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HomeMy WebLinkAbout0007 CAPTAIN LUMBERT LANE - Health 7 CAPTAIN.LUMBERT Centerville A = 147 - 084 No. / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for Misposal 6pstem Conetruttion permit Application for a Permit to Construct( ) Repair(0 Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.'7 CAIPTA d&Y L.ugj4(4t-C LAI Owner's Name,Address,and Tel.No. Assessor's Map/Parcel (41 815 t5;,Ca1UC1lfsW KD*Z/;k C:L if7lwo4 IFL Installer's Name,Address,and Tel.No. 566�-4 77-$6i l'7 Designer's Name,Address,and Tel.No. SdU"4 T7 -153t 3 cQApsw ibe Cm3®xz1�5_laic_ 153 1ax W. ;r(eur.� :k- ropes-rmcetkk Type of Building: 4 Dwelling No.of Bedrooms Lot Size !-7-;1— sq.ft. Garbage Grinder( ) Other Type of Building Qj;S(060TJA-L� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 49.1 gpd Plan Date (4-11- A p(g Number of sheets Revision Date Title 7 CAPT W LCllq Size of Septic Tank l l OOO Type of S.A.S. OL 5tJp C- ${. <iklq Description of Soil la iEj)(V 9t (26 YZ.— '36,I i Z Pad Nature of Repairs or Alterations(Answer when applicable) L,6F 6XK-t foc— l`(jam gJ 6,ep d lC- may K I !my o - 92 o x 1,r> C�) 60 c c&) 14-gy p LkaweAa C4 cdh&kle OLS, Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Healt Si ed Date `T" 3 t Application Approved by Date Application Disapproved by Date for the following reasons Permit NO. Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ' Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftplitatio-n for ]Disposal 6pstem Construction permit Application for a Permit to Construct( ) Repair(� Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.7 QAPTA/10 "'I'CtyY3 Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. 5&2-V77-%AZT Designer's Name,Address,and Tel.No. C'AP6w tD49 GN767CPAv9E9 /,Q80 �3.1unv� �G woza6�S�t�, Type of Building: a Dwelling No.of Bedrooms Lot Size (9 t-7 3l-' `sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3:5o gpd Design flow provided 3 4R.7 gpd Plan Date 4-d 1- a a(g Number of sheets Revision Date Title -7 ( 4PTi00 Wat. 6ni cAx)r Nakp_ S Hlu_5 Size of Septic Tank 1 , 000 Type of S.A.S.��� 500 C-44L <hkw PALS Description of Soil Mgmw m L-14 1 z, Nature of Repairs or Alterations(Answer when applicable) (,6i; Cs *ttoG 'b Neuj Soo 14-,16 LaAek(i.�.� Qa-eXS z Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. 1 SignedI wff_''._._.__ Date e {Application Approved by Date ` Application Disapproved by Date for the following reasons Permit No. ""y ZJ9"{ Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifitate of CompYiante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�() Upgraded( ) Abandoned( )by 0-APE tv to 6 G om&xP 2�z�' T•A^ (at 0—AP-r4rn1 �,004&pdT U/ A4.4 G-V-011 r tructed in accordance �+ with the provisions of Title 5 and the for Disposal System Construction Permit N,o-b dated &/1 3 Installer Der wf n C. C_A9dXP0CS E ' '"9 k90 Designer 4ti F.:.[%. 3 [,Baca. &_)A t2JC_S G+ #bedrooms Approved design flow gpd The issuance of this Fpermit shall not be construed as a guarantee that the system wil f ctio�nas itesigned. Date �/ /I� wtJ Inspector, ---------------------------------------------------- - - No., l8- ."' � Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS ]Disposal 6pstem Construttion i3Prmit Permission is hereby granted to Construct( ) Repair(x) Upgrade( ) Abandon( ) System located at 7 aApuraJ in, and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must,be completed within three years of the date of this p'ermit. Date �f/1�._ ,�1 Approved b\v- ,.- l l Town of Barnstable �oF1He r Regulatory Services Richard V. Scali,Interim Director � BARNSfABLE, • I 9 659. Public Health Division .i6gq., �04i erFD. to .Thomas McKean,Diree Ior 200,Main Street,Hyannis, MA102601 I Offiec: 508-862-4644 I Fax: 508-790-6304 Installer& Designer Certification Form Date: 5 -I!-1 Sewage,Permit# Ap 1 OC 9 Assessor's Ma.p\Parcel 14`7 — 6 8''4 cDesigner: any 1 nee�;�� Wo r'Lts E (n C . Installer: ID E G�tt7-�p•pztsiFs n i Address: lZ w, CfbssC-te w 1�1 Address: ; Sz— T:a'e_&V-Okake MVA O2444 I On 1J1 �R6tod>E &Tt tSES was issued.a permit to install a (date) (:installer) / I septic system at, APTAtto Lc�lV143t( � baled on a design drawn by (address) EV1Gi i tte_e_ri etc? Wk,rbu /11 C , dated 1 jb (designer) ..1 certifythat the septic stem referenced above w P Y as installed subsYantrally according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if'.required) was inspected and the sails were found satisfactory. I certify that the septic systen-. referenced above was installed with major changes (Le. greater than 10' lateral relocation of the SAS or any vertical relocation of any component, of the septic system) but in accordance with State & Loclal Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certi f} that the system referenced above was constructs ncc with the terms of the AA approval letters (if applicable) tOF i T. Mc�NTNTPETIE EE GML staller's Si t ature) NO.351Q� CN� R`�Q1ST�ZA E4��� i (Designer's Signature) (Affix D jsigner , ainp Here) PLEASE :RETURN TO BARNSTABLE. PUBLIC .HE.ALT.H DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEI,VE:D BY THE BARNSTABLE PUBLIC REALTH DIVISION THANK YOU. Q:AScpticiDesiencrCertifcation Form Rev 8-14-13.doe i i TOWN OF BARNSTABLE LO ATLo ' APT, LLufte ga LtJ SEWAGE# aO r S—®lot t,(�d '• "°t'I�'ASSESSOR'S MAP&PARCEL �' PI ' `1' INSTALLER'S NAME&PHONE NO. Qs��I A� C�`�IZ1�ES SEPTIC TANK CAPACITY k_(3®o ill) c LEACHING FACILITY. (type) IL-Cil $Z(size) (1. NO.OF BEDROOMS OWNER —TOb J � MAP A PI-)kELL— PERMIT DATE: 4- (5 -a 0(1w COMPLIANCE DATE: Separation Distance Between the: f 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) W A Feet FURNISHED BY. 31 A-2 A-3 �t3e _Lt a o ; 37.3` � �s� 3z•�� j Town of Barnstable Barnstable Regulatory Services Department w`caC j BARNSPABLE v 1639. ,� Public Health Division ��fDN1A�� 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0237 r April 11, 2018 PINKEL, JOHN S & MARIA E 845 SOUTH GULFVIEW BLVD., #212 CLEARWATER BEACH, FL 33767 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 7 Captain Lumbert Lane, Centerville, MA was inspected on 03/22/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PIORDER OF TH BOARD OF HEALTH ean, R.S., Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\7 Captain Lumbert Lane Centerville.doc �zKWE ram, ~� Town of Barnstable + BARNSrABL£. + 6 Q Regulatory Services Department ArFD MA'S� Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA f" Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover, relocation of a pipe; relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc - 09L III Commonwealth of Massachusetts ;.; Title 5 Official Inspection Form hi Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln ' Property Address pQ John Pinkel Owner Owner's Name W.11 information is -ry Centerville MA 02632 3-22-18 ` required for every s�•�` page. City/Town State Zip Code Date of Inspection; Wi Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes. ® Fails ❑ Needs Further Evaluation�he Local Approving Authority 3-22-18 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 , Dp A US Commonwealth of Massachusetts ,w1 Title 5 Official Inspection Form -- i-1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "ConditionalPass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑N ❑ ND (Explain below): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments � :r1 !c/ 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 ' page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y El ❑ ND (Explain below): ❑ obstruction is removed ❑ Y El ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑Y ❑N ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 c Commonwealth of Massachusetts Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for 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. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of'sewage into facility or system_ component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ® ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 I Commonwealth of Massachusetts r� Title 5 Official Inspection Form l�r� MI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 1 0,000g pd. ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area= IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts a (',p Title 5 Official Inspection Form iwl Subsurface Sewage Disposal System Form -Not for•Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes" or"no" as to each of the following: Yes' No ❑ ®. Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form 1cl Subsurface Sewage.Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln _ Property Address John Pinkel - Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No 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: 2018 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 ` Commonwealth of Massachusetts Title 5 Official Inspection Form i i► Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ' 7 Captain Lumbert Ln J Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form I"I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address j John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1983 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank (locate on site plan): Depth below grade: 18"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gal Sludge depth: 12" t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form i-i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln J Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle 20" Scum thickness 1a Distance from top of scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with baffles installed and no sign of leakage. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: - Date t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form K,i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 4 " Commonwealth of Massachusetts ji, Title 5 Official Inspection Form ii m Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box had stain lines above outlet invert. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form C-'t Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit had water at 30" below inlet invert with stain lines above inlet invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth —top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts A, Title 5 Official Inspection Form 110 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.dx-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts r� Title 5 Official Inspection Form Q Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately _f ef F t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 c Commonwealth of Massachusetts p-p Title 5 Official Inspection Form �'i'i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database- explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at,greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 . s 4 Commonwealth of Massachusetts Title 5 Official Inspection Form of Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 7 Captain Lumbert Ln Property Address John Pinkel Owner Owner's Name information is required for every Centerville MA 02632 3-22-18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 EARN;STABL erg LzMA `lam. p, O �SFSSTt'S A luL4 f' 3.tax CeCw YNS2A .L.ER'5 NAB&Pg-C1ME NO EFTI C TANK CAPACI'CY �v LEAC�IL1+iG 1AC}]:1Ty Id0 4PBSDtt©pNdS ,.----- ��� OhL©�1l�T�R T iT PEA.M. � .—.,... �t�P/�i'II�A►I�ClE �RA►TE .M.w_r._...� ,�..�-�.�—r- Sepm�c�o��9ts�un�e Betv�eet�tire' , Pe.�i Maxl�tum�.�}ustcd G�autaciwate�T�tile�a tlac H�uom ai�.cac�hin�l�ti�clit�r .;:�. 1va4 Wu4c;r Suplrly;Veal ��t�eaam F�cs#�ty ►y��ct9s cxlst a� s3tu ac with 2Ap feet`oF lens[hi CaciUtyj -�-- �rcoi F�.cl9c:c�f /etaan aund L.aac 1. hCo$Faciliey(YE iiriy wetlanclti exist Pie vest u�3 0 fee Of wool,i i. • T / � r G L : k 3 L7 AId aob ' • i Towwof Barnstable P# !S63711, ' Departinent of Regulatory Services " Public Health Division Date l D a�� 200 Main Street,Hyannis MA 02601 Date Scheduled Time ((CYY Fee Pd, (/ Soil'Suitability Assessment for Sewage,Disposal Performed By: �L`�z=/�--�L�/� (C 5-( 'gZWimessed By: LOCATION&GENERAL INFORMATION , -3 .� Location Address ,4(tj (� Owner's Name 34i4IJ S M AIZ(A Q(IJICL t —NMI VICL4 Address •�U4FVt�u1 �t.VD ��?. q7 ®��f CApGw(ac Assessor's Map/Parcel: Engineer's Name t=PC-110G&2JuC— to-50alo; �l NEW 0 W CONSTRUCTION REPAIR. _ Telephone# Sf� ,> ZZ— Land Use.__9-es 1&0.*Cf I Slopes(`�) �'Z Surface Stones Distances from: Open Water Body ___ft Oossible Wet Area ft Drinking Water Well ft Drainage Way ft Property line f`—ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes& ere tests,locate wetlands in proximity to holes) . SJ �V-k 4-6 Parent material(geologic) 6L/LALQ k Depth to Bedrock Cyr' coJA�e K°y Depth to Groundwater. Standing Water in Hole: �^ Weeping from Pit Fpee VA4 Estimated Seasonal High Groundwater 7' ?✓ Z" DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: __ ____In, Depth to soil mottles: ln, Depth to weeping from side of obs.hole: in, Groundwater Adjustment f. Index Well# Reading Date: Index Well level- Adj.thetor— Adj.Groundwater Level, PERCOLATION TEST Irate . Time Observation / Hole# e nC co �► C Time at 9" n S Depth of Perc " �� ,� Time at 6" Start Pre-soak Time @ t tC Time(9"-6") End Pre-soak Gr�`[ Cd�IS•S l/' Rate Min./Inch J Site Suitability Assessment: Site Passed / Site Failed: Additional Testing Needed(Y/N) 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 first notify the. Barnstable Conservation Division at least one (1) week prior to beginning. Q:\SEPTICIPERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole#__j__ Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. to -Y.%Gravol) �=� lam► S1 tCY'*f lam.Wj �t t6 YLI� 6l DEEP OBSERVATION HOLE LOG Hole# ?i Depth from Soil Horizon I Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. tConsistency,%Gravel) d-3 Lao�'n SCO4 td fps 3-2 c-- rM-C.S-L"A z,Y'>° DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, O —17 DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon 'Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistancv. e , Flood Insurance Rate Map: Above 500 year flood.boundary No— Yes ,,,, Within 500 year boundary No Yes, Within.100 year flood boundary No Yes Depth of-Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? -- ?- If not,what is the depth of naturally occurring pervious material? Certification Ct `a�,/ I certify that on (date)I have passed the soil evaluatonexamination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in W CTv R 15.017. Signature6 Date Q:1S.EP1rI0PERCP0RM.D0C. No.. - ..:1�.1�... FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® ,,F H� 'LATH _.._............... ...OF.....: . .L.�/.... ' ! ---.....-.--------•--.-.------.-..._-. Apliliration for M-4puti al .orkii nntrurtion ami# Application is hereby made for a Permit to Construct ) or Repair ( an Individual Sewage Disposal System at: /2 j ,/ {� ................---••....... 1 1vs'!.. LOr/..• ! - °r�/ � ! J n o dress or t No. - ._... ys- ----•-......•-__.� ..••••...•-----.....•---•-•--••--•---•...............•-----...................................... Owne ® Address aW ..........................................�.... .. ..................................... .•----............................. ---•--•--•--............................... � Installer Address � � Type of Building Size Lot...I_ .)-_ --. ...Sq. feet Dwelling—No. of Bedrooms........ ------_-. _-___-__.-Expansio Attic ( ) Garbage Grinder P4 Other—Type of Building ............................ No. of persons--._ ------------------- Showers ( — Cafeteria ( ) a' Other fixtures _______________________________ __ ------------------------------------------------------------------- W Design Flow...................._'�—---------gallons per person per day. Total daily flow-__-___•-•--�25..................gallons. W Septic 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/......i.......sq. ft. Z Other Distribution box ( ) Dosing tank ) `~ Percolation Test Results Performed by----- . ... ......... --•_---.------------------------ Date__)_X.I.I.- _._�3...._.__.. Test Pit No. I................minutes per inch Depth of Test Pit...... ..----_-._.. Depth to groun wat r...__...__.............. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 7 -.................. --`... O Description of Soil.___.0'------lti t�.�. y.---......-- ....... ........................................................-......................... x i W ----------••-----------•-------•--------------------------••-------•••-------------•------•-----••----•••-•--••••--•••------•-••-------•----•--•---•--•--•••--•-••-•----------------------.............. UNature of Repairs or Alterations—Answer when applicable___________________________________________________________________•-•----------------------__. ---------------------------------------------------------------------------------------------------------------------••--••-•-••------------•--•-•••-•---•••...-•---••-•--•--•••--•--•-.............---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TjIT= 5 of the State Sanitary Code— The undersi ned further agrees not to place the system in operation until a Certificate of Compliance has been ' ed by th of health. Sig .d ..-------------- -•••-•-----------•--------• - Application Approved BY - --- ---------- 3—iy D�3 ........................................ Date Application Disapproved f r t e following reasons----------------------------------------------------------•-•--------------------•------------••---•-•--------- ••---•--••--------------------•-•••-•-----------------•------•--•••-•-•-......----------•------...-----•-------------------------------------------------------------------------•-••-••---•---...._.... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS Application is hereby made for a Permit to Construct ;7) 0r Repair an Individual Sewage Disposal System at: .............................. ..........I...............;..4. .......... .... ........................... �.e Ar;w/ Ow e Address Installer Address Type of Building Size Lot../'i;11.7�/­----Sq. feet Dwelling—No. of Bedrooms..........s-.3.............................Expanst Attic Garbage Grinder Other Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total lea hin yar -. ..,.sq. ft. Z Other Distribution box Dosing t Percolation Test Results st Pit No. 1................minutes per inch Depth of Test Depth to gro un wa /r . ------ -----------V ........................................................................................... The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT LE 5 of the State Sanitary Code—The ndeg�jgned further agrees not to place the system in operation until a Certificate of Compliance ha een i ed b>thh�Wr of iealth. 7 Date ie-7 . ........... Date Date ti THE COMMONWEALTH OF MASSACHUSETTS BOAR9,59F HE r ....................OF...... . ..... ......... ............... TH T011,RTIFY, That the Individual Sewage Disposal System constructed 4,-or Repaired A. 41 has been in'stalled"in"accordai1ce with the provisions of T 'LE 5 of-The State Sanitary Co�" /Y�SCri' application for Disposal Works Construction Permit NoT-1-.. ... dat, ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS A ,�WED AS GUARANTEE THAT THE SYSTEM wiLy f4NCTION SATISFACTORY. tor THE COMMONWEALTH OF MASSACHUSETTS BOARD -ply HEALM ---..������"�---��F--- *�� -----' I�n.���_.-�.��'�- ~- - --- Foo-----'--�--'-' -'-~-x------ - '-'---------' `r ---'-- | Permission ishereby _----- --'---_----.-_-_--_--.--_'------------- / to System ���� ` Street ` uo shown oothe application for Disposal Works Construction Permit 24o...... I........... Dated,/ ............... ' . -_ BoQd of Health DATE........................... � wr runw /uss x000e ^°wmnnov. INC., ruousxsnS k �� 6 c,�22iM s 33 ode cewrir�� � • 1 pir �vit TL 1 /0 D - �/J AV k� / 31 gF� �� o ID giM. Q. ►�.n'� X II Z i4 I prt94 /B'1�3�% ZI6'R••' y �` se W I Ferro I61514 log ah ae o _ 3a > Z --'GA /s,vvo s.r- M)n. ioo vvizzrti F S'3 io 5 s - s.13, Z OF M'lC ✓' o ERG ti No.366 �oo�Q�stE%`��`� NAI V LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO 'EXISTING CONTOUR --- 0. --- �ySH°fyA�s� �ar� ��rdNGy�erst�wc'f4�.-�-�r� ea FINISHED SPOT ELEVATION oaf ROBERT FINISHED CONTOUR 0 -- BRUCE g E DRED 1 APPROVED BOARD OF HEALTH $ GIST r�i3,�� J .�.:� � �s-rE o DATE AGENT Na so. SCALE= / ";y0 DATE la3-og- L DREDGE ENGINEERING CO. IN '�'� CLIENT i CERTIFY THAT THE PROPOSED. , rW-EGISTER REGISTERED JOB NO. .��Zz3 BUILDING SHOWN ON THIS PLAN CIVIL LAND DR. pr�I CONFORMS TO THE ZONING LAWS ENGINEER RVEYOR OF BARNSTABLE MASS. 712 MAIN STREET CH. BY, 4 g3 — HYA NN i S, MASS. SHEET._L_. OF .- DA E REG-- AND SURVEYOR IYOTZr : /F E/Tf/ER TAole S PT/C TANK OR 20 FT. 14/A/. /E,4Cf✓IiVG P/T .4rlE MORE THA."/ /Z "BEL0-PV IO fT- M/�/• SRAOE, A 24'D/AMETER CONCRETE COVER k--- SWALL BF BROUGHT To l01,p� P'PVC P/PAr /N e,4VY CA ST /.PO/N CO✓.ff:R Sfl.4 L L 3E US ED CONCRrTE M/.V. P/TCN COVE7G5 DR/✓E WAY' ! CO/VCR4 ? TE • MIN. G qpE CO ✓E/Q' CLE,4N SANG / ir= ' *LAYR � %RCN PI� /400 ; •• :'o y�'-��� Gam' �/8 -'//D` MIN.P/Tc/+l GAG. • . . • . • e .40 DlST. � • � � � . • • • • • � • • • WA SHFO STONE SEPTIC TANK Boar 8 . . • . • .•• • Vic. �O/'narrAr) ♦is, 1 • •EFFECT/VC ` . •,� 3�4�- / �2� :. : • • • • OGPTN • • • ► , WASNjFD STONE G Ap . �. OP ' PRECAST SEE.PAG£ 7&c .e< .o r 7 �. • • . • • • . • . • o P/7 OR E-QI//V, INv4-A-r eLEvAT/ON.f , . INVERT AT OV14DI/V6 qg.S' FT A�TC ,lce7Y G FT D/AM. liYLET SEPTK' Ti�IYK qg•� C F�' - /o FT O/i4M. SEE Tf1BULiiTION>4a OIJ?L ET SEPTIC TANK s •I A7." INLFT DlSTRl4&&710N BOX ��'y � SECTlO/V OF GRouND It�iiTER T.4®LE 1 0OrLETD/37,q/Btrr14N X �7 7. FT S�yV�gGE O/SPO�SA L SYSTEM ( 1,V4RT LEACq/MG P/T S Fr. LEACH//1/G f�/T T,4QULATIDN SCALE %� = I=0"` DIMENSION A 2.� FT. -OES/GN CRITERIA D/�1.Exs1oN 9�FT. NUMBER Of JEDRaOMS 2 D/MEN,S'!CN C q.o _F7-&1 G4RdAGEDI5P05A -UNIT SOIL LOG SDeL 7.65T TOTAL E1TlMA'TED FLOW 7-7' SOIL TEST 0/ SOIL TLFST#*2 NUMBER OF 4`ACMIMG P/TS �•,�LEy loa.2 J..ELFY, DATE OF SOI1 TEST 3� _43 - SIDE L1`ACH/NG PER P/T i88 Sf� PT. RESULTS W1T/NESSED 5Yje', J• JAB 1 3oTTom L64CIII/vG PER P!T 28•S ,SQ. FT. Z 3bu<<- I-eMC0LAT/0/N RATE,*/ G Z- M/NIINCK TOTAL LEACHING AREA Z�7 SQ. FT PEA'C04LA770N RATE jk2 M/N.�lNCH gEsE,KVELEAC'MINGARE,A2G? $Q, c; n P1=F: �crL�� till A- I�oa7 1 �tw Of M, s �.tH Q M • c( /O l—�/ [Unrest Ik�G. �4A icy �- s�►�ROBERT CEO -v�ccC�, � oZ ��.•(� aBRUCE r YBER.0 !/R moo, a STD 6�`�` EL DREDGE E/YG/VEER/NG CO,l NC. ,S O 7/Z MAIN ST. , .HYANN/S. MASS. �4ry,0 stiri``� NAi NGGROLNo Y{Ii4TCR fNCOC/NTL°RBO CL/ENT:,84y5iar DR7 3 $ 43 GM0 U/VD Lv'ATER A Ir 6LEi/ .JOB NO. �Z SHEET ZOfr Z LO CATION ` SEW ARE PERMIT NO. Ll VILLAGE L F INST L R'S NAM & ADDRESS BUILDER OR OWNER DA T E P.ERMIT ISSUE D 0 - DAT E COMPLIANCE ISSUED .S i . J L��� ide ���i LOCATION `' SEWAGE PERMIT NO. 3 VILLAGE 14, -4- 9J4 , INST L R'S NAM & A00RESS i R UILDE R ON OWNER DA T E P.ERMIT ISSUED DATE COMPLIANCE ISSUED T - � I i 'it I }.�� �� �6 N LEGEND `umbe Gr oc —100-- EXISTING CONTOUR LUMBERT . 100.98 EXISTING SPOT GRADE POND —W EXISTING WATER SERVICE LOCUS —G EXISTING GAS SERVICE —e.H:W EXISTING OVERHEAD WIRES TEST PIT C"mbert ea BENCHMARK Ml/i Rd e LOCUS MAP NOT TO SCALE � S 85'10'29 W" x 98,02 1 56.47 rn J CBdh EXISTING LEACH PIT m b CONTRACTOR SHALL PUMP, x 98,18 n ' FILL WITH SAND & ABANDON. rn SHED 0 . 1 0 Z' 1 EXISTING SEP77C TANK x 98.43 & TOP OF TANK, EL.=99.5f 9 30 C:, pt INV.(OUT)=98.2f o of + 98.50 P. N 0 x �1 x MAP ID: 147 084 CP J A�' 0 LOT 4 o X 18,731 S.F.f 97.82 0 + 99.15 ( _ 1 --0 CBdh + 0.02\ 99.31 99,49 f•': 1 O'0,37 DECK 1 . + 99.9 f Q� 0 C 20,100.9 x w99, 7 —2 + ( 8�y EXISTING c Ih�-- 1-0.H.- 98.36 BM DECK HOUSE(17) 101.63 T.O.F.=102.Ot 100.32 G 99•2 0 <\ GARAGE000 000 + 101.06 / ro I p O I x 100,6L p d 10%39 +. 101.3 J BENCHMARK l CORNER OF STEP b 100.85 / EL.=101.63 ; 100.54 '+ / 98.62 6'�3, 6• ,�aP 101.03-----_ � y� 100,40:,.:: 98.83 99.36 \ �I �! o� 99,72 .: 99,47 \ 99.05 2 99.65 \ 00 99,65 Off/ 99.48 OF M4S PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN o McENTEE 7 CAPTAIN LUMBERT LANE, MARSTONS MILLS, MA v CIVIL No. 35109 Prepared for: Copewide Enterprises, 153 Commercial St, Mashpee, MA 02649 61S1E�� Engineering by: SCALE DRAWN JOB. NO. / \ OWNER OF RECORD Engineering Works, Inc. 1"=20- P.T.M. 138-18 PINKELL, JOHN S & MARIA E 9 9 �/ IC 845 SOUTH GULFVIEW BLVD. #212 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. a CLEARWATER BEACH, FL 33767 (508) 477-5313 4/11/18 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:97.5 FOR A DISTANCE OF 15' AROUND THE SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET & OUTLET AND SET TO 6" OF FINISH GRADE INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND T.O.F.=102.0t SET TO 3' OF F.G. TO SERVE AS INSPECTION PORTS F.G. EL.=101.Ot F.G. EL.=100.4t F.G. EL.=100.1 f F.G. EL.=100.0t a , ''A�JAy1l7 , L = 34' L = 13' ® S=1% (MIN.) p S=1% (MIN.) 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF 1/8" TO 1/2" 6' DOUBLE WASHED STONE u-ilo"t 6 as $ as (OR APPROVED FILTER FABRIC) �q^ BBB maa aa69®aB EXISTING 48" LIQUID aamaaaa --3/4" TO 1-1/2" DOUBLE LEVEL WASHED STONE ADD PROPOSED 4' 4.8' 4' GAS BAFFLE INV.=97.30 D BOX INV.=97.13 INV.=98.2t EFFECTIVE WIDTH = 12.8' EXISTING INV.=97.00 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED TOP CONC. ELEV.=98.1 t NOTES: BREAKOUT ELEV.=97.50 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INV. ELEV.=97.00 aa0a a13 INVERTS, PRIOR TO INSTALLATION. aaaaa lamas ease eases 2) D-BOX SHALL BE SET LEVEL AND TRUE TO BOTTOM ELEV.=95.00 GRADE ON A MECHANICALLY COMPACTED SIX 4' 2 x 8.5'=17.0' 4' INCH CRUSHED STONE BASE, AS SPECIFIED 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0' IN 310 CMR 15.221(2). PERVIOUS MATERIAL W) ABOVE G. . 3) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' (MIN. LEACHING SYSTEM SECTION 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE BOTTOM OF TP, EL.=89.1 AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. SEPTIC SYSTEM PROFILE SOIL LOG DATE: APRIL 5, 2018 (REF#15,637) GENERAL NOTES: SOIL EVALUATOR: PETER McENTEE PE, SE-1542 WITNESS: DONALD DESMARAIS R.S. HEALTH AGENT 1 CHANGES THIS T HE DESIGN ENGINEER.ALL BOED BY THE LOCAL BOARD OF HEALTH AND ELEV. TP-1 DEPTH ELEV. TP-2 DEPTH 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 100.1 0 100.2 0" OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE A A LOCAL RULES AND REGULATIONS. LOAMY SAND LOAMY SAND 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 99.4 10YR 4/2 8,, 99 4 10YR 4/2 10" TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE B B DESIGN ENGINEER. LOAMY SAND LOAMY SAND 4. ANY CONDITIONS ENCOUNTERED .DURING 10YR 58_ CONSTRUCTION DIFFERING _ __ g7;1 / 36"1 97.1 10YR 5/8 37" _ - FROM-THOSE SHOWN HEREON'SHALL BE REPORTED TO THE DESIGN C C ENGINEER BEFORE CONSTRUCTION CONTINUES. PERC 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. M-C SAND M-C SAND 2.5Y 6/4 2.5Y 6/4 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 89.1 132" 89.2 132" AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. PERC RATE <2 MIN/IN. ( Ref. perc p#1687, 3/7/83) 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NO GROUNDWATER ENCOUNTERED THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. t 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE EXISTING INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. HOUSE(117) 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND T.O.F.=102.Oi GARAGE NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 14. THE CONTRACTOR SHALL BE RESPONSIBLE FOR OBTAINING A TRENCH PERMIT FROM THE LOCAL MUNICIPALITY IN WHICH THE WORK IS BEING PERFORMED. DECK , DEC N DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOMS S� h SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) DESIGN PERCOLATION RATE: <2 MIN/IN �� N DAILY FLOW: 330 GPD \ alp. S p,.5• ;cA_ \ Rj- DESIGN FLOW: 330 GPD GARBAGE GRINDER: NO-not allowed with design LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF .74 GPD/SF S.A.S. LAYOUT EXISTING SEPTIC TANK: 1000 GALLON CAPACITY PROPOSED D-BOXI: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 7 CAPTAIN LUMBERT LANE, MARSTONS MILLS, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: Capewide Enterprises, 153 Commercial St, Mashpee, MA 02649 BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: i SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 471.2 S.F. Engineering Works, Inc. 1"=20' P.T.M. 138-18 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 4/11/18 P.T.M. 1 Of 2