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0009 PERCHERON WAY - Health
� 9 Percheron Way W. Barnstable P A = 174 001 4 Y _ TOWN OF BARNSTABLE LOCATION /�fi /ct.✓ /jC�c.y SEWAGE# 9013 P(37� VILLAGE &)eS,� elcd/� ASSESSOR'S MAP&PARCEL J7y-0C)I -Otj�( INSTALLER'S NAME&PHONE NO. 5-08 z/20 -- SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 6b00r-f1i,g,-4*k/r) (size) NO.OF BEDROOMS 3 OWNER 56 No© e Cc-,r� C-^3 0 -S:1� J PERMIT DATE: G J` COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility t J��v C 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� _ 1 BAc piE�c14� ►�; -�8 OUT lc1 OUT-3C��� -D - 31 OJT Lei.i shDWI o(3 - a75 / No. !� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01ppIitatiou for Misposal Opstem Coustru>rtiou Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. el IveOe e W way Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 7,1 w �-c C*11 &,vol ;IJ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. SO -NCo-7/" N'is�t�s�� Type of Building: Dwelling No.of Bedrooms Lot Size /Gy sq.ft. Garbage Grinder( ) Other Type of Building hW No.of Persons y Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 76 gpd Design flow provided 3 5-7, 3 gpd Plan Date J 1�13 Number of sheets 2_ Revision Date Title 1 Size of Septic Tank ej +vc �►5�c Type of S.A.S. d_,o 5 f L�,) C"bey-S Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1 N) !` M en 17 S, A , Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed '..��� Date Application Approved by Date — Application Disapproved by Date for the following reasons Permit No. a c(3—b 7 5 Date Issued 3`&-- 13 No. C2 1 M Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN-OF BARNSTABLE, MASSACHUSETTS Yes 4plication for TDispos ' 6pstent Construction Prrmit r Application for a Permit to Construct( ) Repair(Upgrade Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 9 Ar,! Z,✓ate v{/r„/ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel / 711 < Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. SIGs J3�d,�N r _. 50E3-NC.O-7/j i✓ JNt r/r Aj u>14(S S" -q -S ) ' Type of Building: Dwelling No.of Bedrooms Lot Size /Ci� </ sq.ft. Garbage Grinder( ) Other Type of Building V\0 JS e No.of Persons Showers( ) Cafeteria( ) Other Fixtures I' Design Flow(min.required) 3,70 gpd Design flow provided -3 5"7. 3 gpd Plan Date 1 12 5I 1 3 Number of sheets 2. Revision Date Title Size of Septic Tank ex i S t NK Type of S.A.S. y-2 C2 5a6 r ti 6r T— Description of Soil Nature of Repairs or Alterations(Answer when applicable) t NS't�, �` /J et,3) S, A . i Date last inspected: i Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date ee Application Approved by Date Application Disapproved by LIF Date for the following reasons Permit No. a y 5 Date Issued 3- 13 ------------------------------------------------------------------------------------------------------------------------------------ ------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS G (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓) Upgraded( ) Abandoned( )by Ai )�) (�`�T A)C at 9 Pe/C has been constructed in accordance with the provisions of Title 5 and th for Disposal System Construction Permit No. a 613 -6 dated Installer 1 ��(��A 3(p�N,J 1-Nc Designer. \�`e r✓t N C �D��L S #bedrooms Approve design flow 5-7, gpd The issuance of this permit/sh /not be c nstrued as a guarantee that th systemwilligned. Date ( In ector - ----— -- --- --------------------- ---------------------------------------------------------------- - ------ ---/ ---------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE MASSACHUSETTS misposaY �pstern DnstrUctlonermit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at Cl A)-AC'")O\+P and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit, F C Date Approved by �' Town of Barnstable Regulatory Services Sl, Thomas F. Geiler,Director > A" Public Health Division MAW 39. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 2— 1 -7 Sewage Permit# /3 Assessor's Map/Parcel )7 4-001—04 9 Installer&Designer Certification Form �e}erT. r1cf,E +fie 3E . Designer: E.-,,', n r� W e r 4 s, Inc . Installer: A > Occ )w ✓< < n v Address: 12 W. C S ,e 1cl 'jZ.4. Address: TW-rw cz16yy ;n ry� l�¢ f�l� G Z4 ( r On ,3 4- T A- �' `'�f1 `� was issued a permit to install a ate) (installer) septic system at based on a design drawn by (address) Aker--,a r►.0 Kt� fee 9p c_ �7t�(a1 �rn� dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was ' cted and the soils were found satisfactory. OF PETER T. N McENTEE (Installer's Signature) CIVIL ,9 No.35109 O Q ST E S Ca (Designer's Signature) (Affix Design re) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE poli-c- OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice fonnsWesignercertification fonn.doc i Town of Barnstable P# / ` Department of Regulatory Services ub ><c.Health Division Hate I 1 MA83.. A -�--- 1639 200 Main Street,Hyannis MA 02601 Date Scheduled `/ Time Fee Pd. Soil Suitability Assessment for S age Disposal Performed By: �'' r C E",WA_ S 2 Witnessed By; - J LOCATION&GENERAL INFORMATION Location Address 9 Owner's Name Address cl aXXJ� %A� iAssessor's'Map/Parcel: �'7 d.0/ Q�-q Engineer's Namep NEW'CONSTRpUCTION )REPAIR _�! Telephone#_ SfSl( "73/7-4 Land Use ►,.P_S l -F-i fn l Slopes Surface Stones Distancesfi+om: Open Water Body /�� ft Possible Wet Area" � ft Drinking Water Well�t ft Drainage Way /V/ A, ft Property Line � �0 ft Other ft SKETCH:(street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 2 e v _ i7rZ. - -- BARNSTABLE j 01= Y-},l 16 rl 9: 28 1 . re 4 �y Parent material*V6119T ON Depth to Bedrock Depth to Groundwater. Standing Water,in Hole: 1�' Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing m ebs.hole: - _-- In. Depth to sell mottles, In. Depth to weeping from side of obs.hole! ___... , .,,in. _t3ruundwater AdlltNtn+ent �a a n_ft. Index.Well.#- Reading Date: Index Well level. Adj,factor: Adj,Croundwater Level PERCOLATION TEST mate ZJ Time_11-4 -% Observation Hole# Time at9" w,53 Depth ofPerc Time at 6" P � Start Pre-soak Time @ �" y f 2 Time(9"-6") 77 - End Pre-soak Z-7 _4-� A Rate MinJlnch Site Suitability Assessment: Site Passed o 1, Site Failed: Additional Testing Needed(Y/N) 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:\SEPfIMERCFORM.DOC l C DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders: nS v 1 C� ,4 10 YfZ2 z uv�`G - L15 Y 61 w d tivt� y DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones,Boulders. Consistency. 3Z-1 �521 DEEP OBSERVATION HOLE LOG Hole# Depth from.. Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Qgve DEEP OBSERVATION HOLE LOG - Bole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,:Stones,Boulders. Consistell 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 pervlo s material exist in all starts observed throughout-the area proposed for the soil absorption system? ---f If not,what is the depth of naturally occurring pervious material? Certification I certify that on (y (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 .r the required training,expertise-and experience described in 310 CNM 15.017. 2 3 Date Signature Q:\SEpnO- PERCFORM.DOC f L `3 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL P RECEIVED MAY 1 9 2004 TOW',OF BARNSTABLE HEALTH DEPT. TITLE 5 -- OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 9 Percheron Way MAP West Barnstable, MA 02668 PARCEL. ; '0Q) Owner's Name: Dave MacDougall Owner's Address: LOT Date of Inspection: April 28, 2004 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O. Box 49 Osterville, MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT l certify that 1 have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fil Inspector's Signature: �L- S�; Date: May 3, 2004 The system inspector shall subm t a copy of this inspection report to the Approving Authority(Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the 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 ****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 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 9 Percheron Way West Barnstable, MA Owner: Dave MacDougall Date of Inspection: April 28, 2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 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: 2 Page 3 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 9 Percheron Way West Barnstable, MA Owner: Dave MacDougall Date of Inspection: April 28, 2004 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(1)(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 or 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 triggered. A copy of the analysis must be attached to this form. 3. Other:. 3 Page 4 of 1 I OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 9 Percheron Way West Barnstable, MA Owner: Dave MacDougall Date of Inspection: April 28, 2004 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ 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 ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6" below invert or available volume is less than % day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 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. [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 form.] No (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 System: 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 II 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. 4 Page 5 of 1 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 9 Percheron Way West Barnstable, MA Owner: Dave MacDougall Date of Inspection: April 28, 2004 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 ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection ? ✓ Were as built plans of the system obtained and examined?(if they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? ✓ Was the site inspected for signs of break out? ✓ Were all system components,excluding the SAS, located on site? ✓ 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 ? ✓ 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 ✓ Existing information. For example, a plan at the Board of Health. ✓ 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)). 5 Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 9 Percheron Way West Barnstable, MA Owner: Dave MacDougall Date of Inspection: April 28 2004 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): Yes Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Currently occupied COMMERCLUANDUSTRIAL 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 Source of information: Pumped 6 years ago-per owner 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 ✓ 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: Installed 8118194-per as built card Were sewage odors detected when arriving at the site(yes or no): No 6 I , Page 7 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 9 Percheron Way West Barnstable, M4 Owner: Dave MacDougall Date of Inspection: April 28, 2004 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _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: ✓ (locate on site plan) Depth below grade: 30" 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: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 5" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Tees were present The liquid level was even with the outlet invert. There did not appear to be any signs of leakage. GREASE TRAP: None (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.): 7 Page 8 of 1 l OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 9 Percheron Way West Barnstable, MA Owner: Dave MacDougall Date of Inspection: April 28, 2004 TIGHT or HOLDING TANK: None (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.): locate on site plan) DISTRIBUTION BOX: ✓ (if present must be opened)( p ) Depth of liquid level above outlet invert: Even 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.): No solids were present PUMP CHAMBER: None (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.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 9 Percheron Way West Barnstable, MA Owner: Dave MacDougall Date of Inspection: April 28, 2004 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 1 - 1000 gal. 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.): The leach pit had 4'of water on the bottom. The scum line was at the same level. There did not appear to be any signs offail ure. The bottom to grade was 10' The cover was 16"below grade. CESSPOOLS: None (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: None (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.): 9 • Page 10 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 9 Percheron Way West Barnstable, MA Owner: Dave MacDougall Date of Inspection: April 28, 2004 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. A 8 � a a � 3o I�i6 0 3 3 56 a� 3 y 6 y 3y ag 10 Page 11 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 9 Percheron Way West Barnstable, AM Owner: Dave MacDougall Date of Inspection: April 28, 2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water SO +/- feet 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: topographic and water contours maps Checked with local excavators, installers- (attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using a Barnstable topographic map and a water contours map the maps were showing approximately 50'+/-to ground water at this site. This report has been prepared and the system inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the system, the inspection and/or this report. 11 TOWN OF BARNSTABLE LOCATION RfL/ NLrne, w4y SEWAGE # VILLAGE (nJ• �/��/1;j ASSESSOR'S MAP & LOT ON f INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY UUb LEACHING FACILITY: (type) (size) �UUb NO. OF BEDROOMS 3 BUILDER OR OWNER 44- MACC OV4oll jo PERMITDATE: 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 Wedand and Leaching Facility(If any wetlands exist within 300 feet of leac�'f'g facili Feet Furnished by 7�/1j/�CGT7on �D� A (3 a p 3o 11' 0 335 cl 3 6 y � 3y aq y r : q TOWN OF BARNSTABLE l9z?� LOCATION t-Ut � ������{'COIn P. , SEWAGE # VYLLAGE kk tl4A>In�i "�4 ASSESSOR'S MAP 6z LOT' I b1.oyQ INSTALLER'S NAME 6z PHONE NO. �-� ' �4 5Csi SEPTIC TANK CAPACITY L L 00 2� C�4�tti ~LEACHING FACILITY:(type) "���` NO. OF BEDROOMS PRIVATE WELL ORCPUB�LI�WAT�ER BUILDER OR OWNER ``�/Sio� �y`, y►� ��� -71 0 rig Q� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: - I L VARIANCE GRANTED: Yes No tl- Z�' lye 2i' yi W5, ��° cc�� W 1 No.. ... FEs......1 ?: ...._ THE COMMONWEALTH OF MASSACHUSETTS f6- - BOARD OF HEALTH ......� w/v.........OF...... (L�t! Apli iration for Diiipniitti Workg C owitrudiurt 1Prutit Application is hereby made for a Permit to Construct V-4 or Repair ( ) an Individual Sewage Disposal System at: I P ..._......--••----..__......--- LD -• •- e� "r'1 ...................... ................ --.... - . Location�AAdd�es t No, rJ/J ................•-•-___.........�.�.... .:7l_�..`� ..-. - --.......... ..C�:...�..... � .---.......LJ/l..I`/'�...-a.............. 0 l . .�i Ad e .. a .......................... ...• .. n Y�5�.-- .................... ........... 1 Y.' .... .. ...._.. ..c. ................ M Installer Address Q7i Type of Building Size Lot.....11?a 3....Sq. feet U Dwelling—No. of Bedrooms______________ ___ ______________________Expansion Attic ( ) Garbage Grinder ( ) a04 Other—T e of Building No. of ersons____________________________ Showers YP g -----•------------------•--- P ( ) — Cafeteria ( ) Other fixtures ................................. -...- Desi Flow_______________r!�.D......... . ,.-.gallons son er any. Total dail flow_._....__.___. 0 W !'n f g Pam' �3----•---..... •-•--......�ilons. _ WSeptic Tank—Liquid'capacity_1_��.gallons Length._. 2��r.. Width:....�V Diameter________________ Depth_.S�-.4�(-r x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.........I.......... Diameter.....1.0........ Depth below inlet_._._......... Total leaching area�.._,?......sq. ft. Z Other Distribution box V Dosing tank ( ) `~ Percolation Test Result ______Performed by__________ 9.._-5 - ______. ./-___---_ ._.._..._..... Date......... � Q......... M Test Pit No. 1___.._..-2,.__minutes per inch Depth of Test Pit......1A�j.0__ Depth to ground water.. fa, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ••••••--•••........................................................................•-......................................................... O Description of Soil...............#:..• Pi.. 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 LITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b ised by the board of health. Signed.: -•-••---•---••--•................•---...._...._......----••......••...••-- --_•••._ . ... ........... Date Application Approved By........... -•--------------------------------- -�,�.-. �..... Date Application Disapproved for the following reasons:............................................................................................................ _.. -----------------•-•---••----.....----•-•--•---•---------•--•---..............._....----•••---•---........_..---....................-•-•••--•--•------........••-••-----....._......--......._.........Date q / i- PermitNo....... - --------------------------- Issued....................................................... Date I M• 1 4 s a3 :w1►` }' ` ,���� 1��/"� �I A .t' •plF THE COMMONWEALTH OF MASSACHUSETTS 2 BOARD OFF HEALTH ' •'' f .� otc).1�.........oF...... y,� .of_S. " ... ..L Appliration for Disposal Works Tonutrurtion Permit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at L-0 T / Lf( 0lrr.,�.,P.,, � ......................... ... Location.Address._. ...... .._.ti.._ Y '1....-.-- -or�L'ot No ...f t; ......... ;.._........-................._...._.._..... c,.is r � 2 -2.......... ... pwnez Ad ess a ..........��!.d �....1_C.!C.... _f,�L...... ......^ -,'-= U cif/il..l...?................ �. Installer Address Type of`Building Size Lot.....r.?.�J......-...Sq. feet t-� Dwelling—No. of Bedrooms.................fs ...........................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ............................ No. of persons............0............... Showers ( ) — Cafeteria ( ) Other fixtures .........-••--••-------•........_,�" -•------- Q ............. -•............. W Design Flow.............../(.0.........4_... v gallons persperson per�day,. Total daily flow.............:3.�.-.... ...................gallons., WSeptic Tank—Liquid capacity.M?...gallons Length... 1__ .. Width:.._.""!('?. Diameter................ Depth.. ..4-. x Disposal Trench—No. .................... Width.................... Total Length..........-r........ Total leaching area....................sq. ft. Seepage Pit No..........I........... Diameter....�4 O......... Depth below inlet.....?......... Total leaching areaz�. ......sq. ft. Z Other Distribution box ( ) Dosing tank '~ Percolation Test Result's Performed by..._......c._. ... t! .............!1.............. Date.-..... �a C ,... ;... ; .a Test Pit No. I....... ..minutes per inch Depth of Test Pit._....F�� . _ Depth to ground water..".4 f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ --- ..-.. ----•------- ----------------•••-•••----•-----........................--••-----•-•---.......------•-•--......------•......--------.........•.ODescription of Soil............... .. .....6: 6...........................-........................................-...................................0................. W ---•--------•------------------------------•---•--..._..---•------•------------•-•--•-----.....----------------•------------...•----.......---- UW ••--••---------------------•••--••••. -•••-.....--•---••-•-•--•-....----•-•••••••-•------•....-•-••----•--............. •-••-•=••------•••-•-•--••........-•---••-•------•..........•-••-•------•-_..t.. Nature of Repairs or Alterations—Answer when applicable........................................................................................:...... . r Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I TATIL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed. .?`. ..'....................`--------------•---------................--••-.... ........i�/.. 3A�... 4 Date Application Approved By. -_ tt JDate Application Disapproved for the following reasons:-----•........................................•--------------....--------------............---•.........._.. .....................................•-.......-•------•----•................••--•-••----•--------••-.......----.....-•------•-•------••••.....•••-•---••--•--•••-•....................................... Date Permit No......2L.d..5.......................... Issued . -----...--•---......--------..._.....---- ...... (.-/r 1 ,�/ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f .........,./ �!1'1 1.............OF.......... mX.r Y. .................................... Trrtif iratr of Toutplinurr THIS IS%TO CERTIFY,'That thud ividual Sewage Disposal System constructed >0 or Repaired ( ) by........... .... � F_ _?a.. ItW t�Her at ......... MCa ..r./:. .. ' � -... - d..... `. has been installed in accordance with the pr%visions of TIT 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..-._.�...'��_--..�. ;� ... dated.............._-_.............................. THE ISSUANCE,.OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................ST .. f '.�.. ................................ Inspector------..... =- �j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '� ....... 1 ..........OF...... -, rs((/!......................................... }} No... A...:../ FEE.....*.//26........ Disposal Works Tonutrudion Permit Permission is hereby granted..........r .r...�.P �'�..� --•-••------------------•-••--•---------..........---•--....................-- to Construct (>{') or RV air ( ) an Individual Sewage Disposal System - Street �/ /��.-� as shown on the application for Disposal Works Construction Permit No..,r._......._..�_`.Dated.......................:.................. ........................................ -.........................................._ DATE_ `• f /..................y ��ard of Health 4N N LEGEND �P- 8 JUO�S o a -- 98 -- EXISTING CONTOUR 134 PROPOSED CONTOUR x 100.98 EXISTING SPOT GRADE U UNDERGROUND WIRES �o TRO B H TTlNO O � EXISTING GAS SERVICE 4 LA. �� � oERaY G � a ce a DR. W EXISTING WATER SERVICE M TEST PIT d PERK wpY lli� BENCHMARK m LOCUS Q c� a APPALOOSA �J of Q WAY h 3 • HOLDER LkE R� PREWNESS JOE THOMPSON WAY LOCUS MAP NOT TO SCALE 95,24 . 97.20 96- 95.41 edge 98.66 of- pavement CURB 99,62 i ) x 95.59 � 98,4 ) 4-87. 00' � 101,20 + 101,30 p /� G 99.24 -,���� R=609. 74 '� ELE BOX O � � � `L � ----94 97.44 97.24 x 9 .63 99.10 �/ l ,� x 92.70 x 101.6 101,70 + PAVED��' 0 DRI VEWQY ® Y 95 60 RAIN (qA I A9- A , : 97.Z ,' �01 x 4.32 97.03 .0 L �-96- WALK 95.92 X(42.10 96.62 i i 96)16 96.17 , x 95,71 .88 1 100.90 t�� 97A` x \\^ 98.03\ ' 1.82 Q _ _ GARAGE EXISTING , _� _. _ o t - --? HOUSE (#9) 96, 97.85 G, T.O.F.-96.8t z i 95,84 o ILAO LA + i �� 95.68 x shr. -0 O _ i 99.33 % w 1 DECK M U! � 95.87 _92.43 x 90,96 �-----90 o a i +j 8,37::� 95.54 94.83x 1 x 93,38 �- O i + 9 .92 100,25 /' "edge Z of clearing 93.32 + 93,94 x 93.05 + 2.19 x, 97.81 + / 94,78 Q x 94.35 \ -_ 1 co 100,72 94,09'+ ; + 41141 CATCHBA '� ( 3.88FT 100.50 --- EXISTING SEPhA� TANK . TOP 2� TANK, EL�91.99 INV.(OdT)=90.66 Q ��\ 19' PL., A._Sy ... 1:+ 95.11 /��� EXlS77NG\LEACH Pl7` \ VENT + 25 LOT 141 WITHBE PUA�IRE�, FILLED \\ �� 94.13 ,'mBLU 174 001 049 �8 WI TH SAND ,� D ABANDONED. �� �� �� , _-- � 16,843 S.F.f ��-- � ---- ' BENCHMARK OUTSIDE COR./BULKHEAD J EL.=92.43 (Assumed) x 96,96 ----------------- g0"25'46" W P c � PETER T. �� + 100,50 McEN E PROPOSED SEPTIC SYSTEM UPGRADE PLAN � TE � ` CIVIL N 9 PERCHERON WAY, WEST BARNSTABLE, MA No. 35109 A �'£GISTER`°� � Prepared for: D.A. Brown, Inc., P. 0. Box 145, Hyannis, MA 02601 Engineering by: SCALE DRAWN JOB. NO. P.T.M. OWNER OF RECORD 01-12 Engineering Works Inc. . 1 -20' 3 SCHOOTE, CARL A & JILL A 9 9 - . DATE N G SHEEP 0. 9 PERCHERON WAY 12 West Crossfield Road, Forestdale, MA 02644 CHECKED WEST BARNSTABLE, MA 02668 (508) 477-5313 1/28/13 P.T.M. 1 Of 2 y NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL.90.6 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL RISER & COVER OVER ONE CHAMBER (MIN.) AND T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE SET TO 3' OF F.G. TO SERVE AS INSPECTION PORT . EXISTING F.G. EL.=93.9t -F.G. EL.=94.0f F.G. EL.=94.0t VENT L = 29' L = 5' S=1% (MIN.) @ S=1% (MIN.)4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" 6 DOUBLE WASHED STONE 70"I " as $ as (OR APPROVED FILTER FABRIC) .� 14" 6 24" aaeae®a 6 EXISTING 48" U(UID INV.=90.66t EFF. DEPTH 10 a0 0 06 -3/4" TO 1-1/2" DOUBLE LEVEL 4' 5.2' 4' WASHED STONE GAS eAFFLE INV.=90.37 INV.=90.20 PROPOSED D-BOX EFFECTIVE WIDTH = 13.2' EXISTING SEPTIC TANK INV.=90.1 0 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED NOTES: TOP CONC. ELEV.=91.2 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BREAKOUT ELEV.=90.60 ease I INVERTS, PRIOR TO INSTALLATION. INV. ELEV.=90.10 ease aaaaa amaaa 2) D-BOX SHALL BE SET LEVEL & TRUE TO GRADE 1=1aa6a 6B6aa ON A MECHANICALLY COMPACTED 6" CRUSHED BOTTOM ELEV.=88.10 rp 4' 2 X 8.5'=17.0' 4' - STONE BASE, .AS SPECIFIED IN 310 CMR 15.221(2). 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' 3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL 4) CONTRACTOR SHALL INSTALL AN APPROVED EFFLUENT 4' (MIN.) ABOVE G.W.. FILTER ON THE OUTLET TEE. LEACHING SYSTEM SECTION BOTTOM OF TP, EL=84.1 - GENERAL 'NOTES: SOIL LOG 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL SOIL EVALUATOR: PETER McENTEE PE (SE#1542) BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: JANUARY 25, 2013 (REF P#13849) 2. ALL WORK AND MATERIALS SHALL'CONFORM TO THE REQUIREMENTS WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT OF THE STATE 'ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES" AND REGULATIONS, EXCEPT AS REQUESTED BELOW: ELEv. TP-1 DEPTH ELEv. TP-2 DEPTH -310"CMR 1:5.405(1)(b): 94.1 A 0" 94.3 A 0 11 1) A 1' Variance to the 3' maximum cover requirement, for SANDY LOAM SANDY LOAM 4' mox. cover. S.A.S. shall be H-20 and vented. 93.6 t 0YR 4/2 6" 93.8 10YR 4/2 6„ 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR B B TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE SANDY LOAM SANDY LOAM DESIGN ENGINEER.' 10YR 5/8 10YR 5/8 4. ANY 'CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING •FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN "` 91.6 30" 91.6 's 32" " ENGINEER BEFORE CONSTRUCTION CONTINUES. C C PERC 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 40"/52" 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF D 2.5Y 6 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 4 2.5Y LOAMY SAND LOAMY SAND HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. / 6/4 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 9. ALL 'AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 84.1 120" 84.3 120" AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE PERC RATE 3 MIN/IN. ("C" HORIZON DIRECTED BY THE APPROVING AUTHORITIES. NO GROUNDWATER ENCOUNTERED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE ®® S.A.S. AND R=PLACE WITH SAND AS SPECIFIED IN 310 CMR 255(3). F- ®®®®®® ®®EO®® 37" 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE W ®®®®®® ® ® 3 INSPECTED BY A CERTIFIED SOIL EVALUATOR PRIOR TO BACKFILL. ®ka_E ® 3 E3 EA 13. THIS .PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND Z IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. `r 102" 4" KNOCKOUT DESIGN CRITERIA 20" DIA. COVER NUMBER OF BEDROOMS: 3 BEDROOMS 4" KNOCKOUT 4" KNOCKOUT 62" SOIL TEXTURAL CLASS: CLASS 1 0 DESIGN PERCOLATION RATE: 3 MIN/IN 4" KNOCKOUT DAILY FLOW: 330 G.P.D. DESIGN FLOW: 330 G.P.D. GARBAGE GRINDER: NO EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 500 GALLON CAPACITY, H-20 LOADING LEACHING AREA REQUIRED: (330 GPD) = ,445.9 SF CHAMBERS .74 GPD/SF USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE-ALL SIDES 9 PERCHERON WAY, WEST BARNSTABLE, MA SIDEWALL ,AREA: 2(13.2' + 25.0'),X 2. = 152.8 S.F. BOTTOM AREA: 13.2' x 25.0' = 330.0 S.F. Prepared for: D.A. Brown, Inc., P. 0. Box 145, Hyannis, MA 02601, TOTAL AREA:..............................................................482.8 S.F. Engineering by: SCALE DRAWN JOB. NO. Engineering Works, Inc. 1"=20' P.T.M. 301-12 DESIGN FLOW PROVIDED: 0.74 GPD/SF (482.8 SF) = 357.3 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 P.T.M. 2 Of 2 ^ , ; I. i t ti ,r r. ss _. • !3 0 �I RG ,r a v. 1 w— 'r 01 , G W40-1 T. I � i � �� � i •�/ � lam} r"'•, `"���✓ 1 Gt�t f'""t��� �..� ._ �_. ,�u�16 �"Cd►c..��..1 i — J 14 /( I 1�,S.ct 2 ! 3 can I r , (4P { ti n t;r I iv — . .r_=.G___ f�f'Z Wa�.►arsDSTo..I � � ►v _� �ALtLtT`( 3o GPO 4 2S G4L, I USE GAt_ld t Y4l lv— . i l.E4G►E�a1G i s►mS' jOr 4-71 -Z LI ARNE . I ARNF }.i I .iJwA a -}JA c r7 ca e cf79 r.r. ( ,CwCQ 1�.1�LGEt• I t4EF-F-S } 11Q,�T,i _ c � +-c. - , r. ✓( , c q - WfVD �7VQ� r1 � �i > �I.t. N .�*5d h �,.. , f)c4,QDOp �T{.xL 4 ' `DEL Y�e•Mot3t' , �14. 1�2►J� N , ,� #�A��.��;�-r���:._� M A,, "W",M- ,z GL-IAA-A► oiZ.L . i P E, DATE �,f '2OvED MATE t. a. .; Imia r- i