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HomeMy WebLinkAbout0103 TONELA LANE - Health 103 Tonela Lane . Barnstable A= 336- 021 o 4 .. _ _�. -�- r-- o--..�,,.c. ,�-mo c�'-�m _-.. - = - m �r o ,_ � a._ ... w .- _ _ �-� c "; —' a cs. � � ea• - o_ 'r Commonwealth of Massachusetts `1 Title 5 Official Inspection FormPIL Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 103 Tonela LAM Property Address David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 every page. Cityfrown State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way. Important: A. General Information When filling out forms on the computer,use 1. Inspector: only the tab key to move your Michael Kellett cursor-do not Name of Inspector use the return key. Aardvark Environmental Inspections Company Name VQ P.O. Box 896 Company Address East Dennis MA 02641 Cityrrown State Zip Code 508-385-7608 S13742 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site L sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of crz Title 5(310 CMR 15.000).The system: tom- - ® ,Passes ❑ Conditionally Passes ❑ Fails r ❑k Needs Further Evaluation by the local Approving Authority ® ram., ti e 1' a r:. ltih/ `V,q G 04/15/10 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 103 Tonela Property Address David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. . Answer yes, no or not determined (Y, N, ND) in the❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years*old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. * A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken,settled or uneven"distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s) are replaced ❑ obstruction is removed Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 103 Tonela Property Address David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 103 Tonela Property Address David Pitton Owner Owner's Name e information is required for Barnstable MA 02630 04/14/10 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cunt): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ' Liquid depth in cesspool is less than 6" below invert or available volume is less El. than Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 103 Tonela Property Address ` David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 every page. Cityrrown State Zip Code, Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ M� Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private,water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Heafth to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking'water supply ❑ ❑' the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 103 Tonela Property Address David Pitton Owner Owner's Name information is required forBarnstable MA 02630 04/14/10 every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done.You must indicate'yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid,depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: ® ❑ Existing information. For example,a plan at the Board of Health. ® ❑ Determined in the field (f any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] i Commonwealth of Massachusetts Title 5 Official Inspection Form ' Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 103 Tonela Property Address David Pitton Owner Owner's Name information is required for Bamstable MA 02630 04/14/10 every page. Cityrrown state Zip Code Date of Inspection D. System Information Residential Flow Conditions: ' Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 for example: 110 330 ( p gpd x#of bedrooms}: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Sump pump? ❑ Yes ® No Last date of occupancy:_ current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day Y(9Pd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 103 Tonela Property Address David Pitton Owner Owner's Name information is Bamstable MA 02630 04/14/10 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cunt.) General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons. • How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank,distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool r ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Altemative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known) and source of information:. 09/04/07 per BOH Were sewage odors detected when arriving at the site?' ❑ Yes ® No I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 103 Tonela Property Address David Pitton Owner Owner's Name information is required to Barnstable MA 02630 04/14/10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): Depth below grade: (Tank 1)1.2(Tank 2)2.1 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): r Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on'site plan): Depth below grade: (Tank1)0.2 (Tank2)1.5 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: - years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: (Tank 1)1000 gal(Tank 2)1500 gal Sludge depth: Tank 1 2 Tank 2 3" Distance from top of sludge to bottom of outlet tee or baffle 30" 29" Scum thickness 2" 2" 6" 6" Distance from top of scum to top of outlet tee or baffle 15" 16" Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? measured Commonwealth of Massachusetts ' OF Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments. 103 Tonela Property Address David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): The tanks were sound and tight with tees in place and liquid at outlet invert. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle - Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: = Date Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 103 Tonela Property Address David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cunt.) Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑. No Alarm level: Alarm in working order. ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required):Is copy attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert even Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any, evidence of leakage into or out of box, etc.): The box was level and tight with no sign of carryover. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 103 Tonela Property Address David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 i every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): Soil Absorption System (SAS) pocate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ® Teaching chambers number: 6 ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number:' ❑ innovative/altemative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): e This system has six five hundred gallon drywells in afifty-seven foot by thirteen foot stone field.The drywells were empty at the time of inspection. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 103 Tonela Property Address David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Cesspools(cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction 4 Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): f Commonwealth of Massachusetts Title 5 Official- inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 103 Tonela Property Address David Pitton Owner Owner's Name information is Barnstable MA 02630 04/14/10 re*9red for State Zip code Date of lrgedion every page. Cdyfrown D. System Information (cunt.) 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. a� • to � - F'� ... �•_' _ :. � � ` �,a � j � 1 t.. ,d�� i.�. - --- - i. �,.. ' � � L R ,- ,. r � �k +'I �' _ � � -'' _ r,,,,,t ,, 1 +-� , � � � .. r'�w • � �_ } � F �,R e 1 F r - te r e� � s ,�' "rt r .- +� t .. .w.Y F � t r � � �� F ' � � i -. , � �.1. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 103 Tonela Property Address David Pitton Owner Owner's Name information is required for Barnstable MA 02630 04/14/10 every page. Cityfrown State Zip Code Date of Inspection D. System Information (coat.) Site Exam: ® Check Slope ❑ Surface water ® Check cellar ❑ Shallow wells Estimated depth to ground water: 6 feeett Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers (attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: I augered to 10.0 feet and found no water. I adjusted to 10.0 feet. Bottom of leaching was at 3.6 feet HIGH GROUND-WATER LEVEL COMPUTATION Dat e: ` Site Location: l y3 16 _ _ Permit: Owner: Phone: Contractor: Phone: Notes: STEP 1 Measure depth to water table =-C to nearest 1/10 ft. mm dd/yy (depth is in feet below land surface) Date: feet below s fi STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: f` A) Appropriate index well B) Water-level range zone STEP 3 Using monthly "Current Water Resources Conditions" determine current depth to water �S^� level for index well. mm/yy STEP 4 Using Table of Potential Water Level Rise for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level d ` zone (STEP 2B) determine water-level 0 adjustment. . STEP 5 � (��Q Estimate depth to high water by subtracting the 0 water-level adjustment (STEP 4) from measured depth to water level at site (STEP 1). NOTE* Tables 1-9 "Potential Water-Level Rise" are attached as worksheets to this file. r • r' monthly index well data: www.capecodcommission.org/wells.htmi TOWN OF BARNSTABLE EG OCATION Vd 5 �NDI A C, , SEWAGE# Y.ILLAGE C MMM O1� D ASSESSOR'S MAP&PARCEL �3�p INSTALLERS NAME&PHONE NO.PKM - 3 SEPTIC TANK CAPACITY SOO Ciao LEACHING FACILITY:�(type (size) NO.OF BEDROOMS OWNER &LA PERMIT DATE:_ COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If'any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY B h � b it 10® 0 Q 0 d� n -� ��„ No. F THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS 2ppItcatton for 30topozaf bpotem Conztrurtion Fermat LK Application for a Permit to Construct( . )Repair(6015lpgrade( Wbandon( ) Womplete System ❑Individual Components Location Address or Lot No. &- Owner's Name,Address and Tel.No. ��dl..�iT D?� t�C.l�ty�� L�A� (�'�/ Assessor sMap/Parcel /„® a] C X,& J1�0�2� PV ��D( (p 7 0�(�} � �� Installer's Name,Address,and Tel.`Nro. Designer's ame,Address and Tel.No. �'1 — / q3 U►'1 Cep PK 4V7 � L rr✓Kb r) A0- Type of Building: 3 A d (o3 / Dwelling No.of Bedrooms _ Lot Size � V sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 17 gallons per day. Calculated daily flow 3?41 g gallons. Plan Date Number of sheets O Revision Date C Title Size of Septic Tank > 1 5Z2O 6,01— Type of S.A.S. C!o Soo &A — C. 5ws Description of Soil. Sl LT LOAM "? n L[!LM `? S7yt— to annn Nature of Repairs or Alterations(Answer when applicable) 1QL (� 1 Sj'1. 5-U S 7-f1/Yl Date last inspected: Agreement: The undersigned agrees to ensure the construction and tenance of the afore described on-site sewage disposal system in accordance with the provisions itle onm n Code and not to place the system in operation until a Certifi- cate of Compliance has been is d of e 1 Si ed Date 9M 0 Application Approved by Date C) Application Disapproved for the following reasons Permit No. Date Issued _ _ `'"►'fit D W• .. THE COMMONWEALTH OF MASSACHUSETTS „ Entered in computer: •„ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprication for 30iopogat 6potem Construction Permit Application for a Permit to Construct( . )Repair( t-Upgrade( Abandon( ) Womplete System ❑Individual Components Location Address or Lot No. /a M lFi q L Owner's Name,Address and Tel.No. Assessors Map/Parcel 3 2(e a t C/O. Bftk 00 ye-n-4 PO 6 t)x ( _7 �. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C7���`�^ 3� y3 PO Pox-��S 6. LS 0-3g5 a g�`1 CMG uJ N�ic�l E. (iAC64AvrE rnA Type of Building: 5�q 3 ' Ty 0 3(-o 3 7 .y ; 'k, . _ �i"f L l00 Dwelling No:of Bedrooms Lot Size _sq.ft. Garbage Grinder( ) r ;,� Other Type of Building No.of Persons Showers( ) Cafeteria( ) r Other Fixtures 1{ Design Flow = �� 0. gallons per day. Calculated daily flow r3 gallons. L;4 Plan' Date it 151 Number of sheets Revision Date 2I 0D I0.7 Title ~ - Size of Septic Tank T l ''; O C h�`1--, Type of S.A.S. �49) 5'"t7D F3l . u t% -.--Description of Soil Si 1 l-F( (-D(+(?`l ^1 5) ! i' C.CGL� -� 7 l_T` .. .. s� Ff Nature of Repairs orAlte`rations(A'.Awer'when�applicable) R1~Pt..Pr(r Sr y 5,7) kT') ` •— � ,ay fi+ r 1. tp ,.. .. Date last inspected: r } ,. Agreement: The undersigned agrees to ensure the construction and maintenance of the afore�escrtbed on-site sewage disposal system in accordance with the provisions . itle.5^of-the�n%r6nirf.nt 1 Code and not to place the systenrin operation until a Certifi- cate of Compliance has been is a this©ard of-Healt, ,,f' Si ned '. Date° Application Approved by -"7 Date Application Disapproved for the following reasons -Z � - ! t � Permit No. A 1 a a Issued 4 THE COMMONWEALTH OF MASSACHUSET'S BARNSTABLE, MASSACHUSETTS Certificate of Cony Yiance THIS IS TO CERTIFY,that the On-site Sewage Disposal Sy tem,Const cte4 )Repaired'( )Upgraded Abandoned( )by I0KVY) a.—I-rC�4C77)'e = A7 at 101 N F,i-A L A-0 V, has been Dnstruct d i accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 50©? `'3 79d ed `I � Installer �e� C YJ?"12.1�C�?) S, 11k.,, Designer :� ,• The issu ce of this permit shall not b ,construe�diis a guarantee that the y #em will r t�v _ functiodu Us desi ged. Date / °7 .,44, Inspector' 14 ,A 1"V'nf V JP' V l Lax Jam, i. No. o�.�­7 ---- ----------.----Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Mi!6pogaf *pgtem Conotruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade 00 Abandon( ) System located at �3 dJ r l_IPt L. 11�1 1 and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constructio musl be completed within three years of the ,12, de :ofthdis pe Date: Approve � Town of Barnstable , Regulatory Services Thomas F. Geiler,Director • BARMSTAHLE. 9 MASS.t6jq. Public Health Division A'fD'"A�A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form Date: Sewage Permit# cO6 � Assessor's MaplParcel �36 0� Designer: �,;��, :��j. Installer: pkM C®AWW9D, ,/4—, Address: a�':� _( 1� ,�(.ic ' 1160 V Address: 3 31-10XV114 406LAD- CK n On U Pin C.1)�es,R)Gs issued a permit to install a (da e) - (installer) septic system at . 103 —04 based on a design drawn by (address) - ��' . FA- r -4 dated 301611 (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. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral reloc ' n of the SAS or any vertical relocation of any component of the septic system) but in cc rdance with State & Local Regulations. Plan revision or certified.as-built by design r to ollow. OF JOHN L. (Installer' Signature) g CHURL ILL ;IJ L N . 41 7 signer'-s S ature) (Affix V t? p Here) _ . P SE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF MPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q: Health/Septic/Designer Certification Form 3-26-04.doc - - FACSIMILE COVER S111,7, Il' JC Engineering, Inc. Civil &. Environmental Services "Telephone:508-273-037 2854 Cranberry Highway Facsimile;508-273-0367 Last Wareham, MA 02538 TO: Donna FAX #: (508) 790-6304 PH 9: FROM: Michael Pimentel,E.I.T. DATE: July 16, 2007 PAGES (including Cover): 1 RE: 103 Tonela Lane, Cu>I maquid Donna: As discussed today, the sieve analysis results used for the proposed septic system design plan dated May 30, 2007 for 103 Tonela Lane was taken from the C-1 layer (i.e. Silt Loam Ca) 43" b.g,s,). As required by'Title V,the assumed perc rate was found to be 30 minutes per inch and the effluent loading rate to be 0.33 gpd/sf, which were used to size the proposed leaching soil absorption system. Should you have any questions or comments, please feel free to contact our office. "Thanks. JCG 41194 This message Is Intended only for the use of the Individual or entity to which It Is addressed,and may contain information that Is privil;g rl confidential and exempt from disclosure under applicable taw. If the reader of this message is not the Intended reclplen►,or the employ EIE:;n agent responsible for delivering the message to the intended reclptent,you are hereby notified that dlsaeminatlon,distribution c,r cmi"np if this communication is strictly prohibited. If you have recelved this communication In error. please notify us Immediately by telephone,enc return the origins+message to us at the above address via the U.S.Postal Service, I T0 'd L920 2LZ 809 DNIN33NIDN33f Wd 6£: 20 ,L13Cii::-9T lf1J' LETTER OF TRANSMITTAL JC Engineering Inc. g g Civil&Environmental Services 2854 Cranberry Highway Telephone: 508-273-0377 E.Wareham,MA 02538 Facsimile: 508-273-0367 TO: PKM Contracting DATE: 10/25/07 JOB NO. 1184 RE: Septic System Asbuilt Plan 103 Tonela Lane Cumma uid,MA 02637 WE ARE SENDING YOU: X Enclosed _ Under separate cover via X the following: Report Prints Brochures Shop Drawings Specifications Copy of Letter Change Order Forms Please find enclosed two(2) Septic System Asbuilt Plans along with an executed Board of Health Certificate of Compliance for your use. THESE ARE TRANSMITTED as checked below: For Approval Resubmit Copies for Approval X For Your Use Approved as Noted Copies for Distribution As Requested Returned Approved as Submitted Returned For Review and Comment For Your Information REMARKS Should you have any questions, please feel free to contact our office. Thanks. COPY TO: File(1) SIGNED: I isWae_1P_im'!e'dntd]., E.I.T. r FACSIMII_ I: COVER SHEf: •1' JC Engineering, Inc. Civil & Environmental Services Telephone:508-27a-0377 2854 Cranberry Highway 1^a.csimile:508-273-037 East Wareham, MA 62538. TO: [ion DesMarais FAX#!; (508) 790-6304 PH #: FROM: Michael Pimenrtel, E.I.T. DATE: August 27, 2007 PAGES (including Cover): 8 RE: 103 Tonela Lane, Cummaquid 1DEP Policy for Sieve Analysis Don: As discussed today, please find attached the DEP 'Title V Alternative to Percolation Testing Policy for System Upgrades dated September 8, 2000. See page 5 for design loading rates. Should you have any questions or comments, please feel free to contact me to discuss. Thanks. .ICF:fftt84 Few .r i ,itlil #e ,td MI;I!it�r::.4ih� i tiYk it_A'�;ji rf. ..r... .m ,f y.,?�'• i .d� R This message is intended only for the use of the individual or entity to which it is addressed.&nd may contain information thmt is prvi;eges, confidential and exempt from disclosure under applicable law if the reader of this measage is not the intended recipient,or the emytoyee or agent responsible for delivering the message to the intended recipient,you are hereby notified that dissemination,distribution or denying of this communication Its strictly prohibited. If you have received this communication in error,please notify us Immediately oy telephone, end return the original message to us at the above address via the U.S.Postal Service. Z9£0 2LZ SOS `JN I a33N I DN30f Wd S-�: i-o L ooz-.i c;-onu _.\ COMMONWEALTH. OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMEN`1'AL AFFAIRS DEPARTMENT OF ENVIRONME,NTAL PROTECTION ONEWINTER STREET, BOSTON, MA 02108 617•9 12-aaUU ARC&O PAUL C1`,LJ1[1C:C1 ROB DURAND 00vol nnr I secretary ,LANE,SWIFT LAUREN A.LISS Lieutenant Onvernor C'oinmi6oiorer TITLE.5 ALTERNATIVE,TO PERCOLATION LATION TESTING POLICY FOR SYSTElkq UPGRADES Effec�v gate: September S. 2000 Policy#_ BRP/DWM/Peh-.P00-4 Program Applicability: BRP/DWM/Watershed Permitting/Title 5 Program Supersedes Policy 4: BR11/DWM/PeP-P00-1, dated January 7,2000 Regulation Reference: 310 CMR 15.104 Approved by: Arleen O'Donnell (signed) Purpose 'this document contains the Title 5 Program's policy for reviewing appli.cationi for variances from the percolation testing requirements of'ritie 5 for the upl;r:ad.e of on-site sewage treatment and disposal systems, ApplicHbiIjD, This policy applies to applications for variances from the Title 5 requirements to conduct percolation testing for proposed system upgrades only. The alternative to percolation testing set forth in this policy may be used, under a variance from Title 5, when percolation testing is not possible due to high groundwater and the applicant seeks to proceed with a system upgrade, rather than wait for groundwater to recede to perform percolation tests. The alt+ernstive outlined in this policy may be used 2gly for the repair or upgrade of an existing system when no increase in design flow is proposed. Under the'Title 5 variance provisions,310 CMR 15.410 through 310 CMR 15,412,approval for a variance from the requirement for percolation tests must be obtained first from the Board of Health,when the Board of Health is the local approving authority, and then from the Department. Title 5, 310 CMR 15.104, requires percolation testing as part of the site evaluation or a new system or a system upgrade. An applicant for a system to serve a new facility or for all increase in design flow (i.e. "new construction" as defined in Title 5). in many cases, can wait and schedule percolation testing during periods of low groundwater, or conduct dewatered Thii Information is available in niteritate format by calling our ADA Coordinator at(617).414.6872. DEP on the Worla Wlde Web: http:ANMw,megnet.state.ma.us/dop Printed on Recycled Paper 72 4 J 99R 4J 7 RRq `1NT?I��NT`lN�'1f I.1.-1 ts: bGt J L1�,7-J ''161t� percolation testing. Additionally,the variance standards for new construction are more stringent than those for system upgrades, Accordingly, the alternative described in this policy does not apply to cases of new construction, including increases in design flow. Title 5 requires percolation testing to be performed in the most restrictive soil layer of the naturally occurring pervious material beneath a proposed soil absorption system (SAS). The Department recognizes that at certain times, however, high groundwater conditions preclude performance of standard percolation tests. During such times, the applicant may choose to perform dewatered percolation testing. Provided that an immediate upgrade is not being required by the local approving authority or DEP, or the upgrade timelines in 310 CMR 15.305, if applicable, would not be violated, the applicant also may wait until groundwater has rec tdec and standard percolation testing can be performed. Alternatively, in accordance with this policy, the applicant may apply for a variance from the requirements for percolation testing. Dewatered percolation testing involves lowering the groundwater table to a point where testing can be performed in accordance with Title 5. Since dewatered percolation testing frequently is difficult and, in many cases, infeasible, attempting dewatered percolation testing is not a prerequisite for obtaining a variance under this policy. Impervious & extremely low permeability soils In cases of impervious soils or soils with extremely low permeability, the alternatives set forth in this policy are not appropriate as such soils simply cannot support an on-site system. Where the Soil Evaluator,the local approving authority, or DEP determines that the soils are 'impervious or of extremely low permeability, for example, due to the presence of ledge,greater than 40%clay,or highly compacted till,and there is no feasible alternative(e.g.a shared system),then a tight tank to eliminate a failed system, approved under 310 CMR 15.260,would be the only option. Requirements for obtaining a variance from the percolation testing provisions When an applicant proposes to upgrade a system, percolation testing cannot be performed due to high groundwater and the soils are neither impervious nor of extremely low permeability. the Department may approve a variance from the Title 5 percolation testing requirements. In addition to complying with the other requirements of Title 5, the variance application to the local approving authority and to the Department (DEP permit application BRI'WP59b) must contain the following: 1. documentation of a demonstration that percolation testing cannot be performed; 2.the Soil Evaluator's determination, along with the written concurrence of the local approving authority, of whether the soils are uncompacted or compacted; 3, results of performance of a Particle Size Analysis by a soils laboratory; 4. the Soil Evaluator's determination of the soil type,which must be based on the Partizk Size Analysis and the USDA Soil Textural Triangle in Title 5; and 5, the Soil Evaluator's determination of the soil class under 310 C M-R 15.243, which must be based on the soil type; and 6. plans for a system upgrade designed in accordance with the criteria in this policy for the soil type, class and determination of soil compaction. PFItr.9.uoc V5/2000 2 "I oar_ ClW T?J -4N TLl hl-4 l r I.I.J -SC= bGi J Of R7-J .---1n 1-1 1) !Demonstration that percolation testing cannot be performed Percolation testing must be attempted in the presence of the local approving authority„ or its authorized representative, and determined not to be possible due to high groundwater. 2) Determination of compacted vs. uncompacted soils Without the benefit of percolation testing, more reliance is placed on the determination of soil compaction. Since compacted soils can be extremely firm in place, but friable wheel mmoved for a sample, the Soil I�valuator must make an in-situ determination of the soil structure ar.d consistence.The Soil Evaluator, with the written concurrence of the local approving authority, must determine whether the soils in the area of the proposed SAS are compacted or uncompacted. The Soil I"valuator must use the techniques described in Appendix 1. I-or uncompacted soils,the Soil Evaluator can use the results of the particle size analysis to determine the soil type and class, and, subsequently,the effluent loading rate. In compacted soils, such as dense, compact till, the compacted nature of the material results in a significant decrease in the amount of pore space necessary for groundwater flow and particle size analysis results alone are inadequate for determining an effluent loading rate. 3) Particle Side Analysis In the presence of the local approving authority or its authorized representative, the Soil Evaluator must obtain a soil sample from the most restrictive layer of the four feet of naturally occurring pervious material for the particle size analysis.Although for purposes of obtaining an effluent loading rate,the particle size analysis is considerably more useful in the case of uncompacted soils, the analysis still is useful to characterize compacted soils, particularly where the soils have a high percentage of clay. The particle size analysis, performed by a qualified soils laboratory, must be used to determine the percentages of sand, silt and clay in the soil sample. The analysis must be performed for both compacted and uncompacted soils. The particle size analysis must be performed in accordance with Appendix 2. 4) Determination of soil type Once the relative percentages of sand, silt and clay have been determined through particle site analysis, the Soil Evaluator must use the USDA Soil Textural Triangle in 310 CMI R 15,243(2) to determine the soil type. 3) Determination of soil class Based on the soil type, the Soil Evaluator must classify the soil into one of the four soil textural classes described in 310 CMR 15.243 (1). 6) Design Criteria— uncompacted vs.compacted soils prRc9.1:uc 9i5i2000 3 a) For uncompacted Class I and uncompacted Class II soils,the results of the particle size analysis,the soil type and the soil classification must be used to determine the efflueril loading rate based on the effluent loading rate table, below. The system upgrade must be designed with that effluent loading rate and the requirements of Title .5. b) For compacted soils and all Class III and all Class IV soils the design criteria,set forth below, must be used to design the system upgrade. Where the soils are compacted or Class Ill or Class IV soils, extremely low permeability could limit the soils' ability to adequately accept a subsurface discharge. These systems, therefore, must have a conservative design, intended both to allow an on-site discharge and prevent breakout. In addition to meeting Title 5 requirements, the design criteria for a system upgrade in compacted soils and in Class III and Class IV soils are as follows: 1. in accordance with the Effluent Loading Rate table, below, the effluent loading rate is limited to 0.15 gallons per day (gpd) per square root(sO; 2. pressure distribution is required; 3. a four foot vertical separation to high groundwater elevation, or a tive separation in soils greater than 85% sand. Where the required separation to the high groundwater elevation will not be met, an Innovative/Alternative (I/A)treatment technology approved by DEP for Remedial Use is required and the local approving authority and DEP may approve a reduction down to a minimum of a two foot separation to high groundwater elevation, or a three foot separation in soils that are greater than 85% sand; 4, where feasible, four feet of naturally occurring pervious material. Where there are not four feet of naturally occurring pervious material,the applicant must satisfy the requirements of 310 CMR 15.415 for the siting of a system upgrade with less than ;our feet of naturally occurring pervious material and an i/A treatment technology approved by DEP for Remedial Use is required. In such cases, the local approving; authority and DEP may approve a reduction to a minimum of two feet of naturally occurring pervious material, 5. where feasible, a fully sized SAS, Where a fully sized SAS is nol feasible,then an UA treatment technology approved by DEP for Remedial Use is required and the local approving authority and DEP may approve a reduction of up to 50% in the required SAS size, 6. a modified septic tank is required where there will be a reduction in the required four or five foot separation to high groundwater elevation, or a reduction in the required four feet of naturally occurring pervious material, or A reduction in the required SAS size.The modified septic tank shall have a valve located in the septic tank discharge pipe so that in the event of breakout or other hydraulic failure, the:discharge pipe valve could be closed and sealed and the discharge pipe beyond the valve removed. converting the septic tank to a tight tank. If converted to a tight tank, the volume of the septic tank, together with that of-the pump chamber, may be used to meet the requirements for tight tank size in 310 CMR 15.260(2)(a); 7. a variance condition that prohibits any increase in design flow and requires a notice, recorded with the deed, that both prohibits any increase in design flow and referenyes DEP's approval letter of the variance. P[TC9.'0c 91512000 4 1)FJT?I-4-ANT9N=1_].0 Wd S2, ba Zaoz—Zc:-'_-lrld Under a variance from the requirement for percolation testing issued tinder this policy. the local approving authority and the Department may approve an I/A system with one reduction criterion (## 3. #4 or 45, as described above), but not more than one. For such systems, no variance for the one reduction would be required beyond the variance from the requirement for percolation testing. A system upgrade requiring more than one reduction would require local approving authority and then DEP approval under BRPWP64c- approval of an alternative system for remedial use. Such applications to DEP should be submitted to the appropriate DEP regional office. A system designed for compacted soils or Class 111 or Class IV soils,without the benefit of percolation testing, is a high risk option; it does not guarantee that sewage breakout or backup will not occur, Accordingly, any variance approval letter issued under this policy for such a system must provide that should the system fail,the system owner shall immediately notify the Board of Health and the Department. in writing,and then proceed with an appropriate upgrade. Additionally,variance approval letters for systems designed under this policy with an l/A treatment technology and a reduction in the required separation to high groundwater, the depth of naturally occurring pervious material or the SAS size, should contain a condition requiring the system owner to: a) by 45 days of a system failure, submit to the Department a complete application, including the local approving authority approval, for tight tank approval; b) by 14 days of issuance of the Department's tight tank approval, apply for a Disposal System Construction Permit from the local approving authority, and c)by 14 days of issuance of the permit, complete conversion of the system to or installation of the tight tank. Following any system failure, the Department and the local approving authority may require such interim measures as they deem appropriate. Effluent Loading Rates for systems designed with a variance approved under this police Soil 'type Uncompacted All compacted soils and Class i and Class II Soils' all Class III and all Class IV SoiW Class I * 85% sand 0.74 gpd/sf 70 85% sand 0.66 gpd/sf 0.15 gpd/sf Class I I 0.33 gpd/sf 1 The system must be designed based on the applicable effluent loading rate in this table and the requirements of Title 5. 2 The system must be designed based on a 0.15 gpd/sf loading rate,the design criteria on page 4 of this policy, and the requirements of Title 5. Variance application process PliaiC9.Ui)C 9/5/:r.QO� � r.r. , ocn c , '7 car, nhJ T N77I.I T-I W=1-1 r I.1-4 CO_ 4,n J GI fa7-J Where the Board of Health is the local approving authority for the system upgrade, and a variance from the percolation testing requirements of the Code is sought, the variance first must be granted by the Board of Health and then approved by the Department. The variance applicant must satisfy the variance criteria in 310 CMR 15.410(1). DEIP's approval of such variances will be predicated on the applicant following the requirements of*this policy. The DEP variance application package BRPWP 59b must be used and is available at the Department's Regional Offices, Boston service center, and the DEP web page, www.state.ma.us/dep. Such applications should be submitted to the appropriate DEP regional office.The Department's Regional Offices and the Title S program in Boston may grant approval for a variance from the percolation testing requirements of Title 5 due to high groundwater, for a system upgrade,only in accordance with this policy. APPENDIX 1 On-site investigation techniques to determine if soils are compacted (compact till): o Note the ease or difficulty of excavation by the backhoe (does the excavator experience difficulty digging, does the bucket chatter across the surface of the material making shallow cuts with each pass--these soils may be compacted). o (lick at the side of a test hole with a knife or hand tool to feel for the ease or difficulty of penetration (difficulty would suggest compacted material). 9 Note the presence of angular shaped rock fragments (suggests compacted till). o Note the speed at which groundwater weeps into the pit( groundwater weeping slowly into the pit would suggest dense, compacted material). a Note the consistency of undisturbed soil clod (squeeze the clod of soil between your thumb and index finger; initially compact till will resist crushing and theft with increased pressure will rupture suddenly). The consistency of soil in compacted material will be firm,whereas in uncompacted material, the consistency will be loose or friable. • Note the soil saturation (compacted soils will appear moist, not saturated, due to The lack of pore space). Adapted from the DEP approved Title 5 Soil Evaluator Course Materials APPI=:ND]X 2 The standard method for Particle Size Analysis is the method of Gee and Bauder(1986) in Methods of Soil Analysis, Part 1. Physical and Mineralogical Methods,2nd Edition , published by the American Society of Agronomy-Soil Science Society of America. This method. or another method acceptable to the Department, must be used by the soils laboratory. The soils laboratory mush a determine the relative percentages of'sand, silt and clay from the soil sample that passes through a#10 sieve, (which removes aggregate from the sample), • use a#270 sieve to separate the sand fraction from the remaining; combined silt and clay fraction. PERCaDOC 9/512000 6 r. -1 I ocra C 17 1'LAC "W T?I�-IN T r I.IA -:i fig J LAn7-) i n H establish the relative percentages of silt and clay in the sample by either pipet or hydrometer method. eF.RC9.uOC 9/5/2000 e�.�e-a r� . nror eI LI T v-37IJ T IJ 7'1 f` 1.1 J 0. 1 '. _11n 14 i 1 Q�I II 7 I' ACSIMIL .E COVEIt S11 i, EI JC Engineering, Inc. (:ivil & Environmental Services Telephone:508-27� 2854 Cranberry Highway Facsimile:508-273-0367 East Wareham, MA 02538 TO: Donna FAX #: (508) 790-6304 PH 9: FROM: Michael Pimentel,E.I.T. �. DATE: July 16,2007 PAGES (including Cover): 1 RE: 103 Tonela Lane, Cummaquid Donna: As discussed today, the sieve analysis results used for the proposed septic system design plan dated May 30, 2007 for,103 'Tonela Lane was taken from the C-1 layer (i.e. Silt Loam. L 43" b.g,s,). As required by"Title V, the assumed perc rate was found to be 30 minutes per inch and the effluent loading rate to be 0.33 gpd/sf. which were used to size the proposed leaching soil absorption system. Should you have any questions or comments, please feel free to contact our office. Thanks. JCE i1 1194 This message Is Intended only for the use of the Individual or entity to which It is addressed,and may contain Information toot Is prlvlt.g!!d confidential and exempt from disclosure under applicable taw. If the reader o1 this message is not the Intended reclplent,or the,.,minor:*;x agent responsible for delivering the message to the intended reclplent,you are hereby notified that dissemination,distribution cir coirf nE:W this communication is strictly prohibited. If you have received this communication In error,please notify us Immedlately by telephon:,tuu return the orlginai message to us at the above address via the.U.S.Postal Service, T 0 'd 2-920 'CLZ 809 DN I N33N I JN33f Wd 62: 00 o i'.:—9'c -ini- LOCATION SEWAGE PERMIT NO. /o? 7igg VILLAGE O ,w l I N S T A LLER' NAME ADDRESS 8 U I L D E R OR OWN ER DATE PERMIT ISSUED LyS�jr�� DATE COMPLIANCE ISSUED /4v 7 o �tv TOWN Or BARNSTABLE / A/ (A UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMSoar - -3 ASSESSORS MAP NO.1 PARCEL NO. ADDRESS; AlC/ �j�f VILLAGE Aw�liQ'Q!� i rrAME; CONTACT PERSON PHONE NUMBER 7f� LOCATION OF TANKS: CAPACITY: TYPE OF- FUEL. AGE: TYPE: LEAK OR CHEMICAL: DETECTION SYSTEM i DATE.OF PURCHASE OF EACH: 1. 2. 3. 4. 5. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. Dy - FL 7-7 i 4 jP *'4 4 qo r- : ) 1 � P' THE COMMONWEALTH OF MASSACHUSETTS ROAD® OF HEALTH 3GL G y6`a Applirativat for BiupuuFal Workii To ustrurtivat Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (se-ran Individual Sewage Disposal System at: �y ---• --....----•--•------------------------------•-----------------------...........--•---------..----- cation- dress or Lot No. • .. .... e. ----------------------------- ........................................................ Own ................................Address Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------------------------- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth___--__•-__--__. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 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........................ -----------------I----------- ...................................................... O Description of Soil........... ............... _ x U ---•••--••-•••----••--••--------••-•--.....•---••---•----•••..................••••-------------•---••...-------•-•-----------------•---•••-•---- U Nature of Repairs or Alterations—Answer when applicable-------- ___:'� .................. � �.X/1 _.. ------------------------------------------------------------------•-----------------.....---........------•-•---••-- •-------------•------•••-•---------•---•--•-----•--------•----•--•--•-.._.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L ITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the bo d of health. Application Approvedrollowing -- --------- $, Date Application Disapproved reasons---------------------------------------------------------------•------ ---------------- ......---------------- ..................................................--------------•-------...-----•------........----•-•--._..................-----•--------------•---------------......------------------------....•----- Date PermitNo...................................................... Issued-....................................................... Date ...... �.: Fi c .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...61-MU&.............OF..... '. L .. --._.------.--..---_..._--•- ApplirFa#ion for Uhiposaal loorkii Tonatrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (r.?of an Individual Sewage Disposal System at ......... f.� ..S.r E' !0' ! '1r�9------ ------------•------------•--------..... .. ---- -----•--•---------......•........-----•-•----. ccation-4ddress or Lot No. .'V a i, •Ow er r D Address ------------------------------------------------------ Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling -` No. of Bedrooms.............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria G" Other fixtures ------------•-- •--••-•--•-•-•-•••------•-•--•--- W Design Flow.............................................gallons per person per day. Total daily flow-----:......................................gallons. 0 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth...._........_.. W Disposal Trench—No..................... Width.................... Total Length.................... Total leachingarea...................sq. ft. x Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. 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........................ O Description of Soil----.....••'. f r '°a l'"' x W ••-•••----------------------------•-•--•----------------------•--•---••-----•--•••-•-•---•-• ------...................... ---------------- --...... U Nature of Repairs or Alterations—Answer when applicable:___--.1`:_. _t .."__ ............................................. -__. Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The.undersigned.further agrees not to place the system in operation until a Certificate of Compliance has been issued by,the bo rd of health. /C d �t�� ✓ -----=/.... ��l p... -- --------- ApplicationY_ J' 7�/ f A roved /'_ PP ----- .--- ---- i Date Application Disapproved following reasons:.............................................................................................................. - ...............••-•--••-•---•••-•....................---•-•-••-•-••-•••-•-•-----••----•.........-----------....•••---••-••••-••-•-••••----••-••••--•---•------••--••---•---•-----•-•••----•-••-••----•-- Date PermitNo--------------------------------------------------------- Issued....................................................... Date i- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , C�rr�ifirtt#e oaf �um�liaa���.e THjff IS TO CERTIFY That w the Ind ual Sew Disposai. l System constructed ( ) or Repaired ( ' Installer at ------.Z.vG�`-- ----------- G�_ .. ✓±<' '-'---=-------------------- has been installed in accordance with the provisions of T T State Sanitary e a d ribed in the application for Disposal Works Construction Permit No......................................... dated__---------- _ .......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU ® S A GUARANTEE THAT THE SYSTEM 1All FUNCTION SATISFACTORY. �� DATE....! 2/ .................................. •-•--•..---- Inspector..... .---- -••--------•-•-••-••-•-•-••---•-•---•-----------•--••................. THE COMMONWEALTH OF MASSACHUSETTS OC. BOARD OF HEALTH • .... .... 1I--,,................OF...... � � ............................... No......................... FEE........................ !�Fzrk�,�ar�a imr err it g Permission is herebyranted_ ` ._. _ _ ........................................... to Construct (. on Repair ( aP.Indiv' ual S u ge Disposal S stem atNo.-•--- -- ...........................................r S et as shown on the a i on for Disposal Works Construction Permit .. ...:.......... Dated.......................................... G/ C Board of Health .. ' Boar DATE................ ....•-•-••.•- FORM 1255 A. M. SULKIN. INC.. BOSTON - - � FINISH GRADE OVER CHAMBERS= 40.5' - 38.8'± - _ ----- -- --- -- - ---- _- PROPOSED VENT WITH CHARCOAL GENERAL NOTE S PROVIDE PRECAST CONCRETE EXTENSION FINISH GRADE FINISH GRADE OVER D-BOX= 40.5 ± SLOPE @ 2% MIN. OVER SYSTEM FILTER TO ABOVE GRADE TOP OF FOUNDATION RISER WITH CONCRETE COVER TO WITHIN OVER TANK EL.= 43.0' ± (S.T. #1) REMOVABLE CONCRETE COVER 2" OF 1/8"TO 1/2" DOUBLE WASHED STONE ELEV.= 44.7'± 6"OF FINISH GRADE OVER INLET& OUTLET 42.0' - 41 .0'± (S.T. #2) TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC MIN SLOPE 1% FINISH GRADE @ FND. EL= VARIES - -____ ___- 5" DIA. OUTLET(S) ACCESS BOX WITH COVER TO GRADE 3/4"TO 1-1/2" DOUBLE WASHED STONE TO (SEE NOTE#21) CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS --- - - -- - --------- ------ - SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY PROP.4" PVC 20" MIN. ACCESS COVER 9" JIN. -- -- - --_ _ _ - - PLACE RISERS ON ALL �� � � CHAMBERS WITH APPLICABLE LOCAL RULES. PIPE (MIN 1%) (TYPICAL FOR 3) 36 I,AAX- TOP OF SAS= 37.$3 ---�-- 9"MIN. INLET PIPES TO 6"OF 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND 9" MIN. 37.00' 36"MAX. ' FINISHED GRADE THE DESIGN ENGINEER. \Eh�_> ����� PROPOSED 4" 36"MAX. BREAKOUT EL = 37.50 2" DROP MIN. 1 y PVC PIPE 6" 3" 3" DROP MAX. 3" 9" = 3 SYSTEM UNLESSOTHERWISE NOTED.R TIGHT JOINTS SHALL BE USED IN DISPOSAL \_ PROVIDE WATERTIGHT 0 o JOINTS (TYP.) o �`b� 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 14" \,_ 40.25' (S.T. #1) 4" PVC IN FROM 0 0 0 O 0 0 O l 0 o v ELEVATION =37.50' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS 4- PVC OUT 4 PVC (S.T. #1) 40.50' 38.75' (S.T. #2) SEPTIC TANK LEACHING FACOILITY oo 0 00 00o A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF (S.T. #2) 39.00' \ o0 00 THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 48" LIQUID LEVEL OUTLET TEE 12" 2' oo 00 ao 0 0 0 o� 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 38.00 MIN. 37.83 10.0' 22"ZABEL FILTER 0 0 � 0 0 � 0 0 0 00 000 0 0 0 0 D o ` ------ 6"CRUSHED STONE � o0 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. MODEL#BAl AFFLE O 4x22 �� o 0 (GAS BAFFLE ON BOTTOM) OVER MECHANICALLY I 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 6" CRUSHED STONE COMPACTED BASE 3 0' 8.5' (TYP) �} 3.0' 4.0' 4.91 4.0' FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS OVER MECHANICALLY I (TYP.) NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH COMPACTED BASEo 0 3 INLET DISTRIBUTION BOX 57.0' , AND DESIGN ENGINEER. TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.-_ 29.60 FIRST TWO FEET OF OUTLET 35.00 12.9' 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 40.00' ESTABLISHED ON A NAIL SET BASE. PROPOSED 1500 GALLON CONCRETE SEPTIC TANK PIPES BE LAID LEVEL. 6 - 500 GAL. CHAMBERS CHAMBER END VIEW IN A TREE AS SHOWN ON PLAN. LENGTH 10'-6" WIDTH 5'-8" DEPTH 5' $�� 4'MIN. 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION (DIMENSIONS PER WIGGIN CROSS SECTION VIEW TYPICAL CHAMBER PROFILE b THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT SEPTIC TANK PROFILE � AMBER DETAILS 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES PRECAST CORP., POCASETT, MA) DISTRIBUTION BOX DETAIL I L NOT TO SCALE TO THE DESIGN ENGINEER. NOT TO SCALE NOT TO SCALE 10 - - __- -- - --- . ERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE _ ----- - NOTE: - �-' ` ` •'' , �: TEST P T DATA � WATERTIGHT i�.�� • tea. C •.M • . ,. . 1.) MAGNETIC MARKING TAPE SHALL BE ' t��'"'''::•::;�:s: 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING PLACED ALONG THE TOP EDGE OF EACH REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM -� "` � INSPECTOR: Donna Miorandi APPROPRIATE AUTHORITY. SEPTIC SYSTEM COMPONENT. _ LL. SOIL EVALUATOR:Michael Pimentel, E.I.T.' 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED Q DATE: May 3, 2007 UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND • • H-20 LOADING. • • TEST PIT#: 1 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 1` • ELEV TOP = 38.80' � • ,,�.. 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE 10-' ' ELEV WATER= * 29.60' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. I r REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, ` \} PERC RATE = 30 MIN/IN (see Sieve FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). �• DEPTH OF PERC = Analysis) 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN + SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. S>>°3', .,:,. •• ± • • • , ' � TEXTURAL CLASS: II 3S"� M O • _ 16. PROPOSED PROJECT IS LOCATED WITHIN: 21Q , MAP 336 PROPOSED PVC VENT PIPE, EXACT Q ASSESSORS MAP# 336 LOT# 21 LOCATION TO BE DETERMINED BY OWNER PARCEL 22 / �' • 11 38.80' 1 n �q • • • � • � 0 Fill FLOOD ZONE C AS SHOWN ON PANEL#250001 0001 D was REMOVE & REPLACE UNSUITABLE • .•• •. o N 18" 37.30' TO C-SOILS WITH � � � �'Qi e �►' • �� Silt Loam 17. OWNER OF RECORD: ELINOR K. LEEN co MATERIAL I + CLEAN, COARSE SAND 36 / / � � s 10 Yr 3/2 ADDRESS: 103 TONELA LANE !1 , 22" 36.9T CUMMAQUID, MA 02637 Cq PROPOSED 6 - 500 GALLON a / ✓ �+ © 4 B Silt Clay LEACHING CHAMBERS _ - / 10 Yr 5/8 18. DEED REFERENCE: BOOK 8907, PAGE 90 l✓, �' J o ka a•11- i 43" 35.22' 19. PLAN REFERENCE: PLAN BOOK 138, PAGE 99 MAP 336 o - C-1 *Sandy Loam 20. PROPERTY LINE INFORMATION IS APPROXIMATE, ONLY. THIS PLAN IS TO BE USED ONLY CD Cq PARCEL 21 ) (6) -` 7.0' 3a�' _ ar.- 2.5 Y 6/6 FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY 41,460±S.F. }� TP 2 38P I �- (7) © 94" 30.97' FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. MAP 336 ) 3t3 8 ; o t7 , Adjusted G'w @110.4" 21. A 4" PERFORATED SCH. 40, PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A } D ��p 110.4' - 29.60 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A PARCEL 70 / N O • • O • ► Silt ClayREMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. / (8) �, v f� C-2 2.5Y66 g9) Z, so 0 Benchmark / (Platy) _ / 9) PROPOSED 3-INLET Nail in Oak Tree �' / 5 40� = 26.80' -- - -- --- b o Elev. =40.00' �41 J O �go�ERA,. N 4 DISTRIBUTION BOX w/RISER PLAN 168q Weeping 144" LEGEND co o Approx. M.S.L. `�- ) �� \ ( ) LOCUS No Standing or Mottling 24.80 o �\ j / O� PROPOSED 1500 GALLON SEPTIC TANK(#2) observed. LO SCALE: 1"= 1000' 50x0 EXISTING SPOT GRADE z \ G - U/G/ 17 8' *based on sieve analysis (see results below) c �[�0 \�G \�G / p --� - - 50 - - EXISTING CONTOURS -,-APPROXIMATE LOCATION OF EXISTING DESIGN DATA BH 2� CESSPOOL TO BE PUMPED AND FILLED TEST PIT DATA PROPOSED CONTOURS PROPOSED 1500 GALLON ) / \ WITH CLEAN, COARSE SAND 5 SEPTIC TANK (#1) / HC 3 ( ) 3 INSPECTOR: Donna Miorandi PROPOSED SPOT GRADE NUMBER OF BEDROOMS DESIGN 1 PECK CP DESIGN FLOW 110 GAUDAY/BEDROOM SOIL EVALUATOR:Michael Pimentel, E.I.T.; (2) EXISTING CESSPOOL TO BE # 103 o 3 W DATE: May 3, 2007 U/G/E EXISTING UNDERGROUND ELECTRIC PUMPED AND FILLED WITH } HC 1 EXISTING o N Z 0 TOTAL DESIGN FLOW 330 GAUDAY CLEAN, COARSE SAND -�� J 3-BEDROOM m e- Q o = 660 TEST PIT#: 2 / N O DWELLING HC 4 M � Q DESIGN FLOW X 200 /o GAUDAY ELEV TOP - 38 8� ❑/H/W - EXISTING OVERHEAD WIRES 1 _ TOF = 44.7'± ,\U ►- _ _ CP 10 p � Z W � USE PROPOSED 1500 GALLON SEPTIC TANKS (2) _ U ELEV WATER= * 29.60' GAS - -- EXISTING GASLINE W -:E J LU co' O a INSTALL 6 - 500 GALLON CHAMBERS PERC RATE = 30 MIN/IN (see Sieve TEST PIT LOCATION z Q Analysis) HC 2 17- O a_ 1 ��� GAS o SIDEWALL CAPACITY DEPTH OF PERC = } O O O PROPOSED 1500 GALLON SEPTIC TANK J��.. 0 (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.33 GPD/S.F.) = GAUDAY TEXTURAL CLASS: II )� WgLK (57.0' + 12.9')(2 ) (2' ) (0.33 GPD/S.F.) = 92.3 GAUDAY - PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE PORCH ' EXISTING STONE 1 DRIVE BOTTOM CAPACITY 0" 38.80' p PROPOSED DISTRIBUTION BOX / \ / (LENGTH x WIDTH) (0.33 GPD/S.F.) = GAUDAY 1811 Fill 57.0'x 12.9') ( ) Silt Loam A 0.33 GPD/S.F. = 242.6 GAUDAY 37.30 PROPOSED 500 GAL. LEACHING CHAMBER ( ' � / � I 10 Yr 3/2 22" 36 9T O COVER TOTALS: B silt Clay 10 Yr 5/8 • RISER w/COVER _ TOTAL LEACHING AREA 1014.9 SQ.FT. 43" 35.22' 2 9-4-07 MCP JLC BOH COMMENTS (SOIL LOG) \ DATE C-1 *Sandy Loam 1 8-20-07 MCP JLC "IN-HOUSE"CHANGE N87°08'15"W TOTAL LEACHING CAPACITY 334.9 GAL./DAY REV. BY APP'D. DESCRIPTION 211.48' \ 2.5 Y 6/6 - - -- I ------ _ - \ *BASED ON THE CAPE COD 94" 30.97' j PROPOSED SEPTIC SYSTEM UPGRADE MAP 336 \ Adjusted GW @110.4" CORRECTION METHOD 110.4" - 29.60' /(� �� PREPARED FOR: \ Silt Clay PARCEL62 C-2 2.5 Y 6/6 `L> s ELI NOR K. LEEN SWING TIES \ MEASURED WATER DEPTH: 12.0'BGS (platy) DESCRIPTION HC 1 HC 2 HC 3 HC 4 \ INDEX WELL: AIW 247 LOCATED AT 1 vi�4 WATER-LEVEL RANGE ZONE: B Weeping144" U�- r 1 11.5 - - WATER-LEVEL FOR INDEX WELL: 23.5' 168„ = 26.80� G = 103 TONELA LANE SEPTIC COVER IN ( ) 17.6 SEPTIC COVER OUT 2 13.7' 19.5' - - WATER-LEVEL ADJUSTMENT: 2.8' I 168 No Standing or Mottling 24.80 '.- ? '�jr O ADJUSTED WATER TABLE: 9.2' BGS observed. t4 i�'-� 7CUMMAQUID, MA 02637 (,JC - *Based SEPTIC COVER IN (3) - - 13.2 38.3 Based on sieve anal sis see results below _ SIEVE ANALYSIS RESULTS: UNDER POLICY BRP/DWM/PeP-P00-4 RESERVED FOR SCALE: 1 INCH = 20 FT. DATE: MAY 30, 2007 SEPTIC COVER OUT(4) _ - 18.5' 46.3' BOARD OF HEALTH USE o 10 20 ao so FEE LEACHING CORNER(5) 58.5' - 47.1' EFFLUENT LOADING RATE FOR r .' - - _- % SAND 57.46 CLASS I1, < 70% SAND = 0.33 GPD/SF PREPARED BY: LEACHING CORNER(6) 68.'6 - 55.5' - %SILT 34.21 JC ENGINEERING, INC. % CLAY 8.33 PERC RATE ASSUMED =30 MIN/IN °'' 2854 CRANBERRY HIGHWAY LEACHING CORNER(7) 111.4' - 44.0' - �. �� �:,,,��=��; �' EAST WAREHAM, MA 02538 LEACHING CORNER(8) 105.4' - 32.7' - 508_273.0377 DISTRIBUTION BOX(9) - - 28.3' 57.8' SITE PLAN Drawn By: BSM Designed By:MCP Checked By:JLC JOB#1184 SCALE: 1" =20' _ ' FINISH GRADE OVER CHAMBERS= 40.5' - 38.81+ PROPOSED VENT WITH CHARCOAL - - PROVIDE PRECAST CONCRETE EXTENSION FINISH GRADE ' ( ) FINISH REMOVABLE CONCORETE COVER SLOPE @ 2% MIN. OVER SYSTEM " "FILTER TO ABOVE GRADE GENERAL, NOTE S TOP OF FOUNDATION RISER WITH CONCRETE COVER TO WITHIN OVER TANK EL.= 43.0 ± S.T. #1 ELEV.= 44.7'± 6"OF FINISH GRADE OVER INLET& OUTLET 2 OF 1/8 TO 1/2 DOUBLE WASHED STONE 42.0' - 41 .0'± (S.T. #2) TO WITHIN 6"OF FINISHED GRADE 4"SCHEDULE 40 PVC MIN SLOPE 1% FINISH GRADE @ FND. EL.= VARIES ACCESS BOX WITH COVER TO GRADE 3/4"TO 1-1/2" DOUBLE WASHED STONE TO - 5"DIA. OUTLET(S) (SEE NOTE#21) CROWN OF PIPE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS PROP.4"PVC ------- - _ - SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY 20"MIN. ACCESS COVER 9" IN. - - ---- - � PLACE RISERS ON ALL PIPE (MIN 1%) (TYPICAL FOR 3) 36"TAX. TOP OF SAS= 37.83' CHAMBERS WITH APPLICABLE LOCAL RULES- EXIS t NG PROPOSED 4" 9"MIN. 9"MIN. 37- INLET PIPES TO 6"OF 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND %ER PIPE PVC PIPE 36"MAX. 37.00 36"MAX. BREAKOUT EL = 37.50' ( FINISHED GRADE THE DESIGN ENGINEER. 6" 3" 2" DROP MIN. F 37.03' - 3 DROP MAX. 3 9 PROVIDE WATERTIGHT ( ) 37.53 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 41 .88'(S.T. #1) - JOINTS (TYP.) SYSTEM UNLESS OTHERWISE NOTED. 41 .47'(S.T. #2) 14° 40.25' (S.T. #1) (41 .13') 4" PVC IN FROM "J O o o ��� O 4. TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN 38.75' (S.T. #2) (38.77') SEPTIC TANK 4 PVC OUT TO o `� ELEVATION = 37.53' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS LEACHING FACILITY oo COO ppo A 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF (S.T. #1) 40.50' OUTLET TEE (41 .43,) 48" LIQUID LEVEL 12" ! 2' op 00°o 00 op THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. S.T. #2 39.00 38.00' - 37.83' (38.12') 0 0 0 0 D O D O ( ) � 22"ZABEL FILTER , _ o 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. (39.09 ) MODEL#A1801-4x22 (38.31 ) 6"CRUSHED STONE po 0 0 0 0 0 00 op 0 0 CD 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. (GAS BAFFLE ON BOTTOM) 60 OVER MECHANICALLY - 10.0 COMPACTED BASE 3.0' 8.5'(TYP) -�} 3.0' 4.0' � 4.0 7• LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 6" CRUSHED STONE I 4.9 FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS OVER MECHANICALLY �Q Rio 0 3 INLET DISTRIBUTION BOX 57.0' (TYP.) NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH GROUND WATER ELEV.= 29.60' AND DESIGN ENGINEER. COMPACTED BASE TO BE INSTALLED ON A LEVEL STABLE 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 40.00' ESTABLISHED ON A NAIL SET PROPOSED 1500 GALLON CONCRETE SEPTIC TANK BASE. FIRST TWO FEET OF OUTLET 35.00 12.9' LENGTH 10'-6" WIDTH 51-8" DEPTH 5' 8" PIPES TO BE LAID LEVEL. (35.03') 6 - 500 GAL. CHAMBERS CHAMBER END VIEW IN A TREE AS SHOWN ON PLAN. g- �-+ -�° PROFILE CROSS SECTION VIEW 4' MIN. /� p 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION S E[�`TI 4� 1 AN K PRECAST CORP., OICASETT, MA) �+ p TYPICAL CHAMBER PROFILE CHAMBER DETAILS THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT DISTRIBUTION BOX D ETA I L 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES NOT TO SCALE NOT TO SCALE NOT TO SCALE TO THE DESIGN ENGINEER. 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE NOTE: .���'----: -� `�` TEST PIT DATA WATERTIGHT. 1.) MAGNETIC MARKING TAPE SHALL BE '•'` '-•" •.:•;•.~ „ ,: •s ' , ;s .,'•• �,� s: , , 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING PLACED ALONG THE TOP EDGE OF EACH �•'' R' F i REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM SEPTIC SYSTEM COMPONENT. • INSPECTOR: Donna Miorandi APPROPRIATE AUTHORITY. SOIL EVALUATOR:Michael Pimentel, E.LT. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED - Y DATE: May 3, 2007 UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND Dr • + H-20 LOADING. j� + • �� TEST PIT#: 1 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. • q `'"` ELEV TOP= 38.80' il 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE + • ELEV WATER= "29.60' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ♦ REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, PERC RATE = 30 MIN/IN see Sieve ( FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). ` . Analysis) " • - - + DEPTH OF PERC = 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN S?J°31,35 TEXTURAL CLASS: II • • ,,., SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. " �- •• • • • � MAP 336 •' • O + -- 16. PROPOSED PROJECT IS LOCATED WITHIN: . . • "AS-BUILT" INSPECTION PORT PARCEL 22 PVC VENT PIPE �• , + • `� • • • • 0" 38.80' ASSESSORS MAP# 336 LOT# 21 06 REMOVE & REPLACE UNSUITABLE • ' ft + • a N •• Fill FLOOD ZONE C AS SHOWN ON PANEL#250001 0001 D CO MATERIAL TO C-SOILS WITH / +� • . '••1 • 18" 37.30' CLEAN, COARSE SAND /36� � / ** • "� �e � � � Silt Loam 17. OWNER OF RECORD: ELINOR K. LEEN A # . 11 10 Yr 3/2 ADDRESS: 103 TONELA LANE ,a "AS-BUILT"6 - 500 GALLON / � ! 36 H p + r 22 Clay36 97' CUMMAQUID, MA 02637 LEACHING CHAMBERS B Silt + � / 10 Yr 5/8 18. DEED REFERENCE: BOOK 8907, PAGE 90 MAP 336 1J a �•ri-�t 43" 35.22' 7.0 t ' f 19. PLAN REFERENCE: PLAN BOOK 138, PAGE 99 PARCEL 21 r"" `- N N C_1 *Sandy Loam / TP �,gg - 20. PROPERTY LINE INFORMATION IS APPROXIMATE, ONLY. THIS PLAN IS TO BE USED ONLY 41,460±S.F. -- f.. �1 n - tag-- 2.5 Y 6/6 r ..; '__ _ • - ;, : _._,_- (8) ® FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY MAP 336 O � O .-�:. t► 94" 30.9T FOR OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. j'� � FO PARCEL 70 / - - - 16.6'6) I �1 D o'�' 110.4" Adjusted GW @110.4"- 29 60 21. A 4"PERFORATED SCH. 40, PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A 5 "AS-BUILT"3-INLET d • C_2 Silt Clay DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A Benchmark (5) (7)\ DISTRIBUTION BOX w/RISER •, ° •0 o 2.5 Y 6/6 REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. w Nail in Oak Tree / ( )4 �- (Platy) 0 o Elev. =40.00' �� �� `BOULDE 4�z_ L PLAN 144q Weeping 144" _ 26.80� 80' O Approx. M.S.L. Q ) � � O C U S 0 N ) / ���� / j o "AS-BUILT 1500 GALLON SEPTIC TANK(#2) 168 24.80LEGEND o � � �G �/ J No Standingor Mottling SCALE: 1" = 1000' observed. z }��� /40- -- / \�G\�G,�P� U/G/E 15.4' *based on sieve analysis(see results below) 50x0 EXISTING SPOT GRADE „ ��c�P\/ / BH 1� � c�F (3 CESSPOOL TO BE CATION WITH PUMPED AND FILLED OF EXISTING - - 50 - - EXISTING CONTOURS AS-BUILT 1500 GALLON �� / WITH CLEAN, COARSE SAND DESIGN DATA TEST PIT DATA SEPTIC TANK (#1) ) / HC 3 _ 5 PROPOSED CONTOURS v pECK HC 4 CP NUMBER OF BEDROOMS(DESIGN) 3 INSPECTOR: Donna Miorandi "x PROPOSED SPOT GRADE EXISTING CESSPOOL TO BE (2) # 103 c W DESIGN FLOW 110 GAUDAY/BEDROOM SOIL EVALUATOR:Michael Pimentel, E.I.T. PUMPED AND FILLED WITH HC 1 O EXISTING o Z Q TOTAL DESIGN FLOW 330 GAUDAY DATE: May 3, 2007 U/G/E EXISTING UNDERGROUND ELECTRIC CLEAN, COARSE SAND 3-BEDROOM 't 7 m a - �' DWELLING o - \D ~ Q o _ 660 TEST PIT#: 2 ❑/H/W EXISTING OVERHEAD WIRES DESIGN FLOW X 200 /o - GAUDAY TOF =44.7'± U ELEV TOP= 38.8' / CP w _ W J USE PROPOSED 1500 GALLON SEPTIC TANKS(2) ELEV WATER= *29.60' w z GAS ------ -- EXISTING GASLINE GAS I / z Q a INSTALL 6 - 500 GALLON CHAMBERS PERC RATE = 30 MIN/IN (see Sieve TEST PIT LOCATION HC 2 �z 0 a � Analysis) GAS U LL ° SIDEWALL CAPACITY DEPTH OF PERC= �� . .� w O O O AS-BUILT" 1500 GALLON SEPTIC TANK p (3 (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.33 GPD/S.F.) = GAUDAY TEXTURAL CLASS: II PdRCH WgLK s (57.0'+ 12.9')(2 ) (2') (0.33 GPD/S.F.) = 92•3 GAUDAY "AS-BUILT"4"SOLID SCHEDULE 40 PVC PIPE EXISTING STONE ' ❑ "AS-BUILT" DISTRIBUTION BOX DRIVE / BOTTOM CAPACITY 0" 38.80' LENGTH x WIDTH 0. 3 GPD/ .F. = GAUDAY Fill 0 "AS-BUILT"500 GAL. LEACHING CHAMBER ( ) ( 3 S ) G UD (57.0'x 12.9') (0.33 GPD/S.F.) = 242.6 GAUDAY 18" Silt Loam 37.30' 0 COVER 2 w/ 10 Yr 3/2 0 RISER COVER �� � J �4a TOTALS: 2" 36.9T � Silt clay , '� B 10 Yr 5/8 (96.87 )� ACTUAL ELEVATION AS-BUILT TOTAL LEACHING AREA 1014.9 SQ.FT. 43" 35.22' \ TOTAL LEACHING CAPACITY 334.9 GAL./DAY N87°08'15"W � C_1 *Sandy Loam 211.48' / _ _ -__ _ _ _ 2.5 Y 6/6 REV. DATE BY APP'D. DESCRIPTION MAP 336 t *BASED ON THE CAPE COD 94" 30.97' "AS-BUILT" SEPTIC SYSTEM � CORRECTION METHOD 110.4" Adjusted GW @110.4"_ 29 60' �,oF "AS-BUILT" SWING TIES PARCEL 62 Silt Clay PREPARED FOR: DESCRIPTION HC 1 HC 2 HC 3 HC 4 MEASURED WATER DEPTH: 12.0' BGS C-2 2(Platy)6/6 CHUD R HILL ELI NOR K. LEEN INDEX WELL: AIW 247 ( ) ML SEPTIC COVER IN 1 14.6' 17.0' - - WATER-LEVEL RANGE ZONE: B 4�eo� LOCATED AT O _ Weepn 144" WATER-LEVEL FOR INDEX WELL: 23.5' 144" - 26.80' SEPTIC COVER OUT(2) 22.5' 15.0' - - WATER-LEVEL ADJUSTMENT: 2.8' 168" No Standing or Mottling 24.80' 103 TONELA LANE ADJUSTED WATER TABLE: 9.2' BGS observed. r CUMMAQUID, MA 02637 SEPTIC COVER IN (3) - - 15.8 45.5 *Based on sieve anal sis see_results below SEPTIC COVER OUT(4) - - 19.2' 46.4' SIEVE ANALYSIS RESULTS: UNDER POLICY BRP/DWM/PeP-P00-4 RESERVED FOR SCALE: 1 INCH = 20 FT. DATE.OcTowiit F m 4- BOARD OF HEALTH USE 0 10 20 40 80 FEET CHAMBER COVER(5) - - 50.2' 44.3' EFFLUENT LOADING RATE FOR "AS-BUILT" - _ - CHAMBER COVER(6) - - 41.6' 61.0' %SAND 57.46 CLASS II, < 70%SAND =0.33 GPD/SF PREPARED BY - - % SILT 34.21 JC ENGINEERING, INC. DISTRIBUTION BOX(7) - - 32.7' 52.0' %CLAY 8.33 PERC RATE ASSUMED =30 MIN/IN 2854 CRANBERRY HIGHWAY INSPECTION PORT(8) - - 48.5' 69.0' PLAN EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 " Drawn B Desig ned B :MCP Checked B #1184 SCALE: 1 -20 v� BSM � s Y :JLC JOB v