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HomeMy WebLinkAbout0014 BRIARCLIFF LANE - Health 14 BRIARCLIFF LANE, CENTERVILLE A= 208 105 ' I 1{ iE i j 6 4 n �j R R IlII ® � my NoP2-1 3LOR �Posr coa�� HASTINGS,MN i , a09-/Oct Commonwealth of Massachusetts �n Title 5 Official Inspection Form 1' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville ✓ Ma 11/1/19 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When A. Inspector Information S1111t M-11-6— filling out forms on the computer, use only the tab Chad hathaway key to move your Name of Inspector cursor-do not H PS use the return Company Name key. VQ P.O.Box 151 r� Company Address Forestdale Ma 02644 Citylrown State Zip Code 774 274 2581 12866 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails 11/1/19 Inspecto ignature Date The system inspe r shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. , Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts �P Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is Centerville Ma 11/1/19 required for every page. CitylTown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: This inspection is not a guaranteeand applies no warrantyof the described septic components in this report including but not limited to piping structual intergrity of components and life exspectancy of leaching and described components. This inspection is to describe conditions witnessed at time of inspection only. Regular tank maintenance and water conservation can prolong life of septic systems Information on care and do's and don't's can be found at town health dept or mass.gov 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form l' Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is Centerville Ma 11/1/19 required for every page. CitylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ® Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Commonwealth of Massachusetts n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is Ma 11/1/19 required for every Centerville page. Cityrfown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria.indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is Centerville Ma 11/1/19 required for every page. City(rown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/Z day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. 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. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone 11 of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Fonn:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts �a Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is Centerville Ma 11/1/19 required for every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �. � 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville Ma 11/1/19 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): min 220 Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is Centerville Ma 11/1/19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form 1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is Centerville Ma 11/1/19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the 1/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 2008 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): 1.5' Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line. 20+ Comments (on condition of joints, venting, evidence of leakage, etc.): none t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is Centerville Ma 11/1/19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): 1' Depth below grade: feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1500 gal tank/500 gal pumpchamber covers at grade If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1500 gal 4" Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 0 Distance from top of scum to top of outlet tee or baffle 0 Distance from bottom of scum to bottom of outlet tee or baffle 0 How were dimensions determined? tape and sludge judge Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): tees in place no signs of leaks or decay. Ha zable filter. clean every 6 months under normal use to pervent backup t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owners Name information is Centerville Ma 11/1/19 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville Ma 11/1/19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Dbox is clear of solids cover just under grade no signs of decay or being over full 5 outlet pipes l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville Ma 11/1/19 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: E Yes ❑ No* Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): alarm and pump tested. works good weeping hole in place *If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 15'x30' ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville Ma 11/1/19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): inspection port opened dry and clean 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 f Commonwealth of Massachusetts F Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville Ma 11/1/19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville Ma 11/1/19 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately Lt-A 0)Q 5 3 0 -2 - 3 �, P 3 t5insp.doc-rev.712 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments > � 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville Ma 11/1/19 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 4' +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: 2008 Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: SAS is a large mounded system designed 4 feet over high known ground water per 2008 plan Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 14 Briarcliff Lane Property Address Bovi Owner Owner's Name information is required for every Centerville Ma 11/1/19 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 I .� Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 73 Uncle Willies Way Property Address Gonsalves Owner Owner's Name information is H annis Ma 02601 9/6/19 required for every y page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist)completed Z D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 a� a_ t DEED RESTRICTION WHEREAS, Ernest Bovi and Dianna L. Bovi of 14 Briarcliff Lane located in Centerville, MA, are the owners of 14 Briarcliff Lane, and being shown as Lot A on a plan entitled "Subdivision of Land...Allan Small...February 14, 1958...," duly recorded with the. Barnstable County Registry of Deeds in Plan Book 140, Page 29. WHEREAS, Ernest Bovi and Dianna L. Bovi 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 in 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, Ernest Bovi and Dianna L. Bovi 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. 14 Briarcliff Lane may have constructed upon it a house containing no more than two (2) bedrooms. Ernest Bovi and Dianna L. Bovi agree that this shall be a permanent deed restriction affecting the dwelling located at 14 Briarcliff Lane, Centerville, MA and being shown as Lot A , in Plan Book 140, Page 29. t Page 1 _ >mz- For title of Ernest Bovi and Dianna L. Bovi see the following Deed: Book 12101, Page 326. Executed as a sealed instrument this day of 2008. Ow %e Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS 62"- , ss Date 4, �d , 2008 Then personally appeared the above named known to me to be the person/s who executed the following instrument and acknowledged the same to be.their free act and deed, before me. IA Notary Public. My commission expires: (date.) . �Ry(' w:mi5�ion Expires jdnu� v 23,2009 i Page 2 TOWN OF BARNSTABLE LOCATION- /y 13r ,sr Clork SEWAGE# ft5`� 1�3 f' VIUKAGE ille0. �,�G ASSESSOR'S MAP&PARCEL . INSTALLERS NAME&PHONE NO. e0-4kk/(o' fn./ yZ.0 4/U 2 SEPTIC TANK CAPACITY -2000 1,410 YoD I 5-00 PG LEACHING FACILITY:(type) (size) NO.OF BEDROOMS II o OWNER ea"', PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet' Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY I 121 Alel • .z 141 3z. O 7 3S-,Jr L31 s� o No. � Fee ` L THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for 33igponl *pgtem Construction Fermat Application for a Permit to Construct( ) Repair() Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. 1t{ ZrcArc,1Z f.P 12a A-4 Owner's Name,Address,and Tel.No. org-t-31- f L�-+TE/Lv�\1 e S�dyl� Assessor's Map/Parcel Cyr SOS Installer's Name,Address,and Tel.No. C4124euI;cw e4je✓',pii jt.) Designer's Name,Address and Tel.No. �ql fi�+�e•'i°�f ��`� S 7Z�i �Oi. C.:+iyif�/I var(C dv''a 7' 3 /G5Tl7A�lC. 1/vJ61 Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building 5 i)� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) '2 Z o gpd Design flow provided —557-7• o gpd Plan Date -J'Z C Z,0°a Number of sheets Revision Date Title L 9 3f W r✓`' Size of Septic Tank (60c") soc, Type of S.A.S. .5RhV19 S Description of Soil 5_0_� Nature of Repairs or Alterations(Answer when applicable) jl�vh c. Date last inspected: 7-00 7 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 ealth. Signe Date 5" Application Approved by Date 0 Application Disapproved by: Date for the following reasons Permit No. ® '' Date Issued No. " -.V i) Fee s, THEXON(MONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 9pplication for Migooal 6potemc Cow6truction permit Application for a Permit to Construct O Repair YO Upgrade O Abandon O ❑Complete System ❑Individual Components Location Address or Lot No.14 13 '^rc1:f%P R—A-4i Owner's Name,Address,and Tel.No. (7✓ZK v0N1 &jyy Assessor's Map/Parcel 200 Qs xwa- Installer's Address,and Tel.No.6419,gw, 66 eedey yiigU Designer's Name,Address and 7Z� TeL No. 600 j/k���"�/ wcwt m S-7(63 �177^J3/7 /� 4l�si" G�UssF e/d, Y L%h>+F�l u r!/f ✓wa y4,/tsTO.4�C !/f7 A Type of Building: ,,11 C Dwelling No.of Bedrooms Lot Size w, 7� 7 sq. ft. Garbage Grinder ( ) Other Type of Building/jr i�, >t '"�4 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures ^ Design Flow(min.required) 1�"Q gpd Design flow provided -5.7 -7• o gpd Plan. Date -3 " " Z0°ig Number of sheets Revision Date Title l '-j 3f ,*( 1 t Size of Septic Tank (-50c;::) jQ0 Type of S.A.S. 'J rU?%Q.0P_5S -- t_',c✓(T f& (J-4 cc ,-Description of Soil obi Q t Nature of Zairs or�Allteerations(A`nswer when appllliicable) / l y� q / - /,l l/✓x 601 ve ".� �J' 13 a 1 / � C �, C•v� 1 L,!� �J/C�t/'Tl'7 's` a r J U 3 Date last inspected: 7i007 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 Health. Sign. Date ` Application Approved by Date 4 Application Disapproved by: Date ,,. for the following reasons x r' V Permit No. 0 ' Date Issued Q THE COMMONWEALTH OF MASSACHUSETTS— BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (W) Upgraded ( ) Abandoned( )by 1_',44 Rt3-116 J► e-S LC at l H T14 4'( 4 GAA csao4,r It-( has been constructed in accordance with the pr visions of Title 5 and the for Disposal System Construction Permit No. 000 `^ dated S Installer �t�q �`� ✓1� Designer f„ #bedrooms Approved design flowLnbe�si, .Ia gpd The issuance of this permit shall not be constru d as a guarantee that the systm wi 11 nct'oned. Date G�d' Inspector No. �� ^/� r Fee /Q 0 ——— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS Migogaf �bpgtem Construction Permit Permission is hereby granted to Construct ( ) Repair(( ) Upgrade (r ) Abandon ( ) System located at �'1 �I�t (,�tJ'fl �ti�tct `ef,(0 � 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. Provided: Construction must e co pleted within three years of the date of this Date ��76 Approv�y 05i'23/2008 12:04 5084775313 : ENGINEERING' WORKS PAGE 01 Town of Barnstable Regulatory Sit't-vice$ D $ Thomas F.Geller,Director s� Pulblic Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: S08-862-4644 Fax: 508-790-6304 Installer.&Deslgncr Certification rm J Date: 5� '` _Sewage Petrcalt# 2g— i U Assessor's Map1Porcei `-Z - Designer: ► Installer-: 6 Address: 1'Z,W'.Crum�'��-[dl P�/ Address: -S -?�oo� �G�G oa za issued a permit to install a (date) ("taller) Septic system at l tro►rrJ��t Cn�Cxn k-ry-7 1-� based on a design dr awn by ,Q (address) dated 1 4� ( ✓� ' (designer)-- I certify that the septic system referenced above wan installed substanti-alty according to the design, which may include uuinor approved changes; such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system ivferenced above,was installed with major changes (i.e. greater than 10' latind relocation of the SAS or any vertical relocation of puy component of the septic system) but in accordance with State:&Local Regulations. Plan revision or certified as-built by designer to follow. i OF g4 PETER T. �y ��" McENT�E eI s Si )' ; CIVIL iNp.351fl9 0 , 01 F� �C rar (Designer's Signature) (Affix Designer's Stamp Here) P�f{, E RETUl31Y , TO BARN�gT"LE P d� R AIV1SlO.dY• ��5�9► OF �Q)Y NC , WILL NOT IIE &WED UNTO BOtH TEES -FFOIIM ASJp_AS-BUILT A itECEIVEQ Y THE AMLN ABLE PUBLIC ALTH DIVISION, TROK YOU, Q:FIetdWSeptiVMkWpar COIJACation Forms 346,04.&c 49!`111 Barnstable Town of Barnstable AS-AmicaCdy I,! rz,tMASS�'.�,�'�? Board of Health vt ASS U�+. ArFD MA �" 200 Main Street, Hyannis MA 02601 200 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi April 29, 2008 Mr. Peter McEntee, P.E. 12 West Crossfield Road Forestdale, MA 02644 RE: 14 Briarcliff Lane, Centerville A= 208-105 Dear Mr. McEntee, You are granted variances, on behalf of your client, Ernest and Dianna Bovi, to construct an onsite sewage disposal system at 14 Briarcliff Lane, Centerville. The variances granted are as follows: 310 CMR 15.405: To install inlet and outlet pipes in the septic tank/pump chamber less than 12" above the groundwater table. Section 360-1, Town of Barnstable Code: To construct a soil absorption system 66 feet away from a vegetated wetland, in lieu of the minimum 100 feet separation distance required. Section 360-1, Town of Barnstable Code: To construct a septic tank 84 feet away from a vegetated wetland, in lieu of the minimum 100 feet separation distance required. The variances are granted with the following conditions: (1) No more than two (2) 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 two (2) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the revised engineered plans dated 3/21/08, revised 4/08/08. (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 submitted plans dated 3/21/08, revised 4/08/08. Q:\WPF[LES\McEnteeBovi 14 Briarcliff Cent2008.doc (5) The applicant shall plant shrubbery on the mound behind the retaining wall to screen the mound from the neighbors' view. (6) The plans shall be revised to show a double-compartment tank. This variance is granted because physical constraints at the site severely restrict the location of a soil absorption system die 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. Sin ely your , Way AMiller, M.D.' Chairman Q:\WPF(LES\McEnteeBovi 14 BriarcliffCent2008.doc r COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete.items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. gent ■ Print your name and address on the reverse X Addressee so-that we can return the card to you. a ed by(P ted Name) C. ate of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 14 I 1. Article Addressed to: If YES,enter delivery address below: No rProp7D:2081U7 - ._ I ECHTELER,STEPHEN,TRS ECHTELER REALTY TRUST A10 SOUTH ROBERTS ROAD %�''Z'idSEMONT,PA 19010 eryiCe 3. S Type 19 Certified Mail ❑Express Mail �rt ❑Registered ❑Return Receipt for Merchandise ProoID:208-112 _- ❑ Insured Mail ,❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number f (Transfer from service IabL, ��Q 0 7 i 2 2 0 0 D 01` 7t8 4 41 R 9 4 l i i�4 PS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540; UNITED STA I'x9�3&N`k§lR 's I-A t� I , A daani P�Uo.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • IIEngineering Works 12 West Crossfield Road I iForestdale, MA 02644 I I I I* COMPLETE •N I COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete re 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. B. Received by ed Name) Date of Delivery ■ Attach this card to the back of the mailpiece, q v` or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No Prop ID:208105 BOVI,ERNEST&DIANNA L 14 BRIARCLIFF LN CENTERVILLE,MA 02632 r 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number Pbd? p2221 000'3:1270:11 35t27 i It p (Transfer from service/abP PS Form 3811;February 2004 Domestic Return Receipt 102595-02-101-1540 . F 90 .l.�.. yg:. h�j,Q 'g"t}•^1f4t'1`4�iL ItA�'��.•Y��'`i%`H UNITED STATES POSTAL SERVICE t �&f TrIES", alzh`.i P.n .,p Cil , ti:::•. � ,a :ter { r '' SSti&Fees Paid y • Sender: Please print your name, address, and ZIP+4 in this box • I ;Engineering Works i 12 West Crossfield Road i Forestdate, MA 02644 i i I f` i COMPLETE •N COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. n tune item 4 if Restricted Delivery is desired. ❑Agent X ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. Co--1j^j a. D 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No Prop ID:208104 CONRAD,MICHAEL P SR& GARRETT,BARBARA A 6 BRIARCLIFF LANE , i CENTERVILLE,MA 02632 3. Service Type ❑Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number_ 1 ; � /t700�7/021`df i0001' l78'4�4f�9'I,0b1 1 11 (Transfer from service label) I L PS Form�3811',February'404 i i Domestic Return Receipt 102595-02-M-1540 UNITED STATE YbSlALF �'FtE4` T k� t sirstlit'V�55 ��1�S�Pd , : &Fees Paid � tx ,_; • Sender: Please print your name, address, and ZIP+4 in this box • I Engineering Works 12 West Crossfield Road i Forestdale, MA 02644 I I COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3.Also complete f A. Sigpature.' item 4 if Restricted Delivery is desired. — ❑Agent ■ Print your name and address on the reverse A:2��X�. dressee I so that we can return the card to you. B. Received by(Printed Name) C at Upelivery -■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: - D. Is delivery address different from item 1? es If YES,enter delivery address below: ❑ No Prop ID�208106 B. RR O,ADELE R 18 BRIARCLIFF LN 3. Service Type CENTERVILLE,MA 02632 ❑Certified Mail ❑Express Mail .. ,.'.. ' ❑Registered ❑ Return Receipt for Merchandise Ts?"p",. -x;�-sr �:i1'icz• . s:4"%: r ,e: �• . ❑Insured Mail ❑C.O.D. S . Y ..,,n..• „�: aa• ��� - Resti�'fed-lt3�liv �� �:. ,�.;1;�: ...... . •; :a,�fl... r�.= � ❑Yes 2. '�rI ransferIE IRWliorm',38a1r Pe76 ry7y6o4 ! 1 3 a Domestic Return Receipt 102595.02-M-1540 . .....--._ .,.,P�.{�qa'�'"�"��' T�pp,��,,•��:N'�� ..� �� '�! •,nvp�4ogN�Mawu ;asN,�� ,.wn+.a� UNITED STATES0�5IA2' EtCE" y + Y's a4 _, I t{P'iW M W • Sender: Please print your name, address, and ZIP+4 in this box • Engineering works ' West Crossfield Road A �2 44 �.For 4stdale, M a 1�1►i111�9it��tl7.i)r�tili�sr�'1�'�iettl9��11Ie�tfelfl��IL�7s11.i� � COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete nature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse M ,❑Addressee so that we can return the card to you. B. a eived by(Printed ame) 7�� elivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Rem 1? ❑Yes If YES,enter delivery address below: ❑No _ _ _ _' f&KORIAN,KENNETH C P& ` CHAKARIAN,DIANNE t APO BOX 504 17 tCENTERVILLE,MA 02632 3. Se ce Type lid Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number I 7007 0 2 2 0 0 0 01 7 844 908 ( , (Ransfer from service lobe. PS Form 3811,February M4 Domestic Return Receipt 102595-02-M-1540 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS Permit No.G-10 I • Sender: Please print your name, address and ZIP+4 in this box • Enginee ' g Works LFo 2 West Crossfierestdale, MA 02644 I � ,q DATE: g '7 ��i•� FEE: f f MAS f 1Et & fn f 1639.�� REC. BY Town of Barnstable p SCHED. DATE: a��J Board of Health 1 200 Main Street, Hyannis MA 02601 Office: 508-862 4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Paul J.Cannifl;D.M.D. VARIANCE REQUEST FORM LOCATION `� (. r� Property Address: I a'�C 1 i L h Assessor's Map and Parcel Number: Zo$ 1 O S Size of Lot: i 0 q 7 I S• rr. Wetlands Within 300 Ft. Yes Business Name: A11A No Subdivision Names -- APPLICANT'S NAME: .7eS}'" ��� Phone ���'�S�3y•-�3S''7 Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME `� CONTACT PERSON[ Name: �/•r12.5 tip' Lr• �G L40', 1�t/t, Name: FCf —e—I F-q�-ee Address: ct c i`tl- �11 Address: rZ• to• CCO S A- a\0� i-c I V.i Le Mp O Z(�3 Z CA s f-Act k M�4 o zG4 q Phone: Phone: 1 l VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) l eQiy1 t S 4•n NATURE OF WORK: House Addition 00000 House Renovation 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 r Four(4)copies of engineered plan submitted(e.g.septic system plans) = _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) ( ' Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (forTitle V and/or local sewage regulation variances only) LJ t _ Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[sa owner/leasee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Paul J.Canniff,D.M.D. REASON FOR DISAPPROVAL C:\Documents and Settings\decollik\Local Settings\Temporary Internet Pi1es\0LK1\VARIREQ.D0C Engineering Works 9 9 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508)477-5313 March 21, 2008 Re: 14 Briarcliff Rd, Centerville, MA (Assessors Map 208, Parce1105) Construction Title 5 Septic System Dear Board Members: On behalf of my client, Dr. Ernest Bovi, I am requesting the following variances under maximum feasible compliance for a septic upgrade at the single family residence: • 310 CMR 15.405(h)(i) & 0)—CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 1' variance to the required 4' separation between maximum seasonal high groundwater elevation and bottom of the S.A.S., for a 3' separation. Request Remedial Approval usage of a White Knight Inoculator/Generator Alternative Treatment System. 2. A variance for sieve analysis in lieu of percolation test. 3.. A reduction to the requirement of a 12" separation between inlet and outlet pipes servicing the septic tank/pump chamber and high groundwater. Watertight sleeves shall be pre-installed on septic tank/pump chamber inlet and outlet and clamped to pipes. LOCAL REGULATION, Chapter 360, Article 1 — Setback Requirements 1. A 34' variance, S.A.S. to wetland, for a 66' setback. 2. A 16' variance, septic tank to wetland, for an 84' setback. All variance requests are being made due to the site constraints imposed on the project. Sincerely, I Peter T. McEntee P.E. Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508) 477-5313 April 8, 2008 Re: 14 Briarcliff Rd, Centerville, MA (Assessors Map 208, Parcel105) Construction Title 5 Septic System Revised Variance Requests Dear Board Members: On behalf of my client, Dr. Ernest Bovi, I am requesting the following variances under maximum feasible compliance for a septic upgrade at the single family residence: • 310 CMR 15.405(i) & (j) — CONTENTS OF LOCAL UPGRADE APPROVAL 1. A variance for sieve analysis in lieu of percolation test. 2. A reduction to the requirement of a 12" separation between inlet and outlet pipes servicing the septic tank/pump chamber and high groundwater. Watertight sleeves shall be pre-installed on septic tank/pump chamber inlet and outlet and clamped to pipes. • LOCAL REGULATION, Chapter 360, Article 1 - Setback Requirements 1. A 34' variance, S.A.S. to wetland, for a 66' setback. 2. A 16' variance, septic tank to wetland, for an 84' setback. All variance requests are being made due to the site constraints imposed on the project. Sincerely, Peter T. McEntee P.E. Board of Health Abutter List for Map & Parcel(s): '208105' Direct abutters(no set distance) and the properties located across the street. } Total Count: 5 Close Map &Parcel Owners Owner2 Addressl Address 2 Mailing CityStateZip 208104 CONRAD, MICHAEL GARRETT, BARBARA A 6 BRIARCLIFF LANE CENTERVILLE, P SR& MA 02632 208105 BOVI, ERNEST& 14 BRIARCLIFF LN CENTERVILLE, DIANNA L MA 02632 208106 BARRARO,ADELE R 18 BRIARCLIFF LN CENTERVILLE,MA 02632 208107 ECHTELER, ECHTELER REALTY 110 SOUTH ROSEMONT, PA STEPHEN,TRS TRUST ROBERTS ROAD 19010 KRIKORIAN, CENTERVILLE, t 208112 KENNETH C P& CHAKARIAN, DIANNE PO BOX 504 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 3/21/2008. 4. hq://www.town.bamstable.ma.us/arcims/appgeoapp/AbutterReport.aspx9type=BOH 3/21/2008 P# Town of Barnstable Department of Regulatory Services w ^ , t Public Health Division late - 200 Main Street,I{yannis MA 026601 wu Scheduled. ,Ime' Fee r 1 yy Soil Suitability Assessment for Sewage Di- 6 al t Performed By., -P: MC- �✓�-��2CL d Witnessed By' LOCATION& GENERAL INFORMATION Location Address /� �7 . Owner's Name t� Ir�"rC,Q J}- Q V 1 'e LP Addmss ��- t;F✓c t`o'tt Z h C-enfc�.r�i�t vvt✓-� a2�3 Z Assessor's.Map/Parcel:.• 710 �t' — :C� Engineer's-Name NBW.CONS'fltUCl10N RBPAIIt, X Telephone# Land Use '��S+�"'�` 1 Slopes(96) _ Surface Stones Distances from:. Open Water Body 7y R Possibte'Wet Area R Drinking Water 1Ve11 ft Drainage Way_ R. Property Line V R Other tt'` SKETCH:;(Street name,dimensions of lot,exact locations of test holes`&perc tests oca wetlands4irProxrmtty to holes) e �o 3 . p • C� Pv2 C(,1 Parent material-(geologic) Depth to Bedrock Depth to Groundwater. Standing Water in Hole: . 4 � Weeping from Pit ixpee Estimated Seasonal High Groundwater 2__ ' DETERMINATION FOR SEASONAL HIGH WATER TABLE Methoc Used. Depth:Observed standing in obs,hole: in, Depth to soil m0141 In. C) Depth`.to'weeping from.side of obs.hole:_ _�., fn. (3!oundwctar gdlue►.MeZ► T M Index Weil# Reading Date: Index Well level Adj,f4Ct0r_-Ad1.i. nu dtguttdwaterLeveli,,,,- PERCOI�ATIOIYTES ts x _ µ Observation 2 M N Hole'# 11-: V` Timo;et 4° .....,�.. ,..�. ..... LLJ Depth of Peerc nine at 0, U_ 1 C �s Start Pre'soak'l ime CD - dam,1�Y.J2 ��t�pS `. 'time ff'-V) N l �V iC c+ i l End Pre soak. Rate Min./Inch e- Site Suitability Assessment: Site Passed oz Site Failed:�— Additional.Testing Needed(YM):, ' Original: Public Health Division Observation Hole Data To Be Completed on Back--------- * If percolation test is to be conducted within 100' of wetland,you must firsf.not>lfy-the Barnstable Conservation Division at least one(1) week prior to beginning. - n.revrrrtnot7DlR7(1DIu/Il(N'. DEEP OBSERVATION HOLE LOG Hole# i Depth from Soil I•lorizon Soil Texture Soil Color Soil Other Surface(m) (USDA) (Munsell) Mottling (StructureIS 60;Boulders, 7 _Z, DEEP OBSERVATION HOLE,LOG Hole# %/ Depth from Soil Horizon Soil Texture- Soil Color Soil 'Other. Surface (USDA) (Munsell). Mott iin g (Structure.Soones,•Boulde s. i Olin- VAZ g f2 C f� S 2 S, . DEEP OBSERVATION HOLE LOG Hoye# �pth�9m SoiLHorizoo. Soil Texture. Soil Color Solt Surface-(in) (USDA) (Mansell) Mottling (Sdvcturo Stones,Boulders. v en DEEP OBSERVATION HOLE LOG Hole# Depth from Soii Horizon, Soil Texture Soil Color Soil . Surfac. (d Other (USDA) (Munsei9 Mottling (S.tructuro,$tortes;B.ouiders, F _ F�ood.Insurance:Rate Man• Above 5d0:year fltwd boundary No Yes Within 500;-year boundary No Yes WitHm t`n0.year flood boundary No Yes Deoth��r Ire Qccdrrin>t Pervious Material L�'l { . Dbes at least four i'eet of naturally occurring pervious material exist in all areas observed thrpughout_the area proposed for the soil absorptionsystem7 _ des a If not,what is the depth of naturally occurring pervious material? CW cation.. I certi that on' 1 "t q� " . fY (date)I have passed the soil evaluator examination approved by the --De artmentof Environmen 1 p to Protection�•f! �� .. and that the- above analysts.was performed by me conststent'with . the,r utred'trarnin ,expertise and ex e9 8 P perience described in 10 CMR 15.017. , Signature— Date ® .. . . .Q:4SE12TICCP12CPORM.DOC down cape engineering, inc. SIEVE SOILS ANALYSIS_McAntee_W Briarcliff.xis DATE OF REPORT: 3/14108 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE:44 Briarcliff Lane Centerville, MA LOCATION: Engineering Works TH SIEVE ANALYSIS Weight Sample(Grams): 670.5 SIZE RETAINED WT. RET. %RETAINED % PASSED ;(wt on ind.sieve) (sump �;;--------- --------------0.0: ---- -..... --------------: _------.-.---1------- 0.0% 3%4';-------- --------------0-p� ------ 0.0 ------ -0.0%----------------100.0% -------4- ------------ -i....... _1.-------- -L---- ------ 1/2" : 0.0: 0.0� 0.0%: 100.0% -------------;-----------------T----------0------------------t----------------------- 3/8" 0.0; 0.0; 0.0%; 100.0% ------------- ------------------ -- - - r---------------------------------- 10 70.0: 70.0: 10.4%., 89.60 __0 : 1$0.0: 250.0: 37.3%: 62.7% ----J--""-------------1_..-..__--- :-----------------1........................ 0 204.1: 454.1: 67.7%' 32.3% -_•-__-'-----------------------'r_•___._._...r----------------------------------•----•- 50 93.$; 547.9: 81.7°!0: 18.3% _0_ 82.0: 629.9: 93.9%: 6.1% 100------ -------------13.4� ----643.3---------93.9%; ---------------------- ----��_--��--./-�----��--------.--i............�.----------------L--------------..-------- 200 : 18.1: 661.4, 98.6%: 1.4%° ------------;------------------i-.._.......-'r----------------F----------------- PAN: 9.1; 670.5; 100.0%; 0.0% SAMPLE - ------------670.5T .......--------------------------------------------- NOTE:TEST ON PASSING#4 ONLY, 14%RETAINED ON#4<45%O.K. _ RESULTS: SOIL CLASSIFIED AS AASHTO A-3(GRANULAR,SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS: #4 100% (TEST ONLY MATERIAL PASSING#4) #5010%-100% #100 0%-20% #200 0%-5% REQUIREMENT FOR"FILL'IN TITLE 5. <5%PASSING#200 SIEVE RESULTS: PERMEABLE MATERIAL-CLASS I<5 MINAN.MATERI SNOFIN NONCOMPACTED SOIL DESCRIPTION:SAND �� DANIELA. G� o OJALA CIVIL q No.46502 G� ER / 1 StONA ON Engineering Works 12 West Crossfield Road, Forestdale, MA 02644 Tel/Fax(508) 477-5313 March 21, 2008 Re: 14 Briarcliff Lane., Centerville, MA (Assessors Map 208, Parcel 105) 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: • 310 CMR 15.405(hxi) & 0)—CONTENTS OF LOCAL UPGRADE APPROVAL 1. A 1' variance to the required 4' separation between maximum seasonal high groundwater elevation and bottom of the S.A.S., for a 3' separation. Request Remedial Approval usage of a White Knight Inoculator/Generator Alternative Treatment System. 2. A variance for sieve analysis in lieu of percolation test. 3. A reduction to the requirement of a 12" separation between inlet and outlet pipes servicing the septic tank/pump chamber and high groundwater. Watertight sleeves shall be pre-installed on septic tank/pump chamber inlet and outlet and clamped to pipes. • LOCAL REGULATION, Chapter 360, Article 1 —Setback Requirements 1. A 34' variance, S.A.S. to wetland, for a 66' setback. j 2. A 16' variance, septic tank to wetland, for an 84' 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, April 8, 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 Peter T. McEntee P.E. fI I gar cwo 1.3.1 r SGHq/J9 i13 ENGINEERING WORKS PAGE 01 Engineering Works 12 WW CfQw W Road,ForaWaW, MA 026 Ma4 21, 200$ Temax(5"477.5313 BarnstWe UWd of Health 200 Main stem Hyannis, MA 02601 Re. 14 8riarclifl`lane, Centemlle, MA, Title 5 Septic Upgrade iRepr>isentation Authorization Dear Board mergers, I hereby authorize Peter McEntee PE to represent my interes%for the PAW project. Dianne Bovi-Omer COMMONWEALTH OF MASSACHUSETTS OEM EXECUTIVE OFFICE OF ENERGY& ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A.BOWLES Governor Secretary TIMOTHY P.MURRAY LAURIE BURT Lieutenant Governor Commissioner MODIFIED APPROVAL FOR REMEDIAL USE Pursuant to Title, 310 CMR 15.00 Name and Address of Applicant: Knight Treatment Systems 281 County Route 5IA Oswego,NY 13126 Trade name of technology: White Knight Inoculator/Generator Alternative Treatment System (hereinafter called the"System"). Schematic drawing of a typical System and Technology checklist are attached and are a part of this Approval. Transmittal Number: W 036345 Date of Issuance: October 19, 2004, August 16,2007,modified March 6, 2008 Expiration date: October 19, 2009 Authority for Issuance Pursuant to Title 5 of the State Environmental Code, 310 CMR 15.000,the Department of Environmental,Protection hereby issues this Approval for Remedial Use to: Knight Treatment Systems, 281 County Route 51A, Oswego,NY 13126(hereinafter"the Company"), approving the System described herein for Remedial Use in the Commonwealth of Massachusetts. Sale and use of the System are conditioned on compliance by the Company and the System owner with the terms and conditions set forth below. Any noncompliance with the terms or conditions of this Approval constitutes a violation of 310 CMR 15.000. March 6, 2008 Glenn Haas,Acting Assistant Commissioner Date Bureau of Resource Protection The information is available in alternate format.Call Donald M.Gomm ADA Coordinator at 617-556-1057.TDD#1-866-539-7622 or 1-617-5746868. MassDEP on the World Wide Web: http:/Awm.mass.gov/dep Printed on Recycled Paper Modified Approval for Remedial Use White Knight Inoculator/Generator Treatment System Page 2 of 11 I. Purpose 1. The purpose of this approval is to allow use of the System in Massachusetts, on a Remedial Use basis to repair systems failing to protect public health and safety and the environment where failure has occurred as described in 310 CMR 15.303 (1)(a) (1) and(2)due to clogging of the soil absorption system(SAS). 2. With the necessary permits and approvals required by 310 CMR 15.000,this Approval for Remedial Use authorizes the use and installation of the System in Massachusetts. 3. The System may only be installed on facilities that meet the criteria of 310 CMR 15.284(2). 4. This Approval for Remedial Use authorizes the use of the System where the local approving authority finds that the System is for upgrade of a failed,failing or nonconforming system and the design flow for the facility is less than 2,000 gallons per day (GPD). H. Design Standards 1. The System consists of an microbial inoculator/generator consisting of: a linear air pump operated on a continuous basis and capable of providing 1.5 to 2.5 cfin of air;,a bacterial inoculant is placed into the system in a sealed geotextile bag;and a fine bubble diffuser. The unit is installed in an existing septic tank or a new septic tank designed in accordance with 310 CMR 15.223 through 15.228 with an effluent tee filter. The System converts the septic tank into a bioreactor to treat residential strength wastewater from facilities with a design flow of less than 2,000 GPD. The treated effluent is discharged to either the existing soil absorption system or to a new SAS designed and installed in accordance with 310 CMR 15.000. 2. A microbial culture is established and maintained using the mixing and aeration device and the bacterial source. The aerator mixes the contents of the septic tank with the bacteria and aerates the liquid. The System's biomass reduces both the biochemical oxygen demand(13O135)and the total suspended solids(TSS)concentration in the effluent from the septic tank. The effluent from the septic tank contains dissolved oxygen (DO)and bacteria that discharge to the SAS and act to reduce the thickness of the biomat improving the soil absorption capacity. 3. Prior to installation of the System,the site shall be evaluated in accordance with 310 CMR 15.100 through 15.107. The existing on-site system including the septic tank, distribution box and SAS shall be inspected in accordance with 310 CMR 15,302. 4. No System shall be proposed for installation where: A The high groundwater elevation will be less than two feet below the bottom of the SAS. Modified Approval for Remedial Use White Knight Inoculator/Generator Treatment System Page 3 of 11 B. A facility for which the site investigation indicates that the existing onsite system was designed and installed for a design flow smaller than required by 310 CMR 15.203 unless the onsite system is expanded to meet the current design flow requirements of Title 5. The minimum area for the existing or upgraded SAS shall not be less than 50 percent of the area required in accordance with 310 CMR 15.242. C. An existing septic tank is not tested and shown to be watertight. 1). The proposed installation is for a failed or failing leaching pit or cesspool. E. A site investigation indicates that the existing soil absorption system must be removed and replaced prior to installation of the System 5. The System shall be equipped with a monitoring device that provides data collection to include tracking the elevation of the effluent in the SAS. The data can be stored and reported to include high,low and average levels for each parameter each month and daily values for the last thirty days. 6. For seasonal use,the System shall be reactivated by the addition of a fresh culture of bacteria at each start up. III: Allowable Soil Absorption System Design 1. The following reductions are allowable for Soil Absorption Systems (SAS)when designing the System. A. _ The approving authority may allow up to a 50 percent reduction in the area of the soil absorption system required by 310 CMR 15.242; or B. The approving authority may allow a reduction in the required separation between the bottom of the SAS and the high groundwater elevation of up to two feet. This provides a minimum separation of two feet(in soils with a recorded percolation rate of more than two minutes per inch)or a three feet (in soils with a recorded percolation rate of two minutes or less per inch); or C. The approving authority may allow a reduction in the required four feet of naturally occurring pervious material in an area with no less than two feet of naturally occurring pervious material; provided that it has been demonstrated that the four foot requirement cannot be met anywhere on the site. EXCEPTION: If a remedial System needs more than one of the allowable reductions listed above,then the reductions must first be approved by the local approving authority and then approved by the Department pursuant to 310 CMR 15.284 through filing a BRPWP 64c permit application. f Modified Approval for Remedial Use White Knight Inoculator/Generator Treatment System Page 4 of 11 2. Additional reductions allowable for Soil Absorption System(SAS)when designing the System: A. When using 1A, 1B, or 1C above for the System where full compliance with 310 CMR 15,000 is not feasible,the local approving authority may consider granting local upgrade approvals in accordance with the provisions of 310 CMR 15,401 — 15.405. For example: i. When an applicant chooses up to a 50%reduction in the SAS area with the use of I/A technologies,the local approving authority may grant a local upgrade approval for reduction to estimated high groundwater in accordance with 310 CMR 15.405(1)(h). ii. When an applicant chooses up to a two foot reduction in the estimated separation of high groundwater from the bottom of the SAS area with an I/A technology,the local approving authority may consider granting a local upgrade approval for SAS reduction in accordance with 310 CMR 15.405(1)(c). iii. When an applicant chooses a reduction in the naturally occurring soil with the use of an I/A technology,a local upgrade approval may grant either a reduction in SAS area in accordance with 310 CMR 15.405(1)c or a reduction in groundwater separation in accordance with 310 CMR 15.405(1)(h). If any remedial system is still not able to achieve full compliance with all of the minimum set back distances in 310 CMR 15.211, even taking into account provisions for local upgrade approval in accordance with the provisions of 310 CMR 15.401 — 15.405 the applicant must obtain variance(s)from the approving authority and then approval from the Department pursuant to 310 CMR 15.410 through filing a BRPWP 59b permit application. IV. General Conditions 1. All provisions of 310 CMR 15.000 are applicable to the use of this System,the System owner and the Company, except those that specifically have been varied by the terms of this Approval. 2. Any required sample analysis shall be conducted by an.independent U.S. EPA or DEP approved testing laboratory, or a DEP approved independent university laboratory. It shall be a violation of this Approval to falsify any data collected pursuant to an approved testing plan,to omit any required data or to fail to submit any report required by such plan. Modified Approval for Remedial Use White Knight Inoculator/Generator Treatment System Page 5 of 11 3. The facility served by the System and the System itself shall be open to inspection and sampling by the Department and the local approving authority at all reasonable times. 4. In accordance with applicable law,the Department and the local approving authority may require the owner of the System to cease operation of the system and/or to take any other action as it deems necessary to protect public health, safety, welfare and the environment. 5. The Department has not determined that the performance of the System will provide a level of protection to public health and safety and the environment that is at least equivalent to that of a sewer system. No System shall be installed, upgraded or expanded, if it is feasible to connect the facility to a sanitary sewer, unless as allowed by 310 CMR 15.004. When a sanitary sewer connection becomes feasible,the facility served by the System shall be connected to the sewer, within 60 days of such feasibility, and the System shall be abandoned in compliance with 310 CMR 15.354,unless a later time is allowed,in writing,by the approving authority. 6. Design, installation and operation shall be in strict conformance with the Company's DEP approved plans and specifications, 310 CMR 15.000 and this Approval. V. Conditions Applicable to the System Owner 1. The System is approved for the treatment and disposal of sanitary sewage only. Any wastes that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed. 2. Any effluent samples shall be taken from within the center tube of the OSI filter installed in on each system or the pipe entering a pump chamber or other Department approved location. Any required influent sample shall be taken at a point that will provide a representative sample of the influent. Influent sampling locations shall be upstream of the septic tank at a location determined by the system designer, subject to written approval by the Department. 3. Operation and Maintenance Agreement: A. Throughout its life,the System owner shall operate and maintain the System in accordance with the Company and designer's operation and maintenance requirements and this Approval. To ensure proper operation and maintenance(O&M),the System owner shall enter into an O&M agreement. No O&M agreement shall be for less than one year. B. No System shall be used until an 0&M agreement is submitted to the approving authority which: Modified Approval for Remedial Use White Knight inoculator/Generator Treatment System Page-6 of 11 i. Provides for the contracting with the Company or its approved management company,trained by the Company as provided in Section VI(6),to operate the System consistent with the System's specifications and the operation and maintenance requirements specified by the designer and any specified by the Department; ii. Contains procedures for notification to the Department and the local board of health within five days of a System failure or alarm event and for corrective measures to be taken immediately; iii. Provides the name of an operator, which must be a Massachusetts certified operator if one is required by 257 CMR 2.00,that will operate and monitor the System The operator must inspect and field test Systems installed at single family homes at least every six months in accordance with the Department's policy and anytime there is an alarm event, and for all other Systems at least every three months and anytime there is an alarm event. This Department policy,Inspection and Sampling in Title 5 EA Single Family Home Remedial and General Use Treatment Systems with Design Flows Less than 2000 gallons/day can be viewed on the internet at http://Mass.govldepAvaterAvastewater /iatechs. htm. iv. For all other Systems the operator must inspect and maintain the System at least every three months and anytime there is an alarm event. 4. The System owner shall at all times have the System properly operated and maintained in accordance with this Approval,the designer's operation and maintenance requirements and the Company's approved operating procedures. The System owner shall notify the Department and the Iocal approving authority in writing within seven days of any cancellation, expiration or other change in the terms and/or conditions of their O&M agreement. 5. Prior to transferring any or all interest in the property served by the System,or any portion of the property,including any possessory interest,the System owner shall provide written notice of all conditions contained in this Approval to the transferee(s). Any and all instruments of transfer and any leases or rental agreements shall include as an exhibit attached thereto and made a part thereof a copy of this Approval for the System. The System owner shall send a copy of such written notification(s)to the local approving authority within 10 days of such notice being given. 6 . The System shall be monitored quarterly for depth of ponding and dissolved oxygen (DO)in the SAS. Should the System exhibit excessive ponding levels after three months (water surface elevation equal to or greater than the water surface elevation prior to installation of the System), at a minimum,the following parameters shall be Modified Approval for Remedial Use White Knight Inoculator/Generator Treatment System Page 7 of 11 monitored: pH,BOD5,TSS, depth of effluent and DO in the SAS and water use. Monitoring shall continue for at least one year when at the written request of the System owner,the Department may reduce the monitoring and reporting requirements. If after 120 days of operation,the System is in failure, the System shall be removed in accordance with Section VI(7). 7. By January 31"of each year for the previous year,the System owner in coordination with the Company or its designee shall submit to the approving authority all data collected in accordance with item 6,above, and an O&M checklist and a technology checklist, completed by the System operator for each inspection performed during the previous calendar year. 8. Prior to the issuance of a Certificate of Compliance for the System,the System owner shall record and/or register in the appropriate Registry of Deeds and/or Land Registration Office, a Notice disclosing the existence of the alternative system subject to this Approval on the property. If the property subject to the Notice is unregistered land,the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice,the System owner shall submit the following to the local approving.authority: (i)a certified Registry copy of the Notice bearing the book and page/instrument number and/or document number; and (ii)if the property is unregistered land, a Registry copy of the owner's deed to the property, bearing the marginal reference. V1. Conditions Applicable to the Company 1. The Company shall develop and submit to the Department within 60 days of the effective date of this Approval: minimum site evaluation criteria and installation requirements; an operating manual,including information on substances that should not be discharged to the System; a technology checklist; and a recommended schedule for maintenance and replacement of the plastic media essential to consistent successful performance,of the installed Systems. The Company shall develop and submit to the Department within 60 days of the effective date of this Approval a standard protocol essential for consistent and accurate measurement of the performance of installed Systems,including procedures for sample collection and analysis of the System effluent and for evaluating effluent depth in the SAS. The sampling and analysis protocol shall be in accordance with the latest edition of Standard Methods for the Examination of Water and Wastewater.The Company shall make available,in print and electronic format, the referenced procedures and protocol above to owners, operators, designers and installers of the System.The Company shall submit to the Department within 60 days of the effective date of this Approval a complete manual on operation of the SAS monitoring unit and the procedures that shall be implemented to conduct monitoring of the Systems and any procedures that will be implemented should the monitoring System fail. Modified Approval for Remedial Use White Knight Inoculator/Generator Treatment System Page 8 of 11 2. By January 31gt of each year,the Company shall submit a report to the Department, signed by a corporate officer, general partner or Company owner that contains information on the System,for the previous calendar year. The report shall include the following information: A. The total number of units of the System sold for use in Massachusetts during the previous year, the address of each installed System,the owner's name and address,the type of use(e.g. residential, commercial, institutional),the design flow and date when system was installed and started up; B. Tabulation of the sampling parameters and results with backup inspection and laboratory sheets; C. Statistical analysis of the sampling results including but not limited to average and mean values; status of the SAS including depth of effluent and change in depth over the operating year; D. Tabulation of systems that are in failure as described in 310 CMR 15.303 (1)(a)(1) or(2)due to excessive ponding of effluent in the SAS, reasons for non-compliance and any corrective action taken including but not limited to design, installation and/or operation or maintenance changes required to reach compliance; E. The inspection results recorded on a Department approved inspection form and a technology checklist. The forms must be completed by the System operator and submitted to the Department with the annual report;.. F. A general summary of the results for the year, any recommended changes to the design, installation and/or operation and maintenance procedures and a schedule for implementing those changes; and G. Warranty issues both resolved and unresolved or an explanation of any warranty claims that have been received and their resolution. 3. The Company or its designee shall review the plans and site evaluation conducted for the System prior to the sale of any unit to ensure that the proposed installation of the System is at a site consistent with this Approval and the System's capabilities. The Company or its designee shall certify in writing that the System plan and existing site conditions conform to the requirements of this Approval and any requirements of the Company and shall submit a copy of that certification to the local approving authority and the System owner. 4 . Prior to the issuance of a Certificate of Compliance for the System,the Company or its designee shall submit to the local approving authority and the System owner a signed certification that the System has been installed in accordance with the Company's Modified Approval for Remedial Use • White Knight Inoculator/Generator Treatment System Page 9 of 11 requirements, the approved plan and this Approval. This certification in no way changes the requirements of 310 CMR 15.021(3). 5. The Company or the Company's approved operation and maintenance contractor shall maintain a contract with the System owner that: A. Provides for operating and maintaining the System with an operator that has been trained by the Company to operate the System consistent with the System's specifications and any additional operation and maintenance requirements specified by the designer or by the Department; B. Contains procedures for notification to the System owner,the Department and the local approving authority within five days of knowledge of a System failure and for corrective measures to be taken immediately; C. Contains procedures for inspecting the plastic media with the bacterial source at each quarterly visit and if necessary replacing the media. At a minimum,the microbial inoculant shall be replaced annually;and D. Contains a plan to determine after the first three months of operation why the effluent water surface elevations in the SAS are as high or higher then the water surface elevation when the System was installed. 6. The Company shall institute and maintain a program of operator training and continuing education, as approved by the Department. The Company shall maintain and annually update, and make the list of qualified operators available by February I" of each year. The company shall update the Iist of qualified operators and make the list known to users of the technology. 7. The Company shall provide to each System owner a written warranty transferable to a new owner that includes the following: A. Refimd of the cost of equipment and installation should the System continue in failure as described in 310 CMR 15.303(1)(a)(1) and(2)after 120 days of operation that is conducted in accordance with the Company's specifications and oversight; or B. Refund of the cost of equipment and installation should the System fail as described in 310 CMR 15.303(1)(a)(1)and(2)within two years of installation provided that the System owner has entered into and maintained an operation.and maintenance contract with the Company and has operated the System in accordance with the Company's specifications. 8. The Company shall conduct a performance evaluation starting after the first 100 systems have been installed and operating for at least one year.A report shall be submitted to the Department no more than 180 days beyond the one year period evaluating whether at least I Modified Approval for Remedial Use White Knight Inoculator/Generator Treatment System Page 10of11 90 percent of the units installed for at least one year have demonstrated a reduction in depth and that the reduction in depth of the effluent elevation for the SAS systems has occurred within 120 days of start-up or that ponding elevations in any new SAS systems are not excessive. Should the System not demonstrate the capability to reduce or eliminate ponding in 90 percent of the failed systems,the report shall detail the changes that must be made in site evaluation,design,installation,and/or operation or maintenance to meet the goal and shall include a schedule containing a deadline for implementing those changes.The Department reserves the right to limit the number of installations to 100 systems based on the Department's interpretation of data available at any time. After 50 Systems have been installed,should the performance results indicate that less than 90 percent of the installed Systems are no longer in failure,the Department will limit the number of Systems to no more than 100 until a performance report indicating that over 90 percent of the Systems are no longer in failure has been completed. 9. The Company shall include copies of this Approval and the procedures and protocol described in Section VI(1)with each System that is sold. In any contract executed by the Company for distribution or re-sale of the System, the Company shall require the distributor or re-seller to provide each purchaser of the System with copies of this Approval and the procedures and protocol described in Section VI(1). 10. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Approval issued. Said notification shall include the name and address of the proposed new owner and a written agreement between the existing and proposed new owner containing a specific date for transfer of ownership, responsibility, coverage and liability between them. All provisions of this Approval applicable to the Company shall be applicable to successors and assigns of the Company, unless the Department determines otherwise. 11. The Company shall furnish the Department any information that the Department requests regarding the System within 21 days of the receipt of that request. 12. If the Company wishes to continue this Approval after its expiration date,the Company shall apply for and obtain a renewal of this Approval. The Company shall submit a renewal application at least 180 days before the expiration date of this Approval, unless written permission for a later date has been granted in writing by the Department. This approval shall continue in force until the Department has acted on the renewal application. VII. Reporting 1. All notices and documents required to be submitted to the Department by this Approval shall be submitted to: Director Modified Approval for Remedial Use White Knight Inoculator/Generator Treatment System Page 11 of 11 Wastewater Permitting Program Department of Environmental Protection One Winter Street-5th floor Boston,Massachusetts 02108 VHL Rights of the Department 1. The Department may suspend, modify or revoke this Approval for cause, including, but not limited to,non-compliance with the terms of this Approval,inadequate system performance demonstrated by the annual report required in Section VI(2) or other relevant information,non-payment of the annual compliance assurance fee, for obtaining the Approval by misrepresentation or failure to disclose fully all relevant facts or any change in or discovery of conditions that would constitute grounds for discontinuance of the Approval, or as necessary for the protection of public health, safety, welfare or the environment, and as authorized by applicable law. The Department reserves its rights to take any enforcement action authorized by law with respect to this Approval and/or the System against the owner, or operator of the System and/or the Company. IX. Expiration Date 1. Notwithstanding the expiration date of this Approval, any System sold and installed prior to the expiration date of this Approval, and approved, installed and maintained in compliance with this Approval (as it may be modified)and 310 CMR 15.000, may remain in use unless the Department, the local approving authority, or a court requires the System to be modified or removed, or requires discharges to the System to cease. MassDEP Innovative Alternative Technology Schematics Page 2 of 2 - TQ:bT,fQA� o Af,L4rN40RNEW,S601V[1S6B71!C-TA`m�. AOC835�R6EPA-1ID.S:DLPACP...,..,`. �_ ... � / hC(E$4 R76FRTC SURFACE 'A11�.Ai : Q5G1J[:Air: 000XiATMC� 70k .FltCfii i rows i. ao I r.a jjI QQ5APPse, i.. 00 00 i TYPICAL WHUE KNIGHT «3. DWGLAS J.NBLSON;PE PROWrmk {9U -Wvieawin�rei deAiar 1[ifI2J0+6, NA'S TIRAWLttC.o: pRikR!126Ya. FAGS 1 OF.1 n.n.= http://mass.gov/dep/water/wastewater/wklg.htm 3/21/2009 i. SGREi-NED PORCH GAR AGE 3CDW)OM '3A►NRCOM KITCHEN DC- N 12. x 1.?_ I JA5TE , t Vi.Nr Roost aE DRo3n 15 x i.z. 13 IN MA down cape engineering, inc. SIEVE SOILS ANALYSIS_McAntee 14 Briarcliff.As DATE OF REPORT: 3/14/08 JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE:14 Briarcliff Lane Centerville, MA LOCATION: Engineering Works TH SIEVE ANALYSIS Weight Sample(Grams): 670.5 SIZE RETAINED WT. RET. %RETAINED; %PASSED ;(wt on�nd.sieve� (sum) 1" 0.0: 0.0: _0.0%: 100.0°Io 3/4"------- ;---------------0-0..----- O.0:------- 0.00/0, --------- -100.0% 1/2"-------- ------ - ----- 16 0--------�- -------- 184.Oi _.-250.0`------ 37.3%�. "----......- 62.7% ---- - ------ -- ._.....-. ---------........................ 0 204.1: 454.1• 67.7% 32.3% -------------i_------__'-------_T._._.........r'----------------t--•--------------•-••--- 5 ------- • ----------------- _' _ 82.0: _fi29.9: _93.9%: 6.1 00^--— �13.4: --- 643.3----------93.9%;- - -- ---------- �00 ------ -------------_18_1 ...._661.4~-------98.6°�`--------------- 1.4% PAN: 100.0%�-----------------0_0% SAMPLE -'------------ ---5T..... - NOTE:TEST ON PASSING#4 ONLY, 14%RETAINED ON#4<45%O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-3(GRANULAR,SAND)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE MEETS : #4 100% (TEST ONLY MATERIAL PASSING#4) #5010%400% #100 0%20*A #200 0%-5% REQUIREMENT FOR"FILL"IN TITLE 5. <5%PASSING#200 SIEVE RESULTS:PERMEABLE MATERIAL-CLASS I<5 MINJIN.MATER �jj OF y NONCOMPACTED SOIL DESCRIPTION:SAND DANIELA OJALA CML q No.46502 S1ONA E� / �I ryI a� CL �U DATE:1.1/3tM PROPERTY ADDRESS: 1,4 6rka-'cliff Lane Center•ville,Mass. 02632 On the above date, I Inspected the s•eptic system at the above address. This system consists of the following: 1 . 1 -1 000 •gallon septic tank. 2 . 1 -Distribution 'box. 3 . 1 -Pump chamber. . 5 Horse pump. on Toff light & alarm. 4 . 7-infiltrators packed in stone. Based bn my Intzc�actlon, I cerilfy the following conditions: This is "title five 'septic system. ( ..78: �Fodc ) The septic system- is in proper working order at the preserlt time. 7 . 1 -riser and cover-is broken.. Must be' replaced. 81GNATUR!F: / Name J P Ma-,comber Jr - _------- Company: ` P_M_a" co-mber & Son•`T rtc _. _ Address :--Sx-66— ----''1--- --- __Centerville JtUjgs_02b32 ' ' Phone:-- •. i THIS CERTIFICATION DOES NOT CONSTITUTE A GUARANTY OR WARRANTY JOSEPH P. MACOMBER & SON, INC. links-C�sspools"L6bc&fI' Pump+d !� Inst.allyd ' Town Sewer Connections P.O. Box 66' Centerville, MA 02632.0066 77.5.33U 775-6412 COMMONWEALTH OF MASSACHUSETTS v EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292(Pren H'ILLIAM F.HELD TRL.DY C( Governor6 �° ccrt ARGEO PAUL CELLUCCI ��AVID STRI Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION ® Go missi. PART ACERTIFICATIONProperty Address1 4 Briar Cliff Lane CentervilleAddressofOwner:9 �' eet Date of Inspection:) 1 /3/9 8 Mass. (If different) Waltham Mass. Name of Inspector: Joseph P.Macomber Jr. 02451 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15,000) Company Name: J.P.Macomber & Son Inc. Mailing Address: Box 66 C'Pnteryi 1 1 P.,Macc Q2632 Telephone Number: S t1 R -7 S 3 3 Z 2 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurat 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: asses _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails 01 Inspector's Signature: om Date:ol The System Inspector all submit a copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submi the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owr and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, B, C, Or D: A) SYSTEM PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.30. Any,failure criteria not evaluated are indicated below. COMMENTS: 1 —riser and one cover are broken. Must be replaced. B) SYSTEM CONDITIONALLY PASSES: 10 One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, up completion of the replacement or repair, as approved by the Board of Health, will pass. 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 Compliance (attached) indicating that the tank was installed within twenty (20) years prior to the date of the inspection; the septic tank, whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tar 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 04/25/97) Pay 1 of 10 DEP on the Worid Wide Web: http:r/www.rnagne►.state.ma.us/dep Printed on Recycled Paper L SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) PropcnrAddress: 14 Briar Cliff Lane Centerville,Mass. Omer: William E. Grinell Date of Inspection: 1 1 /3/9 8 e) SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipes) are replaced obstruction Is removed distribution box is levelled or replaced �}f The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pus inspection if(with approval of the Board of Health): broken pipets) are replaced obstruction is (emoved' C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: - Conditions exist which require funher evaluation by the Board of Health In order to determine if the system is failing to proceo th public health, safety and the environment. t) 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 ENVIRONMENTi Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within SO 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 THA THE SYSTEM 15 FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 4L6 The system has a septic unk and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply o tributary to a surface water supply, A) The system has a septic tank and soil absorption system and the SAS Is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS 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 tha the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate niuogen is equal to a less than 5 ppm. Method used to determine distance (approximation not valid). 7) OTHER Alh a� tr.vl..d 0�/7s/s7) ?&go 3 of 10 s T t J r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 14 Briarcliff Lane Centerville,Mass. Owner: William E. Grinell Date of Inspection: 1 1 /3/9 8 D) SYSTEM FAILS: You must indicate ei;!,er "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 NV Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. 211 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 b,px� a�bove outlet invert due to an overloaded Qrclgged SAS or cesspool. Liquid depth in cascpe4 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). Number 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 I 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 above: 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 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) 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 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 14 Briar Cliff Lane Centerville,Mass. Owner: William E. Grinell Date of Inspection:11 /3/9 8 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No , Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks 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. _ As built plans have been obtained and examined. Note if they are not available with N/A. _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. _ All system components, eluding the Soil Absorption System, have been located on the site. _ The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. —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 System. Existing information. Ex. Plan at B.O.H. Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.301(3)(b)) (revised 04/25/97) Page 4 of 10 • J: 5 � � I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 14 Briarcliff Lane Centerville,Mass. Owner: William E. Grinell Date of Inspection: 1 1 /3/9 8 FLOW CONDITIONS RESIDENTIAL: Design flow: M p.dJbedroom for S.A.S. Number of bedrooms:51 Number of current residents Garbage grinder (yes or no):: Laundry connected to syst m (yes or no): % Seasonal use (yes or no):Jt�7 ee Water meter readings, if available (last two (2) year usage (gpd): 1c146' D , 6-• r Sump Pump (yes or no):iU� Last date of occupancy: COMMERCIAUINDUSTRIAL: Type of establishm nt: A14 Design flow:�gallons/day Grease trap present: (yes or no)_AIIP Industrial Waste Holding Tank present: (yes or no),A/ Non sanitary waste discharged to the Title S system: (yes or no)" Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of.occupancy: tbf GENERAL INFORMATION PUMPING REMRDS a d so rce of infor rqauen: Z .2 System purr1ped as pan of inspection: (yes or no),dp If yes, volume pumped: -gallons Reason for pumping: TYPE OF TEM Septic tank/distribution box/soil absorption system A Single cesspool Overflow cesspool Privy A�jD.Shared system (yes or no) (if yes, attach previous inspection records, if any) VA Technology etc. Cop of up to date contract: Other APP 0 I E AGE fall compo nts date insSalled (if kppg�wn) and source of information: Sewage odors detected when arriving at the site: (yes or no)_J& (revised 04/25/97) Page 5 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 14 Briar Cliff Lane Centerville,Mass. Owner: William E. Grinell Date of Inspection: 1 1 /3/9 8 BUILDING SEWER: (Locate on site plan) Depth below grade: / Material of construction: ✓ cast iron r 40 PVC— other (explain) Distance from /vale water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) Joints appear tight. No evidence of leakage. The system is vented through the house vent. SEPTIC TANK:'gJd!V A�/�/S (locate on site plan) Depth below grader — — — Material of construction: concrete metal Fiberglass Polyethylene —other(explain) If tank is metal, list age"Is age ,,��confirmed y�by Certificate of Compliant (Yes/No) Dimensions:_dd1 i 74 2ZIJ J 61 Sludge depth��/�o Distance from to sludge to bottom of outlet tee or baffler Scum thickness: Distance from top of scum to top of outlet tee or baffle:LA Distance from bottom of scum to bottom f outlet tee gr baffle:4*—IQ How dimensions were determined: 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.) Pump the tank every 2-3 years.Inlet & outlet t'ppG arp in lz - T•i=iii rl rlent-h ai- the niitl at i ny'-rt i a 51 " The tank is structurally sound and shows no signs of leakage. GREASE TRAP:A!aA7e (locate-on site plan) Depth below grade: Material of construction:V#concretepi metal.l&iberglassAXPol yet hylene.VRother(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffler Distance from bottom of scum to bottom of outlet tee or baffle:W Date of last pumping: IX 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.) Grease trap is not present. (revised 04/25/97) Pago 6 of 10 O SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 14 Briar Cliff Lane Centerville, Mass. Owner: William E. Grinell Date of Inspection: 11 /3/98 TIGHT OR HOLDING TANK _ (Tank must be pumped prior to, or at time, of inspection) (locate on site plan) Depth below grade: NAL Material of constru��4tO :��concrete.tAmetal4AFiberglass.d Polyethylene,(�other(explain) NA Dimensions: w1f CapaDesign �gallons Design flow gallons/day Alarm level: Alarm in working order&Yes;4,1A No Date of previous pumping: _A21* _ Comments: (condition of inlet tee, condition of alarm and float switches, etc.) Tight or holding- tanks are not present. DISTRIBUTION BOX:// (locate on site plan) Depth of liquid level above outlet inven:�_ Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) Distribution box has one lateral.No evidence of solids carry over;No Pyl dPnCP of 1 Pakage i nt-i or niit- of t-hp hnx PUMP CHAMBER: /'�-S (locate on site plan) Pumps in working order: (Yes or No) S Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) Pump chamher is r n ally Ground; Pump is in working nrdPr F1 naf c ara i n t,� (revised 04/25/97) Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 14 Briar Cliss Lane Centerville,Mass. Owner: William E. Grinell Date of Inspection: 11 /3/9 8 JJ SOIL ABSORPTION SYSTEM (SAS):J�t ,oc7� e-1J (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number:Q leaching galleries, number: leaching trenches, number length: leaching fields, number, dim sions: overflow cesspool, number: Alternative system: Name of Technology: '7" Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Loam sand to medium sand-No signs of hydraulic failnrp nr ponding. The leaching are is dry. All vegetation is normal. CESSPOOLS: (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 (cesspool must be pumped as part of inspection) Cesspools are not present. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Cesspools are not present. PRIVY: (locate on site plan) Materials of constru on:_ Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) Privy is not present. (revised 04/25/97) Page a of 10 SUSSURfACE SE1vAGE OISPOSAI SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (conlinvcd) rioprnr Addicts: 14 Briarcliff Lane Centerville,Mass. Own"' William E. Grinell o+re or Inrpec6on. 1 1 /3/98 SKETCH Of SEWAGE OISPOSAI SYSTEM: inclvdc tics 10 a least two perm3ncnl references I4ndm3rks or benchmarks loc;lc 11I wells within too, (belle where pvblic water supply comes Into hovst) 1 69 � v I q J /A lr.rt..I 0�/73/111 l.p. � or 10 y� .1 b e, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i TOWN OF BARNSTABLE $ No... IlanFEE........'.............. Rapp al Workiiflan #rnr#iun fermi# Permission is hereby granted...)LP.Mac..r. .n.b.e. ... .. r Jr. .. .. .. .. .... ..... ........................................................................................._ .. to Construct ( ) or RepairX an Individual Sewa a Disposal System at No...14...�riar Cliff Ia,ne Centerville ... ................................................................................................ ... .... ...... ....... ....... ... .... .......... Street 9 as shown on the appl' ti for Disposal Works Constructio e it N� •• . ............• edd...... o ................................... ......... .. . . ........... Board f 6 DATE................. ... FORM 36508 HOBBS 6 WARREN,INC„PUBLISHERS THE COMMONWEALTH OF MASSACHUSE77S BOARD OF HEALTH TOWN OF BARNSTABLE (gertifirate of (gamplianre THIS IS TO CERTIZ..Y, That the Individual Sewage Disposal System constructed ( ) or Repaired byJ. P.Macomber. . . ......... ... .. ..r............................................................................................................................................................................................... Installer at -1. 4....Br.ia.r....C.lif.f....Lan.e....C.en.terville............................................................................................... .................................. has been installed in accordance with the provisions of TIT of Th tate Environmental e a s ibed in the application for Disposal Works Construction Permit No ......... Q.r.......... dated .... .. . ..... . ....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT E CO TRUED AS A GU THAT THE SYSTEM WILL FUNCTION SATISFACTORY. I DATE ................. r.... .....''...< . -................................... Inspector ................... . .....1.s�?,_..1................................................... i. • ` A 1 • I SUBSURFACE SEWAGE DISPt: .t. SYSTEM INSPECTION FORM r. . C SYSTEM INFOk'.s .I ION (continued) Property Address:. 14 Briarcliff Lane Centerville,Mass, . Owner: William E. Grinell Date of Inspection: 11 /3/98 Depth to Groundwater ZD Feet Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record Observation of Site (Abutting prope ` bservation hole, baserr4r*sump etc.) �etermine it from local conditions Check with local Board of health Check FEMA Maps /Check Check pumping records local excavators, installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation. Must be completed) Used Gahrety & Miller Model 12/16/94 (revised 04/25/97) Page 1.00t 10 to >nn+,r..-n.r��.�-,.nrw.r r.nw.--nn..n+v*.wn�.+,n....�..+�nn+.�n.ti+.--...w ems, .r..-•-.-r-.�•nn-'..t...-•� TOWN OF Barnstable IlOARD OF HEALTH '-T11R_S' UIISURFACF SEWAGE DISPOSAL SYSTEM IN�SPECCTION FORM - PART D .- CERTIFICATION I .-TYPE OR PRINT CLEARLY- PROPERTY INSPECTED STREET ADDRESS 14 Briar Cliff Lane Centerville,Mass. ' ASSESSORS MAP, BLOCK AND PARCEL �d OWNER' s NAME William E.- Grinell v� PART D - CERTIFICATION NAME OF INSPECTOR Joseph P.Macomber Jr. COMPANY NAME J.P.Macomber & ScIV Inc. COMPANY ADDRESS Box 66 Centerville,Mass. 02632. Street Town or CSty State ZIP COMPANY TELEPHONE (508 775-- 3338 FAX ( 508 ) 790 - 1578 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported �s, trUe , accurate , and complete as of the time of inspection . The in'slsection was performed and any recommendations regarding upgrade , maintenance , .a.nd repair are consistent with my training and experience in- the proper funct'ioh and maintenance of on- site sewage disposal systems . Check one : System PASSED The inspection ;ihich I have conducted has not found any information which indicates that the system fails to adequately protect public health or tl%e environment as defined in 310 CMR 16 . 303 , Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. System FAILED* The inspection which I have con cted has found that the system fails to protect the public health and the environment in accordance with Title 5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE CRITERIA of this inspection form . Inspector Signature dCi Date One copy of this certification must be provided to the OWNER, the BUYER ( Where applioabler ) and the BOARD OF HEALTII. * If the inspection FAILED, .th'e owner or operatorshall u d within o'ne year of the date of the inspection, unless allowed ortrequiredm otherwise as provided in 3,10 CMR 16 . 305 . partd .doc W 7 � E, THE COMMONWEALTH OF M.A.SSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION = BE IT KNOWN THAT y Joseph P. Macomber, Jr. Has satisfied the Department's qualificati-ons as required and is hereby authorized to use the title CERTIFIED TITLE S SYSTEM INSPECTOR as provided in 310 CMR 15 .340 and Section 13 of Chapter 21A of the General Laws. Issued by The Department of Environmental Protection. M1y L/�^�--- r 1un< x 199% nci�ny. [�ircct�ir of tlic tl i wii ul W;itcr I")I1,. iun Control C/ TOWN OF BARNSTABLE t LOCA AON Jy Op/Gr C/i;Kx L h SEWAGE # VILLA�3E_ ems (j-1/Zlo— ASSESSOR'S MAP & LOT 165 INSTALLER'S NAME & PHONE NO. J ,✓. /l/GGOm �dr 7;�2 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /.9�i��T�41GVJ (size) NO. OF BEDROOMS- _3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 2.1 341 ' ASSESSORS MAP NO: PARCE(.NO: 00 .00 No.. ................. --_- ® -- Fes$.. ... ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH APPROVES TOWN OF BARNSTABLE Appliration for Disposal Works Toustrur#iv ruti# Application is hereby made for a Permit to Construct ( ) or RepairNXX) an Individual Sewage Disposal S stern at: BriarCliff Lane Centerville ................_.. --_...................................................................... -----------•....•---•----.................------------------------............----------........•. Location-Address or Lot No. Grinnell ......................-.......................................................................... -------•-.........------•---------------.........-----........--------------------.............--- W J.P:Macomber Jr. Owner Address ---... .......••.................•------•-•-•----•--•-------...............---......--- -----•--.......----------•-•------•------...-•-------•-------•--•----•--------------......------•- ,4 Instalfer Address Type of Building Size Lot............................Sq. feet DwellingXXNo. of Bedrooms.............3......................-------Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type of Building No. of persons............................ Showers — Cafeteria P4 Other fixtures -------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity....---.....gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width............-------- Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bY.........................................................:................ Date........................................ ,4 Test Pit No. 1................minutes per inch Depth of Test Pit................--.. Depth to ground water------------------------ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water............--.......... a •--•----•---•••••---------------•--•------•--••-•••---...................................................................................................... 0 Description of Soil-----------------............................................•------------------------------------------------------------------------------------------•--------•---- W Sand & Gravel V .....•-•-•-•-•-----•-•-••-•--••---------•---•-••--••---•-----••----••-•--•------•-•-••---••••---•-•-••-•••-•-------------------••---••---•---------•--•--••-•-........-•---...........---•-•.....--..---- W •--- -----------------------•--------•-•••------•--•••••--•-•-•-•---••••--•-------------•-••••••--------------•-•••----•••---...•---•----------•••-•-•••••-------------------•---••---•-----...•--••- V Nature of Repairs or Alterations—Answer when applicable................................................................................................ 4 infiltrators packed in stone. -------------•--•----•............--••-•-----•------------------------•--•--•-••---•--•-•--••--••••-•-•-••......--•---................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant has been ' sued by the board of health. Signed ---- 1. -- --- ---------------------- --7/6/92.......------- Date Application Approved BY -- ---- - -- ----- --- -- .....__.. . ....._..... .. - . . ....... .......... ... ..................... ................ ................. Date Application Disapproved for the following ream - ----- ------------------------------------------------------------------------------------------ ------------------------------ ........................ . .......... .... . --... -------- --. ---- -- ----------.------------- Permit No. - -d) --- ------ �-- --- -- ----- ---- Issued e r � _ . c6- ._._....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE X7� Appliratiun for Disposal Works Tonstrurtiun Prrmit Application is hereby made for a Permit to Construct (' ) or Repair x(XX) an Individual Sewage Disposal System at: ` 14 BriarCliff Lane Centerville -•• _....... . ..... .......--• ------.... ............. ---.....N............... •-._..................._. Location-Address or Lot o. Grinnell W J.P.Ma e omb e r Jr.Owner Address --------------•--.._._._..-•--••---•-•-----......-•-•--•---...--•-----------------------._.....:-- ---•--•-••---•----•••--------•---.....---••-•-.......------•-••-•-•--••-•-•---•-----.....-••-__--- Installer Address dType of Building Size Lot............................Sq. feet U DwellingXXNo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) pa-, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) al Other fixtures ---------------------------------- ----•- ---••--=------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ ,.a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water__-___-_-__--.____------ fit Test Pit No. 2........._......minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------------------------------------------------------------------------•--•-----------------------•-------------------------•------------------------------ 0 Description of Soil......................................................................................-----------•-----------------------------------------------------._...........-•- x Sand & Gravel v ---.._..•-••----••-•-••••-•---•••-----•-•-------•---------------•------------------••----•.....•••--•-•-----•---•----•--•-------------•----•-----•-•-------•-----•-------•---•----••••---•--•--•........ W •• -•-•....................•-------•----•-•--------•--•-•-•--•---•---•-•----•-------•-•-----•-•--------•-•---••---------------------------•---------•--•••-•--•---•••------•--••-----•--.............. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -�---infiltrators_•packed•-_in stone. ............................................ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliant has been i su�e/d by the board of ealth. Signed ..... .............. ...... .. . _7�E�92 ............ Application Approved BY �� =... -' .... ... T l- ......-. ....................................�j _ r✓�� v �� `. ..-- .. .. Date Application Disapproved for the following reasons- -------------------------------------------------------------------------------------------------------------------------------------- ------ ----------------------------------- ------------------ ---------------------------------------- -- - r Date Permit No. -----y---- --- -------- - Issued -------------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cer#tfirate of Tantylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( Xx?) by J.P.Macomber Jr. ---------------------------------------------------------------------------------- - ------ ----------------------------------------....................................................--------------- Installer at --14 Briar....Cliff Lane Centerville-..--... has been installed in accordance with the provisions of TIT of TheState Environmental e as desgribed in the application for Disposal Works Construction Permit No. - - _-....- dated .......�� Y - ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA A,NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE----------------- ..r .......... . .................................... Inspector ............... •, 1 )� ------------------------------------------------- Cj THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE $ 30.�0 No... ... ...�......... FEE________________________ Disposal Works Tuns#r ion rrmit Permission is hereby granted_.J.P.Macomber---Jr.-----------------•--------------------------------•- ............ ............ . ......... to Construct ( ) or Repair �Xj�an Individual Sera e Disposal System at No...A._Briar Cliff Lane Centerville_ A 1 --------^•........... Street �. as shown on the applic�atio for Disposal Works Construction Permit No C� � Board of Health DATE................ •y. - ;= ............................. 4 FORM 36508 HOBBS h WARREN.INC..PUBLISHERS c� EXISTING SEPTIC TANK LEGEND TBM NO. 2 IN TO BE PUMPED, RUPTURED, FILLED o�� �.. WITH SAND AND ABANDONED 0 EXISTING CONTOUR o\d P c�� o Top of cone. Bound N x 20.12 EXISTING SPOT GRADE o EXISTING PUMP CHAMBER EL.=20, 76 (Assumed) 'o- ¢� C� TO BE -PUMPED, RUPTURED, FILLED r Z2 PROPOSED CONTOUR 4 WITH SANQ ANQ ABANDONED N/F CONRAD, MICHAEL 22.8 PROPOSED SPOT GRADE �, a & GARRETT, BARBARA RR TIE RET. WALL W EXISTING WATER SERVICE S+` 6 BRIARCLIFF LANE TOP EL.=22.0(min.) N PARCEL ID: 208-104 20,76 G EXISTING GAS SERVICE o °� " CB/DH/F ND/TIPPED O.H_W. OVERHEAD WIRES EXISTING SHED a�, REMOVE & RELOCATE x 18,63 -� � wET.?v-1o3 WETLAND FLAG o J PROPOSED ST/PC WETLAND SYMBOL Q 1500/500 CAPACITY FORMER,S.A.S, ' TO BE REMOVED/r 0' BUFFER �l TEST PIT ��`� LOCUS Lot A `„} " _,WA BENCHMARK 8. V W. BENCHMARK 10,971t S.F. 910 E Shed , ' 19, g Qoi� ,ems Map 2O8 N' 6'1 4 3s T �r •��,. aN' f4PPROX.TP 2 FT. DEUT OPTH LOCUS MAP Parcel O5 1 / (SEE,' ALSO, NOTE 11) NOT TO SCALE r ,VEGETATED VISUAL BUFFER �, GENERAL NOTES: PROVIDE EVERGREEN PLANTINGS 20 2_47f '\ `" . 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL O \�\-d.��.-� � � 3' O.0 BEHIND RETAINIG WALL / N/F BARRARO, ADELE � �0 2� �rG r,� .�i YON�\ \\ TP�Q cr,� 0 18 BRIARCLIFF LANE BOARD OF HEALTH AND THE DESIGN ENGINEER. _ JC -� 'µr\ \('h\ \ Q PARCEL ID: 208-106 z• ALL WORK AND MATERIALS SHALL CONFORM TO THE REOUIREMENTS 19.56 �Q r \\ \� \ w - OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE BASIN \ `>G'� • o r "� .k' \ \,` WORK LLMI-T-SILT FENCE LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: q \ 1 I ~ \ \ �'\ 0.5'-FT. INSIDE PROPERTY LINE 310 CMR 15.40(i)&(j)- CONTENTS OF LOCAL UPGRADE APPROVAL 1''37 e `� ? f' f 'e ` \\ O� �� rn� 1) A variance for sieve analysis in lieu of perc test, ! INSTALL 40 MIL POLY LINER AS SHOWN \ �1 f. 1 " \ 2) A reduction to the requirement of a 12" separation between inlet 19.61 p ! l 1`Z `\G 1 AND SET BETWEEN EL.=23.5 - 20.0 & outlet es servicing the septic tank um chamber and high /G f i pipes 9 P /P P g r- 20.48 � r ! � p ? � � � I � groundwater. Watertight sleeves shall be re-installed on septic tank MAO/SET ; I f f '� 19 79 �' ump chamber inlet andoutlet and clamped to pipes.. P ` EXIS T/NG p ® 2 0:1..0. + HOUSE /#�4) f r �\ s �'\t� �Z ■ ■ ■,..�.�■ d■....go, LOCAL REGULATION Chapter 360. Article 1 Setback Requirements l ' �' �1 /' r /t`�� 3} A 34' variance, S.A.S, to Wetland, for a GG' setback. SCr' ya0 f +,e+• T� e • 4) A 16' variance, Septic Tank to Wetland, for an 84' setback. f PcI. . � .. - - \ e 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR (Assumed) r 0 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH ,AND THE • fr/? }' a 'OOP+ 4', / DESIGN ENGINEER. cia r-a d f f t 4, ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING X 19, FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. CHAIN LINK FENCE S "f7 19.51a1 , r µ 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. ,44 j ' ! p/?° +,' ,. - TO BE REMOVED PRIOR 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF jf I TO CONSTRUCTION THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF arag� " ,f yr 19.69 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION.oo, *� o� 20.65 + ' �''' � ~�'� O�jJ EXISTING S.A.S. 7• WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. j14C� o O /20,71 9 // f+ f:?;' ' r X 19,32 TO BE ABANDONED 8. THERE ARE NO PRIVATE WELLS WITHIN 150 OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. WORK LIMIT - SILT FENCE 10, IT .SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE Wdy 000, 3 FT, OUTSIDE EDGE OF DRIVEWAY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING { of � 3 WET/V-102 CONSTRUCTION. N/F KRIKORIAN, KENNETH �" 19.66 1 �� r�(�✓RI ,,. 103•`� W EDGE OF B. V w 11, WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS & CHAKARIAN, DIANNE ��- `Y9 ���I 30 x 4■++O°""Dig �4 IN THE AREA BENEATH AND ON ALL SIDES OF THE S.A.S. AND REPLACE 17 BRIARCLIFF LANE 1 1 --"`��/' ■ 1It 4'�+ WITH CLEAN SAND AS SPECIFIED 1N 310 CMR 2S5(3). �,,�'��� 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE PARCEL ID: 20$-112 \\ 1 "' WET/V-103 ~`X 19,90 INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILLc 19.74 X N ■ '.�I 17.4 8 14 1/, III, REVISIONS - 4/8/OS 19.82 1 ��■°■ , ■ \� WET/\/-104' WET/V-1Q1 1) REMOVE WHITE NIGHT OF MAS ECHTELER, STEPHEN TRS 2) REMOVE VARIANCE FOR REDUCTION TO GROUNDWATER SEPARATION. S,9�y BF� I4N7 r ■' ECHTELER REALTY TRUST A ` 3) ADD RETAINING WALL WITH VISUAL PLANTING BUFFER BEHIND o� PETER T. G✓ 1 19,69 UrF' 20.43 ; 22 BRIARCLIFF LANE } TBM NO. McENTEE `- I /FND PARCEL ID: 208-107 ,� Right car. cone. step PROPOSED SEPTIC SYSTEM UPGRADE CIVIL "' c'o -'� EL.=20.44 (Assumed) . 14 BRIARCLIFF LANE, CENTERVILLE, MA ■ �0 r No. 351009 \` / x 19,32 Prepared for: Ernest Bovi, 14 Briarcliff Ln, Centerville, MA 02632 .� REI/SZ(�� �`� J WET/V-105 t \� {{ WETLAND DELINEATION Engineering by: Surveying by: SCALE DRAWN JOB, NO. 20,13 FLOOD PLAIN DESIGNATION 11 VACCARO Environmental Consu_Iting Engineering WARNER SURVEYING 1"-20' P.T.M. Community-Panel No. 250012 0005 C P.O. Box 955 12 West Crossfield Road 22 Long Road 126-08 Sre1 Ma Revised:.oUGUST 19, 1985 Sandwich, MA 02563 Forestdole, MA 02644 Harwich, MA 02645 DATE i P j (508) 888-5855 CHECKED SHEET NO. Zone "C" t (508) 477-5313 F (508) 432-8309 3/21/08 P.T.M.. 1 of 3 1 I j NOTE: TO PREVENT BREAKOUT, A 40 MIL POLY LINER SHALL 5' AS PROPOSED SEPTIC TANK/PUMP CHAMBER SHOWNBONP HEEDE PLAN AND ISETTHE LINERABETWEEN PROVIDE RISERS WITH METAL FRAMES & COVERS EL.=23.5 AND EL.=20.0 OVER EACH ACCESS MANHOLE AND SET TO FINISH PROPOSED D-BOX GRADE. MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER INSTALL I S.A.S. N T.O.F.=21.1 t SECURED TO PREVENT UNAUTHORIZED ACCESS. SET TO 6" OF GRADE INSTALL INSPECTION PORT OVER END UNIT EXISTING F.G. EL.--20.3t F.G. EL: 24.3t F.G. EL: 24.0(MIN.) f36" MAX. COVER/MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 9' L = 6'(MAX) ® S=1% (MIN.) TOP EL.=19.25 INSPECTION PORT 4"SCH40 PVC _ 4" SCH 40 PVC b_ 2' SCH 40 PVC 6 ® S= 1% (MIN.) noT4�SCMR40 PVCE74 I F1r1,* HIGH G.W. 3" TO INVERT 3 ROWS OFo3—CULTEC6C—a UNITSpxtlB'/UNIT=24'e o N EL.=18.25 INV.=22.73 INV.=22.56 (USE C-4 HD UNITS - H-20 RATED) INV.=18.00 FlLTERT� SLEALED BOOT (zAeeL OR EQuai)`: PROPOSED D—BOX 6 OUTLETS (MIN.) INV.=22.50 SOIL ABSORPTION SYSTEM (,PROFLE) BOTT. EL.=13.25 INV.=17.83t INV.=17.75 SLEALED BOOT INSTALL ONE LENGTH OF 4" SCH 40 PERFORATED PVC CULTEC NO. 410 FILTER FABRIC ESTABLISH VEGETATIVE COVER PIPE AT EACH INLET TO EXTEND THROUGH STARTER UNIT SACKFILL WITH CLEAN SAND PROP. SEWER EFFLUENT FILTER SHALL BE INSTSALLED ON OUTLET WITH CAPPED END. HOLES SHALL BE FACED DOWNWARD. (NATIVE OR PERC SAND) TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER CONNECTION 1c : '.:v..:<:...:`.: : :•�: '.: SHALL BE INSPECTED AND CLEANED ANNUALLY. ,. , INV.-18.1$t BREAKOUT=TOP OF UNIT (See Pump Detail, Sheet 3 of 3) TOP OF CHAMBER ELEV,=22.95 I NV.ELEV,=22.50 1500Z500 GALLON SEPTIC TANK/PUMP CHAMBER BOTTOM ELEV.=22.25 — IIIII��II NOTES: EXISTING 48" (TYPICAL) SUITABLE 1) SEPTIC TANK/PUMP CHAMBER & D—BOX SHALL BE SET LEVEL 4' MIN. ABOVE BOTTOM OF SOILS AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=12.0' CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). MSHGW EL: 18.25 (MOTTLING) USE 3 ROWS OF 3—CULTEC C-4 FIELD DRAIN UNITS 2) INSTALL INLET & OUTLET TEES AS REQUIRED. WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 3) MAX. COVER OVER SEPTIC TANK, D—BOX & S.A.S. SHALL BE 36 SOIL ABSORPTION SYSTEM (SECTION) 4) CONTRACTOR SHA L VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION, SEPTIC SYSTEM PROFILE N.T,S. SOIL LOG DESIGN CRITERIA t EX/S17NG NUMBER OF BEDROOMS: 2 BEDROOMS \HOUSE 14 SOIL�° DATE: FEBRUARY 28; 2008 (REF.# 12,138) SOIL TEXTURAL CLASS: CLASS I DESIGN PERCOLATION RATE: <5 MIN/IN SOIL EVALUATOR: PETER MCENTEE PE, CSE' � �, 4� � ', , 3, •� � �� DAILY FLOW: 220 G.P.D. ~ ' WITNESS: DONALD DESMARAIS RS, CSE DESIGN FLOW: 330 G.P.D. NN'* I Elev. TP Depth EleV. TP-2 Depth GARBAGE GRINDER: NO PROPOSED SEPTIC TANK/PUMP CHAMBER: 1500/500 GALLON CAPACITIES t ? LEACHING AREA REQUIRED: 330 = 445.9 S.F. PCh. SANDY LOAM SANDY LOAM ( ) 19.4 10YR 4/2 6" 19.75 10YR 4/2 8» .74 \ p B 61 USE 3 ROWS QF 3 CULTEC C-4 UNITS WITH NO STONE SANDY LOAM SANDY LOAM FOR AN S,A.S, HAVING THE DIMENSIONS: 12.0' x 24.0'. 10YR 5/8 10YR 5/8 BOTTOM AREA:(GENERAL USE APPROVAL FOR 6.7 SF/LF) 17.4 C STG, GW 3p" 18.25 h rn 17.9 24 MOTTLING 22" — 3 UNITS x 8.0' UNIT = 24,0 FT M _ 741 3 ROWS x 24.0' x 6.7 SF/LF = 482.4 SF MED. SAND 62 DESIGN FLOW PROVIDED: 0,74(482.4 S.F.) = 357,0 G.P.D. 2 _ SANDY LOAM .SY 5/3 HEAVY ROOT PROPOSED SEPTIC SYSTEM UPGRADE QUESTIONABLE INTRUSION CONTAMINATION 1OYR 5/4 FROM FORMER 16.08 STG, GW —_ 48" 14 BRIARCLIFF LANE, CENTERVILLE, MA NI PROP. LEACH FIELD 14.08 C 60" Prepared for: Ernest Bovi, 14 Briarcliff Ln.,, Centerville, MA 02632 ___ SAS ___ MED, SAND Engineering by: Surveying by: SCALE DRAWN JOB. NO. 2.SY 6/4 Engineer�ng�orks WARNER SURVEYING NTS P.T.M. —2 13.9 72" 11.08 108" 126-08 12 West Crossfield Road 22 Long Road SEPTIC LAYOUT SOIL SAMPLE TAKEN FROM "C" HORIZON TP-2 Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. HIGH GROUNDWATER AT EL_=.18.25 (MOTTLING) TP-2 (508) 477-5313 (508) 432-8309 3/21/08 P.T.M. 2 of 3 A NEMA 4 JUNCTION BOX CORROSION RESISTANT & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED 6" OUT x 8" THICK EXTENDED BASE 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 I SPECIFICATIONS: OR EQUAL. g 8 CONCRETE STRENGTH: 5000 PSI AT 28 DAYS INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING - / STEEL REINFORCEMENT: A-615-68, GRADE 60 HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM -"`' "� DESIGN LOADING: AASHO—H10 1/8" DIAMETER. / 1,760 LB. STRENGTH. FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL - " - - -- NOTES: ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. t 1.. PROVIDE POLYMER WATERPROOF COATING. INV. IN =17.75 2" GATE VALVE (FIELD ADJUST FOR 20 GPM RATE) I 2.. SEPTIC TANK SHALL BE SEALED AND WRAPPED WATERTIGHT. ( 3. WATERTIGHT SLEEVES, 4" INLET/2"OUTLET, SHALL BE PRE-INSTALLED --� 2"SCH. 40 DISCHARGE TO D-BOX WITH ABILITY TO CLAMP AROUND PIPE DURING INSTALLATION. ALARM ON EL: 15.75 � 4. SEPTIC TANK SHOWN IS AS MANUFACTURED BY ACME PRECAST CO., 2" 90' ELBOW W/ 1/4' WEEP HOLE 1 1'-4" — INC., 520 THOMAS B LANDERS RD, HATCHVILLE, MA 02536 PUMP ON EL: 15.08 FOR SELF-DRAINING FORCE MAIN �A 4 6" OUT 8" THICK EXTENDED BASE PUMP OFF EL: 14.42 24' �'- 2" SWING CHECK VALVE PLAN -� BOTTOM OF 16" PUMP CHAMBER g" 2" SCH. 40 PVC DISCHARGE PIPE "I� " O ELEV.= 13.25 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE 3 O � I PROVIDE 2 FLOATS: CAST IN 4" ' FLOAT N0.1: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP COUPLING PL—EF 04W PUMP .4 H.P. 115 V in ---------------- --- - --- - ------ ----- 0i ------------------------- 0 FLOAT NO.2: ALARM ACTIVATION FLOAT—PROVIDED WITH ALARM PANAL WITH 2" DISCHARGE 48" Liquid Level 0 PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT ACME PRECAST CO. INC., FALMOUTH, MA. (508) 548-9607 " PUMP DETAIL I~-- "-2"----�--~1 I`--3'---I I-----6' --� SECTION B—B SECTION 6— N.T.S. 2 COMPARTMENT 2000 GALLON—SPLIT 1500/500 (WT.=24,000 LBS.) H - 10 SEPTIC TANK/PUMP CHAMBER 1500/500 (WITH EXTENDED BASE) CULTEC CONTACTOR FIELD DRAIN C-4(HD) MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT BUOYANCY CALCULATIONS SMALL RIB LARGE RIB 0 4 Q H-10 SEPTIC TANKZPUMP CHAMBER BOTTOM OF UNIT EL.= 13.25 6-4" POLY*INLETS dL.11�IL��i1(;S dLJ HIGH GROUNDWATER EL.=18.25 MOTTLING 21 u ( 2" 2 1-4" PO MODEL FD C-4 E MIDDLE/END ° ° ° ° ° ° BUOYANCY FORCE PER FOOT OF DEPTH: 12.0' x 6.6' x 1' x 62.4 Ibs./cu.ft. - 4867,2 lbs. y SMALL RIB LARGE RIB 48" MAX, DISPLACEMENT = 18,25 - 13.25 = 5,00' S, ° ° ° MAX. UPLIFT PRESSURE = 5.00' X 4867.2 Ibs/ft = 24,336 Ibs. - OWEIGHT OF UNIT EMPTY = 24,000 Ibs. NWEIGHT OF 12" FILL'OVER TANK: p 12" TOP = 12.0' x 6,5' x 1.0' X 110 Ibs./cf = 8580 Ibs. EXT. BASE = 0.5' x 39' x 6.33' x 110 Ibs./cf= 13,577.9 lbs. TOTAL WEIGHT OF FILL = 8580 lbs. + 13,578 lbs. = 22,158 lbs. Toe View Section 8.5' 4" DIA. TOTAL COMBINED WEIGHT = 24,000 lbs. + 22,158 Ibs. = 46,158 Ibs. CV D O - 46,158 Ibs > 24,336 Ibs O,K, 3" 8.0' 5,. 8+5 DOSING & STORAGE REQUIREMENTS dlLI%A __:Jl ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° ° DOSING REQUIRED:DESIGN FLOW: 33U GPU SMALL RIB LARGE RI 330Y-+- 4/=82 5 GADLLLONS/CYCLE PROPOSED SEPTIC SYSTEM UPGRADE DISTANCE REQUIRED BETWEEN PUMP ON AND PUMP OFF FLOATS: 14 B R IARC LI FF LANE, C ENTERVI LLE, MA CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1.692 CF/FT 82.5 GAL/CYCLE — 125 GAL/FT = 0.66 FT/CYCLE Prepared for: Ernest Bovi, 14 Briarcliff Ln.,, Centerville, MA 02632 ALL CONTACTOR FIELD DRAIN C-4HD HEAVY DUTY UNITS ARE MARKED WTH A COLOR STRIPE FORMED INTO THE PART ALONG THE LENGTH OF THE CHAMBER, STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS TM STORAGE by: Surveying by: SCALE DRAWN JOB. N0. CULTEC,Inc. PH: (203) 775-4416 STORAGE PROVIDED: Engineering Works WARNER SURVEYING NTS P.T.M. 126-08 P.O.BOX280 PH: (800) 4-CULTEC CULTEC Contactors and Recharger® INV.(IN) EL: 17.75 - PUMP ON EL: 15.08 = 2.67' 12 West Crossfield Road 22 Long Road 878 Federal Road FX: (203) 775-1462 Plastic Septic and Stonnwater Chambers STORAGE PROVIDED = 2.67' X 125 GAL/FT = 333.8 GALLONS Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. Broddlelll,CT OWN USA www.cultec.com 1 1 (508) 477-5313 (508) 432-8309 3/21/08 P.T.M. 3 of 3 G� LEGEND d EXISTING SEPTIC TANK Clf• � N TO BE PUMPED, RUPTURED, FILLED TBM NO. 2 S 20 --�- --•- EXISTING CONTOUR ova eas � cc m O WITH SAND AND ABANDONED Top of cone. Bound x 20,12 EXISTING SPOT GRADE 0- EXISTING PUMP CHAMBER � . EL.=20.76Assumed( - 22 PROPOSED CONTOUR " TO BE PUMPED, RUPTURED, FILLED 22 PROPOSED SPOT GRADE E CL WITH SAND AND ABANDONED N/F CONRAD, MICHAEL f & GARRETT, BARBARA W EXISTING WATER SERVICE �. �0 6 BRIARCLIFF LANE G EXISTING GAS SERVICE PARCEL ID: 208-104 20,76 N PROPOSED ST/PC EXISTING SHED `2, CB/DH/FND/TIPPED O'H=w - OVERHEAD WIRES m 1500/500 CAPACITY REMOVE & RESET �� x 18.63 WETLAND FLAG �o WITH A WHITE KNIGHT INOCULATOR/ �' WET/V-103 GENERATOR ALTERNATIVE TREATMENT 19.35 t FORMER S.A.S. WETLAND SYMBOL 4 SYSTEM INSTALLED IN TANK TO BE REMOVED,410' BUFFER ® TEST PIT ��y� o LOCUS 3 ...... BENCHMARK wide y'� m °/r`f'; 4, ■'r- ....r TO B. V. W. Lot A 0" E ,'Shed., .: ®! 19., g Map �OU �'N�' 93$ -2® STRIPOU T TO LOCUS MAP r 1��` •i` �, \ APPROX. 2 FT. DEPTH NOT TO SCALE PQ�i'Cel 105 �' o / (SEE, ALSO, NOTE 11) -' '� •,� �\a�\� a� tr, 1 GENERAL NOTES: \ALA\�o\\ 1 ` ® N/F BARRARO, ADELE x 20�7 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL / 20• � � �\'O� ` ) 18 BRIARCLIFF LANE BOARD OF HEALTH AND THE DESIGN ENGINEER. '✓ • \�� ♦��\ \ TP 1 �\ , PARCEL ID: 208-106 �, 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 20.26 G- �'� "" \ w'�n\\ \ �'+� � ,r' OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE • ~�\ \O O: LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 19.56 0 �^%" �.\ V �� `\ WORK L IT- SILT FENCE 310 CMR 15.405(h)(')&(j)- CONTENTS OF LOCAL UPGRADE APPROVAL BASIN :` G f ! ! 10 r €`� ` `� ;.. N \ 1�. 1 F7!INSIDE PROPERTY LINE 1) A 1' variance to'the required 4' separation between maximum 19.37 !"•' t ,' 1 . \t� \' . 1 3 0 INSTALL 40 MIL POLY LINER AS SHOWN seasonal high groundwater elevation and bottom of S.A.S., for ® / ! f% f/r / ��s rY i \"' 1�2 ! ? \ AND SET BETWEEN EL.=22.5 - 20.0 a 3' separation. Request Remedial Approval Usage of a White Knight 19.61� /f ' �1r �: �! !f ,r. ! r,•,' �'-� L � _ Inoculator/Generator Alternative Treatment System. 20.48 r �,i ! f r ,.ram \ ` •r 2) A variance for sieve analysis in lieu of perc test. MAG/SET ;y f ,`' /EXISnNGIf 20,1.0-- 19.79 160, 3) A reduction to the requirement of a 12" separation between inlet ! r �jfi ■�...�••---...�6'(/,cF & outlet pipes servicing the septic tank/pump chamber and high • HOUSE (#14)%!`' � I �DK ��n � •� , ■�• � TO ••+�� �iQ groundwater. Watertight sleeves shall be pre-installed on septic tank/ 19.90 ! :TOF=21.071 .E! r Scr. + \{� •�f' T ` um chamber inlet and outlet and clamped to pipes.. ' r IpCf1. I „s_'! ,'L2 -" -- L AL REGULATION Chapter 360. Article 1 - Setback Requirements Z / � (Assumed) ! > • • (5,,4j ` A 34' variance, S.A.S. to Wetland, for a 66' setback. • / ! J / * t 5) A 16' variance, Septic Tank to Wetland, for an 84' setback. 19 THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR r TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �- O, t ! '` %{ f ! ,�• t .' Q_ �� CHAIN LINK FENCE DESIGN ENGINEER. 19.51 �' �° ! / , j� !J 2 - ' 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 44 ! / ! f TO BE REMOVED PRIOR FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN a I /�' TO CONSTRUCTION ENGINEER BEFORE CONSTRUCTION CONTINUES. 69 ;Ve 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. 20.65 � •�!r % �� of EXISTING S.A.S. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ! x 19,32 1 , TO BE ABANDONED THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF o , O 20.71 �,` ! r ! r � HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. Of`g6 e tt +` '"�l '"�^ pOVed. / 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. avea� WORK LIMIT - SILT FENC • 3 FT. OUTSIDE EDGE OF IVEWAY 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS WQ y �, / AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 19,68 \ ✓Rlpt of .00 003 g3 W OF B. V. W WET/V-102 DIRECTED BY THE APPROVING AUTHORITIES. N/F KRIKORIAN, KENNETH • 30 EDGE. ,_......•x�g,84 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE & CHAKARIAN, DIANNE �,. , Z' 9. 3•rj3, "�l8 `3• THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING C I / �' 7 --~� /• �. CONSTRUCTION. 17 BRIARCLIFF LANE �\ -00 PARCEL ID: 208-1 12 \\ + o • ' WET/V-103 �x 19.90 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 1N THE AREA BENEATH AND ON ALL SIDES OF THE SA.S. AND REPLACE 19.74 • �„� ` 17.48 , = WET/V-101 WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 19,82 / j '��! � WET/V-104 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE OF Mq l w ECHTELER, STEPHEN TRS Ili, i INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. ANY, BF� IN ECHTELER REALTY TRUST - >.II TBM NO. 1 PROPOSED SEPTIC SYSTEM UPGRADE 1�,47 20,43 22 BRIARCLIFF LANE Rj ht eor. cone. step o PETER T. 19,69 4 I /FND • PARCEL ID. 208-107 • g P Mc IVITEE N \�'o 0 EL.=20.44 (Assumed) 14 BRIARCLIFF LANE, CENTERVILLE, MA No. 35' \ l '2 x 19,32 f. Prepared for: Ernest Bovi, 14 Briarcliff Ln, Centerville, MA 02632 WET/V-105 WETLAND DELINEATION Engineering by: Surveying by: SCALE DRAWN JOB. N0. 20,13 FLOOD PLAIN DESIGNATION VACCARO Environmental Consulting Engineering orb WARNER SURVEYING 1"=20' P.T.M. 126-08 Community-Panel No. 250012 0005 C P.O. Box 955 12 West Crossfield Road 22 Long Road Map Revised: aUGUST 19, 1985 Sandwich, MA 02563 Forestdale, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. 21109 Zone "C" (508) 888-5855 (508) 477-5313 (508) 432-8309 3/21/08 P.T.M. 1 of 3. t I. NOTE: TO PREVENT BREAKOUT, A 40 MIL POLY LINER SHALL BE PLACED 5' OUTSIDE THE S.A.S. AS PROPOSED SEPTIC TANK/PUMP CHAMBER SHOWN ON THE PLAN AND SET LINER BETWEEN PROVIDE RISERS WITH METAL FRAMES & COVERS EL.=22.5 AND EL.=20.0 OVER EACH ACCESS MANHOLE AND SET TO FINISH PROPOSED D—BOX. GRADE. MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER F PROPOSED S.A.S, T.O.F.=21.1 t SECURED TO PREVENT UNAUTHORIZED ACCESS. SET TO 6" OF GRADE INSTALL INSPECTION PORT OVER END UNIT EXISTING F.G. EL.--20.3f F.G. EL: 23.3t F.G. EL: 23.0(MIN.) 36" MAX. COVER/MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 9' a L = 6'(MAX) WORMINSPECTION PORT O S=1% (MIN.) TOP EL.=19.25 4"SCH40 PVC ,4" SCH 40 PVC rE &�5 40 PVC " to" 6 0 S= 1% (MIN.) o a o a v o 0 ta" TFg'S ARE TO BE 3" TO INVERT 4 SCH 40 PVC3 ROWS OF 3—CULTEC C-4 UNITS x 8'/UNIT=24' INV.=21.73 INV.=21.56 INV.=18.00 EF� a PROPOSED Q—BOX (USE C-4 HD UNITS — H-20 RATED) SLEALED BOOT (ZABEL OR EOUAL 6 OUTLETS (MIN.) INV.=21.50 SOIL ABSORPTION SYSTEM (PROFILE) BOTT. EL.=13.25 .= 7.83t INOCULATOR/GENERATOR INV.=17.75 SLEALED BOOT INSTALL ONE LENGTH OF 4" SCH 40 PERFORATED PVC CULTEC NO. 410 FILTER FABRIC ESTABLISH VEGETATIVE COVER PIPE AT EACH INLET TO EXTEND THROUGH STARTER UNIT BACKFILL WITH CLEAN SAND PROP. SEWER EFFLUENT FILTER SHALL BE INSTSALLED ON OUTLET WITH CAPPED END. HOLES SHALL BE FACED DOWNWARD. (NATIVE OR PERC SAND) TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER CONNECTION SHALL BE INSPECTED AND CLEANED ANNUALLY. . ' .,..::.. — min. ,.... .:. .... ... ,.... . :,... .....INV.=18.18� BREAKOUT—TOP OF UNIT (See Pump Detail, Sheet 3 of 3) TOP OF CHAMBER ELEV.=21.95 I NV.ELEV.=21.50 1500 f 500 GALLON SEPTIC TANK/PUMP CHAMBER BOTTOM ELEV.=21.25 I lip II EXISTING NOTES: 48" (TYPICAL) SUITABLE T.P. EXCAVATION OR G.W. 1) SEPTIC TANK/PUMP CHAMBER & D—BOX SHALL BE SET LEVEL 3' MIN. ABOVE BOTTOM O. EFFECTIVE WIDTH=12.0' SOILS AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15,221(2). •MSHGW EL: 18.25 (MOTTLING) 1, USE 3 ROWS OF 3—CULTEC C-4 FIELD DRAIN UNITS 2) INSTALL INLET & OUTLET TEES AS REQUIRED. WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 3) MAX. COVER OVER SEPTIC TANK, D—BOX & S.A.S. SHALL BE 36 SOIL ABSORPTION SYSTEM (SECTION) 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR SEPTIC SYSTEM PROFILE N.T.& TO CONSTRUCTION. N.T,S. SOIL LOG DESIGN CRITERIA EXISTING NUMBER OF BEDROOMS: 2 BEDROOMS \HOUSE 1¢ SOIL TEXTURAL CLASS: CLASS I �# DATE: FEBRUARY 28, 2008 (REF.# 12,138) DESIGN PERCOLATION RATE: <5 MIN/IN ` SOIL EVALUATOR: PETER MCENTEE PE, CSE • ` � �• DAILY FLOW: 220 G.P.D. WITNESS: DONALD DESMARAIS RS, CSE DESIGN FLOW: 330 G.P.D. Elev. TP— 1 Depth .'Elev. TP—2 Depth GARBAGE GRINDER: NO � `�,.•`�.,�,, ''� . '° � —_'� SCr. 19.9 A 0" 20.08 A 0" PROPOSED SEPTIC TANK/PUMP•CHAMBER: 1500/500 GALLON CAPACITIES \ ? LEACHING AREA REQUIRED: 330 = 445.9 S.F. PCh• SANDY LOAM SANDY LOAM ( ) 19.4 10YR 4/2 6" 19,75 10YR 4/2 8" S 3 S O 3 .74 C-4 a S T S 0 C? B B1 USE ROWS F CULTEC UNIT WITH NO T NE '. SANDY LOAM SANDY LOAM FOR AN S.A.S. HAVING THE DIMENSIONS,: 12.0' x 24.0', _ " d 10YR 5/8 10YR 5/8 17.9 24' BOTTOM AREA:(GENERAL USE APPROVAL FOR 6.7 SF/LF) h rn �• ,.j C 18.25 MOTTLING _ 3 UNITS x 8.0' UNIT = 24.0 FT _ 22" / 3 17.4 STG. GW — 30" 17.41 32" 3 ROWS x 24.0' x 6.7 SF/LF = 482.4 SF �6" �� MED. SAND 82 SANDY LOAM DESIGN FLOW PROVIDED: 0.74(482.4 S.F.) = 357.0 G.P.D. 2 c9 2.5Y 5/3 HEAVY ROOT PROPOSED SEPTIC SYSTEM UPGRADE �• QUESTIONABLE INTRUSION CONTAMINATION 10YR 5/4 P 14 BRIARCLIFF LANE, CENTERVILLE, MA FROM FORMER 16.08 STG. GW — 48" N� LEACH FIELD — .-� PROP. 14.08 60" Prepared for: Ernest Bovi, 14 Briarcliff Ln.,, Centerville, MA 02632 1 S.A.S. 1 MED. SAND Engineering by: Surveying by: SCALE DRAWN JOB. NO. —24 13.9 72" 11,08 2.5Y 6 4 108„ E ineerin Works WARNER SURVEYING / n9 9 NTS P.T.M. 126-0$ 12 West Crossfield Road 22 Long Road SEPTIC LAYOUT SOIL SAMPLE TAKEN FROM "C" HORIZON TP-2 Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. HIGH GROUNDWATER AT EL.=18.25 (MOTTLING) TP-2 (508) 477-5313 (508) 432-8309 3/21/08 P.T.M. 2 of 3 A NEMA 4 JUNCTION BOX CORROSION RESISTANT L_ 12'-0"fq & LIQUID-TIGHT CABLE CONNECTORS SUPPORTED 6" OUT x 8" THICK EXTENDED BASE PROVIDE WATERTIGHT CONCRETE RISER BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE WATERTIGHT. USE SJE RHOMBUS-JB PLUGGER Y SPECIFICATIONS: WITH SECURED COVER TO GRADE OR EQUAL. ! 9 CONCRETE STRENGTH: 5000 PSI AT 28 DAYS INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING ° (� STEEL REINFORCEMENT: A-615-68, GRADE 60 �••, HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM `% ----^ �-'' - ;-�- DESIGN LOADING: AASHO-1410 1/8" DIAMETER. / 1,760 LB. STRENGTH, FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL - - - NOTES: ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP. - 1. PROVIDE POLYMER WATERPROOF COATING. (VALVE INV.(IN)=17.75 2" GATE FIELD ADJUST FOR 20 GPM RATE) 2. SEPTIC TANK SHALL BE SEALED AND WRAPPED WATERTIGHT. } I 3. WATERTIGHT SLEEVES, 4" INLET/2"OUTLET, SHALL BE PRE—INSTALLED 2"SCH. 40 DISCHARGE TO D—BOX WITH ABILITY TO CLAMP AROUND PIPE DURING INSTALLATION. ALARM ON EL: 15.75 � 4. SEPTIC TANK SHOWN IS AS MANUFACTURED BY ACME PRECAST CO., 2" 90' ELBOW W/ 1/4' WEEP HOLE �.-- 11'-4^ �` INC., 520 THOMAS B LANDERS RD, HATCHVILLE, MA 02536 PUMP ON EL: 15.08 FOR SELF-DRAINING FORCE MAIN A 4" 6" OUT 8" THICK EXTENDED BASE PUMP OFF EL: 14.42 24 2" SWING CHECK VALVE PLAN BOTTOM OF 16" 11-11 PUMP CHAMBER 8" 2" SCH. 40 PVC DISCHARGE PIPE M � ELEV.= 13.25 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE 3" O a PRQylOE 2 FLOATS: CAaSi IN 4" FLOAT NOA: PUMP ON/OFF-ABS FLOAT PROVIDED WITH PUMP CuUPUNG o ABS PL-EF 04W PUMP .4 H.P. 115 V 0, ------------ --- ------------------- - --------- --- I -- --------- - --------- FLOAT N0.2: ALARM ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL 1 48" Li wq Level 1D 17 WITH 2" DISCHARGE �, q ' PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT ACME PRECAST CO. INC., FALMOUTH, MA. (508) 548-9607 to PUMP DETAIL �_8—2" I�--3'--_I I.---- ---�{ SECTION B— SECTION A—A N.T.S. 2 COMPARTMENT 2000 GALLON—SPLIT 1500/500 (WT.=24,000/�LBS.) x H - 10 SEPTIC TANK/PUMP CHAMBER 150OZ500 (WITH EXTENDED BASE) CULTEC CONTACTOR FIELD DRAIN C-4(HD) MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT BUOYANCY CALCULATIONS SMALL RIB LARGE RIB o o o a H- 10 SEPTIC TANK/PUMP CHAMBER BOTTOM OF UNIT EL.= 13.25 21„ 6—t4P " POLY SEAL OUTLETS 0 o HIGH GROUNDWATER EL.=18.25 (MOTTLING) 2„ 2" - SEAL INLETS MODEL FD C-4 E MIDDLE/END °1 1 L__ LA I ° ° BUOYANCY FORCE PER FOOT OF DEPTH: _T SMALL RIB LARGE RIB 48" 1a.o' x s.s' x 1' x 62.4 lbs./cu.ft. = 4867,2 lbs MAX. DISPLACEMENT = 18.25 — 13.25 = 5,00' g. �� R am Mum MAX. UPLIFT PRESSURE = 5,00' X 4867.2 Ibs/ft = 24,336 lbs, s O nAsla �r�� a��/ 11�/ 16 WEIGHT OF UNIT EMPTY = 24,000 Ibs. N Ln Q WEIGHT OF 12" FILL OVER TANK: I p TOP = 12.0' x 6.5' x 1.0' X 110 lbs./cf = 8580 lbs, °o 12 EXT. BASE = 0 5' x 39' x 6.33' x 110 Ibs./cf= 13,577.9 lbs. —� TOTAL WEIGHT OF FILL = 8580 lbs. + 13,578 Ibs. = 22,158 lbs. Top View Section 8 5' TOTAL COMBINED WEIGHT = 24,000 lbs. + 22,158 lbs, = 46,158 lbs. CV D _ 0 4° DIA. 46,158 lbs >24,336 lbs O.K. 3„ 8.0' X. DOSING & STORAGE REQUIREMENTS 815, 8 " ° ° ° ° ° ° ° DESIGN FLOW: 330 GPD f SMALL RIB ° LARGE Rt DOSING REQUIRED: 330CYCLES/DAY= 2 5 GADLLLONS/CYCLE PROPOSED SEPTIC SYSTEM UPGRADE DISTANCE REQUIRED FLOATS:BETWEEN PUMP ON AND PUMPUMP OFF 14 BRIARCLIFF LANE, CENTERVILLE, MA CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1.692 CIF/FT 82.5 GAL/CYCLE -- 125 GAL/FT = 0.66 FT/CYCLE Prepared for: Ernest BOVI, 14 Briarcliff Ln.,, Centerville, MA 02632 ALL CONTACTOR FIELD DRAIN C-4HD HEAVY DUTY UN17S ARE MARKED WITH A COLOR STRIPE FORMED INTO THE PART ALONG THE LENGTH OF 71-IE CHAMBER. STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS �L,',EC ( Tm Engineering by: Surveying by: SCALE DRAWN J08. N0. PH: (203) 775-4416 STORAGE PROVIDED: EngineeringWorb WARNER SURVEYING NTS P.T.M. 126-08- P.O.BOX280 PH: (800) 4-CULTEC CULTEC Contactor®and Redtarger® INV.(IN) EL: 17.75 — PUMP ON EL: 15,08 = 2.67' 12 West Crossfield Rood 22 Long Rood 878 FedWW Road FX: (203) 775-1462 19 PllastiCc��c and STORAGE PROVIDED = 2.67' X 125 GAL/FT = 333.8 GALLONS, Forestdole, MA 02644 Harwich, MA 02645 DATE Brookfield,CT OWN USA www.cultec.com CULTEC �MY � �'Comb®r8 CHECKED SHEET (508) 477-5313 (508) 432-8309 3/21/08 P.T.M. 3 Of 3 3 ..,, _ ... t.` EXISTING SEPTIC TANK LEGEND TO BE PUMPED, RUPTURED, FILLED TBM N0. 2 EXISTING CONTOUR �� N O WITH SAND AND ABANDONED Top of conc. Bound x 2012 EXISTING SPOT GRADE o Q �9 rr EXISTING PUMP CHAMBER EL.=20. 76 (Assumed) 22 PROPOSED CONTOUR o h' (j TO BE PUMPED, RUPTURED, FILLED o �4 Q. WITH SAND AND ABANDONED N/F CONRAD, MICHAEL 22.8 PROPOSED SPOT .GRADE & GARRETT, BARBARA RR TIE RET. WALL W EXISTING WATER SERVICE m z. S� ,/� 6 BRIARCLIFF LANE N TOP EL.=22.0 min.) G EXISTING GAS SERVICE o °� PARCEL ID: 208-104 20,76 EXISTING' SHED `2p CB/DH/FND/T.IPPED O'H. W.- — OVERHEAD WIRES REMOVE & RELOCATE x 16.63 WETLAND FLAG o0 WET//V-103 PROPOSED ST/PC t 0 1500/500 CAPACITY FORMER S.A.S. WETLAND SYMBOL TO BE REMOVED/rOOI BUFFER TEST PIT &�t� LOCUS Lot A ii'I { ��• rTO B.V.V. W. BENCHMARK 10,971 f S.F. 91 Dn E A Sh Shed + '"�� l 9 9� �`� 6� ' f .----STRIPOUT TO Map 208 '"'N 4\3$ > �. fAPPROX. 2 FT. DEPTH LOCUS MAP .t / (SEE, ALSO, NOTE 11) NOT TO SCALE Farce/ 105 11 0000 tb�\ P_\\,.. u' VEGETATED VISUAL BUFFER GENERAL NOTES: \tJ\ \ \ \ PROVIDE EVERGREEN PLANTINGS 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL / 20 2,7� \�' ,0\ s+ 3' O.0 BEHIND RETAINIG WALL / N/F BARRARO, ADELE T \\ TP:r p csa O 18 BRIARCLIFF LANE BOARD OF HEALTH AND THE DESIGN ENGINEER. 20.26 r" \N \ Q1 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS .G Nam' .t \ \ �' PARCEL ID: 208-106 \ \ a O OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 19,56 r ip Q\\ \�k' \ W r LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: BASIN / G� ' ✓ \ \ ''\ WORK LI.MIT'— SILT FENCE 19 37 G ,. f f ENO / €` w �� �y\��„� 1 A�' 0.V—FT. INSIDE PROPERTY LINE 310 CMR 15.40(i)&(j)- CONTENTS OF LOCAL UPGRADE APPROVAL kALI 40 MIL POLY LINER AS SHOWN 1) A variance for sieve analysis in lieu of perc test. J f F! r`�._•` ® ' � j' 1 / /{ � / e����..• ! � � \ Q �,�, � r � � � 2) A reduction to the requirement of o 12" separation between inlet 19,61� rf 1 / � r' �2 �e ND SET BETWEEN EL.=23.5 - 20.0 & outlet pipes servicing the septic tank/pump chamber and high 20,48 / ,r , y �w� groundwater. Watertight sleeves shall be pre—inSKalled on septic lank/ M A G/SET r` ' t F Z Oa �r / urn chamber inlet and outlet and clamped to pipes.. EXIST c / ,- — // p p r 19.7 9 so, LOCAL REGULATION Chapter 360. Article 1 - Setback Requirements ti • HOUSE (,#14). , j pe �t� / 22 • �....•� •'�'�'•��••�..B�FFf 3) A 34' variance, S.A.S. to Wetlond, for a 66' setback. 19,90 , F $cr, (j\� ,,,•■•■^"'"""" TO ®• R 4) A 16' variance, Septic Tank to Wetland, for an 84'.setback. ., ,TOF=21.07,' '' r' ` ! ,/- 8 '�� '' °" 1 - Pch. \ •i__._-.-- \ �! 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR (Assumed) f TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE / f 4' / DESIGN ENGINEER. W r f r y xY / 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING _..---" X 19, FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN `� O� ° f/ 1 / ENGINEER BEFORE CONSTRUCTION CONTINUES- -7 19.51 \oo `f f �y� /r F� � CHAIN LINK FENCE 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. •�'1 �, \ z , 44 ,' r f r ' TO BE REMOVED PRIOR 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF /V yaj J r �p�r� vF /'p� � �� ' TO CONSTRUCTION THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF ' rr ©rage i 19.69 �'� Je HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. o0 6j �fr / r" /` r (1 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. �� .'` / -- D EXISTING S.A.S. o F ' / X 19,32 TO BE ABANDONED B. THERE ARE NO PRIVATE WELLS WITHIN 150' OF THE PROPOSED S.A.S. 0,71 I f j / 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS ' af.Je ✓ f `� poved 000 WOW AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES, POJ,' j0 ! a� '' r WORK LIMIT - SILT FENCE 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE r/ 3 FT. OUTSIDE EDGE OF DRIVEWAY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING f W / CONSTRUCTION. t 0 i 53 WET/V 102 N/F KRIKORIAN, KENNETH �' 19,68 ' RIg ..► 10 W EDGE', OF B' V. W. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS & CHAKARIAN, DIANNE �Ir 2,0 19 53 3G s •••'��•"" �i IN THE AREA BENEATH AND ON ALL SIDES OF THE S.A.S. AND REPLACE 17 BRIARCLIFF LANE Z ._ _ �0 73 5 •��8'� •LL �� WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). PARCEL ID: 208-112 19,74 \\ `Q /dOW �• •r WET/V-103 t!,ANIL �`°�x 19,90 12 INSPECTE. AREAS D BYI HEALTH NG IDEPARTMENT POUT OF SPRIOR TO BACKFILLUITABLE MATERIALS SHALL BE X N ■ l f+ 148 � REVISIONS - 4/8/0S 19,82 1 ` ' �'b WET/V-104 WET/V-101 1) REMOVE WHITE NIGHT r�� 2) REMOVE VARIANCE FOR REDUCTION TO GROUNDWATER SEPARATION. OF M,q - ECHTELER, STEPHEN TRS 3) ADD RETAINING WALL WITH VISUAL PLANTING BUFFER BEHIND. SX BF��I4N7 ECHTELER REALTY TRUST ' -'b � TBM NO. 1 o� PETER T. J' 1 20,43 ■ 22 BRIARCLIFF LANE PROPOSED SEPTIC SYSTEM UPGRADE 19,6 9 U/ g /FND 2 PARCEL ID: 208-107 Right cor. conc. step McENTEE (Assumed)CIVIL 14 BRIARCLIFF LANE, CENTERVILLE, MA No. 35109 �' / 19,32 Prepared for: Ernest Bovi, 14 Briarcliff Ln, Centerville, MA 02632 WET/V-105 1 \ e ' WETLAND DELINEATION Engineering by: Surveying by: SCALE DRAWN JOB. NO. A £ N� 20.13 '� FLOOD PLAIN DESIGNATION VACCARO Environmental Consulting EngineeringWOrky WARNER SURVEYING 1"=20' P.T.M. 126-08 Community-Panel No. 250012 0005 C P.O. Box 955 12 West Crossfield Road 22 Long Road r Map Revised: aUGUST 19, 1985 Sandwich, MA 02563 Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. Zone "C' (508) 888-5855 508) 477-5313 (508) 432-8309 3/21/08 P.T.M. 1 of 3 NOTE: TO PREVENT BREAKOUT, A 40 MIL POLY LINER SHALL 5' AS PROPOSED SEPTIC TANK/PUMP CHAMBER SHOWNBONP THE EPLAN ANDIDETTHE LNERABETWEEN PROVIDE RISERS WITH METAL FRAMES & COVERS EL.=23.5 AND EL.=20.0 OVER EACH ACCESS MANHOLE AND SET TO FINISH PROPOSED D—BOX PROPOSED S.A.S. GRADE. MANHOLES BROUGHT TO GRADE SHALL BE INSTALL RISER & COVER INSTALL INSPECTION PORT OVER END UNIT T.O.F.=21.1 t SECURED TO PREVENT UNAUTHORIZED ACCESS. SET TO 6"' OF GRADE EXISTING ,G. EL: 24.0(MIN.) F.G.FG EL.=20.3f F.G. EL: 24.3t j 36" MAX. COVER/MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 9' ® S=l% (MIN.) TOP EL.=19.25 L = 6'40 P INSPECTION PORT 4"SCH40 PVC 4" SCH 40 PVC b 2" SCH 40 PVC 10" N s ® S= 1% (MIN.) 1 a' T�E'S ARE TO BE HIGH G.W. 3" TO INVERT4SCH 40 PVC 3 ROWS OF 3—CULTEC C—a UNITS x 8'/UNIT=2a' EL.=18.25 INV.=22.73 INV.=22.56INV.=18.00 E�LT� PROPOSD D--$O (USE C-4 HD UNITS — H-20 RATED) SLEALED BOOT (znaEL oR Eou 50=22 INV. . BOTT. EL.=13.25 6 OUTLETS (MIN.) ,SOIL ABSORPTION SYSTEM (PROFILE) INV.=17.83t INV.=17.75 SLEALED BOOT INSTALL ONE LENGTH OF 4" SCH 40 PERFORATED PVC CULTEC NO. 410 FILTER FABRIC ESTABLISH VEGETATIVE COVER PIPE AT EACH INLET TO EXTEND THROUGH STARTER UNIT BACKFILL WITH CLEAN SAND PROP. SEWER EFFLUENT FILTER SHALL BE INSTSALLED ON OUTLET WITH CAPPED END. HOLES SHALL BE FACED DOWNWARD. (NATIVE OR PERC SAND) CONNECTION TEE AS MANUFACTURED BY ZABEL OR EQUAL. FILTER INV.=18.18t SHALL BE INSPECTED AND CLEANED ANNUALLY. BREAKOUT=TOP OF UNIT (min•) (See Pump Detail, Sheet 3 of 3) TOP OF CHAMBER ELEV.=22.95 INV.ELEV.=22.50ARP 1590,/500 GALLON SEPTIC TANK/PUMP CHAMBER BorroM EiEv.=22:25 — ulll ulll EXISTING NOTES: 48" (TYPICAL) SUITABLE 1) SEPTIC TANK/PUMP CHAMBER & D—BOX SHALL BE SET LEVEL 4' MIN. ABOVE BOTTOM OF SOILS AND TRUE T GRADE ON A MECHANICALLY COMPACTED SIX INCH T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH=12,0' CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15,221(2). MSHGW EL: 18.25 (MOTTLING) USE 3 ROWS OF 3—CULTEC C-4 FIELD DRAIN UNITS 2) INSTALL INLET & OUTLET TEES AS REQUIRED. WITH NO SEPARATION BETWEEN EACH ROW & NO STONE 3) MAX. COVER OVER SEPTIC TANK, D—BOX & S.A.S. SHALL BE 36", SOIL ABSORPTION SYSTEM (SECTION) 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR SEPTIC SYSTEM PROFILE N.T. TO CONSTRUCTION. N.T.S. SOIL LOG DESIGN CRITERIA EX/S T/NG `k.., NUMBER OF BEDROOMS: 2 BEDROOMS \HOUSE 14 SOIL TEXTURAL CLASS: CLASS I y * �# \\ DATE: FEBRUARY 28', 2D08 (REE.# 12,138) DESIGN PERCOLATION RATE: <5 MIN/IN ` tin ° � SOIL EVALUATOR: PETER MCENTEE PE, CSE WITNESS: DONALD DESMARAIS IRS, CSE DAILY FLOW: 220 G.P.D. DESIGN FLOW: 330 G.P.D. Elev. TP— 1 Depth Elegy. 'TP—2 De2th GARBAGE GRINDER: NO �G61,age PROPOSED SEPTIC TANK/PUMP CHAMBER: 1500/500 GALLON CAPACITIES SCI. 19.9 A 0" 20.08 A 0.. % LEACHING AREA REQUIRED: = 445.9 S.F. PCII. SANDY LOAM SANDY LOAM19.4 (�j30) ` 1 10YR 4/2 19,75 10YR 4/2 .74 C, 8 81 USE 3 ROWS OF 3 CULTEC C_ UNITS IN TS WITH NO STONE lot SANDYLOAM SANDY LOAM FOR AN S.A.S. HAVING THE DIMENSIONS: 12.0' x 24,0', 17.9 10YR 5/8 10YR 5/8 BOTTOM AREA: (GENERAL USE APPROVAL FOR 6.7 SF/LF) � rn 24" rj C 18.25 MOTTLING S 3 UNITS x 8.0 22" / ' UNIT = 24.0 FT 7 17.4 STG. GW —_ 30" 17.41 — 32„ 3 ROWS x 24.0' x 6.7 SF/LF = 482.4 SF MEO. SAND 82 DESIGN FLOW PROVIDED: 0.74(482.4 S.F.) = 357.0 G_P.D. 2.SY 5/3 SANDY LOAM HEAVY ROOT PROPOSED SEPTIC SYSTEM UPGRADE ?�. QUESTIONABLE INTRUSION -- -- ----- CONTAMINATION 10YR 5/4 FROM FORMER 16.08 STG. OW —_ 48" 14 BRIARCLIFF LANE, CENTERVILLE, MA � LEACH FIELD 14.08 60" Prepared for: Ernest Bovi, 14 Briarcliff Ln.,, Centerville, MA 02632 ; PROP. --- SAS --- MED. SAND Engineering by: Surveying by: SCALE DRAWN JOB. NO. I-►--24' 13.9 72" 11 08 2•5Y 6/4 108' EngineeringWork4 WARNER SURVEYING NTS P.T.M. 126-08 SEPTIC LAYOUT 12 West Crossfie Road Long Road SOIL SAMPLE TAKEN FROM "C" HORIZON TP-2 0 H Forestdale, MA 2644 Harwich, MA 02645 DATE CHECKED SHEET N0. HIGH GROUNDWATER AT EL.=18.25 (MOTTLING) TP-2 (508) 477-5313 (508) 432-8309 3/21/08 P.T.M. 2 of 3 � -- _ .d. _+...r mow•- •- ..-"•,.,y,,.._ r - - .. A ' NEMA 4 JUNCTION BOX CORROSION RESISTANT & LIQUID—TIGHT CABLE CONNECTORS SUPPORTED 1 6" OUT x 8" THICK EXTENDED BASE BY 1-1/4" PVC CONDUIT. JOINTS TO BE MADE PROVIDE WATERTIGHT CONCRETE RISER WATERTIGHT. USE SJE RHOMBUS—JB PLUGGER WITH SECURED COVER TO GRADE OR EQUAL. B SPECIFICATIONS: B CONCRETE STRENGTH: 5000 PSI AT 28 DAYS STEEL REINFORCEMENT: A-615-68, GRADE 60 INSTALL 1' PVC CONDUIT TO HOUSE FOR WIRING 1 � - � -�—I -----��►- f-y--, DESIGN LOADING: AASHQ—H10 HOISTING CABLE 7x19 STAINLESS STEEL WITH WATERTIGHT JOINTS. WIRE HIGH WATER ALARM 1/8" DIAMETER. / 1,760 LB, STRENGTH. FLOAT TO SJE RHOMBUS TANK ALERT XT ALARM PANAL - " - - -- NOTES: ON CIRCUIT SEPARATE FROM CIRCUIT TO THE PUMP, I 1. PROVIDE POLYMER WATERPROOF COATING. 2" GATE VALVE FIELD ADJUST FOR 20 GPM RATE 2. SEPTIC TANK SHALL BE SEALED AND WRAPPED WATERTIGHT. INV.(IN)=17.75 ( ) I 3. WATERTIGHT SLEEVES, 4" INLET/2"OUTLET, SHALL BE PRE-INSTALLED 2"SCH. 40 DISCHARGE TO D-BOX WITH ABILITY TO CLAMP AROUND PIPE DURING INSTALLATION. ALARM ON EL: 15.75 2" 90' ELBOW W/ 1/4" WEEP HOLE 1 t'-4" 4. SEPTIC TANK SHOWN IS AS MANUFACTURED BY ACME PRECAST CO., PUMP ON EL: 15.08 FOR SELF-DRAINING FORCE MAIN t �� INC., 520 THOMAS B LANDERS RD, HATCHVILLE, MA 02536 P 4 6" OUT 8" THICK EXTENDED BASE PUMP OFF EL: 14.42 24° 2" SWING CHECK VALVE N BOTTOM OF 16" g" 2" SCH. 40 PVC DISCHARGE PIPE 0 ELEV.PUMPCHAMBER — 3/16" VENT HOLE (MIN.) ABOVE PUMP FLANGE CO -3 — O o PROVIDE 2 FLOATS: CAST IN 4" FLOAT FLOAT NO.1: PUMP ALARM ON/OFF-ABS FLOAT PROVIDED WITH PUMP COUPLING ABS PL-EF 04W PUMP 4 H.P. 115 V �, --- ---------- --- ----- - ------------- 0 ------------------- ------ o M ACTIVATION FLOAT-PROVIDED WITH ALARM PANAL WITH 2" DISCHARGE 48" Liquid Level ° I v 0 PUMP CHAMBER, PUMP & ACCESSORIES AVAILABLE AS A UNIT ACME PRECAST CO, INC., FALMOUTH, MA. (508) 548-9607 m PUMP DETAIL p- -8'-2" --�.{ �.- 3'---{ �.----6' -----{ SECTION B-B SECTION A-A N.T.S. 2 COMPARTMENT 2000 GALLON--SPLIT 1500/500 (WT.=24,000 LBS.) H 10 SEPTIC TANK/PUMP CHAMBER 1 500/500 (WITH EXTENDED BASE) CULTEC CONTACTOR FIELD DRAIN C-4(HD) - MODEL FD C-4 R STARTER 4" DIA. INSPECTION PORT BUOYANCY CALCULATIONS SMALL RIB LARGE RIB a n H-10 SEPTIC TANK/PUMP CHAMBER MIMMBOTTOM OF UNIT EL.= 13.25 21" 6-4" POLYSEAL OUTLETS dL. o 0 0 0 o HIGH GROUNDWATER EL.=18.25 (MOTTLING) 2" 2" 1-4" POLYSEAL INLETS MODEL FD C-4 E MIDDLE/END BUOYANCY FORCE PER FOOT OF DEPTH: 1 If O O O O O SMALL RIB LARGE RIB 48" 12.0' x s.s' x 1' x 62.4 Ibs,/cu.ft. = 4867.2 lbs. MAX. DISPLACEMENT = 18.25 - 13.25 = 5.00' 7 _T //,, j� /�,���,,, y� ^ j �, j o 0 0 0 0 0 o MAX. UPLIFT PRESSURE = 5.00' X 4867.2 Ibs/ft = 24,336 Ibs, s 00 11 dG-.fkdL:�NL.J61L.,16 d/ 161 11�/ �! �, WEIGHT OF UNIT EMPTY = 24,000 Ibs. cv . in i1') . WEIGHT OF 12" FILL OVER TANK: o TOP = 12.0' x 6.5' x 1.0' X 110 Ibs./cf = 8580 Ibs, as 12 EXT. BASE = 0.5' x 39' x 6.33' x 110 Ibs./cf= 13,577.9 tbs. --� TOTAL WEIGHT OF FILL = 8580 tbs. + 13,578 Ibs. = 22,158 Ibs. Top View Section 8 5' TOTAL COMBINED WEIGHT = 24,000 tbs. + 22,158 tbs. = 46,158 tbs. (V D_B O X 4" DIA. 46,158 Ibs > 24,336 Ibs O.K, 3" 8.0' DOSING & STORAGE REQUIREMENTS 5 SM5 . 0 0 0 o DESIGN FLOW: 330 GPU f °SMALL RIB o LARGE RI o DOSING REQUIRED: 330 -fCYCLES/DAY= 2 5S�ADLLLONS/CYCLE PROPOSED SEPTIC SYSTEM UPGRADE DISTANCE REQUIRED BETWEEN PUMP ON AND PUMP OFF FLOATS: 14 BRIARCLIFF LANE, �CENTERVILLE MA CULTEC CONTACTOR FIELD DRAIN C-4 CHAMBER STORAGE = 1.692 CF.IFT 82.5 GAL/CYCLE - 125, GAL/FT = 0.66 FT/CYCLE Prepared for: Ernest Bovl, 14 Briarcliff Ln.,, Centerville, MA 02632 ALL CONTAC70R FIELD DRAIN C-4HD HEAVY DUTY UNITS ARE MARKED WITH A COLOR STRIPE FORMED INTO-NE-PART ALONG THE LENGTH OF THE CHAMBER STORAGE REQUIRED ABOVE WORKING LEVEL: 330 GALLONS Cngineering by: Surveying by: SCALE DRAWN JOB. N0. CULTEC,Inc.Ina. PH: (203) 775-4416 TM STORAGE PROVIDED: EngineedrigWorks WARNER SURVEYING NTS P.T.M. 126-08 P.O.BOX280 PH: (800) 4—CULTEC CULTEC ContactorS and Recharger® INV.(IN) EL: 17.75 - PUMP ON EL: 15.08 = 2.67' 12 West Crossfield Road 22 Long Road 678 Federal Road FX: (203) 775-1462 Plastic Septic and Stormwater Chambers STORAGE PROVIDED = 2.67' X 125 GAL/FT = 333.8 GALLONS Forestdole, MA 02644 Harwich, MA 02645 DATE CHECKED SHEET NO. Smddleld,Cr OWN USA www.cultec.com 1 (508) 477-5313 (508) 432-8309 3/21/08 P.T.M. 3 Of 3