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0233 BAY LANE - Health
+-23 Bay Lane (Centerville P A = 166 056 r 1 dr- 3- 0 a 0 Igo. 42141/3 ORA ME ESSELTE 10%® a o 0 0 L� g � t 06 mhos a � J- CA tJG• TOWN OF BARNSTABLE LOCATION A33 13a\/ Lay) - SEWAGE# VILLAGE Gerti` l/i`(e ASSESSOR'S MAP&PARCEL Low-' INSTALLER'S NAME&PHONE NO. At Lr7 e✓iori5,Rs L.C, 50SI-477-FlFl77 SEPTIC TANK CAPACITY 36'00 6cd LEACHING FACILITY:(type) yhf Tan (size) y NO.OF BEDROOMS OWNER r'G``c`lCL�il BarrztOG�� PERMIT DATE: E ,-3 COMPLIANCE DATE: 5 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 3 Feet F f well exist on Private Water Supply Well and Leach ing Facility an s at g ty(I y PP Y 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 eA b®6 &'QT-QPkA& �-� .. p1 o A-I� L�, � Registered No. - - - Date Stamp Reg.Fee Aar Handling Return O v Charge Receipt d ostage Restricted E o Delivery O W 0 Received by 0. m � om t- Customer Must Declare Domestic Insurance up to$25,000 is included Full Value $ based upon the declared value.International 15 Indemnity is limited.(See Reverse). OFFICIAL. USE a F � d.o 0 O °` D U S ILL U�a m 5 m a`co d m5 aum 0 U � d O m ` F W ¢' 6 a � PS Form 3806, eceipt for egistered Mail Copy 1-Customer May 2007 (7530 02-000-90T) (See Information on Reverse) For domestic delivery information,visit our website at www.usps.com RETAIN THIS RECEIPT IN CASE OF LOSS OR DAMAGE TO THE MAIL ITEM Declaration of Value:You must declare the full value of each Registered MailTm article at the time of mailing. Insurance Coverage: Domestic:Insurance up to$25,000 is included in the Registered Mail.fee.Indemnity is limited to the amount of declared value.Insurance is provided only in accordance with Postal Service TM regulations.in the Domestic Mail Manual(DMM®)which sets forth the specific types of coverage, terms of insurance,and conditions of payment,'Copies of the DMM are available at any Post OfficeTm and online at http://pe.usps.goO.Limitations on coverage include,but are not limited to, the following: Coverage extends to the least of(1)the actual(depreciated)value of the contents at the time of mailing,(2)the cost of repairs,or(3)the limit fixed for the insurance coverage obtained. No coverage is provided for articles improperly packaged or too fragile to withstand normal handling,concealed damage,spoilage of perishable items,prohibited articles,consequential losses,or delay. Other limitations are set forth in the DMM.Coverage terms and limitations are subject to change. International:Indemnity coverage for international Registered Mail is limited to the maximum set by the,Convention of the Universal Postal Union.Seethe International Mail Manual(IMM®)and Individual Country Listings at any Post Office or online at http://pe.usps.gov for limitations of cover- age,prohibitions,and restrictions..Claims for damage and loss of f contents may be payable to the addressee only. - Filing Claims: Domestic:Indemnity claims for loss(article not received)can be filed after,15 days from the date the article was mailed,but no later.than 180 days from that date.All claims for damage or missing contents should be filed immediately,but no later than 60 days from the date of mailing.PS Form 1000,Domestic Claim or Registered Mail Inquiry,is available from any Post Office or at www.usps.com®.Present the following documentation in support of your claim to any Post Office: (1)completed Section A of-the PS Form 1000,(2)dated PS Form 3806,Receipt for Registered Mail,and(3)evidence of value(i.e.sales slip,receipt,or repair estimate)and any evidence of damage(damaged article with mailing container,including any wrapping,packaging,and any other contents that were received). z _ International:To initiate an inquiry for loss,damage,or loss of contents,'call 800-222-1811 (have mailing details available).Inquiries and claims for loss of the registered item must be filed within 6 months of the date of mailing.Claims for damage and complete or partial loss of contents must be filed immediately.In the case of damage or loss of contents,the addressee must present the damaged article with mailing container(including any wrapping,packaging,and any other contents that were received)to the destination administration immediately. PS Form 3806, May 2007, (Customer Copy-Reverse) Registers o Date Stamp Reg. Fee Handling Return r-j v. Charge Receipt d 2 Postage Restricted o Delivery 0 Received by mIL om _ r Customer Must Declare Domestic Insurance up to 525,000 is included Full Value $ � based upon the declared value.International _ Indemnity is limited.(See Reverse). .j FL USE U;a m a` v y. m E a U V�' .. m d Q W Ps Form 3806, eceipt for Registered Mail Copy 2-Post office May 2007 (7530-02-000-9051) No. �v TM A7WX1 Fee Uv THE COMMONWE.ALT-H•OF MASSACHUS TTS Entered in corn'uter: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 21pplitatlon for Misposal 6pstem Construction Permit Application for a Permit to Construct V) Repair( ) Upgrade( ) Abandon( ) ❑Complete System '(Individual Components Location Address or Lot No. 3 3 da,-, L.4, Owner's Name,Address,and Tel.No. Assessor's Map/Parcel I(B(o d l'(p Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Ca aw r� E rvP�1.cs> t,Le y� 15 3 (o,YW e_W t,,'yK fl,-el J ��k) �� Type of Building: r ¢ Dwelling No.of Bedrooms Lot Size + 1 ) y 0 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: p 303� ��fl0^J v-I„� A�� ti-Jl�f�,,.t.�1�9�r Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o Health. Signe Date Jr ' 3 Application Approved by Date� � 3 Application Disapproved by Date for the following reasons Permit No. :) c)lq — �� Date Issued S -3—Z y No. i �t / } V1 � Fee THE COMMONWEAL TKOF MASSACHUS TTS Entered in computer: PUBLIC EALTH DIVISION,-4TOW,N OFBARNSTABLE, MASSACHUSETTS es 2pplication for UtsposaYffipBtrm Construction Permit Application for a Permit to Construct'() Repair( ) Upgrade( ) Abandon( ) ❑Complete System '•Individual Components Location Address or Lot No. '3 e)" L4,,v Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 14, cJ^ (p y Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 4LC I 13 C ^. J C.%V l S (�-e o'ii✓l� C�y� t2 ear r (�JJ 1I rpe of Building: Dwelling No.of Bedrooms Lot Size ( I ) u 0 - sq.ft. Garbage Grinder Other • Type of Building No.of Persons Showers'( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd , y Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) / S1 Tj W� + �-Lu Sb� 41 -A-v41 ki Quuo A5 Date last inspected: / ' �� , 303) 7411U,-1 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation'until a Certificate of Compliance has been issued by this Board of Health. Signe _ Date _ Application Approved'by Date I3 - _ _ T� Application Disapproved by -- Date for the following reasons Permit No. - / Date Issued - y TH ( E COMMONWEALTH OF MASSACHUSETTS T( h BARNSTABLE,MASSACHUSETTS u,, r `` ` Certificate of Compliance 2 U3 THIS IS TO CERTIFY,that the On-site.Sewage Disposal system Constructed(�) Repaired(Xj Upgraded( ) J Abandoned( )by %1 - at a 3 3 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 1 Y "�� dated Installer C-mw.Q,a -J_o. I,L,L Designer E_ r (,Joe—k.S #bedrooms Approved design flow U /1�_ gpd The issuance of this permit sh be co st jed a guarantee that the system w''r ton as designed., Date / Inspector ; / V No. d j l,/ - / 7 Fee /(}d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Vermit Permission is hereby granted to Construct(t>) . Repair(eL) Upgrade( ) Abandon( ) System located at a-� �_ �,,t/k•.� �-e and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date s If /1 L Approved by "W �1 LEGEND PROPOSED TIGHT TANK —— 6 —— EXISTING CONTOUR 3,500 GALLON TANK —W EXISTING WATER SVC. 3032 GALLONS (NET) —G EXISTING GAS SVC. —E UNDERGROUND ELECTRIC EXISTING TIGHT TANK BENCHMARK IN (IN)=3.72(VERIFY) ,oe TO BE REMOVED �g6 \ 'OG V7 4> J W � O U? O -> 01 O O Cn tL N 6? O O O ,EXISTING HOUSE&223) SILL EL.=6.13i \ \ m LOT A APN 166-056 NE::... 20,000 S.F.t °x, x o `. DRIVEWAY' 0.46t AC. '' �O� o J ,0 27 L=116.00 A, — R=344.71 OF MgSX, PA Y LANE o PETER T. NOTE: ALL EXISTING ELEVATIONS, TIGHT TANK AND BUILDING LOCATION ARE TAKEN FROM McENTEE THE APPROVED PLAN ON FILE ENTITLED "SITE PLAN, PROPOSED SEPTIC REPAIR AT CIVIL "' 233 BAY LANE, CENTERVILLE, MA" BY SULLIVAN ENGINEERING, DATED 8/6/12. 35109 THIS PLAN IS AN ALTERNATE TO THE APPROVED PLAN. �9oF fcrsT PROPOSED TIGHT TANK 233 BAY LANE, CENTERVILLE, MA Prepared for: Capewide Enterprises, 153 Commercial St, Mashpee, MA 02649 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. BARNFIELD, MICHAEL A Engineering Works, Inc. 1"=20' P.T.M. 164-14 MIZZENTOP DRIVE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. BERMUDA, ... (508) 477-5313 5/12/14 P.T.M. 1 Of. 2 _a I SEPTIC TANK INSTALL A 24" DIAMETER H-20 RISER, FRAME & COVER OVER INLET AND SET TO FINISH GRADE. COVER MUST RE SECNED TO PREVENT UNAUTHORIZED ACCESS. SILL EL=6.13 F.G. EL.=EXISTING FLOAT TREE ANCHOR IN CONCRETE F.G. EL=5.89(MIN.) MAINTAIN 2% GRADE (MIN.) OVER THE L = 34' TIGHT TANK TO PREVENT PONDING @ S=2% 4"scH40 PVC TOP OF TANK, EL=4.89 6 3" INSTALL 10� ALARM FLOAT ON„SET ESTIMATED WATERTIGHT AT 3/5 CAPACITY MAX. GW EL.=4.03 BOOT EL.=2.16 FROM APPROVED PLAN INV.=3.72 2 9' 7.5" (0,62 POURED CONCRETE BALLAST EL.=(-0.7 TOP OF BALLAST BOTTOM OF TANK, EL=(-1.86) �Ma Am AM PROPOSED TIGHT TANK BY WIGGIN PRECAST, BOURNE, MA EXISTTNG SEWER OUTLET AT HOUSE, INV.=4.32 NOTES: BUOYANCY CALCULATIONS 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS, PRIOR TO INSTALLATION. 3500 GALLON PRECAST SEPTIC TANK (TIGHT TANK) 2) SEPTIC TANK (TIGHT TANK) SHALL BE SET LEVEL AND TRUE BOTTOM OF UNIT EL.= (-1.86) TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). HIGH GROUNDWATER EL.=4.03 (PER APPROVED PLAN) 3) INSTALL INLET TEE, AS REQUIRED. BUOYANCY FORCE PER FOOT OF DEPTH: 4) INSTALL AUDIO/VISUAL ALARM ON SEPARATE CIRCUIT 16.5' x 7.5' x 1' x 62.4 Ibs./cu.ft. = 7722.0 Ibs. IN THE BUILDING MAX. DISPLACEMENT = 4.03—(-1.86) = 5.89' 5) TIGHT TANK SHALL BE SEALED AND WRAPPED AND A POLYMER MAX. UPLIFT PRESSURE = 5.89' X 7722 Ibs/ft = 45,483 Ibs. COATING SHALL BE APPLIED TO THE EXTERIOR PRECAST UNIT. WEIGHT OF UNIT EMPTY = 33,045 Ibs. 6) ALL JOINTS SHALL BE MADE WATERTIGHT. WEIGHT OF SOIL OVER TOP OF UNIT: 7) INSTALLATION SHALL COMPLY WITH 310 CMR 15.260 WEIGHT= LENGTH x WIDTH x DEPTH x 90 Ibs./cu.ft. = 16.5' x 7.5' x 1.0' x 90 Ibs./cu.ft.=11,138 Ibs. MINIMUM BALLAST RECOMMENDED = 9,000 Ibs COMBINED WEIGHT=33,045 + 11,138 + 9000 Ibs. = 53,183 lbs. 53,183 Ibs. >45,483 lbs. DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOMS DAILY FLOW: 330 GPD k4sx, DESIGN FLOW: 330 GPD o�` yG TANK SIZE: 330 GPD x 500% = 1650 GALLON (MIN.) PETER T. r- McENTEE TANK SIZE PROVIDED: 3500 GALLON LESS VOLUME DISPLACED WITH BALLAST o CIVIL "' VOLUME DISPLACED = 9000 Ibs./144 PCF = 62.5 CF = 468 GALLONS No. 35109 REMAINING CAPACITY = 3500 GALLONS — 468 GALLONS = 3032 GALLONS R£61S1E��� �� PROPOSED TIGHT TANK 233 6AY LANE, CENTERVILLE, MA Prepared for: Capewide Enterprises, 153 Commercial St, Mashpee, MA 02649 Engineering by: SCALE DRAWN JOB. NO. Engineering Works, Inc. N.T.S. P.T.M. 164-14 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 5/12/14 P.T.M. 2 Of 2 WIGGIN MEANS PRECAST CO. , INC. P.O. BOX 1507 POCASSET, MASSACHUSETTS 02559 TEL: 508.564.6776 FAX: 508.564.6770 www.wigginprecast.com TOP O COVERS (TY i' (TYP..)) BOTTOM 6'-9 16'-6" 7'-6" 3 3, 3,500 GALLON PRECAST SEPTIC TANK/1-120 AVAILABLE 1N 2 or 3 COMPARTMENT T3500H 4 24" DIA. COVERS (TYP.) I I I I I I I i I I I I I I I 1 1 I I I I I I A I I I I A I I 1 I 7'-6" I I I I I I I I I I I I I I I I I I 1 I I I 1 I I I I I I I I I I I 1 8" KNOCKOUTS PLAN VIEW (TYP.) 6" • 24" DIA. COVERS (TYP.) 3, 8" INLET KNOCKOUTS 6'-9" 8" OUTLET KNOCKOUTS 5'-7„ 5'-4" 4'-10" (SEE NOTE 6)� •:� SUPPORT LIQUID BEAM LEVEL (TYP) 611 CROSS SECTION A-A SPECIFICATIONS 1 .) CONCRETE STRENGTH F'C 5,000 PSI ® 28 DAYS. DENSITY 150 PCF. 2.) CEMENT, PORTLAND TYPE I -OR III. ASTM C150-81 . 3.) ADMIXTURES, AIR & PLASTICIZERS @ ASTM C233-82. 4.) REINFORCING ASTM A615 FOR WIRE FABRIC, GRADE 60 BAR. 5.) DESIGN LOADING AASHTO HS20-44. 6.) CONSTRUCTION JOINTS SEALED WITH BUTYL RUBBER. 7.) WEIGHT 33,045 LBS r s c . � Town of Barnstable Regulatory Services Richard V, Scali, Interim Director • a.nnersaE.a, - "SL Public Health Division Thomas McKean, Director 200 Maim Street, Hyannis,MA 02601 Office; 508-862-4644 Fax; 508-790-6304 I Installer & Desiner Certification Form Date: 51 10A Sewage Permit# c2vtN '- 15`7 Assessor's MapTarcel iPe�r"IC tKtee J°C� Designer: jr ga�;,, Installer- -Add ress: I?- Address: S�— All- On //3tZ-Q'`( C"txrtJt �^° If I` vas issued a permit to install a (date) (installer) septic system at 3 3�t 1 L, C! Vtkg )1 based on a design drawn by (address) % ;F�/1►'t'ZC_ J-e� n E dated 'Z 1 ►y (designer) r T Ill,L.(. certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i,e, greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow, Strip out (if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in comphan' with the terms of the IAA approval letters (if applicable) 1t�OF 4 PETER T. staller's Si gn e) WENTEE CIVIII y ,' No.96100© } 1e1A I pl .t.-IIIL 1 esigner3s Signature) TAffix Designer's 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, QA3eptic\Designer Ceitibcation Form Rev 8.14-13,doc 7 Z Miorandi, Donna From: Crocker, Sharon Sent: Friday, February 14, 2014 11:53 AM To: Miorandi, Donna Subject: 233 Bay Lane, Centerville FYI The owner, Michael Barnfield (British) called and I transferred it to you. His cell#is 441-505-6621. He lives in Bernuda. His issue is his tight tank had leaked, which he had repaired. Since then, he has been trying to get a septic system put in. Two years ago, he was quoted $30K, and he had a big stumbling block due to the property lines were old and unclear and he had to finally negotiate the purchase of a strip of land from his neighbor. Now he has gone back to the engineers for a final quote and was given a cost of$160,000 which is much more than he can do. He is calling to verify if he can replace the existing 1500 gallon tight tank with one of the same size, or possibly one with 2,500 gallons. Please give him a call. Thank you. Sharon Also, His Email: mbarnfield@willis.com 1 Parcel Detail ` Page 1 of 3 t_��7_2 Zlz_;;� AM NSTAD k MASS, .} t"j x �p� )(//�Y��'� e"},,�G as*�'"ub'$•H "may.�}}� . i i�� � ���f�� i.Yff�V� �W-f,�`s• Logged In As: Parcel Detail Monday, February 24 2014 Parcel Lookup Parcel Info _�__ — — Developer ---- Parcel ID I1 66-056 Lot PCL A _ Location,233 BAY LANE _ — —� Pri Frontage I116 �� T Sec Sec Road Frontage Village FCENTERVILLE Fire District EC-O-MM Town sewer exists at this address NO I Road Index F0084 —_ _ _.� _._.............._.I Asbuilt Septic Scan: Interactive '�a `, z�r�ye 166056_1 Map a l 1660562 Owner Info owner BARNFIELD, MICHAEL A I Co-Owner 1#7, MIZZENTOP _ Streetl IMIZZENTOP DRIVE ( Street2 WARWICK WK 06 City IBERMUDA I State I� Zip Country�• I Land Info Acres 0.46 use tSingle Fam MDL-01 ( Zoning�RD-1 J Ivghbd 10115 Topography;Level I Road Paved I .._.-......___-- utilities Public Water,Gas,Septic I Location Waterfront,Excel View I Construction Info Building 1 of 1 Bear 11940 Ext Gable/Hip J Wall all IWood Shingle—) Built Struct Living i 1283 Roof{Wood Shingle I ac Central Area 1 Cover Type I Q Style Ranch Walt nt Plywood Panel I Roomsll Be Bedroom r_. Int ._ Bath Model 1 Residential I Floor IVInyI/Asphalt I Rooms i 1 Full _I ._' . Total Grade jAverage I Type iHot Air I Rooms 15ea - I r— -- - stories 11 Story I Fuel Gas I Foation IConc. Slab Gross 1751 I Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10770 2/24/2014 Parcel Detail i Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 10/12/2011 Remodel 201105049 $75,000 2/22/2013 12:00:00 INTER RENO-2 BTHS- AM KIT-FLR 8/16/2011 New Windows 201104366 $29,000 66/30/2012 12:00:00 REPLC 16 WINDS 2 DRS AM 2/13/2008 Addition 200800300 $26,600 8/7 2008 12:00:00 SUNRM 13X10 AM Visit History Date Who Purpose 11/26/2013 12:00:00 AM Nancy Finch In Office Review 5/18/2012 12:00:00 AM Denise Radley Change of Address 1/25/2011 12:00:00 AM Lisa Henderson In Office Review 8/28/2008 12:00:00 AM Jeff Rudziak In Office Review 8/7/2008 12:00:00 AM Mike Keating Bldg Permit Completed 5/12/2008 12:00:00 AM Paul Talbot Cyclical Inspection 3/16/2005 12:00:00 AM Jason Streebel Meas/listed-Interior Access 6/14/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 9/24/2010 BARNFIELD, MICHAEL A 24854/281 $700,000 2 11/22/2004 BABCOCK, CHRISTOPHER H 19270/57 $975,000 3 10/15/1988 FALLON,JOHN M JR 6477/236 $1 4 1/15/1987 FALLON,JANE C 5536/263 $1 5 5/31/1968 1 FALLON, JOHN M&JANE C 1402/641 $0 Assessment History Save#� Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2014 $95,500 $9,800 $30,800 $686,600 $822,700 2 2013 $95,500 $9,800 $32,100 $686,600 $824,000 3 2012 $95,500 $9,100 $32,000 $632,100 $768,700 4 2011 $133,900 $3,300 $30,700 $632,100 $800,000 5 2010 $133,700 $3,300 $33,300 $632,100 $802,400 6 2009 $150,100 $2,700 $84,400 $773,800 $1,011,000 7 2008 $172,500 $2,700 $84,400 $806,300 $1,065,900 9 2007 $172,500 $2,700 $84,400 $806,300 $1,065,900 10 2006 $154,500 $2,700 $112,900 $714,700 $984,800 11 2005 $101,100 $4,500 $112,900 $671,300 $889,800 12 2004 $77,300 $4,500 $166,500 $671,300 $919,600 13 2003 $63,200 $4,500 $500 $205,500 $273,700 14 2002 $63,200 $4,500 $500 $205,500 $273,700 15 2001 $65,900 $2,400 $0 $205,500 $273,800 16 2000 $61,800 $2,300 $0 $145,400 $209,500 17 1999 $61,800 $2,300 $0 $145,400 $209,500 18 1998 $61,800 $2,300 $0 $145,400 $209,500 19 1997 $69,300 $0 $0 $79,900 $149,200 20 1996 $69,300 $0 $0 $79,900 $149,200 21 1995 $69,300 $0 $0 $79,900 $149,200 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10770 2/24/2014 Parcel Detail Page 3 of") 22 1994 $67,600 $0 $0 $98,100 $165,700 23 1993 $67,600 $0 $0 $98,100 $165,700 24 1992 $76,800 $0 $0 $109,000 $185,800 25 1991 $80,300 $0 $0 $145,400 $225,700 26 1990 $80,300 $0 $0 $145,400 $225,700 27 1989 $80,300 $0 $0 $145,400 $225,700 I 28 1988 $59,400 $0 $0 $100,700 $160,100 29 1987 $59,400 $0 $0 $100,700 $160,100 30 1 1986 1 $59,400 $0 $0 $100,700 $160,100 Photos � � r http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10770 2/24/2014 �zt+e r Town of Barnstable Barn Board of Health �"a�j IIARNS'fABLE. ` I t�, 9 MASS. 200 Main Street, Hyannis MA 02601 �ArfO 39. °,� 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi November 21, 2012 Mr. Peter Sullivan Sullivan Engineering, Inc. P.O. Box 659 Osterville, MA 02655 RE: 233 Bay Lane, Centerville A = 166-056 Dear Mr. Sullivan, You are granted variances on behalf of your client, Michael A. Barnfield, to construct an onsite sewage disposal system with innovative/alternative technology components (Omni RSF) at 233 Bay Lane, Centerville. The variances are granted as follows: 310 CMR 15. 211: To install the soil absorption system with four (4),feet away from the property line, in lieu of the ten (10) feet separation distance required. 310 CMR 15. 212: To install the soil absorption system three (3) feet above the groundwater table elevation, in lieu of the five (5) feet vertical separation distance required. [NOTE: If a dewatered percolation test is performed with favorable results, the applicant is granted a variance to install the SAS only two (2) feet above the groundwater table - elevation in order to reduce the height of the mound.] 310 CMR 15. 227 (5): To install the inverts only two inches above the groundwater table elevation, in lieu of the minimum 12 inches vertical separation distance required. 310 CMR 15. 105: To utilize 1985 historical percolation data to design the system. 310 CMR 15. 225: To excavate only one foot of unsuitable material surrounding the soil absorption system, in lieu of the five feet minimum required. 310 CMR 15. 225: To provide only one foot of separation to the impervious barrier, in lieu of the fifteen feet minimum required. Q:\WPFILES\Sullivan233BayLaneCenterville2Ol2.doc i i ( r '., Town of Barnstable Barnstable - Board of Health 200 Main Street, Hyannis MA 02601 1639. 10 Fo MPS° 2007 e Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790 6304 Paul Canniff,D.M.D. JunichiSawayanagi Mr. Peter Sullivan November 21, 2012 Sullivan Engineering, Inc. P.O. Box 659 Osterville, MA 02655 RE 233 Bay Larne,, ► A 166=056 Dear Mr. Sullivan, You are granted variances on behalf of your client, Michael A. Barnfield, to construct an onsite sewage disposal system with innovative/alternative technology components (Omni RSF) at 233 Bay Lane, Centerville. The variances are granted as follows: 310 CMR 15. 211: To install the soil absorption system with four (4) feet away from the property line, in'lieu of the ten (10) feet separation distance required. 310 CMR 15. 212: To install the soil absorption system three (3) feet above the groundwater table elevation, in lieu of the five (5) feet vertical separation distance required. [NOTE: If a dewatered percolation test is performed with favorable results, the applicant is granted a variance to install the SAS only two. (2) feet above the groundwater table elevation in order to reduce the height of the mound.) 310 CMR 15. 227 (5): To install the.inverts'only two inches above the groundwater table elevation, in lieu of the minimum 12 inches vertical separation distance required. 310 CMR 15. 105: To utilize 1985 historical percolation data to design the system. 310 CMR 15. 225: To excavate only one foot of unsuitable material surrounding the soil absorption system, in lieu of the five feet minimum required. 310 CMR 15. 225: To provide only one foot of separation to the impervious barrier, in lieu of the fifteen feet minimum required. Q:\WPFILES\Sullivan233BayLaneCenterville2Ol2.doc i Section 360-1 of the Town of Barnstable Code: To install a soil absorption system 52 feet away from a bordering vegetative wetlands, in lieu of the minimum 100 feet separation distance required. These variances are granted with the following conditions: (1) No more than three (3) bedrooms are authorized at this property. Dens, study rooms,"offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four bedrooms maximum. A copy of the j recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system and innovative/alternative technology components shall be installed in strict accordance with the engineered plans dated August 6, 2012. (4) The designing engineer shall supervise the construction of the onsite sewage disposal system- and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the plans dated August 6, 2012. (5) The System Owner shall strictly adhere to all nine (9) conditions contained within the Generic - Recirculating Sand Filter approval letter from the Department of Environmental Protection (DEP) entitled 'Approval for Remedial Use' dated March 10., 2008. (6) The wastewater effluent shall be monitored quarterly during the first two years of operation for pH, BOD, TSS, and Total Nitrogen. (7) After the two years, the applicant may.come before the Board of Health at a public meeting to review for any adjustments to the monitoring plan. These variances are granted because the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. This property previously had a 2,000 gallon tight t nk which required frequent pumping. Sincerely ours, Waynef Mill r, M. Chairman Q:\WPFILES\Sullivan233BayLaneCenterville2012.doe ' I r tNE DATE: l o� i a FEE:MASS 9 63 A�� REC. BY ` Town of Barnstable >' SCHED. DATE: � Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION k/ _ I/ Property Address: �.3J� t�GLt j .GLrt,,- �. t ✓t/ Assessor's Map and Parcel Number: 10 o'Jr(o Size of Lot: • 4ef de-re, W etiands Within 300 I'i. I es J3 US1IIeSS 1V il[Ile: No,�'!,A - ` �Subdivision Name: -1 APPLICANT'S NAME: %CJyaj ' &M29 i Al Phone Did the owner of the property authorize you to represent him or her? Yes ✓ No PROPERTY OWNER'S NAME n - CONTACT PERSON Name:. j i&hae-1 l�• Barrt�J>eI9 L Name: W1 i 1/doh hJ/n Gy-j*r, 9,-L72C . /l�ixZtn}dP lit"• �>A,r-rr�u dot,. P o • Address: i�3ar'�u �. �3Ko � Address: $a - is CS&►'Yl JIe� 4f l4 c 4 Phone: phone: 60p" a28'33 4 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) zxc See Q, Q. C NATURE OF WORK: House Addition ❑ House Renovation .❑ Repair oit4EWRSeptic System 0 r—z, Checklist (to be completed by office staff-person receiving variance request application) "J Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form + i Four 4 copies of engineered plan submitted(e.g-septic systemplans) . 4 Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian ) r Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for- Title, V and/or local sewage regulation variances only) ) q Full menu submitted(for grease trap variance requests only) Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], s„: outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC REQUESTED- LOCAL UPGRADE APPROVALS TITLE V REGULATIONS NO. DESCRIPTION REQUIRED REQUESTEI 310 CMR 15.211(SETBACK DISTANCES) 1 SYSTEM TO PROPERTY LINE 10' 4' 310 CMR 15.212 2 * GROUNDWATER SEPARATION DISTANCE 5' 3' 310 CMR 15.227 5 3 . INVERT ELEVATIONS ABOVE GROUNDWATER +12" +2" .. 310 CMR 15.105 4 PERC TEST. 310 CMR 15.255 (2 & 5) 5 CONSTRUCTION IN FILL(BARRIER&UNSUITABLES) 15' & 5'. 1' & 1' TOWN OF BARNSTABLE REGULATIONS CHAPTER 360-1 A 1 SYSTEM TO WETLANDS 100' 50'. GROUNDWATER SEPARATION DISTANCE TO BOTTOM OF S.A.S. REDUCTION OF UP TO 2' ,OVERED UNDER D.E.P. RSF APPROVAL FOR REMEDIAL USE ISSUED MARCH 24, 1995, REVISED MARCH 10, 2008: 4 k. - Sup CLOO, Sw N c� �n tEo RV �n Ter Deck ti 17 cn rn I1yV/�. TITLE: I Existhng Floor Plan 233 Bay Lane; Barnstable Centerville Mass. DA TE. SCALE: August 6, 2012 As Noted I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner APPROVAL FOR REMEDIAL USE Pursuant to Title, 310 CMR 15.000 Name and Address of Applicant: GENERIC— Recirculating Sand Filter Trade name of technology and model: Recirculating Sand Filter (RSF) designed in accordance with Department guidance (hereinafter the "System"). An inspection checklist is part of this approval. Date of Issuance: March 24, 1995 Modified: November 2, 1998, and March 10, 2008 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000, the Department of Environmental Protection hereby issues this Approval for Remedial Use in the Commonwealth of Massachusetts of the System described herein. Use of the System is conditioned on and subject to compliance by the System owner/operator with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. March 10, 2008 Glenn Haas, Acting Assistant Commissioner Date Bureau of Resource Protection This information is available in alternate format.Call Donald M.Gomes,ADA Coordinator at 617-556-1057.TDD Service-1-800-298-2207. MassDEP on the World Wide Web: http://www.mass.gov/dep Zia Printed on Recycled Paper I Generic Approval for Remedial Use 2 of 6 Recirculating Sand Filter—March 10, 2008 Modification I. Purpose 1. The purpose of this Approval is to allow use of the System in Massachusetts, on a Remedial Use basis. 2. With the necessary permits and approvals required by 310 CMR 15.000, this Approval for Remedial Use authorizes the use and installation of the System in Massachusetts. 3. This Approval authorizes the use of the System where the local approving authority finds the following: a) that the System is for upgrade of a failed, failing or nonconforming system, and b) the design flow for the facility is less than 10,000 gallons per day (GPD), and there is no increase in design flow to be served by the System. The System, as approved in this Remedial Use Approval, cannot be used for new construction or where there is an increase in design flow. The System may only be installed on facilities that meet the criteria of 310 CMR 15.284(2). II. Design Standards 1. The System has a recirculation tank and pump, and an underdrained open sand filter. Effluent from the septic tank is collected in the recirculating tank, where it is mixed with the effluent returned from the sand filter. The mixture is periodically pumped onto the sand filter and evenly distributed over the filter surface. A drain line, at the bottom of the sand collects the sand filter effluent and returns it by gravity to the recirculating tank (or if the tank is full, to the pump chamber). A Massachusetts registered professional engineer or registered sanitarian may design a System in accordance with 310 CMR 15.220(1). 2. The System shall be installed between the septic tank and the pump chamber of a standard Title 5 system constructed in accordance with 310 CMR 15.100 - 15.270, subject to the provisions of this Approval. 3. The System may be used in soils with a percolation rate of up to 90 min./inch. For soils with a percolation rate of 60 to 90 min./inch, the effluent loading rate for the soil absorption system(SAS) shall be 0.15 gpd/ sq.ft. 4. The System must be designed in accordance with the Department's guidance titled Recirculating Sand Filters (RSF)Design Guidance, dated April 2006. This guidance can be viewed on the DEP's internet site at http://www.mass.gov/dep/water/laws/policies. htm#t5guid within Title 5/Septic Systems Guidance. 5. All access ports and manhole covers shall be installed and maintained at grade to allow for maintenance of the System. Control panel(s) including alarms shall be mounted in a location accessible to the System operator. I Generic Approval for Remedial Use 3 of 6 Recirculating Sand Filter—March 10, 2008 Modification III. Allowable Soil Absorption System Design 1. The following reductions are allowable for Soil Absorption Systems (SAS) when designing the System. A. The approving authority may allow up to a 50 percent reduction in the area of the soil absorption system required by 310 CMR 15.242; or B. The approving authority may allow a reduction in the required separation between the bottom of the SAS and the high groundwater elevation of up to two feet. This provides a minimum separation of two feet(in soils with a recorded percolation rate of more than two minutes per inch) or a three feet (in soils with a recorded percolation rate of two minutes or less per inch); or C. The approving authority may allow a reduction in the required four feet of naturally occurring pervious material in an area with no less than two feet of naturally occurring pervious material, provided that it has been demonstrated that the four foot requirement cannot be met anywhere on the site. EXCEPTION: If a remedial System needs more than one of the allowable reductions listed above, then the reductions must first be approved by the local approving authority and then approved by the Department pursuant to 310 CMR 15.284 through filing a BRPWP 64c permit application. 2. Additional reductions allowable for Soil Absorption System (SAS) when designing the System: A. When using IA, 1B, or I above for the System where full compliance with 310 CMR 15.000 is not feasible, the local approving authority may consider granting local upgrade approvals in accordance with the provisions of 310 CMR 15.401 — 15.405. For example: i. When an applicant chooses up to a 50 % reduction in the SAS area with the use of I/A technologies, the local approving authority may grant a local upgrade approval for reduction to estimated high groundwater in accordance with 310 CMR 15.405(1)(h). ii. When an applicant chooses up to a two foot reduction in the estimated separation of high groundwater from the bottom of the SAS area with an I/A technology, the local approving authority may consider granting a local upgrade approval for SAS reduction in accordance with 310 CMR 15.405(1)(c). iii. When an applicant chooses a reduction in the naturally occurring soil with the use of an I/A technology, a local upgrade approval may grant either a reduction in SAS area in accordance with 310 CMR 15.405(1)c or a reduction in groundwater separation in accordance with 310 CMR 15.405(1)(h). B. If any remedial system is still not able to achieve full compliance with all of the minimum set back distances in 310 CMR 15.211, even taking into account provisions for local upgrade approval in accordance with the provisions of;.310 CMR 15.401 — Generic Approval for Remedial Use 4 of 6 Recirculating Sand Filter—March 10, 2008 Modification 15.405 the applicant must obtain variance(s) from the approving authority and then approval from the Department pursuant to 310 CMR 15.410 through filing a BRPWP 59b permit application. IV. General Conditions 1. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer. Accordingly, no new System shall be constructed and no System shall be upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless a variance as provided for in 310 CMR 15.004 is obtained. 2. Pressure distribution designed in accordance with Department guidance is required. The Department's Pressure Distribution Guidance, dated May 24, 2002, can be viewed at http://mass.gov/dep/water/laws/policies.htm#t5guid under Title 5/Septic Systems Guidance. 3. Any required operation and maintenance, monitoring and testing shall be performed in accordance with a Department approved plan. Any required sample analysis shall be conducted by a U.S. EPA or Commonwealth of Massachusetts approved testing laboratory, unless otherwise provided in the Department's written approval. It shall be a violation of this Approval to falsify any data collected pursuant to an approved testing plan, to omit any required data or to fail to submit any report required by such plan. 4. The facility served by the System, and the System itself, shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 5. In accordance with applicable law, the Department or the local approving authority may require the owner of the System to cease use of the System and/or to take any other action as the Department or the local approving authority deems necessary to protect public health,,safety, welfare or the environment. 6. Design, installation and use of the System shall be in strict conformance with this Approval, the DEP's design guidance and specifications and 310 CMR 15.000, subject to the exceptions allowed in this Approval. The RSF Design Guidance can be viewed on the DEP's internet site at.http://www.mass.gov/dep/water/lawslpolicies.htm#t5guid within Title 5/Septic Systems Guidance. V. Conditions applicable to the System Owner 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed. 2. Effluent discharge concentrations shall meet or exceed secondary treatment standards of 30 mg/L biochemical oxygen demand (BOD5) and 30 mg/L total suspended solids (TSS). The effluent pH shall not be less than 6.0 or more than 9.0 standard units (S.U.). 3. Any effluent samples shall be taken at a flowing discharge point, i.e. distribution box, PUMP chamber or other Department approved location downstream of the treatment unit. Generic Approval for Remedial Use 5 of 6 Recirculating Sand Filter—March 10, 2008 Modification Any required influent sample shall be taken at a point that will provide a representative sample of the influent. The system designer, subject to written approval by.the Department, shall determine influent sampling locations. 4. Operation and Maintenance Agreement: A. Throughout its life, the owner shall operate and maintain the System in accordance with the RSF design document, designer's operation and maintenance requirements and this Approval. To ensure proper operation and maintenance (O&M), the owner shall enter into an O&M agreement. No 0&M agreement shall be for less than one year. B. No System shall be used until an O&M agreement is submitted to the approving authority which: i. Provides the name of an operator competent in providing services consistent with the System's specifications, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00, that will operate and monitor the System. The .operator must inspect and field test Systems installed at single family homes at least every six months in accordance with the Department's policy and anytime there is an alarm event, and for all other Systems at least every three months and ,:anytime there is an alarm event. This Department policy,Inspection and Sampling in Title 5 I/A Single Family Home Remedial and General Use Treatment Systems with Design Flows Less than 2000 gallons/day can be obtained on the internet at http:11mass.gov/dep/water1 wastewater/iatechs. htm. ii. Contains procedures for notification to the Department and the local board of health within five days of a.System failure or alarm event and for corrective measures to be taken immediately. 5. Effluent from Systems serving single family residential facilities shall be field tested in accordance with the above referenced Department policy. For non-residential facilities and all facilities with design flows of 2,000 GPD or greater, System effluent shall be sampled for laboratory analysis at least quarterly for the following parameters: pH, BOD5, and TSS. 6. The System owner shall at all times have the System properly operated and maintained in accordance with this Approval, the designer's operation and maintenance requirements and the Company's approved procedures and sampling protocols. The System owner shall notify the Department and the local approving authority in writing within seven days of any cancellation, expiration or other change in the terms and/or conditions of their O&M agreement. 7. Prior to transferring any or all interest in the property served by the System, or any portion of the property, including any possessory interest, the System owner shall provide written notice of all conditions contained in this Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part thereof a copy of this Approval for the System. The System } t Generic Approval for Remedial Use 6 of 6 Recirculating Sand Filter—March 10, 2008 Modification owner shall send a copy of such written notification(s)to the Department and local approving authority within 10 days of such notice being given. 8. By January 3 1"of each year for the previous year, the System owner shall submit to the local approving authority all data collected in accordance with item 6, above, including all Department Title 5 IA O&M checklists and System technology checklists completed during the previous calendar year by the System operator for each inspection performed. The RSF Operation&Maintenance Inspection Checklist can be obtained on the internet at http://mass.govldep/water/wastewater/iatechs.htm under Remedial Use and Recirculating Sand Filters. 9. Prior to the issuance of a Certificate of Compliance for the System, the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office, a Notice disclosing both the existence of the alternative septic system subject to this Approval on the property and the Department's approval of the System. If the property subject to the Notice is unregistered land, the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice, the System owner shall submit the following,to the Department and the local approving authority: (i) a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number; and (ii) if the property is unregistered land, a Registry copy of the owner's deed to the property, bearing the marginal reference. VI. Reporting 1. All notices and documents required to be submitted to the Department shall be submitted to: Director Wastewater Management Program Department of Environmental Protection One Winter Street - 5th floor Boston, Massachusetts 02108 VII. Rights of`the Department 1. The Department may suspend, modify or revoke this Approval for cause, including, but not limited to, noncompliance with the terms of this Approval, non-payment of any annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety, welfare, or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Approval and/or the System against the owner, or operator of the System, and/or the designer. • • COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete 11OW19flature item 4 if Restricted Delivery is desired. gent ■ Print your name and address on the reverse X ddressee so that we can return the card to you. B. Received b ( 'nted Name) D.to f D live ` ■ Attach this card to the back of th mailpiece, � or on the front if space permits. R�A or D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: g� a� If YES,enter delivery address below: ❑No Prop M:186024 BARNSTABLE,TOWN OF(CON) CONSERVATION COMMISSION 3. jerviceType 200 MAIN ST• Certified Mali ❑Express Mail HYANNIS,MA 02601 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Artioie. 1 7010 �1670 0001.- 6303 i 0629 (TfarlS/er from mm service 1368/), - rep r e i,t ,i t F s+ + 1 - Ps Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1546 1 _ _ I f UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • I I I I Sullivan Engineering, Inc. P O Box 659 Osterville, NIA 02655 I I � I I f1'L!II lfill!J:11111difI ,ll:s�:IJJ!H1JJJI,[:lid I � . SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete signature item 4 H Restricted.Delivery is desired. D ❑Agent ■ Print your name and address on the reverse X - ❑.Addressee so that we can return the card to you. "B. Re-ved by(Printed Name) jll6e of D ivery ■ Attach this card to the back of the mailpiece, 'or on the front If space permits.- n y D D. Is delivery address different from item 1? Yes 1. Article Addressed to: °l ,��ul If YES,enter delivery address below: ❑Nam I Prop ID:166057 RUGG,WILLIAM C&JEANNE BI 251 BAY LN CENTERVILLE,MA 02632 3. Service Type I Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes i 2. Article Number ' ' ` i i s (Transterfrom service►abeq 13 1 11 1 t 7"01ip 16 7 0^.1 0 0 Q 1r r 16'3 0 31 6 G PS Form 3811,-February 2004` Domestic Return Receipt 102595-02-M-1540 1 UNITED STATES.POSTAL SERVICE :��.�.¢�C1i V V'VA*. r-�o Paid • Sender: Please print your name, address, and Zh m7; i�#�n his b I Sullivan Engineering, Inc. P O Box 659 Osterville, MA 02655 I I ' I i !llli!!!1!fill!!.ill!2i :k i1!0111 ?!'1;idi i.?Elid!fit:Ei3il i I E I COMPLETE •N 1 COMPLETE THIS SECTIONON DELIVERY • Complete items 1,2,and 3.Also complete nV V10item 4 If Restricted Delivery Is desired. F ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we Can return the Card to you. Received Prin d Name C. at/of D ivery ■ Attach this card to the back of the mailpiece, \�l,T ` or on the front if space permits.Zar.,A• Jlt v� pu�Tot D. Is delivery address different from item 17 ❑Yes 1. Article Addressed to: }�er3�Y lj If YES,enter delivery address below: ❑No Prop ID:196013 i KEVLES,DANIEL J BE ` t y 3. Service;Type i Certified Mail--El-Express Mail- Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number £7 010 !16 7 D 0 0 01 6,503 D 61`2 (transfer from service labeO t�1 i _ _ i e ,@,S.Eorm 3$11_Februanc21104 Domestic R urn,Receipt:~ '_ 1025s5-02-M-.t540' UNITED $TATW N Eig tl— -Z. ""` ts^ irs- aid lie • Sender: Please print your name, address, and ZIP+4 in this box • I Sullivan Engineering, Inc. P O Box 659 I Osterville, MA 02655 I I �. ., i��fi}?113i?flFf!1i+??�!I'.11Fl!J1�3:}li3lliil?-tlFl.t��9?:F�"FF1:1 r ~ ` Page 1 of 1 �hl�v2.ni1,/kL. �: ISGceS_S i�� . Crocker, Sharon 60 W From: Peter Sullivan [peter@sullivanengin.com] Sent: Thursday, April 05, 2012 11:11 AM To: McKean, Thomas Cc: Crocker, Sharon _ Subje !i.'2gBay_Lane�Centerville,Tight Tank Modification,. O� RE: 233 Bay Lane Centerville Michael A. Barnfield Tight Tank Modification Hi Tom, Mr. Barnfield has recently bought this property which has a tight tank. I did the original tight tank design back in the mid 1980s. The owner is interested in looking into possibilities of a grey water system. I have talked to Brian Dudley at DEP and he is willing to work out a solution but I did not want to get too deep into the problem solving without initial direction from you and your Board. Is this an item we can place on the agenda as "discussion"for the next hearing April 26, 2012? Where this is a "discussion" item I assume there is no fee and no need to notify abutters, correct?-��*, c o-',-v_c I look forward to hearing from you. Best regards, . Peter Peter Sullivan PE Sullivan Engineering, Inc. 508-428-3344 I nN.a Hi I aAe 1-71 rq 1 1 4/5/2012 �p4 THE Tp� Town of Barnstable Barnstable Regulatory Services Department AI-AmedcaCity i BARNS-FABLE, " 39. t6gq. Public Health Division �0 200 Main Street, Hyannis MA 02601 2007 m Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO 11/22/2010 Michael A. Barnfield 4 Westwood Lane Paget PG 05 Bermuda Thank you for your recent phone call regarding the tight tank at 233 Bay Lane, Centerville, MA. Unfortunately, outgoing international phone calls are not allowed from my phone, so I was unable to respond to you directly. Our records show the tight tank at 233 Bay Lane was lasted pumped on 4/14/2010. The Department of Environmental Protection requires pumping of tight tanks every three months. Enclosed is a list of septage haulers that you can contact, to set up a contract for pumping. Please submit a copy of pumping records to this office at mailing address: Town of Barnstable Health Division, 200 Main St. Hyannis, MA 02601. However, if the property is not occupied year-round, or other circumstances exist that may require pumping less frequently; you may request a hearing before the Board of Health. Please send a written petition requesting a hearing within seven days of the date of your receipt of this letter. I have suspended any citation and extended the pumping deadline to 12/31/2010, because of your prompt response to our letter of 11/08/10. Nonetheless,your continued cooperation is important to protect water quality and public health. If you have questions, please call me at(508) 862-4641 on Monday, Wednesday or Friday. I f you can't reach me at my desk, e-mail would be great(see below.) Karen Malkus Coastal Health Resources Coordinator karen.malkus@town.barnstable.ma.us (508)862-4641 P:\Tight tanks\Follow up 233 Bay Lane.doc Hauler Labels 11/22/2010 '. Hauler Street Address F Village, St, Zip Phone# Fax number A& K Septic 565 Carriage Shop R E. Falmouth, MA 02536 540-6706 Ace Cesspool Service, Inc. P.O. Box 534 Centerville, MA. 02632 775-1056 & 362-3400 B & B Excavation 14 Teaberry Lane Foresdale, MA 02644 477-0653 Blue Water . 350 Route 28 W. Yarmouth, MA 02673 775-0139 Bortolotti Construction, Inc. P.O. Box 704 Marstons Mills, MA. 02648 771-9399 &428-8926 Bouse House P.O. Box 492 Forestdale, MA 02644 888-2010 Capewide Ent P.O. Box763 Centerville, MA 02632 428-4028 Carl F. Cavossa, Jr. 210 Nathan Ellis Hyw E. Falmouth, MA. 02536 540-3933 D.J. Burnie 105 Ferndock Street, :Hyannis, MA 02601 508-432-7420 Discount Septic P.O. Box 1466 'Harwich, MA 02645 240-2500 664 394-7778 E.F. Winslow Company8 Reardon Circle S. Yarmouth, MA 02 r Ellis Brothers.Construction P.O. Box 59 Yarmouthport, MA. 02675 362-6237 Falmouth Cesspool 3 Agawam Point Roa Burne, MA 02532 548-3412 se- .Ford Septic Services P.O. Box 40 ;0stervill, MA 02655 Di)-8 62-.9400 Gibbs Septic 2 Oriole Lane Sandwich, MA 02563 888-5871 Hickey Septic Service P.O. Box 2078 Teaticket, MA. 02536 790-4888 '"'�" Holler& Son P.O. Box 702 Marstons Mills, MA 02648 '420_-0280 Johnny Flo P.O. Box 54 W. Bridgewater, MA 02379 479-5646 LeBoeuf Septic 71 Beth Lane ;Hyannis, MA 02601 775-0707 -- 1 5 ►-' Misty Meadows iP.O. Box 762 Orleans, MA 02653 790-8020 Pastori Excavation P.O. Box 1289 ;Foresdale, MA 02644 428-9300 Pete DeBarros P.O. Box 97 'Marstons Mills-MA 0264.8 `:428-1087 Ready.Rooter P.O. Box 371 Sandwich, MA 02563 '888-6055 '508-888-0242 Roberts Septic 88 Huckleberry Lane Marstons Mills 648-5307 Scott Frank 271 Pine Street Centerville, MA 294-0069 & Soares Sanitation 285 Thrasher Street Taunton, MA. 02780 824-8370 Suburban 55 Messina Drive Braintree, MA 02184 781-848-1580 Wall Septic Service P.O. Box 771 Harwichport, MA. 02646(sve,432-4908 Warren Cesspool Service 72 Sandwich Road E. Falmouth, MA. 02536 540-7143 Wind River Environmental 120 Great Western R 'Dennis, MA 02638 760-4827 Steve M*'�?) zo-"4 2.. Page 1 Rostal Service,. (Domestici IFIED MAIL,. RECEIPT Only, . Provided) Ln I -:I- � For delivery information visit our website at vvww.usps.come I , Postage $ e0e Certified FeefU O Return ReceiptFee Q (Endorsement Required)Restricted Delivery Fee(Endorsement Required) r" flJ Total- &Fees M Sent To 43 o .............�I.h -�------------------- M Street,Apt.No.; C/o M C c-h4 e r r-we:1 -_ 17` or PO Box No. Ll - -- ----------——wc� {w -- n-Z, City,State,ZIP+4 Pc yam} p G- 6 T- i TY 1 cA PS Form :fir August 2006 See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt. ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Maile. 6 Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail ■ Foran additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt,is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 �VE ram, Town of Barnstable Barnstable ti n Regulatory Services DepartmentBAMSrABM 9� ;�: Public Health Division m a 200 Main Street, Hyannis MA 02601 2007 { Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Chris Babcock 11/08/10 c/o Michael A Barnfield 4 Westwood Lane Paget PG 05 Bermuda According to our records, the tight tank owned by you located at 233 Bay Lane, Centerville MA, has not been monitored and/or pumped every three months as required by the Massachusetts Department of Environmental Protection. Therefore, you are ordered to hire a licensed septage hauler to have the tank pumped on, or before November 30, 2010. After that date, the tank shall be pumped once every three months. If your tank was already pumped sometime within the.past three months, please submit a copy of the receipt for the pumping. Our last record of pumping is from 4/14/2010. Please submit a copy of the pumping record(s) to this Office at mailing address: Town of Barnstable Health Division, 200 Main Street, Hyannis, MA 02601. Failure to comply with an order of the Board of Health may result in the issuance of $100.00 non-criminal ticket citations. Tickets may be issued daily until the violations are corrected. You may request a hearing before the Board of Health, if written petition requesting same is received by the Board within seven days of the date of your receipt of this letter. PER ORDER OF THE BOARD.OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Y t'• Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments' ,M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town 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. Important: A. General Information When filling out forms on the �,'� computer,use 1. Inspector: (/ only the tab key to move your Robert Paollnl cursor-do not use the return Name of Inspector key. Capewide Enterprises,LLC. Company Name raa P.O.Box 763 Company Address Centerville Ma. 02632 'e7 City/Town State Zip Code (508)428-4028 S14454 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,Mx intenande;bf orate sewage disposal systems. I am a DEP approved system inspector pursuant,ta Section 1"5'.340 Title 5 (310 CMR 15.000).The system: = " 01 ® Passes ❑ Conditionally Passes ❑ Fiis N ' ❑ Needs Further Evaluation by the Local Approving Authority - - 3/9/2010 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. /I� t5ins•09/08 Title 5 Official Inspection Form:SubsurfacISage Disposal Syst em•Page 1 of 17 Commonwealth of Massachusetts L W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments ,M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town 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: ® 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: 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. 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): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 J Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ 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): 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. CitylTown State Zip Code Date of Inspection B. Certification (cont.) 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. ❑ 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 than Y2 day flow t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ ® 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 Health 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. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 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 (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information Description: Tight Tank with alarm. Number of current residents: 1 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)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 3/9/2010 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) 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: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): 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 ❑ 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 DEP approval. ❑ Other(describe): t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 12"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. 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: t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 233 Bay Lane Property Address Christopher Babcock . Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) 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, ( P P 9 liquid levels as related to outlet invert, evidence of leakage, etc.): 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 t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town 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.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: 1' Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: 6'6"x5'8"x12' Capacity: 2000gallons Design Flow: 220 gallons per day Alarm present: ® Yes ❑ No Alarm level: Alarm in working order: ® Yes ❑ No Date of last pumping: 3/9/2010 By James Ford Date Comments (condition of alarm and float switches, etc.): High water float and alarm in proper working order. *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ® No t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (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.): 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °wM 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 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 Indication of groundwater inflow ❑ Yes ❑ No t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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.): t5ins-09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 ,Map Page 1 of 2 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size ■ ■ Zoom Out lIn r aggy y'i'j y +Rid qf� —YA .Y' mx4ar - xyf',v r - s r ap �. r A. MomY24 Ix t / ... '/ O it AN f / \ i ''; - .sf+ .i, •s;' X ANS I .........4++ e t Set Scale 1" = 20 I Aerial Photos I MAP DISCLAIMER (`nnvrinhf 9MF_9M(1 TnFun of R.—O.W. KAA All rinhfc reenn,: Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells ' 6, Estimated depth to high 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: 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: USED:USGS Observation Well Data.USED:Technical Bulletin 92-0001 plate#2 annual ranges of groundwater elevations. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 233 Bay Lane Property Address Christopher Babcock Owner Owner's Name information is required for Centerville Ma. 02632 3/9/2010 every page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 SEWAGE: TN"PECTIONS O 6IL DATE I f Q VILLAGE ASSESSOR'S MAP & LOT •INSPFCTOB JeT ' i5on Z. o SEPTIC TANK CAPACPI'Y Tank 4— LEACHING FACILITY: (type) (size) NO.OF BEDROOMS LUILDER OR OWNER .��)2L OWNER MAILING ADDRESS 0 r DATE 11112104 PROPERTY .ADDRESS 233 Bay Late RECEIVED rPnto�,,; aea, rt� N0V 19 2004 02632 T OwF1EOLTH DEPTABLE On the above date, theaiieptic system at the address above was inspected. This system consists of the following:. �(® AP , 1.11-2000 gaiion tight .tank. " 2. 1-K.igh watea ievei (-tight aiaam) ARCEL Based on inspection, I certify the following conditions: 3.7he zept.ic zyztem .iz :in paopea woak.ing oacLea at .the paezent time.. SIGNATURE Name: Robert A. Paolini Company: Jose-ph P. Macomber & Son Inc . Address: P. O. Box 66 Centerville, Mass 02632 Phone: 508-775-3338 or 508-775-6412 -JOSEPH P. MACOMBER & SON;: INCW Tanks.Cesspools-I.eachfiekls 'Pumped A.:Installed Town Sewer Connections P.O. Box 66 Centerville, MA.02632-0066 775.330 . 775-6412, COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OPPICY OF EimRoNMSNTAL AFFAIRS DEPARTMENT*OFENVIUMMENTAL'PROTICTION TITLE 5 OFFICIAL INSPECTION FORM—•NO.YFORVOLI3NTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL;SYSTEM FORM PART•A CERTIFICATION: Property Address: 3 3 Bag-' Owner's Name: John�Tc (!Pnn Owner's Address: Saner_ Date of Inspection: 1 1/12/n 4 Nance of Inspector: (please print) Company Name: �.� P .8a co!n,9Q,t Mailing•Addt'ess: Rn.x6 6a� .a. CP_n env c e, 026 32 Telephone Number: 50 8-.7 7 3 3 3 CERTIFICATION STATEMENT 1 certify that I have personally inspected the sewage disposal systgn,at this address and that,the.information reported below is true;accurate and complete as of the time of the inspection.-T-he inspection-was performed based on my training and experience in-the proper function and maintenance of on Bite sewage disposal systems.I am a DEP approved system inspector pursuant tbo-Section.15340.of•T,it1e 5(314 CMR45-.000). The system: xxx Passes -Conditionally Passes Needs Further Evaluation.by the Local Approving,Authority Fans -= ctor's Si ai�ure: J«' Cat. Date: Inspe lam. The system inspector shall submit a copy of this inspection•reportjo the.Approvinp Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system:is.a.shared syseem or has a design flow of 10,000 gpd of greater,the inspector and the system submit the report to the appropriate regional,ofliee of the DEP.The original s2nould be sent to the system ovmei and copias sent co the buyer,if applicable,and the approvra9 authority. Notes and Comments ****Tbis•report only describes conditions at the time of inspectidn'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. .---- �....,, A/i cmnnn. naee 1 Page 2 of 11 OFFICIAL INSPECTION:FOIWi—.NOT:FORVOLUNTARY ASSESSIIW'!kTS SUBSURFACE SEWAGE DISPOSAL WSTZM INSPECTION FOI PART-A CERTIFICATION(continued) Property Address: 233 Bay Lane Lent e2z e, Na., owner: a o h n 777on Date of.Inspection: 7 7/7 2/0 4 Inspection Summary: boefC A; ;C,D or E/A__AY'S?oompdete4d1 of Section,D A. System Passes: n° I have not found any information which indicates'haian� 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: n o One or more system components.as described in the"Conditional:Pase isection 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. aA .The septic tank is riietaLand.aver20 years odd*or the septic-tank(whether-metal.or not)is;strachually unsound,exhibits substantiat infiltration or exfiltration.or.tank.failore is,(mn�inenL System.will pass inspection ifthe existing tank is replaced with'a complying septic Unk.•asAW:oy-ed by.the':Soard of Health. •A metal septic tank will pasi 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: 110 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 pipes).are replaced. . obaiidtion it removed' distribution box is leveled'ori'eplaeed ND explain: no 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: Page 3 of I 1 OMCIAL 14NSFECTION FORM-NOT YOR VOLUNTARY ASSESSMENTS SUBgt"A CE SEWAGE DISPOSAL S'YS�'E1�i INSPI�CTI�4N�`�R1VI PART°A . . CIZRT CAIRON(6ontimed) Property Address: 2 3 3 /3 a y Lan e '�nnfo/7IL I�I�P �d ' Owner:. '/nl�n xne�nn Date of Inspection:-.T. ,L , C. Further Evaluation•b Required by the Board of Health: no Conditions.exist which.regpire f ir.dwt•.evaluatiou by•the BMd:of'�Heaith:m•orderito;determine ifthe system is failing to protect public•health,.safety or the environment. ( 1. System will Vass rsnless Board Qf a'n gealth deterAftestiir acaordce with 310.CIVIl<t 15:3031)(b)that the system is-not Metionibg in.a•inantier which:wlll•protect public health,safety•anO•the-.environment: n o Cesspool or privy is.within,50 feet of asurface water n o Cesspool or privy is within 50 feet of•a bordering vegetated wetland or a salt marsh. 2. System will fall unless the Board-of Health{and Public Water SupplierAf any),determines:that the system is functioning in a mariner that proteets theprlblic Health,safety and environment: n o The system has a septic tank and soil absoip#on'system•(SA•S).:and the SAS is within 100 fe.et.of a surface.water supply or-tributary to asurfface water.supply. n o The system-has•a.septic tank and SAS and the,SAS isvwithin a Zone 1 of a-public wateresupply. no The system has a septic tank and.§AS and the SAS is within,50 feet of a private water.supply well. no The system has aseptic tank and SAS and the•SAS is less than 100 feet.but 50 feet oymiore from a private water supply well".Method used to determine distance- **This system passes if the well water analysis,performed at a)CEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from-pollution front that facility 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 Page 4 of 11 OFFICIAL•INSPEETION FORM-NOT'FOR.VOLUNTARY ASSESSMENTS' -SUBSURFACE StEWAGE DISPOSAL SYSTEM.I1 PEC.-ON,FORM PART A CERTMCATION(gontinued) Property Address:2 3 3 Prj44 onfe2yCQ�E. Nav Owner: 7,,h n Z g LP_Q n. > Date of Inspection:''1 j/1 210 D. System Failure Criteria applicable to all systems:. You must indicate."yes".or"no"to.each.ofthe:followirig.for ap jnspections: . Yes No f _ into=fattty:.orsystet�cQmponent-due•.taoverloaded.orclogged-SAS..or.cesspoo l Backup of seftg�-_ l _ x ' Discharge:or-ponding of e$luent to the.stlrface-ofthe:,ound Qr..surface:waters due te.an�overloaded or clogged SAS or cesspool x Static liquid level in the distribution box above•outlet invert due to an-overlbaded or clogged SAS or cesspool x 4iquid depth in-cesspool is less than.6"below invert or.availabiepvolume is less than%.day flow x Required pumping more,than-4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped x Any portion of the SAS;cessp6ol-or privy is below High ground water elevation. _ x Aiiy.portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water-supply. x Any portion:ofa-cess}pool-or.privy 1s'.withinaZ one!Iofa;public.well.. x Any portion of a cesspool-or privy is within 50 feet of a private water supply well. _ x 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.passei if the well wateranalysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic.compounds Indicates:that the well is.free from pollut{oq:itioin: bat.facil#ty and:thg presence,of ammonia nitrogen and nitrate nitrogen is equal to or less than.s.ppm,provided that no other failure criteria -are-triggered.A copy of the analysis-niust be attaehed.to this fob.] . n o .(Yes/Na)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 Health-to determine what will be-necessary to correct the failure. E. Large Systems: -To ba considered a large system the:systtm must.serve.a.aeility,with.a.deslgn flow 1of 10,A00 gpd-to 153 00. gpd• You must indicate either"yes"or"no"to,each of thF following: (The following criteria apply to large systems in addition to-the criteria-above). yes no the-system i§within 400 feet of a surface drinking-water supply — x the system is within 206 feet of a tributary to a surface drinking water supply x. the:system is located In a nitrogen sensitive area(1nterim Wellhead Protection Area IWPA)or a mgpped 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. 4 i Page 5 of I 1 OFF I'CI'AL INSPECTION.FORM-NOT FOR VOLUNTARY EM '1�Ia MFNTS i-. $ URFACE SEWAGE DIS gO'S ART�YS CBECIMI- ST Property Address: 233 Bali Lane C foa>>iOOo P]n Owner: , Date of Inspectioir: ""�� 1 4 Check'if the following have been.done.you must indicate% s"or"n4"as to each.of the oiiowin Yes No pupg information was provided by the rlwner,occupant,or$oard of Htalth _ x Were any of the system components pumped out in the previous two weeks? x Has the system received normal flows in the previous two week period? _ _ x Have large volumes of water been introduced to the system recently or as-part of t4inspcetion? x _ Were as built plans ofzthe system'obtained and examined?(If they were not available'bote is N/A) T inspected for signs of sewage back up? x Was the facility.or•dwelling x Was the site inspected for signs of break out? x Were all system components,excluding the SAS;located on site I manholes uncovered;topened;and the interior of the tank inspected for the condi x Were the septic tank of the baffles or tees,material of construction,dimensions,depth oFliquid,depth of sludge and depth-of scum? x _ Was.the facilityowner(and occupants if diffbrent from owner)provided with information on the prol maintenance of subsurface sewage disposal systems? Soil Absorption System(SAS)on the site.has been detenybed based on The size and location of the Yes no le lan at the Board of. lfIealtli. x Existing information:For examp, a p x Determined in the field(if any of the failure criteria related to Part C is at issue approxittmon-.of di.,is_unacceptable)[310 CMR 15.302(3)(b)]. Ott Page 6 of 11 , OFFL I AL-ANSPECTIaON::)F0RU-NOT FOR VOLUNTARY ASSESSMENTS SUBS 'ACE-9WAGE DISP;OSAL—SYSTItM,�INSPECT14OL.��T FORM PART.0 SYSTEM.Il•IF•OPJVUTION Property Address: 233 Bay Lane . en e2v c e, Na., Owner: lohn -Tai-eon Date of Inspection:. 1 2. FLOW CONDITIONS RESIDENTIAL Number of bedroAms(desigr Number of bedrooms.(actual): 2 , DESIGN flow based on•310 C1VT1I 15.203,:0for exaiiiple:'l I0 gpd z#•6fbedrobms):11 Number of current residents:.: D'oestesidence have a garbage grinder(yes br no):a o Is laundry on a separate sew e.System.(yes or.no):n o Eif yes separate anslaeet1on required] Laundry system inspected(yes or no):gLe,6 Seasonal use:(yes or no): o UU (-!C,A A W nater meter readings,if available(last 2 years usage(gpd))81Cn . 1�O, Sump pum (Yes or no): no (a,c)bo Last date of occupancy: R a e z e n t COMMERCI lhfl6USTRIAL ' Type of es na na- Desi.gn flgw on 310 CMR.15.203);' na apd Basis.ofdoio'`11ow(seats/persons/sq%etc.):, na Grease tra},�present(yes or no): Industrial waste holding tank present•(yes or no): na Non-sanityry waste discharged to the Title 5 system•(yes or no):no Water..meter readings,if available: na Lasi-date of occupancy/use: . na OTHER(describe):. QENERAL INFQRMATION ". Pumping Records Source of information: J,. P.-Ndcomge2 and son Was system pumped as part of the inspection(yes or no):yz If yes,volume pumped: 200 Qgallons--How was quantity pumped determined?m e a,3 u 2 e d Reason for pumping: ma.in.taincz TYPE OF,SYSTEM _Septic tank,distribution box,soil absorption system _Single cesspool Overflow cesspool _Privy _Shared system.(yes or no)(if yes,attach previous inspection records,if an•y) _Innovative/Alternative.technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) x x Tight tank _Attach a.copy-of the DEP.approval _Other(describe): Approximate age of all components,date installed(if known)and source of information: un noaa Were sewage odors detected when arriving at the site(yes or no): 6 _ Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM A PART C SYSTEM INFORMATION(continued) Property Address: Cente6zv.i,eie Owner: , o h a F a Zi o n Date of inspection: 9 j 1 j?1()4 BUILDING SEWER(locate on site plan) Depth below grade: 1 2" Materials of construction:_cast iron x 4o PVC_other(explain): Distance from private water supply well or;suction line: y p. f Comments(on condition of joints,venting,evidence of leakage,etc,): zko Sy.3ten2 vented .th/zough . house vent SEPTIC TANKn 0(locate on site plan) Depth below grade: n a Material.of construction:_concrete metal,_fiberglass_polyethylene _other(explain) n a —metal, If tank is•metal list age:LLCL Is age confirmed by a Certificate of.Co Pfiance (yesrno):certificate) (attach a copy of Dimensions: n a Sludge depth: n a Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: n a Distance from top of scum to top of outlet tee or baffle: n a Distance from bottom of scum to bottom of outlet tee or baffle: n a How were dimensions determined; Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural irate as related to outlet invert,evidence of leakage,etc.): gnh',liquid levels Se ttc tank not aeeent, GREASE TRAP:n o (locate on site plan) Depth below grade: n a Material of construction: concrete metal____fiberglass_polyethylene_other (explain)• n Dimensions: n a Scum thickness: n a Distance from top of scum to top of outlet tee or baffle: n d Distance from bottom of scum to bottom of outlet tee or-baffle: n a Date of last pumping: n a Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural rote as related tntnoutlet invert,evidence of leakage,etc.): gnty,liquid levels ]�iaea�se t2ag not /2te,3ent T41a i Tnw+p +n»Fnrn, 7 Page 8 of I 1 ()pFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS N09W.".ACE SEWAGE DISPOSAL SYSTEM INSPECTION FOAM PART C SYSTEM INFORMATION(continued) Property Address; 233 Bay Lane CIO Owner,• aohn Date of Inspection: 11/12,1 0 4 A A .A A �. a TIGHT or HQ.LDING TANK:yam. (tank must be pumped at time orinspentlon)(locate.on site plan) Depth below grade: 1 Material of construction:x_concrete metal fiberglass_,_polyethylene other(explain): Dimensions: ,6' 6"'wd�/ o n g Capacity: 2 n n n gallons Design Flow: ' 220 gallons/day Alarm present(yes or no): , uez Alarm level: e 16 Alarrrr m working.order(yes or no):J e'3 Dots of last pumping: 11112104 Comments(condition of aiarm arrd float-switches,etc.): APP.*=•nmaaapa woek.ing R2•oRe2�y - --- DISTRIBUTION BOX: A o (if present must.be opened)(locate on site plan) Depth of liquid level above outlet invert: na 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.)-.. �i.�fn i�uf i on t;_ox not R2e�ent. PUMP CHAMBER: no (locate on sife"plan) Pumps in working order(yes or no): na Alarms in working order(yes or no):na " Comments(note condition of pump chambtr,condition of pumps and appurtenances,ett:.): �aumR cham&e-a net �nee�nt. Page 9 of 11 OFFICIAL INSPECTION FQRM--NOT-FOR VOLUNTARY ASSES$WNTS SIj$$LTRFACE SEWAG�E.DISPOSAL:SYSTENi<INSPECTION-FORM . PARTC SYSTEM INk;ORMATION(continued). PropertyAddress: 233 Bau Lane Centg,,zVjP.P_n, lrin_, Owner:2ohn FaLfnn Date of Inspection: ,L�� SOIL ABSORPTION SYSTEM(SAS): {locate on site plan,excavation-trot-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: innovative/alternaitive'system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): CESSPOOLS: n o_(cesspool must be pumped as part of inspection)(locate on site plan) Number and.configuration:' n a Depth—top of liquid to inlet invert: n a Depth of solids layer: na Depth of scum layer: rz a Dimensions of cesspool: Materials of construction: n a Indication of groundwater.inflow(yes or no): na Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): ce,3,3120OL6 not 2 PRIVY:n o (locate on site plan) Materials of construction: n a Dimensions: na Depth of solids: n a Comments(note condition of soil,signs of hydraulic failure,level ofponding,condition of vegetation,etc.): PIL-ivy not 12 2e sent. Page 10 of 11 pggl<(3iA •YNSPF ?IQN'-FORM,-NO'l�FOILVOLI TP�'1�A�t3�:AS3ESi��ViENTS SU8SU"ALE'SEWAGEj)1« �?EA II�ISPEG ON FORM RT C SYST'Em vqMp.MTj0N(;continued) L¢ne Property Address:2 3 3 [3 a u q M Owner: 7 9 9 L 9 0°4 Date of Inspection: SKETCH 5 s u in �b tvS� ;manem r�fertuc landtttarks or benchmarks•Lo sate all wells within 100 feet.Locate where pub coveter sum Y en ers a ut mt O t _ }0 Page 11 of 11 FFICIAL INSPECTION FORM-NOT FOR VOLUNTpEY'TI�ON FORMS O �.. SUBSURFACE SEWAGE DISPOSAL SYSTEM INS ( PART C SYSTEM INFORMATION(continued) Property Address: 2 3 3 L3 a y Lan e Cente2v���e Owner: 9 n h n a o n Date of Inspection: 9 9 l n 4 — SITE EXAM Slope Surface water Check cellar, Shallow wells s Estimated depth to ground water Please indicate(check)all methods used to determine the high ground water elevation: M Obtained from system design plans on record-If checked,date Qf design plan rgviewed: AT Observed site(abutting property/observation hole within 150 feet Of-SAS) Checked with local-Board of Health-ex 1?lain: Checked:with local excavators,insjjts;( h d enton) doAJ�-Awessed USGSdatabase=explain: a . �-. You must describe how you established model high grou1 d water elevation: 111 used Gaher- & Miller used-USGS observation w used- Technical bul - - waer, a eva ions. Leaching Pit ;eet Groundwater: Feet Below Bottom-of Pit High Groundwater Adjustment 1.8 ft per F nII Method Therefore,tho vertical•separation distance between the bottom of the leaching pit and the adjusted groundwater table is feet. • tt :[•IT.T'r1 e�R[•r tT'T'{Sie�lrR'J'.T�1'9•^IZTiRf iT.T:_!T4fc:TJRTTR't TRTR•Li Tfi•0:RT.tlPJ 'I'0HN OF WARD OF HEALTH SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D •- CERTIFICATION .•••T••S�T•:".:T�T.t[S�.�TT•'•!rl'R:1T[S'�TT.SCCIT -TYPE OR PR1NT C1.EARl,Y- PROPERTY INSPECTED STREET ADDRESS 233: 13ay Lane Centeay.igie, (Ia., AND PARCEL ASSESSORS MAP , DI,,OhGK , OWNER' s NAME John Faiion PART D - CERTIFICATION NAME OF INSPECTOR Roieat Paoebzi. -- COMPANY NAME ' (7acom�ea and Son, 11c. COMPANY ADDRESS P-'.O.- Sox 66 Centeay.iiie Na.. 02632 Street Town or City State LIP COMPANY TELEPHONE (508 ) 775 -' 3338 FAX ( 5 0 8 ,) 790- 1578 R CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at 0r this address and that t)ie information reported is true , accurate, and ecomrneti ons re omplete as of the time of ,inspection . The inspection was performed and any dati regarding upgrade , maintenance , and repair are consistent g g with my training and experience in the proper function and maintenance of on- site sewage disposal systems . u i tl�ipt, : Check one: xxxx Yste rri PASSED S The inspection which I have conducted has .not found any information which indicates that the system fails to adequately protect public, health or the environment as defined in 310 CMR. 15 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form . System FAILED* The inspection which I have con tcted has found that the system fails to protect the public health and the environment in accordance with 'Title 6 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspecti n form . Inspector Signature Date copy of this certification must be provided to the OWNER, the BUYER One where applicable ) and the. BOARD OF HEALTH. * If the inspection FAILED, the owner oroperator shall upgrade ' the system. within o'ne year of the date of the inspection, unless allowed or required otherwise as provided in 3.;10 CM.R 16 . 306 . partd.doc SEWAGE T_N: "E'CTIONS 7 DATE II VILLAGE �S? Z�'1�1 t'lr2 ASSESSOR'S MAP & LOT -INSFkECTOE 3P, Lk"yY^d-) ( " bon SEPTIC TPNK CAPACITY--,L►T TGo LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER j"Lrlra� ,o Y l OWNER MAILING ADDRESS r � . Barnstable Assessing Search Results Page 1 of 2 „.gym• ,,;: l Home: Departments:Assessors Division: Property Assessment Search Results 233 BAY LAINE Owner: FALCON,JOHN M JR& Property Sketch Legend Map/Parcel/Parcel Extension 166 /056/ Mailing Address FALLON,JOHN M JR& FERGUSON, LISA F 45 GRANT AVE WRENTHAM, MA.02093 2004 Assessed Values: Appraised Value Assessed Value Building Value: $77,300 $77,300 Extra Features: $4,500 $4,500 Outbuildings: $ 166,500 $166,500 Land Value: $671,300 $671,300 Interactive Property Map: ap requires Plug in: Totals:$919,600 $919,600 1 have visited the maps before Show Me The Mau April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: FALLON, JOHN M JR& 10/15/1988 6477/236 $1 FALLON,JANE C 1/15/1987 5536/263 $ 1 FALLON,JOHN M 1402/641 $0 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Tax information will be available on 10/15/03 Town Fire District Rates Other Rates 6.61 Barnstable 2.01 Land Bank 3%of Towi C.O.M.M. 1.10 Cotuit 1.52 Hyannis 2.03 West Barnstable 1.36 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeS ervices/Finance/Assessing/... 10/7/2003 Barnstable Assessing Search Results Page 2 of 2 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.46 Year Built 1940 Appraised Value $671,300 Living Area 1186 Assessed Value $671,300 Replacement Cost$ 103,006 Depreciation 25 Building Value 77,300 Construction Details Style Cottage Interior Floors Pine/Soft Wood Model Residential Interior Walls Plastered Grade Custom Minus Heat Fuel None Stories 1 Story Heat Type None Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 2 Bedrooms Roof Cover Wood Shingle Bathrooms 1 1/2 Bathrms Total Rooms 4 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed 64 $500 $500 DCK2 Dock-Avg Const 1 $ 166,000 $ 166,000 FPL1 Fireplace 2 $4,500 $4,500 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 10/7/2003 233 lz&�v4 cT�ie U� 0 ir aA 0/ oo PAUL T. ANDERSON C% Regional Environmental Engineer 02346 lext. 6'80-6'84 May 14, 1985 Baxter & Nye, Inc. RE: BARNSTABLE--Subsurface Sewage 7 Parker Way Disposal--Proposed Tight Tank Osterville, Massachusetts 02655 for. Jane Fallcn, Bay.Lane ATTENTION: Peter Sullivan, P.E. Gentlemen: -------- o The Department of Environmental Quality Engineering, in accordance with 310 CMR 15.180 ) of The State Environmental Code has had an engineer review the submitted plan for the installation of a 2000 gallon tight tank which is titled: " PLOT PLAN OF LAND IN _ BARNSTABLE (CENTERVILLE). MASS. FOR JANE FALLON SCALE 1"=20' JAN 29, 1985 REV MARCH 11 , 1985 BAXTER & NYE INC. REGISTERED LAND. SURVEYORS OSTERVILLE, MASS. , " The plan proposes to dispose of an average of 162 gallons per day of sewage from the subject site by means of a tight tank equipped with an audio-visual alarm set at three-fifths capacity. . The Department is of the opinion that there is no other feasible alternate subsurface sewage disposal system that could be installed at the above-noted location. Therefore, the Department hereby approves the plan with the following provisions: 1. Prior to the installation of the tank a copy of a contract shall be submitted to . this office indicating the approved facility where the tank's contents are to be disposed. Upon expiration said contract shall be renewed and a copy provided to this office. 2. The local Board of Health must certify that the system will be monitored by them to see that it is being properly operated and maintained. 3. Failure of the owner or person having control of the tank to keep it from over-. flowing and properly maintained will constitute grounds for revocation of approval for the use of the tank. j -2- 4. Construction shall be in strict accordance with the approved plan and Title 5 of The State Environmental Code and no further changes will be made in the approved plan without the prior written approval of this Department. 5. Upon completion of construction of the tight tank, the existing connection to the cesspool will be severed and the cesspool pumped, if .necessary and filled with sand. 6. A Disposal Works .Construction Permit must be obtained from the Board of Health prior to the start of any construction. 7. The Registered Professional Engineer who stamped the plan must provide written certification to the Board of Health and .the Department that the holding tank has been installed in accordance with the approved plan and Title 5. Nothing i his provsiion is intended to interfere with the right of the Board of Health to inspect the facility at anytime during. construction. 8. The tight tank shall not be utilized until a Certificate of Compliance is issued by the Barnstable Board of Health. No Environmental Notification Form is required to be submitted for this project since it is exempt under the Environmental Protection Regulations of the Executive Office of Environmental Affairs and the project has therefore been determined to cause no significant damage to the environment. Enclosed herewith are stamped approved copies of the plan, a copy of which must be kept on-site and used for construction purposes. If the Department can assist you further or you need additional information, please feel free to contact Frank Mezzacappa at the above telephone number. Very truly yours, For the Commissioner Robert P. agar Deputy Regional Environmental Engineer F/lWcb Enclosure cc: Board of Health • Town Offices Hyannis, Mass. 02601 ASSESSOR'S MAP N0. PARCEL _ S� 27 ION SEWAGE PERMIT NO. dILLAGE IIJJ C,-q L 4C /7 _ INSTA LLER'S NAME & ADDRESS B U I L D E R OR OWN ER —42s A417 Z,.,I-a i DATE PERMIT ISSUEDUh DATE COMPLIANCE ISSUED_ n o yT c�U 0 7p e°`C�'re 7- ftie n,ts,p SUBJECT TO A. ,-_..`:" + .0I �lNo fir.._.- - �`-`-'' BARNSTApp++B��ppL��pf-S1°'E C,'�NS ER'Ja�E��?l:S�.�..�.. THE COMMONWEALTH OF MASSACHUSET' MISSIOd BOARD �F• HEALTH ......../Q LV-�--------------O F......... ...P.CP.X A.611e.......-----------..._................. Appliration for Uispwi al Workii Tonstrurtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (4-1_�an Individual Sewage Disposal System at: ......a`�.. ..._. k xr:� --------------•----------•---------- ----.......eJ ....... �v /lL :.......... r� Loc tion-Address or Lot No. .......... .'' e--•... ... 1�R27.............................................. ---------------------------------------------- Ow er r • • dress W -- -c> .. -. .............................. .�_.. ----.............................--------- Installer Address 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 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 ( ) '~ Percolation Test Results Performed by-------- ----------- --------------------------- ----------------- Date........................................ a ,.� 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........................ ------------------------------------------------•---------------•---•-----•••-•--•--------•-•.•--•••......................................................... ODescription of Soil..----------••-•..........................•..------...-•..........-•----•--•------...----------------------------------------------•----•------------------•-•-•••.---•- x _ w ....•••••--•-------...•-----------------•-•-•-••••••---••--•-------•-•--•--•---••••-••••-••-••---•-•--•••-•-- -- -------- U Nature of Repairs or Alterations—Answer when applicable................... .. /� f1 �� ..... -••••---•-•-•---•-•••-•----.....•••. Agreement: 1' S Cyl e$f�[ f6° 7- A Y r -- The undersigned agrees to install the aforedescribeelrIndivi ual Sewage Disposal stem in accordance with the provisions of TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i oard of th. i d• ••• ---_•- . ..-� ...... 9 ^ Date Application Approved By.............. ••. ......• .............. ••-••-..............-•-•-•................-- .........-•-------- ------------------- Date Application Disapproved for the f l wing reasons------------------------------------••--------------•-----------------------•------------------------•••••--_... -----------------------------•--------------•------••----------------•--•------------------...------•-----•-•••---•-••-•--•-----••••-•-•--••----••-••••-------••---•-••--••••-••••--•----•-••••---••••-- ... Date PermitNo... ... ......�... ,�,,�.._____. Issued._..__.__...•..............------_•__.._... ...._- Date fNO; ._. ��` Fizs_.2.......Q.. :.... THE COMMONWEALTH OF MASSACHUSETTS' BOAR® F HEALTH ....... .... - ,� ....................................... Allp irFation for Dispaii al Works Tianstrurfiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ("- an Individual Sewage Disposal System at: �,�- ,/� ......�..�3--_..... c . . brit f--•--•----•--------------•..._....... ----•.._.._. .. ..o:....�f-.......................................................... .. . - ...✓^ '.�Loc tion-Address or Lot No. * �). �.......f 1.!_7�t_?.7......./---------------------------------------- .............................................ji .........................................._..... auJ ( l Oer t—•;U 1 S � _. .ta�'`u t'4 (yeS# .......................................... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.................................. _Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ ,.� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------------------------"---••--•--------•--..........--•----•-•----.._..__...-•---...............•--•-•••........._---•_••--- 0 Description of Soil---"------------------------------------------------------------------------------------"---------------"-------"--•------,----------"------------------....•-•-_•----- W U •••-•--•...............•--•••--•....----•-•--••-•-•-•--••----•••-•--••--•------•--•-••-•--•••••----••--••-•--•-•---•----•--•-----•-••---••-•----•--.............................. ----•"-----"-----------------------"----"---""------"---"-----------"------------"------------.._...------. - U Nature of Repairs or Alterations—Answer when applicable_.:`'.'......._ . �- --•-•---....-••-----------•-•-----••-•--•••-•-•----•••---• ----------•---------------•- •-----•--•-----••---.... - ............................... . Agreement: 5 ��CR�r��(°� � [��{�Ift'""' F ���' The undersigned agrees to install a aforedescribe4 Indivi ual Sewage Disposal S�stem in accordance with the provisions of TITILE 5 of the State Sanitary Code— The undersigned further°agrees not°to place the system in operation until a Certificate of Compliance has>been _d�ye_board of th 47 Signed.. .....C�-G �' t (3 r Date ApplicationApproved By•-•---••---•---•-------••---•-•-•-••-•--•--•-•-•-••••--•-•----••---••-•-•••-•-•------•-•-•------ n --------------- Date Application Disapproved for the following reasons:------"•-----------"--•------------"---"---------------•-------------"----------•---•-•----•---•.................................... .....................................•---.....--••-•••--••-•-----•---•-••----•-•-----........-•••-----••--••••••-•-••-••-•-••-•-----•---•---•-•------------••-••----•----------•----•••-•--•--•- -=--- Date Permit No.__ ... `�'......e �e! ......... Issued____________________________ Date THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH ...............oF....: ..:.,Q .�a. .: .. e*................................... :.:;'_:. Trrfifiratr laf flung haurr THIS S TIFY, hat the Iudi -dual Sewage Disposal System constructed r ---- fi Install r - ..✓. has been installed in a rdance with the provisions of TITIE 5 of The State Sanitary Codes d scribed in the application for Disposal Works Construction Permit No------- ...__ ... _. _ dated_- .:. .- --f .7!1 ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN TION SATISFACTORY. ---7_W DATE...................... ._.17�...... .�4. -----•-------------------- Inspector_..--------•��------------------------.......-....-•-----.....----•----•-•----- THE COMMONWEALTH OF MASSACHUSETTS p£siv+NV £N6 ►tV�er M `F y SvP VCR LNS�rA+t 47tA BOAR OF HEAL T ,fin u S. or G£f I'�'� f"Mr �'1 { V%u Tit•I I r141 o M. . . ........./d.!�Q?07..........OF .. No. ...................... FEE........................ Disposal Work.5 Tunitruction Vrrutii Permission:,is hereby granted............................................................................................. to Construct ( ) or Repair ( ,ran Individual Sewage Disposal System at No „A mil•' --•.......... g treet as shown on the application for Di osal Works Construction Permit No------ ............5� Dated _"=, :: ..._. roaralth DATEr ------------------------------------------ FORM 1255 HO S & ARREN. INC.. PUBLISHERS - / BAXTER & NYE, INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville,Massachusetts 02655/Tel. (617)428-9131 Wa LIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering April 30 , 1986 Mr . John Kelly Director of -Public Health 367 Main Street Hyannis, MA 02601 RE. Fallon Residence Bay Lane, Centerville "Tight Tank" Dear Mr . Kelly: Per your request, this letter shall document that I , as the design -engineer , was present for the installation of the tight tank at the Fallon residence . The tank was installed in accordance with the approved plan during the. week of June 20th . It is my understanding that 'the required alarm system has been installed, however ,., I have not been requested to, inspect the system. If you have any questions, please do not hesitate to contact me . ' Very tally yours ., Peter Sullivan, P . E . Baxter & Nye, Inc. PS/bc CC. Mrs . Jane Fallon MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPWG MASSACHUSEITS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS ASSESSOR'S MAP NO. PARCEL_ S 10N S EW A. G E PE RMIT NO. VILLAGE f l _ I NSTALLER'S NAME i ADDRESS f d U 1 LyyID EE R OR� OWNER DATE PERMIT ISSUEDU `� DATE COMPLIANCE ISSUED r ( �000 o v r" T,7.1,7' � � c0fcq�rTe 9c (J Pr.hr-1G .s �. �j1Pnc ccY 96ss(i,'Lp0 6/6F _ 9rv, l �t lL 7E I t F Is, 40/ w me).7.1 A E a S 2 Z 3onn+n C. �P �ZG?I� -�� � tp •o "��st r�.?Ee.cc,,f`ru_r Y.a1S l a >� oGC 1o1..IN S 11(0;0 *-USEn.AS h 88CD4.1�1•h COC'1'aS�Fr ..-.. 6s 'G l 'Tom L EaT I M4- r�D tr1 a tiI 3 l\0 b9P- 33 J CaP� i� 6 f tid 0 1: sc-pcu+*WaG do 1 'y 0 SEA IZ T..Nc �vzo>L L.M;ts IS �o baJ•`.sJ% 495 - use IfXy�'E cw�t`1 mat ;' S3 N N c,ggNc CIJoBtis �IoTF i - Lp.ni�rsot tLG ;ta.o � QKL6 4.Sr_7nc TAuk,itzYO� .o o m AND^S3 ,IEtNEDOt F1-2C� LOh371N.tc'. �� - _ - ca 2. ALL:>=:LFVA tv�s •eps-� oN'0\1GV�.. ._ S`, zs ' D.-Yr0.1GCTNOT I.DCATEUV1 fMl f.� �•vs.c� •�Z� "�M A¢S . .p� 16UG SU41PL`(N'AIELI_— Nh OF.eo'Z 4.T+1E ExtS r I N i G6:JG L NAB 7—Il V. ,$. E2 C.ULA-n ontuT' WaS'CONDucTGG L • _ - - _ - .:. iVANI' A.r,TE2. FI .O �ve1r 4d1U, 19®S I • yam . _�/.�E Ex1ST1NEa 110L'f,T-.511.f�2r ��MOJG ALL LWSU fTASL3r= - . � t F'r�J`.10• AP Or111;10 5K5T'EN� 11 TEHT�TtOLE C4,2.45) w4 66.18=- — Lo.dM'.xt•+oar��l.. . ` 1 loco .Iwv' :.INJ.'� q'r +p OF '�LA(4—, LcFrresevrc.;% .-L:1J1 [wetL 11"�198 S NwE:1N c _ :..'Z�6 tSTt3'L6Ss LAUD Sutz•''�-t'E`(;,i:.s c vtta 1.-rE e : I • a ; dI V all /JS • . G., ' ,OL C�LI �it'�-� I ✓.��� '`� �vim'.}T �� -Pie .t, ---— ��.,.,-� `��...� .--.'• is ..,{ �'"' -.l lE..�.�`-� To OM t \ __�_..�.� ..... ; ...�. - f 7 t +r i r III lei SCALE: 14tl APPROVED BY: DRAWN BY lG. GATE: —1� ) REVISED DRAWING NUMBER INLET FROM SEPTIC TANK 1-1/2" PVC FORCE 3" PVC OUTLET PRESSURE FEED FROM RECIRCULATION TANK TO SEPTIC TANK I AC 1-1/2" FORCED MAIN FROM RECIRCULATION TANK RISER TO FINISH GRADE - 1-1/4" CONDUIT ---- r. 1 MAIN TO LEACHING -1/2" PVC FORCE 1-1/2" PVC UNION 1-1/2" PVC FORCE MAIN FLOAT POLE BUBBLER SYSTEM COVER TO RSF MODULE ,.� AC POWER r OMNI RSF BUBBLER SYSTEM SUPPLY LOCATED 2 IN ELECTRICAL 4 HR RESERVE HAND-HOLE CAPACITY ACCOUNTED ZIP TIE TYPE ; ► -• : :•� •. 1 "A 1-1/4' CONDUIT FOR IN PUMP CHAMBER FASTENER 24 HR RESERVE o ;.:'. f...�.. CHECK VALVE 2 -{ FLOAT POLE ALARM , ZIP TIE TYPE 3 r�r ,ti , ., • ,... .., .. ,,,, ,, ., I I ;.' r •M6Nr�.40 GAL r FASTENER EEFLU EN T' •. kD M. , o PULL CORD FLOAT NOTES PUMP ' r PUMP OFF PER DOSE I . ' I I ' CHECK VALVE ALL PUMP FLOATS ARE TO BE " - `-' y C'0 2 BLOCK 00 � aZABEL A-too I CO 1-1 2" PVC FORCE LOCATED AWAY FROM INLET FLOW EFFLUENT FLITER I T R 'c.. "t' .•'y: 0 SF MODULE ,,;� a �, - � � ° OMNI FLOW � , ..w,�.;� „'�, _ ALL FLOATS TO HAVE 4 TETHER �, �� �g ., �n , > CD WITH LOAT VALVE EFFLUENT PUMPSPUTTER SIDE VIEW ' ,I 2" cK 1. PUMP ON/OFFµ• f� o :t. 2. TIMER OVERRIDE _ , N _ FRONT VIEW SIDE VIEW SIDE vlEw 3. HIGH WATER ALARM 8 -6 RSF DESIGN' CALCULATIONS (� (� PIPING NOTES w Sand Filter Media 24" minimum depth <1% #200 sieve, Supplied by OMNI 3" RETURN LINE FROM FILTER MODULES ' AND 4" INLET FROM SEPTIC TANK Average Daily Flow Flow = 110 gpd per bedroom ALL ENTER ON SAME SIDE OF TANK SIDE VIEW 3 RETURN LINE FROM FILTER MODULES o Wastewater Strength-GODS Residential = 230 mg/I �-- 8'-(" ----) ENTERS ONE SIDE OF FLOW SPLITTER AND .,;.;.�,.,•;, ,;;•• : . �:. ;i;. :,.:... .;•,,;•,.:,;.;,.;•.,:•r. , �- -- 10,-6„ f 8'-6" -I EXITS ON OPPOSITE SIDE TO LEACHING FIELD I Recirculation Ratio 3: 1 " Recirculation Tank Size 150% of Design Flow (Use a 1000 gallon tank) r.. = 1150 BOD5 = 5 d ft2 CD Sand Filter .Loading Rate (Residential) Loading Rate / gp / COCD .-� Sand Filter Surface Area SA = Flow d (LoadingRate d ft2 I I PLAN VIEW 330 gpd / 5 gpd/sq. ft = 66 sq. ft. Required (69 sq. ft. Provided) d I 2 OMNI RSF Filter Modules Required ' (� M �+ 650 GAL. OMNI PUMP CHAMBER Recirculation Pump Size Average Daily Flow + Recirculated Flow + Back Flow °M 330 + (4x330) + 10 = 1660 gpd a•' •:, <. NOT TO SCALE _ 1660 / 24hrs 69 gal per 60 Minute Cycle ��• : :•� TOP VIEW 3" TOP VIEW 3" NOTE: PUMP CHAMBER IS TO BE WRAPPED AND COATED. Use Myers Model #ME40 or Equal (65 gallons/min ® 12 ft. Total Head) PLAN VIEW OMNI FLOW SPLITTER PUMP CONNECTED TO "OMNI RSF" CONTROL PANEL TO BE LOCATED OUTSIDE OF DWELLING. Sand Filter Module Setbacks Same as Title V Septic Tank 1 , 500 GAL. SEPTIC TANK DETAIL 650 GAL: "OMNI RSF" RECIRCULATION TANK DETAIL "OMNI RSF" SAND FILTER DETAIL NOT TO SCALE NOT TO SCALE ` NOTES NOTES : NOT TO SCALE NOTES : 6"-8" HANDHOLE W/LOCKABLE COVERS 1•) OMNI RSF MODULES (NO SUBSTITUTIONS). SEPTIC TANK SHALL BE STEEL REINFORCED CONCRETE WITH 1 ) OMNI RSF RECIRCULATION TANK (NO SUBSTITUTES) THRU-OUT SYSTEM 1.) FINISH GRADE 2.) FILTER MODULES SHALL BE COVERED WITH MULCH TYPE MATERIAL THREE (3) 20" MANHOLES. 2.) PUMP CHAMBER SHALL BE STEEL REINFORCED CONCRETE. - I I_-I ill=l�ll=�1-11- I- I -` I1 - -1IT-f i ONLY. gf. 1� �`. �II?�II If���.!i1"f-� — -- -- � ����i 2•) SEPTIC TANK TO WITHSTAND H-10 LOADING UNLESS UNDER 3•) PUMP CHAMBER TO WITHSTAND H-10 LOADING UNLESS UNDER PAVEMENT, - 3. ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. PAVEMENT, DRIVES OR TRAVELED WAYS, WHEREIN H-20 LOADING - ) DRIVES OR SHALL APPLY. TRAVELED WAYS, WHEREIN H-20 LOADING SHALL APPLY. 1 FEMALE ADAPTER & PLUG „ 4•) OUTLETS TO BE SCHEDULE 40 PVC. 3 ) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL q ) ALL PIPE CONNECTIONS AND CONCRETE CONSTRUCTION SHALL BE WATERTIGHT. BE WATERTIGHT. P 1" LATERAL EXTENSION 5•) 1-1/2" PRESSURIZED LINE TO BE BACK FILLED BY HAND. CAST-IN-PLACE NLET AND OUTLET TEES TO BECAST` IRON _SCNED. 40 PVC OR 5.) 27" MANFICLE COVER TO BE BROUGHT TO FINAL GRADE. TO FINISH GRADE PROPOSED WALL 4•) CONCRETE. TEES TO BE UNDER MANHOLE COVER 3/16" 0 IFACE ® 5' O.C. ALONG LATERAL POINTING UPWARD' WITHIN 12" OF END WALL 6•) INLET AND OUTLETS TO BE SCHEDULE 40 PVC. 1" 90' ELBOW 5•) RECOMMENDED MANUFACTURER- ACME PRECAST OR APPROVED EQUAL. o 0 o O O o o VAPOR BARRIER ALL 4 SIDES TANK SHALL BE EMBOSSED WITH SEAL INDICATING CONFORMANCE o o O O o 0 o O 45.0' 6•) WITH ASTM STANDARD C 1229-93. 42.5 PITCH LATERALS TOWARD MANIFOLD 99'I SCH.,40,, EI ECT,RIG C�ONpUiIT . >, �;,� d, r• y n I h it ?i t a . r s W ++3 6 ORRIFIGES ® 5- T LATTERAL TYPICAL 4 •ry LATERAL / / 0 O.0 STAGGER EACH ) THRU-OUT LATERALS, MANIFOLDS, DISTRIBUTION LINES 1/4" DRAIN HOLE BENEATH EACH LATERAL AND RETURN LINES SHALL HAVE CLEAN-OUTS 1 1/2" SCH 40 PVC MANIFOLD 5.0' WITH HANDHOLES AT FINISHED GRADE THRU-OUT SYSTEM. 06 �o 1.5"x1.5"X1.5" TEE WITH 1.5"xl" BUSHING 1.5" PVC MANIFOLD PITCH TOWARD PUMP CHAMBER 1 1/2" SCH 40 PVC TRANSPORT LINE 15" CRUSHED STONE 1/4" DRAIN HOLE IN MAIN BENEATH EACH LATERAL SLOPED TOWARDS 12" TITLE 5 SAND PUMP CHAMBER PRESSURE DOSING MANIFOLD SYSTEM 6"-8" HANDHOLES HANDHOLE SYSTEM w' LOCKABLE T OcGADE NOT To SCALE PLAN VIEW OF SOIL ABSORPTION SYSTEM INSTALLATION CULTEC CONTACTOR FD-C4 - 1-�' CRUSHED DOUBLE WASHED STONE NOT TO SCALE 6"-8" HANDHOLE W/LOCKABLE COVERS 3' LAYER OF DOUBLE WASHED PEA STONE CULTEC NO, 410 CLEAN FILL/LOAM 9" MIN. SOIL BACKFILL THRU-OUT SYSTEM FILTER FABRI AND SEE' 1 1 /2" SCH 40 PVC MANIFOLD CULTEC NO. 410 FILTER FABRIC 9" MIN. 1 " LATERAL W/ 3/16" ORRIFICES (STAGGERED) @ 5'-0" O.C. CULTEC CONTACTOR C-4 FINISH GRADE EL. 8.5 8.5 ILI=ILI=1l=-1 - =Ill-1L=1 INI1=1 I I FKI -I I- -I III-I(-I f=T-III_ - - 11= r... . ...,.._ - - - - - ��• APPROVED '; ,.,... .., ,• •:. _•,• :.f•:•1:• ..rd^.... iY }� •4:: O O O O O O O O O O O O O O O O O O O:' :.r•+ O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O }� M. O O U LI S L VAPI!15' 48' TYP. ° BOTTOM EL. 7.03 BOTTOM EL. 7.03 N0. 29733 TYP, 4"� SAL • PROFILE DETAIL OF SOIL ABSORPTION SYSTEM INSTALLATION / CULTEC CONTACTOR FIELD DRAIN C-4 NOT TO SCALE SEPTIC APPLICATION NOTES: PREPARED FOR: PREPARED BY: TI TLE. c j� NOT TO SCALE V��e r I an Michael A. Barn field Omni Envrionmental p Sullivan Engineering, Inc. Systems, Inc. Proposed Septic Repair 7 IVY IZZerI fOp Drive PO Box 659 Alternative Wastewater Technology ' Warwick Osterville, MA 02655 P.O. Box 128/ 465 East Falmouth Hwy. A � Bermuda V V�\ OV (508)428-3344 (508)428-9617 fax East Falmouth, MA 02536 l 508.548.0350 FAX 233 Bay Lane 508.548.0343 PHONE Draft: JOD eamstable (Centerville) Mass. w Review: PS DATE: SCALE: v=j Project: 32009 August 6, 2012 As Noted i , .1'I. I 1p i•.. ,5 '., jl' '1F�,'<i ..1 '��.•,1'Si l r ,.1 1A 1 •I I � � 1 �I. i�. c.,, 'S � rl •W. ;.r � 7 r, I r .:y,.r,: :Y,. ;. r . i r .r ri V : IV':r�' ;d't'4.' r y r ':i L, >. . !r ;r ..:7�I V 1. $i i tt.•..t r: rr ,.'I i" i rt ::1 rrr i Yr• .2 SCHEDULE OF ELEVATIONS 1 6.13 1. RISERS AND COVERS TO SEWAGE SYSTEM PROFILE & DETAILS WITHIN 6 OF FINISH GRADE 1. FIRST FLOOR = 1 6.13 2. SCHEDULE 40 PVC PIPE THROUGHOUT NOT TO SCALE 2. TOP OF FOUNDATION = 2 XX 40 MIL. LINEAR 3. TOP OF CRAWL SPACE DIRT SURFACE = 3 XX 3. THE CONTRACTOR SHALL BE RESPONSIBLE FOR OBTAINING LOAM AND LAWN ENSITY POLY BARRIER A TRENCH PERMIT FROM THE LOCAL MUNICIPALITY COVERING TOP 8.0 BOT 5.0 4. FINISH GRADE AT FOUNDATION = 4 5.30 ' 2 XX IN WHICH THE WORK IS BEING PERFORMED. ELECTRICAL HAND HOLE 6"-8" HANDHOLES 5. PIPE INVERT AT EXISTING DWELLING FOUNDATION = 5 4.32 1 1/2, PRESSURIZED W/ LOCKABLE COVERS 6. INV. OF PIPE AT LIFT STATION = 6 3.72 4 5.30 PVC LINE THRU-OUT SYSTEM 7. BOTTOM OF LIFT STATION = 7 -2.63 8 5.72 18 5.50 8. FINISH GRADE OVER LIFT STATION = 8 5.72 3 XX 12 5.60 15 5.50 3" PVC RETURN LINE 24 8.50 9. INV. OF PIPE AT SEPTIC TANK INLET = 9 4.70 9 4.70 16 4.20 TO RECIRCULATION 19 8.55 TANK S=0.02 'L=14.7' 10. INV. OF PIPE AT SEPTIC TANK OUTLET = 10 4.45 7 11. BOTTOM OF SEPTIC TANK = 11 0.12 AC W. n - i,€9 LAYERR OF CLEAN FILL _. 12. FINISH GRADE OVER SEPTIC TANK = 12 5.60 AC AC o x+ria x !i TH LOAM AND SEED 13. INV. OF PIPE AT RECIRCULATION TANK INLET = 13 4.30 EXISTING i n OMNI RSF OVER 4 OZ. NON-WbVEI�""FILTER FABRIC_ 14 = RISERS &� PROVIDE x I ra , •. ;,FILTER MODULES U ;,, ' ' W RISERS &_ :,... ky BOTTOM OF RECIRCULATION TANK 14 1.39 COVER coVERTEr L=10' % ' ; "` MIN S= -- .. •. •.-. . �`:?:�:�::>�.....................:..: .... :: ..... ::::::::;;}:};}} PVC O.0 .:e e::: :r.?•{????v:•:ii• :::•:r`::vr:::7}shvk:9s::rsi::::ev::r}:.r:?w::9a?•}}n:•5:::•::::::::.�::.�:•::::::::.:r::: . J 15. FINISH GRADE OVER RECIRCULATION TANK = 15 5.50 1 ...:.?.::F•::.r::.::•::• ::::::::•::•:::.::.•:.:,. • ::•::::::.�::::::::::: 16. INV. OF PIPE AT PUMP CHAMBER I = w ;?.}}•};;:.:?••}};: NLET 16 4.20 o MIN S= ••; :.•,• •. :. : r _? , . ,. Q. + .'.'}.':;:%;i%%:'•'x:•:::::.:.:.:::::.TITLE 5 APPROVED SANDS:%%irl,'.• :::........::.:::.:....:ais: CL7 ........................... . BOTTOM OF PUMP CHAMBER - 17 1.29 PRovIDE 10 4.45 � 20 5.04 I ►- � � ` j 18. FINISH GRADE OVER PUMP CHAMBER = 18 5.50 HD. 4o Pvc TEE zABEL MODEL A-too w \ 5 4.32 13 4.30 SEE DETAIL SHEET NATURALLY OCCURRING s 1 • 19. FINISH GRADE OVER FILTER MODULE 19 8.55 o EFFLUENT FILTER 21 4.71 ra �, FOR COMPLETE DATA PERVIous MATERIAL (Y I @1 M 20. INV. OF PIPE AT RSF OUTLET = 20 5.04 Lr: SEE DETAIL SHEET N 23 7.74 o 21. BOTTOM OF RSF FILTER MODULES = 21 4.71 6 3.72 FOR COMPLETE DATA r' 17 1.29 C3 H �` A PROVIDE RUBBER 600TS 650 GALLON OMNI RSF USE 10 (H-10) CULTEC CONTACTOR C-4 � o w w 22. BOTTOM OF LEACHING FIELD = 22 7.03 RECIRCULATION TANK 50 GALLON OMNI RSF W ¢ `-' FOR INLET AND OUTLET PROVIDE 1.500 GALLON SEPTIC TANK i�NO SUBSTITUTIONS PUMP CHAMBER 22 7.03 (EACH UNIT 8.5 X 4.0 )(8 UNITS)+15 STONE A N H 23. TOP OF CONTACTORS = 23 7.74 GRINDER (_. _--_ H-20 PRODUCT - ACME (NO SUBSTITUTIONS) ALONG SIDES AND ENDS Q A o PUMP TOTAL WIDTH = 10.5' TOTAL LENGTH = 45' w w CL 24. FINISHED GRADE OVER LEACHING FACILITY = 24 8.50 .� PRECAST MODEL OR EQUAL Z W W a_ ExisTwc 200o GAL. PROFISEE LE DETAILS LS SHEET 2 OF 2 FOR ADDITIONAL. � � w Q LLJ a H-20 TANK 14 1.39 X 0 a2 FOR LIFT STATION 6" MIN. CRUSHED STONE BASE a_ w w A _v _ 11 0.12 *GROUNDWATER OBSERVED @ EL. 4.03 ra INSTALL MONOLITHIC TANKS W FOR COMPLETE SYSTEM COMPONENT WATERPROOFED, WRAPPED & COATED Z 7 -2.63 DETAILS, SEE SHEET 2 OF 2 WITH INLET AND OUTLET PRECAST RUBBER BOOTS REQUIRED / l / A h Ii N5�56'1p , w1 JI P 52'f 00 l EA' PLA / / s tone Hedyr-ftws � / I N) f Wood / I \ \ \ Shed . `� J \\ Wood Lamp Post Lawn �►1 1 J \ I Lawn 1 0 J Y / � / \ Stone Drheway I EXISTING r TANK I .DESIGN DATA .a� ,/, I+ / Marsh Grass O O 1. BUILDING TYPE: EXISTING 3 BEDROOM HOUSE // / i o I 2. DESIGN FLOW: 110 GPD PER BEDROOM = 110 x 3 = 330 GPD Ili 1 -C / 3. DESIGN PERCOLATION RATE: <5 min/inch /� ll� 1 // _ Lawn, `- - Le lI � 1 4. GARBAGE DISPOSAL: NO a o 1 �� 1 . G 1 5. SEPTIC TANK DESIGN REQUIREMENT: 200% DESIGN FLOW J o I I I �� �. \ #223 Gorden I 330 X 2 = 660 GAL. (USE 1,500 GAL. MIN. PER TITLE 5) I s Wide Dock 1 Sty w/f yyl o= 6. TOTAL LEACH AREA REQUIRED: fl/ �� Dwelling TITLE 5: 330 GPD / (0.74 GPD/SQ.FT.) = 446 SQ.FT. (CLASS I SOIL) tl�/ ��\ AL j Walkway 2 8. TOTAL AREA PROVIDED: Y m 10.5' X 45' LEACHING AREA (SEE DETAIL) = 472.5 SQ.FT. Ili I i ° Lev. 6.1a' Lawn o D o NOTE: SYSTEM IS NOT DESIGNED FOR A GARBAGE GRINDER. \I I I I i to Garden I a IJ \ I AI I I l g Ground Water Test Pit Top Elev. 6.12 Ma7rsh c 7s i !I PROP SED Low„ SEP j TANK I • / i � PROF' SED p RECIR TANK 1 PROPOSE �� \ 1, PUMP C� BER z REQUESTED LOCAL UPGRADE APPROVALS , BOUYANCY CALCULATIONS. �/ ,� � �.... _,- j � - II/I VW Lawn I I 52, TITLE V REGULATIONS NO. DESCRIPTION REQUIRED REQUESTED 650 GALLON RECIRCULATION TANK: , WORST CASE = EMPTY TANK & WATER TABLE AT EL. 4.03 PER WELL �'` / 4 - o2T0 BVW 310 CMR 15.211(SETBACK DISTANCES 1 SYSTEM TO PROPERTY LINE 10' 4' WATER DISPLACED: (4 10 )(8 6 )(EL. 4.03 EL. 1.39)(62.4lbs/cu.ft.) 6,790 lbs. 2 35 10 W Hedge Rows o �- 310 CMR 15.212 2 * GROUNDWATER SEPARATION DISTANCE 5' 3' WEIGHT OF "ACME PRECAST, INC." 650 GAL. H-10 CONCRETE RECIRCULATION TANK = 7,320 lbs. i' 170'f WEIGHT OF SOIL COVER SHOWN = (4'-10")(8'-6")(9")(1001bs/cu.ft.)= 3,079 lbs. \\ �•� (PER PLAN) PROPOSED PROPOSED 11 310 CMR 15.227 5 3 INVERT ELEVATIONS ABOVE GROUNDWATER +12" +2" SAND FILTERS 310 CMR 15.105 4 PERC TEST BOUYANCY FORCE = 6,790 lbs. -(7,320+3,079) = (NEGATIVE) -3,610 lbs. - \ BARRIER l THEREFORE, CONCRETE BALLAST NOT REQUIRED \ P OPOSED �i 310 CMR 15.255 (2 & 5) 5 CONSTRUCTION IN FILL(BARRIER&UNSUITABLES) 15' & 5' 1' & 1' �\ S.A.S ikq PROPOSED 1,500 GALLON SEPTIC TANK, WORST CASE = EMPTY TANK & WATER TABLE AT EL. 4.03 PER WELL o '� WALL �'' •�. WATER DISPLACED: (8'-8")(10'-6")(EL. 4.03-EL. 0.10)(62.4lbs./cu.ft.) = 14,600 lbs. ' 1 `' TOWN OF BARNSTABLE REGULATIONS WEIGHT OF "ACME PRECAST, INC." 1,500 GALLON H-10 SEPTIC TANK = 11,480 lbs. , SOE1.1NAR WEIGHT OF SOIL COVER SHOWN = (5'-8")(10'-6")(9")(100lbs/cu.ft.)= 4,465 lbs. NO.29733 CHAPTER 360-1 1 SYSTEM TO WETLANDS 100' 50' BOUYANCE FORCE = 14,600 lbs. - (11,480+4,465) = (NEGATIVE) -1,345 lbs. PLAN VIEW * GROUNDWATER SEPARATION DISTANCE TO BOTTOM OF S.A.S. REDUCTION OF UP TO 2' THEREFORE, CONCRETE BALLAST NOT REQUIRED , COVERED UNDER D.E.P. RSF APPROVAL FOR REMEDIAL USE ISSUED MARCH 24, 1995, 650 GALLON PUMP CHAMBER SCALE: 1 �� = 20' oI O REVISED MARCH 10, 2008: WATER DISPLACED: (4'-10")(8'-6")(EL. 4.03-EL. 1.29)(62.4lbs./cu.ft.) = 7,045 lbs. ' g/0� /,4Z WEIGHT OF "ACME PRECAST, INC." 650 GALLON CONCRETE PUMP CHAMBER = 7,320 lbs. 6 ` WEIGHT OF SOIL COVER S HBWN =(4'-10")(8'-6")(9")(100lbs/cu.ft.)= 3,079 Ibs. NOTES: p�� PREPARED FOR: PREPARED BY..• TITLE:. .. r: I f I r a :"'; t • i' r, p 1.. jr. IQ',�: yr 1 ':t ,r r t, l i i r' a'7 't ;r ,r 1 ? Y f•. : i ;r BOUYANCY FORCE 7,045 lbs. -(7,320+3,080) _ (NEGATIVE) -3,355` lbs. " ` 1.) The structures shown were locbted 6d !the''ground F, + PlanTHEREFORE, CONCRETE BALLAST NOT REQUIRED by conventional survey methods on 18/Mari12. Michael A. Barnfield Omni Envrionmentai ite 7 Mizzen to Drive Sullivan Engineering, Inc. Systems, Inc Proposed Septic Repair 2.) The property line information shown hereon was n compiled from available record information. The !' PO Box 659 Alternative Wastewater Technology property fines must be confirmed by surveyor prior Warwick Osterville, MA 02655 P.O. Box 128/465 East Falmouth Hwy. At � #o installation. y. n Bermuda WK OV (508)428-3344 (508)428-9617 fax East Falmouth, MA 02536 233 BqvLane 3.) The datum used is Approx. NGVD 1929, a fixed 508.548.0350 FAX ' mean sea level datum. 508.548.0343 PHONE permitting y Barnstable CentervilleMass. ,j4. Plan is for local ermittin onl . Not forconstruction. 20 0 10 20 40 80 Draft: JOD � ) �� 5. Utilties shown are approximate. Contractor is �' Review: PS DATE: SCALE: required to notify DIGSAFE. ""' Project: 32009 August 6, 2012 As Noted