Loading...
HomeMy WebLinkAbout0035 SURREY LANE - Health _ 1 35 SURREY Ln. ,BARNSTABLE A= The Glass Rock 4 TOWN•OF BARNSTABLE LOCATION J S Q r(P_V I We_ SEWAGE# �c�j °- 3 1 VILLAGE t; �•�. ASSESSOR'S•MAP&PARCEL INSTALLER'S NAME&PHONE NO. &r � �p��g S 5 �14-7k) SEPTIC TANK CAPACITY 15 0U �M..Vton. LEACHING FACILITY: (type i4c� ir' co O (size) NO..OF BEDROOMS 4 OWNER `ov' PERMIT DATE: ��� �O COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching.Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on p site or within 200feet of leaching facility) P Feet Edge.of Wetland and Leaching Facility(If any wetlands exist within � pp 300 feet of leaching facility)- Iv Feet FURNISHED BY i re-cr- .®l ko I s c 5 vrre o Coo ' -; Ile Town of Barnstable P It Department of Regulatory Services �' l n:.; a .enrtarn>ar�4 Public Health Division Date _ MA93 : �A im3D 200 Main Street,Hyannis MA 02601 Date Scheduled Time �� Fee Pd._ ` Sail Suitability Assessment for S ge Disposal Performed By: Witnessed BY: LOCATION&.GENERAL INFORMATION Location Address . Su(re— r cL,__ Owner's Name �G � �I 4K a.�en.ov�t o Address Assessor's Map/Parcel: `p�9�' OS 1 Engineer's NameQ,IT� t-�M�L�aS �•� r NEW CONSTRUCTION REP AIR _1/ Telephone# Land.Use• �S�.�Q�.TII'tp,� Slopes(96)�" eI e Surface Stones Distancea from: Open Water Body > ,00 ft possible Wet•Area, L ft Drinking Water Well Drainage Way > l oo ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands ifn proximity to holes) .` A2 �C/) Parent material(geologic) �sb�ah 0►J 1 t Depth to Bedrock 1 J. Depth to Groundwater. Standing Water in Hole: , Weeping from Pit Face Estimated Seasonal High Groundwater I DETERMINATION FOR SEAgONAL-HIGH WATER TABLE , Method Used: 116 (S� u vi j&Lum-f1 Depth Observed standing in obs.hole: —___ in, Depth to soil mottles: - in.' Depth to weeping from,side of obs,hole: --__ .—In, Groundwater Adjustment ft. index`Vetl-Y Reading Date: index Weii IcYal Adj hetor _. Adj.Groundwater Level, PERCOLAT1.0"BEST ; We Tintis,�o,.�Q Observation Hole# _ Time at 4" 3'•ys Depth of Pere '•� • a Time at 6" , Start Pre-soak Time @ _� Time V141) 0D End Pro-soak RateMin./luch . LSK<� 1�+CM F Site Suitability Assessment: Site Passed_;X____ Site Failed: Additional Testing Needed(YIN) 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 Conselrvation Division at least one(1)week prior to beginning. Q:ISEPTICIPERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# k— Depth from Soil Horizon Soil Texture Still Color Sall• Other Surface(In.) (USDA) (Munsell) Mottling (Stnucture,Stoneif;Boulders. Consistency, N -Sar,, 1 J1 w MR, '4 6 a� 6, C DEEP OBSERVATION HOLE LOG Hole# a Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. pP.1+1 I 'A 9 3 b S 3 -� C �"° do R � e,ll � • DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. onsistency. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Sol Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,SSopes;Boulders. C Flood Insurance Rate Man: Above 500 year flood boundary No— Yes ., Within 500 year boundary No Yes ' Within 100 year flood boundary No,-$— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring per 'ous material? Certification I certify that on i — d (date)I have passed the soil evaluator•examination approved by the Department of Envirorime tal Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 10 CNM 15.017. Signat 2 Date $U5 \ Q:WB r1CVERCPORM.DOC jj No. O l �a�� Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TPWN OF BARNSTABLE, MASSACHUSETTS Yes 21pplitation for Disposal 6Jpstem ConyCtlompll oon 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ete System ❑Individual Components Location Address or Lot No. 26 Su«C,� Lam e— ner's Name,Address,and Tel.No. (� a �'o1� .D&"f\y-1 Assessor's Map/Parcel l a ei ?&r(Q 5 6 r y o 4 a& I-AA (Qo Installer's Name,Address,and Tel.No. 2671-OSG Designer's Name,Address,and Tel.No. "04-261'6313 (9F+.k E+�+rPr%Vc ,N Inc.. W*XG-r4crpgNua,l-c. O. c1� Or tcwa 1AA CrUe 93 8t luau 1-+l 6 Type of Building: n Dwelling No.of Bedrooms Lot Size t 0 U sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 35c) gpd Design flow provided 3 30 gpd Plan Date c Number of sheets Revision Date ^' Title hc SUIT CA pmr P104.) Size of Septic Tank I W, Type of S.A.S. 3 � 'I+rA r' . 66� (' Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 alth. Signed'" Date — Z Application Approved by _ DateIts Application Disapproved by I Date for the following reasons Permit No. Date Issued THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I m ^�C✓ C DATA i No. O I t� Fee / ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF-BARNSTABLE, MASSACHUSETTS _ 21pplitation for IS osar ?pstrm Construction 3pPrmit n Application for a Permit to Construct( ) Repair( °Upgrade( ) Abandon( ) Complete System ❑Individual Components , EAssessor's dress or Lot No. �j ,� f ; , � ( f; c b ner's Name,Address,and Tel.No. rl 44 Map/Parcel I� '•��I 4, n 4"` � I.1 I; ame,Address,and Tel.No. I >> Designer's Name,Address, and Tel.No. I �I 2 C 1 t g i Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) ..- Other Type of Building No.of Persons Showers( ) Cafeteria( ) " Other Fixtures Design Flow(min.required) �7.z�l ) gpd Design flow provided gpd Plan Date , 1 1 ! •. Number of sheets f Revision Date - Title ,G e Size of Septic Tank I �7 ��. I ( i !, +, , I1„ -ON, Type of S.A.S. � )�,t, I r, -,.4�r '•r ��, ('h I-,fi,�� Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: /F= 1 . 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 4'4 Compliance has been issued by this Board of Health. Signe_d-:. -� ��'� ._ Date c r� Application Approved by Date Application Disapproved by I Date ='- for the following reasons ' 1 Permit No. 261� ' Date Issued 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 at ,` r,i f t t% . i it. :,C7 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.126 4, '-12 n dated 8 ' 3 r Installer r `t ',t, r -N, Designer 1'.0 #bedrooms 'i, Approved design flow 3 gpd The issuance of this permit shall not a construed as a guarantee that the system will fun h n des as ed. ` Date I Inspector --^� �• --------------------------------------------------------------------------------------------------------------------------------------- No. Fee uV THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS misposai *pstrm Construction hermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at �,` ! ; r ,` 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 co ed within three years of the date of this permit. �'- Date _ I Approved by t Town of Barnstable Regulatory Services t Richard V. Scali, Interim,Director KASEL• wuvsraetE, �� Public Health Division 1639. �" Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: l�-�i�l Sewage Permit# Assessor's Map\Parcel Designer: C��1� "�✓��-t��-.s e� JNL Installer: FM ff1JrerP(,5DP ``rJc Address: PO GU Z 7��1 Address: POBOX ' Z7Gyy [et j /kI A on &FM F41-Qfat5-e S -,was issued a permit_to install a (date) z (installer) septic system at J SV d✓ `/ Lc• based on a design drawn by (address) �` 1� ��l- '/�✓�S-e dated Z G 1 ) . (designer) i certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected,and the soils were found satisfactory. I certify that the system referenced above was constructed in�,oTpliance with the terms ofthe IAA approval letters (if applicable) Itk OF v FERNANDES (Installer's Signature) U CE AL No.48725 �S e:.. t� (Designer's Signature (Affix M§ijagAfamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable ++� Regulatory. Services Richard V. Scali;Interim Director • R&WMAWA `r Public Health.DivisionMAM , .`� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax; 50&790= aN Homeowner.Certification Form for A'lltternative Systems Property. Address 5 rr -U. E? G�,�a.aShL6 4 Assessor's Map\Parcel: 21 ld P:� S - Property Owners Name �O�"t� �-��►�1-� In accordance with Massachusetts DEP alternative system approval letters, the following certification information is required by the Owner of record. The Owner of record miist place.an ``x' in the applicable box next to:each line certifying the information._ Yes N1A . ❑. I have been:provided a copy of the Title 5 VA technology Approval letters. (15 page Standard Conditions letter-and the specific technology letter) n 5�have been provided with the Owner's Manual Q/T:have been:provided with the,Operation and Maintenance Manua! ( [ FOr Systems installed under a Reinert Use Approval,I agree to futfill.my responsibilities to provide a Deed Notice as required by 10 CMR 15.287(10) and the Approval - .El 12"POr Systems installed under a Remedial Use Approval, I agree to fulfill my responsibilitiesto provide written notification of the Approval to any new Owner,as required by 310 CMR 15.287(5) L� 1f the design does not provide for the use.of garbage:ganders,the restriction is understood and accepted Whether or not covered bya warranty,I understand the requirement.to repair,replace, modify or take any other action as required by the Department or the LAA,if the Department or the LAA determines_ the System to be tailing to protect public health and.safety and the environment,as.defined in 310 CUR 15.303 I, �•1 . �-- f1 fit" :. �' agree to coriipiy with all terrris and conditions above. P operEy Owners p ed t 4 Property Owners Signature Dater, Note: This form must be .submitte aloe with .the septic s stem dis osal works verniit application for all RA-systems: ineludina ne�v construction, :repairsluparades, with and without agmeate fstone) .and with conventional desi criteria 'or.credited design - criteria. . Q:\Septic\IA tionieowncr certification.doc No.._. l .. FEE.... ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / ✓ ...._....... ..0F......441.1ram.... ......................... . pphratinn -fear 'ipoii t1 Workii Tons#rurtinn Vrrufit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy tern at -- ...............Z ------ -- Location dress or Lot o. --- ............................................------------------------------------------------------ wner / Address a ----------••• . ---.�-� Instal Address Type of Buildin Size Lot----------------------------Sq. feet U Dwelling No. of Bedrooms---------- .____Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) Cafeteria ( ) Other fixtures ---------------------------- W Design Flow.............. ---Q--_______--_-_---ga ns er person per day. Total daily flow------3®.©-......_....._.........gallons. �� 9 Septic Tank—Liquid capacity.$P0y__ga )f" ngth................ Width................ Diameter---------- ..... Depth................ x Disposal Trench—No..................... Width___.____.__ .__ Total Length-------------------- Total leaching area--------------.-----sq:'ft: Seepage Pit No....._____/-_______ Diameter__._�000 . h below inlet____________________ Total leacllitg area.__...._..______sq. ft: Z Other Distribution box ( ) Dosing ank ( ) aPercolation Test Results Performed by------- -------------------•-------••••--•--------••-•--............----•• Date--------------------------------------- Test Pit No. 1................minutes per inch Depth of Test Pit......_------------- Depth to ground water............__.__.-.--:: G% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-..---------_-_--_.----- -•--•-•-----••--------------••--•-••----•-----•-------•-•-----•----•--•-•-••----•-•-------......-----•-------••-----•-•--------•••••--------------------•--- Description of Soil___.----.-___---- `ti ............... "rre�S.------____�.__ ___----____-------------------•----•___-•_--_-._-__---__--____-___--_____--_-_-.----_-_---_-------.----_-.-----. W -------------------..-_---..--._--.-_-----.____-_----.__--__-_____-____-_-__-----_-_------_________--_---_---_--_--_-_--__-_---------._------_--------_-.----_--..--__------_--____-.--_---. VNature cf-Repairs`or Alterations—, Answer when applicable..-----------------------------------------------------------------------------.--.--------- ------------------------------------------------------------------------------------------------------------------------------ .._. rf 6 -'-------- -- ----- Agree e�n-t The, un leNigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with \the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has �ble�e� is ued by the b r of health g 1� 17Si ------- -•- -• •---•- --./l!c!-�-•-•-•------• -------�------- - Date Application Approved By---- - = - Dace Application Disapproved for the following reasons------- ------------------------------------------------------------------------------------------------------•-- --•••-•-•--•----------••--------•----------------------------••••--••-•--•----•----•---------------------•---•--------•--••-----------------------•-----•-------------------------------------•--•----- Date PermitNo........................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ^-..._.........__OF...... .s l!�a ..?. � .................. ...... ,l Ap'P iratilau -fear Biiipuutt1 Works Tonfi#rur#i>au Vrrmft Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy tem at$ 3.6 k/ Z.4 Al cF Location- ` dres or Lot No. ...• ....... ----••------------------------ JOwner Address W .................................... el.................................................... ................................................................................................. a Instal r Address Type of Building Size Lot............................Sq. feet U Dwelling 2!�No. o_ Bedrooms--------- _Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ------------------------___ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) GW Other fixtures -------------------------------- - d WDesign Flow-------------------- __________________ga�jlonser person per day. Total daily flow.....-_..�_Q------------.--.--._.--_gallons. WSeptic Tank—Liquid capacity_ DL►__ga T- rC-ength________________ Width................ Diameter---------------- Depth___-_._.__-._. x Disposal Trench—No- ___________________• Width___--___ _ ___ Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No........./-------- Diameter....1._QOQ . h below inlet_______________•__._ Total leaching area.-__-.-._-_-.__-_sq. ft. Z Other Distribution box ( ) Dosing ank ( 3r s aPercolation Test Resul_s Performed by-------------------------------------------------------------------------- Date------------------------------------------ Test Pit No. 1----------------minutes per inch Depth of Test Pit_................... Depth to •ground water.-___-.._-__._-_.--.._. (% Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water--_-_.--___.________.___ a' --------•--•----------------------------•----••-•-•--•••-••-••••-•--••••---•--............----•••---......................................................... x Description tion of Soil------------------•..................P"........ --- — -- ---•---------•----------------------------------------•------------------------------------------••-------- W •---------•-----------------------------------------------------------•---••---------------------------------------------------•-••--•-----•-------------.---------•-----------•------------_------- mt V Nature of Repairs or, Alterations—Answer when applicable----------------------------------------------------------------------------_------____________. ,1 <,_. ---------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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 bofir s of healt4__ . . Signed..`. `r '. t,.'' �,�'-----_-`-------------- � Date Application Approved B .''x "€ .. Ii �% - ----------------------- ----------- PP PP y- = rr Application Disapproved for the following reasons____________________.':___:. . _ -•--------•--------------------------------------------•-------Date-------------- r: -•--------------------------------------------------------------------------------------------------------------------------------------------------------------------- -----------------------------•- Date _ Permit No......................................................... Issued...................... ................................. Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH / 1 ...................OF...... .:........................... Tntifira#r of 101uutpftaurr THIS IS TO CERTIFyY, That the Individual Sewage Disposal System constructed ('or Repaired ( ) by........... ...ram /�' _ ----- --- f Installer ----- -------- at..... .r� .._.__. _;IJ... � r ��."'`"'� .:---------_-- - 'f " `" r bas been installed in accordance with tWprovisions of Article XI of The State Sanitary C de as described in the 57" application for Disposa_ Works Construction Permit No.__ __� _ (.. ................ dated.. °.r ---------------- f THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION, SATISFACTORY. DATE ')1 ( /� ........- --------------------------------------------------- Inspector---...-- ------------------------------.----------------------------•------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1 x ..�...!.`.'Z'L 1n... I .G f r No........./ -- --- FEE- ................ Di-spatial grk� u #rttr#iu$t rruti# Permission is hereby granted______ " '"-^ ...! _ :_ t-.. ? ... -- .- ---•-------- -••------•------......... to Construct X)f or Repair ) an Individual S,•,ew,ge Disposal Syfem at No. ''�f '""" '` < '�tZ --- ' "= {� ' ._... ------------- -------- ------------- "'� street as shown on the application for Disposal s Construction Per_>nit No.e^..,._ '? Dated....` _ - ._. Boardbf Health [F DATE_.b._ ----/------Z_'-------------------------------_-----------•-• � FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - Y. }."fifi7' ' T..u.+-,l^"c` :..: ''e'' t 4-',M7Y p YiN C�65 `A ...1 kry ll9P;•t+'! i�h.� t } �/ ✓- z.a`t t P -", "Fa '^r.,i1' _Z"...,. ..+a ,..,-. .....-=,..,.,..i.•.ar"s-' ?•^'°7'- "'x """ a i "",xis", "`d. F. r S o A r r d'L� L/ O J r 1ryaraale ssessors -map 'and Clot, number ` ( Id ,a I.: E �/ / ,G /'�� ,�„ ' r,.,,.r.... �•`• ,- •u. {_. " LI V E TIC 5 1SEMMUST 13E• �;j,'•� ^- I I G Sewage Permit number Y R INSTALLED IN COMPLIANCE ARTICLE 11STATE Y ; ,�, I IVST I-WITH F TMs r SANITARY.CODE AND TOW ' z� � 4 t �OVa A i s al5- bfyQ `�A1 j rt- 'fT®W N B 1 1 JL n .YJ d Y wvy'iL f ( I BARNSTABLElU i e# Kbt i6 0. 39BUIL jut (�'WSP 7 r ky h APPLICATION FOR'PER TO ' ,? ........................... L 1( TYPE OV CONSTRUCTION .......... ....... _ 7 z TO THE INSPECTOR OF BUILDINGS: ' Al. The undersigned hereby applies :f<or. a permit 'according to the following information: Location �Q.l .. 3• J (t..L...!..... y r' Proposed Use_ . ! .(..{ eat" Vo, f-F ti ;. ... b + " t Zonj' District l. r ` ..Fire District t-5 1j , f3�LL t 4 Name of.Owner ° .4.l. A,"et�j�Address -� if. .. i 7 e Name of Builder r .Address ..... . of. Fri f,( ............................. h Name Architect •. .Address 7+ Number of`Rooms w Foundation.. ? .... M Ex1er}or �- ...�?� A�. 3 CL r f .... .........Roofing `!.l-!.� e. .. u. t� .. .... ... , ..... Interior /o ', 4 Heating P(.1.?. ,1� � ! .,............Plumbing KL '4F}repiac' ' e " ' # x .Approximate Cost �-!/ }f tDefinl.., an .A t x tiVe PI pproved.by Planning _Board _ q - (a ra .. - -- a Are . i D g m of Lot and Building with Dimensions'' x SUBJECT TO APPROVAL OF BOARD OF HEALTH, Fee R t { . y xc :i kk� i W �.... }i '' 6- � ibL e}'fir,�M, y a , t'.s> 7 a •'i ..�h 3 '-� � V IZ 00 If S 3 Joe LE o1 G al iv}, tlr 26 � I f #,V a d J. 4, t hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above Y, construction. fps• f, . v..:-,,,,...............D...°; CoMmonwealth of Massachusetts Executive Office of Energy &Environrh6ntal Affairs Departmernt of Environmental Protection One Winter:Street Boston; MA 02108.617-292Z500 Charles.0.Baker Matthew A.Beaton Governor Secretary Karyn E..Polito Martin Suuberg Lieutenant Governor Commissioner APPROVAL FOR,GENERAL.'USE Pursuant to Title 5; 310 CMR 15.000 . Name and Address of Applicant: Infiltrator Water Technologies,LLC. :. P.O.Box 768 -6 Business Park Road. . Old Saybrook, CT 06475 Trade name of technology.and model: High Capacity chamber, High Capacity H-20 chamber', Quick4 High Capacity chamber, Quick4 High Capacity HD chamber, Quick4 Plus High Capacity chamber (8- inch invert), Quick4 Plus High Capacity chamber (13-inch invert),:Standard chamber, Quick4 Standard chamber, Quick4 Standard HD chamber; Quick4 Plus Standard chamber (5'.3-inch'invert), Quick4 Plus Standard chamber (8.0=inch invert); Quick4 Plus Standard LP (Low Profile) chamber (3.3-inch invert); Quick4 Plus Standard LP (Low Profile) chamber (87inch invert), Infiltrator 3050,(St6rm Tech SC-740) chamber, Equalizer 24 chamber, 0uick4 Equalizer 24 chamber,Equalizer 36 chamber, Quick4 Equalizer 36 chamber, Quick4 Equalizer 24 LP (Low Profile) chamber(6 inch invert), and Quick4 Equalizer 24 LP (Low Profile) chamber(2 inch invert) (hereinafter the."System"). Schematic drawings of the System and a design and installation manual are a part of this Certification. This,approval allows the,installation'of, the above identified chambers without aggregate. Transmittal Number: X259183 Date of Revision: February 19,.2015;modified June 12,201 S Authority for Issuance Pursuant to Title 5.of the State Environmental Code; 310 CMR 15.600,the Department of Environmental Protection_ hereby issues.this Certification to:,;Infiltrator Water. Technologies, LLC:, P.O. 'Box 768, 6 Business Park Road; Old Saybrook; CT 06475. (hereinafter 'the Company"); for General Use of the System described herein. The sale; design, installation, and use of the-System are conditioned on compliance by the Company; the Designer, the Installer and the System Owner with the terms and conditions set. forth below. Any noncompliance,with the terms or conditions of this Approval constitutes a Violation of 3I0-CMR 15.000. June 12,2015 David Ferris,Director Date Wastewater Management Program Bureau of Water Resources This information is available in alternate format.Call Michelle,Waters-Ekanein;Diversity Director,at 617-292-5751.TTY#MassRelay Service 1-600-439.-2370 MassDEP Website:www.mass:gov/dep Printed on Recycled Paper Infiltrator Chamber,Infiltrator Water Technologies. Page 2 of 6 Approval for General Use—June 12,2015 I. Design Standards 1. The models listed in Table 1 are covered under this Certification. Table 1: Chamber Dimensions Dimensions Invert Model W x L x H Height Inches Inches Equalizer 24 15 x 100 x 11 6 Quick4 Equalizer 24 16 x 48 x l l 6 Quick4 Equalizer 24 LP (6-inch invert) 16 x 48 x 8 . 62 Quick4 Equalizer 24 LP (2-inch invert) 16 x 48 x 8 2 Equalizer36 22 x 100 x 13.5 6 Quick4 E ualizer 36 22 x 48 x 12. 6 Standard Chamber 34 x 75 x 12 : 6.5 Quick4 Standard 34 x 48 x 12 8 Quick4 Standard HD 34 x 48 x 12 8 Quick4 Plus Standard(5.3-inch invert) 34 x 48 x 12 5.3 Quick4 Plus Standard(8-inch invert) 34 x 48 x 12 . 8 Quick4 Plus Standard LP (3.3-inch invert) 34 x 48 x 8 3.3 Quick4 Plus Standard LP (8-inch invert) 34 x 48 x 8 83 Infiltrator 3050 or StormTech SC-740 51 x 85.4 x 30 22.254 High Capacity Chamber 34 x 75 x 16 11 High Capacity H-20'Chamber 34 x 75 x 16 11 Quick4 High Capacity 34 x 48 x 16 11.5 Quick4 High Capacity HD 34 x 48 x 16 11.5. Quick4 Plus High Capacity(8-inch invert) 34 x 48 x 14 8 Quick4 Plus High Capacity(13-inch invert) 34 x 48 x 14 13' ' This approval allows the use of the high capacity H-20 chambers but makes no determination as to the chambers meeting the H-20 loading requirements. 2 Includes Infiltrator MultiportTM invert adapter attached to the side of the end cap. 3 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 8 Endcap. 4 Only systems installed with this invert height shall be allowed to use the effective leaching area associated with this model in Table 2. 5 Includes Quick4 Plus Periscope adapter attached to the top of the Quick4 Plus All-in-One 12 Endcap. 2. The System is an open-bottom leaching unit molded from polyolefin resin. It can be installed without aggregate or distribution pipe as an absorption trench or as a bed or field. If the System is installed with stone aggregate then the "Effective Leaching Area" in Tables 2 and 3 is not applicable, and must be designed in accordance with the provisions of 310 CMR 15.000. Infiltrator Chamber,Infiltrator Water Technologies. Page 3 of 6 . Approval for General Use-June 12,2015 3. The total effective leaching area for any Chamber Model shall be calculated by multiplying the Effective Leaching Area per square foot of chamber times the total length of chamber from end cap to end cap including end caps. 4. For new construction or upgrades,the applicant can size the System in a trench configuration,using the effective leaching areas presented in Table 2. Table 2: Effective Leaching Area in Trench Configuration for New Construction and Remedial Sites' Effective Effective Model Leaching.. : Leaching$ Area Area. `SF/LF SF/LF -Equalizer 24 3.76 N/A Quick4 Equalizer 24 , 3.90 N/A Quick4 Equalizer 24 LP (6-inch invert) 3.90 N/A . Quick4:Equalizer 24 LP(2-inch invert) 2,78 N/A Equalizer.36 4.73 N/A . z Quick4 Equalizer 36 - 4.73 N/A Standard Chamber 6;53 . N/A Quick4 Standard 6.96 N/A Quick4 Standard HD 6.96 N/A. Quick4 Plus Standard(5.3=inch invert) 6.20 N/A Quick4 Plus Standard(8-inch invert) 6.96 N/A Quick4 Plus Standard LP (3.3-inch invert) '5.65 N/A Quick4 Plus Standard LP.(8-inch invert) 6.96 N/A Infiltrator 3050 or StormTech SC-740 ;,N/A. 6.71 High Capacity Chamber- 7.79 N/A High Capacity H-20'.Chamber' 7.79 N/A Quick4 High Capacity 7.93 N/A Quick4 High Capacity HD: 7.93 N/A Quick4 Plus High Capacity(8-inch invert) 6.96 7 N/A Quick4 Plus.High Capacity(13-inch invert) 7.93 N/A 6. Effective April21,2006,310 CMR 15.251(1)(b)maximum trench width is 3 feet. '. Effective leaching area is equal.to 1.67 (bottom width+..(2x invert.height))for Systems. 3.feet or"less in width.• g. Effective leaching area is equal to 1.0(3 +(2x invert Height))for Systems with a width greater than 3 feet.. , 9. The maximum trench width allowed to calculate effective leaching area,is 3 feet. i 5. Systems installed on remedial sites shall be allowed to utilize the effective leaching areas presented in Tables 2 or 3, or additional reductions in soil absorption system may be allowed. In no instance shall the reduction in the soil absorption system required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. - n Infiltrator Chamber,Infiltrator Water Technologies. Page 4 of 6 Approval for General Use—June 12,2015 6. For new construction or an upgrade, the applicant can size the System in bed or field configuration, using the effective leaching areas presented in Table 3. Table 3: Effective Leaching Area for Bed or Field Configuration New Construction and Remedial Sites Effective Model Leaching" Area SF/LF Equalizer 24 2.09 Quick4 Equalizer 24 2.23 Quick4 Equalizer 24 LP (6-inch invert) 2.23 Quick4 Equalizer 24 LP (2-inch invert) 2.23 Equalizer 36 3.06 Quick4 Equalizer 36 3.06 Standard Chamber 4.73 Quick4 Standard 4.73 Quick4 Standard HD 4.73 Quick4 Plus Standard(5.37inch invert) 4.73 Quick4 Plus Standard(8-inch invert) 4.73 Quick4 Plus Standard LP (3.3-inch invert) 4.73 Quick4 Plus Standard LP (8-inch invert) 4.73 Infiltrator 3050 or StormTech SC-740 7.10 High Capacity Chamber 4.73 . High Capacity H-20' Chamber 4.73 Quick4 High Capacity 4.73 Quick4 High Capacity HD 4.73 Quick4 Plus High Capacity(8-inch invert) 4.73 Quick4 Plus High Capacity(13-inch invert) 4.73 10. Effective Leaching area is equal to 1.67 times bottom width only. 7. When the System is used with.a secondary treatment unit approved in accordance with 310 CMR 15.284 or 15.288, additional reductions in soil absorption system may be allowed. In these situations the reduction in the SAS cannot exceed the maximum allowed under the secondary treatment units approval. In no instance shall the reduction in the soil absorption system area required in 310 CMR 15.242 exceed the maximum reduction allowed for alternative systems approved in accordance with 310 CMR 15.284. H. Special Conditions 1. The System is an approved Alternative Chamber for use as an Alternative Soil Absorption System. In addition to the Special Conditions contained in this Approval, the System shall comply with the"Standard Conditions for Alternative SAS with General Use Certification and/or Approved for Remedial Use" (the Infiltrator Chamber,Infiltrator Water Technologies. Page 5 of 6 Approval for General Use-June 12,2015 Standard Conditions'), except where stated otherwise in these Special Conditions: . 2. New Construction This Certification is for the installation of a System to serve new construction or an existing facility with a proposed increase in flow, for which a site evaluation incompliance with 310 CMR:I5.000'has been approved by the Approving Authority and the site meets the siting requirements for new construction, as provided in Paragraph 6 in section II Design and Installation Requirements of the Standard Conditions.- 3. Remedial Site This General Use Certification also applies to the installation of a System for the upgrade or replacement of an existing failed or nonconforming ..system,provided that the facility meets the siting requirements for:upgrades, as provided in Paragraph 7 in section 1I Design and Installation Requirements bf the Standard Conditions 4. The System shall be:exempt from the minimum inlet spacing requirements of 310 CMR15:253. 5. The System shall have a minimum of one inspection port through the top of one. of the chambers. The inspection port shall be capped with a screw type cap and accessible to within three inches of finish grade. 6. When the System is installed in trench configuration,'then the'system shall comply with these requirements: a) Length'(each trench) 100 feet maximum (310 CMR 15.251(1)(a)); b) Width(each trench)2 feet minimum to 3 feet maximum(310 CMR 15.251(1)(b)). - Chambers greater than 3 feet wide,when specifically approved, are subject to other Special Conditions and limitations; c) The minimum separation distance between any two trenches shall be.two times the effective width or depth of each trench, whichever is greater, or where_the area between trenches is designated as reserve area, three times the effective width or depth of each trench; whichever is greater(310 CMR 15.251(1)(d)); d) The effective leaching area shall be calculated using the bottom area and a maximum of two feet(per.side)of side wall area for each trench(310 CMR 15.251(1)(e)); e) Trenches shall be situated, Where possible, with their long dimension perpendicular to the slope.of the natural soil: Where possible they shall follow the contour lines:(310 CMR 15.251(2)); f) Trenches constructed at different elevations shall be designed to prevent effluent from the higher trench(es)flowing into the lower trench(es) (310 CMR 15.251(3)) g) The area between trenches may designated as system reserve area only where the separation distance between the excavation sidewalls of the primary trenches is at least three times the effective width'or depth of each trench, : . whichever is greater(310 CMR 15.251(4)) - Chambers greater than 3 feet Infiltrator Chamber,Infiltrator Water Technologies. Page 6 of 6 Approval for General Use-June 12,2015 I Wide, when specifically approved, shall be separated by three times the actual Width and are subject to other Special Conditions.and limitations; and h) Effluent distribution lines exceeding 50 feet in length shall be connected and venting provided in accordance with 310 CMR 15:241 (310 CMR 15.251(11)). 7. When installed in trench configuration,approved Alternative.Chambers greater than 3 feet wide: a) shall.be installed with a minimum separation distance between any two trenches of two times the actual width of the chamber, or where the area between trenches is designated as reserve area,three times the actual width of the chamber; and b) shall only be entitled to a maximum effective width of 3 feet for the purposes of calculating total effective aeaching area. 8. When installed in a bed or field configuration, the System may be installed without distribution piping,but must comply with the following requirements in 310 CMR 15.252: A) the use of leaching beds or fields is restricted to systems with a calculated design flow of less than 5,000 gpd per leaching bed or .field(310 CMR 15.252(1)); b) the maximum length of chambers in series shall be 100 feet(310 CMR 15.252(2)(b)); c) separation distance between adjacent beds/fields shall be ten feet(310 CMR 15.252(2)(fl); and d) the effective leaching area shall'include only the bottom area,not the sidewalls (310 CMR 15.252(2)(i)). 9. For Systems constructed in fill and installed,the System shall be installed as specified in 310 CMR 15.255 Construction in Fill, except the minimum 15 foot horizontal separation distance to be provided between the soil absorption area and the adjacent side slope shall be measured horizontally from the top of the chamber. 10. ,T( he-System is exempt fromm 31-0—CMRT5-. 87, specif cally items: (5)requiiin tten notification of alternative system riop r to property transfer, (6)need for a certified operator, (9)need for an operat_i_on and m_aintenance contract with an operator and(10)'deed notice requirement. �� V Date: l � TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: � G4S_5 �C� BUSINESS LOCATION: 3-5- S4ell'e-F_� /A) '1 *,e,Us7',0 JA MAILINGADDRESS: Aeo, 6� (a� Mail To: Board of Health TELEPHONE NUMBER: 6-0 f 36�- &399- Town of Barnstable CONTACT PERSON: S �</. �,� - f"y ti���/���G P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFB'USINESS: 64&SI Does your firm store a of the toxic or hazardous materials listed below, either for sale or for you own use? YES i NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antif reeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants F Motor oils Pesticides _ NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS DEEP OBSERVATION HOLE LOGS SYSTEM DESIGN CALCULATIONS: N GENERAL NOTES: S..It Roy.itJ. NO SCALE DESIGN FLOW: DEEP OBSERVATION HOLE 1 EL. = 92.4± DEEP OBSERVATION HOLE 2 EL. =92.7± EXISTING 3 BEDROOM DWELLING AT 110 GAL. PER DAY PER BEDROOM = 330 GPD 1. CONTRACTOR SHALL NOTIFY "DIG-SAFE" AS REQUIRED PRIOR TO THE START OF ANY 330 GPD X 200% = 660 GALLONS - USE NEW 1500 GALLON TANK (TITLE 5 MIN.) EXCAVATION WORK. CONTRACTOR IS RESPONSIBLE FOR PROTECTING UTILITIES WITHIN THE DEPTH FROM SOIL SOIL SOIL COLOR DEPTH FROM SOIL SOIL SOIL COLOR -y L. 33'Jnrrcy Ln WORK AREA DURING CONSTRUCTION. SURFACE HORIZON TEXTURE MUNSELL SURFACE HORIZON TEXTURE MUNSELL A 28.7' L. X 10.25' W. X 2' D. LEACHING CHAMBER (H-10) CAN LEACH: Vt = [(28.7 X 10.25) + (28.7 X 2)2 + (10.25 X 2)2] X 0.74 GPD/SF = 333 GPD 0" - 9" A LOAMY FINE SAND 10 YR 4/6 NOTE: A GARBAGE DISPOSAL IS NOT PERMITTED WITH THIS DESIGN. 2. THIS PLAN IS FOR SEWAGE DISPOSAL SYSTEM DESIGN PURPOSES ONLY. THIS PLAN IS NOT LOAMY SAND - a 0" - 9" A 10 YR 4/6 FOR USE TO DETERMINE PROPERTY LINES. 9" - 36" B LOAMY FINE SAND 10 YR 7/8 LOAMY SAND INSTALL: 10 YR 7/8 9" - 36" B ONE (1) - 1500 GALLON INFILTRATOR IM-1530 PLASTIC SEPTIC TANK = 3. CONTRACTOR SHALL DETERMINE THE LOCATION OF EXISTING UNDERGROUND UTILITIES PRIOR TO 36" - 72" C1 LOAMY FINE SAND 10 YR 7/6 36" - 132" C1 LOAMY COARSE 10 YR 7/4 THREE (3) - INFILTRATOR 3050 CHAMBERS W/ 3' OF STONE AROUND & 2" STONE BELO EXCAVATION 72" - 128" C2 FINE SAND 10 YR 7/4 SAND TWO (2) - INFILTRATOR 3050 ENDCAPS 4. ALL CONSTRUCTION SHALL CONFORM TO THE SLATE SANITARY REGULATIONS (310 CMR 15.00) TWO (2) - CLEANOUTS (SEE PLAN VIEW AND FLOW PROFILE) AND ALL OTHER APPLICABLE LOCAL, STATE, ANJ FEDERAL CODES AND REGULATIONS. DATE OF TESTING: 7/11/18 TWO (2) - INSPECTION PORTS (SEE SAS DETAIL) N PERCOLATION RATE: LESS THAN 5 MIN/INCH (PERC ® 35" IN TP#1 - PERC OF "B"LAYER - MOST RESTRICTIVE SOIL) ONE (1) - 3 OUTLET DISTRIBUTION BOX (H-20) 5. CONTRACTOR TO VERIFY EXISTING CONDITIONS, INCLUDING ELEVATIONS OF EXISTING BUILDING WITNESSED BY: KEITH E. FERNANDES, PE, GFM ENTERPRISES, INC. NOT TO SCALE SEWER, AND REPORT AND DISCREPANCIES TO THE DESIGN ENGINEER PRIOR TO THE SETTING DONALD DESMARAIS, IRS, AGENT, BARNSTABLE HEALTH DEPARTMENT SOIL CERTIFICATION: r OF ANY SEWAGE DISPOSAL SYSTEM COMPONENTS. NO GROUNDWATER ENCOUNTERED I CERTIFY THAT ON 10/24/05 1 HAVE PASSED THE SOIL EVALUATOR USE A LOADING RATE OF 0.74 GPD/SF FOR SIZING OF SOIL ABSORPTION SYSTEM. EXAMINATION APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL PLAN BOOK 54 PAGE 28 - F2 1 PROTECTION AND THAT THE ABOVE ANALYSIS WAS PREFORMED BY DEED BOOK 5483 PAGE 0 6. THE TOPOGRAPHY AND PHYSICAL FEATURES ARE BASED ON A FIELD SURVEY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND ASSESSORS' MAP 298 PARCEL 51 PERFORMED ON THE GROUND BY GFM ENTERPRISES, INC. ON JULY 11, 2018 AND EXPERIENCE SCRIBED IN 310 CMR 15.017 SUPPLEMENTED WITH INFROMATION FROM THE TOWN OF BARNSTABLE GIS DATABASE. ' �. SEWAGE DISPOSAL SYSTEM NOTES: 158. , SIGNATu : � DATE: LEGEND 76 - 32 EXISTING CONTOUR PLAN VIEW x12.34 EXISTING SPOT GRADE 1. H-20 RATED COMPONENTS SHALL BE REQUIRED IN ANY AREAS SUBJECT TO VEHICULAR LOADING AND AS REQUIRED ON THE PLAN. SCALE: 1" = 20' -�- WATER SERVICE LINE TEST HOLE / BORING LOCATION 2. THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS ' LOT #38 ST SEPTIC TANK CONSTRUCTED AS SHOWN. ANY CHANGES OR DEVIATIONS FROM THIS PLAN MUST BE AREA - 20,108 SQ. FT. DB DISTRIBUTION BOX APPROVED IN WRITING. SAS SOIL ABSORPTION SYSTEM 3. ALL GRAVITY SEWER PIPE SHALL BE 4" DIA. SCH 40 PVC UNLESS OTHERWISE NOTEb. THE X FENCE MINIMUM SLOPE OF 4" DIA. SCH 40 PVC SHALL BE 0.01 FT/FT. BENCHMARK NAIL - NAIL SET IN TREE G� GAS LINE EL=94.4± - OH - OVERHEAD UTILITIES 4. SOIL ABSORPTION SYSTEMS MUST BE VENTED WHEN DISTRIBUTION LINES EXCEED 50 FEET IN (ASSUMED) LENGTH, WHEN LOCATED IN AREAS SUBJECT TO VEHICULAR LOADING, AND WHEN PRESSURE I I/P INSPECTION PORT DOSED. > 998 COL.) UTILITY POLE SITE ACCESS 5. FINISHED GRADE SHALL BE A MAXIMUM OF 36" AND A MINIMUM OF 9" OVER THE TOP OF ALL x •9 GUY WIRE SYSTEM COMPONENTS. 96 101.8 C/0 CLEAN-OUT Jh x 98.7 � 9 0 EXISTING TREE 6. ALL ABANDONED SEPTIC SYSTEM COMPONENTS SHALL BE PUMPED DRY AND FILLED NTH 37.3'1, � d .o CLEAN SAND UNLESS NOTED TO BE REMOVED. TP 1 ! 1 2.4 I 7 7. ALL SEPTIC COMPONENTS SHALL BE INSTALLED WATERTIGHT. > 93.0 RI Gorogsting FLOOR PLAN age Exist. P NOT TO SCALE 8. COMPONENTS TO BE PROVIDE WITH WATERTIGHT ACCESS COVERS RAISED TO WITHIN 6" OF ' Wed Drivewoy 101.7 GRADE WHERE REQUIRED. ,9 x ,� 1 Existing 3 109,65(6 Dwellin Bedroom ' 9. PRIOR TO FINAL INSPECTION BY THE ENGINEER AND THE BOARD OF HEALTH ALL SYSTEM 9� `2 FoundoTop Of 101,6 Bed Bath Bath DiningKitchc, y COMPONENTS MUST BE INSTALLED INCLUDING ALL ACCESS COVERS WITH RISERS. 9 �� �7,s _ Lion Lc;;ndr 92.5 < Deck EC-106,t t 01.6 10. EXISTING SEWER LINE ELEVATION%LOCATION: UNABLE TO CONFIRM EXISTING SEWER LuiE EXIT °j� •0 o w- ELEVATIONAOCATION AT EXISTING DWELLING BECASUE THE EXISTING PLUMBING EXIT i1NDER �2 2* _ =Y w\ THE BASEMENT SLAB. PROPOSED ELEVATIONS ESTABLISHED BASED ON THE INVERT ELEVATION \ 31'g f 3 Existin wQ Living AT THE EXISTING SEPTIC TANK. PRIOR TO THE SETTING OF ANY SEPTIC COMPONENTS THE x g Water \ Bed CONTRACTOR SHALL CONFIRM THE ELEVATION/LOCAl10N OF THE EXISTING SEWER LINE AND ;� 93.3 ;;"± er Clue w\w 101.7 LLI Bed Garage VERIFY THAT THERE WILL BE ENOUGH PITCH FROM THE CONNECTION OF OLD SEWER LINE TO N 1 94, 101,0 7 THE NEWLY PROPOSED SEPTIC TANK. 9 106.1 ° ` FIRST FLOOR Existing Railroad Tie Retaining Wall 93.5 x: Existin m Q 11. EXISTING RAILROAD TIE RETAINING WALL IS ROTTED AND TO SHALL BE REMOVED AS NEEDED (SEE NOTE #11) 11.1 f Exit Liner Exit 1 o a J FOR THE INSTALLA11ON OF THE NEW SEPTIC SYSTEM. CONTRACTOR SHALL GRADE ANY AREAS Existing Septic Components 94 SEE NOTE #10 o o THAT THE RAILROAD TIE WALL IS REMOVED TO A MAX. SLOPE OF 3:1. D-BOX 9 P P C� ��- x 96.8 47 m to Be Pumped Dry, Filled with C. 0 N Clean Sand, & Abandoned in Place 4'3 `Y00.0 Bath \� �\ C/o 10�e G �Existing Gas Line o STONE m �.5 i c_c SAS DETAIL N x x 1 ,o (� Basement N SCALE: 1" = 10' TI 64, �V 98.5 O� KEI.TH E. '*�k ;'� WALK-OUT BASEMENT FERNiZIVDL:S 11:� 28 T 0 C1VIt. v;o NOTE: FLOOR PLANS PROVIDED BY OWNER. c� No.48725 c�IS7E� w SCHEMATIC FLOW PROFILE � a��t�9,� NOT TO SCALE PITCH EXCEEDS AL NOTE: SEPTIC TANK AND DISTRIBUTION BOX SHALL BE SET CN A LEVEL STABLE BASE =''-`-� i1:E SHALL BE INSTALLED �1 - .- GFM ENTERPRISES, INC. RAISE COVER RAISE COVER ON INLET OF D-BOX WHICH HAS BEEN MECHANICALLY COMPACTED, OR ON A 6 INCH CRUSHED STONE BASE. ---- - ,.� 2 (2) 4' SCH. 40 PVC TO WITHIN 6" OF TO WITHIN 6" OF PO BOX 2784 CLEAN-OUT w1TH SCREW CAP FINISH GRADE FINISH GRADE 0 20 40 60 r 57 ROUTE 6A RAISED TO GRADE _ ORLEANS, MA 02653 FINISH GRADE=96.8t FINISH GRADE=93.4 (MIN) FINISH GRADE=92.7t } SCALE 1"=20' wHww Einexcav at n00 r �.'FtAISE (2) 4" PVC gf gcom IV • . 95.3t UNE(S) EXITING D'BOX SHALL HAV INSPECTION PORTS y 4"0 SCH 40 SPEED LEVELERS AND SHALL REMAIN 18" Proposed PVC PIPE LEVEL FOR 2'-0" BEFORE PITCHING TO WITHIN 3" OF (9" Min - 36" Max) CLIENT: 4" DIA SCH 40 DROP:2" min. DOWN TO LEACHING FACILITY FINISH GRADE PVC PIPE 3" max JONN DONERTY II 4" DIA SCH 40 PVC PIPE 91.2t 47 WAREHOUSE ROAD 10" HYANNI5, MA 02GO I 14" 94.15 .. ................... ...................... . ......... . .... ....................... FILTER FABRIC *94.4t DROP F 9t.53 : . "� : A 3/4" - 1-1/2" STONE DOUBLE WASHED STONE SITE: DOHERTY PROPERTY 91.7011 N 2' GAS BAF, LE �fie" *SEE NOTE #10 ALL 90.6t USE 3'-0" OF STONE ON 35 5URKEY LANE REGARDING SIDES/ENDS OF CHAMBERS & BARNSTABLE, MA 02GO I EXISTING COMPACTED BASE 90 6f TITLE: PLUMBING W/ 6" LAYER OF USE 3 INFILTRATOR 3050 CHAMBERS 6.6' 0'-2" OF STONE BELOW PROPOSED 1,500 GALLON I DB-3 CRUSHED STONE ( ) CHAMBERS SEPTIC SYSTEM REPAIR PLAN INFILTRATOR IM-1530 D-BOX WITH 2 END CAPS PLASTIC SEPTIC TANK (H-20) AND STONE AROUND/BELOW SCALE: DATE: DRAWN: CHECKED: 25't (SIDE VIEW) -EL=82t BOTTOM OF TEST PIT #2 1" = 20' 8/11/2018 KEF KEF 10 15't I_ 37't LONGEST RUN I LEACHING CHAMBER PROJECT NO: DRAWING NO: REVISION: 28.7' x 10.25' x 2.0' 6013 6013-SDS.dwg N/A Y:\ao Engineering\Projects\6013 35 Surrey Road-Barn stable\CAD\PIans\6013sds.dwg DEEP OBSERVATION HOLE LOGS SYSTEM DESIGN CALCULATIONS: M GENERAL NOTES: NO SCALE DESIGN FLOW: DEEP OBSERVATION HOLE 1 EL. = 92.4t DEEP OBSERVATION HOLE 2 EL. =92.7t EXISTING 3 BEDROOM DWELLING AT 110 GAL. PER DAY PER BEDROOM = 330 GPD 1. CONTRACTOR SHALL NOTIFY "DIG-SAFE" AS REQUIRED PRIOR TO THE START OF ANY 330 GPD X 200% = 660 GALLONS - USE NEW 1500 GALLON TANK (TITLE 5 MIN.) A 287 EXCAVATION WORK. CONTRACTOR IS RESPONSIBLE FOR PROTECTING UTILITIES WITHIN THE DEPTH FROM SOIL SOIL SOIL COLOR DEPTH FROM SOIL SOIL SOIL COLOR �'' s a . ' L. X 10.25' W. X 2' D. LEACHING CHAMBER H 10 CAN LEACH: '"'• WORK AREA DURING CONSTRUCTION. SURFACE HORIZON TEXTURE MUNSELL SURFACE HORIZON TEXTURE MUNSELL ( - ) 0" - 9" A LOAMY FINE SAND t0 YR 4/6 NOTE:[(ABGA GARBAGE D)ISPOSAL7IS NO)T PERMIITTEDXWITH THISO.74 ESIGN./SF = 333 GPD s e y e 2. THIS PLAN IS FOR SEWAGE DISPOSAL SYSTEM DESIGN PURPOSES ONLY. THIS PLAN IS NOT 0" _ 9" A LOAMY SAND 10 YR 4/6 FOR USE TO DETERMINE PROPERTY LINES. 9" - 36" B LOAMY FINE SAND 10 YR 7/8 LOAMY SAND INSTALL: Fj 9" - 36" B 10 YR 7/8 ONE (1) - 1500 GALLON INFILTRATOR IM-1530 PLASTIC SEPTIC TANK 3. CONTRACTOR SHALL DETERMINE THE LOCATION OF EXISTING UNDERGROUND UTILITIES PRIOR TO 36" - 72" C1 LOAMY FINE SAND 10 YR 7/6 LOAMY COARSE THREE TWO (2) - INFILTRATOR 3050 ENDCAPS O 3 I EXCAVATION 72" - 128" C2 36" 132" C1 SAND 10 YR 7/4 - INFILTRATOR 3050 CHAMBERS W/ 3' OF STONE AROUND & 2" STONE BELOW FINE SAND 10 YR 7/4 4. ALL CONSTRUCTION SHALL CONFORM TO THE STATE SANITARY REGULATIONS (310 CMR 15.00) TWO (2) - CLEANOUTS (SEE PLAN VIEW AND FLOW PROFILE) AND ALL OTHER APPLICABLE LOCAL, STATE, AND FEDERAL CODES AND REGULATIONS. DATE OF TESTING: 7/11/18 TWO (2) - INSPECTION PORTS (SEE SAS DETAIL) PERCOLATION RATE: LESS THAN 5 MIN/INCH (PERC ® 35" IN TP#1 - PERC OF "B"LAYER - MOST RESTRICTIVE SOIL) ONE (1) - 3 OUTLET DISTRIBUTION BOX (H-20) J s i 5. CONTRACTOR TO VERIFY EXISTING CONDITIONS, INCLUDING ELEVATIONS OF EXISTING BUILDING WITNESSED BY: KEITH E. FERNANDES, PE, GFM ENTERPRISES, INC. NOT TOg SCALE DONALD DESMARAIS, IRS, AGENT, BARNSTABLE HEALTH DEPARTMENT SOIL CERTIFICATION: SEWER, AND REPORT AND DISCREPANCIES TO THE DESIGN ENGINEER PRIOR TO THE SETTING NO GROUNDWATER ENCOUNTERED OF ANY SEWAGE DISPOSAL SYSTEM COMPONENTS. USE A LOADING RATE OF 0.74 GPD/SF FOR SIZING OF SOIL ABSORPTION SYSTEM. I CERTIFY THAT ON 10/24/05 1 HAVE PASSED THE SOIL EVALUATOR PLAN BOOK 260 PAGE 42 - F2 EXAMINATION APPROVED BY THE DEPARTMENT OF ENVIRONMENTAL DEED BOOK 15483 PAGE 280 6. THE TOPOGRAPHY AND PHYSICAL FEATURES ARE BASED ON A FIELD SURVEY PROTECTION AND THAT THE ABOVE ANALYSIS WAS PREFORMED BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND ASSESSORS' MAP 298 PARCEL 51 PERFORMED ON THE GROUND BY GFM ENTERPRISES, INC. ON JULY 11, 2018 AND EXPERIENCE DESCRIBED IN 310 CMR 15,017 SUPPLEMENTED WITH INFROMATION FROM THE TOWN OF BARNSTABLE GIS DATABASE. f? ��'-"�� DATE: SEWAGE DISPOSAL SYSTEM NOTES: 158 PLAN VIEW 76 SIGNATU LEGEND - 32 EXISTING CONTOUR 1. H-20 RATED COMPONENTS SHALL BE REQUIRED IN ANY AREAS SUBJECT TO VEHICULAR x12.34 EXISTING SPOT GRADE LOADING AND AS REQUIRED ON THE PLAN. SCALE: 1" = 20' -W- WATER SERVICE LINE TEST HOLE / BORING LOCATION 2. THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLESS LOT #38 ST SEPTIC TANK CONSTRUCTED AS SHOWN. ANY CHANGES OR DEVIATIONS FROM THIS PLAN MUST BE AREA - 20,108 SQ. FT. DB DISTRIBUTION BOX APPROVED IN WRITING. SAS SOIL ABSORPTION SYSTEM 3. ALL GRAVITY SEWER PIPE SHALL BE 4" DIA. SCH 40 PVC UNLESS OTHERWISE NOTED. THE X FENCE ARK MINIMUM SLOPE OF 4" DIA. SCH 40 PVC SHALL BE 0.01 FT/FT. NAILESET IN TREE -G- GAS LINE EL=94.4t - OH OVERHEAD UTILITIES 4. SOIL ABSORPTION SYSTEMS MUST BE VENTED *TEN DISTRIBUTION LINES EXCEED 50 FEET IN (ASSUMED) LENGTH, WHEN LOCATED IN AREAS SUBJECT TO VEHICULAR LOADING, AND WHEN PRESSURE � I/P INSPECTION PORT DOSED. 99'8 SITE ACCESS 0- GUYWIRE TY OLE 5. FINISHED GRADE SHALL BE A MAXIMUM OF 36" AND A MINIMUM OF 9" OVER THE TOP OF ALL " x .9 SYSTEM COMPONENTS. x 98J O EXISTING TREE 10L8 C/o CLEAN-OUT � 6. ALL ABANDONED SEPTIC SYSTEM COMPONENTS SHALL BE PUMPED DRY AND FILLED WITH 37•3'f;' * °96J' crm CLEAN SAND UNLESS NOTED TO BE REMOVED. TP 1 t° 2.4 7 7. ALL SEPTIC COMPONENTS SHALL BE INSTALLED WATERTIGHT. 93,0 I Existing FLOOR PLAN Garage g'' 8. COMPONENTS TO BE PROVIDE WITH WATERTIGHT ACCESS COVERS RAISED TO WITHIN 6" OF vewo 5.6 4 Exisfm Foved Dri 101.7 NOT TO SCALE GRADE WHERE REQUIRED. ,9 x u 1 Existin Y 9 3 Bedroom 109,6 Dwelling To 9. PRIOR TO FINAL INSPECTION BY THE ENGINEER AND THE BOARD OF HEALTH ALL SYSTEM �� 2 Found p Of ' 101,6 Bed Bath Bath Dining Kitchen Laundry COMPONENTS MUST BE INSTALLED INCLUDING ALL ACCESS COVERS WITH RISERS. 9 °�� �''S 6. 92,9 pecK EL=106.1 t ' 01.6 -. 10. EXISTING SEWER LINE ELEVAT0NfLOCATION: UNABLE TO CONFIRM EXISTING SEWER LINE EXIT �2,._- z o •89 •0 o ELEVATIONAOCATION AT EXISTING DWELLING BECASUE THE EXISTING PLUMBING EXIT`s UNDER 31.9't a fxi w s Living THE BASEMENT SLAB. PROPOSED ELEVATIONS ESTABLISHED BASED ON THE INVERT ELEVATION \ � 3 � sting Water 4L��w Bed g AT THE EXISTING SEPTIC TANK. PRIOR TO THE SETTING OF ANY SEPTIC COMPONENTS THE CONTRACTOR SHALL CONFIRM THE ELEVATIONAOCATION OF THE EXISTING SEWER LINE AND ;� 93,3 ne \w io1.7 LLI Bed Garage VERIFY THAT THERE WILL BE ENOUGH PITCH FROM THE CONNECTION OF OLD SEWER LINE TO N' 1 94. ° 101,0 THE NEWLY PROPOSED SEPTIC TANK. 9 106.1 v FIRST FLOOR Existing Railroad Tie Retaining Wall 93.5 X" Existing Sew m 11. EXISTING RAILROAD TIE RETAINING WALL IS ROTTED AND TO SHALL BE REMOVED AS NEEDED (SEE NOTE #11) 11 t.t Exit Liner Exit .> o a J FOR THE INSTALLATION OF THE NEW SEPTIC SYSTEM. CONTRACTOR SHALL GRADE ANY AREAS _ SEE NOTE qj o o THAT THE RAILROAD TIE WALL IS REMOVED TO A MAX. SLOPE OF 3:1. D-BOX 9 p Dry, 0. x 96.8 #10 %` 00 m v Existing Septic Components 94 to Be Pumped Dr , Filled with 4 3 610 N _ LIj Clean Sand, & Abandoned In Place `Yoo,o Bath /^\\ �\ C/o 10�=-G_ Existing Gas Line a SfiaN 6 \,s . c-c o SAS DETAIL x 1 �, N i/� Basement N CD SCALE: 1" = 10' 64, 98.5 KEITH e. WALK-OUT BASEMENT FERNAND�5 `• 7.12' 7.79' 3' CIVIL I 8.T [+i0.48725 NOTE: FLOOR PLANS PROVIDED BY OWNER. 2 • • • � r" SCHEMATIC FLOW PROFILE: Fss�(�NAL NOT TO SCALE PITCH EXCEEDS 8% NOTE. SEPTIC TANK AND DISTRIBUTION BOX SHALL BE SET ON A LEVEL STABLE BASE TEE SHALL BE INSTALLED WHICH HAS BEEN MECHANICALLY COMPACTED, OR ON A 6 INCH CRUSHED STONE BASE. - RAISE COVER ON INLET OF D-BOX RAISE COVER -�` GFM ENTERPRISES, INC. `- (2) 4' SCH. 40 PVC TO WITHIN 6" OF TO WITHIN 6" OF PO BOX 2784 CLEAN-OUT WITH SCREW CAP FINISH GRADE FINISH GRADE 2� 40 60 r 57 ROUTE 6A RAISED TO GRADE FINISH GRADE=92.7t ORLEANS, MA 02653 FINISH GRADE=96.8t FINISH GRADE=93.4 (MIN) SCALE 1"=20' PHONE: 508-349-7300 www. finexcavatin 95.3t LINE(S) EXITING D'BOX SHALL HAVE RAISE (2) 4" PVC g g.com y INSPECTION PORTS 18" Pro osed 4"0 SCH 40 SPEED LEVELERS AND SHALL REMAIN p PVC PIPE LEVEL FOR 2'-0" BEFORE PITCHING TO WITHIN 3" OF (9" Min - 36" Max) CLIENT: 4" DIA SCH 40 DROP:2* min. DOWN TO LEACHING FACILITY FINISH GRADE PVC PIPE 3" max. J011N D011ERTY II 4" DIA SCH 40 PVC PIPE 91.2t 47 WAREHOUSE ROAD 10" HYANNIS, MA 02GOI 14" ****** 94.4t 94.15 DROP 91.53 _. ...................... . ......... . .... ..... FILTER FABRIC " " OO - 1- N OUBL WA T N SITE:91.70 1 u 2, 3/4" 1/2" STO E D E SHEDS 0 E S DOHERTY PROPERTY *SEE NOTE #10 GAS BAFFLE ALL 90.6t USE 3'-0" OF STONE ON 35 SURREY LANE REGARDING SIDES/ENDS OF CHAMBERS & BARNSTABLE, MA 02GO I EXISTING COMPACTED BASE 90 6f TITLE: PLUMBING I W/ 6" LAYER OF USE 3 INFILTRATOR 3050 CHAMBERS 0'-2" OF STONE BELOW PROPOSED 1,500 GALLON DB-3 ( ) 6'6 CHAMBERS SEPTIC SYSTEM REPAIR PLAN INFILTRATOR IM-1530 D-BOX CRUSHED STONE WITH 2 END CAPS PLASTIC SEPTIC TANK (H-20) AND STONE AROUND/BELOW SCALE: DATE: DRAWN: CHECKED: 25't (SIDE VIEW) -EL=82t BOTTOM OF TEST PIT #2 1" = 20' 8/1 1/2018 KEF KEF 15't _ 37't LONGEST RUN LEACHING CHAMBER PROJECT NO: DRAWING NO: REVISION: 28.7' x 10.25' x 2.0' 6013 6013-SDS.dwg N/A Y:\aa Engineering\Projects\6013 35 Surrey Road-Born stable\CAD\Plans\6013sds.dwg