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0158 BAY LANE - Health
158 BAY LANE Centerville A= 186 - 027 a No. 42101/3 ORA ESSELTE 10% a © 0 /��� ' � ���5 �� t t I TOWN OF BARNSTABLE LOCATION SEWAGE# � VILLAGE ASSESSOR'S MAP&PARCEL f G ®p, INSTALLER'S NAME&PHONE NO. A� A SEPTIC TANK CAPACITY J SW LEACHING FACILITY:(type) i I l.Kfl'� (size) J c )� — NO.OF BEDROOMS �'w OWNER 36 PERMIT DATE: --s-"n 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 BYC�� 1 i(AAe. a v-i- 3y' Wq- � guy �- iU.S. Postal Service CERTIFIED a . Domestic Mail Only ru ru rl For delivery information,visit our website at v,._ cD Certified Mail Fee �' j $ Extra Services&Fees(check box,add fee as appropfiV P ❑Retum Receipt(hardoopY) $ ffTF O ❑Return Receipt(electronic) $ I e•Ir' Vostma Certified Mail Restricted Delivery $�� I3 ❑ Z 1•Lefe []Adult Signature Required $ []Adult Signature Restricted Delivery$ p --- kv r-9 �061 SL alai Ln OCONNELL, ROBERT rq P O BOX 402 C3 OSTERVILLE, MA 02655 :.: r r r ,rr•,. _ 1 Certified Mail service,provides the following benefits: �`A`receipt(this pgr(ion of.the Cedifiid Mail labeli. for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the-, ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Maii®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery service,which ■Certified Mail service is notavailable for requires tie signee to be at least 21 years of age International mail. and provides delivery to the addressee specified ■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items' USPS postmark If you would like a postmark on For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.If you don't need a postmark on this Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 38OO,Aprii 2ot6(Reverse)PSN 7530-02-000- 17 0 COMPLETE •MPLETE THIS SECTION ON DELIVERY ■ GompletV.ites 1.;.2,and 3. ,, •• A natur ■",Print your"game:and address on the reverse X ❑Agent so;thaYwg cat�.returtie card to you. ❑Addressee ■ Attach this card to th .�ack of the mailpiece, B• eceived by(Printed Name) C. Date of Delivery 1 or on the front if Oak permits. y _c.r Rio n a _n ig riol;"An,address different from item 1? ❑Yes — 9elivery address below: ❑No I OCONNELL, ROBERT = P O BOX 402 ; STERVILLE, MA 02655 ` W - �—III'III'II�IIItllll�IIII'IIIIIIII�IIIIIIIIIII ❑RegiteredM llTm O ❑Adult Signature ❑Re Registered MaiITM Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 4798 8344 8737 59 Certified Mail® Delivery Certified Mail Restricted Delivery `�ieturn Receipt for ❑Collect on Delivery Wterchandise Delivery Restricted Delivery ❑Signature ConfirmationTM 7 015 17 3 0 0 0 01;4 9 8 8 12 2 7 g)t ail ❑Signature Qonfirmation it Restricted Delivery i Restrcted Delivery (over$500) 2 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPSTRA 2 First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I 9590 9402�Y-AY 'R.8344 8737 59 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service C('O Town of Barnstable ` Health Division 200 Main Street Hyannis,MA 02601 _J tiJill iii11111Iill`iiif1111111111I-iliIIIIJ11.iil1"i�Ni��t�'�It���� - � t f No.' �f Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in compu er: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y s ZippliLAtion for MIS S .6pstem Construction Permit Application for a Permit to Construct(pair Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 01{ C-CA % °t le Owner's NWe,Address,and .No. 1W � / o B (,ah Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's N e,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 13 Lot Size zdj 0 S sq.ft. Garbage Grinder( ) Other Type to ing 4eeJ" h4iq No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.,req ired) 3 3G gpd Design flow provided yo 6r P p pd Plan Date S,Z� Number of sheets Revision Date 0 V c��e_) Title P 4,n O r P-Qit0-* Size of Septic Tank l S00 64 0h Type of S.A.S. �— �O�/ �T I' (i s�!'Stt Description of Soil S 2,2or ON Nature ofRepairs or Alterations(Answer when applicable);;Q5h,, .1f fT Qb c y Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo Health. i Signed Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. Date Issued #_ , l`• ! '{`mow' 46 t t � k F Fee THE COMMONWE/4` TH,OI= MASSACHUSETTS E tiered in comp . Y PUBLIC HEALTH DIVISION;--TOWN O •9ARNSTABLE, MASSACHUSETTS Zipplication for Disposal *pstem Construction Permit Application for a Permit to Construct(* Repair Upgrade Abandon( ) ❑Complete System `El Individual Components Location Address or Lot No. 1 ` 173 ti Owner's Name,Address,an1l T 1.N �0 8 o. O��GhhC �� Assessor's Map/Parcel -z't Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms gg Lot Size ��{ G 5 G sq.ft. Garbage Grinder( ) Other Type of Building /2e.7,rk h4;p / No.of Persons Showers( ) Cafeteria( ) _ Other Fixtures ---------------- Design Flow(min.requ Cired) '�0 gpd Design flow provided O/ P D -JtZ gpd 1 Plan Date ��S`/7 G l 9 Number of sheets i Revision Date Title 5.- -eP1 M 4n r��l o,C-� �I' © 91 fG�h,Pk � ,, Size of Septic Tank /�d0 s�a /����, Type of S.A.S. �_ c..i �iCl., / Description of Soil S-e,p Nature of Repairs or Alterations(Answer when applicable) /;; ,,,, f T�/0 �, 44j(- ;64-sk 1_aA w POE ' Date last inspected: Agreement: ` The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 55 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by k Date / 'Application Disapproved by Date for the following reasons Permit No.120 Date Issued ------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired( ) Upgraded( ) Abandoned( )by A2tx3ts _� at I S 'Tz a has been constructed in accordance with the provisions o Title 5 and the for Disposal System Construction Permit No. — dated Installer!�17)Q (ri/iy,.n(�Ar Designer S ��,'��� t_v► ` #bedrooms I Approved design flow 3 3 G gpd The issuance of this permi shall not be construed as a guarantee that the system will ction a igned. Date } Inspector ------------------------ -------------------------------------------------------------------------------------------------------------- No. ,-- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal ,pstrm Construction Prfmit Permission is hereby granted to Construct( �, - Repair( ) Upgrade( ) Abandon( ) System located at 5 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must a co pleted within three years of the date of this pe mit. Date Q �� q Approved by v Town of Barnstable Regulatory Services Richard V. Scali,Interim Director F. UANUMBL& Public Health Division 1639. r+u� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 c} �y Office: 508-862A644 Fax: 508-790-6304 ' �7 Installer&Desitner Certification Form Date: 1 10/2/2019 Sewage Permit# 2019-292 Assessor's Map\Parcel 186/027 Designer: Sullivan Engineering&Consulting, Inc. Installer: '-D,►t \,\�, (M(J(\)(- Address: 711 Main Street/PO Box 659 Address: 2,o,20X AIT- Osterville,MA 02655 On 8/5/2019 �n was issued a permit to install a (date) (installer) septic system at 158 Bay Lane based on a design drawn by (address) Sullivan Engineering&Consulting, Inc. dated 8/5/2019 (designer) X I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out (if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed i fiance with the terms of the I\A approval letters(if applicable) '� Lt"of -- T. t}i'/lk D � C!Y yy er s Signature) ` nr�£GISTER��� o ,, (Designer's Signature) (Affix Designers amp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Bo th Room Bed Room Kitchen Living Room Front Door First Floor Outside Access Onl Storage Laundry Room (Un finished) (Unfinished) Utility Area (Unfinished) Basement Floor Plans 158 Bay Lane Cen terville r �p YHE T°wksfzd Town of Barnstable Barnstable Inspectional Services Department A A"' `c C'Y 11 BARNSTABLE " 9 ,�� Public Health Division �A�fiD iaA�s 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 1227 June 26, 2019 OCONNELL, ROBERT P O BOX 402 OSTERVILLE, MA 02655 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 158 Bay Lane, Centerville, MA was inspected on 05/13/2019 by James D. Sears, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Cesspools are structurally unsound. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH 2-- 'Cl eaPR.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\158 Bay Lane Centerville.doc i IKE Town of Barnstable • .nxrisraacE. 9�p b 9 ,.� Inspectional Services Department TED MA'S a Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) 0 HER SI �s') I(vcjurH1� n yyAd Repair deadline: l 0 U o` l Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc May ti 22 2019 16:39 HP Fax page 38 c Commonwealth of Massachusetts Title 5 Official Inspection Form r-� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments } 158 Bay Lane Property Address %O Robert O'Connell Owner Owner's Name information is O required for every Centerville MA 02632 5-13-19 � 4 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. Please see completeness checklist at the end of the form. ��»tUnl uwrr�N�� Imgo ant:WhenNip fillingoutforms A. Inspector Information �t1 K lag&9on the computer, ��: JAMESam use only the tab James D.Sears a key to move your Name of Inspector cursor-do not Capewide Enterprises use the return key. Company Name �q�F SR 153 Commercial Street y I NN � 05:1 Company Address i Mashpee MA 02649 CltylTown State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 5-18-19 ,oKspector'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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority, Please note: 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. tSinsp.doc-rev.7/26/2018 Tee 5 Official Inspection Form:Subsurface Sewage D spcsal System•Page 1 of 18 May 22 2019 16:39 HP Fax page 39 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 158 Bay Lane v Property Address Robert O'Connell Owner Owners Name information is required for every Centerville MA 02632 5-13-19 page, City(Town State Zip Cade Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3,or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: Failed system-Bad lines- pools not siructural sound to work on the system is two old block pool's. 2) 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. Check the box for"yes", "no"or"not determined" (Y, N, ND)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. ❑ Y ❑ N ❑ ND (Explain below): t5hsp.doc•rev.T12612018 Title 5Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 May 22 2019 16:39 HP Fax page 40 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments r 158 Bay Lane J.� Property Address Robert O'Connell Owner Owners Name information is required for every Centerville MA 02632 5-13-19 page. CIty/Town State Zip Code Date of Inspection C. Inspection Summary (cost.) 2) System Conditionally Passes(cont.).- Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below); 3) 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, a. 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: I5insp.doc•rev.7/26/2010 Title 5Offlclal Inspection Form;Subsurface Sewage Disposal System•Page 3 of 18 May 22 2019 16:40 HP Fax page 41 Commonwealth of Massachusetts Title 5 Official Inspection Form P Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owners Name ion is required wiredd for every Centerville MA 02632 5-13-19 page. CityJTown State Zip Code Date of Inspectipn C. Inspection Summary (cont.) ❑ 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 b. 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. ❑ 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 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 must be attached to this form. c. Other: 4) 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 l5in5p.doc•rev.7/26/2Dl8 Title 5 Official Inapecron Form:Subsurface Sewage oispos8l System•Page 4 of 18 May 22 2019 16:40 HP Fax page 42 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form • Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name Information is required for every Centerville MA 02632 5-13-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No AAA ❑ ❑ Static liquld 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 than '/2 day flow ❑ ® Required pumping more than 4 times in the last year NOTdue 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. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply 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 2000 gpd- 10,000 gpd. ® ❑ The system fat s. I have determined that one or more of the above failure criteria exist as described in 310 CM R 15.303,therefore the system fails.The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) 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 CA. 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 Mrsp.00c•rev.72&2018 Title 5 Official Inspection Farm:Subsurface Sewage Disposal System•page 5 of 18 May 22 2019 16:40 HP Fax page 43 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name information is Centerville MA 02632 5-13-19 required for every page. cltyrTown State Zip Code Date of Inspection C. Inspection Summary (cont,) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section C.4 above the large system has failed.The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: 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 manholes uncovered,opened, and the interior inspected for the condition of the tees, material of construction, dimensions,depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health, ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7128r2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 May 22 2019 16:41 HP Fax page 44 Commonwealth of Massachusetts Y Title 5 Official Inspection p Form Subsurface Sewage Disposal System Form -Not f 9 p y or Voluntary Assessments 158 Bay Lane v Property Address Robert O'Connell Owner Owner's Name information is Centerville required for every MA 02632 5-13-19 page. City/Town Slate Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): NA Number of bedrooms (actual): 1 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): NA Description: Two old blockpool's old bad line's. Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): 2017-6,000 Gal's Detail: 2018-5,000 Gal's Sump pump? ❑ Yes ® No Last date of occupancy: Present Date I t5insp•doc-rev.7/26/2018 Title 5 Official Inspection Form:SubsuAace SewageDisposal po System•Page T or 18 May 22 2019 16:41 HP Fax page 45 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page, Cityfrown State Zip Code Date of InspectJon D. System Information (cont.) 2. Commercialllndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gaiions per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: 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 below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 400 Gal. gallons How was quantity pumped determined? Gage on Pump Truck Reason for pumping: Part of Inspection t5insp.doc-rev.7f2620ia Title 50111cial Inspection Form:Subsurface Sewage Disposal System-Page 8 of 1B May 22 2019 16:41 HP Fax page 46 Commonwealth of Massachusetts Title 5 Official Inspection p on Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name information is required for every Centerville MA 02632 5.13-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 4_ Type of System: ❑ Septic tank, distribution box, soil absorption system ® M cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the D E P approval. ❑ Other(describe): Approximate age of all components, date installed(if known)and source of information: NA Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 16"feet Material of construction: ❑ cast iron ❑40 PVC ® other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting,evidence of leakage, etc.): Pi in is 4"cast iron and old orange bur e. Pipeing in bad shape, 15insp.doc•rev.7126=18 Title 5 Df ciai InspecWon Form:Subsurface Sewage Disposal System•Pop 9 of 1s f May 22 2019 16:41 HP Fax page 47 Commonwealth of Massachusetts ,9 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 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: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): I51nsp.doc•rev.712 812 0 1 5 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 18 May 22 2019 16:41 HP Fax page 48 Commonwealth of Massachusetts Title 5 Official Inspection Form ��. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments j' 158 Bay Lane u Property Address Robert O'Connell Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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.): B. 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): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.dw-rev.7/25/Wia Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of la May 22 2019 16:41 HP Fax page 49 Commonwealth of Massachusetts U< Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments A 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. CltylTown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) 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 9. Distribution Sox(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of leakage into or out of box, etc.): t5insp.coc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 18 May 22 2019 16:42 HP Fax page 50 c� Commonwealth of Massachusetts Title 5 Official Inspection Form w Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name information is required for every Centerville MA 02632 5.13-19 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No' Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): ' If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number,dimensions; ® overflow cesspool number.- El inn ovativelalternative system Type/name of technology: t9lnsp.doc-rev.712B2018 Title S Official Inspection Form:Subsurface Sewage Disposal System-Page Q of 18 May 22 2019 16:42 HP Fax page 51 Commonwealth of Massachusetts Title 5 Official Inspection Form ' 1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. City/Town State Zip Code Date of Inspection D. System Information (Cont.) 11. Soil Absorption System(SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is a old block pool. 5'deep old block not real structural sound.Top block's not good. Need to replace system. 12. Cesspools (cesspool must be pumped as part of inspection)(locate on site plan): Number and configuration 1 Depth—top of liquid to inlet invert 2 Depth of solids layer 4' Depth of scum layer 0 1 Dimensions of cesspool 6' Materials of construction Block Indication of groundwater Inflow ❑ Yes ® No Comments(note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Main pool 6'deep old block not real stucturay sound. Line in and out in bad shape. Pipeing is orange burge and cast iron w/no tee's. Need to replace system. t5insp.doc•rev.7/26/2018 Title 6 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 f May 22 2019 16:42 HP Fax page 52 Commonwealth of Massachusetts Title 5 Official Inspection Form 4 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owners Name information Is required for every Centerville MA 02632 5-13-19 page. Cityrrown State Zip Code Date of Inspection D. System information (cont.) 13. 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 May 22 2019 16:42 HP Fax page 53 Commonwealth of Massachusetts i Title 5 Official Inspection Form C Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 158 Bay Lane Property Address Robert O'Connell Owner Owners Name information is Centerville MA 02632 5-13-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: hand-sketch in the area below ❑ drawing attached separately A 1#3 O 3 �-s t51nsp.doc•rev.7/26/2018 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 I May 22 2019 16:42 HP Fax page 54 c Commonwealth of Massachusetts 9 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 158 Bay Lane j'P Property Address Robert O'Connell Owner Owners Name information for every on is required Centerville MA 02632 5-13-19 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Net 10, Estimated depth tAigh ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: pate ❑ Observed site (abutting propertylobservation 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: Auger T.H, 10' no G.W.. Bottom of pool's at 3' above T.H. Depth. Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15insp.doc•rev.7/28/201 B Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 May 22 2019 16:42 HP Fax page 55 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments (� 158 Bay Lane Property Address Robert O'Connell Owner Owner's Name information is required for every Centerville MA 02632 5-13-19 page. City/Tcwn State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A.Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2,3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4(Failure Criteria)and 6 (Checklist)completed ® D. System Information: For 8:Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included CRAB= 7�. r Gt Ba 10 00p01, Gw t5insp.doc rev.M812018 Tl9e 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 142.88' DIRECTIONS: �cb/dh N89' 52' 35"W , fnd 1 l From Hyannis - Follow Main Street to the West ZONE: 1 t End Rotary, Take third exit onto Scudder Ave. ...'Existing Septic to.t; ...�.. Turn right onto smith street at the stop sign. "Lc KK / f 9 P "".. . / Area (min.) 43r560 SF / pumped and collo s Continue on to Croigville Beach Road and left f P ;� Frontage, (min) 20' or fillo in accordance Lot Area onto South Main Street. Turn right onto Bay Width (min) 125' ' 1 "� .. wit 310 CMR 15. 0 �' � 20,050fSF VARIANCE Lane. #158 is on the right. setbacks: 5 � Front 30' / Septic Tank Distance to Wetland ' Side 10 c, h WetAands Flagged �, J Patio ,�� Required 100 Rear 10' w / b ENSR Proposed 91 / ,/As shown 9n ` Over the Counter Variance LO i Sullivan Engineering I o4/ � N I .,..". -'" Plan Date 1/7/2(�JO c, } '`/ Flow >75 to Wetland ..� Diffusers 00 j -� c- System failed due to High ground water Ground water <1 from bottom of system. PERC TEST. PT-19 99 PERFORMED BY:CHARLES ROWLAND,PE- SULLIVAN ENGINEERING &CONSULTING,INC. 11� 1 100' f 1.r _r -- SR�i 1 I 5' Stripout of SOIL EVALUATOR NO.13586 LOCATION MAP: tic To k I Unsuitable WITNESSED BY:DAVIDSTANTON,R.S.-TOWNOFBARNSTA13LE 1»-2,000t' j r - #158 �� o / = Material if AUGUST 1,2019 1 Sty .. O 32:¢' N encountered SITE PASSED ASSESSORS REF.: w/f Dwelling l i o }f \\ °� / I \ I v Map 186 Parcels 027 ( 0��r05 /D-Box I oo TEST HOLE- 1 EL.its TEST HOLE-2 EL.12.8 \ TH- 1 Z - A/E LAYER IQYR ... .. AT LAYER I QYR 3/2. OVERLAY DISTRICT. 1 .. .VERY DARK GRAYISH BROWN ... VERY DARK GRAYISH BROWN . // TH-31� 12.0 1 t6' 4 ...... SANDYLOAM 12.5 4 ....SANDYLOAM............. 12.5 Saltwater Estuary Protection X. BwLAYERLOYR.5/6 .. BwLAYERL0YR.5/6 AP - Aquifer Protection District ....YELLOWISHBROWN. .YELLOWISHBROWN \ / �. /G / / Post .!� \ 16" MEDIUM SAND '::..:.....11.5 16" 1�lEDIUMSAND.......... 1�.5 REFERENCES: /� \ C LAYER 10YR 7/3 PERC TEST VERYPALE BROWN 25 GALLONS GONE IN<10 MIN. Deed: 80631118 120' MEDIUM SAND 2.8 PERC RATE<2 MINAN'(LIAR=0.74) Plan: PB 388/51 -1-1 -- \ 100'_Buffer� ! , 5e0\" NO GROUNDWATER ENCOUNTERED 18" CLAYER 10YR 7/3 11.3 PB 220/81 0 VERYPALE BROWN Gr�Ot�.l / 120 MEDIUMSAND 2.8 NO GROUNDWATER ENCOUNTERED �. AE ECEV. 1: n t FLOOD ZONE: f-FE zo 2' ,}?os i tie Zones AE Elev. 12 & F ect`l ve 7/use �e5e X (0.2% Annual Chance) a CommunityPanel No. Annuo/ a) oo°�° TEST HOLE-3 EL.11.s TEST HOLE-4 EL.11.2 #250001 ot8 D 0 0 6' A/E.LAYER lOYR 3l2..•..... AIE.LAYER IOYR 3/2........... July 16, 2014 ... . 0 � �ERy1.�Alii�dRAidsi�Blzowly... VERYD�R1�cRaisiaizowN OYANCY CALCIILATI _ _ ,, DESIGN DATA s� Sr, SANDYLOAM 10.9 8" SAN)DYLOAM. .... ..... Pump amber Single Family �}0®f Slq Bw LAYER IUM.5/6... Bw LAYER I0YR 5/6 g y \. S5 .............. ..... .. .. 10 ttom Elevation 2.5 6 -3 Bedroom 110 GPD YELLOWISH BROWN.. YELLOWISH BROWN , y Hi ater Ele 7,1.2 uplift water No Garbage Grinder C f: TH-2 / 26' MEIDIUMSAND : ..... 9.3 26' ...`:•......MEDItIM.SAND. .. 9.3 A _ i Chamber, m Area 3.14(2.42) 2 18.4sf Total Dail Flow=330 GPD l r:' f \ ° 1 cb/dh CLAM 713 PERC TEST y a I! ` - TH-1 �- 18.4sfx . c below high groundwater Use a 1500 Gal Septic Tank v _«; �� fnd VERY PALE BROWN 25 GALLONS GONE IN<10 MIN. 22,19fx 62.41b/cf No 5_,9S 1 108' MEDIUM SAND 2•S PERC RATE<2 MIN/IN(LTAR=0.74) , 79 lb uplift force r `` _ _ _ amber weight 8,500lb(Ch inks) A �i`t E�� i GROUNDWATER ENCOUNTERED 6 C LAYER lOYR 7/3 9.1 LEACHING ARE v�� 330 GPD/0.74(LIAR)=446 SF Required 5Sl(3 .A� � 1EDIUM SAND Sidewall=2(12'+32)0.91'=158.4 SF ; w, /� FogVERYPALEBROWN r 1` ' � � NO GROUNDWATER ENCOUNTERED Bottom Area=(12'x 325=384 SF J Total Provided='542.4 SF(401 GPD) o o� cb/dh �� 0IJ .. 'fn d LEACHING CHAMBER DESIGN, All Pipes to be Schedule 40. Use F.F. EL. 13.7 3 flow diffusers in a 12'x 32' ` ��� Access Cover (typ:) Washed Stone Field as Shown. F.G. EL. 11.3 F.G. EL. 11.7 `SO see Note_6) F.G. EL. 11 Min. SEPTIC NOTES 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours Prior to Any Excavation For This Project the Contractor Shall Make . n the Required Notification to Dig Safe(1-888-344-7233)and contact Flow Equilizers Sullivan Engineering&Consulting Inc.(508-428-3344). Proposed Plumbing As Required 2.The Contractor is Required to Secure Appropriate Permits From Town Pipe Invert EL. 10.95 Agencies For Construction Defined by This Plan. Installer To EL 10.4 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall 1500 Gallon EL. 10.20 Confirm Prior H-20 Be Constructed of Class 150 Pressure Pi and Shall be Water Tested to Septic Tank Pe To Any Work E 10 D-Box �+ EL. 9.94 Top EL 10.2 . Assure Watertightness. In General,Water Lines Shall be Constructed in LEGEND: Coordination With COMM Water,and Shall be in Accordance e a a e $o t. EL. 8.7 With 248 CMR 1.00-7.00&310 CMR 15.00. CDT Cedar Tree o EL. 9,61 Flow Diffusor 4.AMimmumof9"of Cover is Required for All Components. Finish Grade Bedding,"T"s, & Baffels 5.All Structures Buried Three Feet or More or Subject HT Holly Tree rn Finer as Per Title 5 "� to Vehicular Traffic to be H 2O Loading.It is the Engineer's iWi `ill 311C Fabric a:::::::;: :::: . ... ::::: :::::::.... ... Recommendation that 6e Used. cV ...... :.:. Always DT Deciduous Tree ANC oR Rerilave::&.Re lace: ;: .:; .:;:.:;c a:;:::::::::::: . <t Compacted Fill / p........................... 6.Install Watertight Risers and Covers to Within 6"ofFimshed Grade ...:::.. ........ .�.. ........ ... .;..... -..:....... :r... ..::.r:r:.::::::. . EL: 3.7 p i/s" - t/2' To Be Installed On .::::::..:. ..:::.... .: 1»suitbb.l2:...Sbr...... ithtn..5.. of... `. . Estimated High Groundwater Over Septic Tank Inlet and outlet;D-Box,and One Leaching Chamber. CT Coniferous Tree e e e e e e Pea stone The. Outer..PePMRter...of::ZU.he:;Syst rr�. ..;:::_::;::::::: Perc Test Using „8 8 t� 8 able ompacted Base All covers are to be maximum 18 for concrete or 24 Cast Iron. 3/4" - 1 a/2 TYP• ::.:::::::.:: Frimpter Adjustment c-Q Utility Pole �- 4' - Double washed 7 Septic System to be Installed in Accordance With 310 CMR 15.00& Stone Well MI W-29 June 2019 248 CMR 1.00-7.00 Latest Revision and the Town ofBamstable -E- Electric 12' Zone A Board of Health Regulations. -G- Gas 8.All Piping to be Sch.40 PVC. Wetland Flag CROSS SECTION OF FLOW DIFFUSOR DEVELOPED PROFILE OF SEPTIC SYSTEM 9.DBox Shall Have a Minimum Inside Dimension ofl2;and aMinimum Light Post Sump of 6"and constructed with a splash plate. E CB/DH NOT TO SCALE NOT TO SCALE 10.The Separation Distance Between the Septic Tank Inlets and Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend OHW- Overhead Wires - a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14 25 Elevation Contour Below the Flow Line,Shall be Equipped With a Gas Baffle&Zabel Filter. 11.All joints connecting pipes to foundation,tank,d-box and SAS are to be Sealed with hydraulic cement. Revision: Septic s stem location' & remove um1911812019 TITLE: P EPARED BY. PREPARED FOR: NOTES: Site Plan Q� 1) The property line information shown was C� Proposed Improvements EngineeringUL compiled from available record information.pp Robert 0 ConnellFTI AtConsulting, UlVa PO BOX 402 2) The topographic information was obtained from an Inc: on the ground survey performed on or between June y / Osterville, MA 02655 28, 2019 and August 1, 2019. / 58 Bay Lane _ 3 The datum used is NA VD 1988 based on RTK GPS (508)428 3344 P.O. Box 659 711 Main Street, Ostervllle, MA 02655 ) j Bamstable (Centerville) Mass. seci@sullivanengin.com • wwwsullivanengin.com C) Draft: CTR Field WHK/JOD/CTR 20 0 10 20 40 80 ►L DATE SCALErr _ ► Review: CTR Comp. CTR August 5, 2019 1 - 20 Project: O'Connell Project #• 390016