- - - - ----- ----- --- --- - - - -

N 36°26'02" E Ir==:::;"';=-;;;-;:-~=;---' l50 0lr '--- - - ----,

AS BUILT

I

I

~~

07.02.2008 ~tic~: 1~1048

33,OOO± Sq. Ft. O.758± Ac.

8M = SILL -100'

NEW 1500 G. S. TANK

6 '

I J

NOT AN ACTUAL SURVEY/! LINES DRAWN FOR SEPTIC LOCATION PUROPSESONLY!

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'------ _ _ __ [I / __ J __ :"'--'-'---" "" -------s36°26'02" W 150.00' -

LARKSPUR DRIVE

J 1 l F ~

G No 1. 2.

3 .

4 . 5.

No. Df",'OIo E"'"""'= __ ----= .... ~

COMMONWtAlIU or ~1ASSACIlUSt]TS Board of Health, A O! /vv.s ? ,MA.

APPllCATION fOR DISPOSAL SYSTI:M CONSTRUCTION Pt:RMI Application for a Permit to Construct( ) Repair (k) Upgrade ( ) Abandon ( ) - fQ Complete System

Location 71 Ie; r J,. s IN Owner's Name

Map/ Parcel# ;;l.IBILf~ Address

Lot# 'fir' "If Installer's Name II Designer's Name Rs.

Address \A Address

Telephone# Telephone#

Type of Building ________ ----'!<'---'---'C':...=:.}c.:'...:" J=--'''..;'';-(o...,,~T-__________ Lot Size 3: 3 ,OOU!; sq. ft.

Dwelling- No. of Bedrooms L/ 13.Q vi. 'C cJ~ Garbage grinder rJ Other -Type of Building No. of persons Showers ( ). Cafeteria ( )

Other Fixtures ----------------------------------,--C'T"=~--Design Flow (min. required) 1 I () gpd Calculated design flow L/ L/O Design flow prol'ided'l6~" gpd

Plan: Date t, / I ~ (() Y Number of shecLS Revision Date ________ _

Title _________ ""S"--<!'-,p~f_::_,"'c.-""S""'jl..>/,<~Z.:..:....L'""-7-:..-J...R'--r!.4p~c,:c.!:_'r_..!..P--'./..2t;'-' ,'--_____ _ Description of Soil (,) _________ -'C-LI"'v:..~..,s'"__"T'_ _ _'_( .... (:_'.~s...ooLn'"J"'--''lc-_____________ _ Soil Evaluator Form No. _______ Name ofScH Evalualor A. VJ~"" 5 Date of Evaluation t,,117/0~

-The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further firees to no to place t1le'r,tem L operation until a Certificate of Compli~ce has been issued by the Board of Health.

'¥ Signed l'-O r.D Datelc - 2t' D2;

Inspections _______________________________________ _

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COMMONWIAl! or MASSACIlUSnTS Board oJ Health, & b e&t= ' MA.

CmTIrlCAT[ or COMPLIANCI: Description of Work: 0 Individual Component(s) ~ Complete System

The undersigl cd hereby certify that the Sewage Disposal System; constrl1cte~, Repaired ( ), Upgraded ( ), Abandoned ( )

by:---b~~~rr_.--~--~~~~-----------------------------------------------------at ________ ~~'-~~~~~--~~~------------------------------------------------------has been installed in accordance willi the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as--built plans relaung to

application No. , d/W . Ap ed Design Flow l{ld b (gpd)

Installer lJ \ Designer: ~ ,., Date: 67- - QJ., 055 The issuance of this permit shall not be construed as a guarantee that the system will function as designed.

- .- .----.... -~---•.. ---. - -

No. 0'75 -o Ca FEE :p "1f>O .()0

COMMQNWIALUI or MASSACYUSUTS Board of H ealth, A m hes.t , ,MA.

DISPOSAL SYSTIM CONSTRUCTION Pt:RMIT Permission is hereby granted to; Construct( ) Repair O() Upgrade ( ) Abandon ( ) an individual sewage disposal system

at 1 hOI>' k..; as described in the application for

Disposal System Construction Permit No. --"'C4L--"""""-- ' dated fa- n OS' . Provided: Construction shall be completed within three years of the date of this permit. All local COnditiO~

,,,m12" R.d", A .• . Mi" Co . .. ,,,"."A Date frr d 1-D5 Board of Health bnJersr ALl S :2J , /

:

-....

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,

ALA N E. WEiSS, M.S., !l.S., L.S.P. Licen~ Silr: ProfessiuJlal Re£iQcr~d Sallil:lri:m l-lydr()geolo~i~l 'Wclhmd Consul!:--Prc:;idcllI 'Soii and WaleJ TC.<;lillf!,

·2 J E Sil(, 11lVe$li~Jlioll~ ld Enfield Rd . -Percolatioll Tf:Sl~ and :'J1()WIl. MA OJ 007 'Seplir Designs ::1)3-5957 & :'2:;-4916 (FAX) -Tille 5111 .... Veclions

aewei~~@cha;ler.l1cl

Date:

Commonwealth of Massachusetts

AJv~ , Massachusetts . Soil Suitabilitv Assessment for On-site Sewage DISpOSal

~ ..

Performed By: ~. w-e;-5S ~J\lR~ . TI, Witnessed By:

L{ -P/Z, Ho l)6PtS«: I ,

I

tIJ8\¥ Constn.JcLion I ! Repair R----OlHce Revie1'''

Drzlm::ge Cl2Ss Soil Lim!!2.tio:1s

'v< ~ Surfic~2.j Geologic R.epm:: AVcilcble: No LJ Yes L.J

Lr:l(i!'C:::~ , ?iood i;!$i;:-~ce R~:e Mzp:

Above 500 ye8' flood DOUnG2.:')' No i j Yes

\V iLi11<l 500 yeg fk>oo b012::d2.ry No

\Vit:,:in 100 ye.ar {load bouT!cz.ry No ~s \Ve.tia.f10 Arec::

~ -' -'

o o

Nalioi:c.\ \Vel. land InventoTY h1ap (map unr!)

Wc:lands Conserl'ancy Program Map (map unli)

Current Water Resource Conditions (USGS): Momh

Range :Above Normal ~'TI1ai, ~k "~I Normal 0 Other References Reviewed:

Dale : 7/:,-17-0<:(

SCii Mzp Ur,il

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DET' Ai'I'RO\'ED rOR"~ . 121CJ719S

FORM 11 . SOIL EVALUATOR FORI\! Page 2 of 3

Location Address or Lot No, ?f L r ts R.Jl-

On-site RevieW"

Deep Hole Number_L.) ,,-T..::z...~_ Date:

location (identify on site plan)

Land Use ,\2u", \ e..;,5" ' Slope (%) L

Time: ;(30 Weather

Surface Stones _Mt::!<~~--------Vegetation _~~t"'~~~~SL-----------__________________ _ Landform ' . jer-rx~cfl,

Position on landscape (sketch on the back)

Distances from:

Open Water Body /oo '+- feet

P"ssible Wet Area 100 '; ieet

Drinking Water Well T~ feet /DG> '+

,'" .

Drainage way £0 ' + feel

ProperTY Line 2" Other

feel

DEEP OBSERVATION HOLE LOG'

I So;, T.",,",. I <oil Coler I (USDAj {Mu!".seiJ}

Soil Monlin;

O':her !Stru::rure, Stones. ~ulde~s. Cor.siS"'..enc!,. %

. GrC!vell

I " 0 -( 0 I~r(\' <;.\o~ I -~~l.(·

If If

2£,,-1= C ( s

j0'1 'fIb I +-OS ~'" ,), I

NoT I al '" b'-_ G . 'S .11....:>1> 1- G,.."C(",e J I 10 (0 (0 V)~'>

L- oo:2e , i"IUJu I q'

L"

01 ! r~

MINIMLM u> 1 HUlt, _ [IJAT t ' IorlY c.1..J DI!:'?O~AL AHtA ( "

Pl!rem Ma!.eria l (Qeologicl OU~c, '5"" De;mr..oBedrock: \ 2 () + \.

St.mding Water in the Hole: ,,_-<jJ=--'=o"-i-'--___ Weeping from Pil Face: _fSC;'~,cJ~i'------\"7, ,1 , I '\

Deoth to GroUnd ........ aler:

Estimaled Season~l High Ground Water:_--'!=~==::.......:-t:c.... ________________ -''I----

\

DE? APPROVED fOR\! · 11J07/95

• ...... ..

FORM 12 - PERCOLATION TEST

Location Address or Lot No. _1..!....:...( _~L~<>f_j:(_'S....:p._v_,_I)--=I ::.:c£~. __

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COMMONWEALTH OF MASSACHUSETTS , Massachusetts

I Percolation Test I

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Date:G In To 'b Time:. 1 r: 30 Observati01! H.oie # I PI I I

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Depth of Perc l{ 1; /' ') \ Start Pre-soak

,\\\1'") I I I

End Pre-soak I I / I I \ \: 30 I

i ime at i 2" \ i I: 30 \ / ! / (A.rT

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I ime at 9" I

I ·1 I I j I

I / 1-10 l. '}) I I i

l:me at 6'" I I I

I

; ime (9"-6") I L;;..l/I Hz-o \ {j;

Rate Min./lnch 1-2- ~~

" Minimum of 1 percolation test must be performed in both the primary area AND reserve area.

Site Passed ~ite Failed 0 .. .............. .....................•....•.•...... __ ......... .......................... " .... .

Performed By: A· tJe'I,?7 . i

Witnessed By: E.., t:>'$IAiI1 Comments: "~ .. "",~,,, . ~ ,., . - ...

DEP APPROVED FORM - ll/07J95

(.;

L-___________________________________________ __

LOCllion Address or Lot No. '7) :t:...-u:.. 5/2vf ----~=-~~.=---------------

Defermina.tion for Sea.sonal High Water Ta.ble

fI.~ethod Used

o Depth observed standing in observation hole ..

o D~weepir.g from side of observation naie . ~_""l_ ( I

L.J Depth to soil mottles 12'°7. inches Iu'r ' ,. , l urouno v .. 1ater aCJustment Teet

inches

inches

Index \Neil Number. Reading Date. index V'Jel1 level Adjustment factor Adjusted ground \I.(ater !€v~i

0ew'th of Ncturcllv OccurrinG Pervious Materia!

If not, 'vvhat is the depth of natur2Hy occurring pervious materia!? _____ _

Certifi::zt!on

; ~€rt;fy '7h~~ Of: '1~. . {'n~te\! Il- --~~€ p-"ser: .... he SO!'I evaluator excmination • "-' ·l .. ..... o ... ~ ~? ...... c .. :. a.... c~ ....... L..... _ ! . zpproveo bv the Depanl!.enl of Environmer:~al Protection and that the above .an~ YSIS \lvas perfon-ned by me consistent vI/itt, the required training, expertise and experience described in 310 CiVlR 15.017.

Signature -A~t:.======-AI - Date

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N 36' 26'02" E Ir=:;:;;;:;::"';-';-~ -~.;:;:::::;:--' 15O.1llr"" '-. --- - - -----,

. PLOT PLAN

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AP 218 LOT 48 SCALE: 1"-30' 33,000+ Sq, Ft.

0,758± Ac,

BM = SILL

NOT AN ACTUAL SURVEYII LINES DRAWN FOR SEPTIC LOCATION PUROPSESONLYI

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ATTENTION INSTALLER!! . .. i.......... .... . . .. ....... ... . .

· THIS SITE CONTAINS UNOtRGROoNb'EtECTR'fCAN[YWATER .. · UTILITIES WHICH MUST BE IDENTIFIED AND .THOROUGHL Y MARKED · PRIOR TO ANY EXCAVATION. PRIVATE CONTRACTING MAY BE · NECESSART TO SUPPLEMENT DIGSAFE MARKINGS.

TYPICAL NEW SEPTIC TANK (WATERTIGHT) OR EQUIVELANT, 1500 GALLON CONCRETE 2 CHAMBER TANK

TANK. USE UPON COMPLETE < " ,--_---, INSPECTION ONLY. ,-_---'-,

CONTRACTOR TO CONFIRM ~==~---""-"--4=;:9-~=t~~ .02'/Ft. PITCH FROM SILL 3"+

SE 3 WATERTIGHT RISERs TO WflN 9" OF SURFACE & OVER OUTLET FILTER IF EQUIPPED

~~ ~.~ . . w

~ m ... ,.

TO S. TANK. IN----~," r 1 f 1 ch 40 PVC TEES REQUIRED (4) / '

BETWEEN CHAMBERS

r-r+t--_OUT---~ __

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DIST. \ '. .. ... -~ ..

'"

\ . ' ....

\ 98

TREES \

___ -==-J"-'CIU.-'i I1 0' TO BE J, .

.~. : ... ,.

i :.~;~·. · :USE.6" OF 314" TO 1-1/2" ST()NE BENEATH T~lf)

GRAVITY SLOPE SEPTIC SYSTEM OPERATION AND '. 2006 SEPTIC PLAN ADDENDUM · NAINTENANCE NOTES FOR HOMEOWNER, DUE TO LATE REGULi TlON CHANGES 4-22~2006 1) HAVE TANK PUMPED EVERY 2 YEARS. ALL NEW SYSTEMS MUST: . 2) MAINTAIN AREA OVER SEPTIC SYSTEM AS GRASSY 1:) INSTALL PVC RISERS OVER 6. BOX'S BURIED DEEPER mAN9' AND

PLACE IRON REBAR ON TOP. OR SIMILAR GROUND COVER. 2.) HAVE 4" PERFORATED, PVC INSPECflON PORTALS TO BOITOM OF

3.) DO NOT PLANT ANY TREES OR bEEP ROOTING STONE BED, WITH SCREW RISER TO 3' OF SURFACE, MARKED

SHRUBS WITHIN 10 FEET OF SYSTEM. WITH REBAR All OPENINGS & COMPONENTS marked wit/, magnenc

· 4.) USE ONLY LIQUID DETERGENTS & LOW!=LOW WMHERS. .. 3.)1ffVE PERFORATIONS IN BED AT 4 AND 8 O'CLOCK Posmo NS.

· 5) CLEAN TANK OUTLET FILTER ANNUALLY IF PRESENT NOTE: THESE ARE NEW STATE REGULATION REQUIREMENTS (4-22-06), NOT NECESSARlL Y THE OPINION OF THE DESIGNER.

SUBJECT SITE

LOCATIO \ '\ . \

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DESIGN NOTES AND CALCULA TlONS:

l

, '. 1;)4 BR (BEOROOM fHOME) X 110 GPDIBR =440 GPO. REQUIRED

l

-Use ONE FIEf:ID: 14' WIDE X 45' LONG WITH 6· OFi- TO~" DBL WASHED STONE BELOWIN'IIIERT

• BOTTOM AREA: 14' W X 45' L =630 SF. - SIDE AREA: 0 Slf. - TOTAl AREA: 6$() SF XO.i 4 GALISF = 466 GPO

. 3. GARBAGE DISPOSALL NOT ALLOWED, TO BE REMOVED-.... 4. NO OTHER PRIVATE lWELLS WITHIN 100 FEET OF SAS (TOWN WATER). 5. NO OTHER WETLANDlS WITHIN 100. FEET OF SAS 6. USE NEW 1,500 GAL $ . TANK AS NOTED & MAINTAIN 0.02 PITCH FROM SIll TO S. TANK

- INSTAlL & INSPECT :SCH. 40 TEES I BAFFLES (10" INLET, 14" OUTLET], NOTE: - ALL COMPONENTS i OF NEW SYSTEM MUST BE MARKED WITH MAGNETIC TAPE. BE SURETo MAINTAIN :3' CLEARANCE FROM TOP OF TEES TO BOnOM OF TANK COVERS & BOXES.

7. USE LARGE STYLE ($. OUTLET) D.BOX ONLY. 7A ALL D. BOX OUTLElT'PIPES LEVEL FOR FIRST2'. BOXES MUST HAVE 2"+ CONC. WAlLS

~~T~~XESWITHMdlRE THAN 9' OF COVER SOIL MUST HAVE RISERS TO 6" OF SERFACE. 8. USE APPROVED (11m") DBL. WASHED STONE UNDER rANK & D. BOX FORS". '---"". -- -- ~--'I J----- - --'-'----' S 36°26'02' W 150.00' .

LARKSPUR'DRtVE "'" . ·CONFIRM STONEI!l~OPERl. Y. WASHED (WITH BUCKET I H20 TEST) .PRIOR T.O. PLACEMENT. 9. OSE PROPER sc/t 'ljjj"pvc TEES AS SHOWN. ! . , .

"'~"" ':'~'''''''''~';<''''''''k'i'"~'''-'i'".it'. ~l)?,!!Rf.'M'Gs:r.~'NoTEDAS NECESSARY, RESERVE·AREANOTED REQUIRED. '. . '.. 11 . SLOPE CAlCS(SEE !CpmOURS). SUBGRADE INSP. REO'O. . •

EFFLUENT DISPOSAL AREA CROSS SECTION - NOT TO SCALE

(LEVEL DISPOSAL AREA)

NUMBER OF SEPTIC LlNES:2 CENTER TO CENTER SPACING: 6'

ORIGINAL & FINAL G RADE

•

N+ ~2"

~ 1 .<~zJQ3 ""i DBL. W. STDNE ::J

14' I 4 "SDR P VC PERF. PIPE

PEASTONE

·USE TEE ON INLET ·RUN PIPES LEVEll' OUT

. ·PLACE WATER IN D.BOX FOR FINALINSPECfION

4' SCH. 40 PVC FROM S. TANK

LEACH FIELD DETAIL (NTS) 45'

, OF 4" PERFORATED (SCH.35 MIN.)

PORT 4' PVC PERF

. & REBAR TIE

14'

D.BOX (WATERTIGHT)

MA.GNETIC TAPE r OVERCOVfR. USE RISER IF

,. 9' TO SURFACE FOR INS?_ PORT

!;z2~~~:d F/RST2'OfOUTlETPft:STOBC lEV£l

- PLACE ON STABlE 6' BASE OF 3/4" TO 1~1J2" CRUSHED STONE • U.SE CONCRETE BOX Vv'ITH 2" MINIMUM WALL THICKNESS. - FILL WITH WATER FOR FINAL INSPECTION. . USE LARGE STYLE .

45'

r lNAL GRADE OVER 14' W X 45' L FIELD = 970'

. • I ~.,It_, _ _ EFFL VENT DISPOSAL SYSTEM (CROSS SEer ION - NOT TO SCALE)

25' '-1.0---- --26'

KEY ELEVA TlONS BASEMENT SILL: 100' BUILDING OUT: 97. 0 ' SEPTIC TANK IN: 96.5 SEPTIC TANK OUT: 96.2 D. BOX IN: 95,25 D. BOX OUT: 95.0'

.•. ' .' _. ' 4 ~ . . .. . . • • • -.. .

1500 GALLON DOUBLE CHAMBER SEPTIC TANK

'. '. .. ' ~ ... ' ~ " - ' ., . - '. " ... ' .

. "

<, ,. '

USE SCH 40 pvc TO D. BOX MIN. SLOPE O. 1 %

SE T LAYER OF 1 1~ TO 112" PEASTO~I£ OVER PI S

ORIGINAL G E

NOTES: - TOPSOIL AND ORGANIC MA TERiAL TO BE REMOVED FROM DISPOSAL AREA PRIOR TO PLACING SAND OR FILL

• FINAL GRADING TO SHED SURFACE WATER AWAY FROM SYSTEM COMPONENTS. ·MIN 10"/ MAX IS" COVER OVER PIPE .'

NOTE: INSTALLER MUST CONTACT ENGINEERlBD OF HEALTH 48 HOURS PRIOR TO CALL DIG SAFE BEFORE YOU DIGI! MASSACHUSETTS STATE LAW CHAPTER 82:SECTlONS40 - 40E SUBGRADE INSPECTION. INSTAllER MUST HAVE AU BREAK OUT F/llON SITE AND REQUIRE THAT PREMARKING OF GAS, ELECTRIC, WATER, TELEPHONE AND CABLE T,V, U1LITY IN PLACE PRIOR TO SIGN OFF BY ENGINEER AT TIME OF FINAL INSPECTION OR LINES BE MADE A MINIMUM OF 72 HOURS PRIOR TO GROUND BREAK FOR ANY EXCAVATION. APPROVAL WILL NOT BE GIVEN TO BACKFill.

OT PIPE ELEV. = 94.85 . OT. W.STONE ELEV. = 94.35'

(5+ FT. OFFSET TO ESHGW)

~ , .

1,. USE FIELD DUE TO'lTOPOGRAPHY AND SPACE OF LOT WITH RESPECTTO LOCA ilON AND ELEVATION OF RESIIDENCE (310 CMR 15.240)

14. USE 2% MIN. SLOPE ' OVER SAS - CLEAR TOP AND SIUB TO 26' MIN: AS NEEDED (INSPECTION REQUIRED). • ClEAR PAST BASE: OF B (MIN. 26") & SCARIFY UNDER BED PRIOR TO TITLE V SAND PlACEMENT. • EXCAVATEEXISTlmG LOAM, SUB AND ANY EXISTING DEBRIS, DIRTY FILL OR PRIOR SYSTEM IF PRESENT.

15, SOIL EVALUATION BlY A. WEISS, RS. 6/17/08 (ELLEN B, BOH AGENT) . • DEPTH OF PERC. 4/8" • PERC RATE = <2 !MIN/IN - CLASS I SOILRATIING (SAND)

lS: NO TREES WITHIN 110'FT. OF NEW LEACH FIE~. USE TITLE V FILL 5' OUTt' \. . 17. ENGINEER TO INSPECT SUBGRADE, ANDFINA :i!lW~ -te"'lWe." rUO\,\ \

18. BM=loo.oo@(asn'otted), CONFIRMPROPERPIPE LOPES - USEflNSPECT SCHI. 40 PIPEFDR PIPE FROM HOUSE TO NEW OR EXISTING TANK

19. GRADE MULCH AND , SEED OVER LEACHFIELD AS NOTED. 20. INSTALLA TIONIN L<DW GROUNDWATER SEASON RECOMMENbED. 21 . USE OBSERVATION 'PORT NEAR CENTER OF STONE BED HAVE 4" PERFORATED, PVC INSPECTION PORTAlS

TO BOnOM OF SHONE BED, WITH RISER TO 3" OF SURFACE & THREADED CAP & MARK WITH RE-BAR ..

TEST PIT LOG: Tp·l EFF. ELEV: no DEPTH: HORIZ; TEXTURE; UN ELL . MATERIAL:

0-10 A FSL '10 YR 313 FRIABLE 10-26 Bw LS 10 YR 4/S FRIABlE 26-100 Cl S 7 .5 YR 514 COARSE SAND AND GRAVEL

10% COBBlES, LOOSE GRANUlAR

OXIDES: : NOT OBSERVED EHWT: 2 '+ =87. ' STANDING H20: NOT OBSERVED WEEPING: NOT OBSERVED BEDROCK: 100'+

SOIL EVALUATOR: A. WEISS, RS

TP-2 EFF. ELEV:

DATE OF EVALUATION: 6/17/08

DEPll-i: HORIZ: -TEXTURE: SELL : MATERIAl:

0·12 A FSL 10 YR 3/3 FRIABLE 12·25 Bw LS 10 YR 4/6 FRIABlE 25-120 Cl S 7.5 YR 5/4 COARSE SAND AND GRAVEL

10% COBBLES. LOOSE GRANUlAR

XI DES: NOT OBSERVED EHWT: 120"+ STANDING H20: NOT OBSERVED WEEPING:i NOT OBSERVED BEDROCK: 120"+

SEPTIC SYSTEM REPAIR PLAN FOR JAMES AND PAM DIETZ 71 LARKSPUR DR

'PJR).Nc', ('113) 3:23-S9S7 fT.A;IC, (1113) 323--'1916

6/19/08

1"=30'

AMHERST, MA.

EVISED: ALAN WEISS

108-2987-0617