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0040 BAYBERRY LANE - Health
0 40 BAYBERRY LANE ° CENTERVILLE A= 190 - 060 dh S M E A D WEEPING VOU ORGANIZFP No. 12534 2-153LOR M IM REc Cr wmATIVE cor reNr,n PQS'4=MER wm�ao YAM W USA 4FT ORMNIM AT SUEMMU 4 l l �� f Y i ? No. � �"�/ Fee A THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -,TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Misposal *pstem Construction 3pPrmit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. yp �yir� /„> Owner's Name,Address,and Tel.No. Ce4�Cvv.11 i' Assessor's Map/Parcel �� ^70-060 C d �(y I�Cc Installer's Name,Address,and Tel.No. 't _/� j j Designer's Name,Address,and Tel.No. V:J s "1 1 IJ�Q�.I�N ,� l�C /%N 5 1AJT- Type of Building: Dwelling No.of Bedrooms J i Lot Size I y!8 10 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `3 3 0 gpd Design flow provided 3 qg, 7 gpd Plan Date G ` 7-/q Number of sheets .2 Revision Date Title Size of Septic Tank Type of S.A.S. 9. 5 0c) o C.r 1 H-10 CC► —,6a Description of Soil Nature of Repairs or Alterations(Answer when applicable) W S k \ k N euj c� k4 U X wJ 'k T-00 r'G Ilo-Z I�-10 C[A Ovu toe,(s w t t L-, 5 runt Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. igned Date -/ Application Approved by Date l T Application Disapproved by Date for the following reasons Permit No. ^ Date Issued l 6 4 No..C7'G 1 1 e�—�7 Fee �� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION -.PTO: N OF BARNSTABLE, MASSACHUSETTS application for Mi8 0 aY 8tem Construction Permit Application for a Permit to Construct( ) Repair(//Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. !�`j �� fjpiy.� L J Owner's Name,Address,and Tel.No. Assessor's Map/Parcel ��~ v.;. Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: r. f^`r. Dwelling No.of Bedrooms 3 Lot Size 44,9310 sq.ft. Garbage Grinder( ) Other Type of Building f PS kc)&Q�,,G 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date G - 7— / Number of sheets Revision Date } Title Size of Septic Tank x_!'X,ti .;v 3 Type of S.A.S. on g e-I H-to ���6 a✓� Description of Soil Nature of Repairs or Alterations(Answer when applicable) e�� X cd,�r� a S fK7 �r►l�„� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. gne Date _ PT Application Approved by Date Application Disapproved by Date for the following reasons Permit No. � Date Issued 75 ------------- ---------------------------------------------------------- --- - ----------- -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(t.-< Upgraded( ) Abandoned( )by D, A `'V_ /yC_ at �/T� 9 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated & Installer \/, A E)�C_N,,ry 't� [C Designer #bedrooms Z-2 Approved design flQw 2 gpd , The issuance of thfis ermi shall not be construed as a guarantee that the syste 11 fiz ti�on as design d. Date ( Inspector i i No. �� : Fee THE COMMONWEALTH OF MASSACHUSETTS , PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(V< Upgrade( ) Abandon( ) System located at 14 Q :�3 o .4 12 //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 mu s be co pleted within three years of the date of this-( ermit. Date Approved Town. of Barnstable Op1HE tp� Regulatory Services Richard V. Scali,,Interim Director BA STABLE, 9�A lei 9. �� Public I1ealth Division rEDPA1A�° Thomas _McKean,Director 200 Nfain Street,Hyannis,VIA 02601 Office: 508-862-4644 Fax: 508-790-630l Installer &Designer"Certification Form Date: Sewage Permit# ./ :Assessor's IaplPareel C L'"fee O �l'I -a 1.2 Iq I:)esigner: t seer;n_? 1,uc "� l Z Installer. r ati. ✓l c2C Address: Jc/ R,4 Address: F . On A {v;-It was issued a permit to install a (date) (installer) septic system at8 13Q f U` C� ?j71 based on a design drawn 65 � - (address) rr=i't 1 n P CGS✓j t/G;i �I � dltcd: -7 1 (designer) ` I certify that the septic system referenced above was installed substa tialN accordhig 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:so.ils were found satisfaetorv: I certify "that the septic systeni 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)bttt in accordance pith State & Local Rtrulations. Plan revision or certified as-built by designer to follow. Strip out(if required)-vas inspected and the-.soils were found satisfactory. I certify that the system referenced above vas constt�ucted in with the term,', of t.ile'I;A approval letters (if applicable) F Ppc � �Onst cNiLaller's Signature);: Ct�'7ti %O_W09 O Designer s Sigzzanuc) (AffixDesibne ere) v PLEASE, RETURN TO BARNS`I'ABLE PUBLIC HEALTH DIVISION_ CERTIFICATE OF COMPLIANCE WlliL NOT BE ISSUED UNTIL BoT i THIS FORM AND.AS BUILT CAR]) ARE RECEIVED BY TFfE BA]2NSTABLE PUBLI( IIEALTI-I DIVISION. THANK YOU Q septic.i)esigner C:eraf nation Form Rev 8-14-13.dUe Engineers note:Ti-is certification is limited to an as-built inspectir n of system components as installed prior to backtill.The engineer.did notsupenvise construction of the system.The installer assumes responsioiMy for all,materials,.workmanship,i acktiiGng to specified gradesu th proper cernpaciion an risersicovers as shown on the:dasign plan. pF�F1E Tp� Town of Barnstable Barnstable Inspectional Services AN-Ame`caC 1 BAEtKA9 BLB; 9� ,�� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas A.McKean,CHO FAX: 508-790-6304 CERTIFIED MAIL#7015 1730 0001 4987 7664 May 1, 2019 COLELLA, RICHARD C & BEVERLY S 40 BAYBERRY LANE CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 40 Bayberry Lane, Centerville, MA was inspected on 04/18/2019 by Shawn McElroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • The stain lines show evidence of failure. You are ordered to repair or replace the septic system within one (1) year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH ean, S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\40 Bayberry Lane Centerville.doc f �THE Tp� Town of Barnstable • rsAuvsraar.e. Regulatory Services Department TED MA't 6 Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) . O �'+0,'A It✓ieJ —5L-1 e v,'6'Q►1GP a Allyf( - Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Stanton, David From: McKean, Thomas Sent: Tuesday, April 30, 2019 8:43 PM To: Stanton, David Subject: Fw: Inspection Report for 40 Bayberry Lane Centerville: Based on the information submitted, it appears to be a failed system. From: shawn mcelroy <shamac29(ftahoo.com> Sent: Tuesday, April 30, 2019 7:34 PM To: McKean, Thomas Subject: Re: Inspection Report for 40 Bayberry Lane Centerville: Tom, Empty 3 months Not sure of degree, but clear and evident. Not multiple clumps but a thick layer of scum coated inside of pit. Black Evidence of back-up in d-box Yes, stain :in d-box was above outlet invert. Title 5 tank and pit. Best I can remember, and some notes I took. Hope this helps, Shawn On Tuesday; April 30, 2019, 04:23:53 PM EDT, McKean, Thomas <Thomas.McKean(c)-town.barnstable.ma.us> wrote: Shawn, Will you please answer the following questions regarding the staining you observed at 40 Bayberry Lane Centerville: 1 Has the home been vacant for a while (approx.. #weeks, months, years)? What was the degree of staining? What was the extent of it(e.g.were multiple clumps of sewage observed)? What was the coloration? Were there any other indications of failure? Did he/she notice any staining in the d-box? Is it a cesspool or a Title V system? A CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! 2 Commonwealth nwealth of Massachusetts r� Title 5 Official Inspection Form i i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name caw information is ., required for every Centerville MA 02632 4-18-19 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. A. Inspector Information Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 16.340 of Title 5 (310 CMR 15.000);1 have personally inspected the sewage disposal system at theproperty address listed above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 4-18-19 "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 has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 18 C Commonwealth of Massachusetts �-r Title 5 Official Inspection Form i�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Bayberry Ln �r- Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4s18-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 2) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 s Commonwealth of Massachusetts ,. Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Bayberry Ln _ Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump'Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the'distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ON ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ON ❑ 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 El ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 s Commonwealth of Massachusetts Title 5 official Inspection Form "/�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �. > 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r <" 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® 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 'h day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. [.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. 5) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to,15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26=18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 cam" Commonwealth of Massachusetts Title 5 Official Inspection Form 161 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the 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? ® ❑ Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 I Commonwealth of Massachusetts s Title 5 Official Inspection Form y M Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 17_ :;> 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) 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: 1-2019 Date t5insp.doc•rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts TA w Title 5 Official Inspection Form I'll Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Owner----pumped 2017 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Maintenance t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 r Commonwealth of Massachusetts r� ,w Title 5 Official Inspection Form r�M Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known) and source of information: 1993 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate.on site plan): Depth below grade: 18' feet Material of construction: ® cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form it Subsurface Sewage bisposal System Form -Not for Voluntary Assessments �0.1 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 12"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: 1000 gal Sludge depth: 12" Distance from top of sludge to bottom of outlet tee or baffle 20" V. Scum thickness 11 Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign leakage. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form IN Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;!r'T 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass EJ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank (tank must be pumped at time of i nspecti on)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts ,. Title 5 Official Inspection Form i I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding T cont. 9 gank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach co of current pumping contract (required). Is co attached? Yes No PY P p 9 PY ❑ ❑ 9. Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 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.): D-box had water at working level with stain line above outlet invert. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts r� ;w Title 5 Official Inspection Form ! r�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments fir! 40 Bayberry Ln �� Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1-600 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altemative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 L, Commonwealth of Massachusetts Title 5 Official Inspection Form i4 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � ...� 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit had stain lines above inlet invert. 12. 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 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 r ,1 Commonwealth of Massachusetts Title 5 Official Inspection Form ri Subsurface Sewage Disposal System Form -Not for Voluntary Assessments a 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � r:M }a: 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand sketch in the area below ❑ drawing attached separately f t .4 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form Subsurface Sewage Disposal System-Page 16 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i I'i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments i 40 Bayberry Ln J' Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water , ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 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: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts ' r� Title 5 Official Inspection Form ,.r i-'i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r ,fc! 40 Bayberry Ln Property Address Peter Colella Owner Owner's Name information is required for every Centerville MA 02632 4-18-19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 ,1 TOWN OF BARNSTABLE LOCATION y p �a.:�iry iNi= SEWAGE# o90(cf- 2 2 7 VILLAGE ASSESSOR'S MAP&PARCEL /1® >06Q INSTALLER'S NAME&`PHONE-NO. SEPTIC TANK CAPACITY /max 5N_C II 1 LEACHING FACILITY:(type) A So© %A11 rl l0 ("1xM (size) NO.OF BEDROOMS 3 OWNER E() .2 I I C, PERMIT DATE: G r) e -I I COMPLIANCE DATE: 6 - Y-1 l Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility If an wetlands exist within g g n'( Y 000 feet of leaching facility) Feet FURNISHED BY �� dt-- I Acl� �0vi-11�ti`� Ck 3-7 e �- ff e IT QNF- LJ ".-ro lax pF BARNSTABLE — LOC�►'I70N ?f� ct jt1'`V L tit SEWAGIE# — VI!.t.AM. .. .. WSTAn`5 NA11�3�P�I41dE AtO: 'C.-TAXK CAPACI'C�C L�A�CIIlTtG p,�,C1IILTE'Y: (typa)'4 � . i NO ®Ft1�BlaU001wi S cotoLLWCEI PBRUU T DATE Sptson ifaes h ,. Alaxlix►umAdtustad Grau►a�1wSb1ela the Bltatn�fachtat�liiy. ee� 1��tvuat�'�supply V1cU a��di,.t ��1p l�acia": + of mny�rsUsexLzt sm stc ce wltlua 200 feat aQtacoi� facilit}�) i?st�,r o Rlet9 d and ll eacihtn Pa lily: my`Wet�11d5 e�St . Fee rt}�taitt 300_filet 0f 10 0841. oa No.... .1. Fx$..3-70't.............. FIE COMMONWEALTH OF MASSACHUSETTS 7;0911 -9 BOARD OF HEALTH RM TOWN OF BARNSTABLE Aplifiratiun for Divi-Vuiitti Workii Tomitrurtiun tlrrmit Application is hereby made for a Permit to Construct ( ) or Repair (1/1"an Individual Sewage Disposal System at: ..............•....--..�!�......... .....t�2. --11V_.................... ..--•-----•-•--____.____.•----.--.-•---_.___--....--•.-__..................._........ieddre or t No ...................... -------------------- •--•-• ........................................ ...--•---•... Installer Address PQ d Type of Building Size Lot............................Sq. feet U Dwelling— No. of Bedrooms_________________•-_-.-_-.---------------.--Expansion Attic ( ) Garbage Grinder ( ) ►-a Other—Type of Building No. of persons____________________________ Showers — Cafeteria 04 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. I................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........................ --------•---- -- - -- - -- - Descriptionof Soil SG , ----------------------------------•--------------------------------------------------------- ----- ------------------------.-------. x w ------------------------------------------------------------------------------------------------------------------------------ ------------------------------------ ----------- U Nature of Repairs or Alterations—An er when applicable.__ -./-H.fT_���---_-�vUO ST GOo � J r ...........................................................G7�f c�-U---------- S--•--•-•--••------._-----------•-_----.-•--••-----•---------•-•-------..------•-•------•-------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ha been issued byyt-he bard of health. Signed L! J�----/- --......._............................. Dare--------------- ApplicationApproved By --------------------- ... .... ..� .-- ...................----------'-`-----"-'-------'-------- ----.........Dace..........--...... Application Disapproved for the following reasons: ............................ ........................................... .. '. ' .... ..... ..................... ..-----.....---------------------------..............................-------............................--------------------------............................. Permit No. ......... 7_3 [9.. Issued ................. Date Dare No................-....... FEB. THE COMMONWEALTH OF MASSACHUSETTS /&T� -5 ,3 BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Dhi-Vo!3ttl Warku Towitrnrtiun 11amit Application is hereby made for a Permit to Construct ( ) or Repair (V'an Individual Sewage Disposal System at o ' Locll ion- \ddre%s or Lot No. - --�-----C% .................•.... --------y�. .... {rr..._ �►U Ch i c� U Type of Building Installer Size Address ............................Sq. feet Dwelling No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 44 W Design Flow_Other fixtures -.. --_:gallons per person per day. Total daily flow.........................................gallons. d WSeptic Tank—Liquid capacitv------------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........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water-_-__._.---__-_-_-_----- 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 9 ------•----- --------------•------------•----------------••---•-----------•-•• .......--- -- ---------..................-•-• ............................ xDescription of Soil............�w," ----------------------------------------------------------------------------------------------------------------------------•------------- V .............................................. -------------•-----••----------------•-••--•--•••---•----•--------------------------•-------•------------•-------------------------•------••---------•---- UW ----- ------------------------------------------•----------------------...._.....-------------•--•----------••----------------- --------•-...---•-----••--•----• --. ---- ......... Nature of Repairs or Alterations—QAnsyv&r when applicable.__/-/h_ST`:�-------__�v Uo 57` g GOv 2/} r. L ..............................................................of 1��.7 -cam sV Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia ha ,been issued by the b and of health. Signed -------- ----- ------------------------------ ---- .:... .............�� ---- --------.._. ..------ ------------- Date Application Approved By ..................._ - ------------------------------- --------------- ------------------ Date Application Disapproved for the following reasons- -----------------------------------------------------._------------------...................------------.-..-------..._-------- .......... . .................................. ................. . . ........................ . -- . ......---------------------------------- Date Permit No. --------!... .....-... �.."�...�,f------------- Issued Date ------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE � �Qrtifirak of 01-1-jamplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by .... r .,A- ....6. �. ---------------------------------- ............. - - - - -- - Insr Iler at -------------�. ...........!d- ....... -... ------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .._ _-_ 2-,5...��L---------- dated -------_---------------..-------------_-.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 7 DATE ...�..�... ....1 -� - - Inspector _,. ..... ��...' - - ---------------------------- ----------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No....1..�2..-...f�J..� � FEE_-, r ioruuul urk Tuntrrtiun �rrntit Permission is hereby granted...........Nx, �''y= ------------------------------------------------------------•-•----•----.---..-----.-.- to Construct ( ) or Repair (I an f4ividual Sewage Disposal System at No.•••---•-------•--•---•V.-ea......... Z� a Street as shown on the application for Disposal Works Construction Permit No.73-:..6-..._ Dated........................................... -------•---.......-•--•-••..---•- -- _�--------------------------------------------- � Board of Health DATE----------- C.' /....--�� 1----------------------------------------- FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE LOCATION �j® f3yl.�a�vy .�ti SEWAGE # VILLAGE ASSESSOR'S MAP & LOT F6 • 06n INSTALLER'S NAME & PHONE NO. y1'"' - 1-7u /f SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 6od7 (size) 41,E`L NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER D �- BUILDER OR OWNER DATE PERMIT ISSUED: yi 3 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No i/' .. .� �. ; ""7 , '�� �� �, �, i 3 � � � � i i i � . � ��� --.- - 5 J —64—— EXISTING CONTOUR x 60.98 EXISTING SPOT GRADE ti d untlkrlq EXISTING LEACH PIT —Wy EXISTING WATER SVC. o� TO BE PUMPED, FILLED WITH —G EXISTING GAS SERVICE SAND & ABANDONED. Lm*e I H.W OVERHEAD WIRES N 47'32'50" E TEST PIT 91.39 BENCHMARK 100.76' FENCE LlN , x 92, o _ LEGEND 1h° x 91•57 -LOT 52 �ohN0 � '� a& 14,810tSF N � & .. . / of �a�r+F 92.5 . -tit .92.87 �� ti LOCUS MAP ave. edge 0 NOT TO SCALE 92.23 92,54 • ' .' � • + P-2 25 GENERAL NOTES: � .1X.a.:; :� /, + 93,E 9 5 �• (6 p' ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL :. TP-1 N�..:,; Q Q � /O ��� j�� 1 BOARD OF HEALTH AND THE DESIGN ENGINEER. 7 EXISTING SEPTIC TANK ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS + 92.63 :��"�� " \ /. TOP OF TANK, EL.=93.37 2 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE Q ,/ 3 INV.(OUT), EL.=92.04f LOCAL RULES AND REGULATIONS. 94 1+ •+'96.94 / / THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR x 93.21 3. O co O TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE x 94,17 o N DESIGN ENGINEER. 94 Fs' ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING DECK f-oj ' x 96.67 ' 98.92 4• FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN + 99.37 ENGINEER BEFORE CONSTRUCTION' CONTINUES. -&- 95 4 96.34 Z 5 ALL ELEVATIONS BASED ON AN ASSUMED DATUM. BASEMENTFL❑❑R BENCHMARK 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 93.68' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF U: o COR./BOTT. STEP HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. o EXISTING x EL.=99.37 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. GARAGE HOUSE(#40) 99.55� 100.17 $• THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 98.40 x T.O.F.=100.5f � 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS ® o�}r, AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE ® 7ti DIRECTED BY THE APPROVING AUTHORITIES. x AC 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 97,19 99.67 �� v 100,50 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING �9.96 CONSTRUCTION. ` ' F 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 1 wq�K p IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND f 99.9 \ ,1 .'• 1 Q ALS�.OFAt" � REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. PETEG2 T. m / , cENTEE 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 99,6 / � DRIVEWAY CIVIL NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 99.94 N0.35109 Q� t 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC SYSTEM COMPONENTS NOT SHOWN ON THE PLAN 4 L R=531 .27' 100•10 w: ``j0 L=101 .06' 7 4 ' f 100.18 �-7 �� 9 PARCEL ID: 190-060 =�: S PROPOSED SEPTIC SYSTEM UPGRADE PLAN PK SET edge of pavement 100.41 100,00 PK SET 9 40 BAYBERRY LANE, CENTERVILLE, MA Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BA YBERR Y LANE OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. COLELLA, RICHARD C & BEVERLY S Engineering Works, Inc. 1"=20' P.T.M. 194-19 40 BAYBERRY LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CENTERVILLE, MA 02632 CHECKED SHEET NO. (508) 477-5313 06/07/19 1 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=90.0 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D—BOX OF THE PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. OUTLET AND SET TO 6' OF FINISH GRADE SET TO 6" OF GRADE REAR OFLEE HOUSE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=100.5t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT I —96.3f � F.G. EL.=94.6t � F.G. EL.=94.1 t F.G. EL.=93.0t Y ,- DECK MAINTAIN 2% SLOPE OVER S.A.S. L = 10' ® S=1% (MIN.) ® S=1% (MIN.) '+ R6 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" CA 1' e DOUBLE WASHED STONE 5$� 101 ta., 6 aaaSaaB (OR APPROVED FILTER FABRIC) t0 ��� ro aaaaaaa T 1 EXISTING-) 48" LIQUID aaaaaaa —3/4" TO 1-1/2" DOUBLE t LEVEL ADD PROPOSED 4' 5.2 4' WASHED STONE Nt PROP- S.N.S. GAS BAFFLE INV.-91.87 INVD—BO .=91.70 EFFECTIVE WIC TH = 12.8' • • •• • 3 OUTLETS INV.=90.00 5 EXISTING SEPTIC TANK INV.=92.04t 2-500 GALLON LEACHING CHAMBERS �— EXISTING SURROUNDED WITH STONE AS SHOWN H-10 RATED TOP CONIC. ELEV.=90.3t — BREAKOUT ELEV.=90.00 INV. ELEV.=89.50 "G2 SEPTIC LAYOUT NOTES:1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & BOTTOM ELEV.=87.50INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. 4' 2 x 8.54'2 D—BOX SHALL BE SET LEVEL AND TRUE TO GRADE 4' OF NATURALLY OCCURRINGON A MECHANICALLY COMPACTED SIX INCH CRUSHED PERVIOUS MATERIAL EFFECTIVE LEN STONE BASE, AS SPECIFIED 310 CMR 15.405(2). 4' (MIN.) ABOVE G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=81.3 LEACHING SYSTEM SECTION ®®®® 0 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE I— ®® ER®®® ® ® ®®® 33" AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. -t W ® SEPTIC SYSTEM PROFILE N z 8 ®�®®® ® ®®® 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT DATE: MAY 28, 2019 (REF#TPT 19-21) 20" DIA. COVER NUMBER OF BEDROOMS: 3 BEDROOMS WITNESS: DAVID STANTON R.S. HEALTH AGENT SOIL EVALUATOR: PETER McENTEE PE(SE#1542) / SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) ELEV. SS: A DEPTH ELEv. TP-2 DEPTH 4" KNOCKOUT 4 KNOCKOUT 58" DESIGN PERCOLATION RATE: 5 MIN/IN 0" O" DAILY FLOW: 330 GPD 92.8 FILL 92.8 FILL 0 DESIGN FLOW: 330 GPD 92•0 A 10" 91'8 A 12" 4" KNOCKOUT GARBAGE GRINDER: NO—not allowed with design SANDY LOAM F SANDY LOAM 9 10YR 4/2 10YR 4/2 LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 915 B 16" 91.5 B 16" 500 GALLON CAPACITY, H-10 LOADING SANDY LOAM SANDY LOAM .74 GPD SF CHAMBERS EXISTING SEPTIC TANK: 1000 GALLON CAPACITY 90.1 C 10YR 5/6 32" b9 8 C 10YR 5/6 36„ N.T.S. PROPOSED D—BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PERC USE 2-500 GALLON LEACHING CHAMBERS IN SERIES M-C SAND 30"/48" M-C SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN 2.5Y 6/4 2.5Y 6/4 SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 5% GRAVEL 5% GRAVEL 40 BAYBERRY LANE, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. 81.3 138" 81.3 138' Engineering Works Inc. 1"=20' P.T.M. 194-18 PERC RATE <2 MIN/IN. "C" HORIZON 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 06/07/19 P.T.M. 2 Of 2