Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0023 HEATHER LANE - Health
23,kHeather Lane '° °•° _- - - ---------- Y.. .__ —_ _— ---—-- —- ----- 149r "='130�T�008 � � _ yj No 62 0 039 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplicatlon for Misposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(k Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. A 3 WGJ4T&(Q_L-#W 1Q hij Owner's Name,Address,and Tel.No. dAa-AQ_,vu-t r(MS Assessor's Map/Parcel Sq n(j&W " e44/"Ln Installer's Name,Address,and Tel.No. 50'9-q`t7—21 7'7 Desi er's Name,Address,and Tel.No.SOB-ol-J I—4 4-1� eu4tyeS S., tCjjt4 Type.of Building: Dwelling No.of Bedrooms Lot Size Q0,003* sq.ft. Garbage Grinder( ) Other Type of Building RFC(D4.WTt OE. No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) :33 gpd Design flow provided 7j 4_1i a� gpd Plan Date , s ,�D-;k� Number of sheets Revision Date Title 93 REK-71�_-Z `..ArKA—V 1 Size of Septic Tank Type of S.A.S. Description of Soil e�6AM& e % &94kj`L2 r-- SR 264-l) Nature of Repairs or Alterations(Answer when applicable) LA (_"_X[_4-r1P6 1,600 4) 'SGPrN t.C—TA+, 6r Axa� 3 — f i 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 He h. Sigu Date 7�� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 06?® 0001 Date Issued r. '' t J No%� o`r om Feet THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS apph ation fora.-Misposal *pstem Construction Permit Application for a Permit to Construct( ) Repair(k Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Addressor Lot No. a03 -WQ4 'r(GP_4.*W r& Owners Name,Address,and Tel.No. Assessor'sMap/Parcel 149 ( �+1P4'A�3��-•tT(� Installer's.Name,Address,and Tel.No. s,01B-477 ..$,$� Designer's Name,Address,and Tel.No.SAS•e'�`13,631`I TC 1�1 Type of Building: l DwellingNo.of Bedrooms Lot Size ��n hsq.ft. Garbage Grinder( ) Other Type of Building ���[( �1-�/� No.of Persons T=' Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) gpd Design flow provided (( ;L gpd Plan Date + -. Number of sheets_ Revision Date - Title s�, —I" &MIZE Size of Septic Tank����� Type of S.A.S.(3), 5 � Description of Soil e_6 =59� & 40.U4C9_-.gCP Sr G M1ZL L tt $abs r7�L/ Nature of Repairs or Alterations(Answer when applicable) 1]56 y�6AJ StWrL L'r Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system'in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date C Application Approved by Date — --� Application Disapproved by Date for the following reasons + Permit No.�' � Date Issued '° �a8 ---------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( Upgraded( ) `C � {o , Abandoned( )by �hR, A . .�a r at '� !- "t1.4 L&XE N/1 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. � dated Installerrm044L Designerk�- #bedrooms Approved design flow Rangpd The issuance of this pe it shall not be construed as a guarantee that the system will cti designed Date .„ Inspector P . j,--- . No.Z©� W Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal &pstem (Construction Permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon( ) System located at X. (AAA, F 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:Con truction must be completed within three years of the date of this permit. Date Approved by Town of Barnstable f °4I' Regulatory Services ' Richard V. Scali,Interim Director r, � EAAN9'CAHLE, ' CR 9� MAC. Public Health Division �- t679. ♦0 ��i '°TEe Nu►�' Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 I A Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: �'1 5,20 Sewage Permit# -aO Assessor's Map\Pareel Designer: 3— R)eett`��� T�nC Installer: C,10e_W,'iJe r�l�r�:iSeJ Address: 2S!5 q Gc-4o\oerry Wk wn r Address: 1.53 Covn o"C(,,( 5•+rc,&+ r'Clsk wetrekla ►� HA cz;;3 H��s�(��e, u(� b 2 y `i On d _ l � C�z�ewicl f=�t ,tsc was issued a permit to install a (date) (installer) septic system at 3 ttea Knee 1 avtie based on a design drawn by (address) C10!jt0CeCi,0 1 , 0G . dated Z4,6001_� $ ZBZd (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 construe nce with the terms of the IAA approval letters (if applicable) �j'� Ssy��G ' JOHN o CHUR VI�JR. (I 41eS1gna re) N .41 70esgners Signa (AffZ igne s St mp Here) PL ASE RETU TO BARNSTABLE PUBLIC HEAD S N. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOT11 TMS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. QASeptic\Designer Certification Form Rev 8-14-13.doc TOWN OF BARNSTABLE LOCATION A3 PATNEP, LANIr SEWAGE# 0` t0o1Q-009 VILLAGE,MAPSTt!j S M it.LS ASSESSOR'S MAP&PARCEL 149 T ® 00IR INSTALLER'S NAME&PHONE NO. R OGGrkT T6 (00p,(:!o, SEPTIC TANK CAPACITY t 000 G L�.®tVc LEACHING FACILITY:(type)�3)5760!R Gada4r2sG4S (size) I a a K NO.OF BEDROOMS 3 r OWNER ~C�.p6- 49(L(-T1& --r*j c- G:a PERMIT DATE: 4-a6 a0 COMPLIANCE DATE: 1 15-dLo D.a Separation Distance,.Between the: Maximum Adjusted'Groundwater Table to the Bottom of Leaching Facility IV 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) ( A Feet 1` FURNISHED BY 0 � OUP, (20 .4c�)Y^P-r IOAe. all 3' s: P 33 jv Pow � s I a00 IF,SENDER: COMPL ETE THIS S,ECTION, COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,.and 3.Also complete A. Signaturd item 4 if Restricted Delivery is desired. ❑Agent ® Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C+.�Date of Delivery ■ Attach this card to the back of the mailpiece, f✓�q�n /�L�R W or on the front if space permits. l D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Mark Hansen I Today Real Estate 1522 Falmouth Rd. 3. Service Type ❑Certified Mail ❑Expms Mail Centerville, MA 02632 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number MJ05 1160 0000 �191 3�59 I, (transfer from service label) :7 I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540,I I - UNITED ST/kTt=st,E?&STU �:�r�SS:AI�II,•1"'" +:p'o to, Gr&F,g Paid w Sender. Please print your name, address,-and ZIP+4 in this box • I PUBLIC HEALTH DEPARTMENT TOWN OF BARNATABLE M 200 MAIN STREET HYANNIS, MA 02601 //b)I!ibbltif lit,ttlFJ'/111t//h1t/hi, 1billbFf fin!ibbi Er ,n tl'lie.1L'i�iJ p �. • . . .- . .-. m Ir - Postage $ v 9 p � p Certified Fee � I CO Postmark p Return Receipt Fee 1/ (Endorsement Required) r O Here O p Resfricted Delivery Fee N � (Endorsement Required) �'O� �p G Total Postage&Fees $ . S ul _(� _ / p nt To RY ry ACL.�Q_ p �"P lr`�� �/ [� ------------------------------- ------------ treet,A No. or PO Box No ------------------- - -- -- -- �;n Mate. )P/p oa 6 32- :,r r. Certified Mail Provides: sianay)ao0a auntoose w,o�sd e A mailing receipt a a A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. a Certified Mail Is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Recelptmay be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post•office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. i Town of Barnstable �F tHE Tp� H ti� Regulatory Services BARNSTABLE, Thomas F. Geiler, Director 9$A 1,639. � Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,.MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 4, 2007 Mark Hansen Today Real Estate 33 Falmo uth uth Rd 0 Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system owned by you located at 23 Heather Lane, Marstons Mills, MA was last inspected March 19th, 2007 by Michael Dedecko, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"Failed" under the guidelines of 1995 TITLE 5 (310 CMR 15.00).due to the following: D-box is broken needs to be replaced. Tee's are intact, structurally sound, liquid level equall with outlet invert, no signs of leakage. You have 2 years from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable. Health Department. BARNSTABLE HE TH DEPARTMENT omas A. McKean, R.S., C.H.O. Agent of the Board of Health Commonwealth of Massachusetts �_ -----_- � Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 23 HEATHER LANE Property Address ; C/O MARK HANSE_N_TO_DAY REAL ESTATE 1533 FALMOUTHR�D CENTERVILLE MA 02632_ ---------- Owner Owner's NameG y information is _ MA 9263c'i 3/1_9/07EN required for ---_— -- -- State Zip Code Date of Inspection every page. City/Town Inspection results must be submitted on this form. Inspection forms may not be altered in any, way. /1Q OO Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your MICHAEL D_EDECKO cursor-do not Name of Inspector use the return key. COMPASS REALTY D_E_V_CORP Company Name ree P.O. BOX 2384 Company Address MASHPEE MA 02649---_ return City/Town State Zip Code _508-221-5003 Te _ _ ------ -------------- — lephone Number License Number B. Certification 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 In,spectlon r she rns'pection 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 t,(Section 15 340.'.of Title 5 (310 CMR 15.000). The system: ❑ Passes Conditionally Passes ❑ Falis C 3 Needs Further Evaluation by the Local Approving Authority 3/19/07 Inspector's Signat a Date 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. ****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. T Page 1 of 15 281 OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.• Commonwealth of Massachusetts ----y Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 23 HEATHER LANE ----- -- Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 ....... Owner Owner's Name information is CEN_TERVILLE __ _MA_ 02632 3/19/07 required for -- ----- State Zip Code Date of Inspection' every page. City/Town B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y, N, ND) in the ❑ for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a.Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed 281OLD MEETINGHOUSE•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments a;y 23 HEATHER LANE ----" Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE_MA 02632 __- Owner Owners Name .information is CENTERVILLE MA 02632 3/19/07 .. ._.---. ----- required for - -- - -- State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) B) System Conditionally Passes (cont.): distribution box.is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR :15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet`of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 15 2810LD MEETINGHOUSE•08I06 Commonwealth of Massachusetts - % Title 5 Official Inspection Form —' -- Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 23 HEATHER LANE Property Address CIO MARK HANSEN_TODAY,REAL ESTATE 1533 FALMOUTH_RD CENTERVILLE MA 0263 Owner Owner's Name 'information is MA 02632 3/19/07 __..... required for CENTERVILLE ----- -- ----- ----------------- ------ --_ -- — --- State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ------------------------ ** This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates Absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each,of the following for all inspections: Yes No ElBackup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ f [.-,/ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ , ✓ Static liquid level in the distribution box above outlet invert due to an overloaded u or clogged SAS or cesspool El Liquid depth in cesspool is less than 6" below invert or available volume is less L1 than '/Z day flow Required pumping more than 4 times in the last year NOT due to clogged or . obstructed pipe(s). Number of times pumped: Any portion of the SAS, cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or L� tributary to a surface water supply. 281 OLD MEETINGHOUSE•08/06 - Title 5 Official Inspection Form.Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts --- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 23 HEATHER LANE ____....._..__........_. Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 __- Owner Owner's Name -information is CENTERVILLE MA 02632 — 3/19/07 required for - State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ [2( Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ❑J Any portion of a cesspool or privy is within 50.feet of a private water supply well. ❑ ER( 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 fecal coliform bacteria indicates absent 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 / and chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- UUU/ 10,000gpd. ❑ r ,f The system fails. I have determined that one or more of the above failure LLLJJJ criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ Elthe system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection E] El Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 281 OLD MEETINGHOUSE•08106 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form -- --- �>I' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 23 HEATHER LANE --------- - ----..__. ------ Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 _..-_.._ Owner Owner's Name information is CENTERVILLE __ MA_ 02632 3/19/07. required for State Zip Code Date of Inspection every page. City/Town C. Checklist 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 ❑ Eg Were any of the system components pumped out in the previous two weeks? [� ❑ Has the system received normal flows in the previous two week period? ❑ Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ Was the facility or dwelling inspected for signs of sewage back up? d] Was the site inspected for signs of break out? d ❑ Were all system components, excluding the SAS, located on site? [ ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ 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(5)] 281 OLD MEETINGHOUSE•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•.Page 6 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form Not for Voluntary Assessments 23 HEATHER LANE ---- ---- — — — "- property Address C/0 MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is CENTERVILLE _ MA 02632 3/19/07 ----- required for -----------------------------"—"—— State Zip Code Date of Inspection every page. City/Town D. System Information Residential Flow Conditions: Number of bedrooms (design): — -- Number of bedrooms (actual): ---�--"----- DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: Does residence have a garbage grinder? ❑ Yes RINo Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes Lk No Laundry system inspected? El Yes Eg"'No Seasonal use? ❑ Yes Iry No Water meter readings, if available (last 2 years usage (gpd)): Sump pump? ❑ No Yes [� Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: -------- Last date of occupancy/use: Date Other(describe): -------------------------------------------------=----._.._...".__-----_.-...- 281OLD MEETINGHOUSE•08106 Title 5 Official Inspection Form.Subsurface Sewage Dispqsal System•Page 7 of 15 Commonwealth of Massachusetts 6*4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments I — 23 HEATHER LANE. — Property Address C/O MARK_HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632_ _-_...... Owner Owner's Name information is CENTERVILLE _ __ MA 02632 3/19/07 required for — EN ER.-_._....-.--— - State Zip Code Date of Inspection every page. City/Town D. System Information (cont.) General Information Pumping Records: Source of information: —----- Was system pumped as part of the inspection? ❑ Yes ❑ No f yes, volume pumped: gallons-------------------------------- ---- How was quantity pumped determined? -------------------------------,-------_ --------- Reason for pumping: --------- ------------------------- Type of System: Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information: 1.` ..........-- - Were sewage odors detected when arriving at the site? ❑ Yes [ No 281OLD MEETINGHOUSE•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 15 '� Commonwealth of Massachusetts �=- - .b cial Inspection Form— Ti f 1 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 23 HEATHER LANE -- `—' Property Address ----------------._---- C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is CENTERVILLE MA 02632 3/19/07 required for ------- --- State__ Zip Code Date o T Inspection every page. City/Town D. System Information (cont.) Building Sewer(locate on site plan): B Depth below grade: feet Material of construction: ❑ cast iron 40 PVC ❑ other(explain). ------ Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: feet Material of construction: Yoncrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) ---------------- If tank is metal, list age: __.....---------------------------------- years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No --------------------------------------------------------- ----- Dimensions: • rr Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle ---- --- - - -" -- - - 4r Scum thickness --------------_—___------........_---------._._. Distance from top of scum to top of outlet tee or baffle �r Distance from bottom of scum to bottom of outlet tee or baffle -- How were dimensions determined? - -- 261OLD MEETINGHOUSE•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 23 HEATHER LANE Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is CENTERVILLE __ MA 02632 3/19/07 required for ------ ------ ---- State Zip Code Date of Inspection every page. City/Town D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Ld .l Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or,baffle ------- ------ -- — Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: ----------------------------- Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other (explain): Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 281OLD MEETINGHOUSE•08/06 Commonwealth of Massachusetts ---= - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 23 HEATHER LANE -- — —" Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name 02632 3/19/07 information is CENTERVILLE MA --- ---- _. required for --"-"-"-- — — State Zip Code Date of Inspection every page. City/Town D. System Information (cont.) Tight or Holding Tank (cont.) Dimensions: ---- --- Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: -- -------""— --- Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No Distribution Box (if present must be opened) (locate on site,,plan): Depth of liquid level above outlet invert --- — Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into.or out of box, etc.): <� Pump Chamber (locate on site plan): Pumps in working order: ❑ Yes ❑ No } Alarms in working order: El Yes ❑ No Title 5 official Inspection Form'.Subsurface Sewage Disposal System•Page 11 of 15 281OLD MEETINGHOUSE•08105 Commonwealth of Massachusetts u_---- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments a 23 HEATHER LAN .---- F roperty --- -- --- ------- ---- --- --- - ---- - - - Address C/O MARK HANSEN_TODAY REAL ESTATE 1533_FALMOUTH RD CENTERVILLE MA_0263 -- - - Owner Owner's Name 02632 3/19/07 information is CENTERVILLE MA --- - - --- -- required for --- ---- ------ - :--- ------------ City/Town /Town State Zip Code Date of Inspection every page. y D. System Information (cont.) Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: leaching pits number: leaching chambers number: -------_..El leaching galleries number: — --- -- leaching trenches number, length: ----- - __- � leaching fields number, dimensions: � overflow cesspool number: 0 innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Lt-� Title 5 Official Inspection Form,Subsurface Sewage Disposal System•Page 12 of 15 - 2810LD MEETINGHOUSE-08106 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 23 HEATHER LANE ----- ---- ---- ----- - -- ----- Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 Owner Owner's Name information is CEN_TERVILLE _ MA 02632_ _ 3/19/07 required for -- ------------- State Zip Code Date of Inspection every page. City/Town D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth -top of liquid to inlet invert -------------------------- Depth of solids layer Depth of scum layer ------------ Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of 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 hydraulic failure, level of ponding, condition of vegetation, etc.): Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 281OLD MEETINGHOUSE•08l06 Commonwealth of Massachusetts u Title 5 official Inspection Form ._. _ Subsurface Sewage Disposal System Form Not for Voluntary Assessments 4 a. 23 HEATHER LANE _ -------...-------------------- ------ -- — .. - Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD_CENTERVILLE MA 02632 ,Owner Owner's Name information is MA 02632 3/19/07 required for CENTERVILLE__ _____.-____—__.-- -- -- every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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. -ram I DG Ilk ° --� 7 15�� J�7i Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 281OLD MEETINGHOUSE•08106 Commonwealth of Massachusetts x ---- r� Title 5 official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments — 23 HEATHER LANE - --- Property Address C/O MARK HANSEN TODAY REAL ESTATE 1533 FALMOUTH RD CENTERVILLE MA 02632 _ ----- Owner Owner's Name . information is MA required for 02632 3/19/07 CENT_E_RV_IL_L_E _ _ ---- State Zip Code Date of Inspection every page. City/Town D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells I Estimated depth to ground water. feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: pate ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers - (attach documentation) [[ Accessed USGS database -explain: � lvs - - , tom—-- ----------_. You must describe how you established the high ground water elevation: f S��l,`/� ra ---- Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 281OLD MEETINGHOUSE•08I06 TOWN OF BARNSTABLE LO(-'ATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT _06 $ INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY o0 e LEACHING FACILITYAtype) J 'l (size) NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 2 - DATE PERMIT ISSUED: . DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No LS �\ , � . ' ,�, ��� �� �� s— „-� ��•, i is ,. � � ���, ` � _ _ i .� � . � i r��� ���.� -/�' I ��� F- � 1 Q, ��� p -r. �� $ 30.00 No.._......'... Fps............._..... . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for* Disposal Works. Cnnnstrurtinn jbrmit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 23 Heather Lane Centerville ---•--------_...._ .._........-•--- - ------- ........................... --....----•-------••----•---------•-.....--•---•-------......-------------•-------._....---------- Location-Address or Lot No. Meeker ........................ --- -- ..........-----....--------------------.........-- ...................... .... ... -•-•--... Owner Address wJ P Macomber Jr. •-------•-•----------------------------•-.....--•------•-••-------------••---•-•-------------..--- Installer Address Type of Buildingg Size Lot............................Sq. feet DwellingXxNo. of Bedrooms----------------- --------------------------Expansion Attic ( ) Garbage Grinder ( ) P`4 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) P4Other fixtures ----------------g---------- ---- ---------- --.----- ------------------. -----------------------------------------.....------ ------. d W DesignFlow............................................gallons per person per day. Total dailyflow............................................gallons. WSeptic Tank—Liquid'capacity............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 ( ) `" Percolation Test Results Performed by.......................................................................... Date........................................ � Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......._................ fi Test Pit No. 2................minutes per inch Depth of Test Pit______--_-•-______-- Depth to ground water,........................ a •-- ------------------------------------------•------...••-•-••••--------••--•-•---•--------......--.....-- -----------------------------....---•-.---- 0 Description of Soil_ ___ _____: x Sand & GraveT (� •-•--------------------•-----------------------------------------.......---•-------..._......•------••------------------....._.....-----•-------•-•-................................................... W -------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Ans er1 �wq a pl' A1` -- �_ --------------------------------------------------------------------- 1- 00 a �oi Te chin---" it: ---------------------------------------------------------------•----•--••---•-------...---••---------------------------------------------------•-----.................................................. 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 ha be n issued by th boar f health. Signed 1/3-1/9 Dare Application Approved By `- ./�-�f D Dare Application Disapproved for the following reasons: ., ------------------------------------.........................----------------------------------- -- ----- ............. ------------------------------------. ............... Permit No. .......L..:,l '' Issued -----..� C-..---.. ' Dare } 1 No ........... '.� - Fxs.4... 2220._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration fnr 'Bilipusal Works Tomitrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 23 Heather Lane Center4ile�,v9 ................___.__..........---- -- = ........._..... _............. - ............. - Location-Address V or Lot No. Meeker ___......._----------------------------------------------------=-------------------1----------------------------- .... ............................. - Owner � � � '� I [ t Address a J.P.Macomber Jr. 1 .' --------- -d 'L_ ... R r -- r. Installer _ � �'" �[,-, Address Type of BuildiXng ^� ry rf-' 1 ""' Size'Lot............................Sq. feet Dwelling—No. of Bedrooms................__:'-_.._.___.__._Expansion-Attic (�,;,Y—•~'" ` Garbage Grinder ( ) '4 Other—T e of Building _______________ No. of ersons____________------r ____ Showers — QI YP gr ------------- P -------- ( ) Cafeteria ( ) QI Other fixtures ..................................................... W Design Flow............................................gallons per person per day. Total daily flow_.____._.___.________._______.___._....__.__gallons. W Septic Tank—Liquid*capacity............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 ( ) aPercolation Test Results Performed bY........................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water____________________,__. fi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----_................... 0 Description of Soil......I...........__ x Sand & Uravi v --------------------------•••••---•---•-------------------------------------------•-------•-•---------------•-••-•••------••- W -Repairs - - - ---• • - -- - -nswer w a pli ble Nature of Re airs or Alterations—A 00 gal o1 leaching pit. --------------------------------•--•---------------------------------------------------------------•----•----••--------------------------------------------------------•---••--•--•-•••--•••-•---•••---- 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 has be nnii�sfsued by the board >f health. Signed <. '/..% ��z�r�v 1 1�91 ���---------------------- s -------------------- Date Application Approved BY ------------------/= .... —--------- ......--...:v....5 ./�--'�/ Dale Application Disapproved for the following reasons- -------------------------------------- --------------_----_----------------------------------------- .....----.................. -- -------------- ----------------Dace Permit No. ..... �`?.--...-.-._ I--------------- Issued ....... '..- F. �- ------- i � 1 Date �4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE YCer#ifi a e of 0-1-ontyliance THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( XX) byJ.P.Macomber Yr. ---- -----------------------------_---_---------------------------------------- ........---.......................... --- ----------------------------------...------------------------------......-----............ at ..--.-23...-Heather Lane Centerville Installer ;- ------------ -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. '7. .....?;A.�.............. dated ... -j'---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE,- °°.__�> '..�. .. Inspector ..)_ ............... ------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q TOWN OF BARNSTABLE $ 30 r 00 _,... __el No.. ..._. FEE........................ Disp apttl nr.k.5 Tunotrnrtivit "permit Permissionis hereby granted-•-J----.--P----.--------Macomber---••-------........Jr...................................................................................................... to Construct ( ) or RepairX��� an Individu__aa�� Sewage Disposal System at No._23•-_Heather Lane Centerville ..._...----•-----------------------•-•---•--••---......--.--...------------------•---•-••---._...._._....._.........-•--••-•-•-------------•-----•....... Street 9h / as shown on the application for Disposal Works Construction Per -t No_ _____________ Dated_.__ ___..____f.'.._.��_._.... / r of Health / DATE------- -�"�-�--'.`��~''•.----f/-------------------------------------- Boa / FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS LOCATION L'JF � l.(J ��C.1't-11�1•-- � �__._ - - N0. VILLAGE 'S DATE ' C J��. ��,�,, FEE APPLICAN 11IIr TELEPHONE N0. (Non-refundable ADDRESS t-J� �,`,�) 1�'oyIZC'h ENGINEER - (\C TELEPHONE NO. DATE SCHEDULED r (Applicant' s signature SOIL -LOG .. SUB-DIVISION NAME DATE 7 l �,� TIME EXPANSION AREA: YES L/NO ENGINEER TOWN WATSA t,,�RIVATE WELL <T BOARD OF HEALTH EXCAVATOR . SKETCH: . .(Street name , etc. ,dimensions of lot, exact location of test holes and percolation tests , locate wetlands in proximity to test holes ) NOTES : Za�a�3 19 � N �,�D•d N J• PERCOLATION RATE : / �/���/�►/ S TEST . HOLE N0: ELEVATION: TEST HOLE N0: �- ELEVATION: 2 ��l3SOt L— 3 3 . 4 4 5 5 6 6 Cow® ram l 8 ; 8 10. 10 12 12 13 /3 13 14 � 14 . 15 15 . 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD BLEACHING PITS LEACHING TRENCHES/ UNSUITABLE FOR SUB--SURFACE SEWAGE. REASONS.:- NOTE : ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P . E . AND RETURNED TO BOARD OF HEALTH V7 �I •--42'7 141i-- -----__._... ,�--- 2Ei'1— 4'! .• = ,---' - _ r 1 ct1 ..� r ,J It 1—-- 3 Season F.W" O ep_s C Prop1 y �Mmhr Badrmm saa BedroMn (Q� ALF -- �v Kicu" Erp BsA 3 Ldey fioml ' � `�q• � ,ram M t H �' 9drtam 2 Family Fiat.m Yoh P lll� i _ _{. � Ga:ag®aM AdlC Sfcr�a 1-L ' w i ,00-P 5c�k LIVING Eager in N 4 l l j g AREA 2317R °f I - 10, C A-VION SEWAGE PERMIT NO. VILLAGE cl _C309 Ll 'l—INSTA LLER'S NAME ADDRESS \),, 6 dfILOER OR OWNER mom M 012 FkQAPr� 7�IP5- DATE PERMIT ISSUED ` DAT E COMPLIANCE ISSUED �e� 'Oke IV TOWN OF BARNSTABLE LOLAT'6N 7 e��t✓` a�✓t SEWAGE # VILLAGE. �� NI ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: .3'y�'I 'O 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 leaching facility) Feet Furnished by e 0 O 6-3 y- y� a y -3oy� 7 /j ` s i7 pc. 1 � k No. .. .. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH /� .................OF...... . .................................. Appliration for Bisposal 19orks Tons#rudiott 11trnti# Application is hereby made for a Permit to Construct A or Repair ( ) an Individual Sewage Disposal system at: - .......... �.7_Y...� � .. ............... ;' ..- .f. ... ..- t --------..........._............_.... Location-Ares�s or Lot No. Owner Address W --...................................... ..........................- ......._.. ...........j_ ..-------.......... ............. .•-•-• Installer Address Type of Buildi�jg Size Lot...... feet U Dwelling go. of Bedrooms.............. .........................Expansion Attic 1,�& Garbage Grinder ( '4 Other—Type T e of Building No. of persons............................ Showers W YP g ............................ P ( ) — Cafeteria ( ) PO Other fixtures .. Design Flow.......................i57J-.........gallons per personpr d;y. Total d�,i ow............r .. ...............gal�ons. Septic Tank—Liquid capacity...C gallons Length.... _.. Width..__.._V... Diameter................ Depth.... .�.. W Disposal Trench—No..................... Width.........`__....... Total Length_._.... ___........ Total leaching area...................sq. ft. x 3 Seepage Pit No...........�....... Diameter.......1.�_. Depth below inlet... .......... Total leaching areacz67....sq. ft. Z Other Distribution box ( Dosing Percolation Test Results/ Performed by....... .....- ...... Date..... °.�. � ,aa Test Pit No. 1....y......minutes per inch Depth of Test P• ..... ...... Depth to ground water..w ....... f= Test Pit No. 2................nimutgs per inch Depth of Test Pit............... .. Depth to ground water........................ a / l d ...... .... .......... Description of Soil---•----• - •--- ..... - .............................. --- s1 �p. .. - .. •--- l W UNature of Repairs or rations—Answer when applicable............................................................................................... �.. . ..................................... --•- •-• ��`..�„�"......................................................................................................................... Agreement: The undersign agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TII'M 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 heal3& at ApplicationApproved B .. ...... ...........••-........• •-•-•- ...............•................_ ._. .� ................. ate Application Disappro 0 o lowing reasons:.......................................................................................................... ---- ..-•........................................-•---•----._...............---•-•.........•......•........._...__... . ........._.. Date _ PermitNo...................................................--- Issued-..................................................... r3 Date i THE COMMONWEALTH OF MASSACHUSETTS �.. BOARD OF HEALTH 't}..-:t................OF......1,! T`y ..::C..................................... Appliration for Disposal Works Tonstrurtion 11rrmit Application is hereby made for a Permit to Construct 0 or Repair ( ) an Individual Sewage Disposal System at: 1 Location.Address / or Lot No. ....... --•-•--•................................... ........•......----.......... ... Owner Address a ............................ .................................................... --•-•........._............................ .................-•----••-•------.................. Installer Address q� Type of Building f._ _ Size Lot....%: :fir! ..Sq. feet aDwelling '1\10. of Bedrooms.......... .. .'`.� .r ..=:.Expansion t � Garbage Grinder (Q)� aOther—Type of Building ............................ No. of persons.......'........ _..... Showers ( ) — Cafeteria dOther fixtures ................................... ....................................................... ---------•----------• .......... W Design Flow.........................Z. .........gallons per person er day. Total daily flow............?..? ............gallons. WSeptic Tank—Liquid ca.pacity...fc r t:gallons Length .. ... Width.. .>lt?... Diameter................ Depth..V....'�.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No........_1....... Diameter.......f.r''.... Depth below inlet_..r............ Total leaching areaP,.<.?.....sq. ft. Z Other Distribution box (L.)--"" Dosing tank �/ 0.4 Percolation Test Results Performed by....... /4: � � IJ�'t � " -'�''' a ,... Date......_ Test Pit No. 1.... .....minutes per inch Depth of Test Piv...�-11.... Depth to ground water. .+� •-_- G4 Test Pit No. 2................minut s per inch Depth of Test Pit.................... Depth to ground water........................ . . O Description of Soil...._...�' .Z,-7.......... i j%j ..: ..:✓_.....fc::.--.......4 ......�.. j. .. W V ...... ............ .--- .......••••--------------- ......... ---------------------- .....-------- ........... ------------------- •------------------------------ ... -------- ......... .--•----------- 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 TITLE 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. 5igned.................................•................--------......-----....._........... ....._.... PP PP Y.....Application Approved B .. r - ..... ....................... -•................•-----...-•------------......---------- - ;%..._........ Application Disappro or f� ?iowing reasons:.........................................................................................................._-_ ............................................ .f:.......--•------.....-----•----•-----.._...-•---...---...---••------------------............---•----•-••-----------------•----•' Date r•-•--....._ PermitNo..................................................._.... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..............................................................I........I............. Trr#ifirttte of Toutpliaurr THIS ISf O CPRTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY-.......j� =' '----•--- •--------------------------------------------•------.------•--------------__----------------_------_ _ Installer at............. .-• . .... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code s gibed in the application for Disposal Works Construction Permit No... ..�.c..._ r ........ dated .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU AS A GUARANTEE THAT THE SYSTEM WIL FU N SATISFACTORY. DATE...,.. f .................................................... Inspector... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF..................................................................................... Fss.. ........... Disposal���vrkv Tonstrurtion jrrutit � Permission is herebyanted....., to Construct ( _�-66r Re 4( ) an Indj6 ual,S--4, e�Di sat`System at No............. '` � --.•�� ;rv� °' = =- -='= i - ........ ------.---•----- ....- Street as shown on the application for Disposal Works Construction Permit No... ..:: :........ Dated.......................................... ..............:..... r..:::::- ................................................... Board of Health DATE.............................................. ./..`2'... ............ l/ FORM C-1255 CITY& TOWN FORMS, INC. 369-9708 <)11JGL.G- FAMIL_'�* F�o`w .: I 10 x.13_-',: 3 o G.P•c? li 5aPT%C TAtiK = 330x15o% = A9%6.P. P U5� %000 GAL: /;7 (P 015Po5AL PIT s tpEw��. AF- = l sF•�2•0 Z 3� � J, Bo�t, A Z�- .-�9 SF T DC—Sf6K - I "(�= d• Pit IP51 I cli -�� - }• • ����of.� ss��o H of M,�,��\ • L �__E.sMr, i �-Z� ___. ' ALAN tiG -- ._ WILLI•AM C. f W. y\ JONES N Y E N Iv 51 /� �► NO. 19334 O O/STE F. o NAILEr ND SURD -ro P FNu ° I; I. GD � y,,, T��`Y"� 1►.1V. C-G/'rl✓1 10 0 0 1 N� DIST. INV. C�a X c,EPrIC •i I� I ,000 s7�G -raNFc Lcacu ?5? � PIT c-INV. INV. ' WITW 3/� i %z tt �( G WAS," D T 6 Tu Sp CEZT1FIEp PLoT PLA-1-J P R U F I L �.o c 4.7 10 N A��7Z1�1 S I LtS, y WO. .SCALE SGALGt =Gp �AT� i1 �Z PL-Ar..I REPEcZCNG� C E RT I F Y T H AT -T N E WGP• 1:.-U D I :!5"c) YN , = V4&p Go N GOMPL`(!5 1-JIT0 T HE S I of LIt-I AND SET5.G 26 L RMT No N CL U . El lamWN LE ANC IS �c r LOGp,TED -WITNIW T4r-- GLooD PLA1W c`a�e DAT E. �� G BAXTE2.e. ti•J`(E INC• RE6 I S'T�Q6��'►..Au o 5 u�Y E�(oe'S i I TINS PLL\►I I t� ► I orT a r=D o�d ' AN OSTEQ.VILLJ✓ - MA55. <' INSTRUMENT Q.VC-y -THE n_ I=rSETS SuouL O_ �ETE��^1► �..._L.o7 APPLICAr�rT T III FINISH GRADE OVER D-BOX= 59.6' PROP. VENT-WITH CHARCOAL FILTER TO ABOVE GRADE T.O.F. EL.= 61 .1 ± FINISH GRADE OVER CHAMBERS= 59.8' - 59.0' „ GENERAL NOTES PROVIDE EXTENSION RISER REMOVABLE SLOPE @ 2%MIN. OVER SYSTEM 3/4 TO 1-1/2" DOUBLE WASHED it WITH COVER OVER INLET& O ABLE WATER TIGHT COVER OVER STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION RISER TO WITHIN 6 OF FINISHED GRADE 4"SCHEDULE 40 PVC INSPECTION-PORT WITH ACCESS FINISH GRADE OUTLET TO WITHIN 6"OF F.G. „ METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL " MIN SLOPE 1% BOX TO F.G. (SEE NOTE 21) 2 (OF 1/8 TiDOUBLE WASHED @ FND. EL.= 60.1 ± F.G. OVER TANK EL. = 60•0± 5 DIA. OUTLET(S) STONE:OR GEOTEXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. } 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE PLACE R;ISERS ON ALL DESIGN ENGINEER. TOP OF SAS= 56.00 EXISTING 4" PROPOSED 4" 9"MIN. 3.8'MAX. CHAMBERS WITH 3. 4 SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE - SCH,40 PVC 36 MAX. 55.00' SEE NOTE 22 INLET PIPES TO 6"OF r BREAKOUT EL= 55.50 SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE FINISHED GRADE _ ------ J-� I r� 3„ DROP MAX - � 3" 9" L-21 ± 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 6 3 2 DROP MINPROVIDE WATERTIGHT o o ELEVATION =.55.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS " MIN.SLOPE 1 �.--JOINTS (TYP.) o 0 0 13�. 4" PVC IN FROM �� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF -- 14" �*56.9'+ SEPTIC TANK 4" PVC OUT TO 0 - - 0 0 o_ 0 L� C� � 0 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE • LEACHING FACILITY o 0 0 SPECIFIED DROP BETWEEN oo 00 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. INLET AND OUTLET NTRA T R CONTRACTOR SH7 ALL It 12 oo °° 6. THIS SYSTEM IS NOT DESIGNED FORA GARBAGE DISPOSAL. CO C O 2 0 „ OUTLET TEE 55.77 MIN. 55.60 0 0 0 0 0 SHALL VERIFY SIZE 48 VERIFY CONDITION OF o o � o AND CONDITION OF EXISTING TEES LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 00 7. AND REPLACE AS GAS BAFFLE 6"CRUSHED STONE a 0 o 0 oa C> FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC 0 - 0 00 0 0 o OVER MECHANICALLY II C 0 NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE AND DESIGN ENGINEER. 1.0' 8.5' (TYP) 1.0' 4.0" 4.0' OUTLET DISTRIBUTION BOX 4.83 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 60.00' TO BE INSTALLED ON A LEVEL STABLE 27.5 (NP) - ESTABLISHED ON A MAG NAIL SET IN U.P.#2, AS SHOWN ON THE PLAN. BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 47.70' PIPES TO BE LAID LEVEL. 53.00 12.83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION 4' MIN. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CHAMB N , EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK.. : 3 - 500 H-20 GALLON CHAMBERS ERE D VIEW. c CROSS SECTION VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY EXISTING SEPTIC TANK PROFILE LE ""' -' -- TYPICAL CHAMBER PROFILE TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK& DIS 1 RIBU I IO BOAC DE I AIL H-20 CHAMBER DETAILS NOT TO SCALE 10. A IN ALL JOINTS WHERE PIP ENTERS N E E E S AND EXITS C N STRUCTURES NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE S CO NC. S UC ES SHALL BE MADE WATERTIGHT. p 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING NOTES. TEST r" I T DATA - REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM Benchmark _ _ APPROPRIATE RI Ma Nail In U.P. 1. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PERC NO. TPT 19 231 OPRIATE AUTHORITY. _ , Elevation -60.00 PROPOSED LEACHING (FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA --''�` INSPECTOR: David W. Stanton, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED \ . ,,a. ` Approx. M.S.L. _ SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH ' O EVALUATOR: Michael Pimentel, EIT, CSE UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. +' .. -------w' • C.S.E. APPROVAL DATE: Oct. 1999 ♦ . ♦ i, January 3 2020 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. U.P.#2 2.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHED, AND • ;-7"" p • •e� DATE. rY , CB/DH. \ \ GROUNDWATER PROTECTION AREA. • 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE TEST PIT#: 1 a • +Q i MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. o�y, NOTES: '.. ran b�efry; �" ELEV TOP= 59.70' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY o• o\ - <47.70' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). OX 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP \ ELEV WATER- • t c� 15. N i CO TRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN EDGE OF EACH SEPTIC SYSTEM COMPONENT. , . LOCUS • PERC RATE= 7 min./inch SITE CONDITIONS FROM THOSE S PRIOR N N \ + S SHOWN OR TO CONTINUATION NUATION OF WORK. of 2. CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION •"f '" ' _ r y� ) a C' o o • • ";' DEPTH OF PERC- 48 66 16. PROPOSED PROJECT IS LOCATED WITHIN: I o\ v 9s OF THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY � • c� a WITH TEST'PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER ZONE I I ` �! • •++'�* ;° ' TEXTURAL CLASS: 1 ASSESSOR'S MAP 149 LOT 130-8 m / c AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH L�•; • . OWNER OF RECORD: CAPE ABILITIES, INC. TEST PIT DATA. 'Qi 3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE II. �\ II . • , « oil 59.70 L y �� , • • .,r ADDRESS: 895 MARY DUNN ROAD s / \ F ® l! , • •_,Yf :-; Fill HYANNIS MA. 02601 \ O �hi - 4. SWING TIES SHOWN ON THIS PLAN ARE PROVIDED ONLY AS A MAP 149 / � � .� � � , ) , . • . ; � _. ,. „r „ , . • ♦ < / I / o� \ O o "� COURTESY' FOR THE INSTALLER. INSTALLER SHALL VERIFY SWING y: , ,� - • 12 58.70 BLOCK 130 z , �.� 9 • • + P ,,�,p FEMA FLOOD ZONE X °\/ 4 0� O TIE MEASUREMENTS IN THE FIELD PRIOR TO INSTALLING THE , + • , Sand Loam LOT 7i �� \ \ y, F \t'(7, • Y / P SYSTEM. CONTRACTOR SHALL NOTIFY ENGINEER IF MEASUREMENTS + . B 1oYr 5/6 COMMUNITY PANEL# 25001C0561J X/ 60 APPEAR TO BE INCORRECT. qg+1 \ Q 9s of + 55.70 17. DEED REFERENCE: DEED BOOK 21959, PAGE 46 4- 610 d` Perc EXISTING LEACHING PIT(PER SEWER 11 . ,�' 1f .I ,` it 66 54.20 18. PLAN REFERENCE: PLAN BOOK 326, PAGE 29 CID PERMIT#83 1000) TO BE PUMPED, FILLED 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. �►� :S� / ' P \ WITH CLEAN SAND&ABANDONED C7 / • " , r" EXISTING 1,000 GALLON SEPTIC' \ l\ . • h . 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY TANK TO BE UTILIZED IN DESIGN q y t r: . � EXISTING LEACHING PIT(approximate .� ,, � . �- FOR SEPTIC SYSTEM UPGRADE.- JC ENGINEERING WILL NOT ASSUME-ANY LIABILITY ( PP ./s ; -� Coarse Sand I t` location TO BE PUMPED FILLED WITH • �• r " FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. CLEAN SAND &ABANDONS® .. r 9 (5%Gravel) „ i 21. A 4 PERFORATED� SCH. 40 PVC PIPE SHALL BE PLACED IN�A VERTICAL POSITION TO A _ (Traces Of Silt) DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. s PLAN 22. IN ACCORDANCE WITH 310 CMR 15.401 15.405,THE FOLLOWING LOCAL UPGRADE o�h LOCUS r LAN APPROVALS ARE REQUESTED FROM 310 CMR 15.221 7 : _ (1.)- A 0.8'WAIVER(3.80'-3.00') FOR THE MAXIMUM COVER OVER THE PROPOSED SAS. OAc o SCALE. 1 - 1000 „ (2.) A 6.3'WAIVER (20.00' - 13.T) FOR THE SETBACK FROM HOUSE TO PROPOSED SAS. 9s \LF No Mottling, Standing or Weeping Observed 5 EXISTING \ '��• O GP �40 �\ D-BOX -LSA- cgs PROPOSED 3-500 GALLON TEST PIT DATA DESIGN DATA LEGEND OJ�P\O \ (2) LP H-20 LEACHING CHAMBERS \o� PERC NO. TPT-19-231 G Q rn \ WITH AGGREGATE y� 0 20 04 \ IINSPECTOR: David W.Stanton, R.S. x50.0' EXISTING SPOT GRADE r LP s \ b NUMBER OF BEDROOMS(DESIGN) 3 EVALUATOR: Michael Pimentel, EIT, CSE 50 ------ TP2 DESIGN FLOW 110 GAUDAY/BEDROOM ----- EXISTING CONTOUR C.S.E.APPROVAL DATE: Oct. 1999 �S HC-2 , 59x8' \o� TOTAL DESIGN FLOW 330 GAUDAY PROPOSED CONTOUR PROPOSED \ tidy DATE: January 3, 2020 G I �$ DISTRIBUTION BOX \ \ DESIGN FLOW x 200 % 660 GAUDAY 50 PROPOSED SPOT GRADE TEST PIT#: 2 TP1 / o USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP= 59.80' GAS EXISTING GAS LINE � 59xT i 0 PROPOSED 4" PVC VENT PIPE; < (1) g U.P. ELEV WATER= 47.80 O/H/W EXISTING OVERHEAD WIRES �5 EXACT LOCATION PER OWNER PERC RATE W W EXISTING WATER LINE INSTALL 3 - 500 GALLON CHAMBERS #23 -LSA- ® DEPTH OF PERC EXISTING \ , �LSA- �, WI AGGREGATE EE EXISTING 1,000 GALLON SEPTIC TANK 3-BEDROOM TEXTURAL CLASS 1 �- SIDEWALL CAPACITY O O DWELLING i S. 3 (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.68 GPD/S.F.) = GAUDAY •�- TEST PIT LOCATION - �� (27.5' + 12.83') (2) (2' ) (0.68 GPD/S.F.) =109.7 GAUDAY „ 0 59.80 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE Fill PROPOSED BOTTOM CAPACITY (4) INSPECTION �o (LENGTH x WIDTH) (0.68 GPD/S.F.) = GAUDAY 12" 58.80' ® PROPOSED DISTRIBUTION BOX / PORT i 0 (27.5'x 12.83') (0.68 GPD/S.F.) = 239.9 GAUDAY Sand Loam y ED PROPOSED 500 GALLON H-20 LEACHING CHAMBER TOF=61.1± ✓ / ® / B 10Yr 5/6 _ HC-1 5g CATCH h 48 MAP 149 BASIN 55.80 TOTALS. LOT 130-8 / REV. DATE BY APP'D DE SCRIPTION 20,003 S.F._ 3 / / G� TOTAL.NUMBER OF CHAMBERS / `aP,, TOTAL LEACHING AREA 514.1 SQ.FT. PROPOSED SEPTIC SYSTEM UPGRADE 349.E TOTAL LEACHING CAPACITY GAL./DAY PREPARED FOR: Coarse Sand 2.5Y 1 66 I � / c ROBERT B. OUR CO. INC. / ° vl 5/°Gravel) I ( ) MAP 149 / -BLOCK 130 (Traces Of Silt) LOCATED AT LOT 9 . 23 HEATHER LANE CENTERVILLE, MA 02632 / / SCALE: 1 INCH = 10 FT. DATE: JANUARY 8,2020 SWING-TIES / / 5°` / 1 " 47.80' 0 5 10 20 40 FEET / No Mottling, Standing or Weeping Observed E I DESCRIPTION HC-1 HC-2 �tH of ki s o CORNER OF STONE 1 22.6' 27.4' PREPARED BY. O / RESERVED FOR BOARD OF HEALTH USE �° JOHN L N U CHURCCVLLJR. JC ENGINEERING, INC. CORNER OF STONE (2) 32.2 32.9 NO. y 2854 CRANBERRY HIGHWAY CORNER OF STONE (3) , 28.6' 57.5' / �� ,ST EAST WAREHAM, MA 02538 SITE PLAN s A� 508.273.0377 4. _ CORNER OF STONE (4) 17.1 5 5 / SCALE. 1 - 10' Drawn By: ATB Designed By:MCP Checked By:JLC JOB No.4974