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HomeMy WebLinkAbout0025 BLANTYRE AVENUE - Health 25 Blantyre Avenue,Centerville A= I M III I UPC 12534 No.2_ 1_ HASTINGS,MN Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 2010 required for Y 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 David B. Mason cursor-do not Name of Inspector use the return key. David B. Mason Company Name 4 Glacier Path Company Address East Sandwich MA 02537 City/Town State Zip Code 508-833-2177 S1287. Telephone Number License Number B. Certification certify-that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority a ? C.y q4 ` May 26, 2010 QU �nspectoes Signa ure Date s' z j 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%, sterp�r has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit th-e-1 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. YV t5ins•09/08 Title 5 Official Inspection Form:Subsurface ewage a Sys 0 tem-Page 1 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Blantyre Ave 'M Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y 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: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ° 25 Blantyre Ave M Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 2010 required for Y 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 FIND (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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 ' required for Y every page. Cityrrown 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-09108 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 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y 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 I Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y every page. CitylTown 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): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 l5ins•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 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y every page. City/Town State Zip Code Date of Inspection D. System Information Description: System passes based on the information observed on May 28, 2010 at 2 PM. This does not guarentee the continued operation of the system. Increase in occupancy may result in hydraulic failure. Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): yes Detail: 2008- 39,000 gallons and 2009 32,000 gallons Sump pump? ❑ Yes ® No Last date of occupancy: current Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y 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): Pump chamber in addition to that noted above 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 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: Compliance issued March 31, 2008 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: Not Applicable feet Comments (on condition of joints, venting, evidence of leakage, etc.): Appears in working order Septic Tank(locate on site plan): Depth below grade: 24 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) 2000 gallon septic pump combination; 1500 gallon septic tank and 500 gallon pump chamber. Pump and alarm appeared operable. 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: l5ins•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 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Y required for Centerville MA 02635 May 28 , 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 32 Scum thickness 2 Distance from top of scum to top of outlet tee or baffle 3 Distance from bottom of scum to bottom of outlet tee or baffle 12 How were dimensions determined? Scour Stick 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 appears structurally sound. Effluent level with outlet tee. Zabel filter in outlet tee was jammed solid. Tee filter was removed, cleaned and put back in place. 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 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y 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: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 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 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Y required for Centerville MA 02635 May 28 , 2010 every page. CitylTown 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 Level with outlet inverts 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.): No evidence of solids carryover. 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.): System was operable. Filter in outlet tee was jammed, cleaned and put back in place. Iminited evidence of solid carry-over. i 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 w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y 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: 26'x 11.5' ❑ 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.): Probed field with no indication of hydraulic failure. No inspection port identified. 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 Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y 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•01108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Y Centerville MA 02635 May 28 2010 required for � i every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Blantyre Ave Property Address Susan Soures Owner Owner's Name information is Centerville MA 02635 May 28 , 2010 required for Y every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ❑ Shallow wells Estimated depth to high ground water: 7.47 to adjusted 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: March 2005 Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: Engineered plan on file ❑ Checked with local excavators, installers - (attach documentation) ❑ Accessed USGS database -explain: You must describe how you established the high ground water elevation: Used engineered plan on file based on test hole data. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 25 Blantyre Ave '1 y Property Address Susan Soures Owner Owner's Name information is Y required for Centerville MA 02635 May 28 , 2010 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist E Inspection Summary: A, B, C, D, or E checked E Inspection Summary D (System Failure Criteria Applicable to All Systems)completed E System Information— Estimated depth to high groundwater E 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 TOWN OF BARNSTABLE LOCATION S Vi j'r AJP SEWAGE# VILLAGE (,, uj'- ASSESSOR'S MAP&PARCEL a2p, as- iNSTALLERS NAME&PHONE N0.'Zo z tkS A - SEPTIC TANK CAPACITY MX)a�) i. $ Te�f�f+�,n,��{y,,y}rar'fdrn�YS LEACHING FACILITY:(t)pe)Ct.,ui<y C6AW1 (size) NO.OF BEDROOMS 3 OWNER PE3I41T DATE: COMPLIANCE DATE: Separation Distanoe Between the: Maximum Adjusted Gtoundwakr Table to the Bottom of Leaching Facility 7 y 7 Feet- Private Water Supply Well and Leaching Facility(if ay wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of teaching facility) 107 Fed FURNISHED BY��[•��r c ,. f iNSS � 3 TS q w �e -57 We. i god No. Fee ®L THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:- Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Z ppYication for �Dtgpotal *pgtem Con0tructf on Permit Application for a Permit to Construct( ) Repair W Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. S ZJ&j_4+.1 f e Nor Owner's Name,Address,and Tel.No. Rw\ Sc c,-reS Assessor's Map/Parcel -9-2 Inst ler's Name,Address,, nd Tel.No. ^�.t Designer's Name,Address and Tel.No. 136oc� t� F+vS�>seer� �or�-S Type of Building: (,1.� 8 _G a Dwelling No.of Bedrooms Lot Size 2O,CUCg sq.ft. Garbage Grinder ( ) Other Type of Building kcx)S�e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 'Y!>0 gpd Design flow provided ` 0,3 gpd Plan Date 119,1106 Number of sheets ' Revision Date Title Size of Septic Tank !:1,000 Ga%>� �SQ©ISC1O Type of S.A.S. Q 0 Kk Ll Description of Soil Nature of Repairs or Alterations(Answer when applicable) l0S1(A <1 e W 1,P 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 Boar of He Ith./�� Signed Cam` Date Application Approved by Date Application Disapproved by: Date for the following reasons Permit No. Date Issued —= _ — ---- — ---------------------------- tt r ' -�V No. � ��.� ` .� .� Fee THE COMMONWEALTH OF MASSAC ATTSj Entered in computer: 14 Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, M4SSACHUSETTS 2pplication for �Bigpogar 6pgtem Cow5truction Permit Application for a Permit to Construct( ) Repair W Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 5 Z10.S{y (�. A0 ' Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. -1 oo-7)� Designer's Name,Address and Tel.No. 1. �S\�-5 R 13�OWa F�v��rac�r��J WOf ItS Type of Building: U-u 5D 8 -410 4 DwellingNo.of Bedrooms 3 Lot Size 2000G ` � sq. ft. Garbage Grinder ( ) Other, Type of Building h a_)C�e No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) Y50 gpd Design flow provided 3�3,3 gpd Plan Date I a 106 Number of sheets '?, Revision Date �9 r _Title k Size of Septic Tank `,COO GcAj(')rA (504," Type of S.A.S. a tl l C� L► k r)�k iC,aOS Description of Soil . /Nature of Repairs or Alterations(Answer when applicable) e w t_11C E up S tic a l( i ^ +1 r" - 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. Signed ( f • Date I Jn Gm v Application Approved by Date Application Disapproved by: Date for the following reasons s Permit No. � '� 1 r Date Issued +j THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( --r Upgraded ( ) Abandoned( )by ),_ �S A+' ,r C)"0(--j at �1�K.,.,��l�f uP (�{ pf has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. � / dated Installer. F 1G� "— �l"5w 1J Designer ����r�r #bedrooms 73 Approved design flow 3Cv / g;vt d The issuance of this permit shall not be A strued a a uarantee that the system will qN, desiigne/�d. Date Inspector /1� t'w � ————=————————— —————————————--————�—— ———— .. _ No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS k &.5pogal 6pgtem Construction hermit ` Permission is hereby granted to Construct ( ) Repair (X Upgrade ( ) Abandon.( ) System located at >Iae tie and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. s. Provided: Construction in st be co pleted within three years of the date(ofhis perms . Date � c 7 Approved by u "0 �* Doo- 1 ,085POSO 03-14-2008 2:56 BARNSTABLE LAND COURT REGISTRY DEED RESTRICTION WHEREAS, Paul W. Soares and Susan W. Soares of 25 Blantyre Avenue, located in Centerville, MA, are the owners of 25 Blantyre Avenue, and being shown as Lot 19 on Land Court Plan Number 17678-K and duly recorded at the Barnstable County Registry of Deeds. WHEREAS, Paul W. Soares and Susan W. Soares as owners of said lot have agreed with the Town of Barnstable Board of Health to a,restriction as to the number of bedrooms which can be included on any home built on said lot as a pre-condition of obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a Disposal Works Construction Permit for a septic system in compliance with 310 CMR 15.000, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on said lot be put on record with the Barnstable County Registry of Deeds by recording this document. NOW THEREFORE, Paul W. Soares and Susan W. Soares do hereby place the following restriction on their above referenced land in accordance with their agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title: 1. 25 Blantyre Avenue may have constructed upon it a house containing no more than three (3) bedrooms. Paul W. Soares and Susan W. Soares agree that this shall be a permanent Deed Restriction affecting the dwelling located at 25 Blantyre Avenue, Centerville, MA and being shown as on Land Court Plan Number 17678-K. Page 1 of 2 For title of Paul W. Soares and Susan W. Soares see the following Land Court Certificate Number 154515. Executed as a sealed instrument this__ 2 LI day of �h , 2008. GU Owner's signature wner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS \ss /o f-Date , 2008 Then personally appeared the above named G�. o known to me to be the person/s who executed the folio g instrumentAfid acknowledged the same to be their free act and deed, before me. KARENJOHNSON Notary Public7� Commonwealth of Massachusetts My Commission Expires NO ulbiic 0 2009 My commission expires: 9 R LjoH RN5TABLEEGISTRYOFDEED8TUE COPY,R ATTESTN F.HEAD FEaiST M.sr BARNSTABLE REGISTRY OF DEEDS Page 2 of 2 2 Town of Barnstable Regulatory Services Thomas F.Geiler,Director = Public Health Division 9.6 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: 3bd_025 Sewage Permit# Assessor's Map/Parcel 2 Z Installer&Designer Certification Form Designer: W v.r I t s Installer: �o�'S j3 �� �,e.er:na Address: 12 VJ . G'O S S'f R Y Cl )" Address: i�s da.(4 1"1 4 024c yy On /�o r'o�✓�+ was issued a permit to install a (date) (installer) septic system at ZS 8f41% h-fr-e A"C 6t K"'• based on a design drawn by (address) -L+-er-T_ H crze-K+e-e F_15• dated (designer) s� I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (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 re f any component. of the septic system)but in accordance with State&Local otio revision or certified as-built by designer to follow. Stripout(if requ' d the soils were found satisfactory. g y�PETER T. McENTEE CIVIL No. 35109 'nstaller s Signature) �90FFSSION (Designer's Signature) (Affix Designer's Stamp Here) PLEASE.RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. q:office fonnAdesignercertification form.doc TOWN OF BARNSTABLE LOCATION 2 ���.n�1q (,, SEWAGE# .- VILLAGE � e ASSESSOR'S MAP&PARCEL ;aa , ",zS INSTALLERS NAME&PHONE NO. 'Do '' SEPTIC TANK CAPACITY oZ `) ��I � c/%7cJMOC�fMCY� �C9M LEACHING FACILITY.(type) 0,1;t� � _ (size) AGE NO.OF BEDROOMS -S OWNER z PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility q 7 Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist Within 300 feet of leaching facility) ` 10 7 Feet FURNISHED BY?6�6—q E^) %,\)e(IN)S �( YSZ)C;,�(- I Z)Cb r . A I� 1 • �CcC.IC. i3941. 2 Barnstable Town- of Barnstable BAR "ems Board of Health 1 o b 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Wayne W'Aer,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi J. March 2, 2008 Mr. Peter McEntee, P.E. Engineering Works 12 West Crossfield Road Forestdale, MA 02644 RE: ; .,25,81antyre Avenue, Centerville : A = 228=025 Dear Mr. McEntee, You are granted variances, on behalf of your client, Paul Soares, to construct an onsite sewage disposal system at 25 Blantyre Avenue, Centerville. The variances granted are as follows: Section 360-1, Town of Barnstable Code: To construct a septictank/pump chamber 56 feet away from a wetland, in lieu of the minimum 100 feet separation distance required. The variances are granted with the following conditions: (1) No more than three (3) bedrooms maximum 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 three (3) bedrooms maximum. A copy of. the recorded deed restriction shall be submitted to the Health Inspector prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the revised engineered plans signed dated February 19, 2008. Q:\WPFILES\McEnteeSoares25BIantryeAve2OO8.doc J (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 revised plans signed dated February 19, 2008. This variance is granted because physical constraints at the site severely restrict the location of a soil absorption system due to vegetated wetlands bordering two sides of this lot. The proposed system appears to be designed to meet the maximum feasible compliance standards contained within the State Environmental Code, Title V. Sincerely yours, LftL l Way Miller, M.D. Chairman Q:\WPFILES\McEnteeSoares25BIantryeAve2OO8.doc t � t DATE: q/ t/ FEE: BARNSfABtE, MASS 16 REC. BY Town of Barnstable SCHED. DATE: /0 /� Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862 4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: S � )Q J.�-"`'�� �� �� rs )I Q {� Assessor's Map and Parcel Number: 2 2 S /0 7- Size of Lot: 2�t 00 6 SET Wetlands Within 300 Ft. Yes ✓ Business Name: No Subdivision Name: APPLICANT'S NAME: Fe- KC.CNC4'c-f_ (P S- Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: ���/ ) 0 G re- Name: n in Address: chv%L'y f'-Q, Q"�, Address: I Z. 1.i9 ry I 1 l e,. i"�A O 2 �3 Z- fi; eS 4.Lk� f"'N a4- O Zf Lk Phone: Phone: �5;^ L-1)4q-7—r-z i7 VARIANCE FROM REGULATION(Litt Reg.) REASON FOR VARIANCE(May attach" more space needed) l�s'� �-—C'iN9,� 3f�n At�� 1 �i.o d,A� Px"► 4-s to u� fio f v cl ,a +n c S ► w. ,r.�- NATURE OF WORK: House Addition Cl❑❑❑❑❑ House Renovation El Repair of Failed Septic System, Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. _ Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) I# _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) t A _ Signed letter stating that the property owner authorized you to represent him/her for this request 1 • Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date it applicant'§pence-(forTitle V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) -] t,Q Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance r ials[same ownedleas�ce' only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[t if no expansion to the building proposed]) T~, _ Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,C irman CO r- NOT APPROVED Paul J.Canniff, M.D. M REASON FOR DISAPPROVAL C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK1\VARIREQ.D0C y � a Cam'"' SECTIONSENDER: COMPLETE THIS . DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X �- r ❑Agent,,, ■ Print your name and address on the reverse ressee, so that we can return the card to you. B. Received by(Printed Name) ate' e ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No j SAPOROSCHETZ,ALEXANDER i 4 CONNOLLY HILL RD HOPKINTON,MA 01748 3. Seryde Type I ! [WCertified Mail ❑Express Mail I ❑ Registered ❑Return Receipt for Merchandise Prop ID:228025 ---s— —J ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 11 (transfer from service labeq i { i�O p 7 2 2 Y�10 0 3 2 7 01 3 5 1 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 'mow. r`•'T� �'�:� ',. UNITED STATES POSTAL SERVICE �,�,.T�.a`�; •'�L°�����, s,- ..� am �- lido.,-�''9�k''"" • Sender: Please print your name, address, and ZIP+4 in this box • I 'Engineering Works I 12 West Crossfield Road Forestdale, MA 02644 SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sign e item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. eived by(Printed Name) C. Date of Del' ry ■ Attach this card to the back of the mailpiece, j _ or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No SOARES,PAUL W&SUSAN W - - �'25 BLANTYRE AVE CENTERVILLE,MA 02632 ' 3. Se Type IEYCertified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yea 2. Article Numberr +a;- F s 3 1' r t t } + 1 i (Transfer from service/abeq ,�S t 7 0.0 i7 0 2 2��t�'� -3 ►2 7���1R 3 5 5 4 t 1 t PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATE`§-PO�Sl`l1L SE`ffV . ms- . .. -' ry .�. 1.'r.�'f .•:Y q:.L �LfT.VT�• 'i,'nGF • Sender: Please print your name, address, and ZIP+4 in this box • I I in I Engineer g Works � I 12 West Crossfield Road i Forestdale, MA 02644 i COMPLETECOMPLETE . . DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Regeived 6�(rted Name) C. Da of Delivery ■ Attach this card to the back of the mailpiece, �`\, aI`►_D1t or on the front if space permits. �� a D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No °3 Prop ID:228024 BROWN,DONALD C ,.. i ANN BROWN "t' 3. Servi a Type 36 BLANTYRE AVE rtified Mail ❑Express Mail LCENTERVILLE,MA 02632 ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number s ;; r x •, (Transfer from service label) L t I i 7 0 0 7 t0 2 2 0! 0 0 0 3 2+7 01 f f3 5 7 2 I BPS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 �y� t „ UNITED STATES POSTAL SERVICE ­ d nwnc c+x.�+srn'RFI Stucern�t:. Q '@f'/S ! • Sender: Please print your name, address, and ZIP+4 in this box • Works Engineering W o � 12 West Crossfield Road Forestdale, MA 02644 - I I I jj j j jj i ttj jj 1.11 j( j i a�..S%0 1`�l.t!!t'? ?�F!!?id!31l !! !? Y �!!ii!!1 ' ili!!l1 l:d?1:1i11 I SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. • natur item 4 if Restricted Delivery is desired. `, ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. , 'ved by(Printed Name) C Date of De' N Attach this card to the back of the mailpiece, _�q_(�' ' or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Prop ID:229116 IAFRATE,JOSEPH D IAFRATE,LINDA M 41 BLANTYRE AVE 3. S—eryice Type CENTERVILLE,MA 02632 h,J'Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number '► E7p0T O'22.0 '0005;82 01 i35'S`8 (Transfer from service label) I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 4 UNITED STATES POSTAL SERVICE 3 ., '.a, t 1�„t_1 t ?,;:.�,I �;,rt i•,�, `"" � "`^"„ QQPP,osY�ge$MFe�s�'ald� +it f `u,av; •` ,,..,,yV�� avn,nc�,r��� it I • Sender: Please print your name, address, and ZIP+4 in this box • I Engineering Works 12 West Crossfieid Road ` + Forestdale, MA 02644 =S',��,cj lll.Fl�tFf?I?If.titlt.yfi:rl3.�iIf?If1F?i?i= �ft:}ex.t to i? } i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Si nature item 4 if Restricted Delivery is desired. X ❑Agent E. Print your name and address on the reverse Wddressee so that we can return the card to you. g' Re eived by(Printeq\Name) C. Date of Deliv ■ Attach this card to the back of the mailpiece, l/—� or on the front if space permits. D. I delivery address different from R 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No -prop la 228026 HENNESSY,CYNTHIA J 422 PINE STREET 3. Seryice Type CENTERVILLE,MA 02632 Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑:Yes 2. Article Number 0`22O 0003 d27011 3SL5 r (transfer from serv/ce label) I -h 7;p07 PS Form 3811,February 2004 Domestic Return Receipt'4 102e95-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • ------------ Engineering Works 12 West Crossfield Road Forestdale, MA 02644 1 - lli►�:��,1�1,9i►�,lfti�l,�i„i�111�,,,,�11li,,,���ii�ti�li�;i�i s Engineering Works EXISTING FLOOR PLAN 12 W. Crossfield Road 25 Blantyre Ave., Centerville, MA Forestdale, MA 02644 Job No. 105-08 Date: 1 /22/08 (508) 477-5313 Page 1 of 1 BATH BED RM. BED RM. >70 SF I >70 SF CLOSET CLOSET ROOF ROOF ROOF SECOND FLOOR DECK DIN. RM. CASED (13'x18') LIV. RM. r(l ) CASEDBATH MASTER ' CL. BEDROOM KITCHENSED 170 SF (13'x16'} GARAGE ENTRY CASED ENTRY FIRST FLOOR WINDOW SIZE NOT SUFFICIENT FOR EGRESS FULL CELLAR FAM. RM. gATH DEN WINDOW SIZE NOT SUFFICIENT FOR EGRESS BASEMENT FLOOR 1 3 BEDROOMS TOTAL f Page 1 of 1 Crocker, Sharon `\ r 1� -AN �a From: PETER MCENTEE [peter.mcentee@gmail.coml Sent: Tuesday, February 19, 2008 10:29 AM To: Crocker, Sharon Subject: 25 Blantyre Ln This email is to address two concerns regarding the plan submitted for septic upgrade. Base plan provided by Webby Engineering labelled house as a 4 bedroom house. This mislabelling slipped by me. The house is actually a 3 bedroom house and the septic system is designed for a 3 bedroom flow. Since the project was approached as an emergency due to 2 collapsed cesspools, a note was put on the plan, sheet 2, under typical section stating that soils would require verification of suitability prior to installation. I hope that this addresses your concerns. Regards, Peter McEntee PE 2/19/2008 r Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508) 477-5313 January 24, 2008 Mr. Thomas McKean-Director Barnstable Board of Health 200 Main Street Hyannis, MA 02601 Re: 25 Blantyre, Title 5 Septic Upgrade Dear Mr. McKean: On behalf of my client, Paul Soares, a request is being made for the emergency installation of a complete Title 5 septic system. Two of the existing three cesspools have collapsed and pose a hazard to anyone walking within the vicinity of them. A Notice of Intent has been filed with the Conservation Commission for the construction of a retaining wall (completed) and the installation of an upgraded septic system. The Commission has agreed to accept the accompanying plan as part of the NOI filing and under the issued Order of Conditions. The proposed work complies with the setback requirements of Title 5. There is one variance request to the Local Regulations being sought after. Following is the variance request: • LOCAL REGULATION, Chapter 360, Article 1-Setback Requirements: 1. A 44' variance, septic tank/pump chamber to wetland, for a 56' setback. Please consider this request for emergency installation and advise on how to proceed with the Board of Health meeting. Sincerely, Peter T. McEntee P.E. r Engineering Works 12 West Crossfleld Road, Forestdale, MA 02644 Tel/Fax(508) 477-5313 January 24, 2008 Re: 25 Blantyre Ave., Centerville, MA (Assessors Map 228, Parcel 025) Construction Title 5 Septic System Dear Sir/Mam: Please be advised that an application for variances from the Massachusetts Department of Environmental Protection, Title 5, and Local Regulations have been submitted to the Barnstable Health Department for approval. The following variances are being requested: • LOCAL REGULATION, Chapter 360, Article 1 —Setback Requirements 1. A 44' variance, septic tank/pump chamber to wetland, for a 56' setback. The application and plans are available for review at the Barnstable Health Department, 200 Main Street, Hyannis, MA, Monday through Friday (excluding holidays) from 8:30 a.m. to 4:30 p.m. A public hearing will be held, to discuss the proposed work, on Tuesday, February 19, 2008, at 3:00 p.m. The hearing will be held at the following location: Town Hall Hearing Room Second Floor 367 Main Street Hyannis, MA Sincerely, 6.1tk Peter T. McEntee P.E. Abutter List for Ma '& Parcels Board of Health butt p ( : '228025') Direct abutters (no set distance) and the properties located across the street. Total Count: 6 Close Map &Parcel Ownerl Owner2 Addressl Address 2 Mailing CityStateZip SAPOROSCHETZ, 4 CONNOLLY HILL HOPKINTON, MA 228023 ALEXANDER RD 01748 228024 BROWN, DONALD C ANN BROWN 36 BLANTYRE AVE CENTERVILLE,MA 02632 228025 SOARES, PAUL W& 25 BLANTYRE AVE CENTERVILLE, SUSAN W MA 02632 228026 HENNESSY, 422 PINE STREET CENTERVILLE, CYNTHIA J MA 02632 HENNESSY, CENTERVILLE, 228170 CYNTHIA J 422 PINE ST MA 02632 229116 IAFRATE,JOSEPH D IAFRATE, LINDA M 41 BLANTYRE AVE CENTERVILLE, MA 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 1/24/2008. http://www.town.bamstable.ma.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 1/24/2008 Town of Barnstable Geographic Information System January 24,2008 =9004 - #62 229012 229114 229019 #17 #51 #0 229020 #39 229003 AIgGy�E Ay #51 ::.• :: • _ : rzslys'� - �3:gat ..:.�:�:�;::`.`;•:?.:�:�::.`• 229019 ?�6U24.''::: 229017 #�'` 228029 39 #25 ' fp . 229026 #23 F� >d ��. rn x 229 018 C #29 :228029;. •:•ffi'22. 229019 228030 #23 #9 229..7.0. S O fa 225027 r G Tft x #1s a q 014 2�5 >0 229021 #434 ::::•:•.::::.:•.; 10 #4 229020 #442 Z #45051 a W 228103 j 2MON001 42 Fee #ast 228153 ; #429 a DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:228 Parcel:025 Board of Health pp Selected Parcel boundary determination or regulatory Interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines'on this map Abutters E are only graphic representations of Assessor's tax parcels. They are not true property across the street. boundaries and do not represent accurate relationships to physical features on the map such as building locations. Bufferf � V"Fw VW%s VVIa1a!laVua Val. V VVAJ 1t Vaa YVVVK- VVVVVVa _VV✓ • United States Geological Survey Observation Wells As a service to Cape officials, engineers and other interested parties, the Cape Cod Commission publishes monthly groundwater data gathered by its Water Resources Office. The water level measurements shown below are taken monthly from United States Geological Survey (USGS)observation wells and compiled during the last week of each month. They are published as soon as possible thereafter. Listed below are nine out of the 61 wells measured across Cape Cod by the Commission's Water Resources.Office. These nine are employed as index wells to be used with Technical Bulletin 92-001 to predict high groundwater levels. For your convenience, we've also provided links to USGS national and state data. See the last column in the table and the footnotes below. To see what's happening in real time at a separate well in Brewster,visit the USES site: USGS 414630070014901 MA-BMW 22 BREWSTER, MA For further information about any of the data or links on this page, please contact Hydrologist Gabrielle Belfit.at the Commission offices (508-362-3828). October 2.005 USES Site Water Record Record Departure from N umber"�:Y x Location Well No. Average** (links to USGS Level* High* Low* Monthly Overall national water-level database) Barnstable 230 23.3 20.5 26.6 12 0.3 41.3956070164301 Barnstable 24W 23.6 20.5 28.6 1.5 0.9 4141540701.65001 Brewster BMW 21 8.9 6.9 13.6 1.61 1.4 11 414518070020301. Chatham CGW138 24.1 20.9 26.6 0.5 -0.2 414100070011101 Mashpee MIW 8.2 - 5.6 10.0 1.0 0.3 71 413525070291904 Sandwich SD 2 47.1 45.8; 48.2 0.4 0.2 414418070241_6_01 Sandwich SDW 49.4 45.8 55.i 1.1 0.8 414124070265901 Truro TSW 89 11.9 10.2 13.0 0.5 0.1 42.0206070045901 http://www.capecodcommission.org/wells.htm 11/5/2005 r Z v . V Table 5. Potential water-level rise, in feet, for use with index well Mashpee MIW--29 WATER ZONE A ZONE B ZONE C ZONE D LEVEL 5.7 0.0 0.0 0.0 0.0 5.8 0.1 0.1 0.1 0.2 5.9 0.1 0.2 0.3 0.3 6.0 0.2 0.3 0.4 0.5 6.1 0.3 0.4 0.5 0.7 6.2 0.3 0.5 0.7 0.8 6.3 0.4 0.6 0.8 1.0 6.4 0.5 0.7 0.9 1.2 6.5 0.5 0.8 1.1 1.3 6.6 0.6 0.9 1.2 1.5 6.7 r" 0.1 1.0 1.3 1.7 6.8 0.7 1.1 1.5 1.8 6.9 -, 0.8 1.2 1.6 2:0 7.0 0.9 1.3 1.7 2.2 r 7.1 0.9 1.4 1.9 2.3 / 7.2 1.0 1.5 2.0 2.5 7.3 1.1 1.6 2.1 2.7 7.4 1.1 1.7 2.3 2.8 7.5 --- : ----,1.2 1.8 2.4 3.0 7.6 1.3 1.9 2.5 3.2 7.7 1.3 2.0 2.7 3.3 7.8 1.4 2.1 2.8 3.5 7.9 1.5 2.2 2.9 3.7 8.0 1.5 2.3 3.1 3.8 8.1 1.6 2.4 3.2 4.0 8.2 1.7 2.5 3.3 4.2 8.3 1.7 2.6 3.5 8.4 1.8 2.7 3.6 4.5 8.5 1.9 2.8 3.7 4.7 8.6 1.9 2.9 3.9 4.8 8.7 2.0 3.0 4.0 5.0 8.8 2.1 3.1 4.1 5.2 8.9 2.1. 3.2 4.3 5.3 r` (9. 3.3 4.4 5.5 9.1 2.3 3.4 4.5 5.7 Replaces Table 5 in Cape Cod Commission Technical Bulletin 92-001 Page 1 December 16, 1992 , 'DEEP OBSERVATION HOLE LOG Hole# 'TP / Depth from Soil Horizon Soil Texture .Soil Color Soil I Other Surface(in.) (USDA) (Munsell) Mottling (Struc re,Stones,Boulders. n ten ravel Qi DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. sis en %Gravel) PEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consi lenc Gravel) ;DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color 5011 ether Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulders. Consistency, m Flood Insuranje Rate Map: Above 5p0 year flood boundary No— Yes Q� 0#P Within 500yearboundary No I Yes Z-5066 I Q 06 Within 100 year flood boundary No Yes /9UGU S T /9� Depth of Natutal1v Occurring Pervious Material Does at least fo feet of naturally occurring pervious material exist in all areas observed throughout the area proposed r the soil absorption system?If not,what is the depth of naturally occurring pervious material? Certification I certify that on. 119 (date)I have passed the soil evaluator examination appr0ed by the Department of)environmental Protection and that the above analysis was performed by me consistent with . the required lning,expertise a expenenc d C14,bed in 310 CMR 15.017. Signature `� Date GriQ6 �hy� -, 1*soC/hC . Q%SEPTICWERC1 ORM.DOC I Town of Barnstable P 0 Department of Regulatory Services Public ealth Division Date .u►ea 200 Main Street.Hyannis MA 02601 i A . Time Fee Pd..A/b 0 Date Scheduled �r-- i i ,Soil Suitabili Assessment for Sewage Dis osal ` ` Witnessed By: Performed LOCA ION & GENERAL INFORMATION Location Address Owner's Name P4 U( sow'ns z s /3 Address Z� lf3it 1 YL AEG Assessor's Map/P4rcel: 2 z 8� Engineer's Name &)E 481� t / NEWCONSIRUt�'(ION REPAIR I Telephone# 7�/� J'�/�� - / /� r / l o Surface stones Land Use ' `+ i'L i 1741 L� Slopes(%') ft Passible Wet Area�,2�L— __—ft Drinking Water Well �' ft Distances from: ()pen Water Body j�� /6 44 ft Other ft Drainage Way ft Property line SKETCH:(Street name,dimensions of lot,exact locations of tcCt holes&perc tests,locate wetlands iproximity to holes) I Iv Y h/ i I Depth to Bedrock Parent matedal(geologic) I i y �,� I Depth to Grouodwajd: Standing Water in Hole: Weeping from Pit Face I • Estimated Seasonal*"igh Groundwater . 9,2 I, D&ERMINATION FOR SEASONAL HIGIJ WATIMR TABLE Vj=bM iMM Depds Q4t'nW t�jx obL hole 52" lu. Depth to tdl rrtouJw: ' >�b+*' f x*olabs.bole: • _In, atvundwater A�uatment !Soda[We9I �t vofo : lariat WeA kveJ.._...... A4,fat tor..._..�. Adj.Groundwater Level.._ PERCOLATION TEST Ditto_._�____. Observation Max I Time at 9" Hole# ' MmeatV Depth of Pere -- �D, 'rime(9"-6") - — - Start Pre-soak Time. -J j lea End Pre-soak U Gile Rate Min./inch ' Site Failed; Additional Testing Needed(YM) Site Suitability Ass0smenG Site Passed Observation Hole Data To Be Completed on Back Original: Public Health Division ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable C4#servation Division at least one(1)wedk prior to beginning. Commonwealth of Massachusetts Executive Office of Environmental Affairs Dept. of Environmental Protection One winter Street,Boston,Ma. 02108 John Grad D.E.P. Title V Septic Inspector P.O. Box2119 Teaticket, MA 02536 WILLIAM F.WELD (508)564-6813 Governor ARGEO PAUL CELLUCCI n Lt.Governor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION C fif IVVr Property Address: 25 BLANTYRE AV.CENTERVILLE MAP 228 PAR 025 L 19 Address of Owner: J` J 1998 Date of Inspection: 11/27/98 (If different) `� Tok'NOf ' Name of Inspector: JOHN GRACI THOMAS A.BERGAN;8 BOGREN AD! WAY 8 V I am a DEP approved system inspector pursuant to Section 15.340 of Title%(310 CMR 15.000) rHpEpT' c Company Name,Address and Telephone Number: E Z CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: x Passes This inspection Is based on criteria dented In Tnle V Conditional) Passes co de 310 CMR 16.303.My findings are ofhow the system is Y performing at the time of the Inspection.My inspection does — Needs F r er Evaluation By the Local Approving Authority not imply any warranty or guarantee of the longevity of the Falls septic system and any of Its components userul life. Inspector's Signature: Date: 11127198 The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspections. 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 Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer,if applicable and the approving authority. INSPECTION SUMMARY: Check A, B, C,or D: A] SYSTEM PASSES: x I have not found any information which indicates that the system violates any of the failure criteria defined as in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system,upon completion of the replacement or repair,passes inspection. Indicate yes, no, or not determined(Y, N, or ND). Describe basis of determination in all instances. If "not determined",explain why not. The septic tank is metal, unless the owner or operator has provided the system inspector with a copy of a Certificate of Co7hpliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal, Is cracked,structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 04Q7W) One Winter Street • Boston,Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Add ress: 25 BLANTYRE".CENTERVILLE MAP 228 PAR 025 L 19 Owner: THOMASA.BERGAN;8 BOGREN LANE WAYLAND MA.01778 Date of Inspection:11127/98 _ Sewage backup or.hreakout.or. hiah.static water level observed.in.the distribution box is due to a broken.. or obstructed pipe(s)or due to broken,settled or uneven distribution box.The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced —The system required pumping more than four 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 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 the public health, safety and the environment. f) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER,IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system and is within 100 feet to a surface of water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and is within a Zone 1 of a public watersupply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presense of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method usedto determine distance (approximation not valid) 3)Other D] SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: _ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage in facility or system component due to an 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 cesspool. SAS is in hydraulic failure. (revised 04127197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 25 BLANTYRE AV.CENTERVILLE MAP 228 PAR 025 L 19 Owner: THOMAS A.BERGAN;8 BOGREN LANE WAYLAND MA.01778 Date of Inspection:11127198 D]SYSTEM FAILS(continued) 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Numbers of times pumped Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. Any portion of a 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. If the well has been analyzed to be acceptable,attach copy of well water analysis for coliform bacteria,volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E] LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"as to each of the following: The following criteria apply to large systems in addition to the criteria: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system Is within 290 feet of ra tributary to to surfode drihhlho water Illlpply the~system is located In a nitrogen sensitive area(Inteflm Wellhead Praleetlen Afed(IWPA)ar a ftiAppd Zone II df A public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04127)87) i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECLIST Property Address: Owner: THOMASA.BERGAN 8BOGRENLANEWAYLANDMA.01778 Date of Inspection:1107198 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: _X_ _ Pumping information was requested of the owner, occupant,and Board of Health. x None of the system components have been pumped for at least two weeks and the and the system has been receiving normal flow rates during that period. Large volumes of water have not been Introduced Into the system recently or as part of this inspection. x _ As built plans have been obtained and examined. Note if they are not available with N/A. x The facility or dwelling was inspected for signs of sewage back-up. -?L The system does not receive non-sanitary or industrial waste flow. _c_ _ The site was inspected for signs of breakout. x All system components, excluding the Soil Absorption System,have been located on the site. x The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected _ — for condition of baffles or tees6, material of construction, dimensions,depth of liquid,depth of sludge,depth of scum. x The size and location of the Soil Absorption System on the site has been determined based on The facility owner(and occupants, if different from owner)were provided with information on the proper maintenance of Sub-Surface Disposal Systens. x _ Existing information. Ex. Plan at B.O.H. Determined in the field(if any failure criteria related to Part C is at issue, approximation of distance is x — unacceptable)[15.302(3)(b)] (revised 0477197) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 25 BLANTYRE AV.CENTERVILLE MAP 229 PAR 025 L 19 Owner: THOMAS A.BERGAN;8 BOGREN LANE WAYLAND MA.01778 Date of Inspectlon:11127199 FLOW CONDITIONS RESIDENTIAL: d/bedroom for S.A.S. Design flow: 3m g p' Number of bedrooms: 3 Number of current residents: 0 Garbage grinder(yes or no): Yea Laundry connected to system(yes or no): Ye: Seasonal use(yes or no): Yea Water meter readings,if available:(last two(2)year usage g (gpd),. Na Sump Pump(yes or no): No Last date of occupancy: Na COMMERCIAL/INDUSTRIAL: Type of establishment: nIa Design flow:0 gallons/day Grease trap present: (yes or no) No Industrial Waste Holding Tank present:(yes or no) No Non-sanitary waste discharged to the Title 5 system:(yes or no) No Water meter readings,if available: Na Last date of occupancy: n1a OTHER:(Describe) Na Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: Na System pumped as part of inspection: (yes or no)No If yes,volume pumped:0 gallons Reason for pumping: Na TYPE OF SYSTEM Septic tank/distribution box/soil absorptions system x Single cesspool x' Overflow cesspool Privy Shared system(yes or no) ( if yes, attach previous inspection records,if any) x I/A Technology etc.Copy of up to date contract? Other: WITH ADDMONAL MAIN APPROXIMATE AGE of all components, date Installed(if known)and source Information: SYSTEM IS 33 YEARS OLD. Sewage odors detected when arriving at the site: (yes or no) No (revised 04127)9T) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Add ress: 25 BLANTYRE AV.CENTERVILLE MAP 228 PAR 025 L 19 Owner: THOMAS A BERGAN;8 BOGREN LANE WAYLAND MA.01778 Date of Inspection:11127/98 SEPTIC TANK: (locate on site plan) Depth below grade: rda Material of construction:x con create_metal_FRP_Polyethylene—other(explain) If tank is metal, list age pia . Is age confirmed by Certificate of Compliance_No (Yes/No) Dimensions: rva Sludge depth:rda Distance from top of sludge to bottom of outlet tee or baffle: rda Scum thickness:rds Distance from top of scum to top of outlet tee or baffle:rda Distance form bottom of scum to bottom of outlet tee or baffle: rda How dimensions were determined: nla Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) rda GREASE TRAP: (locate on site plan) Depth below grade: rda Material of construction: _concrete_metal_FRP_Polyethylene_other(explain) Dimensions: rda Scum thickness:rda Distance from top of scum to top of outlet tee or baffle:nfa Distance from bottom of scum to bottom of outlet tee or baffle: rda Date of last pumping, Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) rda BUILDING SEWER: (Locate on site plan) Depth below grade: 3- Material of construction:_cast iron_40 PVC other(explain) Distance from private water supply well or suction line OwN Diameter: nIa_ Qmments: (conditions of joints,venting,evidence of leakage, etc.) (ravlaed 04121M) I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 25 BLANTYRE".CENTERVILLE MAP 228 PAR 025 L 19 Owner: THOMAS A.BERGAN;8 BOGREN LANE WAYLAND MA.01778 Date of Inspectlon:11127198 TIGHT OR HOLDING TANK: (locate on site plan) Depth below grade: rda Material of construction:_concrete_metal_FRP_Polyethylene—other(explain) Dimensions: rda Capacity: rya gallons Design flow: rva gallons/day Alarm level:_nia Alarm in working order?_Yes_No Date of previous pumping: Comments: (condition of inlet tee,condition of alarm and float switches,etc.) rde DISTRIBUTION BOX: (locate on site plan) Depth of liquid level above outlet invert: nia Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box etc.) rda PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no)No Alarms in working order(yes or no)_Yes Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) rda (revised 04127)97) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 25 BLANTYRE AV.CENTERVILLE MAP 228 PAR 025 L 19 Owner: THOMAS A.BERGAN;8 BOGREN LANE WAYLAND MA.01778 Date of Inspection:11127199 SOIL ABSORPTION SYSTEM (SAS):x (locate on site plan,if possible;excavation not required,but may be approximated by non-intrusive methods) If not determined to be present,explain: rda Type: leaching pits,number: rda leaching chambers,number:rva leaching galleries,number: Na leaching trenches,number,length: rda leaching fields,number,dimensions:rda overflow cesspool,number:6'xa'BLOCKCESSPOOL Alternate system: rda Name of Technology:_Ma Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation, etc.) THE LEACH PR IS STRUCTURALLY SOUND AND FUNCTIONING PROPERLY.THE PIT WAS EMPTY AT THE TIME OF THE INSPECTION.DID NOT INSPECT UNDER NORMAL USE. CESSPOOLS:x (locate on site plan) Number and configuration: TWO Depth-top of liquid to inlet invert: EMPTY Depth of solids layer: WA Depth of scum layer: rda Dimensions of cesspool: ONGS'xe';ONE 6'x10' Materials of construction: BLOCK Indication of groundwater: rda inflow(cesspool must be pumped as part of inspection) rda Comments: (note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation, etc.) MAIN CESSPOOLS AND ALL COMPONENTS ARE STRUCTURALL SOUND.RECOMMEND PUMPING SYSTEM EVERY YEAR. PRIVY: (locate on site plan) Materials of construction: rda Dimensions: rva Depth of solids: rda Comments:(note condition of soil, signs of hydraulic failure,level of ponding, condition of vegetation, etc.) rda (revised 04127)87) SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 25 BLANTYRE AV.CENTERVILLE MAP 228 PAR 025 L 19 THOMAS A.BERGAN;8 BOGREN LANE WAYLAND MA.01778 11127/99 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references, landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) g GSA 3� f)c O C cN (revised04127197) Page 9 of %0 L I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) 25 BLANTYRE AV.CENTERVILLE MAP 228 PAR 029 L 19 THOMAS A.BERGAN;8 BOGREN LANE WAYLAND MA.01778 11127199 Depth of groundwater 12 Please indicate all the methods used to determine High Groundwater Elevation: Obtained from design plans on record. Observation of Site(Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of Health Check FEMA Maps Check pumping records Check local excavators, installers x Use USGS Data Describe in your own words how you established the High Groundwater Elevation.(MUST be completed) USGS MAPS AND CHARTS (revisedOMT197) page 10 of 10 4 -7/219<__ it SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION ,FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE L =SPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' Town Water i DEPTH TO GROUNDWATER 16'± depth to groundwate o O method of determination or approximation: 10" cesspool. Augered hole 6' below cesspool. No Water met when rPagInn1 wac ;nctail by J.P.Macomber & Son Inc. Minium separation from the groundwater 6' c TOWN OF BARNSTABLE ftJ SEWAGE # VILLAGE 0�y� v-'_ ASSESSOR'S MAP&�4 Q !OZS C 19 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY U K(Ot. CCU 0 (9 LEACHING FACILITY: (type) CAC— (size) I NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE D Separation Distance.Between the: Maximum Adjusted Groundwater Ta'c le to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility)facili n _ Feet Furnished by ��c C �eC k AA M ' \/3a ;1 M�''1 3 P-A � O 6 C1 cc3� 4 TOWN OF BARNSTABLE I; i ATON S SEWAGE # VILLAGE ASSESSOR'S MAP &LOTS h O f INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of aching facility) Feet Furnished by��A ,) zf2�iGd/ �a �'� � t � No.. - Fsa.. 0. THE COMMONWEALTH OF MASSACHUSETTS — BOARD OF HEALTH -- ►! ............OF.... ................................. Appliratinn -fur Uiiipuiittl Works Toustrnrtinn Vrrmit Application is hereby made for a Permit to Construct (Z--j'or Repair ( ) an Individual Sewage Disposal System at: ------------------------..-�.sa...v. ..y e2 ----- J `------------ ...--•....L�-�`--' `.....-- ........Lar�n-Address or Lo No, Owner Address Installer Address Q Type of Building Size Lot �..tf�--....Sq. feet U Dwelling=No. of Bedrooms._- ---------------------- -- --------Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a Other fixtures --•------------ •------------- W Design Flow--..--.-X ---------------------------gallons per person per day. „Total daily flow........... -------------------------gallons. WSeptic Tank /Liquid capacity/_400--gallons Length-?._= ... Width .-v` ... Diameter---------------- Depths-4'_.. x Disposal Trench—No- -------------------- Width-------------------- Total Length..........;......... Total leaching area---------------------sq. ft. Seepage Pit No------ ------------- Diameter------------------ Depth below inlet....5. ... Total leaching area..C_!Y----sq. ft. Z Other Distribution box ( ) Dos' k ( )/� '—' Percolation Test Results Performed by !-� �... Date. --�---------- Test Pit No. 1----Z---------minutes per inch Depth of Test Pit----ZZ....------- Depth to ground Test Pit No. 2----------------minutes per inch Depth of Test Pit.------------------. Depth to ground water------------------------ - �� a '.4!._ .... Description of Soil--- - _ Y-•---• o D 6-------------------------- ------------------------------------------------------------------------ w ----------------------------------- ....&-. ..�i�6 �,r_e7- :--.�1-9AZO.----------------------------------------------------------------------------------- ------------------------------- �� = --S-�---- ------------------------------------------------------------------ VNature of Repairs or Alterations—Answer-when applicable................................................................................................ ---------------------------------------------------------------------------------------------------------------------------------- ....--------------- ------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ed by the board o al Sied �_..... . ^ Da+tc_ Application Approved By------ �- . . ---/'� � --------------- -------��----- �`-- Application Disapproved for the following reasons:----------------�--------------..--....-----.-------.....----......-....--.----.-..------------__---- -------------------------------------------------------------•------•-----------------------------------------------------------------•-------•--•----._...-----------------------.................... Date PermitNo......................................................... Issued........................................................ Date No......................... FEs.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 416?41 ....... .......OF....- &JG-—------- Appliration -for IN-4pmal Works Towitrurtion Prrutit Application is hereby made for a Permit to Construct ( ®r Repair an Individual Sewage Disposal System at: .R4 4 J- .............C....................................... _A-----r ...........A. .....----------------------- ...........n7........... Location•Address J J7 Lot No.. !;;:H.A­J 1J-(�-------------------- ....... Owner ...................................................... . ..... ...... Installer Address Type of Building Size .....Sq. feet U Dwelling . of Bedrooms_------?..............................Expansion Attic Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons..______-_________-_____-__ Showers Cafeteria ( ) Otherfixtures ------------------------------------------------------_---------------------------------- --------------------------------------------------------Design Flow..:��----------------------------gallons per pet-son per day. Total daily flow__Diameter_...._.._..._._.0 ...... ---gallons. - ---------------- 9 Septic Tank4t--Liquid capacity/,4WA-gallons Length5_7.e".. Widtli,4' Disposal Trench—No. .................... Width.................... Total Length________---_____-- Total leaching area--------------------sq. f t. �Seepage Pit No_______ ---------- Diameter-- ----------- Depth below inlet's. ...... Total leaching area2 S-e-1----scl. f t. Other Distribution box Dosing tank Percolation Test Results Performed by--------- ---------------------------------------:........................ Date./ __4 Test Pit No. 1-----:�?'------minutesperinch Depth of Test Pit../Z.......... Depth to ground waten. Test Pit No. 2----------------minutesper inch Depth of Test Pit_...._.............. Depth to ground water__-__-___-__---____-.._. Rai .._.. ............................................................................................... X7 0 Description of Soil___.'7.1 _ ---------------------------------------------------------------------------------------- .....41 . ---------------------------------- ------------------- U ------------------------------------------------------------------------- W -,--> /—Z /01--- Z ­---------­-----------------f—--------{Z>..... ---------- ----------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------_----------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ ................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Cod — The undersigne ther agrees not to place the system in operation until a Certificate of Compliance has been i sued by the hoar eal Sign- ---- ---------- .... ..........!..... ...................... Application Approved By...... . . ... ........ -------------------------- Date Application Disapproved for the following reasons:..................... .......................................................................................... ................................................................................................................................................................................................ Date PermitNo......................................................... Issued...................... ................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH 07 r .......... ......... .......OF.........(..�J/ k ... ... .............. rtifiratr of Tomplitturr TtI4 IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 4-OrRepaired by-- . ... ---------- Installer ---------------*--------**---------­-- at /------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Y. bass been installed in accordance with the provisions of le XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit ----------------- dated... ................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD /J?F HEALTH No. ......................../ ..........OF......�0. .. .................................................. FEE/- -.j------- P S k* � i Is 7 .. rrm to j4ortby granted-.-...__ .-. .. ...... .. .... . ..... ...... to Cootruct 1�oor Rep r an Indi * tial Sewage Disposa e........ ... at N ,----- .... ......... V - -------------- ------- as shown on the application for Disposal Works Construction Aermit ........ ......... Dated___.___....._______.__.._.._._............ . . .. .. ........ ---------•----------------- rd DATE_4�/........ .. ..................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS LOCATION ' SEW&C.IE PERMIT UO. IMS-TNLLER•5 UWE ADDRESS BUILDER 5 &VAE ADDRESS _—DLsTE_P.ER" T_ISSUED = D AT_E COMPLI &&ICE ISSUED ; �_��' N � c� O 1 TOWN OF BARNSTABLE LOCATION �'� 26 � �"' �'� 'g, SEWAGE # W-1722 VILLAGE CBv,/Cryg �l� ASSESSOR'S MAP 6& LOT f--//Z INSTALLER'S NAME 6t PHONE NO. SEPTIC TANK CAPACITY /000 LEACHING FACILITY:(typeo= 4/1/000 (size) to 6 r NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER <Tb e DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: "� '� ��� VARIANCE GRANTED: Yes No Gay Gx'/o ' E HERRING FLOW—► - - - - _ _ � - - - - - - =- - - _- - - - d�:..r... _ .... ® _ _-®. r.:�.� : RIJN __ - _ _ _ 11, ~ _ - - - - _ _ - - - - - - - - NLong Pond B#1 " "" TB#2 TB#3 .r• s. , �,x-. EDGE OF " TB#4 WETLAND - TB#5 PROPOSED �R'MANENT -32" L.C p(q I VE:GE:T;ATED'"BUFFER TO _N7767BK ". " BE PLdGTED ALONG THE _rLb I LOT U E ,. MAP 228 - ab q<yiP $ " o i t ! EXISTING CESSPOOLS f LOT 170 33 g #412 PINE STREET H E a = TO BE'`PUMPED, FILLED W,/'' o MAP 229 %ti _ SA(gD AND ABANDONED ASHLEY SULLl�4AN � o , m c LOT 116 is _ .., o a ., f #41 BANTYRE AVENUE � REA RECENTLY -' p� ' Moira St LOCUS a i JOSEPR D. IAFRAT,E f DISTM8ED, ` '` PROPOSED SILT FENCE �` URREN Lr s°`' & LIMIT OF WORK Pine Street -34.._. ~� ~29_-•` w aS-06' 5 10 E n f- 5.,05'58'00" E 0 0 LOCUS MAP ~ o OFF HERRING RU _ CLEANOUT ^r,.,- M- 0 50' G N 3S v. r INSTALL ` } _ NOT TO SCALE f " „ " _ . ' PROPOSED 0. COS- SEPTIC TANK[ 4 o TP-1 r PUMP CHAMBER END r _ .: ` _ _ - o TP-2 -- SEWEf2 1t01 ER \,N ! 'SEW N'. _ - • T PROPOSED CONTOUR SEWER NO 2 ', ,� { •". :O ® ,r, ,..'`. .i �i[3 'ri!a,—?`?TW Z T�i r7`Y'#"�'.`.. uwara ugmm+arn+�mnmu `•� ........ ... ............... 37 EXISTING CONTOUR ��?M ��,,• •" . . , � T.,F, yy EXISTING WATER SERVICE EXISTING OVERHEAD WIRES . SEWER N0.4 -, R 0HW f � O O r" � — '33 r-' ', ) F / f _ ' EXISTING 3 BEDROOM,' �` �` TEST PIT i DWELLING. % �� o -0-0- LIMIT OF WORK-SILT FENCE 00 # r'' �^.�, f � �-' / � � / E,P F cv BENCHMARK Y Z -- ' ?t ' /' / / / TF 41.80 (M.S,L) �` GARAGE rrr _ ws ■r rx •ss� e(ew res r,wr' .rase. war f � r. ,r � ry., ,' ," ,,� � / I � ! f / ', =RE ! / ` \l „�"' 100 OFF H RING `RUN CONSi'RUCT''LOAM OP BE ' & SEEDER' BERM a �k�mffin ` BERM EL MA 1 , 38. �, �, y 0? '; oZ `R p�� �`i. %` MAP 228 o PETER T. r / J i ` `•! �S``: �!'• LOT 026 McENTEE oo✓ \\ �i L `y- + #422 PINE STREET © CIVIL 36 �a �' #J MAP 228 ' ��\26�'`< S'��N/ ASHLEY SULLIVAN o. 35109 _... .. �$ �,� ( ti LOT 25 F 5Sl / �• a 20,006 S,F. R 411 0 c ' \_ 39 N 06'.1.2 20" 199.00 40­— NOTE: -•-- -�---•-•"•- '�--- _ -'. __ — _.. -. ._... _..._.."_"- ._..-- -. _..m. .,\_... .._....THE PLAN ON FILE BY WEBBY ENGINEERING ASSOC, INC. BENCHMARK N0.1 FOR REPAIR OF A SANITARY SYSTEM, DATED 10/25/05. TOP OF CONCRETE BOUND BLAN TYRE AVENUE ELEV: 39.45 (M.S.L.) PROPOSED SEPTIC SYSTEM UPGRADE PLAN 4 25 BLANTYRE AVENUE, CENTERVILLE, MA BENCHMARK N0.2 PROPOSED DRYWELL STRIPOUT TOP OF FOUNDATION 1-QUICK4 UNIT & 2 END STRIPOUT ANY UNSUITABLE SOILS Prepared for: Paul Soares, 25 Blantyre Ave., Canterville, MA 02632 ELEV: 41.80 (M.S.L,) CAPS AND 12" SQUARE ENCOUNTERED AT, OR BELOW, THE Engineering by: Surveying by: SCALE DRAWN JOB. NO. YARD DRAIN, RIM=37.8 S.A.S. BOTT. EL.=36.0 AS DESCRIBED g En inwdngW�Porkr Webb Engineering 1"=20' P.T.M. 105-08 IN GENERAL NOTE 11, SHEET 3. Asso &ates, Inc. 12 West Crossfield Road 180 County Rood DATE CHECKED SHEET NO. Forestdole, MA 02644 Plympton, MA (508) 477-5313 (781) 585-1164 1/22/O$ P.T.M. 1 of 3 f r r✓ NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:37.0 N PUMP CHAMBER FOR A DISTANCE E S.A.S.AROUND THE PROPOSED SEPTIC TA K� PERIMETER OF THE A. PROVIDE RISERS WITH METAL FRAMES & COVERS PROPOSED D-BOX 5-4" POLYSEAL OUTLETS CELLAR FLOOR OVER EACH ACCESS MANHOLE AND SET TO FINISH PROPOSED S.A.S. 21" EL.=34.3f GRADE. MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT 2> .E 1-4" POLYSEAL INLETS SECURED TO PREVENT UNAUTHORIZED ACCESS. SET TO 6" OF GRADE T.O.F.=41,8 F.G. EL: 39.3t F.G. EL: 40.0(MAX.) EXISTING F.G. EL.=35.Ot f ; 36" MAX. COVER MAINTAIN 2% GRADE (MIN.) OVER S.A.S. N 0 0 LO ' L = 6'(MAX) INSPECTION DO L = 58'(MAX.) S=1% (MIN.) PORT S=1 , (MIN.} TOP EL.=32.5 2° SCH 40 PVC 4"SCHa PVC 4"SCH40 PVC s" s" s 8" TO C11 Top View D_BOX Section �o" �Q" INVERT /\ T��'S ARE TO BE 4 SCH 40 PVC INV.=36.97 INV.=36.80 4 R OWS OF 6 UNITS AT 4'/UNIT + 2'(END CAPS)= 26.00' INV.=31.25 EF �I �VT 4HIGH G.W. PROPOSED D-Bo SOIL ABSORPTION SYSTEM (PROFILE (ZABEL OR EQUAL) EL.=28.53 4 OUTLETS (MIN.) NJA BOTT. EL.=26.5 INV.=31.00 INV.=36.67 INV.=31.00 EFFLUENT FILTER SHALL BE INSTSALLED ON OUTLET ESTABLISH VEGETATIVE COVER INV.=32.00t BACKFILL WITH CLEAN SAND 16" TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER NATIVE OR PERC SAND) LOWEST/SEWER N0,1 (SEE NOTE 4) SHALL BE INSPECTED AND CLEANED ANNUALLY. ,•. .,.. ... . See Pum Detail, Sheet 3 of 3 BREAKOUT EL.=TOP OF UNIT ( P ) TOP OF CHAMBER EL.=37.0 ° 1500/500 GALLON SEPTIC TANK/PUMP CHAMBER INV.ELEV.=36.67 BOTTOM ELEV.=36.00 I I m�ulgol11 NOTES: �—� EXISTING 1) SEPTIC TANK/PUMP CHAMBER & D—BOX SHALL BE SET LEVEL 5' MIN. ABOVE BOTTOM OF EFFECTIVE NADTH=11.2' SUITABLE INSPECTION PO — AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH T.P. EXCAVATION OR G.W. SOILS 52" CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). ADJUSTED GROUNDWATER, EL.=28.53 —USE 4 ROWS OF 6-OUICK4 STANDARD INFILTRATOR CHAMBERS TOP VIEW 2) INSTALL INLET & OUTLET TEES AS REQUIRED. 4 WITH NO SEPARATION BETWEEN EACH ROW & NO STONE o0 3) MAX. COVER OVER SEPTIC TANK, D—BOX & S.A.S. SHALL BE 36". TYPICAL SECTION 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR SEPTIC SYSTEM PROFILE SOILS CONSISTANT WITH OBSERVED SOILS SHALL (EFFECTIVE END'CAPT 48 TO CONSTRUCTION. BE VERIFIED PRIOR TO INSTALLATION OF S.A.S. LENGTH) P/N: Q4STDE END VIEW N.T.S. SOIL LOG a � > MINIMUM, U , MULTIPORT END CAP Percolation Rate Of <2 Minutes/Inch SIDE VIEW NOMINAL CHAMBER SPECIFICATIONS Present During Tests On 10/25/05 Agent; UONALD DES'MARIS SIZE (w x L x H)...........................3a" x 48" A ia" g EFFECTIVE LEACHING AREA: DESIGN CRITERIA Soil Evaluator: JOHN C VFRACKA JR- P.E. cv BED.......................................................PER CODE TP- 1 TP-2 r TRENCH,............................................PER CODE o" 32.00 0" 32.OUZ 34" A W/FILL A W/FILL INVERT ELEVATION..... -.8" NUMBER OF BEDROOMS: 3 BEDROOMS SANDY LOAM SANDY LOAM CLASS I 1 DYR 4/3 1 DYR 4/3 FRONT VIEW STORAGE CAPACITY PER UNIT.. .............44.4 GAL SOIL TEXTURAL CLASS: 14" 30.83 14" 30.83 DESIGN PERCOLATION RATE: <2 MIN/IN B V. FRIABLE B V. FRIABLE QUICK 4 STANDARD INFILTRATOR CHAMBER LOAMY SAND LOAMY SAND DAILY FLOW: 330 G.P.D. 2.5Y5/4 2.5Y5/4 DESIGN FLOW: 330 G.P.D. 40" 28.s7 40" 28.s7 C1 C1 INFILTRATOR CHAMBERS GARBAGE GRINDER: NO 48" LOOSE 48" LOOSE N.T.S. PROPOSED SEPTIC TANK/PUMP CHAMBER: 1500/500 GALLON CAPACITIES M/C SAND M/C SAND <2 MIN. 10YR5/8 <2 MIN. 10YR5/8 LEACHING AREA REQUIRED: (,330) = 445.9 S.F. 160" 60" PROPOSED SEPTIC SYSTEM UPGRADE PLAN 74 USE 4 ROWS OF 6—QUICK4 STANDARD CHAMBER UNITS W/ NO ADJUSTED G.W. 28.53 AD✓LISTED G.W. 28.53 25 BLANTYRE AVENUE, CENTERVILLE, MA STONE FOR AN S.A.S. HAVING THE DIMENSIONS: 1 1 . '2' "x 26.0 . 92 OBSERVED G.W. "'� za.33 92 DesERVED G.W. 24.33 Prepared for: Paul Soares, 25 Blantyre Ave., Canterville, MA 02632 4.72 SF LF OF INFILTRATOR 120" 22.00 120" 22.00 Surveying by: SCALE DRAWN JOB. No, BOTTOM AREA: (GENERAL USE APPROVAL FOR / ) , Engineering by: GROUNDWATER OBSERVED AT EL.=24.33 En inwl n Works Webby Engineering NTS P.T.M. 105-08 6 UNITS + 2 END CAPS PER ROW = 26.0 FT INDEX WELL MIW-29 (ZONE U) 9 9 Associates, Inc. 4 ROWS x 26.0' x 4.72 SF/LF = 490.9 SF 12 West Crossfield Road 180 County Road DATE CHECKED SHEET NO. WATER LEVEL = 8.2, OCTOBER 2005 Forestdale, MA 02644 Plympton, MA DESIGN FLOW PROVIDED: 0.74(490.9 S.F.) = 363.3 G.P.D. GROUNDWATER ADJUSTMENT = 4.2' (508) 477-5313 (781) 585-1164 1/22/08 P.T.M. 2 Of 3 I A • I 12'-0" •` NEMA 4 JUNCTION BOX CORROSION RESISTANT & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED PROVIDE WATERTIGHT CONCRETE RISER BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE WITH SECURED COVER TO GRADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER OR EQUAL. B I B SPECIFICATIONS: INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING f _ `1 -___ ! _ CONCRETE STRENGTH: 5000 PSI AT 28 DAYS HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM -' ,," 1, STEEL REINFORCEMENT: A-615-68, GRADE 60 1/8" DIAMETER. / 1,760 LB. STRENGTH, FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL '" - -- DESIGN LOADING: AASHO-H10 ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NOTES: INV.(IN)=31.00 2" GATE VALVE (FIELD ADJUST FOR 20 GPM RATE) I 1, PROVIDE POLYMER WATERPROOF COATING. --� 2"SCH. 40•DISCHARGE TO D-BOX 2. SEPTIC TANK SHOWN IS AS MANUFACTURED BY ACME PRECAST CO., INC., 520 THOMAS B-LANDERS RD, HATCHVILLE, MA 02536 ALARM ON EL: 29.00 2" 90' ELBOW W/ 1/4" WEEP HOLE 11 -4� PUMP ON EL: 28.33 FOR SELF-DRAINING FORCE MAIN q 4 PUMP OFF EL: 27.6724� 2" SWING CHECK VALVE PLAN BOTTOM OF 16 PUMP CHAMBER 2" SCH. 40 PVC DISCHARGE PIPE '? O 3" O ELEV.= 26.50 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE 0 o PROVIDE 2 FLOATS: COUPLING" z U O WITH 2 DISCHARGE i ----------- --- --------- FLOAT N0.1: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP _ MP rn 4 H.P. 115 V I ------- -,----------------- - ------------- FLOAT N0.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL I1 48" Liquid uid Level 10 v o PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT M ACME PRECAST CO. INC., FALMOUTH, MA. (508) 548-9607 m 6• PUMP DETAIL �- SECTION B- SECTION 6- N.T.S. 2 COMPARTMENT 2000 GALLON-SPLIT 2/3 - 1/3 H- 10 SEPTIC TANK/PUMP CHAMBER 1500/500 GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. BUOYANCY CALCULATIONS /� 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS / OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW H-10 SEPTIC TANK/PUMP CHAMBER LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements BOTTOM OF UNIT EL.= 26.5 %' HOUSE 1) An 44' variance, Septic Tank to Wetland, for a 56' setback. HIGH GROUNDWATER EL.=28.53 (ADJUSTED HIGH G.W.) / / /"�" / �' / / 92• 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR BUOYANCY FORCE PER FOOT OF DEPTH: , / /� S7' TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 12.0' x 6.6' x 1' x 62.4 lbs./cu.ft. = 4867.2 Ibs. / / ; / S• DESIGN ENGINEER. MAX, DISPLACEMENT = 28,53 - 26,50 = 2.03' 2.1' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING MAX. UPLIFT PRESSURE = 2.03' X 4867.2 Ibs/ft = 9880.4 lbs. S6, FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN WEIGHT OF UNIT EMPTY = 21,425 Ibs. 8,j 7B. ENGINEER BEFORE CONSTRUCTION CONTINUES. 2 5. ALL ELEVATIONS BASED ON MEAN SEA LEVEL DATUM. 21,425 Ibs > 9880 Ibs O.K. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. \ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. DOSING & STORAGE REQUIREMENTS /^ 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. S.A.S.LAYOUT 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS DESIGN FLOW: 330 GPDDOSING REQUIRED: ' 4 CYCLES/DAY (SAND) DIRECTED BY THEE APPROVING AUTHORITIES. AGREED UPON OWNER AND CONTRACTOR OR AS OTHERWISE I 330 -+- 4 = 82.5 GALLLONS/CYCLE PROPOSED SEPTIC SYSTEM UPGRADE PLAN 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE DI AN PUMP REQUIRED FLOATS: N PUMP 25 BLAN 82. TYRE AVENUE, CENTERVILLE, MA THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 5 GAL/CYCLE FLOAT CONSTRUCTION. GAL/FT = 0.66 FT/CYCLE Prepared for: Paul Soares, 25 Blantyre Ave., Centerville, MA 02632 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS Engineering by: Surveying by: SCALE DRAWN JOB. NO. IN THE AREA BENEATH AND ON ALL SIDES OF THE S.A.S. AND REPLACE STORAGE PROVIDED: Webby Engineering P.T.M. WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3), INV. IN EL:31.00 - PUMP ON EL:28.33 =2.67' 12 West Road Associates,80CounRInc. NTS 105-OS ( ) 12 West Crossfield Road 180 County Rood DATE CHECKED SHEET N0. 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE STORAGE PROVIDED = 2.67' X 125 GAL/FT = 333.8 GALLONS Forestdole, MA 02644 plympton, MA INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. (508) 477-5313 (781) 585-1164 1 1/22/0$ P.T.M. 2 of 3 - - - - - - - - - _ _ HERRING FLOW—— RUN ^-- =- - - - - - - =. ....___` - - - - - - C G(,l �It• rl� - YIIt• l0e fit• - - .� ..� t•- C I3 tt�i - at• t�„�,t•Itttal --Eli ��0� -� .._. ,..-.... -.....---....W. B#1 Tr, OF 13 IJ{ - TB 2 TBV3 r �'a-= �..-� _ = =-� _� -- -- - - t" - - - N Long Pond - - � EDGE OF WETLAND - .�� -- # TB#5 PROPOSED MANENTC. (q VEGETATED BUFFER TO 1 - #7767&K -' T r' BE PLTED ALONG THE T 'L f j LOT Li E f' f MAP 228 q�aya o 0 e = c i t EXISTING CCESSPOOLS r LOT 170 _ _.... —33 _... .._. _ .s o TO PE"'PUMPED, FILLED W!'' # SH PINE STREET -. y v 3 0) _ MAP 229 J ,SAND AND ABANDONE�t- ASHLEY SULLhlAPd" "F - s LOT 116 � / f, O o m o #41 B,ANTYRE AVENUE r�EAECENTLY `� .. Main St LOCUS n z JOSEP14 D. IAFRATE RBED, N w� - PROPOSED SILT FENCE J � URREN-fLY r'' f & LIMIT OF WORK Pine Street EveyATEa._._ _ ....._ _.._.. - -.34.-. S6'rr?5 10 E. ter " S.05'S8'00" E - - - -0 43.62' \ o 155.28', ." � p r" i> - - - - - �- - - ,9- - - - - - -- - - -- C MAP _..... .. / 0 o �.. fit. % ��•,_i "— �, _..,, �� — �" a — — �� �. — — —r rt . . — _ a Z — ® — LOCUS S j - - -- �.. x' _-- o 50' OFF HERRING RUN, 0 NOT TO SCALE \ '/ INSTALL /�_., `t .' ; ' CLEANOUT PROPOSED S �. O.'Oi 0 SEPTIC TANK TP-1 - P CHAMB R LEGEND s -36 r - - SEWEfi NO 1 _ -EWER N T ! I�E tfg ; y'�,' :( .SEWER NO 2 PROPOSED CONTOUR -rt-+-'- r.ia mmxinu.xwwu,wwr�a.vau qr tw��v�e 1�ri ......... ....... r , 37 EXISTING CONTOUR r c.LI1.. u f 32•Y, ("• •.... ...•. ..r 'l..b r ,.� ._ .. "1'".7'.. , / ,, f - i a 37 _ . O.H.W. EXISTING OVERHEAD WIRES yy EXISTING WATER SERVICE y33 o EXISTING 3 BEDROOM/ i TEST PIT ;DWELLING% / `�. o00 _ / jf 25.�f`j�� //�'� /` uT o -o-o- LIMIT OF WORK-SILT FENCE — ... :. .... L ... � � GAGE / TF: 41.80 (M.S.L.)/j� //ji�/ gR ti ^/ gO 38 BENCHMARK 7 ri .r ,.ems — — ••rr— — h— — — 1 / 100' OFF H RING 'RUN `35 ' ' CONSTRUCT{LOAM _ &/SEEDEP' BERA / �3\h ` " Of MA TOP BERM, EL.38, fi 1 _ . __ -tt11 O 1• 3 .. By z 3 . .`, 1\ Y• ) Wiz ''" �� p ,�`�`i`. MAP 228 PETER T. G� a J t `�./ 'A, /'. T 026 McENTEE `. ti �S .i .� 1 LOT 0 36 �w �` r MAP 228 �\ `�? O��;gS`.i #422 PINE STREET CIVIL p3 ASHLEY SULLIVAN A No.C3510�9 a w I x , LOT 25 C1.o � 20,006 S.F. 0. 4 �. adz N 06._1.2 20"-W U a 1�l } 199.00' L NOTE: - ...... . ' - THIS PLAN IS BEING SUBMITTED AS A REVISED PLAN TO _ _- EiY6f I_:F PAt`?_ 1E,T - "� `---- THE PLAN ON FILE BY WEBBY ENGINEERING ASSOC, INC. BENCHMARK N0.1 FOR REPAIR OF A SANITARY SYSTEM, DATED 10/25/05. TOP OF CONCRETE BOUND BLANTYRE AVENUE ELEV: 39.45 (M.S.L.) PROPOSED SEPTIC SYSTEM UPGRADE PLAN BENCHMARK N0.2 STRIPOUT 25 BLANTYRE AVENUE, CENTERVILLE, MA PROPOSED DRYWELL Prepared for: Paul Soares, 25 Blantyre Ave., Canterville, MA 02632 TOP OF FOUNDATION 1—QUICK4 UNIT & 2 END STRIPOUT ANY UNSUITABLE SOILS P Y ELEV: 41.80 (M.S.L.) CAPS AND 12" SQUARE ENCOUNTERED AT, OR BELOW, THE Engineering by: Surveying by: SCALE DRAWN JOB. NO. YARD DRAIN, RIM=37.8 S.A.S. BOTT. EL.=36.0 AS DESCRIBED Engineering Workr Webby Engineering 1 =20' P.T.M. 105-08 IN GENERAL NOTE 11, SHEET 3. Associates, Inc. 12 West Crossfield Road 180 County Road DATE CHECKED SHEET NO. Forestdole, MA 02644 Plympton, MA (508) 477-5313 (781) 585-1164 1/22/08 P.T.M. 1 of 3 i t� NOTE: TO PREVENT BREAKOUT, THE PROPOSED 'r! FINISH GRADE SHALL NOT BE < EL:37.0 R FOR A DISTANCE OF 15' AROUND THE PROPOSED SEPTIC TANK/PUMP CHAMBE PERIMETER OF THE S.A,S. PROVIDE RISERS WITH METAL FRAMES & COVERS PROPOSED D-80X 5-4" POLYSEAL OUTLETS CELLAR FLOOR OVER EACH ACCESS MANHOLE AND SET TO FINISH PROPOSED S.A.S. 21" ELL33 GRADE. MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT .£ t-4" POLYSEAL INLETS GSECURED TO PREVENT UNAUTHORIZED ACCESS. SET TO 6" OF GRADE21�G 41.8 F.G. EL.=35.0t F.G. EL: 39.3t F.G. EL: 40.0(MAX.) 36" MAX. COVER MAINTAIN 2% GRADE (MIN.) OVER S.A.S. ` 00 L 58'(MAX.) L 6'(MAX) u1 u) TOP EL.=32.5 = I PORT INSPECTION 0 S=1% (MIN.) �9 S 1% (MIN.) N N � � p0 4..SCH40 PVC , .... 2„ SCH 40 PVC 4'SCH4 PVC v� 6" 6„ 6 8„ TO LLL10 10" INVERT e N Top View Section T��'S ARE TO BE 14 D-'B 0 X 4 SCH 40 PVC INV.=36.97 INV.=36.80 INV.=31.25 E FI�TERT� HIGH GW. PROPOSED D-BOX 4 ROWS OF 6 RUNITS AT 4'/UNIT + 2'(ENO CAPS)= 26.00' (ZABEL OR EQUAL " EL.=28..53SOIL ABSORPTION SYSTEM (PROFILE) 4 OUTLETS (MIN.) e.ts. Bon EL.=26.5 INV.=36.67 INV.=31.00 INV.=31.00 EFFLUENT FILTER SHALL BE INSTSALLED ON OUTLET -ESTABLISH VEGETATIVE COVER INV.=32.00t TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER BACKFILL WITH CLEAN SAND 16" LOWEST/SEWER N0.1 SHALL BE INSPECTED AND CLEANED ANNUALLY. NArIVE OR PERC SAND) (SEE NOTE 4) (See Pump Detail, Sheet 3 of 3) BREAKOUT EL.=TOP OF UNIT TOP OF CHAMBER EL.=37.0 '•' ' o ° 150OZ500 GALLON SEPTIC TANK/PUMP CHAMBER INV.ELEV.=36.67 9 0 9 SIDE VIEW NOTES: BOTTOM ELEV.=36.00 ��_ III®Ili EXISTING 2.8' 1) SEPTIC TANK/PUMP CHAMBER & D-BOX SHALL BE SET LEVEL 5' MIN. ABOVE BOTTOM OF SUITABLE AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=11.2' SOILS INSPECTION POIT CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). =28 USE 4 ROWS OF 6-QUICK4 STANDARD INFILTRATOR CHAMBERS 52" 2) INSTALL INLET & OUTLET TEES AS REQUIRED. ADJUSTED GROUNDWATER, EL. .53 s TOP VIEW WITH NO SEPARATION BETWEEN EACH ROW & NO STONE t 3) MAX. COVER OVER SEPTIC TANK, D-BOX & S.A.S. SHALL BE 36". TYPICAL SECTION 34" 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR SEPTIC SYSTEM PROFILE SOILS CONSISTANT WITH OBSERVED SOILS SHALL 8" INVERT TO CONSTRUCTION. 48" END CAP BE VERIFIED PRIOR TO INSTALLATION OF S.A.S. EFFECTIVE LENGTH) P/N: Q4STDE N.T.S. END VIEW SOIL LOG HE S' MULTIPORT END CAP Percolation Rate Of <2 Minutes/Inch SIDE VIES NOMINAL CHAMBER SPECIFICATIONS Present During Tests On 10/25/05 Agent: DONALD DESMARIS SIZE (W„ L x H)..............._,...,.....34" x 48" x 12" DESIGN CRITERIA Soil Evaluator: EFFECTIVE LEACHING AREA: TP BED.......................................................PER CODE 1 TP-2- O" 32.00 O" 32.00 TRENCH.................................................PER CODE NUMBER OF BEDROOMS: 3 BEDROOMS A W/FILL A W/FlLL 34" SANDY LOAM SANDY LOAM INVERT ELEVATION..................................................8" SOIL TEXTURAL CLASS: CLASS 1 10YR 4/3 10YR 4/3 FRONT VIEW STORAGE CAPACITY PER UNIT..................44.4 GAL 14" 30.83 14" 30.83 DESIGN PERCOLATION RATE: <2 MIN/IN B V. FRIABLE B V. FRIABLE QUICK 4 STANDARD INFILTRATOR CHAMBER DAILY FLOW: 330 G.P.D. LOAMY SAND LOAMY SAND DESIGN FLOW: 330 G.P.D. 40" C1 2.5Y5/4 28.67 40" C 1 2.5Y5/4 28.67 INFILTRATOR CHAMBERS GARBAGE GRINDER: NO PROPOSED SEPTIC TANK/PUMP CHAMBER: 1500/500 GALLON CAPACITIES 48' LOOSE 48" LOOSE M/C SAND M/C SAND N.T.S. LEACHING AREA REQUIRED: (330) = 445.9 S.F. <2 MIN. 160" 10YR5/8 <2 MIN. 60 10YR5/8 PROPOSED SEPTIC SYSTEM UPGRADE PLAN .74 AD✓usr£o c.w. 28.53 AD✓LISTED G.W. 28.53 USE 4 ROWS OF 6-QUICK4 STANDARD CHAMBER UNITS W/ NO 25 BLANTYRE AVENUE, CENTERVILLE, MA STONE FOR AN S.A.S. HAVING THE DIMENSIONS: 1 1 .2' x 26.0'. 92" OBS£RVEO G4Y 24.33 92" OBSERVED G.W. 24.33 Prepared for: Pau) Soares, 25 Blantyre Ave., Conterville, MA 02632 I BOTTOM AREA: (,GENERAL USE APPROVAL FOR 4.72 SF/LF OF INFILTRATOR) 120" 22.00 120" 22.00 Engineering by: Surveying by: SCALE DRAWN JOB. NO. GROUNDWATER OBSERVED AT EL.=24.33 Webb Engineering P.T.M. 105-08 6 UNITS + 2 END CAPS PER ROW = 26.0 FT Eng1neMngWorb �' NTS 4 ROWS x 26.0' x 4.72 SF/LF = 490.9 SF INDEX WELL MIW-29 (ZONE D) 72 West Crossfield Road Asso rates, Inc. WATER LEVEL = 8.2, OCTOBER 2005 12 West C MA ld Ro 180 County Road DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74(490.9 S.F.) = 363.3 G.P.D. (781)Plymp on, 1 1 22 08 GROUNDWATER ADJUSTMENT = 4.2' (sos) 477-53t3 (78t) 585-t 164 � / P.T.M. 2 Of 3 d A.� + NEMA 4 JUNCTION BOX CORROSION RESISTANT 12'-0 - & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED PROVIDE WATERTIGHT CONCRETEJRISERBY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE WITH SECURED COVER TO GRADWATERTIGHT. USE SJE RHOMBUS-JB PLUGGER OR EQUAL. 8 g _ SPECIFICATIONS: INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING CONCRETE STRENGTH: 5000 PSI AT 28 DAYS HOISTING CABLE 7x19 STAINLESS STEELWITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM t -`' ��- ;y STEEL REINFORCEMENT: A-615-68, GRADE 60 1/8" DIAMETER. / 1,760 LB. STRENGTH. FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL - -- DESIGN LOADING: AASHO-H10 ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. NOTES: INV.(IN)=31.002" GATE VALVE (FIELD ADJUST FOR 20 GPM RATE) I 1. PROVIDE POLYMER WATERPROOF COATING. 2"SCH. 40 DISCHARGE TO D-BOX 2. SEPTIC TANK SHOWN IS AS MANUFACTURED BY ACME PRECAST CO., ALARM ON EL 29.00 INC., 520 THOMAS B LANDERS RD, HATCHVILLE, MA 02536 2" 90' ELBOW W/ 1/4" WEEP HOLE - -1 t -a�PUMP ON EL: 28.33FOR SELF-DRAINING FORCE MAIN p 4 PUMP OFF EL: 27.6724" 2" SWING CHECK VALVE PLAN BOTTOM OF2" SCH. 40 PVC DISCHARGE PIPE '? ° PUMP F ELEV. CHAMBER 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE 3" QO OO N 4 PROVIDE 2 FLOATS: CO PLING" FLOAT NOA: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP ABS PL-EF 04W PUMP .4 H.P. 115 V w - - - FLOAT NO.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL WITH 2" DISCHARGE 48" liquid Level A v 0 PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT ACME PRECAST CO. INC., FALMOUTH, MA. (508) 548-9607 to PUMP DETAIL �-e'-2., I�--3--1 �-6' � SECTION B-B SECTION A-A N.T.S. 2 COMPARTMENT 2000 GALLON-SPLIT 2/3 - 1/3 H - 10 SEPTIC TANK/PUMP CHAMBER 1500/500 r GENERAL NOTES: ®% i ; 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS BUOYANCY CALCULATIONSOF LLOCALE STATE RULES AND ENVIRONMENTAL REEGULATIONS EXCEPT ASVREQUESTED BELOW:ANY H- 10 SEPTIC TANK/PUMP CHAMBER f LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements BOTTOM OF UNIT EL.= 26.5 i 1) A 44' variance, Septic Tank to Wetland, for a 56' setback. HOUSE HIGH GROUNDWATER EL.=28.53 (ADJUSTED HIGH G.W.) .'f i ��,, � j � •2• 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR BUOYANCY FORCE PER FOOT OF DEPTH: TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 12.0' x 6.6' x 1' x 62.4 Ibs./cu.ft. = 4867.2 Ibs. ' - S- DESIGN ENGINEER. MAX. DISPLACEMENT = 28.53 - 26.50 = 2.03' na -"'---52.1' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING MAX. UPLIFT PRESSURE = 2.03' X 4867.2 Ibs/ft = 9880.4 Ibs. 66,, FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN WEIGHT OF UNIT EMPTY = 21,425 Ibs, 8.J ENGINEER BEFORE CONSTRUCTION CONTINUES. 7s.2' 5. ALL ELEVATIONS BASED ON MEAN SEA LEVEL DATUM. 21,425 Ibs >9880 Ibs O.K. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF p, HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. - ov S �' 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. DOSING & STORAGE REQUIREMENTS 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. S.A.S.LAYOUT .� 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS DESIGN FLOW: 33U CPU 4 CYCLES/DAY (SAND} AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DOSING REQUIRED: DIRECTED BY THE APPROVING AUTHORITIES. 330 - 4 = 82.5 GALLEONS/CYCLE PROPOSED SEPTIC SYSTEM UPGRADE PLAN 10, IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE DISTANCE I TANCEPREQUIREDUMP OFF BETWEFLOATSEN PUMP ZS BLANTYRE AVENUE, CENTERVILLE, MA THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 82.5 GAL/CYCLE 125 GAL/FT = 0.66 FT/CYCLE Prepared for: Paul Soares, 25 Blantyre Ave., Centerville, MA 02632 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS Engineering by: Surveying by: SCALE DRAWN JOB, NO. IN THE AREA BENEATH AND ON ALL SIDES OF THE S.A.S. AND REPLACE STORAGE PROVIDED: Webb • Engineering WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). INV. IN EL:31.U0 - PUMP ON EL:28.33 =2.67' Enginwdngworks Associates, Inc. g NTS P.T.M. 105-OS ( ) 12 West Crossfield Road 180 County Rood DATE CHECKED SHEET NO. 12, AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE STORAGE PROVIDED = 2.67' X 125 GAL/FT = 333.8 GALLONS Forestdole, MA 02644 pl m ton, MA INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. (508) 477-5313 (781) 585-1164 1�22�0$ P.T.M. 2 of 3 } w 0 Y I J �' ,� t y f..' � 2 / T �" 2 f7 ----- - V• /�v Vic/ �' ~ � - 17- P�OG','OEG� C / �' ��F'Dr7 ;N l/5/Z7-) j ,� '�rCL:c^•C+.A:iOiSl L'.��' � /<•1//�✓ �G=2 /il'C.i.' ( . � s P,�"'T. PM,'�' �',QG. - /So �•S� 'r r1/.S/. , ^CZ •s:' `� '��.�9,,��°`� i4 c% F' �,/i !ET TE S ✓✓l.,r,' ;D y/,Y �',�/>' c`" ` d' VIP 0;7 .3D� c3 occ� �Q F'i .5'0, c400 s'g 45 i YT' E !J C N�1 RUC14r1R/1VC /Jc,JNG--" 1 ! DESIGN ASSOCIATEW � Ant,Matq, j,:/i'��"`-Esc.'=•!J. ,'�G,�" �J,7 f4i•/w 1— �" ,�!' — -- s" ,/;�' rJ! 5�,-nc'� 5� � � �1 t "v � r 1 ti _f tij- y 1._.. _. .._._. ,.. f ' , , 1 61) S E ,t o /v 711.e U ,;1 a .a Pi/c _ 3 { i if 1 1 ' 1 ro { TEE r'..'i c iF' xiFCG ,; `s 1., • 1 tO 4 � , � 1