Loading...
HomeMy WebLinkAbout0110 CRANBERRY LANE - Health `� �. �f✓r nberry Lang BAn stable A= 234—066 - 008 o - u 4 o TOWN OF BARNSTABLE 4- - / rLOCATION to �Q,F� y (AIJ6 SEWAGE# 03;7,/ VILLAGE�M)L ccE L,C ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.(4PG(:JiDG &TWk,". a 41 xpr? SEPTIC TANK CAPACITY I foo") C,.ACLOQ LEACHING FACILITY:(type) (3)500 GA.(, C4M5(size) oP 7.5 �X i 1, 8 � NO.OF BEDROOMS OWNER KdWER-$ (±0gPzjjJ5\' 51yES PERMIT DATE: , _ (:°" �_ COMPLIANCE DATE: Separation Distance Between the: A/0 Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 60SG u jSr b Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) N 1A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) L_ 1A Feet FURNISHED BY QE—CeJ�� C�dl7f�t 1S A-7 N- g A- 3 = Z3A' A- s 3o° v ,A- 6 = 35.2 ' y 0 3 $-1 = R-2° S a B- I 3$•(, 6 a s � jl® Cr���Jerry c,�e P B.4 = 3 CP a B-b 1$.� No. oj6 v .- Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ��• PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Nplitation for Disposal *pstrm Construction 3PPrmit Application for a Permit to Construct( ) Repair()4 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (10 CPA4C3CjMy LA06 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel A 3 , (.l I(o Ck,4kj _ Installer's Name,Address,and Tel.No. 5,019 7"7 f5S 77 Designer's Name,Address,and Tel.No 09 —.2 73 3 7 (:�ATfiw C015 Gl �E5C C-C-G. s—r ' Type of Building: Dwelling No.of Bedrooms Lot Size 0 — sq.ft. Garbage Grinder( ) Other Type of Building ES i n6a)Zt A-t— No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330, gpd Design flow provided gpd Plan Date Number of sheets / Revision Date Title 116 6R&10EA&y L,-d G Size of Septic Tank 1®®� Type of S.A.S. 3 7Ea za Self.[ <�4{d*{$§w4: Description of Soil .!5:" Q Qq e�b5AS-S:: PLAO Nature of Repairs or Alterations(Answer when applicable) l boo GA�L�t\j S tCL`t 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 th. rL Signed Date Application Approved by, Date e.2 C1 Application Disapproved by Date for the following reasons Permit No. O 0 Date Issued "� 0 - 1 *` No. Ot V Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered incomynterI Yes ?,PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS application for MIsposal .pstrm Construction Permit Application for a Permit to Construct( ) Repair()� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. ((O L A46 Owner's Name,Address,and Tel.No. $q Tiq$c.L M«HA6L r Go vGY 51VE� Assessor's Map/Parcel A3 3 -S 6 b - Q CI I(Q <k-4Nt3 cam' Installer's Name,Address,and Tel.No. 508-4f77`SS 7-7 Designer's Name,Address,and Tel.No 40S -473-U 3 77 Type of Building: Dwelling No.of Bedrooms Lot Size +®� ( SOg _ sq.ft. Garbage Grinder( ) Other Type of Building 2CS t r)a)rj kL- No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 `. Design Flow(min.required) 330 gpd Design flow provided q gpd-- Plan Date a 'a.- / Number of sheets Revision Date Title I 1 Q G �/ t...4xJ B&,JJS1rA&k Size of Septic Tank 11000 Type of S.A.S.�3 'Go 6.44_i..fXJ Description of Soil Loy(!K i Nature of Repairs or Alterations(Answer when applicable UgC Ll jf;7:j )L- 1 ()06 C'sro4L44IJ 66TTIC.i TD NeJ D-�o,Z� -tD (3) ao GcAe� Q<( w rr-" (j.t 0� 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- ?►_q"0-10 a Application Approved by L Date Application Disapproved by Date for the following reasons Permit No. 0 6 "" Date Issued -1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by <MCWIDC & Zsepuster at (IC d g l( LA-&)g &Q&j5Mje(,j577 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No..2b16--U V-dated �. q- I?= Installer APt=[a)jT) �}Ti p,Q_lS LLC Designer SM �(�1(�/i1J� 'L/r►�C�r �,. #bedrooms Approved design flo gpd 1 The issuance f this permit shall not be construed as a guarantee that the system will nc' i as designed. Date a�1 I j 02 Inspector -----------.----`--//-r--- -------------- -- ------------------------------------------------- -==--------=- ----=--- No. 0 U l Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at ( (D 0a 4,Jn,�')Q/Z1/ LA�C $7',QR c� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. AO Date _ �` Approved by 13 M2/13/2016 15 :44 5082730367 #4551 P. 001/001 -b o a Town of Barnstable % Regulatory Services Thomas F. Ceiler, Director B. 8MKAM •` Public Health Division Thomas McKean,Director v 200 Main Street, Hyannis,MA 02601 Office: 508.8624644 Fax: 508-790-6304 Date: 2-_l.q'1 Sewage Permit# �oa1(,✓03 A Assessor's Ma 23Y p/Parcel Installer&Designer Certification Form Designer: :YC EgAioee%ep:S,TY Installer: Ca p��.;de EnfzrerCse 5 GLG Address: Z�5Y Cco a ry Nl�tnW!.Y ` Address: t_53 CON-VIM z:Ciol -ee Ca51 W o(va arY) �H.PC 0�`.38 stl e� , Nlk On I�p GupZw►de, ir4ereaseS was issued a permit to install a.` (date) (installer) septic system at 1 d Cta l0e, f� Ge+✓1 based on a design drawn by (a dress) -SL 'En9�neeriri� -rVIG dated f Cb- Z , 2 o f b (designer) v I certify that the septic'system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank_ Stripout (if required) was, inspected arid.the soils. were found satisfactory.. I.certify that the septic system referenced above was installed with major changes (i.e-, greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system).but in accordance with State& Local Regulations. Plan revision or certified as-built by designer to follow. Stripout(if req ' nspected and the soils were found satisfactory. <NOF ,� JOlih 1. � i CHURCHILL � JR. - lift,` IIer'S SIcyn$ e) CIVIL o No b18�7 esigner s Signatur (Affix esi e s Wmp Here) PLEASE RETURN O BARNSTABLE PUBLIC HEAT TH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM A n AS. BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. 5 y'• I'liir iunnsiJ�signorcdrlil'icuuoit Ibnn.doc , Health Master Detail ' . Page 1 of 1 S �i..r«Li,�(/ .<f,,,,t.�� f u�c�" /✓e cr Lin ��0 C.��h�Cf!�� Logged In As: TOWN�stantond Health Master Detail Thursday,February 18 2016 , Aoplication Center Parcel Lookuo" Selection Items Reports Parcel Septic Perc Well Fuel Tank - e Parcel: 234-066-009 Location: 150 CRANBERRY LANE,BARNSTABLE Owner: BAYSIDE BUILDING CO INC' New Se tic... Septic 1,2/4/2016 p Permit number. 2016032 ;Permit type; Repair —� Complete system ❑ Issue date 2/4/2016 1 Complete date; Septic tank size: x1000_T Type/Size of SAS: (3)500 gallon chambers with 4'stone side 1'ends_ Installer: Capen,Richard M.,Capewide Enterprises,LLC _ Card on file: ❑ I/A service type: Select service Innovative/Alternative Technology type: Select IA type Variance date : 91 Abandon complete date : r Abandon permit number: - Repair deadline date ( Repair notification date i '^ - Keyword. �x Comments: 3BR i J :';Delete SepUc � 77 -:—New Inspection r Number; Inspection Date Inspector Result gyp-- �, sus Select Inspector 3 "F _ ❑`� Select result r.s I I Received Date Comments 2/18/2016 ' ,, ra pr?,-.. ptic Save Se.,.:ts.»,M+..s+^.+ww+ Changes •I • Return to'Lookup" (') » �;x -. v t x to.' a e . - • .. � .fir. - ^ a .. , a • • ` http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=234066009 2/18/2016 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART-A CERTIFICATION Property Address: '110 .Cranberry Lane Centerville, -Ma.. .02632 �a Owner's Name: Michael Sves Owner's Address: 110 Cranberry Lane Centerville Ma 02632 4 Date of inspection: 7-27-05 r C31 y Name of Inspector:(please print) Alan W. Roby ` Company Name: Allied Environmental Services b " Mailing Address: P0. Box 1533 t ' x Plymouth, Ma. 02362 + +67- Telephone Number: qog-747-ni o ` CMTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: Xx Passes Conditionally Passes Needs Fu ther Evahration by the Local Approving Authority Fails s Inspector's Signature: Date: —1 —0`' The system inspector shall submit a copy of this inspection 4d to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.ffthe 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.Ile original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 aaee I Page 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Addrms: 110 Cranberry .a e- Centerville Ma Owner: Michael gives Date oflnspecdom 7-27-05 Inspection Summary: Check AAC,D or E/ALWAYS complete all of Section D A. System Passes: X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CM 15304 exist.Any fatflm criteria not evaluated are indicated below. Comments: B• System Conditionally Passes: A One or more system components as described m 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 cements.if"not derrnhmr explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsotn,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 tads will pass inspection if it is suuc=AY sound,not leaking and if a Certificate of Compliance indicating that the tank is Was than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box dtm'to broker or obstructed prpe(s)or due to a brro&na,settled or mom drwi ution box.System will pass amspetxian if(with approval of Board of Heakh). brobeapipe(s)we replaced obstruction is removed distribution box is leveled or replaced ND explain: , lbe'system required Pumping more then 4 limas a year due to aroha/rus�e I rip,(4 The system will Pass inspection if(with approval of the Board of Health): broken pipe(s)are replace obstruction is moved ND explain:.» Page 3 of 11 OFFICIAL INSPECTION FORM-M(ff FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CMnMCATION(cam) Property Address: 110 Cranberry Lane Qentervi_l l e o Jja, Owner: Michael Sives Date of Inspection: 7-2 7-05 C. Further Evaluation is 1Regaired by the Board of Health: Conditions esdst which require fibber avdwdn by flee Board of Heabb in order to ddermi ne if dm system is failing to protect public health,safety or the environment. . 1. System will pass unless Board of Health determines in accordenee with 310 CMR 1S.303(l)(b)that the system Is not tnacdoaing in a cmmer wbkb vM protect pubft beeMb,solo►and the Wit: Cessiool or privy is within 50 fed of a amfaoe water _ Cesspool or privy is within 50 Sect of a bordering vepMW wetlad or a salt marsh 2. System will fail aah m the Board of Hawn(and Pmbo water SnppOsr,if on)deters that the system is functioning in a mmruer fiat protects the publie leealtls,safety and environment: The system has a septic tank and soil abseptiom system(SAS)and the SAS is within I00 feet of a surface water supply or trebtnary to a su bat wow supply. _ The system has a septic took and SAS and the SAS is within a Zan I of a public water supply. — The system has a septic tank ad SAS and the SAS is within 50 he of a private water supply wem The system has a septic tank MW SAS and the SAS is less than 100 feet but 50 feet or more fival a private water sujoy vvU**.Method used to dMrm=distance "This system posses if the well walm analysis,perftuad at a DEP cadW hebammy,for oolifarm bat teem and vole die compounds bubcoes to dkc well is frx fiom4 pogug n from that&=Tly and the prmace of ammonia nitrogen and mate n*ogm is equal to or lem dwa 5 ppm,pwided that no other failure criteria we triggered.A copy of the analysis most be attached to ibis form. 3. Other: r Page 4 of 11 OFFICL4 L INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 110 Cranberry Lane Centerville. Na, Owner. Michael �93yes Date of Inspection: 7-27-05 D. System FeWre Criteria applicable to all systems:. you mad indicate"yes"or"nor to each of the following for iuspections: Yes No X Baclaep of sewage into facility or system component dery to overloaded or clogged SAS of cesspool _. X Discharge or pond'mg of e$labent to the surface of the grand or surface waters due to an overloaded or clogged SAS or cesspool g Static liquid level in the distrilwtion boa above outlet invert due to an overloaded or clogged SAS or Cesspool X Liquid depth in cesspool is less than 6"below invert or available volume is less than K day flow X Requ k ed pumping more than 4 times in the lass year MMdue to clogged or obstructed pipe(s).Number of times pumped X Any portion of the SAS,cesspool or privy is below high ground water elevation. R Any portion of cesspool or privy is within 100 feet of a surface water Supply or tributary to a surfitce water supply. X Any portion of a cesspool or prvy is within a Zone 1 of a public well X Any portion of a cesspool or privy is within 50 feet of a private water supply well. — X Amy Prom of a CO3PM or privy is less titan 100 feet but greater than 50 fee.from a private water supply well with no acceptable won Y andyns,Mh sysbc pwm iflhe vmll M.Malysis, performed at a DEP odd Jobot ",for ooNW=bacteria and vob*k orpr m congmm s Indlentes that the weR is free from ponsdon freest tint lac0ity and the prawn of annuoub. nitrogen and citrate n is egoat to or kas thtma 5 PM provided that no usher f ftm Criteria are triggered.A copy of the analysis mud be atfaebed to this form. ) No. (yedNO)Mhesyskmfg&Ibundoundnddmowor more of the above failure;criteria exist as described in 310 CUR 15-M d mefule the system Earls,The system owner should contact the Board of NeaNh to dowmine what will be necessary to correct the hilwe. L Imrge Symms.- To be considered a large system the system must serve a fixft wHh a dew Haar out I%M ad to I%M gpd- You must indictee either"yes"or%e to each of the fallowing: (The following criteria apply to bW systems in addition to the aberia above) Yes no — the system is within 400 feet of a surface clinking water s%Vly — — the system is within 200 feet of aviroy to-a sautfm:e drbdmg mm s4* — the system is located in a nitrogen sensitive race(Itoff=Wellhead Pr .Area-IWPA)or a mapped Zone B of a public water supply tve3i If you have unsvueeed" "to any genetditr 8st:tiaiE tbs s is eased as�d>cuut" threat,or answceeei yes"in Section D above the hmrge systedarha4 fkik& W owaerer operaear of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system m accordance with 310 CUR 15.304.The system owner should contact the appnapriate regional office of the Department. A ' F Page 3 0111 OMCiAL INSPF.CnON FORK—N®T FOR VOLUMARY ASSFSSI�NTS SUBSURFACE SZWAGE DISPOSAL SYS'TFM IN FORM PART B CEffACDalgr Proparq Addresm 110 Cranbprry lane Centerville Ma der: Michael Sives_ Date of lesspeedw: 7-2 7-05 Cbak ifdm fiAkmmg Nava been done.You=mt i rate "or"nd'as to cull of time fo Yes No X _ Pemm*g mom was provided by the owm,occgwat,or Board of Health Owne r X We=my of the system componems pumped out in the previous two weeks? -X- _ Has the system received anal Ravers in*e pmvins two week period? ° _ X Have bw volmaes of water been introduced to the system mcendy or as part of this bspecdm? x _ Were as btrilt pies ofdo system obtained and exmm mr. (Ifthey wa not available note as N/A) _ Was the or dwelBag impemted far siBOs of se wqp back up? x _ Was the site inspected h signs of bn*out? Were all system fiats,exedit tlm SAS,leased on site? _ Were the sew facets males ttucotre> 4 opened,and the imts ar of the talc for die condhion of dm badl%n or ties,ma=W of ca o.%AMMMM dq*of fquK depffi ofdc*and d*of same? _ Was dx fality owner(md occgmb if NMI, from ovnw)p muted with information on the pa olm of ? 1�tlhav:tx�! et tl (SAS)as ft 9ta hnm been did based a= Yes no X Fmgmg mAwmati n.For txample,a plan at the BMW oflhd& BOH ' X _ Deurmhwd in the 5eld(tf mmy of dw fiam ailmb related to Fact Cis at issue appwxi ndm ofamme is )P10 CUR 153WD)(b)) S Page 6 of 11 OFFICIAL MPFAMON FORM—NOT FORYOLUMARY SUBSURFACE SWAGE DISPOSAL SYSTIEM ENSPSMON FORM PART C • SYSTM HIMRMATIOIN Prouty Addmss: 110 Cranberry Lane Centerville,, Ma. Owner: Michael Sives DM of Iea : 7-2 7-05 lgLGW CMMI'PI M RF.SI®MIAL Number of b (draft},N Wmaber of bWkmm(a ft . 3 DESIGN flow bowed oa 310 CM I S?A3(far cmape.110 Wd x g of be&osmts). . GPD Numb of Maur I I rem Does residence have a pdap fdader(yes or npr.n.Q. Is�rc�st�►e.+canox� t$y� ) sysva impxbd(es or no): Ye s Seasonal w=(yeas or no): ILo Whoeemeoer 4ifavm'lobb(lm12yamu=W(Wd)): 53059 Sump pmp(lit or nor No LWdateof r. Current COASURCIALMOMML No. TypaofeSUM Design flow(based on 310 Ci19lt ISM}, and Basle of desgt flow tse_slps/ c-j: IndwaW waste hoU tg tank pn (yes or no):T Nos-saaby vYmatB to the Tr>�5 sysuM(ya wag): wow,netermdb%s,if ava0WHm Last doe of OTHER(ma): GENERAL 11111FORMATIOIf , Peck eras • E=ed in 2001_ as ner home Owner Was system Pnmged as Past of the hRmC iam(yes or ta): No Ifyes,volmne pmnped. -How was qwwwyp wqW mod? RcMnf0rP=VbV__Did not Dump. TYPE OF SYSTL&i X S9p&ftd6 boa,so0 sysinsaem - .� e l —Ovanew aftepwi _ivy *'Mm(ya or no)(ifyes. ,ifmy) i ve/AhermotWe mcbmI +Attach a copy off cttaaeaat mad conft=t(to ba obtm:d 5m systems ormsr) _Tigbttaac ^Attuxb a oapyafths 1� . _Other(deMU)• Amite age of all components,date msasitxd(ffimem)and sm cc of . Installed in, 10-8.6 as per BOH files. Permit # 86-1169 wen sewage ours deftcod when mnvn at dlm sine(yes cr np). No Page7ofl] OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM(INFORMATION( Property Address: 1-10 Cranberry Lane ` Centerville, Ma Owner: Michael Sives Date of Inspection: 7-27-05 BUILDING SEWER(locate on site plan) Depth below grade: 2 Materials of construction: cast iron _X_ 40 PVC_other(explain): Distance from private water supply well or suction line: 32' Comments(on condition of joints,venting,evidence of leakage,etc.): The condition of the joints and pil2e was good with no evidence of leakage. SEPTIC TANK:Ye s(locate on site plan) Depth below grade: 2'2" Material of construction:gconmvte teal fiberglass_polyethylene other(explain) If tank is metal list age:-_ Is age confirmed by a Certificate of Compliance(yes or no):-(attach a copy of certificate) Dimensions: 8161, x 5 4" x 4'10" Sludge depth: it, Distance from top of sludge to bottom of outlet tee or baffle: 3' 8" Scum thickness: 0„_ Distance from top of scum to top of outlet tee or Mae: Distance from bottom of scum to bottom of outer tee or baffle: 0" - How were dimensions determined: Plans on file at BOH. Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Pumping was not recommended as there was Inot any sludge or scum buildup She Tee's were in good condition and the structural integrity of the tank with liquid levels to the outlet pipe was normal. There was no evidence of leakage.. GREASE TRAP: (locate on site plan) Depth below grade: Material of constnuxion:_concrete_metal_fiberglass_pobv&ylene_other (explain): Dimensions: . Scum thickness: Distance from top of scum to top of outlet tee or bale: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping Comte(on ptmmping rceommendations,Witt and outlet tee or bale condition,structural inWgrky,liquid levels as related to outlet invert,evidence of leakage,etc.): 1 rages of i t . OI�i�H.�3S$l�S�l��t-1t�QYP Yd �Y PARr C Ptopwty Ate; 110 Cranherry Lana Centervillg,iMa. OaCsr: Michael Si v s Date of 7-2 7-05 TIGHT or BOLD94G TAML- No_(��tbtp�ttl�ti�eof �beate an site pbm) Dtpgbbdow 1af oaf mad �P !► ( r DasipFbyw. Alesm (yesaagok , At®bvcL. Alum 3® o des oza�c- DM cf bw Cow(conafat�m aeZd� os,etc k - - D '11,111BXYFM BOB:Yes mo�Tx (�P� an she ply) . Dep&of kqm8d iava amine aWd im mt n c t if bon la Ind addbaftotba to sayevidww of solids ,nyevidam of e 6ato area ofboar,cm). —The "D" Box was level with ,eaual distribution There was no evidence of solids carryover or leakage into or out of the box. PUM CHAP: No ( ea sju plea) Alm=in wo Ung armor(ya owagk (aft of 'Orpamosms Page 9 of 1 I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 110 Cranberry Lane Centerville} Ma_ Owner. Mi rhaP1 siyPt4 Date of Inspection: 7-27-05 SOIL ABSORPTION SYSTEM(SAS):Yes -(locate on site plan,excavation not required) If SAS not located explain why.- Type t leaching pits,number: Leaching chambers,number leaching galleries,number. =leaching trenches,member,length:.(1) 2 2'L. w1t2„ l i se rs.,. leaching fields,number,dimensions: . overflow cesspool,number. innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): The condition of the soil was good with no signs of hydraulic failure' ponding. damp soil or abnormal vegetational growth. CESSPOOLS: No (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer. Depth of scum layer. Dimensions of cesspool Materials of construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: No (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.): Q Page 10 of 1 l OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 110 Cranberry ,an Centerville. Ma. Owner: Michael Sives Date of inspection:7-27-05 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. rowel oPi *W5rA M55E550RS t po- 254 LOT 66 70MIPAS: CLUSTER zs 7.5 7.S WrAP.Ocs: F40m7=$0'w06%,15REAR6 15 ® 102�� 11,04 6 Z fj p m /� OHMgRI� - m ems- '- A 1 15' J - A - 2 16' A 3= 18` A -4 = 42' B B - 1 = 39' B - 2 - 39' u owe B - 3 = 37'6' B! y; B - 4 - 26' 44i U1 ER ,gIr-c.A ZAMW�SGE PLAN Svc: LA� RANt3E RY W; Rift-oils cocvs: for 6,f ►arouse cen�sx};--..._ _ �' ReFERErrces tvROPt—a.-a-- WL 80ftMS•. Q CB. _ PREPARED FAR: '--$RYSIDE•- �L6ER5 _state: =30, . AM►rE: /25/86 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM BOORMATIONT(coadnued) Property Address: 110 Cranberry Lane Centerville, Ma. Owner: Michael Sives Date of logweboH: 7-27-05 SITE FRAM lope x SSurfinee water X Check cellar X Shallow wells No. Es>imated depth to round water,j2 feet.. Please indicate(check)aH methods used to do wnwic the high gmund water elevation: X Obtained from system design PI=on.recoe'-ff ,daft of design plan raWeWQd:10-2 7=86 _ Observed site(Wmttingp wwlylobswvafi=hole within 150>a ofSAS) Checked with bcal Board of Heath-explain: Cheded wiQt bcal excavators,ias Dqz-(aaach won) Accessed U"daubmse-cxplaiL You must desmibe how you established the No ground cater elevation: The estimated high ground water elevation was determined from plans on file at BOH, A test hole was augured to 13 Ground level 57.5' SEPTIC TMIK Dt"lT.90X. t.Etit►pN6 FAt:tLRY 51.73 9IODO ou Ib' C I,Q6' Ifi r!' w 2 SECTION-SE6JAlsE 4� kIRSHEo srwe Bottom of leaching 45.5 DoProre of eeKar,E t-s�p. j , . -- - Ground water COMMONWEALTH OF NLASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS z DEPARTMENT OF.ENVIRONMENTAL PROTECTION ONE WINTER STREET. BOSTON. MA 02105 Fi S.-S iC U-ILLIAM F WELD TRUDY COX Govemc Y�111 • 3 Sccrc:a ARGEO PALL CELLLYCI ®��` 6.4VI, B STRLF Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FO Commission PART A CERTIFICATION Property Address: I 1 o (q,��*.j I\�-�, Address of Owner: Date of Inspection: iv I.It, 021.3Z, Of diflerenU l>�9�i 1y Name of Inspector. L I �cC�O `9� '® I am a DEP ap roved system inspector pursuant to Section 15.340 of Title 3 (310 CMR 15. Company Name:/}/ avr4-,'c Mailing Address: ,R O Ag x f_3?,P!4 H ,09-o Z6-4-q Telephone Number: rSO4J CERTIFICATION STATEMFNT I cer,tf\ that I have personal!\ inspected the sewage disposal sm•stem at this address and tha: the information reported below is true. accurate and cornolete as of the time of fnspec:-o-. The inspection Aas performed basec on m\ training and eioenence in the proper iuncion and maintenance of on-sae /sewage disposa• systems The systeln: X Pas es Conc,ocnai;\ Passes Neecs Funhe- Evaluat•on a\ the Local Approving Authontl _ F.-* Inspector's Signatur • ! Date: 1 V Q The Svste^ Insoecto• sha" submr, a cop of this inspection report to the Aporoving Authorm within thirtm• (30, days of completing this tnspec-oor.. It the sNstern is a shared system o- hat a design flow of 10,000 god or greater, the inspector and the system owner shall submit the repo^ to the aaoroorixe reg,onai office of the Department c' Environmental Protec-ior. The ong:na! should be sent to the system cwne, and copes sent to the buyer, if applicabie, and the aporovfng authonr\ INSPECiIO% SUMMARY: Check A, B, C, Or D: A] SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 C.MR 15.303. 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, upor completion of the replacement or repair, as approved by the Board of Health, will pass. Indicate yes, no, or not determined (Y, N, or ND;. Describe basis of determination in all instances. If'not determined", explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; o the septii tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltratfon, or tank failure is imminent. The system will.pass inspection if the existing septic tank is replaced with a conforming septic tank w approved by the Board of Health. lrev:.sed 04/25/97) Page I of IQ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: Owner. Date of Inspection. B] SYSTEM CONDITIONALLY PASSE5 (contini-d _ Selvage backup or breakout or high static water level observed in the istributien box is due to broken or obstructed pipes) or due to a broken, settled or uneven distribution box. The s stem will pass inspection if(with approval of-the Board of Health;. Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year d e to broken or obstruaed pipe(s). The system will pass inspection if twith approval of the Board of Health): broken pipeisi are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF H TH: Conditions exist which require further evaluation by the and of Health in order to determine if the system is failing to protect the public health, safer`•and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH ERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AN SAFETY AND THE ENVIRONMENT:. Cesspool or pri%-� is within 50 fee: of a urface water Cesspool or prn, is H ithin 50 fee: of bordering vegetated wetland or a salt marsh. 2) SYSTEM KILL FAIL UNLESS THE BOARD O HEALTH (AND PUBLIC WATER SUPPILMIL IF APPROPRIATE) DETERMINES THAT THE SYSTEM 15 FUNCTIONING IN A MA, ER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank a soil absorption system (SAS) and the 5AS is within 100 feet to a surface water supply or tributam, to a surface water su pi,6, The systerr, has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supn'v well. The system has a septic tan and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic t k and soil absorption system and the SAS is less tfar. 100 feet but 50 feet or more from a private water supply we , uniess a well water analysis for coliform bacteria and volatile organic compounds indicates tha the well is free from p lution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Me od used to determine distance. (approtdirmtion not valid). 3) OTHER (zavaaad 04,25/9') Page 2 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Properh Address: Owner: Date of Inspection: D) SYSTEM FAILS: You must indicate either "Yes" or "No' as to each of the following - I have determined that the system violates one.or more of the following allure criteria as defined to 310 CMR 15.303 The oasis for this determination is identified below. The Board of Health should contacted to determine what will be necessary to correct the failure. Yes No Backyp of sewage into facility or system component due t an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the gro nd or surface waters due to an overloaded or clogged SAS or cesspool. Static Mould level in the dis;nbinon boa above outlet ven due to an overloaded or clogged SAS or cesspoo; Licuid.depth in cesspoo! is less than 6" below invert r available volume is less than 112 day floe. Recu,re-J pumping more than 4 times in the last ye r NOT due to clogged or obstructea pipe s . .Numoer of times pumped _. Any portion o'the So!! Absorption System, cess of or privy is below the high ground ate• eievatio- An-. por::or, of a cesspool or privy is within 10 feet of a surface water supply or tributa^ to a surface water supply Ant pw:ior. of a cesspoo' or prnn is within Zone I of a public well Anti pc^ic- e;a cesspoo' or pries is withi 50 feet of a private water supple wel! Any por:,or. of a cesspool or privy ,s less han 100 feet but greater than 50 feet from a private water supply well with no a:cemabie Ovate, qualm analysts If the veil has been analyzer to be acceptable, anach cope of well water analysis for coliiorn- ba:ierta volatile organic com unds, ammonia nitrogen and nitrate nitrogen. F] LARGE SYSTEM FAILS: You must indicate ei her "Yes' or "No" as to each of t following. The ioaow.r.g crite,.a app;\, to ;arge systems n addition to the criteria above: The system serves a facilir\ with a design f ow of 10,000 gpd or greater (Large System; and the s\,stem is a significant threat to public health and safety and the ern-von nt because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 f t of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area • IWPA) or a mapped Zone II of a public water supply wel The owner or operator of any such syste shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00 Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 V 5UB5U-RFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: I110 C94w"A-•-S Owner: 1-6ggq-3 Date of Inspection: Check if the following have been done: You must indicate either "Yes" or 'No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as pan of this mspectton As built plans have been omamed and examined. Note if they are not available with NIA The facdirn or d,%e!ling ,%as inspected for signs o-*sewage back-up _ The system does not receive non-sanitary or industrial waste flow. The site %,as inspected for signs of breakout A!I s\stem components. excluding the Soil Aosorption System, have been located on the site. ` The septic tank manholes were uncovered. opened. and the interior of the septic tank was inspected for condition of bafzies or tees, mater;a; o' construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and !oca,,on o the Sol! Absorption Svsiem on the site has been determined based on _ Zhe iacda% 0%%ne• ,ano occupants. r different trorr, owneri were provided with information on the proper maintenance of Sub-Surface Disposal System. Exist-ng information Ex Plan at B O.H. Determined in the meld :r•.'am of the failure criteria related to Par, C is at issue, approximation of distance is rt unacceo:ab�e 115.302.31 b`t t h (revised 04/25/57) Page 4 of 10 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FOR.m PART C SYSTEM INFORMATION Propertm Address: L O COt 6&x Owner:16mltJ Date of Inspection: 1o�f;r�, l FLOW CONDITION'S RESIDENTIAL: Design floN 33� a p.d1bedroom for Number of becrooms O 3 Number o-'current residents O 2- Garbage g-. der (yes or no:_1& Laundry co-•^ected to system (yes or no) Seasonal use ryes or no,._igo Water meter readings. if available (last two i2: vear usage tgpd). 16k w+ usa*. Sump Pump (ves or no)_gyp Las; dare.o- occupan� �g�1 COMMERC14L9NDUSTRIAL: Type of establfshmen: Design ffo�% _ltahons-da% Grease trap present tves or no_ Indus;na! %'taste Holding Tani: present Ives or no _ Non.sanita-� IAaste d-scnargec to the T:;,e 5 sys;em i%es or no_ %%ate, meter readings if atiailabie Las:Fate o: c —p2nc. OTHER: .De_cribe Last pate of.occuoanc. GENERAL INFORMATION PUMPING RECORDS and source of information System pumped as par, of inspection: Ives or no. If ves, volume pumped gallons Reason to: pumping TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Sfng*.e cesspool Oven1ow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) VA Technology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: —P,+3% *lL`I,CA �Qa� Sewage odors detected when arriving at the site. (yes or no) OJC� (revised 04/25/9") Page's of 10 SLBSURFACE SE�NAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 1(0 Owner: ''I6"jgs Date of Inspection:t l&k, BUILDING SEWER: ,.Locate on site plan) Depth below grade. .Material of construction: _cast iron _40 PVC _other (explain Distance from private water supply Well or suction Ire Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK:,ITGS (locate on site plan (Depth below, gradeY Material or construction, _&concrete _meta _Fioergiass _Polvethylene _otheriexplam If tank ;s me:a�. Ifs: age _ I; age confamec o\ Ce^:iica:e o, Compuance _(1 es"No Dimensions (dUy Sludge depth 6u tf Distance from top o: s'udge to bonorn of out)e: tee or ba�;e act Scum thickness 066 Distance from top of scum to top o; outle: tee or bade %2" Distance from bonorn of spurn to bo. o'-, o;outle: tee e• ba .e 1yu Hoy,• dimensions were determined MnohAAA%A Comments trecommendanon for pumping Condition of rniet and outlet tees or baffles. depth of liquid level in relation to o tlet invert, structural integrity, evidence of leakage. a:c.i •,• ;`.:tAa`b —Z w rT' �e��� (a.x� � � eta r LK1U fi GREASE TRAP:, (locate on site plan; Depth below grade. Material of construction: _concrete _metal Fiberglass _Polyethylene —other(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle. Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural ;ntegrin, evidence of leakage, etc.; (rev,.tod 04!15.17) Page 6 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Propem Address:110CA tltl ON ner t{r� 1 Date of Inspection: j0j,, TIGHT OR HOLDING TANK: lank must be pumped prior to, or at time, of inspection. (locate on site plan, Depth below grade Material of construction _concrete _metal _Fiberglass _Polyethylene —other(explain) Dimensions. Capacity- gallons Design floes ga.,orsda. Alarm level A:a•m ir. %.orking order _ Yes. _ No Date of precious pump-ng Comments (condition of inlet tee. cond.:ion o- ala•m. and float switches. etc.) DISTRIBUTION BOX:(, S iiocate or) site p a-. De.-:^ o' hcu!d le\e' aoo.e c,:ie: in.e J wu Comments t ote �.' le\e' znd da b_:e� �s ,z' e� deice o1^sol�ds canmover, e\idence of leakage into or out of box, etc.) ST�/�Cl�u eTVfWf\� g0k'sk cel b&. 0t11SQ.\ tin S.D-s O�Q PUMP CHAMBER: (locate on site plan. Pumps in working order: (Yes or No, Alarms in working order ()res or No Comments. (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 04/25/97) pay• 7 of 10 J SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: ((p Cja*N g¢t Owner: Date of Inspection: SOIL ABSORPTION SYSTEM (SAS): (locate on srte.plan, if possible, exca,.ation not required, but may be approximated by non intrusive methods, If not determined to be present, explain: Type: leaching pits. number.'WV leaching chambers, number:_ leaching galleries, number. leaching trenches. number,tength. leaching fieids, numbe,, di^nens;on; overflow cesspool, numbe- Alternative s%,sterr, ►.ame of Tecnnoiog,. Comments. inote condition of so;i. s!g^s of hydraulic failure, level of ponding.(�on ion of vegetation, etc., No c `�` .A S � aflrT .Z g CESSPOOLS: 00 (locate on site play Number and conftg;;ra:.o-. Depth-top of liquid to inlet inve.r, Depth of solids laye- Depth of scum layer Dimensions of cesspoo. Materials of construction. Indication of ground ate• inflow• (cesspoo; must De pumper as pan of inspecliom Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) PRIVY:, d (locate on site plan) ,Materials of construction: Dimensions: Depth of solids. Comments: (note condition of soil, s,grs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revaaed 04/25/9^) Page fa of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM NFORMATION (continued) Property Address: 110 C.av%-00 re.1 Owner: I-TAwn As Date of Inspection: lbl�o Irt7 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reverences landmarks or benchmarks locate all wells within 100 (locate where public water supply comes into house)" 3 4 A s( O bz- 35 �3• �� (63, 38 64- z� (:.vise: 01125/57, Page 9 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIO% FORM PART C SYSTEM INFORMATION (continued) Propert% Address: (10G2Y11*16C Owner: Th¢Wlp-S 1 Date of Inspection: Depth to Groundwater 1Fee: Please indicate all the methods used to determine High Groundwater Elevation: Obtained irom Design Plans on record Observation of Site (Abutting properry. observation hole, basement sump etc.) Determine it from local conditions Cnec'k %.rth local Board o• nealtr Chec'k FE.tiiA mans Check pumping records Check local eaca%ato•s irstalle•s )( use L5C5 [)a-.a r• Desc-ibe in %o.r o�+-. v-o—cs roe.• %o- es:aol-hec the yjgl. Ground%ater Elevation. (Must be completed r �/.�. �,co�a9�ca� �.aJs� . ��.1C c�ogcc �N�1tSTlgW�lantSt P�T\14S t-1.A, Qj �Iyr lsev.eed *4.25'9-. Page 10 of 10 TOWN OF69RIJSTRBLEA55F550R5 MP►n �39 COT 66 zonvitiG : CLUSTER] 7S 5E7-8ACKS: FRONT c 5iCE5a y+ REaRa �S Y 00 d k ";17563 :+ y N I O 1 BENCHHRRK gR B 35 I =1 E L. -19 A g' •, �1 Z N Z o � . 'o� •I. o 0 k O i6 i `0 t r { �'5z,so�: i . 35,00 ` N E GEuo. Y ;'SIT.E ="D.,s9 JAGS PLAN CONrouPs (Exrsr) — r--- m _ LOCUS : L07 6 C AN3E 11'►N�';H`T'QN N tS REFEf?EHCE , CONC.BOUND ` k; ® pB'' � REPARED EST yoLE B�YS�I DE SO T _ — r , DATE• cl 25) 86 7 i �r. =FOV14D. Q' •`' K 1EACHING FACILITY V� O IN 6 .. �� (.. ND COVEQ .77777 55, � G t 4 0 55.�0� rGAr.. .33' 9� �nQ I 53,50' G b� / Qo Oo ®0 . r �97.56 c � � 10r Vi x r� TEST H E LOGS a ,, { Jq DE5/6N ' FOR 3 gEDQooM J nt r � t TEST AY: b UJL1"�P F k ELL 1 ti; E.:` 1`1y. k•} '-..•. ,''� NCB oaT E : Z S 6 PERC:RATE Z WITNESS: LEIT'1Jt'R FLOWRATEIIO(,AL./UAY :. S� C (O9 5EPT/G TANK 350 (I,S) 95 C RL. -Rr9'p.SPPT/G TqN/( - I000 C�qL T� ACHING ACIC I T�' C.O VOFWALL Tr 10 6- 1 14 29" _ 11BSOt 52,5<.. _ 6orroM [r 104 = 78.5 2,0,_�171,o _ co TOTO,L 266,7 5F. IuED j, USE--�._LEACHING PIT' 10' EFF Dip). , EFF :DEPTH NOTES •l DATUhI(MSL)t.TAKENFko!`IH IaIJIJi S QUADRANGLE MAP 2.MUMICIPAL WATER . ...�5 AVAILABLE ZA — 3.5�. 3. DESIGN LOACIJV6 FOR ALL PRECAST UNI r5: SAS N o-f I I Q.4q ':. �l.PIPE JO/NT5 SHALL OB �q rIGHT, - •i MADE iJAT E 1 -5. CONSTRUCTION bETAlL5 TO 8E IN ACCORDANCE WITH u0 W W I COMM of Mass. S7 A7 E E-WINOMMSNTAL CooE TiTI.E 2: CO I PLAN:fOR PRop05E0 A RK ONLY AND sKovLo NO r 8E Y5&D for{PROPERrY• CItJ STAKlN4. H 10F ; NE H yam, �� o 'ram 9.IAL/� ' LA �, M1 : y n, �w .t o�ocL,r7 capes eh r�eer�r�q L < CIVI-L ENGINEERS f f0lSA .OJ — LAND rsuRvEYORS t, CAM s C. 9Zro Main st.YQrmout h,Ma jos NO. board of heg h _ FPR4vED. DATE.: �j� •/L r1 1�A✓7V`7 '. V TOWN OF BARNSTABLE 06 1 -j" ATION C/G Cd&W J3 69ft QJ, SEWAGE #Ti'' ASSESSOR'S MAP& LOT 3 - c V 7 LAGE � INSTALLER'S NAME&PHONE NO. 0/ C-0 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) L� ��[ (� t�AL C' f ize) oL� �C U lu NO.OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Q.ivate 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 G within 300 feet of leaching facility) Feet Furnished by \C a Lp- Ground level FaAta - i.. 5EP 1G'ifNiK CftT.805. Leoxwoms GA[n.rry f % :- P r,ouubaenucce�et�� CW cr 65, i� x .`SECTION-5EWi4lE 4' 1�srir=o sia _. ljottom of leaching 45.5 �attoM of te+sQr,�trwp. Ground water 6 TOWN OF BARNSTABLE LOCATION 40 7 i'� 0kl' ,ZA SEWAGE VILLAGE p. ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. Zt 5d- 41 SEPTIC TANK CAPACITY b r LEACHING FACILITY:(type) ka-c:�K_ Pi G (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 0d% d C&xp DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No f/ u I�l% r _ i 1Q, Fzz........................ 0 THE COMMONWEALTH OF MASSACHUSETTS dL BOARD OF HEALTH ........ ..r N..............OF.............BA N.%T .. .......... 0 .4 Appliration for Disposal Works Tonstrudi rrmit 0�eo Application is hereby made for a Permit to Construct or Repair an Individual S-ewa e_j p System at: . ........................................................................................e.. .... ------ ------*........*­---------- Locat`i(_vi­,AddrC_j,,,, N)1 0. ........ 0. 42� / /�) _q L4Q.1................ ..Q..................................... ................................................... Owner ...... .. HQ 09AZI ... Address 64.. <W.9�6 ...................................... ...... . ........................ ....................................Z .................. .............. ....L...I.E.Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other—Type of Building ............................ N�o.� of persons............................ Showers Cafeteria Other fixt es .........................................................I.........;....................... u . ............" ..... ........................... ....IA( -allons per pers;oner day. Total dV .............gallons Design Flow............ .5 .. ...................g 4&ow. Septic T Li ' capacity.M. 1-gallons, Length.. ._..(of Width:.-__;.......... Diameter................ DeDth.A....LU DisposalUO—i 10........:;?n...... Width......A0 ..... Total Length....... ... Total leaching area....M..iAsq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................L. Total leaching area.................sq. f t. Other Distribution box (,/) - Dosing tank ( ) Percolation Test Results Performed-by......................................... .... .......... Date......---....................------_.... Test Pit No. 1..�_2-2-...minutes per inch Depth of Test ......4' Depth to ground water.. Test Pit No. 2--- ......minutes per inch . Depth of Test Pit__._._.. ....lbe>.... Depth to ground water..P.40.�A�. ..... 0 Description of So .......................................................................... . ....................... .......................q rkY. ... "C"Ai: .............................. 12 ....c1lack. .. -------------------- --- -------- . .... ................................... Nature of Repairs or Alterations—Answer when applicable.....AA;; .Q)J� U .... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'AI'AL_- 5 of the S to Sanitary Code— The undersigned further agrees not to place the system in ation unti C t*'cate of fiance has been issued by the board of health. Si....... ........... .. . .................. .............. Date pD ication Approved By.... .. . fe.. ........... ............................. a?.!... ....... Date Application Disapproved for the following reasons:...'. .......................................................................................................--- ...................................m................................................................................................................................................................... Date Permit No...................... IssuecdLL............ ................. jr ,t, No .....1.1 �1�J ,�� Fiss.................... ... 1< 4 THE COMMONWEALTH OF MASSACHUSETTS ...............i ` E3 RD �OF HEALTH ...........!..iJW M..............OF............ i - ..1, ._L..:._..-..... .Appl ration for Disposal Works Tonstrudion,,V rmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Se`wage---Disposal ' s System at: ................_—______.......«..Location Address•-----......................._... �v i •.. ...... or-Lo......• --.........................._......... W ................................................._.._._.._ -Owner• ---' . ........ ........ ���_ _.4:!w�Address..... �•�7!� .......................................... ,..: ......... a Installer t 1 J€ t/4 ( % r. -Address y r d Type of Building w_ Size Lot...... ..................Sq. feet 0.4 U Dwelling—No. of Bedrooms............................... .......� ' '' _Expansion Attic-( ) Garbage Grinder ( ) Other—Type T e of Buildiii p•, yp g .........-.................. No.. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .........--•-------•-----•-.........--•-•---............--••-----•-------•...-•---•--------•--•--• Design Flow......:.........`�n....................gallons per person per day. Total daily flow........................................... gallons.a ` Septic Tank- Liquid capacity i=.gallons Length.-�-._.6� -_. Width_. " Diameter .,._"A'..-.,.,Depth 4 rf lC7rt Disposal Trench—No........��r........ Width......A1�,.... Total Length....... Total leaching area...._ iA-sq, ft. 3 Seepage Pit Noo,......--.._._....:,Diameter .....: :..Depth below inlet .................. Total leaching area.................sq. ft. Z Other Distribution box (�`) 'F `Dosing'tarik�(� ) 'r'°'/`fr». if •J f `,v/ Percolation Test Results._ Performed by.......................................................................... . ....:.. Date........................................ 0 Test Pit No. 1______________minutes per inch Depth of Test Pit....... Depth to ground water.. ? ..._. 44 Test Pit No. 2..: r_ -._ yinutes per inch Depth of Test Pit...... .._. Depth to ground water..N'�N�._... O Description oftSoil'�'���� -�._ ._..--•'......................... ... � ...�../..}.r...'............--.......,�.................. •l kn it �,"' 1 t' 1 �-�' ' ( �C1 Y S \1fi . . I U ....... .. ....._ ......: f. tt k W •-•-••-•-3�----------, f 1• -. Y U.� _.... j l'- _- C'�Q{hYl1 ��C.�11Y"�G r' V Nature of Repairs or Alterations—Answer when applicable_..__._ �: �....Et t r .............................................r1 . —' r. J>..— s t ---......•••..••. rr'p : _ r ........................................... Agreement: ` The undersigned agreesf to install the aforedescribed Individual Sewage'J)isposal'System,ihlaccordance-with the provisions of.TITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until.A.Certificatelof Compliance has beeii'lss ued by the board of health.`�y�'� (Signed /4� /.... \ i ........ • :..... �6 �_. >t j'.C.. .. .-y�r/�yF// .......... _ ..4.. . ..-...... ?Application Approved BY -' •- -!.1' _I ....................................... v- . - /'irfJtJ Date Application Disapproved for the following reasons:............................ ..... .............................................•---•------------...........-----•--.......-...----..................------------•--------•-•-•-•-•-•----••--•--: .......----.....---•-•......---........_ _ Date PermitNo....................................................._.. y Issued................ - ._...............--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................�U� ......OF.......... N57 �LIE ITrrtifirttte of f omplitturr '/ r THIS IS T CERTIFy That the Individual Sewage Disposal System constructed (V ) or Repaired ( ) i KISCGC � _ c �/ -I staff f�..Y•%'+/ - at......Lz_Q../-__........P-.-_•......Cm.✓P�r, L. N .... ............... .. .... y.`�..61/ !v,5-r964 has been installed in accordance with the provisions of TIT_LE,_... >of The State Sanitary Code as described in the application for Disposal Works Construction Permit No .?........ .!acne dated.......= .......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.... ..-. . :........ .. ......... Inspector--------------•-``----.�:-_...----.._..------•-------•--------•--................ ,.......,n f n....a p•i.',r-r n'.-t�.e'-� ....ty.5-n w r•':.w«,y i.y r i+.��...-..w u.....,r..w.-.s . .c.w w..x n r ..-.n w F<. U g- THE COMMONWEALTH OF MASSACHUSETT�S C 0u} _ BOARD OF HEALTH QQ ................ .....................OF...... .... .... _ ._..................;....... No.. ............ Flx........................ Disposal r s. Tun trWiurt Permit Permission is herebyranted.........� SCG L g .... .....................•---•---..................................... to Construct ( �or Repair (. an I ividua ew a Dispo y t Street as shown on the application for Disposal Works Construction Permit Nod-�'=..... Dated...........�......;?!........? Board of'Health DATE.............................:�..':_ '`' -� � ``� 1 . ME Town of Barnstable P# Department of Regulatory services RARNSTAB IA Public Health Division ;; -Date IS 200 Main Street,Hyannis MA 02601 —J Date Scheduled C4 , Time Fee Pd. BOO-_ Soil Suitability Assessment far S"v`wage Disposal Performed By: _t(&ae,J 4dVIQ✓l ti',� �1��CS C Witnessed By: Ate'U �U L. G& i LOCATION&.GENERAL INFORMATION Location Address f© C�����u (-��� - Owner's Name , t•� t 1`9iCf .sCiOU[2TXfc�Sl VCS k� RN�Zjl L Address eCj(p /fa � 4�� � � i3�4�?X15To4B<� Assessor's Map/Parcel: ' �p/U O g Engineer's Name TC CjcC—JJ% tF6:kJ�JGt ZNC ' c{�4 cry t Dc_ �T ?Rid S LLr-- NEW CONSTRUC71ON f— i REPAIR � Telephone# S 0'S —�7 7 8�7-7 . .�-273-0>7 7 Land Use- i t(' 1� / LJ `` .J Slopes(96) a Surface Stones' A nn1� Distances from: Open Water Body >),00 ft Possible Wet Area_q0c)—ft DrinkIng Water Well ��V ft Drainage Way > Q) ft Property Line O ft Other - ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands 3n proximity to holes) See• Q�-i��hec� _5��� j���,� � - R ' l lP Parent material(geologic) )JNA ^ &.n$ Depth to Bedrock' Depth to Groundwater. Standing Water in Hole: Weeping*om Pit Fnee �� c Estimated Seasonal High Groundwater f 'DETERARNATION FOR SEASONAL11IGH WATER TABLE Method Used: 6b5elu4�m , Depth Observed standing in obs.hole: 1�.2 In, Depth to Soli mottles: Depth to weeping from side of obs.hole: f 2 In, Groundwater Adjustment 44 4 ft. Index Well-4 Reading Date; Index Well level„ Adj,factor Ac1j.arbundwater Level,PERCOLATION TEST Date ULM Thna..�,59�,u Observation: M �Q Hole# Time at 9" l✓ ow ra4 Depth of Perc" 7� Time at 6" Start Pre-soak Time® '��(sf'y _ Time(91141) 4 %� End Pre-soak Q fLIV1 Rate Min/Inch 'd tip;'. Site Suitability Assessment: Site Passed Site Failed: . Additional Testing Needed(Y/N) /7 Original: Public Health Division Observation Hole Data To Be Completed on Back---------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTICIPERCFORM.DOC/ r DEEP-OBSERVATION HOLE LOG Hole# 9 r a Depth from Soil Horizon Soil Texture .Soil Color Soil. 7 Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. Consistency.96 oravel) ©- la A AIEOam JLZnc� 1p 3/ 13 L—Owwt �erid la YK `fig G0- F C I Coate SG..d .5 Y 6/� Y C- 108 W 3 N W400. Y 'la DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Soil Te o or Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. `�fr� / Consbrency.% DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Muusell) Mottling (Structure,Stones,Boulders. Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Boll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consjstcncy OERVOI) Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No N Yes ' Within 100 year flood boundary No. Yes r__ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ` e If not,what is the depth of naturally occurring pervious material? Certification I certify that on ��`27"`� (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise an xperience described in�10 CMR 15.017. Signature Date Q-.WEPTIC`\PERCFORM.DOC APPLICATION F'OR PERCULATION Tt;b 1' AND UbbhXVRT1U1y V ITO LOCATION tU � GiZ4.0 r3C--:6Z1Z/ L QE—_ NO. 1 'VILLAGE DATE APPLICANT 7-� y S i 17 a✓ 3v o L.30 E0_. FEE_ ADDRESS ` TELEPHONE NO. (Non-refundable) ENGINEER eE, TELEPHONE DATE SCHEDULED r, Z'D /e (Applicant' s signature) . . . . . . O O O OM O O . O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ASSESSOR'S hiAP � LOT NO: t Z34- SOIL LOG SUB-DIVISION NAME DATE 5 PT Z5 \9@,� TIME l a r _DATE EXPANSION AREA:: YES O _ �01 ��31� ►Jk P� ENGINEER: ✓t' TOWN WATER KIVATE WELL pJ. �>✓i -'I-►J - BOARD OF HEALTH r C,kA 1 k.- EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES.: _ �z LOTS Im r C F56;R2y L e i PERCOLATION RATE: L Z TEST HOLE NO: ELEVATION: TEST HOLE NOV, ELEV TTON: 3 4 `'SC 4 5 5 e-40a ws� 6 -'" 6 8 ��" 8 �vA Of Mys 9 LlI' T C g 5, °�� . �t RICHARD `' 16 10 s, --r 1 z o ,.� 10 R. C1e �N t� FAIRJBANK 11 n`` �il� y,u 11 N0. 20204 j 12 ,3a• °'c as 5 12 O 13 13 15 15 < , i 16 SUITABLE FOR SUB-SURFACE SEWAGE LEACHING FIELD 11LEACHING PITS LEACHING TRENCHES C/" 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 COPY: RETAINED BY APPLICANT • y � 1 1 ! TOWN 0F6RPk)STIR9tA55E550R5 MAP�23`i LOT �a6 •' =4 :-' J�7. 20' 1ttJ R �. ZONING. C.LI��aT� 7,5 7,5 - _ 7,50 TOP OF 10.E =f 5ETBACK,5: FRoNT=50 51DE5? 1!5 RC-AR z FOUND. - SEP7tC TANK btST. DWI. LEACHING FACIL17Y :$ � I �� 6900vo cove 54•93 i°goo, r 5�•73 1000 GAt.. 5393' 53.76 U 96 (Io 3' , � 54 /sue •- ' � ,,...---/ _,.. :- . . -514 k WASHED STWE SECTION- SEWAGE 4 focroM I 3' 6 ZDRO 8 - TEST HOLE LOGS DE5I6N FOR pbJB LL I Q CS TEST 9Y AWN Cfaf�i= Ef�SC-1. PERC.RATE<2 mi-//N. DATE : I0I25 11BG FLOW RATE I IOGAL./DAY 3'E'O GPD ! �I ;^� �---"" �'" C) NC RRK WITNE55: Iy LEI T NE'R 5EPTIC TANK S3C) (1,5) Q9.J GQi (ei► 3 "� f may— ,- - �� -� r � B2B 35I R69'0. SEPTIC TANK . 1000 GRL LEACHING FACILITY - T�( I e�-S16.5 'T�* 2 !F L F 62,2' 2 2r I 1510E 14ALL Oz x'qGt A4�2,S)=153.F6 G QoTTor? 2Zx 10 = 22o.00,O)=220.0 Gla O � �r-S�R.�iL 0� — I , TOTAL 281.4 = I'� SUso sF = 373.6G1e _j ZC) - - SRND USE Z LEACNlNG F�Ot�I" DI�"FU�ORS I� Id' !' ®. 2- ''D n - CURB N ITH S6'/ ST"OW E PlLL P IROU N 10 a 21� a 96 -F ►JET ���, _ NOTES _° 1. DATUh!(M5L)t TAKEN FROM HYAf.)1 f S QUADRANGLE Mat' IZO CL�h^J q6 S — 2. MUNICIPAL WATER 1 S AVAILABLE 3. 0E5I614 LOAD/Na FOR ALL PRECAST UIJ1T5shAS140f4-IO.44 ' 4.PIPE ✓0/NT5 SHALL BE MA,DE IJATER T/C.HT. 5. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH C01114.OF MA55, SLATE ENViROA11-16 AL COOS TIME 6. TN15 PLAN FOR PROPOSED MORK ONLY AND 540UL0 NOT 6E usED FOR PROPERTY: CN. STAKING. �] cash kERY h 125.01 19.19 kt atiN o � I TSITE-_A�1D_:;'6EIJAGF PLAN ATE o�oc�n ca e eh /r�eerir� c EGENo t i�c� � Q 9 — -- '.Cr. LOCUS . LOT, 8, CRQNgEkP�Y. LLI, HYRNIV IS `' H. s}IFtit OJA i 92 CIVIL ENGWr:SRs REFERENCE I 1719Z.. _ LAND SURVEYORS ' , PR AY Ep E `But. .. 'ROE ki p;' q2G-Main st-.Yarmouth ma coNG.BounlD. ® CB . vne � .. -- TEST HOLE _. l� / SI DLEER - -- - - _ board of health ` SCALE . DATE _ 9 25I86 JOB No. APPROVED DATf:.: - `@AVOA � ,MA i PROVIDE PRECAST CONCRETE _. r FINISHED GRADE OVER TANK EL.= 61 .0± FINISH GRADE OVER D-BOX 60.6± GENERAL ^^++ h TOP OF FOUNDATION EXTENSION RISER WITH CONCRETE FINISH GRADE OVER CHAMBERS= rj9,8' - 61,8' V E 1 V E RAL NOTES SLOPE @ 2%MIN. OVER SYSTEM ELEV= 62.1'± COVER TO WITHIN 6"OF FINISH GRADE CONCRETE RISER AND COVER 3/4"TO 1-1/2"DOUBLE WASHED STONE TO 1. UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS AND CONSTRUCTION OVER INLET AND OUTLET COVERS. TO WITHIN 6"OF GRADE 4" SCHEDULE 40 PVC MIN SLOPE 1% ACCESS BOX WITH COVER TO GRADE CROWN OF PIPE METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISH GRADE 5-DIA. OUTLET(S) � FND. EL.= VARIES (SEE NOTE#21) 2"OF 1/8"TO 1/2" DOUBLE WASHED STONE CODE AND ANY APPLICABLE LOCAL RULES. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE _..... . -_.-- PLACE RISERS ON ALL DESIGN ENGINEER. TOP OF SAS= 58,$3' CHAMBERS WITH PROPOSED 4" r 9"MIN. INLET PIPES TO 6"OF I 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL /�'�`EXISTING 4" � .....- PVC SEWER PIPE 58.00 36"MAX, r ;/ SEWER PIPE / _ _ „-_ , BREAKOUT EL = 58.50 FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED. 6" 3" 3"DROP MAX F 9" r+ PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN L=25 _ JOINTS (TYP.) ELEVATION =58.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A ..�_ 2'DROP MIN MIN.SLOPE�1% 4"PVC IN FROM 13" 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 14" M `5B,] + I SEPTIC TANK 4"PVC OUT TO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. _ O LEACHING FACILITY o00 00 ! 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. 00 0 0 0 0 0 0 CONTRACTOR oo- CONTRACTOR SIQLL OUTLET TEE 58.4' MIN. 58,23' 2'12" o© 0 0 0 00 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 00 00 7• LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK SHALL VERIFY SIZE 48" VERIFY CONDITION OF AND CONDITION OF EXISTING TEES i 22"ZABEL FILTER � i 6"CRUSHED STONE o = = = 0 0 0 00 0 0 0 0 o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION.SYSTEM IS EXISTING SEPTIC AND REPLACE AS ! MODEL#A1801 4x22 OVER MECHANICALLY o _ NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE I 8.5' (TYP) --j 1.0" 4.17 4.9 AND DESIGN ENGINEER. 1.0' t 5 OUTLET DISTRIBUTION BOX 4'8P 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 60.00'ESTABLISHED TO BE INSTALLED ON A LEVEL STABLE 27 5 ( ) I'I ON A NAIL SET IN OAK TREE AS SHOWN ON PLAN. < 49-00� BASE. FIRST TWO FEET OF OUTLET 56.00' GROUND WATER ELEV.= 2.8 ' k 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION EXISTING 1000 GALLON CONCRETE SEPTI TANK PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW SEPTIC TANK PROFILE 5 MIN. 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TYPICAL CHAMBER PROFIT 97 ?!"� �-.- TO THE DESIGN ENGINEER. 'CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR NOT TO SCALE D I S I H%I b u f X DETAIL C H A f ry TA I L S 10• ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE TO ANY WORK&NOTIFY ENGINEER IF DIFFERENT. - NOT TO SCALE NOT TO SCALE ---- - - ---- --- ---- - __._�_- -._ _ __..�__ ____ _______.... __�- ----_._.----.--�_.-� STRUCTURES SHALL BE MADE WATERTIGHT. ISO ? a �` T E!:;T P I T DATA 1 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING PERC NO. 14931 REGULATIONS. OWNERIAPPLICANT IS TO OBTAIN SUCH DETERMINATION FROM NOTES: - 1 ��� l 4, INSPECTOR: David W. Stanton, RS ° APPROPRIATE AUTHORITY. f w 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED 1 p v a EVALUATOR: Michael Pimentel E.I.T. 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF ' f Y of �` , ° UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR �'� / C.S.E.APPROVAL DATE:ACH SEPTIC SYSTEM COMPONENT. Oct.O 1999 TRAVELED WAYS tN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. I DATE: January 16,2016 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF J THE PROPOSED LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST TEST PIT#: 1 ' , Ca \\ 1 - '-�- 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE PIT DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL �� i u • p ELEV TOP= 60.00' BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. ° ,'1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. °� r ELEV WATER= < 49.00' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, OD 3.) ENTIRE PROPERTY IS LOCATED WITHIN A DEP APPROVED ZONE 2& MAP 234 t�`? ®` } ' PERC RATE= 8 MinAn FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). THE GROUNDWATER PROTECTION OVERLAY DISTRICT. IT 1S NOT IN THE \ LOT 9 i C.? 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN mESTUARINE WATERSHEDS. l �^Y: Vic'; DEPTH OF PERC= 24"-42" SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. a LOCUS' . . TEXTURAL CLASS: 1 16. PROPOSED PROJECT IS LOCATED WITHIN: t„ Sr Ott , + ASSESSOR'S MAP 234 ARCEL 8 10;� ^ f ° ' • `, OWNER OF RECORD: MICHAEL J. &COURTNEY L. SIDES ��' '" • • Y • • 0" 60.00' • • • Fill ADDRESS: 110 CRANBERRY LANE "• • ' 12" 59.09 BARNSTABLE, MA 02632 � A Loamy Sand FEMA FLOOD ZONE X 4 • 4/ 24" 10 Yr 3/258.00' COMMUNITY PANEL# 25001 C0562J zt Poir► Perc YY. Shirle �Pfi_ 42" Loamy Sand a6.50 17. DEED REFERENCE: °�► e • ' y "` ` B 10 Yr 5/8 BOOK 16470, PAGE 321 { { '"60 55.00 • � 18. PLAN REFERENCE: '' ! C-1 Coarse Sand PLAN BOOK 426, PAGE 8 Nyes 2.5 Y 6/6 P • ��, 84" 53.00' 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. MAP 234 � '' ' • •• • C-2 Fine Sand 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY LOT 8 * • • 2.5 Y find FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY 21,808 S.F. ± FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. - � 108" 51.00' MAP 234 C_3 Silt Loam 21. A 4"PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A LOCUS PLAN 2.5 Y 7/2 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A o LOT 9 0 120" 50.00' REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. ° C 4 Medium Sand 0) SCALE: 1"= 1000' 2.5 Y 6/6 0' 132" 49.00' m EXISTING 1000 GALLON MAP 234 �- No Mottling, Standing or Weeping Observed LOT 7 68 SEPTIC TANK TO BE _ UTILIZED IN THIS DESIvs: o DESIGN DATA TF T P1J. DATA LEGEND roo f �\ c°'n PERC NO. 14931 - - 50 --- - EXISTING CONTOUR g5 ^� rn o f \ m ( INSPECTOR: David W. Stanton, RS NUMBER OF BEDROOMS (ASSESSOR) PROPOSED CONTOUR 3 r� NUMBER OF BEDROOMS (DESIGN) 3 EVALUATOR: Michael Pimentel, E.I.T. \\ 63 \ �ss� DESIGN FLOW 110 GAL/DAY/BEDROOM C.S.E.APPROVAL DATE: Oct. 1999 EXISTING UNDERGROUND UTILITES 6 .- 61 FENCE DATE: January 16,2016 (2) / 3-� , O �__ ``X� TOTAL DESIGN FLOW 330 GAUDAY -- ' - �./ EXISTING WATER LINE B�fsH �;; ' ; x TEST PIT#. 2 PROPOSED DISTRIBUTION BOX -�, \ \s \ - DESIGN FLOW X 200 0� = 660 GAL/DAY EXISTING GAS LINE ELEV TOP= 60.00' 1 , (DECK \s I USE EXISTING 1000 GALLON SEPTIC TANK NE PROPOSED 3-500 GALLON LEACHING ` 12'g'� (1) ? x ELEV WATER- CHAMBERS w/AGGREGATE - �O - -� k' x- EXISTING C LI ry 2off 7 HC-2 #110 w PERC RATE 7 _ -- �N EXISTING DEPTH OF Q PERC EXISTING 1000 GALLON SEPTIC TANK = 3 BEDROOM d DWELLING INSTALL 3 - 500 GALLON CHAMBERS TEXTURAL CLASS: 1 � l" i �-1 TOF=6 2.1'± ;. �I TEST PIT LOCATION 0 YE,a 61- SIDEWALL CAPACITY a -�w--.�-------• PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE PROPOSED INSPECTION PORT (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.66 GPD/S.F.) = GAUDAY 3) LSA< S BIT, 0" 60.00' EX. LEACING PIT TO BE ;TP 2r~ DRIVEWAY (27.5'+ 12.83) (2) (2') (0.66 GPD/S.F.) = 106.5 GAL/DAY Fill PROPOSED DISTRIBUTION BOX PUMPED AND FILLED WITH 60x0' � P � c _ � 12" 59.00' (4, `60 Loamy Sand CLEAN, COARSE SAND s `�ucE/ j BOTTOM CAPACITY 10 Yr 32 PROPOSED 500 GAL. LEACHING CHAMBER / c d ,/ (LENGTH x WIDTH) (0.66 GPD/S.F.) = GAL/DAY 24" 58.00' Benchmark l '� S9 z-OAK I _59 (27.5'x 12.83) (0.66 GPD/S.F.) = 232.9 GAUDAY N 8'OAKS - Nail in Oak Elev. =60.00' � Loamy Sand f " y9� _ 58� B 10 Yr 5/8 12 OAK Approx.M.S.L. �V / /- TOTALS: 60" 55.00' REV. DATE BY APP'D. DESCRIPTION 2'OAr �-- - -57 1 TOTAL NUMBER OF CHAMBERS 3 C 1 OS Coarse Sand PROPOSED SEPTIC SYSTEM UPGRADE --58 ° �21 E TOTAL LEACHING AREA 514.2 SQ.FT. 2.5 Y 6/6 PREPARED FOR: 100.00' '-7 TOTAL LEACHING CAPACITY 339.4 GAL./DAY 84" 53.00' - _ - 5 0 C-2 Fine sand CAPEWIDE ENTERPRISES AVEMENT � 5� / L=19.7 8-'---f 2.5 Y find LOCATED AT 55 CRgNg � _-- SWING-TIES 108" 51.00' rso'w►o RRY LANE C-3 Sift Loam 110 CRANBERRYLANE �YOUT) �� DESCRIPTION HC-1 HC-2 2.5 Y 7/2 �---APPROX. WATERLINE ONLY 1 1 .9' 120" 50.00' BARNSTABLE, MA 02632 LEACHING CORNER(1) 3 .9 9 CA Medium Sand , 2.5 Y 6/6 DATE: FEBRUARY 2,2016 LEACHING CORNER(2) 41.1' 32.7' I 132" 49.00' SCALE: 1 ;NCH = 20 FT.0 20 4080 FEET LEACHING CORNER(3) 32.& 42.1' s No Mottling, Standing or Weeping Observed r LEACHING CORNER(4) 20.0' 33.1' PREPARED BY: RESERVED FOR BOARD OF HEALTH USE JOHN L. ` ILLJR. �. JC ENGINEERING, INC. CHUR ", o r 2854 CRANBERRY HIGHWAY �` F T ti c EAST WAREHAM, MA 02538 SITE PLAN , 508.273.0377 SCALE: 1"=20' Drawn By: SJI Designed By:MCP Checked By: JLC JOB No.3372