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0134 GREAT HILL DRIVE - Health (2)
134 Great Hill Drive Marstons Mills - A= 174-036 S TOWN OF BARNSTABLE LOCATION tkA Or 'SEWAGE# o VILLAGE M�.rS�1 M;`1 S ASSESSOR'S MAP&PARCEL / INSTALLER'S NAME&PHONE NO. (�cy) Q��,VC Tb y 2 S tf o0r.1 SEPTIC TANK CAPACITY �' Cl \mac, k®d LEACHING FACILITY:(type)._2- �k a0 CYO GOA► " (size) !Id,Zf x J S- X NO.OF BEDROOMS C�.^bout r %,A 14 C)12 65C OWNER C r mZ z.r p PERMIT DATE: �(�f 7 l I COMPLIANCE DATE: -1 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY r 133 ' 03 .7y g � oa � . No. O I Fee THE COMMONWEALTH OF MA Entered in computer: .� SSACHUSETTS Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplicatlon for MispoSar *pstrm Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( j Abandon( ) ❑Complete System Nindividual Components Location Address or Lot No. 13(4 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer' Name,Address,and Tel.No. Designer's Name,Address,a d Tel.No. ^�•f /P ( � I. 4,� • �6 s� � � C�2. �i Type of Building: s� Dwelling No.of Bedrooms Lot Size C 7 sq.ft. Garbage Grinder A Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) G gpd Design flow provided L l gpd Plan Date ? �-�-3 rsS' Number of sheets l Revision Date Title Size of Septic Tank C X G 1 f 1000 Type of S.A.S. 2 3-C Q Cr Description of Soil l%% Nature of Repairs or Alterations(Answer when applicable) yT" a r C � V c<I d L/ 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. Ig Signed Date / ` �� Application Approved by OA I !,,q5 Date Application Disapproved by Date for the following reasons Permit No. CIDC Date Issued !T 1 (3 f 2j ry..^.^..1.�'.v,'t,+,.N f"�•;,f'+-..�f't+ '- +fY.-„•....ter �„wr•,;.;+n.Js^.,, _ .�' ::, -. :�. No. v�' G, ` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION - TOWN O BARNSTABLE, MASSACHUSETTS Yes Z(PpUcatlon for MispoBal fpstem Construction 30ermit Application for a Permit to Construct( ) Repair V Upgrade,(k5�4baridon( ) ❑Complete System ndividual Components Location Address or Lot No. 3'(4 G r-C G,4 1 P) ,Owner's Name,Address,and Tel.No. ^� _Assessor'sMap/Parcel J7y`3rb mGt4 40^ {"1 j 1 Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. %f e/G 141-41 4 c� �r r•�(�V + E� P"c� ox / (o S. fJ C nh t S Type of Building: &0 6 Dwelling No.of Bedrooms Lot Size `"i S W 7 sq.ft. ' Garbage Grinder(M� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) --T 6 gpd Design flow provided gpd Plan -Date -? tX S irk Number of sheets � Revision Date � Title Size of Septic Tank C K C t /000 Type of S.A.S. S 0 0 "` L k I.- ri LL n Description of Soil ---- ' S Gun d G 0 0)C Nature of Repairs or Alterations(Answer when applicable) SA- I!t 1 J A./\a _. Le t (A t *Aes. ; T;D Ci �► t �...(odds V 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. y / Signed � Date �- -7 Application-Approved by Date.-- Application Disapproved by Date for the following reasons Permit No. Date Issued C 7 ( I THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( 0-*"" Upgraded( ) Abandoned( )by -+,� c at \.k QT C`-G fi } t " V has?br A clistructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.c�D 1 l,) dated F 11-7!1 Installer C�J �� t_,� 5/( Designer S ire Tttv,�q� #bedrooms Approved des�n flow� k gpd. The issuance of this rm t shall n1t�b nstrued as a guarantee that the syst m il � nction 16 i ,ed. Date Inspector .�� _ .. .. No. t (/I� Fees_.....— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction 3permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at r 3�1 (A m "I Rd rA c r s kvk Al r )(.J 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. // e Date (/ Approved by I Town of Barnstable Regulatory Services Richard V. Scali,Interim Director '"& Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 6 0 Sewage Permit# 6 L1 Assessor's Map\Parcel I ?LJ b J7 b Designer: tTE1�'- 1kE1y A. kA kS ` C Installer: 54CM M- Address: 1`J 'V� Address: WS DO-\ ` AZ$40V Tt-( ®Zlala® On was issued a permit to install a (date) (installer) 'based septic system at �� �� ���� based on a design drawn by (address) Ate. , 4-AA-&,'( dated O act s (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i nce with the terms of the IAA approval letters (if applicable) 1a (Installer's Signature) ,S' (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLI_C 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:\Septic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable P# ` (�9 Department of Regulatory Services L nenrtarnata< a Public Health Division Date a- MA99. {� isJv 200 Main Sheet,Hyannis MA 02601 • h.:u l �- e Pd p� Date Scheduled h Tuna F -- e ._ Soil Suitability Assessment for Se e Disposal Performed-By: Witnessed By: LOCATION&.GENERAL INFORMATION Location Address 1-3 t`. G�C4 ��lk D� Owner's Name Q r m .t P1 L-. " - Address (4 6 r-C r i 4 i It 2 ID ar-" Assessor's Map/Parcel: - 1�, ` �V �- 6 Engineer's Name &+ V 4 A v S NEW CONSTRUCTION REPAIR N Telephone# Land Use• le 1L"-6-1-1'1 A—IL Slopcs Surface Stones yL� Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well � ft Dr6lhage Way ft Property Line _ /o ft Other ft iSKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands-In proximity to holes) V o M y, Parent material(geologic) ����� L x�Si�� Depth to Bedrock Depth to Oroundwater. Standing Water In Hole:. A'1A Weeping from Pit FOea l� Bstlmated Seasonal High Groundwater N/A DET�+RMINATION FOR SEASONAL HIGH WATER TABLE Method Used: AJ '� Depth Observed standing in obs.hole: lu. Depth to soil mottles: In.' Dellth to weeping from side of obs.hole: ln, Oroundwatdr Adjustment 1h. dexWetl- Reading-Date:.- Index Wet!!mYn1_%; ,, Adj,.fhetor,,,,,r,- Adj.Groundwata•:xvol, _ PERCOLATION TEST bates Z ze, Time Observation Hole# Time at 9" Depth of Pero � Time at 6" 1S= 1c, Start Pro-soak Time @ Time(9"•6") � 8nd Pro-soak Rate Min./Inch . Site Suitability Assessment: Site Passed SItF Fallcd: Additional Testing Needed(YIN)�_jE<, Pad Z 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 Conseirvation Division at least one(1) week prior to beginning. Q:\SBPTIC\PBRCFORM.DOC DEEP•OBSERVATION HOLE LOG Hole# 3 Depth from Sall Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stoned;Boulders. Consistency,%'Gravel) L y 4-1 DEEP OBSERVATION HOLE LOG Hole#_ Depth from Soil Horizon Sail Texture Soil Color Sail Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, A. L 3r " L. S / S/o DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(lu.) (USDA) (Munsell) MotUing (Structure,Stones,Boulders.. Consistenev. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soll Color 51311 Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Siopec,Boulders. Ca Flood Insurance Rate Man: Above 500 year flood boundary No— Yes .. __ Within 500 year boundary No '� Yes Within 100 year flood boundary No. Denth of Naturally Occurring Pervious Materlal Does at least four feat of naturally occurring pervious mtiteri l exist in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? Certification I certify that on l) / ` (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required train ,expertise and experience described in 10 CMR 15.017. Signature • Date Q:WEP'rlCWERCPORM.DOC ' No. � �J 1 •F �' Fee dv .� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIpplicatiou for Mi5pont 6p5tem Cori.5tructiou Permit Application for a Permit to Construct( ) Repair( ) Upgrade(Abandon( ) ❑ Complete System Individual Components Location Address or Lot No. 11 ikr. Owner's Name,Addre Tel.No. `[a0-5'C06 Yt,I ( AN`D R EE -� YL,y' J 1, a�z tM, lEc R Assessor's Map/Parcel1-7 / )`� 4 G P'r 41 �P 1 1 %0`1 Z 1 L Installer's Name,Address,and Tel.No.'RU7_YCV 51CVCk Il4- Designer's Name,Address and Tel.No. S 33 •2 ) 77 W' ,�7t u rzs s�'.S'Oa fN P w►C ik, k R V1*V I t� ro NsnN TZ 5 . 1'e✓� a J I Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers(9Q Cafeteria(� Other Fixtures �J� p Design Flow(min.required) Q 3 f9 gpd Design flow provided / gpd Plan Date '7 — Number of sheets Revision Date Title 4 1+s + G C,r ?t-W Size of Septic Tank / _Type of S.A.S. e V L l 7 C C A1Aj jF I Description of Soilc:�JC4.nS Nature of Repairs or Alterations(Answer when applicable) A L or O Cko'*c May 1• �' _ 9! Y �s �cI C e 014 Date 1st inspected: Agreement: The undersigned agrees to ensure the construction and main1priance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental a and not to place the system in operation until a Certificate of Compliance has been issued by this Board f lth. Signed Date :7 Application Approved by Date f �ApplicatiomDisapproved by: ,Date,. for the following reasons. - Permit No. 20 8--V3 Date Issued —� Fee e1'� (/U No: T()If(— 3 r3 ' YHE COMMONWEALTH OF MASSACHUSETTS Entered in computer: f* Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS RptiCAtion for Migonl terry Construction Permit Application fora Permit to Construct( ) Repair( ) Upgrade ) Abandon( ) ❑ Complete System/Individual Components Location Address or Lot No.1 3 "4 G-r C 4*144 D�j VC Owner's Name,Address,and Tel.No. 9 W-S 669 �,j, M �, J AN7R'Ft r y`i1�, �OrN >t R Assessor's Map/Parcel )-7 f - 3 6 1 3 4 1 r 0.1 1 P l 1/L t l C 5 Installer's Name,Address,and Tel.No.c UTZ ri� � A : 7 p � �' V ICY D,e igner's Name�;'Addres and Tel.No. �?j 3 'p21 7 y3 t�zur,s 5-T. 504WAwlc1+, NA• l.��v►ru !vtNSoJU n5 . C�Qs'� � 3- �tc� C-)C, c► e^ Type of Building: t Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder Other Type of Building �� No.of Persons Showers Cafeteria --' YP g '"� (�) ( ) Other Fixtures //�- Design Flow(min.required) 3 C7 gpd Design flow provided 9 gpd Plan Date �115-- Q Numbe-rpof sheets Revision Date """� Title S 1 TC '� S e W qg L P,& Size of Septic Tank C /57' 6 - Type of S.A.S. C Ul.,7 E C C Description of Soil .C if cr Q C PO4 Cc V1 / - Nature of Repairs or Alterations(Answer when applicable) -Vk.4r� [ G JZ UGu SC,4 c u r^ T,t i�'t� Li rck t�+ J IU "f`S _ b i SY F rY , c ,c- Lei/ s em /5 ano 5,e r - 4- c 1 l@ e C' Date last inspected: t Agreement: , x The undersigned agrees to ensuie the construction and main onance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental3Kde and not to place the system in operation until a Certificate of t " Compliance has been issued by this Board oft3 lth. ' Signed 11� Date 7 Application Approved by jjVt4,-- S Date Application Disapproved by: Date for the following reasons � Permit No. ,2 0)8-"3!f 3 Date Issued ^.7 —U(} THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERT' Y,th t the n-s�te Sewa-e Dispos S s�tgem^Coiastructed ( ) Repaired ( ) Upgraded (y ) Abandoned( )by 1�(/f��16 -� C,� !�!X (/ 1 P I/Y at 3 7 6-,P4 14 J1 r has been constructed in accordance r7^ with the provisi/a�s of 'tle 5 and t tifor Disposal System Construction Permit No. TAM) A), da eed •] ",�'� Installer! Designer l/ �11 l MW r #bedrooms 3 Approved dees/sign�ow L/,�46 gpd The issuance of thi p- it tha 1-18t be construed as a guarantee that the system ki`l fun\\ctioq as designed. 1 C' r /1/�� I Date Inspector 0 ———--———�----—————--——---/--- —---—--v----/ ----=— No. )Ud ` 3( i Fee THE COMMONWEALT•H'OF MASSACHUSETTS PUBLIC HEALTH DIVISION-'BARNSTABLE, MASSACHUSETTS Migonl �§p!tem Con.5trUCtion Permit r Permission is hereby granted to Construct ( Repf it O Upgrade ( ) Abandon ( ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local,provisions or special conditions. Provided: Construction must be completed within three years of the date of tl js-permit. Date U Approved by a Owl TOWN OFBARNSTABLE r, ff LOCATION. 1.� S'iZ -f'�•�' LZ--� .�/� SEWAGE:# VILLAGE ' &,R A 4S ASSESSOR'S,MAP&,LOT O INSTALLER'S NAME&PHONE NO. U TL(IR S e�,e CA V&'CI 2i )1dr I 3 3.-&V 6 SEPTIC TANK CAPACITY Q®® F rS'"� _4t 1 LEACIiIIVG FACILITY: (type) CL[7r F G C' ALW(size) x NO.OF-B EDROOMS_ BUILDER OR OWNER 9 + el PE ITDATE: 4 "al " 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.9f leaching facility) Feet. Edge:of Wetland and Leaching Facility.(If any:wetlands exist within 300 feet of leacking faelitty) Feet r Furnished by l s 11 Erg 9� � o7' TAN FL3 Town of Barnstable •.o� "E rO'y Regulatory Services ti = Thomas F.Geiler,Director + BA�2NS�ABEE. a Public Health Division A.. Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office:.508-862-4644, Fax: 508-790-6304 Installer &Designer Certification Form Date: Designer: � '� 7D. Installer: Address: . D- 7 __ ►_ ppjt 4 Address: Vrt'F' I On L812009 _60QO qx,'4V-A- lq/ras issued a perrri:to install a (dat ) (installer) I septic system at 1-34 M L-L —E)CI V IE, based on a design drawn by (address) dated S7Zr= (designer) gI:certi that the se tics stem referenced above was fY P Y substantially according'to `1le design, which may include minor approved changes such as lateral,relocation of the distribution box and/or septic tank. 0. I certif} that the septic system referenced above was ins*aged with`'ni*i.changes greater tfian W lateral relocation of the SAS or any vertical'.rclocatiaii of any component of the.septi6 sy. stem)but in accordance with State&LgcA Regitlations. Plan revisioxt o certified as-t;Yjji lyy designer to follow. . 10 (Nn st di,ller's Si A .�• Cn N6: 1066 :. A P N� R1 TA (Wsier s Signature) (Affix' e gner's Sta>np Here) PLEASE C .ASE RETURN Ti) B � � :.'LE i A�tN TAB PUB LI5 .HEAT;TH.DIYISIO'hG. 'CERTII!�:C ATE OF. CONLP ,IANCE WJQ.L'NC�TE SSUED:>DNTII; BOTHr:3"$ISFQI = RUILT CARD ARE RECEIVED WTHE:RAR STABLE PUBLtC HE?U.-II DMSIIaN THANK YOU. r Q:HealtiYSeptic/Desio erCertificafionForr, r ., , I own or Barnstable P# Departinent of Regulatory Services Public Health alth Division Date 1039. 1e�� h 200 Main Street,Hyannis MA 02601 FD IM'1 Date Scheduled DID Time (7� Fee Pd. Soil Suitability Assess ent for Sewage Disposal Performed By:y C�4 Witnessed.By LOCATION& GENERAL INFORMATION Location Address 4 / z r-pr j I-` Owner's Name U ��� ANC r Y+y/'�c'o Ii ;rn�/� d'�►r�azs5 `ILL,5 Address � t+ Assessor's Ma /Parcel: ' L f _ yYJ .� 1' C S �1) p ,1� •/ 1 !Ce Engineer's Name J//i�/i�D+�1V 1/�S O jft}� r5 NEW CONSTRUCTION R PAIR V Telephone# �f - 6 3" Land Use L , , Slopes(%) f� Surface Stones Distances from: Open Water Body It Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line _ � ft Other ft SKETCH:(Street name,dimensions of tat,exact locations of test holes&perc tests,locate wetlands?n proximity to holes) fi Parent material(geologic) ��t w"►'�JL l Depth to Bedrock — Depth to Groundwater Standing Water in Hole: b Weeping from Pit Face_ . Estimated Seasonal High Groundwater 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 ft. Index Well# Reading Date: Index Well level Adj.factor,;�_ Adj.aroundwater Level Observation PERCOLATION TEST Date , Thne Hole# Time at 9" Depth of Perc Time at 6" � Stan Pre-soak Time @ Time(9"4") End Pre-soak Rate Min./Inch � wl -,111 Site Suitability Assessment: Site Passed 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 Conseevation Division at least one(1)week prior to beginning. Q:\SEPTICV'ERCf;ORM.DOC r DEEP.OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in:) (USDA) ,: (Munsell) Mottling- (Structure,Stones;Boulders. ConsistcngL%Gravel) iA2 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.% DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color. Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Consi ten Flood Insurance Rate Mau: Above 500 year flood boundary Noes -• - Within 500 year boundary No— J�es Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious m` rt exist in all areas observed throughout the area proposed for the soil absorption system? �I�i If not,what is the depth of natural occurring perviou material? — Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of EnviV al Protection and that the above analysis was perfo ed b me consistent with . the required tr fining,experh d fence described in 310 CMR 15.017. Date 7 ®09 Signal . . LO AT I Y SEWAGE RMIT NO. a<L -4 lei - - dILLAGE 213 I N S T A LLER'S NAME ADDRESS .3• �Jr:�co 11 116 _►M:\\S Q UILDER OR OWNER DATE PERMIT ISSUED /off. /�ti DATE COMPLIANCE ISSUED r . o ti Lc) Z� 0 �r� a No.......�_...._L...... Fps.. � ............._. THE COMMONWEALTH OF MASSACHUSETTSvl "s q BOAR® OF HEA TH ..............OF....... 1.. Appliration for UhipoaFal ,arks Tomitrn.rtion amit Application is hereby made for a Permit to Construct ( �or Repair ( } an Individual Sewage Di s sal System at: D ....... .. . v - ............----- -- Logation-Addr 13.0. -� .......... ...� �t1_ 4'--s. r---. . ..................... .....13.0.X(---is_io......rr'l ..��ts�l J. ......--- caner Address .......................... .........................................�.-c:. Installer Address Type of Building Size Lot...�� _ lq. feet Dwelling—No. of Bedrooms...........1...............................Expansion Attic (yt# Garbage Grinder Other—Type T e of Building No. of persons............................ Showers a yP g ---------------------------- P ( ) — Cafeteria ( ) Q, Other fixtures -------------------------------- . W Design Flow..............676..-..................gallons per person per day. Total daily flow............ .................gallons. WSeptic Tank—Liquid capacity�e9®gallons 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 tank ) �r Percolation Test Results Performed by.-.e � �'l. f_ ..__...._�2 �................... Date_._... .. . minutes per inch Depth of st Pit... .. .. .. Depth to ground water........................ Test Pit No. T� -_ fz, Test Pit No. fl-san..a-minutes per inch Depth of Test Pit.................... Depth to ground water.. a ............7..........................;6.--•. ......1 ....- ----•-------•-•---------........................................................ O Description of Soil....... `1 ......._�Q4n'1--`�-&L."h_a�IIx! ---------------------------------------------------------•----------------------- x ........................................ ... !-L1.C....��ace- �' sLl2. ................-............................................_.......... UNature of Repairs or Alterations—Answer when applicable............................................................................................... --------------------------------------------•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLi, 5 of the State Sanitary Code—The undersigned further agrees riot to place the system in operation until a Certificate of Compliance has been issued e board of he Signed...--- ---- = . ................. ... _Y_-_= Date Application Approved By................ . . . ........................ �- Date Application Disapproved for the following reasons-.............................................---............................................................... _ .............••--•--•--.......---•-•-•--...--•--...----------...-•--------------...--------•--.....--------•----•-------------•------•--•----•--------•-••--•-•--•-•----•-----------••-••-•------------- Date PermitNo......................................................... Issued....................................................... Date 7Y No..D...� - .. FEx............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF...... . ...,t.rldol Appliratiun for Disposal Works Tonstrndion ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: � �- f -• ----... ,, � .1..�...,.r..,/ ? a-.....�.2................. •v ...l_..1...... ..JJ....�_ /.. 4 ' l t s ----------------..--.---------..----- Location-Address •.-.or Lot No. ...................... .... ,'il ----- i•NOwner +� Address r W ---------------------------------:a Lc-.-�''.' -.:I ------------------------------------------ Installer Address Type of Building . Size Lot__. .�_.�.�f.,!Sq. feet Dwelling—No. of Bedrooms.......... .............................Expansion Attic (y, Garfiage Grinder �•? Other—Type of Building ............... No, of ersons......_..................... Showers — Cafeteria a YP g ---------•--- P ( ) ( a, Other fixtures .-----•-•-----• ••---••------••-•-••-----•--•-... ... W Design Flow............. :._= -_-_--------------gallons per person per day. Total daily flow.........._.�i._S.ci................_gallons. Septic Tank—Liquid capacityl-nnt.gallons Length................ Width................ Diameter------------_--- Depth................ Disposal Trench—No............:1..... 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 tank Percolation Test Results Performed by.__s ....-_. ..::.......................... Date_..._� _,! a rr Test Pit No. 2 � .minutes per inch Depth of T st Pit_._...;:r!_.._____ Depth to ground water........................ Test Pit No. }} Wiz- ;.a..minutes per inch Depth of Test Pit..l.-• ------- Depth to ground water.r1__0..M._C... ..........................:......................................................................... DDescription of Soil 2 `" :��.` t x► ��4 • r ................................................................................. ---------------------------------------t .._.-^.1. 1-----� '►'- - _^'_------------------...---...------ ------------------------------------------•-----------...._......... 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 T IT1Z 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...................................::... .:...... �1----- ... ...... pf_ . ,��( f i Date f" Lj Application Approved By................... "- Application Disapproved for the following reasons:------- ------------ -------------------------------------------_----•--•----------- - --_----- ............................••-•--••••-•••-••-•-----•---......-----------•-•-•--•-•----•-------•--•-•-•••I••-•--•------•-•-•-------•--•••---•-•-----•-••--------•-----------•----••-•---••-••--------•--- Date PermitNo.............................................------------ Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF.... ,C _�''d� .. lei:. X/ ( rdif iratr of Tiantlilionrr THIS IS TO CERTIFY, That.the Individual Sewage Disposal System constructed ( ) or Repaired ( ) byd�r"�� 3 t.-i �-Ar'-S"''`�# - ................................. •----------•-. ..................................................... s-f �. r at.. { l� i a *( l� a".. a` �%nstal _� � has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....0►_C¢.�_�_'0_tt_........... dated----------..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................... Inspector .._..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....1. ?u..k7................0F... EQr"�'.'j r s. �%ic................................... _ FEE... . .f- -.... �iuou�t1� orkuonuion rrnti Permission is hereby granted.......... ......................................-........................................... to Construct (;,,-for•Repai ( ) an individual Sewage Disposal System r y ! r . Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... •------------�•------------------------------------------•------------•-•------..------------ DATE. -------------------•--••--•---..................•••.... Board of Health FORM 1255 A. M. SULKIN,'INC., BOSTON pp— — _ IV fill p l T 5 J In— i 3'R� �YS�'tirttl5� ►..2 ) 1 -.,�k. � t:�y� M �' � 3 � �; A.4 � 411. a a W � C/� «. tm P, 3':v/�.5� r. 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COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner MODIFIED CERTIFICATION FOR GENERAL USE Pursuant to Title 5, 310 CMR 15.000 Name and Address of Applicant: CULTEC, Inc. P.O. Box 280 878 Federal Road Brookfield, CT 06804 Trade name of technology and model: CULTEC Chamber models: Field Drain Contactors C4; Contactor EZ-24, 100, and 125; and Recharger 180, 280, and 330 (hereinafter the "System"). Schematic drawings of each model are attached and made a part of this Certification. Transmittal Number: W037676 Date of Issuance: December 17; 2003, revised April 18, 2006, revised July 24, 2006, July 19, 2007,November 2, 2007 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Certification to: CULTEC, Inc., P.O. Box 280, 878 Federal Road, Brookfield, CT 06804 (hereinafter "the Company"), for General Use of the System described herein. Sale and use of the System are conditioned on and subject to compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Certification constitutes a violation of 310 CMR 15.000. November 2, 2007 Glenn Haas, Acting Assistant Commissioner Date Bureau of Resource Protection. This information is available in alternate format.Call Donald M.Comes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. MassDEP on the World Wide Web: http://www.mass.gov/dep 10 Printed on Recycled Paper i CULTEC Modified Certification for General Use Page 2 of 7 I. Purpose 1. The purpose of this Certification is to allow use of the System in Massachusetts, on a General Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Certification authorizes the use of the System in Massachusetts. 3. The System may be installed on all facilities where a system in compliance with 310 CMR 15.000 exists on site or could be built and for which a site evaluation in compliance with 310 CMR 15.000 has been approved by the local approving authority, or by DEP if DEP approval is required by 310 CMR 15.000. II. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1. Chamber Dimensions Dimensions Invert Model` W x L x H Height Inches Inches Field Drain Contactor C4 48 x 96 x 8.5 3 Contactor EZ-24 16 x 96 x 12.5 6 Contactor 100 36 x 90 x 12.5 6 Contactor 125 30 x 75 x 18 12 Recharger 180 36 x 76 x 20.5 14 Recharger 280 47 x 84 x26.5 20.5 Recharger 330 52 x 75 x 30.5 24 2. The System is an open-bottom leaching unit molded from high density, high molecular weight polyethylene (HDPE) with a 3.5 to 4.5 ounce non-woven geosynthetic filter fabric cover (CULTEC No. 410TM). It can be installed without aggregate or distribution pipe as an absorption trench in accordance with the requirements in 310 CMR 15.251 or as a bed or field in accordance with the requirements in 310 CMR 15.252. 3. The use of aggregate as specified in 310 CMR 15.247 is not necessary with the System when installed as a trench, bed or field. When designed with aggregate in accordance with 310 CMR 15.253, the System shall be designed in accordance with Section H item 10. * All models also include a Heavy Duty(HD) model for H2O loading. CULTEC Modified Certification for General Use Page 3 of 7 4. The minimum separation between any two trenches shall be as specified in 310 CMR 15.251. 5. The requirement that the Chamber installed in trench configuration as specified in 310 CMR 15.253(6) be provided with inlets at intervals not to exceed 20 feet is not applicable to the System. In accordance with 310 CMR 15.240 (13) a minimum of one inspection inlet shall be installed per system. The inlet shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. For new construction, the applicant can size the System in a trench configuration without aggregate, using the effective leaching areas presented in Table 2. No System shall be designed and constructed with a soil absorption system area of less than 400 square feet of effective area. Table 2. Effective Leaching Area for New Construction And Remedial Sitesl Effective Effective Model Leaching2 Leaching3 Area Area SF/LF SF/LF Field Drain Contactor C4 NA 3.54 Contactor EZ-24 3.9 NA Contactor 100 6.7 NA Contactor 125 7.5 NA Recharger 180 8.9 NA Recharger 280 NA 6.44 Recharger 330 NA 7 1. Effective April 21, 2006, 310 CMR 15.251(1)(b)maximum trench width is 3 feet. 2. Effective leaching area is equal to 1.67 (bottom width+(2x invert height)) for Systems 3 feet or less in width. 3. Effective leaching area is equal to 1.00 (3 +(2x invert height)) for Systems with a width greater then 3 feet. 4. The maximum trench width allowed to calculate effective leaching area is 3 feet. 7. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Table 2 above or additional reductions in soil absorption leaching area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. CULTEC Modified Certification for General Use Page 4 of 7 8. In accordance with 310 CMR 15.240 (6) absorption trenches should be used whenever possible. When the System is installed for new construction without aggregate in a bed or field configuration, as defined in 310 CMR 15.252, the System shall be designed using the effective leaching area for the bottom width presented in Table 3 No system shall be designed and constructed with a leaching area of less than 400 square feet of effective area. Table 3. Effective Leaching Area for Bed or Field Configuration Effective Model Leachingl Area SF/LF Field Drain Contactor C4 6.7 Contactor EZ-24 2.2 Contactor 100 5.0 Contactor 125 4.2 Recharger 180 5.0 Recharger 280 6.5 Recharger 330 7.2 1. Effective Leaching area is equal to 1.67 times bottom width only. 9. The System, when installed in a bed or field configuration without aggregate on remedial sites, shall utilize the effective leaching areas presented in Table 3 above or additional reductions in soil absorption system area approved by the approving authority in accordance with 310 CMR 15.284. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. 10. The System, when installed as specified in 310 CMR 15.253: Pits, Galleries, or Chambers, shall have an aggregate base and/or be surrounded by aggregate and shall be sized as specified in 310 CMR 15.253 (1) (a) and (b), effective leaching area is equal to 1.0 times a conventional aggregate system. Effective depth can be increased up to two feet with the corresponding addition of up to 21 inches of base aggregate for the Field Drain Contactors, up to 18 inches with the Contactor 100, up to 12 inches for the Contactor 125, up to 8 inches with the Recharger 180, and up to 3.5 inches with the Recharger 280. No additional aggregate base is required for the Recharger 330. Bottom width can be increased by two to eight SF/LF with the corresponding addition of one to four feet of aggregate per side. I CULTEC Modified Certification for General Use Page 5 of 7 11. When the System is installed as specified in 310 CMR 15.255: Construction in Fill, the finished 15 foot horizontal separation distance, item (2), shall be measured from the top of the chamber. III. General Conditions 1. The provisions of 310 CMR 15.000 are applicable to the use of the System, except those that specifically have been varied by the terms of this Certification. 2. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 3. In accordance with applicable law, the Department and the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as it deems necessary to protect public health, safety, welfare or the environment. 4. The Department has not determined that the performance of the System will provide a level of protection to the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed, and no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless allowed pursuant to 310 CMR 15.004. 5. Design, installation and use of the System shall be in strict conformance with the Company's DEP approved plans and specifications and 310 CMR 15.000, subject to this Certification. IV. Conditions Applicable to the System Owner 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the on-site sewage disposal system and shall be lawfully disposed of. 2. For new construction, the owner initially shall size a soil absorption system in accordance with 310 CMR 15.242 to demonstrate that a conventional Title 5 soil adsorption system using aggregate, including a reserve area, can be installed on the site. The owner may than size the soil absorption system for the System. The total area required for the aggregate system, which may include the area designated for the System, and a reserve area shall be preserved and the owner shall ensure that no permanent structures or other structures are constructed on that area and that the area is not disturbed in any manner that will render it unusable for future installation of a conventional Title 5 soil absorption system. 3. The owner of the System shall at all times properly operate and maintain the on- site sewage disposal system. CULTEC Modified Certification for General Use Page 6 of 7 4. The owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the date of receipt of that request. 5. No owner shall authorize or allow the installation of the System other than by a person trained by the Company to install the System. V. Conditions Applicable to the Company 1. By January 31st of each year, the Company shall submit to the Department a report, signed by a corporate officer, general partner, or Company owner that contains information on the System for the previous calendar year. The report shall state known failures, malfunctions, and corrective actions taken for the System as well as the date and address of each event. 2. The Company shall notify the Department's Director of Watershed Permitting at least 30 days in advance of any proposed transfer of ownership of the technology for which this Certification is issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Certification applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 3. The Company shall furnish the Department any information that the Department requests regarding the System, within 21 days of the date of receipt of that request. 4. Prior to any sale of the System, the Company shall provide the purchaser with a copy of this Certification. In any contract for distribution or sale of the System, the Company shall require the distributor or seller to provide the purchaser of the System, prior to any sale of the System, with a copy of this Certification. 5. The Company shall prepare and provide the Department with an installation manual specifically detailing procedures for installation of its System. The Company shall institute and maintain a training program in the proper installation of its System in accordance with the manual and provide a training course at least annually for prospective installers. The Company shall certify that installers have passed the Company's training qualifications, maintain a list of certified installers, submit a copy to the Department, and update the list annually. Updated lists shall be forwarded to the Department. 6. The Company shall not sell the System to installers unless they are trained to install these Systems by the Company. CULTEC Modified Certification for General Use Page 7 of 7 VI. Conditions Applicable to Installers of the System 1. Each Installer shall install the System in accordance with Company training on the installation of the System and the conditions of this Certification. 2. No Installer shall install the System unless the Installer has been trained by the Company on installation of the System. VII. Reporting 1. All submittals of notices and documents to the Department required by this Certification shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 VIII. Rights of the Department 1. The Department may suspend, modify or revoke this Certification for cause, including, but not limited to, non-compliance with the terms of this Certification, non-payment of an annual compliance assurance fee, for obtaining the Certification by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Certification, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Certification, the System, the owner, or operator of the System and the Company. Skip Navigation Mass.Gov Home Page State Govemment 'State Online Services it site map contacts search: dep home>water>wastewater&septic s stem>septic s stems/title 5 �r n ,fie' s� � �, r �3• , r. Y MassDEP quick Llnks "•,u, ¢sP �. x 3 _ u• � �ea Mama Mas OEP { r,., •.. Cultec Field Drain Schematics public Partimpatii011r. 'ttews Airt.Cfimate Cultec Field Drain schematics. Click on images below for larger versions. 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Servlte Center Calendar �k W My Community Online Services Regional Offices j Report Pollution ti mEt�lurNu+s :enptti� e's'. ay*em twt� &ii' ContactorO Field DrainTM C 2 Section'View f ns r D aorya drag..• Scale:-N.T.S. 1aSiorye±otl5lme It:7)fl-' - , f@NFRALNOTES .aLacMX!i1 d DRm'C.2 eY W ITEC InC.p(314ek9dp,CT', .t CadF itoK'FdD Or m'F7ctiasoanm�ba ns`.adaDN -� .._..BItJ�' �^I d.xvMh f ppRcaGald alga tlbaerr s39a5ma deaWmawfacwre WITEC.1y7C,mrmn!onDW 04' tsR36nYs q�dDtmav HHHHHH R Caxaitorer Pmu tkam`!'C2N2U Neary tl;FY,n9lrs;ao �: tehaD tiPda4'RYic9�MJilK:atybY NMe01 pa;. 24. O p p L ModelFO.02 R:. M r INSPECTICNPORT Model.F6-C2f. { - &maRliS- iargaRio" 8S � o 0 0 � o 0 o e. ♦ e e e o a e a. o e o o. a ♦ e gip. 3TI'' TRANSFER.TUNNEL(TYP): a fr TM ixll.TiCf;h m. PK:M7/6 418' IPJM BUM FltWO)+gJLTEc 8 Federal Reed: FX:(2G3a" 1412` B=Mdd;Cr OM U3A www,a 6eo oom CULM Conta doWand Recharg" F%SftSepM and ftrmwaWChambm. cAn eait�: Tale 7118M ri+ FD C-2. aECIRCATiONS Sp.. y-w,Lw9th 6.01 ContactorOField DrainTm C-3 Section View �re s:r Scale:'N'T:S. hYf 3' ENERAL NOTES x�Ud�Afidd kdn'"�by CLILTEC;Sfs;at 8todcfleld;'.CT. I CaniacmnD FieIG Lraa�*'C.3 d�n�eis must 4e inslalted v� -.. zvlaalseul6lNlapplid�lekc�gaERaWledasi-. '�K t6 n10nulecUfK:CiILTEG 3t'�.'S'te({m1t3�'IdBfR. �1AII8ti0fi�llolBdl@x: MI 'll C •mj t Wrmktp�ai�iw aa�TM t,nru:r±eay wy ants arc _d ' B-�44M 12' NOdel FD-1,3 R 5mae.Re; ga u. INSPECTIONP+ORT Model FD C3 E:' t ;;tr e � • • � • • • p • a__o__j, -f aM 1 wma 1 +—TRANSFER TUNNEL'{TYP:j.e ' — W TM C= RO Bol(2W PFk;(M44M TEC m Federoi Road . Fk(M3)77&1462 BrdadWd CT098 USA W&Wteaaam CULTEC contactor®.and Rwhggoa ftstt c arid.Sbwma*Chmftm MN M riS FD C-3 s 4 � a l_ I r Contactor@ Field DrainT"" C- -Section View VECIFICATIONS. Scale, N.T.S. Length 85'. -LeY•aPlengtr 5:0 . `del'. 4' Heght 85' inert T Crcmber 5tnrapd- 'z3.d4'h' 2GP' MO,Storage uith.stana 23.W ft :GENERAL NOTES:.:. Cordu*O F.Id Dram'-C-0 by CUL?E+'inc oi. oaid3eid:'CT. u .. -AD COALX"FiekfDrain'r C.d ctamt+eis,rust be:insalki .. awraaixe v#.h W]4 fizWe brat,�stata and federal: .. Befetze minu(8g3;rer;'CllLTEG INC s reccrt coded ias ba b'n guided'me;,; 0 At ConP b.0 Field 154n-c4 H2OHcavytD.uI a sere marked Yvzih a d'"stroe along Una!ehp 0 the cbamCe.: ar INS-ECTICN PORT, Model FO'C-0 R r�aam tma;we �a� ,- (� • VINANS'FER TUNNP(rYF.). .. s.a Rid'detFD"G4 E- f"'" lt5xfoefilm Ph:(2Qd)7754410 PA.Bw 280 PH:(BOB)AO. LTEC 878FedWW RWd FX:(M)TMI462 CULTIC Brod15dd CTOw USA wwwaa�com ft and Plastic end S�rnlvatier Chambers aTE sous T1tle, a3" FDC-4 a Contacts•Feedback•Related Sites•Site Policies•Help Mass.Gov•Energy&Environmental Affairs•Department of Environmental Protection ACCESS COVERS MUST BE WITHIN 9" MINIMUM. INVERT ELEVATIONS : DES l GN CR l TER l A : GENERAL NO TES : 6` OF FINISH GRADE 3' MAXIMUM COVER FIRST 2' TO INVERT OUT SEPTIC TANK; 83•3 DESIGN FLOW: BE LEVEL MIN 2" OF PEASTONE INVERT IN DIST. BOX: 7137 3 BEDROOMS AT 1!0 G.P.D. PER 1. THIS PLAN IS FOR THE DESIGN AND CONSTRUCTION 75.a mux OR F I L TER FABRIC INVERT OUT D I ST. BOX: 71.2 BEDROOM EOUAL S 330 G.P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. 4' DIAM PIPE 72.o I I/2 71.0 3/4 INVERT IN LEACH CHAMBER: NO GARBAGE GR/NDER 2. VER T I CAL DATUM IS ASSUMED. FOR BENCH MARKS Ta 83.3 7/.2 0, 2 �o DOUBLE WASHED STONE BOTTOM OF LEACH CHAMBER: 69.0 ae5 7/.0 ADJUSTED GROUND WATER: N/A SET., SEE S1 TE PLAN. BAFFLE �37 69.0 SEPTIC TANK REOUI RED: 3 OUTLET 2-500 GAL LEACHING CHAMBERS OBSERVED GROUND WATER: NIA 330 G.P.D. X 20OX - 660 GAL. "/ J. ALL CONSTRUCTION METHODS AND MATERIALS AND EXISTING D-BOX W/4' STONE AROUND. 12.8'W x 25'1 x 2'd BOTTOM OF TEST HOLE #1 : 62.2 SEPTIC TANK PROVIDED: 1000 GAL. EXISTING MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1000 GAL H-20 CONFORM TO MASS. D.E.P. TITLE 5 AND LOCAL SEPTIC TANK 6` CRUSHED STONE OR _ SOIL ABSORPTION SYSTEM REOUIREO: BOARD OF HEALTH REGULATIONS. COMPACTED BASE / DESIGN PERC RATE C S MIN/INCH p r ROF l L E NOT TO SCALE SOIL TEXTURAL CLASS - l 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER EFFL UENT L OAD I NG RA TE - 0.74 GPDISF AREAS SUBJECT TO VEHICULAR TRAFFIC OR GREATER 330 GPD / 0.74 GPDISF - 446 S.F. REDUIRED THAN 3' IN DEPTH SHALL BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. PROVIDED: 2-500 GAL LEACHING CHAMBERS W/4' STONE AROUND. A•471 S.F. S. ALL SEWER PIPE SHALL BE SCHEDULE 40- PVC OR N471 S.F. x 0.74 - 346 G.P.D. APPROVED EQUAL �.► ` JJ , SOIL TEST P! T DA TA& 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED PRECAST CONCRETE OR APPROVED POLYETHYLENE.' INDICATES PMORIcoC°LarioN OBSERVED BOTH SHALL BE WATERTIGHT. D-BOX SHALL BE WATER TEST = GROUNDWATER TESTED FOR LEVEL WHEN THERE IS MORE THAN ONE TP 01 P�1244 rP 02 OUTLET. / / / 0• HORIZON TEXTURE COLOR 73.2 O' HORIZON TEXTURE COLOR T3.2 LOAMY 10YR LOAMY IOYR A A 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE`. SAND 512 SAND 5/2 I-888-DIG-SAFE AND THE LOCAL WATER DEPT. 9- - - ' - -SANDY - _ 72.5 9" - - - - - - - - - - - - - 72.5 Jl l 1 ' ✓ l /l // /J J /// ,' +86.0 B SANDY 4OYR B SANDY 16 FOR LOCATION OF UNDERGROUND UTILITIES. J rn / ��� / � / / LOAM 4/B LOAM 4/6 /l / /J /f 54" - - - 68.7 54' - • - • 68.7 i FINE - - - - -IOYR FINE IOYR 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE SAND 714 SAND 7/4 DESIGN ENG l NEER TWO DAYS PRIOR TO CONSTRUCTION 78.8 EXI,STI* sa-SfPTIc mA rl J' �� J' l /' j / /J OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE J ( r r J J JJ CONSTRUCTION /NSPECT I ONS. 87.b G EXf5T1N SAS ''' Dry / ! J TO SUED 9. EXISTING LEACHING SYSTEM TO BE PUMPED DRY AND 1$IMAPLE REMOVED. /7513 I32' NO WATER 62.2 132' NO WATER 62.2 I F(' • 651.1 �� ,/ / / l / J i 1 '' ?s00 GALLON DarE: MAY 23. 2ooB ID. ALL UNSUI TABLE M,4TERIAL IA A 8 HORIZONS) err r/ �/�/ 6 EACHING CHAMBERS TEST BY: DAVID MASON V/ ENCOUNTERED BELOW THE INVERT OF THE LEACHING /�// 1 / z I, a� /� J Wi4•STONE AROUND wrrNEss£D BY: aoNALD D£sMARa1s FACIL I TY TO BE REMOVED FOR A DISTANCE OF 5' PERC RATE: ! 2 MIN/INCH r rI OA J AROUND AND REPLACED WITH SAND IN ACCORDANCE .BM: ON SQ/ND(TVBE / J D- TP s3 P015696 TP #4 WI TH Tl TLE 5. . /APA f TREE CL G1-STE. I / (.• . 'Ly�J -J vEL/ROgD / MORIZO+N TEXTURE COLOR HORIZON TEXTURE COLOR l -- ..... �^� �►- 8- yT.3 O' 73.4 �'P I NES S. / J J LOAMY IOYR LOAMY IOYR SO! /` r v° I / \ ! TPeI /REMOVAL / r 6' 'A- SAND - - SAND 76.8 8- A - - 72.7 BjPik / / / / SEf NOT�10./ , r - - , - - - - - - - - - - - - - - LOAMY IOYR LOAMY IOYR 73.4 tia / J / 8 B / r SAND 5/8 SAND 5/8 +/ 1 / ! / / r 30' _ - • - - - - - - - - 74.8 36' - - - - - - - - - - - - - 70.4 I 1 I / / J / � � f / T�+►3 / / / / / J J / ' / r C l SILTOAM 6/S C I sADI�Anro IOYR // // J ✓ 24 YREE JJ J TP#4 / JJ JJ ✓ / r r r r / FIRM 60' GRAVEL 72' - - - - - - - - - - - - - - 67.4 JJ G2 SILT 10YR I\v / J J J / / / 66 / rr r LOAM 6/3 ' FIRM 11 'F � ia4'' NO WATER NO MUTER r tv l2 87.3 90` 65.9 I wn DATE: JUNE 26. 2018 �1 72 WITNESSED BY: DONALD DESMARAI S &+ PERC RATE: ( 3 MIN/INCH /a 41 cra © / Qo J Jr/ J JJ / rr rr L. O/f 2.7 / r r 4J 647± S.F.jj` S E' F> T l C SYSTEM D I7 S ON J 34 OR EAT H J L L OR J VE . MAP J 74 , PARCEL ' 36 BARNSTASLE . MA . 6 � C MAR S TONS MILLS )L L S ) •` GAF y / r PREPARE© F70P L EGEND ■C8 CONCRETE BOUND / .4NDRE CORM ! IER +LOCUS -w WATER L I NE HOLDER LANE O HYDRANT SCALE : 1 .. " 3 O ' .J U L Y 23 . 2018 G GAS LINE apK ----OHW- OVER HEAD WIRES �# LIGHT POST � T � 1'p HEN A . H A /`"/� � _E_ UNDERGROUND ELECTRIC LINE ENGINEERING ---T-- UNDERGROUND TELEPHONE L/NE ; P . O . Box 16 UNDERGROUND CABLEV l S l ON LINE -CTV �` -� South 0c nn i s , MA 02660 -- /� .--,�.� +40.4 SPOT ELEVATION ✓� �I�1�f��� /� � ( 508 ) 362-8 '1 32 IT ..-••40....... EXISTING CONTOUR LOCUS MAP 4O PROPOSED CONTOUR 0 15 30 60 JOB NO: 18-016 , •I ti ASSESSORS MAP : T TEST HOLE LOGS PARCEL : 3� NOTES: 1 FLOOD ZONE : ��r-'?` �7,��,�'C..�cX)�,�-� SOIL EVALUATOR : 1?�'Vio WITNESS : '= REFERENCE: ?,Qp42L� 8� DATE: ►A Z3 ZOC� 1) The installation shall comply with Title V and Town of Barnstable Board of Health Regulations. COW 'V(.,%�r ,S PERCOLAT I N RA•fE : L Z ►fit 1 , la 2) The installer shall verify the location of utilities, sewer inverts and septic V _ l � _ components prior to installation and setting base elevations. TH I TH 2 3) All gravity septic piping to be 4 inch Sch 40 PVC at 1/8 per foot. The first � -• A LbAmv 6gHp LOA f qwv two feet out of the d-box to the leaching shall be level. la 5 L4) This plan is not to be utilized for property line determination nor any other 9 ' PL-- 1 --- purpose other than the proposed system installation. t .� �A}JO LDW�►1 t M 5) All septic components must meet Title V specifications. �, tad e� �, 1 Olt 6) Parking shall not be constructed over H10 septic components. I p p LOCATION MAP ,�f,T�, 5� �" —-- �' 7) The property is bounded b property corners and property lines.C'1 ) Il°t7� �J`� p Y Y p p Y p P Y es. I �,���-�— ��L � ✓ �1N1G 5AN 8) The property owner shall review design considerations to approve of total L f L 2 I V E: �Iw>✓ loo"110 design flow and number of bedrooms to be considered for design. Receipt — _ ►b �� 1011t,�Jr� of payment for the plan and installation based on the plan shall be deemed �` _� �� � �' �` `—` + Gt rr approval of the design flow by the owner. to S -t=-r fie$ �� 9) The existing leaching or cesspools shall be pumped and Filled with material -f _ �� _ ' —toy' - { E' ' t?7per Title V abandonment procedures. Those within the proposed SAS shall too- - Io2 >) UR1t1�, ��J+�l Inc- _ _.- � ! WUPI'Zt� be removed along with contaminated soil and replaced with clean sand per II Title V specs. )System components to be 10 feet from water line. Sewer lines crossing the SEPTIC SYSTEM DESIGN water line shall be sleeved with 4 inch SCH 40 PVC with ends grouted if applicable. The proposed SAS is being installed below the water service r line. The line is to be sleeved as aforementioned and maintained in place. �►sz�W -;;�i; ' _ FLOW =ST 1 MATE 11) If a garbage grinder exists it is to be removed and is the responsibility of the owner to ensure such. B=DROOMS AT GAL/DAY/BEDROOM - 1?1� GAL/DAY 12)The installer is to take caution in excavation around the gas line. _ ` 13)The installer shall verify the location, quantity and elevation of the sewer f SEPTIC TANK lines exiting the dwelling prior to the installation. qL �3�O aAL/DAY x 2 DAYS - W00 GAL 1 — USEU` GALLON SEPTIC TANK C�Xt�Tt W o ' . "Ii ' SOIL ABSORPTION SYSTEM t {. P,0 CUGrE-,C HZ0 LA UI wo obv4r, 'Fbe AW 5-A6. Hw�� V464�1 1 'x3Z/ i it St it , 004 _ Gr ; _ BOTTOM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF OF C-4 UNIT) r f oZ �Z 4 UNITS x 8.0'/UNIT = 32.0 FT ,'�, '• ', D W 3 ROW" x 32.0' x 6.7 SF/LF = 643.2 SF E DESIGN FLOW PROVIDED. 0.74(643-2 S.F.) = 475.96 G.P.D. SEPTIC SYSTEM SECTION FINAL GRADE TO BE SET AFTER INSTALLATION AT EL;- &W8 1 aP OF F00k1Q1A n 0 i �I,EU, °lq"� — -- L' MAINTAIN 2% MIN SLOPE OVER LEACHING AREA MAX. COVER OVER S.A.S. = 36' — - _ Wi Af _.___ INq � (p —INSPECTION PORT TO \ 5nw (p w PLACED ON END UNIT L =10'(MAX) (A yer I 4" SCH 40 PVC 7 {� i) ,� `Si' -a` (000 GAL 8,1,17 � T�5" O S- ,X.(MIN.) INVERT � ' `�. SEPTIC TANK ` �t 'l.�1 3 ROWS OF 4-CULTEC C-4 UNITS x 8'/UN =32' SPLASH PAD TO CONSIST OF UNDERLAYMENT OF FILTER FABRI SOIL ABSORPTION SYSTEM (PROFILE) . EXTENDING 16" IN FROM START IOF ROW kTa I CULTEC N0. 410 FILTER FABRIC ESTABLISH VEGETATIVE COVER (017 BACKFILL WITH CLEAN SAND ��Or-j OF l Htt-Z ELF-aft: -7 -"3 (NATIVE OR PERC SAND) _ 12" MIN. :�.= ; •:<.;. _ 11 TOP OF CHAMBER ELEV.=80 52 `' -f .. . .. IW ELEV.=&O, S :x r. -BRED „T SITE AND SEWAGE PLAN I� BOTTOM ELEV.=�,� � ELEV:=�► � ��'�•''�' 48' (TPICAL) 6' EXISTING SUITABLE„ LOCATION : I �'� �r'� ( � Z �- �( 5' MIN. ABOVE BOTT6ki OF MATERIAL J T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=13.0' __::T Ce1kjTQ!/IC-(, J BOTTOM OF TESTHOLE EL-73,3j USA 3 ROWS Ch' 4—CUITEC C-4 FIELD DRAIN UNITS W fVl 6" SEPARATION BETWEEN EACH'ROW do NO STONE S('lL ABSORPTION SYSTEM ( I SECTO PREPARED FOR : ���' KE, EX��\/�T�+�CE Zo Nl O SCALE : js�� �'1�1^,� z DBC DAVi DENV I RONMEN�AL DESIGNS DATE _ DATE HEALTH AGENT EAST SANDWICH . MA W ( 508 ) 833- 2177 Z