 1 ,2,3-Trichloropropane BRL 0.5 ri-Propylbenzene BRL 0.5 Bromobenzene BRL 0,5 (Continued) Page 1 of 2 �J .4 \y GROUNDWATER ANALYTICAL EPA METHOD 502.2 (Continued) Volatile Organics (GC/PID/ELCO) Field ID: 4C Lab ID: 7887-01 Project: Reef Realty/Clifford/Lot 4 Coventry Btch ID:Analyzed: VG3-0203-W Client: Envirotech 06-08-94 PARAMETER CONCENTRATION} ( REPORTINGLIIMI� u L 1,3,5-Trimethylbenzene BRL 0.5 2-Chlorotoluene BRL 0.5 4-Chlorotoluene BRL 0.5 tert-Butylbenzene BRL 0.5 1,2,4-T.rimethylbenzene BRL 0.5 sec-Butylbenzene BRL 0.5 p Isopro%ltoluene BRL 0.5 1,3-Dichlorobenzene BRL 0.5 1,4-Dichlorobenzene BRL 0.5 n-Butylbenzene BRL 0.5 1,2-Dichlorobenzene BRL 0.5 1,2-Dibromo-3-Chloropropane (DBCP) BRL 0.5 1,2,4-Trichlorobenzene BRL 0.5 Hexachlorobutadiene BRL 0.5 Naphthalene BRL 0.5 1,2,3-Trichlorobenzene BRL 0.5 I BRL - Below Reporting Limit. Method Reference: Method 502.2 - Volatile Organic Compounds in Water by Purge and Trap Capillary Column Gas Chromatography with Photoianization and Electrolytic conductivity Detectors in Series. US EPA EPA-600/4-88/039 (1988). Page 2 of 2 T.O.F. EL.= 70.1'± INISH GRADE OVER D-Box= 65.9'± 4"SCHEDULE 40 PVC MIN. SLOPE 1 FINISHED GRADE OVER BIODIFFUSERS= 64,0' - 65.7f GENERAL N®TES PROVIDE EXTENSION RISER SLOPE @ 2% MIN. WITH COVER OVER INLET& REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OUTLET TO WITHIN 6"OF F.G. RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FND. EL.= 69.0'± F.G. OVER TANK EL. = 68.1'± 5"DIA. OUTLET(S) 3"OF F.G. (ONE PER ROW) CODE AND ANY APPLICABLE LOCAL RULES. } 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 11 i I DESIGN ENGINEER. EXISTING 4" PVC SEWER PIPE 366 PROPOSED 4" "MAX. 36 MIN. 9 IN. TOP OF SAS B.O.= 62.78' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL / SEWER PIPE SYSTEM UNLESS OTHERWISE NOTED. --- - " " 3"DROP MAX " " PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN - ------ -_.__ , 6 3 2"DROP MIN 3 9 MAN.s�oaE 1. = 39 t /'"�JOINTS(TYP.) -ELEVATION =62.7& FOR A DISTANCE OF IV AROUND THE PERIMETER OF THE SAS. UNLESS A s 10» 4"PVC IN FROM ✓ _ 1.08' T 13" 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.'AND THE TOP OF I�1 14" \-*64.4 ± SEPTIC TANK 4"PVC OUT TO - (TYP.) " THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. LEACHING FACILITY Q 59 t7.13�(TYP) 1 0 I 1 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. CONTRACTOR CONTRACTOR SHALL OUTLET TEE 64•00� MIN. 6° 63.83' 62.29' �-61.70' (lard flat) 2.875'(34.5")--1 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. SHALL VERIFY SIZE 48" VERIFY CONDITION OF (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE 5.0' 6"CRUSHED STONE 11.5' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY �P•) 4'MIN. NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE REQ'D VARIES(SEE SWING-TIES PLAN) BIODIFFUSERS (END VIEW AND DESIGN ENGINEER. ; 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 67.00'ESTABLISHED TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= 57.70� ** TEST PIT DATA ON TOP CORNER OF CONCRETE APRON AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET PERC NO. 1 EXISTING 1,000 GALLON CONCRETE SEPTIC TANK PIPES To BE LAID LEVEL. 21 - BIODIFFUSERS PROFILE 3016 9. .CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION **BASED ON THE CAPE COD COMMISSION METHOD THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT BY ADVANCED DRAINAGE SYSTEMS, NSPECTOR: Donald Desmarais CRASS SECTION VIEW � INC.)) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES SEPTIC TANK PROFILE 21 - A RC36 #361 3 B D B I O D I F F U S E RS EVALUATOR: Michael Pimentel, E.I.T. TO THE DESIGN ENGINEER. *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR DISTRIBUTION BOX DETAIL t � C.S.E.APPROVAL DATE: Oct. 1999 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE DATE: July 22,2010 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING SWING-TIES SCALE: 1"=20' f �r "�, _ - _... TEST PIT#: 1 REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM - " -- -. "" - - APPROPRIATE AUTHORITY. DESCRIPTION HC-1 HC-2 COVENTRY LANE •� - ELEV TOP= 64.00' FOG (50'WIDE LAYOUT) r` - 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS \Fo ,. 'A �,� ELEV WATER= 57.70' - � = " -�^° �_ .. ' � `� -. �- - - LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE ( ) - �Aq[� y1► " � x BIODIFFUSER CORNER 1 26.3 65.8 PERC RATE_ 8 min./inch* THEY SHALL WITHSTAND H-20 LOADING. BIODIFFUSER CORNER(2) 32.4' 76.4' F°st }' 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. - DEPTH OF PERC= N/A BIODIFFUSER CORNER(3) 53.8' 88.4' .z `3� '• . o a 14. WHERE REQUIRED,CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE �r, TEXTURAL CLASS: 1 R, 5�' ° It + MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. BIODIFFUSER CORNER(4) 55.3' 82.3' S'S {�. �„ �� a + *Based Based on Sieve Analysis(see results below) REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, / }wv ; ` _ ' �} - FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). .• 0" 64.00' , 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN W /82, LOCUS' FIII SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. �+, ' 36" 61.00' 9 11 s �r C-1 Medium Sand 16. PROPOSED PROJECT IS LOCATED WITHIN: (2 GARAGE d'c� \�\ fi �! HC-1 Q - �" 2.5Y 6/3 59.83' ASSESSOR'S MAP 110 PARCEL 4-05 Silt Loam O h� #51 co - k, C-2 OWNER OF RECORD: DAVID O.&KRISTINA S. CURLEY O `L ' ,�• ��o c, 2.5Y 7/1 Z 1) EXISTING �p ^1• �o \�\ / .. K 62" 58.83' ADDRESS: 51 COVENTRY LANE z (3 F+ 3-BEDROOM '` ` C-3 a �S DWELLING 4 �,.•*. Medium Sand ' 2.5Y 8/3 WEST BARNSTABLE, MA 02668 �O� O TOF=70.1'± / s O 72" 58.00 yr' S "*ESHGW @ 75.6" 57.70' 75.6" ® \ �\ Q� f sY 84" Weeping @ 84„ 57.00' FEMA FLOOD ZONE C EX.WELL C' rS� v k COMMUNITY PANEL# 250001 0011 D 4) C-4 Loamy 2.5Y 6/3 d 17. DEED REFERENCE: DEED BOOK 10802, PAGE 14 HC- p A 4 � � ` �� � � (traces of silt) : " 18. PLAN REFERENCE: PLAN BOOK 454,PAGE 96 144 52.00 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. ✓/ Medium Sand C-5 2.5Y 6/6" 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY .° + - - CENGINEERINGWIL N T AS UM ANY LIABILITY -FOR-SEPTIC SYSTEM UPGRADE. J L' O ASSUME (loose) .�.._. S C RA E 194" 47.83' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. NO Mottling or Standing Observed 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405,THE FOLLOWING LOCAL UPGRADE APPROVAL IS REQUESTED FROM 310 CMR 15.104 815.105: MAP 110 \ \ EX LL �'\� \ / SIEVE ANALYSIS RESULTS("C-4"SOIL) (1.) A SIEVE ANALYSIS WAS PERFORMED IN ACCORDANCE WITH DEPARTMENT GUIDANCE %SAND 77.3 DUE TO THE FACT THAT A PERCOLATION TEST IN ACCORDANCE WITH 310 CMR 15.104 AND PARCEL 4-06 ,., \ Q. o 3 LOCUS PLAN /°SILT 20.2 15.105 COULD NOT BE PERFORMED. %CLAY 2.5 3 \� / SCALE: 1"= 1000' PER TITLE 5 ALTERNATIVE TO PERCOLATION \ Q, TESTING GUIDANCE FOR SYSTEM UPGRADES SOIL TYPE: "UNCOMPACTED" t p 3 i EFFLUENT LOADING RATE FOR ti \,`\�' e , CLASS I,70-85%SAND=0.66 GPD/SF Benchmark / �, Gas DESIGN DATA ASSUMED PERC RATE 8 mpi _ LEGEND Comer of Concrete - 3 ` t **BASED ON THE CAPE COD COMMISSION METHOD Elev. =67.00' / INDEX WELL: SDw-52 50x0 EXISTING SPOT GRADE Approx. M.S.L. \c, ' WATER-LEVEL RANGE ZONE. A, - - 5p - - EXISTING CONTOUR °' / 3 \ / NUMBER OF BEDROOMS(DESIGN) 3 WATER DEPTH READING: 46.58 �5 �I1. WATER DEPTH READING DATE: 6-29-10 PROPOSED DISTRIBUTION BOX / DESIGN FLOW 110 GAL/DAY/BEDROOM WATER-LEVEL ADJUSTEMENT: �7 ' S0 PROPOSED CONTOUR 21,MAP 110 \v/ c�P� I ' TOTAL DESIGN FLOW 330 GAUDAY TEST PIT DATA GAS EXISTING GAS LINE DESIGN FLOW X 200 % _ 660 GAUDAY \ �a�• PARCEL4-05 / \ PERC NO. 13016 E/T/C EXISTING UNDERGROUND UTILITIES PROPOSED TOTAL 21 ARC 36 (#3613BD) \ �C CO USE EXISTING 1,000 GALLON SEPTIC TANK INSPECTOR: Donald Desmarais 5 I � 30,615 S.F.t BIODIFFUSERS IN A FIELD CONFIGURATION \ Q� � vPo� �+` W W EXISTING WATER LINE �\� tiro . Q / EVALUATOR: .Michael Pimentel, E.I.T. 0� ( cQ�� w\ / / �. :`� ! C.S.E.APPROVAL DATE: Oct. 1999 F,MOVE ALL UNSUITABLE MATERIAL DOWN TO j 6 0� / Q EX.WELL TEST PIT LOCATION THE TOP OF"C-3"SOIL AND REPLACE WITH �6__ G GARAGE / v� Q- Uw / DATE: July 22,2010 CLEAN COARSE SAND PER 310 CMR 15.255(3) t ���,P �+ �- INSTALL 21 ARC 36 (#3613BD) BIODIFFUSERS TEST PIT#: 2, x63.0 �� �\ / Q� �J EXISTING 1,000 GALLON SEPTIC TANK G� ., '1 #51 / �\ PZ ELEV TOP= 64.00' °C EXISTING MAP 110 SYSTEM CAPACITY L / ` ELEV WATER 57.70' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE \ �` 3-BEDROOM PARCEL 4-04 (TOTAL L.F.OF BIOS)(4.8 SF/LF)(0.66 GPD/SQ.FT.)=GPD * \ , DWELLING S` \ (105.0')(4.8 SF/LF)(0.66 GAUSQ.FT.)= 332.6 GAL. LEACHIING/DAY PERC RATE_ ❑ PROPOSED DISTRIBUTION BOX O� TOF =70.1'± -- GP 150'WELL OFFSET x62.0 x63.0'TP 1 Fy ' DEPTH OF PERC 64.0' , \ C� ?-MAP 110,PARCEL 4-06 \ TOTALS: PROPOSED ARC 36(#3613BD)BIODIFFUSER ` s \ TEXTURAL CLASS: 1 o' "" `� \ TOTAL NUMBER OF BIODIFFUSERS: 21 PROPOSED INSPECTION � a_ - " � V PORT WITH ACCESS BOX 63.0�` TP 2 TOTAL NUMBER OF COUPLINGS: 0 TO GRADE (TYP OF 4 d 164.0' \ TOTAL LEACHING AREA: 504.0 \\ �� TOTAL LEACHING CAPACITY: 332.E 0" 64.00' REV. DATE BY APP'D. DESCRIPTION l `+ ;\�OA �6' �6cp \ ~`\ \ \ Fill x62.8 ) , \ PROPOSED SEPTIC SYSTEM UPGRADE '`�-EXiST. 1,000 GAL. SEPTIC TANK TO BE 36" 61.00' \ UTILIZED AS PART OF THIS DESIGN NOTE: C-1 Medium Sand PREPARED FOR: <q�OS �9A� ISO' �" 2.5Y 6/3 59.83'_ EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE CAPEWLDE ENTERPRISES NjgP 10ELL OFFSET _ DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER C_2 Silt Loam -` 64-��Q PARCEL 4-05 "MODIFIED CERTIFICATION FOR GENERAL USE"ISSUED TO ADVANCED 62N 2.5Y 7/1 58 83' F F�- DRAINAGE SYSTEMS, INC. ON OCTOBER 3,2003(LAST MIODIFIED Medium Sand LOCATED AT a, ---6 FEBRUARY 18,2010 . TRANSMITTAL NUMBER=W000052. C-3 'L 4,,� EXIST. 3 TOTAL FLOW DIFFUSERS ) 72» 2.5Y 6/3 58.00� 51 COVENTRY LANE. v^,/4' OF STONE (32'x12') 1-62� 75.6" **ESHGW @ 75,6�' 57.70' WEST BARNSTABLE, MA 02668 7 �9• �N h ?7\ 7�. 84" Weepy a 84 57.00' "�2 O�, Oh NOTES: SCALE: 1 INCH = 20 FT. DATE: JULY 28, 2010 7,\�� Loamy Sand 0 10 20 40 80 FEET 50` ►��` o l� C-4 2.5Y 6/3 �. . oc;� 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF �'of q EACH SEPTIC SYSTEM COMPONENT. (traces of silt) �Q� 9Sgc� PREPARED BY: E C S RESERVED FOR BOARD OF HEALTH USE " JOHN L. �� ,�o \ 144 52.00 CHURCHILL JR. JC ENGINEERING, INC. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE Medium Sand c iL _ 2854 CRANBERRY HIGHWAY PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT C-5 2.5Y 6/s N .41807 EAST WAREHAM, MA 02538 (loose) q A 1 DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF 194" 47$3' �� G� T 508.273.0377 SITE PLAN- HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. SCALE: 1"=20' No Mottling or Standing'Observed m Drawn By: MCP Designed By:MCP Checked By:JLC JOB No.1848 -- __ r ^f I I I A55e5SoV-5 MAV: IIa N ..�i pAQc..�L•9-5 TEST HOB ( aGS C�� go�q, ���ES = I GveZ,;aKT ZDNI ti &-r, C-rltJE Et2- TFtaMAS Mc.LEL.LAL1 PE I. VE�TICAI, bA?VM :• A56uPE►� noM QvAo [WGVp t5 t RuIwINtr SeTBf1�CS: 1 DATE.ESS : J3-RRg3t>UNN►+Jlr Z• MUNICIPAL WaTEfL 15 WE AY/IIIABLl=_ . 5 I 3. 5CHEDvLS '40 - 4" PVC QIPE To_$E USED LJS- Ft�p Zowe- c- I PE2C.. 1zATE_ ` 2 t'li►N/Iht -f}I2D u CzH - OVT st_P'r►C_ SYST Et-j. / 4. .4t� P2�c•4ST VNLTS To coWr-OMM ►�IITH r � \ / 6 AasHT - 0�2o1_OA'DI►JG 'SPEct�tU�TIoNS. _ TH 2 oN� S. P I PE P ITCH. DER. FC)CT (-)NLES S R2 0' 1S t1 � f4i O n�ev fi�..t•V THE2hJ ISE NOTEfl. SDP L s Tory eo. FIEST Z` ol` PIPE OuT TOT- D- COX TO BE tFVEL.. tz s5o1 79 S)RSDIL [�oClt,1-i o►•l M"4P 67.3 7. THE SEPTIC- sy STtM NA5 N aT �E�1y DES I G1J GLeAN YE�Y TO AGc.oM M onATiE 7HE USE DF A csAzSAc-,E c ziki P• / MAD TIG(4T $, ALL- C0NST>ZJGTIOI.t CETi�iLS A�E To ZE I►.1 7 5ILTY C_owFoMMA.w_c WITH Tl-iE -=MATE Or- MASS . \ // � KID N M Et•-i A L. nE t`T I T�� � . 'IZ 13 �� // 84° St.g `C 61.$ q 60WTtzALToR_ ,to VF_rjFY LocATIo►,l5 of AL,(,- Apt. NZo cL GAP L)71 LL TlE5 Mi co2 TO CONSrjWCTIcw4 t=IN to• p o5 ic.. S STE WO wEt-L. Lzc-Ar q � 5AHoµD �P E� 5EP r Y M A �oL1 �42E. . 3 N AGCAtz._DAN4 � W ITt4 MASTErL PL.AW Pe_r_PAtz-Ep SY N o A � ,� 1� � 1/ l0L' TRKS -� AT" bEMI� S`f -t�1GL��IA�t ENGINEERING , >r sl�T EL�V 50.4 o 120 4S.q 11. C)_be 7-0 BE WATE2_ TESTED TU E,OI :uCA= LP_VEL-NE5.5 6XISTILlc5 LL LOT S \ / � � ' ►�ID EQt_0 _, r-LokQ . h1E A � , �' .' n� 115G5 Gtzou►ltp. JATe(L ADJL75TtiE0 2- A U7a To tc.Nl�lc� Ae � r v, �,/ T i $�►� M ft�' To BET �3l' DEMAfsT -r�IuLL,ehl /'��� '� IdaL_L : 5Dhl"7-5Z zzolJE A 4W o•9` PIzLo� To CoNST-tzUcTlo �S �r✓PTtc, Y �GN 61 rm5 / •� LOba ESTIMATE' BED2G2D lS A7 110 GAL_ r>AY/B� = 3 3o C-s At_ DAY G Sri" ► _ E ► I 5 PT c, Ti�tit K / — = 495 r.Gft L_/>�Y x l•5 DAY iAL S P PLO FoscD Wr--.-L, V'SS 1000 GA L t ►�I S+✓ITT►C •TA t,1 K 1 / � CjS�. 7b LE-ILH►tJG-� A2Ee�� 61 / Z LE/UGH 11,4 U- ^F-EA :. 3 F Lo W p i Fl:W 5o IZS W t Tt-I `I" aF / / t 5 0 E 32' o .9 Lo' Deep T N ( L �o 71 SIbE ACf-=A ' 32+iz LX.`t[=84 � _ ZII.Z L � ��•.5 ) - GAL./DAY Bo TTO M A C.EA 3 Z-x I z= 394 Sx C 1 .o � = 3$�{ G�AL_ C K Y TOT-A L- CApAG IT`S = 59 S G-TAL.j DAY �EPTiL ��ST�M SELi O z F' STONE Sc1 [ � � � � E t�IELL �,4 3 Pe R Is'5 To LSAC.HIN(7 AMCA) �t Z - %� P A G8 TbP of ;=pvt„{DATIat1 3 Q- k�� pt?nPosEb L.i,4a� LIOT Z FaL _ �• �. . . t> ;0Xx \_,5_,30 \_5a0 EL. G QL - 32 4W S EPTI G TANK S> Tye\, 1 �`� T> 51�ES �- USE FLdI,.jDIPfv5d �•S 11.ITF-1 INLET ` � up, la I�t,clt�J `l- a� STot.IE (3 »E. OL)T LE•T: 6;up, I'T cr-)w 1,J (H--z-o) 49 g - � 6 x.1=-.,0 _cl 97 S-7 �, Z v -61 TE: -5E- L o G AT I O N LET `f- C�4_7-NTe_Y L.AW� $Act,15-rAsLF , MA- >:X15TINv PK•oPasED CDnitou(Z: 1 �+ PREPACED t=OfL: r=YISTlNv- SPaT E,LE-V q 5. , , -� �LT� f'eOR�SEp SQor EL�V - Col ; t�j # *< ; ScAt,E : DATE"5-?--MST 40L-g -1$�- R' , 4. THOMAS J. MGLELLAW PP.I- JOHR Z.OEMAREST, JV-,PL.S DEMtaRES-rMrL..ELLAN EN©INEERINC3 br✓i � q3-0 2z