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HomeMy WebLinkAbout0029 PERCHERON WAY - Health r29 Percheron Way W. Barnstable P A - 174 001051 - _I Town of Barnstable °FIME ray, Regulatory Services Thomas F. Geiler, Director w BAPNsiABIX, 9�A 6'9. � Public Health Division lED1AP�°i Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 1/17/08 Designer: _Shay Environmental Services, Inc. Installer: Rodney Fisher Address: P.O. Box 627 Address: 585 Kelley Street East Falmouth, MA 02536 Harwich, MA On 1/15/08 Rodney Fisher was issued a permit to install a (date) (installer) septic system at 29 Percheron Way, W. Barnstable, MA based on a design drawn by (address) _Shay Environmental Services, Inc. dated December 15, 2007_ (designer) XX I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Y 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. �Vj"OF bfgSS9 � ..o�� CAR�viEN (In Ile s Signature) �g E. Si-IAY cn No, 1181 i c/s EV 1- esigner's Signature (Affix f, Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH.-DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form TOWN OF BARNSTABLE . LO ..&TION � C�j1 SEWAGE # —V VILLAGE�N" ��°'� �� ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) s (size) NO. OF BEDROOMS l BUILDER OR OWNER h G PERMIT DATE: 6 Sr� 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 w Edge of Wetland and Leaching Facility(If any,wetlands exist within 300 feet of leaching facility) Feet Furnished by ft 3� 1o. OA FEE COMMONWEALTH OF MASSACHUSETTS T 'f Board of Health, OXot"ke MA. APPLICATION FOP DISPOSAL SYSTEM[ CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repair Upgrade( Abandon( - ❑Complete System XIndividual Components Location 20 ��- Owner's NameOh Map/Parcel# 1-j or _ I_ oS Address Z9 766 1. Lot# 'LA Telephone# Installer's Name Designer's Name t4A OUL7t - !Xs T"C-. R Address t Address i b J HOSV) MA Telephone# Telephone# - Type of Building S t c��c1� a\ Lot Size so.ft. Dwelling-No.of Bedrooms T` hi:-e e ��� Garbage grinder V41A V Other-Type of Building ` None one No.of persons�_Showers *<Cafeteria (� Other Fixtures L_(ay CA6cI �C�' C�s¢!� c�itl k , 1 nt1C�f�CCZ•, Design Flow (min.required) gpd Calculated design flow ' ® Design flow provided �� 3 gpd Plan: Date Q1041 U-4 Number of sheets Revision Date cc ,�,,,�,,� Title ��0, �{ L S )���r Description of Soil(s) \a�X1 Soil Evaluator Form No. M 1 Name of Soil Evaluator CrIV19j\ Date of Evaluation 3 C7 DESCRIPTION OF REPAIRS OR ALTERATIONS �'� The undersigned agr�pep to install ove described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to o ce em in o e ation until a Certificate of Compliance has been issued by the Board of Health. Signed Date l ■l 0 ;^s� :. � r � t��.y` .S '-'' x�.e,�,• r ;, .'! e.#-�'" .. � - ,'�t,^ ice..�.. ra. ��. — � �-�4, t. { �' -.. \���. CYn-" ,,.•,-.,,J• N�, / �'t OA f FEE C COMMONWEALTH Of MASSAC14USETTS Board of Health, _&<n4GhVe MA. APPLICATION FOR\DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct( ) Repairg Upgrade( ) Abandon( ) - ❑Complete System X1,diidal Components t N Location 2q ' Cecc.c,Ccx--, ® Owner's Name _ 1Uhn Q_Uc '. Map/Parcel# 74 1 o� -- Q `j Address 29 7ec cVe.�n Lot# y'�) Telephone# Installer's Name ' Designer's Name [� SwCS �r+e. � 'NAY 1,OU, r4 Address Address E JC ASOU 4� Mr'Sv1 1 My Mry Telephone# Telephone# J�3r!- -�(�(� rJ"7j Lry^I Type of Building 1 e\•eC���L�� Lot Size - sq.ft. <,. f > 'T hie e C 3�Dwelling-No.,6f Bedrooms Garbage grinder (/q A f "Other-Type o Building No.of persons Showers (✓S Cafeteria (jeY Other..Fixtures l kr C,`Qh .Jttlk r l:QVC� Design-Flow(min.required) 33 D gpd Calculated design flow 3 O J Design flow provided 3y �3� gpd Plan: Date Al 041 U 4 Number of sheets c /F / Revision Date i Title �'� er Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator 5V->0-A Date of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS C_x -\-t r The undersigned a to install a ove described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to. to lace em in o gyration until a Certificate of Compliance has been issued by the Board of Health. Signed A� DateV/es � l DR, bM,O Old, // / No / FEE Board of Health, ? MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑Individual Component(s) ❑Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ),Repaired.(' ,Upgraded ( ),Abandoned O by: �Dl�l , at f' G has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the ag roved design plans/as-built plans relating to application No. dated i Approved Design Flow (gpd) Installer O akG Designer: (.// 49j"Vl ',;�bV InspeSox: t /✓ Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed. No. FEE -COMMONWEALTH Of MASSACHUSETTS,_ Board of Health, A&_A DISPOSAL SYSTEM CONSTRUCTION PERMIT t � i Permission is her by granted to; Construct( ) Repair( Up a e ) bandon( ) an individual sewage disposal system at / �2l%� f�- s described in the application for Disposal System Construction Permit No. dated 4 lN.. .i 1 hr Provided: Construction shall be completed within three years of the date of this permit. 1 c ita '' must met. Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date /� �ry/.�BOard of Health , l v V L �, Town of Barnstable P# erne Departinent of Regulatory Services i Public Health Division s� S On .Date 200 Main Street,Hyannis MA 02601 �Ep MIKt t � Date &Vq Scheduled /3 Time Fee 1 Pd I� .. Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address Owner's Name Address �jC�(YZQ Assessor's Map/Pa=l: 1 1 Q 5 Engineer's Name C(2A mar., � l NEW CONSTRUCTION REPAIR Telephone# 9 39- '"�v(c Land Use - QS\C `ti ' Slopes(%) i59b Surface Stones JVIA Distances from: Open Water Body N 6 M ft Possible Wet Area 4) ft Drinking Water Well Ap_ft Drainage Way IV QT'VL ft Property Line S ft Other - (� ft SKETCH:(Street name,dimensions of Im exact locations of test holes&perc tests,locate wetlands in proximity to holes) =\A C= �, �► 3b� Parent material(geologic) CA-e Depth to Bedrock �4 �- Depth to Groundwater. Standing Water in Hole: YV r2s� V Weeping from Pit Face NQ _CkS Estimated Seasonal High Groundwater k ))L" 0 5's oy-W-6 � �Z DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: in, Groundwater Adjustment Index Well# Reading Date: Index Well level , Adj.factor- Adj.Groundwater Level PERCOLATION TEST Date Time a =- Observation r Hole# Time at 9" - - Depth of Perc P Time at 6" ®`i Start Pre-soak Time @ 79me(9"-6") a End Pre-soak ��, �•.. { 3 M Rate Min✓Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) V 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:\SEPTICVERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# / Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistencv.% ravel AN IO. Q3 Fc �b ►,r�7�czlt�el �cob��s (0o"13� �. N1- F5cnd a 54'��a 1oo�e DEEP OBSERVATION HOLE LOG Hole# -tea Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsi ten %Gravel) n ' �a- � �� �.5 ra��51 �►�b�9 -i 3 'fa �11 Y a e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency. s Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes . Within 500 year boundary N04 Yes Within 100 year flood boundary No>, Yes . Depth of Naturally OccurrinL,Pervious Material Does at least four feet of naturally occurring pervio s material exist in all areas observed throughout the area proposed for the soil absorption system? Yes If not,what is the depth of naturally occurring pervious material? Certification I certify that on ` (date)I have passed the soil evaluator examination approved by the Department of Env' nm ntal Protection a that the above analysis was performed by me consistent with . the required trai 'ng, xpertise and exper'enc bed in 310 CMR 15.017. Signature Q:\.S.EPnMFRCFORM.DOC s r COMMONWEALTH OF 1VIASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS MEW DEPARTMENT OF ENVIRONMENTAL PROTECTION MAP PARCEL. 001 2 I TITLE 5 SOT OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 29 Percheron Way West Barnstable Owner's Name: John Bettencourt — Owner's Address: LEE Date of Inspection: 2/26/2004 4 Name of Inspector: (please print) Patrick T. SullivanCompany Name' Ready Rooter 8�E Mailing Address: P.O.Box 371 Sandwich,MA 02563 Telephone Number: (508)888-6055 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of 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: asses Conditionally Passes Needs Further Evaluation by the Local Authority Fails Inspector's Signature: ��(/-�-- Date: Y The system inspector shall submit 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. Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D C.System Passes: V 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"seen need to be replaced or repaired. The system,upon completion of the replacement or repair,as approve y 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 (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 appro�d 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 'gh 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): brokgg pipes)are replaced obmction is removed Zore button box is leveled or replaced ND explain: The system required pumping 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of a Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 C. Further Evaluation is Required by the Board of Heal Conditions exist which require further evaluation y the Board of Health in order to determine if the system is failing to protect public health,safety or the enviro ent. 1. System will pass unless Board of Health etermines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner ich will protect public health,safety and the environment: _Cesspool or privy is within 50 fe of a surface water Cesspool or privy is within 50 t of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Sup ier,if any)determines that the system is functioning in a manner that protects the public health,safet and environment: _The system has a septic tank and soil absorption system(SA 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 a Zone 1 of a public water supply. _The system has a septic tank and SAS and the SAS i within 50 feet of a private water supply well. The system has a septic tank and SAS and the SA is less than 100 feet but 50 feet or more from a private water supply well". Method used to dete 'ne distance "This stem asses if the well water anal sis (formed at a DEP certified laboratory,for lif rm system P y ,P ry, co 0 bacteria and volatile organic compounds indicates t the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitro en 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: I Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 D. System Failure Criteria applicable to all systems: You must indicate"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 and overloaded or clogged SAS or cesspool Liquid depth in cesspool is less than 6"below invert or available volume is less than'h day flow _ _.L Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped _ _Z Any portion of the SAS,cesspool or privy is below high ground water elevation. _,Z 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 1 of a public well. _✓ Any portion of a cesspool or privy is 50 feet of a private water supply well. _Z 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.] PJ 0 (Yes/No)The system fails. I have determined that one or more of the above criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve facility with a design flow of 10,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the llowing: (The following criteria apply to large systems in ad ' 'on to the criteria above) yes no _the system is within 400 feet of a surfa drinking water supply the system is within 200 feet of a tri tary to a surface drinking water supply the system is located in a nitroge sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone R of a public water supply ell If you have answered"yes"to any ques on in Section E the system is considered a significant threat,or answered "yes"in Section D above the large sy em has failed. The owner or operator of any large system considered a significant threat under Section E o failed under Section D shall upgrade the system in accordance with 310 CMR 15.304, The system owner should ontact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 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 _ZWere 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) f_ 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 than 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)] i Page 6 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): _2L Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): G. Q Number of current residents:_ Does residence have a garbage grinder(yes or,no):.`1 Is laundry on a separate sewage system(yes or no):W_g[if yes separate inspection required] Laundry system inspected(yes or no): 1 Seasonal use: (yes or no): I `k4 (G Water meter readings,if available(last 2 years usage(gpd)): Q©©3 z) 10 6.3? Sump Pump(yes or no): ALp Last date of occupancy: C,,r t- \ COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 ypresents d Basis of design flow(seats/pc. Grease trap present(yes or n Industrial waste holding tan or no):_Non-sanitary waste discharge 5 system(yes or no):Water meter readings,if ava Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no):tip If yes,volume pumped: gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ,,eo!�ptic 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 krn�own)and source of information: Were sewage odors detected when arriving at the site(yes or no):dL70 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 BUILDING SEWER(locate on site plan) Depth below grade: 'D ° S 11 Materials of construction:_cast iron_40 PVC_other(ex lain): Distance from private water supply well or suction line: A"1 Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: locate on site plan) Depth below grade: ( I JI Material of construction:jL16oncrete_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: y.S -X Sludge depth: Distance from the top of sludge to bottom of outlet tee or baffle: _ Scum thickness: 3" Distance from top of scum to top of outlet tee or baffle:�— Distance from bottom of scum to bottom of outlet tee or baffle: How were dimensions determined: �.� Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): `=v t�" �t l bacc.�� ��jvs ms. GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal/berglass_polyethylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee r baffle: Distance from bottom of scum to bottom of tlet tee or baffle: Date of last pumping: Comments(on pumping recommendatio ,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of 1 ge,etc.): I Page 8 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 TIGHT or HOLDING TANK: (tank must be pumped at time o 'nspection)(locate on site plan) Depth below grade: Material of construction:_concrete_metal fiberglass olyethylene_other(explain): Dimensions: Capacity: _____gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working or (yes or no): Date of last pumping: Comments(condition of alarm and floa witches,etc.): DISTRIBUTION BOX:�if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: ef:) Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): PUMP CHAMBER: (locate on site pl /dition Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,cpumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 SOIL ABSORPTION SYSTEM(SAS):—Lzoocate on site plan,excavation not required) If SAS not located explain why: Type aching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches, number,length: leaching fields, number,dimensions: overflow cesspool,number: innovative/altemative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS: (cesspool must be pumped as part of' spection)(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 ): Comments(note condition of soil, sign f hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydr failure, level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 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. 0 s 3 XX �i O O 3 O L� ` Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 29 Percheron Way West Barnstable Owner: John Bettencourt Date of Inspection: 2/26/2004 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water ( ` 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: 3 to 7 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with the local Board of Health-explain: Checked with local excavators,installers-(attach documentation) _1z__1ccessed USGS database-explain: r -.<7,,, You must describe how you established the high ground water elevation: r- TOWN OF BARNSTABLE02 LOCATIONJ .� SEWAGE # �V 3 VIi LAGS ' ASSESSOR'S MAP OT INSTALLER'S NAME&PHONE NO._� � Ds ,-3 OX 1— SEPTIC.TANK CAPACITY (6M : n C. LEACHING FACILITY: (type) 9AGb. R T (siu) JM:2 !g&- NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: ,.�.-��� �Cl 7 COMPLIANCE DATE: .. Separation Distance Between the: i Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet F Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of I _ hing facili ) Feet F Furnished by rt�_ rl Z *Z -4 Z 3 z-1 ys t TOWN OF BARNSTABLE02 LOCATIONJgf�G h���G'tJ LJ/�1� SEWAGE# / VII,LAGE tC�_ ASSESSOR'S MAPOT_/S� INSTALLER'S NAME&PHONE NO. Z_ L ..;3 OR f� SEPTIC.TANK CAPACITY 16M UC LEACHNG FACII,TTY: (type) (size) NO.OF BEDROOMS BUII.DER OR OWNER _�AJ5 PERMTTDATE:__?,,_�F7 �Cf 7 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 11n,facili ) Feet Furnished byXT,� � -ii I J Z oo 3 z� yS >' . a No...� Fi$...:......kab..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiott for Mopoottl Mork.i Towitrurtiott Prrmit Application is hereby made for a Permit to Construct (v) or Repair ( ) an Individual Sewage Disposal System at* ....._..... o 1io ' re r Lot No. j..... . ..... � �v .. laser _ jt A a =•• •••• •• •...... ••---------------------------- -•--- Installer Address p UType of Building . -3 Size Lot____ `-' d__._.Sq. feet Dwelling— No. of Bedrooms__________ _ ________________Expansion Attic ( ) Garbage Grinder ( ) `4 e a Other—Type yp of Building M) . No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------------- W Design Flow--------------------- �U______. .__.gallons per n per day. Total daily flow------------- - .�J__t�___.__...gallons. WSeptic Tank—Liquid capacity.� gallons Length________________ ���idth....._._._______ Diameter......_--.__-_- Depth_-__-__---__-__. x Disposal Trench— No- -------------------- Width.................... Total Length-------------------- Total leaching area....................sq. ft. 3 Seepage Pit No...................... Diameter...........--------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tgjik ( ) �/,^ }— / ` ~' Percolation Test Results Performed by.-----(. ---- Date-_--_JVI.-�-I-yv.......... .. Test Pit No. i---5 -__.minutes per inch Depth of Test Pit-------------------- Depth to ground waterp-j V_< ....... G Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground Ovate ._..____�N----''°�—_----_-_--. x ..... . -- O Description of Soil... . _... I -- - ------------------------------------------------------------------------------------------------------------------------------------- x W VNature 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as been issued by the board of health. Signed Application.Approved By _...... _. _ ...-..ef..-. 5. --....__......----..._----------------------------------------------------- U�ce Application Disapproved for the following reasons: ......_-------------_------...._...._ ----------------------------------------------------------------------------------------------------------- -------------------------------- --------------------------------------------------- ........................................ Permit No. --------75----V....3.-t-6---------------- Issued ------------3.. fa.. - Date /Fmc o-..... THE COMMONWEALTH OF MASSACHUSETTS -� BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Divj-Vn!3u1 Wor1w C amitrurtion Urrmit Application is hereby made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal System at�• t ,� 1 :._........ ------------------------------ ••---•--- ---•-,--••••----•••-----•-•--•••--•- �Hocation-:lddre or Lot No. � c -----••• ........................................ ................................................... Address ---/--`-/-1------------------------------•--------.....-----------------..._...------------•-- Installer Address / ` � d Type of Building 3 Size Lot____________________ _____Sq. feet U Dwelling— No. of Bedrooms_____________..__.____________:__ _Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building fi --L4.,kO._No. of ersons__________:__:____._-._.._ Showers — Cafeteria P ( . ( ) � '+u Other fixtures ---------------------------------- -s.. - ----- --------------------------------- - ---- W Design Flow...............:....�� _______ ___ gallons per--_per-aon per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity./._-______galIons Length---------------- Width---------------- Diameter---------------- Depth--------_______- x Disposal Trench—No_ ____________________ Width______-___ --_______ Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No........ ............ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing t nk ( ) / / Percolation Test Results Performed b -------•--•----•-•-•- ••••• Date----...... --�-`-•-�-�----•------ a y._.. Test Pit No. I...��__minutes per inch Depth of Test Pit____________________ Depth to ground water. 44 Test;Pit No. 2_______________minutes per inch Depth of Test Pit.................... Depth to ground wate ........................ a O Description of Soil.../_,1.0.. !4 W �`�^ --- -••---------------------•-------------------------------------------------------------------------------------------•-------------- U ----•----•-----------------------------•---•------------------------------•-------•--------------------------------------------------------------•------------------------...•--••••--•••-••--•---••-••- W ------------------------------------ ---------------------------------------------------•----------------------------------------------...------------------------------....--••--••••••••-••---••-••-- U Nature of Repairs or Alterations—Answer when applicable---------___................................................................................ ••--------------------------=-------------------------------------------------------•--•---•--------------------------------------------------------------------------------------------•--------------- Agreement: t 1 The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5,of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compl�'as issued by the board of health.Signed --------------------------------------------------- ------------ -------------------------------------- te Application.Approved BY ------_. ---- -;�--�--------- ---- ---- ---------------- -.._ ...............----.-- -._-. Application Disapproved for the following reasons: _.�............................._........_.......................... ---------.._-.------------------------------------------------ ----- ----------- ------------------------------_------------------------ -.---- ------- ........................................ ± _ Dve Permit No- - 6 Issued ............. ... � Dace .. — .-q——m v—m o a—®vim®..a s.—._..———o om-o...-,—a—®ow--.— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of gumplianre THIS IS TO CERTIFY T t the Individual Sewage Disposal System constructed ( �) or Repaired ( ) by - W. -------- �� ---- ------------------------ -------------------------------------------------------- ------_------- _-- -------- h.,�aue !`/3 �-- - - ---------------------- h - P i _of e S �.......i dated. _...... _ - has been installed to accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. S ..........__.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - DATE - q- _................. Inspector ------.--- ........ ------------------------------- ------..._.._..-------- {-. ` --------------------------------------------------------- ------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No../S -- f --- FEE._-•,��_� .� ....... Bilivolial luorko Tunitr rt u Vrrmit Permission i hereby granted-- `���� . ------------------------ to Construct ( ") r Repair ( an individual Sewage Disposal 5.ystem at No....r ��� �w6w `Stree�L^GL� as shown on the application for Disposal Works Construction Perr No5�1'_l---_ Dated........................................... �a - ----- - --------- ----•--•••---••-----•--•••-- Board of Health DATE...........E `' FORM 36508 HOBBS R WARREN.INC..PUBLISHERS 1_ MAY-27-1997 08:02 FROM TO 7750155 P.02 ... AIL-( �W 3 X(Io•33o6� i /�18 a 2?, \��P P sen C TANIL 3.5voro Iv IX s loge) 644. / l Pl%c4AL PIT 1 -IDOn &i f IP*TwcI i i y 5'I1>EW4LL ARC IE SF S S BoTToM AZ - 76 22; s t 1 8 Ic 1.0 s -r8 S•PD. \ \a�u t �� 1 TorAL Tue516W = 54-S 1 1 7orac� oA I LY fir/ = s4$ P OIL- B', SIG Qvirr PE \ ?o 144 4 i 05t.t lo(S�8� o ld 'Wks TF= 1 z4 FL=�s3 PV.e. uQ, 3 tl , izo IYo i Q�'" loon r�ae A W@ Wrt'H r wa��l� �: Au- 5r¢uc� e) sr-r ®F sTOWE MWX TOWN 4! •DfiEP 5«f a2 s�a� BE -Zo ' AA AP 114 pGL l—sl C&Mr—lED P� 'PG1�N 47 �G1t.L.�; �'1�.. PATc—s MA 1,1945 go 9IJar6>t. p�oSv�] PLAN V FSR&X&- 1 CFZ1F't 1-44T Ta 'P�w'" %OVJw f{smN coM�c. S wrrµ 1S Srmjij r Ler 145 :�_r zeQ• C; Vnlc- IDA o p NR,%gmaG9 A�dD t5 !or L.044TGID I TVE TlooD PP W55l0Q,&L LARD SuevEyaZ5 All Ft:.1 4 15 HOr '01;,E oil AAt�15-T�c1�,4E�'T- c��1 t_ 10, 20614 EELS 6urzvt-�-/ aI4D TNF_ aFF5ET5 44 u4v uor TE Q MAC . uSCt�) T-o E--e2TA'EY_I:N PIza�E� / NES TOTAL P.02 SECTION A -A � • 1p 01 VENT PIPE O Least 24 Inches tall) PROFILE VIEW OF LEACHING SYSTEM *NOTE: ALL PIPES ARE TO BE a" SCHEDULE 40 P.V.C. (( 10' min. from Schedule 4b PVC w/Charcoal Odor Filter Existing Foundation house to septic tank Not 10 Scale Septte took covers must be D-BOX cover must be TOP OF FOUNDATION = ELEV. 100.00 (Assumed) within a in. of finished grade within to GRADE w/Steel Cover 9" of 1/8" - 1/2" Iiaahed Peaatone _ ; B r astab�a!. Grade over Septic Tank- 99.00 Grade over 0-Box- 93 00 a over SAS- 96.00 to 94.00 DIST oX t0 3/4" to 1 1/2 " hashed Crushed Stone3 HOLE A/ MINOR s - 0.02 4" PVC (CAPPED) INSPECTION PORT TO BE 3' Maximum Cover " - 10' EXIST. 5-0.01 or Greater Top Or system- Elev.-92.20 INSTALLED AND TO BE WITHIN 6 OF GRADE EXIST. PIPE � 1,000 GAL. 0.01• A cv O $s' Per foot FROM EXIST. FDLINDATICH rn SEPTIC TANK o ! s H-1D n 5' CONCRETE FULL FWNDATIO y 2' EFFECTIVE DEPTH ff .p2oor Ml rosoet Corp m200r mdbvmQ.aneforTaie Lwas.in*. SYSTEM PROFILE a in.of 3/4•-1 1/2- Effective compacted .tan. CO _�S2dewall Not to Scale - GENERAL NOTES C I� EFfectl2' Width I 3 Units @ 7' = 2V 1. Contractor is responsible for Digsafe notification, Verification of Utilities m 1' and protection of all underground utilities and pipes. NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE 6 In.of 3/4•-1 1/2" a g compacted stone 5 5 2. The septic tank on j distribution box shall be set r O 0 Effective Length level on 6" of 3/4 -1 1/2 stone. 0 6, 3. Backfill should be clean sand or gravel with no WT Bottom of Test Hole 1 Elev.- 84.00 (TP-2) stones over 3" in size. 4. This system is subject to inspection during installation PERCOLATION TEST Groundwater Observed - NONE OBSERVED SOIL ABSORPTION SYSTEM (SAS) by Carmen E. Shay - Environmental Services, Inc. I 5. The contractor shall install this system in accordance ALL OUW PIPES FROM T CULTEC 3050 INFILTRATOR CHAMBER H-20 (OR EQUIVALENT) with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: NOVEMBER 13, 2007 SETLEVELDISTRIBUTION BOA SHALL ee 12• CONCRETE COVER and Local Regulations. Test Performed By. S., C.S.E. SET LEVEL FOR AT LEAST 2 Fr NOTE: OVERALL HEIGHT OF INFILTRATOR IS 30" EFFECTIVE HEIGHT IS 24" Results Witnessed By. ONNA MOIRAN�JI� ARNSTABLE BOH) �'^ ' 3_s• " -M. •.••. / 6. If, during installation the contractor encounters any KNOCKOUTS soil conditions or site conditions that are different EXCAVATOR: Shay Env. r Percolation Rate: Less Than 2 MPI 0 42" (C-1 Layer) - as• 12• INLET from those shown on the soil log or in our design e Our Bedroom installation must halt & immediate notification be 4 °• ; ° DO m° Kitchen m made to Carmen E. Shay - Environmental Services, Inc. 1ss• .,• • n W - 7. No vehicle or heavy machinery shall drive over the 4' - sCH. 40 Te 1.7s• septic system unless noted as H-20 septic components. Test Hole Test Hole PLAN SECTION CROSS-SECTION No. 1 No. 2 Bedroom > 8. Install Tuf-Tits gas baffles or equals on all outlet tee ends.Dining> _ DEPTH SOILS ELEV. DEPTH SOILS ELEV. 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. Bedroom 0 98.00 0 95.00 3 HOLE H-10 DISTRIBUTION BOX 10. All solid piping, tees & fittings shall be 4" diameter Sandy Schedule 40 NSF PVC pipes with water tight joints. Loom �I,L, to T1L 3/2 � _-_ 3 BE HOUSE FLOOR SCHEMATIC 11. Municipal Water is Connected to ALL OF The Residence and Abutting o'-te" 98.50 0"-12' A, 94.00 -��j ���`� ���` Properties Within 150 Feet. j Loony Loamy Y - 2 `\ (Description Provided By Owner) THE PROPERTY LINES ARE APPROXIMATE AND f 10 YR 3/2 Sand O ii!/ �`3d `�� COMPILED FROM THE SURVEY PLAN BY BAXTER & NYE, ENTITLED A• s6.00 t2"- a2• 10 m 5/6 / 1 " OF WP��''' '' L= 2 `� 100 FOUNDATION AS-BUILT PLAN OF LOT #143 PERCHERON WAY, B 91.50 .. 18"- 24" 995 Shay Med. -Fine C 40 fool RAT \GN i/' ,-10� , \ ' `` ------ ANDW. IS NOT BINTE DE'DDTOEBE AR SURVEY I PLOT PLAN a \ I ' �' IT SHOULD BE USED son P Y .'� \ � 98 THE SEPTIC SYSTEM I ST FOR NO PURPOSE OTHER THAN 10 TR s/e 93.00 24"- 80 Bw 42"- 132 25 Y /2 84.00 Med. -Fine . � i' 9s ' � - - EXISTING LEACH PIT TO BE PUMPED OUT FILLED IN PLACE � - �, \ \ ,� �� �� � � �- ` Sand ��. zs r 9/2 \ �' ,• .el �/ •o ''' NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE so 13 C. 87.00 LOT #143,---- FROM THE LEACH PIT TO BE DISPOSED i' ���' �,�' �,� 19,470 Square Feet t ` OF AS PER BOARD Or HEALTH SPECIFICATIONS. 106 PROJECT BENCH -MARK ' THERE ARE NO WETLANDS ARE PRESENT WITHIN 200 OF THE PROPERTY ,- \\ �,�( TOP OF FOUNDATION ,�oA /�.' ; /� \ ` ��\ ELEV. = 100.00 (Assumed) ASSESSORS MAP 174-001, PARCEL 051 Perc #1 Depth to Perc: 48" to 66" \\ \\j �� `� LEGEND Perc Rate= <2 MPI �0 \ \► \ \ Groundwater Not Observed ( \\ \\ = No Observed ESHWT I \ PHpLt p\ DENOTES ADJUSTED H2O Elev. = None i 0 t� P� \;� \ �� �`�\ �`�\�%' SPOT GRADEOPOSED l \ 104X1 C� 2-1e• DIAM. ACCESS MANHOLES LOT #142 DENOTES EXISTING EXISTING X 104.46 ,•y.,,..,, !:._t.• SPOT GRADE �i•p�.l•••`••�'••..�-aL:1at:...� . _ 3 BEDROOM �� �`� x LOT #144 - 10 �� \\ �` HOUSE \ PL 2�, \ g0 b PROPERTY LINE #29 C1196P PROPOSED CONTOUR INLET - ` - EXISTING OUT GARAGE �\ ��� - - - -- -9q EXISTING CONTOUR .r I` THE ACCESS COVERS FOR THE SEPTIC TANK, Z ` r DISTRIBUTION Box AND LEACHING COMPONENT �� �� DECKTH p!"••"`���I' f"•r': '`'-'�;'~~ GGRRADE SHALL BE RAIEEPER AN 6 SED TO ""TWINCHES N 6 OF 10yr,- ��` `�\ �� D-el) DEEP TEST HOLE & STEEL REINFORCED PRECAST CONCRETE FINISHED GRADE �\ �\ �\ ``�� PERCOLATION TEST LOCATION PLAN VIEW INSTALL TUF-nTE GAS BAFFLES OR EQUALS `� EXIST \ ti tI. N _ �\ 100 `gal. O O �� �• 6 FOOT STOCKADE FENCE 3-2e REMOVABLE COVERS �� \Septic \lank `C I 1 \`IN, ter;,. •; 4" '' :•;• •_ > � `\ `\ �\ �� y. • Vent ~irr 3'min. doom" - :?•• %' •13' naEr _ 06 \ `� \� \\ �` Z '� i .. .a Pipe -- INLET mT 2" min. inlet to outlet e•,nr, OUTLET P LOT P LAN t 10'm►+ Liquid ITevsr- `\ V t • S ` ` � 1 ` s• -r a t` s• -r ``� ABOVEGROUND ` it + 3.3 `9 E qu depth tQ.� ,` POOL `. OF PROPOSED SEPTIC SYSTEM UPGRADE b' °' '•' '' uqutd depth Piled �0\\, ` •� �`� �\ Lealrh Pit TEST tg #1 "FAST HOLE #2 � PREPARED FOR �• '•• * %• 1 >>O. ELEV.= �00 ELEV��\98.00 M R. J 0 H N CROW LEY CROSS SECTION END-SECTION \ AT 94 #29 PERCHERON WAY BAR N STAB LE W TYPICAL 1000 GALLON SEPTIC TANK W. NOT TO SCALE `� �� `� `\ �� \ 1 MA 02668 Design Calculations `� `� �` �� �`� �`� OF Mjs 9 `\ \ `\ --` `96 ��y�� s PREPARED BY: Number of Bedrooms: 3 Bedroom EXISTING Garbage Grinder: No >14 `� `� `\ `� `� ```� \��� Z CARMEN E. SHAY Leaching Capacity Required: 330 Gal./Day (MIN. PER TITLE V) `� \ > Septic Tank : - 2 x 330 Gal./Day = 660 USE EXIST. 1,000 GAL. Septic Tank. ``� �� `� ; `� ��� - -'_-_I00 �g S � ENVIRONMENTAL SERVICES, INC. SOIL ABSORPTION AREA: Using percolation rate of A ft. min./inch �� V` ; �` L `�\ I D,Z 4, G w� P.O. BOX 627 Bottom Area: 0.74 gal/sq. . x 312 sq. ft. = 230.88 gallons \ \ .Cp ` Sidewall Area: 0.74 gal./sq. ft. x 152 sq. ft. = 112.48 gallons \ `\ `� \�� \ �� ---_�0 F IST �� EAST FALMOUTH, MA 02536 Providing: = 343.36 gallons �\\ \\ `\ \\ \`y CE 4 SANITAR�P TEL/FAX : 508-539-7966 Use: (3) 3050 H-20 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, \ `\ �:,. o ��' ppEN SPA SCALE: 1"=20' DRAWN BY: CES ATE: DECEMBER 4, 2007 (4' W x 7' L) TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND 2.5' OF WASHED STONE ON THE ENDS. r' PROJECT#SD1067 FILENAME: SD1067PP.DWG SHEET 1 OF 1