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0169 CEDRIC ROAD - Health
169 Cedric Road Centerville I " = 149 084 �111 ova No 53LOR wa4T1144S YN No. s Fee (/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftphtation for VsposaY 6pBtem Construction permit Application for a Permit to Construct(e,�— Repair( grade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No./6 q CLd /C RO Owner'st&ame,Address,and Tel.No. Assessor'sMap/Parcel Installer's Name,Ad ress,and Tel.No.S o$-4< 0O- S/738 Designer's Name,Address,and Tel.No.vaE-S27-3G450 c A -Zv/a 1.vc l2 . Type of Building: Dwelling No.of Bedrooms ,3 Lot Size -)-, sq.ft. Garbage Grinder( ) Other Type of Building i w 15 L(— No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow,j(min.required) 3?j gpd Design flow provided gpd Plan Date ? 2, Number of sheets Revision Date Title Size of Septic Tank 'IC ( Type of S.A.S. ,Z k--:w as Description of Soil L Nature of Repairs or Alterations(Answer when applicable) /?/5�1,��/ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date 3 Application Approved by M I v Date -7 1 13 , or Application Disapproved by Date for the following reasons Permit No. �J ,� '� Date Issued 781 /(1 a / 1 w Fee No. zol THE COMMONWEALTH OF.MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -.TOWN OF BARNSTABLE, MASSACHUSETTS ftplitation for DisposaI5 -pstem Construction Permit " .x.M a Application for a Permit to Construct(/),- Repair(6)_,I!Jpgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.16 /.:d C RD 'N" Owner's Name,Address,and Tel.No. Assessor's Map/Parcel:> u � f�r Installer's Name,Address,and Tel.No.s-,�6 tar p_ c/73g Designer's Name,Address,and Tel. �eg� �� V Type of Building: Dwelling No.of Bedrooms !' Lot Size sq.ft. Garbage Grinder,(. ) Ot)er Type Building F .�.16aJfet yp g ,J i No.of Persons Showers( ) Cafet"eri'�( ) Other Fixtures Design Flow;(min.required) 2, gpd Design flow provided Plan Date :7 , 12 I Number of sheets Revision Dater " Title -- - Size of Septic Tank Tl �rr Type of S.A.S. S Description of Soil Nature of Repairs or Alterations(Answer when applicable) ZIZs7�a11 J /�4 , - Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health.® / Signed i ,�, -�/', , Date -7 3/ q Application Approved by 1/ / ��`�� Date -7 Application Disapproved by -�—v I Date for the following reasons r Permit No. �, ;�, _ ) ( Date Issued Ti—rr•�.--y— -.------------------------------------------------------------------------------------------------------------- ------------------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�.) Upgraded Abandoned( )by at /�,�✓ /'��.f r�, /'?�F' ,�, ni-�:-..�l/,%/= has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. .f 14 dated -7 ' Installer .Z1; Designer � . #bedrooms 1 - Approved design flow .Z gpd The issuance of this permit shall not be construed as a guarantee that the system w ll-funotio a igned. Date / �„ / q Inspector No. \_D I l'1%�( Fee �-- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair(e--) Upgrade Abandon( ) System located at c Y and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date ��/ �/� Approved by /y /,/oYA u S Town of Barnstable Inspectional Services Public Health Division BARMaat s. NAM Thomas McKean,Director 163 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: -(,- ti I Sewage Permit# ;401e--:2,91K Assessor's Map\Parcel 1 4-9`Ug Designer: LEAS S J E Ja :t::nSC Installer: L Y 15 &eo-r1 Address: �D �✓X l r12 Address: PV :�AA10W i-1.11 MA 0Z5e,3 Aou,&B On�Z::,51--/�/ ;T-ey C_ was issued a permit to install a (date) (installer) septic system at (��/ EFJ ��O C'�n(�azJ�� ,Ma 6,-e- --Z based on a design drawn by (address) s-rz- dated _TuLy (I 2v�9 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed ' p with the to rms of the I\A approval letters(if applicable) �o DAVID yc�, a. FLAHERTY, JR. y �( No. 1211 ( nstaller's Signature) �� Q's•rE_a 84NITAit11� esig 's atu (Affix Designer's Sta re} PLEASE RETURN TO BA STABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. 1\toAdeptslHEALTMSEWER connecMEPTIODesigner certification Form Rev 8.14-13.DOC ;n TOWN OF BARNSTABLE LOCATION 4q Ce_0 PR'1'C 170110 SEWAGE#_ (&a VILLAGE ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK.CAPACITY f o G LEACHING FACILITY. (type) ;Z, -30 ff G L C4&,7 JV (size) %3 x 2. NO.OF BEDROOMS 3 OWNER ,�I?A 21 f:. /110 E O V2A 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 fL LJ C-K I� /b o0 I a 5--7 133 �3 4 I TOWN OF BARNSTABLE LOCATION_1 b"1 Ce-o R i G i? L SEWAGE#„&a — VILLAGE C d pt T4,r yiLL ASSESSOR'S MAP&PARCEL C• INSTALLER'S NAME&PHONE NO. Tb L°y •s S��°%!�. SEPTIC TANK CAPACITY !0 G 0 LEACHING FACILITY:(type) ,1 -go a G L ch fain 6 p j..(size) NO.OF BEDROOMS 3 OWNER fir/ d Rt i /7 S'O!1c2A PERMIT DATE: 7- /'-/ COMPLIANCE DATE: 9- 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 l aC /JLGK '1 a 1000 ' a Al � 3 133� Barnstable "THE Town of Barnstable Inspectional Services Department jit�1.1 t BARNSTABL£, + 639. Public Health Division QO i639• �0 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKcan,CHO CERTIFIED MAIL97015 1730 0001 4988,1210 June 26, 2019 GARLICK, KATHRYN E 169 CEDRIC RD CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 169 Cedric Road, Centerville, MA was inspected on 05/30/2019 by James D. Sears, 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. PER ORDER OF THE BOARD OF HEALTH Tho cKean, R.S. CH Agent of the Board of Health 0\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluati0n Letters\169 Cedric Road Centerville.doc Pi Jun 02, 2019 22:47 HP Fax page 20 if Commonwealth of Massachusetts Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 169 Cedric Road Property Address Kathryn Garlick Owner 0wrler's Name information is Cenery tille MA 02632 5-30-19 required for every r Vf page. City/Town State Zip Code Date of Inspection I i 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. ```�U\�lptuuupb r��ZN OF Important:When filling out forms A. Inspector Information =�: N on the computer, JaMES •t??i use only the tab James D Sears = —AFAR S- key to move your Name of Inspector cursor-do not Capewide Enterprise �i• p6a"���° 'a� use the return Company Name FS INSp�G��`�``` y 153 Commercial Street 1*rmtnitlwA"'��� _Q Company Address Mashpee MA 02649 Clty/Town State Zip Code 508-477-8877 S 1623 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 5-30-19 pector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under We 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.W26M18 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Jun 02 2019 22:48 HP Fax page 21 y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r; 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name informatrequired is Centerville MA 02632 5-30-19 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: Note: Failed system. The system is a 1000 Gal. Tank D Box and two pit's. 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): t5lnsp.doc-rev.712612018 Title 5 Oftial Inspection Form:Subsurface Sewage Disposal System•Pege 2 of i8 f Jun 02 2019 22:48 HP Fax page 22 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L: 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name information is required for every Centerville MA 02632 5-30-19 page. City/Town State Zip Coce Date of Inspection C. Inspection Summary (cost.) 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): i ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ NO (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ NO (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 ❑ NO (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: 151nsp.doc•rev.772e12018 Tito 5 Ofecial Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 Jun 02 2019 22:48 HP Fax page 23 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name information is Centerville MA 02632 5-30-19 required for every page. CityJTown 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 15insp.doc-rev.M612018 Title 5 official inspection form:5ubswlace Sewage Disposal System-Page 4 of 18 Jun 02 2019 22:48 HP rax page 24 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for voluntary Assessments t< 1� 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name information is required for every Centerville MA 02632 5-30-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cone:.) 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 his less than 6" below invert or available volume is less than '/s day flow Pjr5 ❑ ® 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 forma ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. i ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section C.A. 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 t5inso.doc rev.7/2 812 01 8 Ule 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 or 18 Jun 02 2019 22,49 HP Fax page 25 Commonwealth of Massachusetts ,I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name informarequired for is Centerville MA 02632 5-30-19 required for every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered"yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no" for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as NIA) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of breakout? ® ❑ 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)) 15insp.doc-rev.72612018 Tit e 5 Official Inspection Form!Subsurface Sewage Disposal System•Page 6 of 18 Jun 02 2019 22:49 HP Fax page 26 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments `P ;��J.✓ 169 Cedric Road `Jf Property Address Kathryn Garlick Owner Owner's Name information is required for every Centerville MA 02532 5-30-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: 1000 Gal. Tank D Box and two pit's. 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 ears usage d 2017-55,000Gals g ( y g (gp �)' 2018-101,00013al's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: NA Date t5insp.doc•rev.712&2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Jun 02 2019 22:49 HP Fax page 27 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v- 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name information is required for every Centerville MA 02632 5-30-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercialllndustrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203), Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Tile 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancyluse: Date Other(describe below): 3. Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes,volume pumped: gallons How was quantity pumped determined? Reason for pumping: I t5insp.doc•rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 or 18 Jun 02 2019 22:50 HP Fax page 28 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name Informrequired tion Is Centerville MA 02632 5-30-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cost.) 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/Altemative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank.Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: NA Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 44"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.): Pipeing is 4"PVC SCH -40. t5insp.doc•rev.7/26/2018 Title 5Ofliclal Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 i Jun 02 2019 22:5b HP Fax page 29 Commonwealth of Massachusetts ,ip Title 5 official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Narne Information is required for every Centerville MA 02632 5-30-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6 Septic Tank (locate on site plan): Depth below grade: 34" 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. Precast H-10 Sludge depth: 3" Distance from top of sludge to bottom of outlet tee or baffle NA " " Scum thickness 2 Distance from top of scum to top of outlet tee or baffle NA Distance from bottom of scum to bottom of outlet tee or baffle NA How were dimensions determined? Asbuilt -Tape 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.): Tank at working level. Tank and outlet cover at 34"below grade wlinlet cover at 10". Inlet baffle. No outlet tee or baffle. t5insp.doc•rev.M412018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Jun 02 2019 22:50 _HP Fax page 30 Commonwealth of Massachusetts Title 5 Official Inspection Form j Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �r 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name information is required for every Centerville MA D2632 5-30-19 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 Wnsp.doc-rev.7/26I2D16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Jun 02 2019 22:50 HP Fax page 31 Commonwealth of Massachusetts Title 5 Official Inspection Form w Subsurface Sewage Disposal System Form -Not for Voluntary Assessments F 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name information is required for every Centerville MA 02632 5-30-19 page. CityfTown 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 1° 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 is 16"x21"-4'-2" below grade. Box is falling a part wltwo lines out. Box is loaded wlsolids. Level in Box is 1" above outlet lines, t5insp.doc•rev.7126l2DIS Title 5 Official Inspection Form:Subsurface Sewage Disp osal posal System•Page 12 of 18 Jun 02 2019 22;50 HID Fax page 32 Commonwealth of Massachusetts � Title 5 Official Inspection F korm Subsurface Sewage Disposal System Form -Not for Voluntary Assessments z 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name information is required for every Centerville MA 02632 5-30-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 2 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number,length: ❑ leaching fields number,dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Wnsp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Jun 02 2019 22:50 HP 'Fax page 33 Commonwealth of Massachusetts Title 5 Official Inspection Form , I.' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 169 Cedric Road _ Property Address Kathryn Garlick Owner Owner's Name information is required for every Centerville MA 02632 5-30-19 page. Cltyl"rown 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.): Leaching is two-1000 Gal. precast H-10 pits. pit#1 and cover at 5' below grade. Pit#2 5'below grade w/cover at 17" below grade. Both pit's are failed. Need to replace leaching. 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 Cf6cial Inspecdon Form:Subsurface Sewage Disposal System•Page 14 of 18 Jun 02 2019 281 HP Fax page 34 Commonwealth of Massachusetts ,io Title 5 Official Inspection Form 1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Wt 169 Cedric Road Property Address Kathryn Garlick Owner Owner's Name information is required for every -Centerville MA 02632 5-30-19 page. Gty/Town State Zip Code Date of Inspection D. System Information (cost,) 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.00c•rev.7126M18 Tltle 5 OfEclal Inspection Form:Subsurface Sewage Dlsposel System•Page 15 of 18 i Jun 02 2019 22:51 HP Fax page 35 c Commonwealth of Massachusetts Title 5 Official Inspection Form 1. Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 169 Cedric Road pre- d Property Address Kathryn Garlick Owner Owner's Name information is Centerville MA 02632 5-30-19 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system,including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet. Locale where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately A � O 0 O t� O -� ' 33' P'3= 6-3 = �o , t5fnsp.doc-rev.YW2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 18 of 18 Jun 02 2019 22:51 HP Fax page 36 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments V 169 Cedric Road L� Property Address Kathryn Garlick Owner Owners Name information is required for every Centerville MA 02632 5-30-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to sigh 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: pate ® 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: Abutting property 20'+ Before filing this Inspection Report, please see Report Completeness Checklist on next page. I5insp•doc-rev.71261201B Idle 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Jun 02 2019 281 HP 'Fax page 37 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 169 Cedric Road Property Address Kathryn Garlick Owner Owners Name information is required for every Centerville MA 02632 5-30-19 page. City(Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed& Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4(Failure Criteria) and 6(Checklist)completed ® D, System Information: For 8: TighVHolding 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 19 r 00 PIT Q I Na G w� 15nsp.04oc•rev.7126r2018 Me 5 Otrtdat Inspection Form:Subsurface Sewage Disposal System•Page 18 o118 � w IKKE T �o� Town of Barnstable Regulatory Services 9 MASS. Thomas F. Geiler, Director lFD MA'S Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Health Complaints 20-Oct-03 Time: 11:30:00 AM Date: 10/16/2003 Complaint Number: 17135 Referred To: DAVID STANTON Taken By: DAVID STANTON Complaint Type: Article X Detail: Business Name: Number: 169 Street: CEDRIC AVE Village: CENTERVILLE Assessors Map_Parcel: Health Complaints 20-Oct-03 2 ASSESSORS MAP NO: PARCEL NO.: FFZ.. .C> ....... ............... No.- ......1.Q—112 ----------------- THE COMMONWEALTH OF MASSACHUSETTS Or OF HEALTH 149 .......0 F - ......................................... Allpfiration for Uh4patia1 Workii Tunstrurtion Prrutit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Systa ........... ..... ............................ .................................................................................................. j Locatkw•Address or Lot No. 0 Address L ...................................... ............................ ......... ........................ ......... ...................................................... ta, r Address U Type of Building Size Lot............................Sq. feet —No. of Bedrooms ....................Dwelling ................(3 .......Expansion Attic Garbage Grinder PL4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ..................................................................................................................................................... Design Flow............................................gallons per person pep-day. Total da*1 fl ...........................................gallons. 04 Septic Tank—Liquid capacity/0.20-.gallons Length.......6...... Width__.._.. ....ODiamieter---------------- Depth____________.._. W V..... �4 Disposal Trench—No_............... Width___......___.__.____ Total Length_._.__.__._,.____._. Total leaching area....................sq. ft. Seepage Pit No._______,.._____.__ Diameter..../.0----------- Depth below inlet___.._____...... Total leaching area..................sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by......................................................................... Date---------------..---------------------- Test Pit No. 'l................minutesperinch Depth of Test Pit_-__________________ Depth to ground water...____-__-__________-. f3, test Pit No. 2.................minutes per inch Depth of Test Pit_..._.._______._____ Depth to ground water_...____....__.__._.___. Ix ...................................... ..................................................................................................................... 0 Description of Soil......................................................................................................................................................................... W U ......................................................................................................................................................................................................... -----------------------------------------I---------------------------------------------------------------------- ...... ------------------------- U Nature of Repairs or Alterations—Answer when applicable.------- "------- .......................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL!'I!E, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee h ,board o health. e ... .... . ...... ... ....... .. .. .................................. ... ApplicationApproved By--------------------- ..... ...... ........................... ........... Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... I Date PermitNo........................................ ..... Issued_....................................................... Date J" J" f A NdS.:............/Q-73 Ftcs............................. THE COMMONWEALTH OF MASSACHUSETTS -_--.-.._- .- ...------BOARD OF HEALTH :4:i'!�►1.......OF............ " �� ........................................ Appliratiou for Di-sposal Works (>z.e ns rurtilaat thrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst A '............1Jw- ------------------- --•---•----_____---------_____-__--___----- ---------••-------------__---------_------ Locar-Address /)� •-•----------------------------•...._or Lot No. -••----•-••-------••••-••-•................•--- O er Address .................... ........ ---------------------------------- -------------------------------------------------------------•----------------------•------------ ta1 Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............3...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------•••-•---•-•-••-•-••••-•--••••--------••--••-••••-•-.....•-•••••--•-----••--•---..........-•- W Design Flow...........................................gallons per person pe Septic Tank—Liquid capacity_ ..gallons Length._._••d-day. Total da•l flow............................................gallons. W ..... Width Width------Z.----- Diameter__-_____-__-_- Depth................ x Disposal Trench—NTo..................... Widt .................... Total Length.._....._..._. _ Total leaching area*-___-_-__-_______sq. ft. Seepage Pit No------- Diameter..../0........... Depth below in.1et....... ....... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-.-___-____-____-_-.-__. 04 -••-•-••-•-----•-•--••-•-••--•--•-•-•••-----•-------•••-•-••------•-•........_•-•..................•................................................... 0 Description of Soil...................................................................................................................................................................... -•- W U •-•-•--••••••-•••-•••--••••••----•••••••••----•------•--•-•-•••-•••--•---••-•••--•-----------••--•••----._...-•--------------•-•---•-••-•----•------•--....••-----••-....•-•------------••-•----••----•. -------------------------- ---------------------------- ...................................................... ---- .......................... U Nature of Repairs or Alterations—Answer when applicable.____. ...-^'��^ '.._��' ._-1"_ .......................... - -•••....•---•-------•--•-----•-•-•-••-•-----••-•-----•-••-•---•••••--•-••-•-••-•--•---••••--•......••••••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been,is u y-h bo�arddoof health. / ed' f `J ...``. C�fr/�'__�,r........ �6 / - Application Approved By---••-••--•-.`'`-,-:�� . . ------.�'L� ` /..............:.: � a Date Application Disapproved for the following reasons-----------------------••------------•------------------•-----------------------•------------------._.....--•-•- .........-•-•--••-•-•--------•-------•••--•-•-•-•--•••-•--•--------•--••••....•--------------------••-•---•-----•--•-•-.._..•••-•••-----•-•••------•••-•-•-•-•----•-•--•••-•-••-••------•-••-------•---- Date 0117 PermitNo. ...... ............. Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS — OARD OF HEALTH .......�w.l....O F.........\..��.-. ..-r .. .............. . .................................. Trrtifirtttr of ToutpliFaurr T 'S:I •O CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( } -----------------------------------------------------------------•----•••-•-•---....-•------- CA ___._____^: Installer at. �, has been installed in accordance with the provisions of !;Q4-- 5 of The State Sanitary Code as describod in the application for Disposal Works Construction Permit Nol=_�------44_7:-S.. dated----------/'_.1_-i-. __t_!J__!__ TIME ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARA TEE THAT YHE SYSTEM WILL FUNCTI N SATISFACTORY. DATE..................... -J... Inspector.. �� .._... THE COMMONWEALTH OF MASSACHUSETTS ____ -- B'QARD OF HEALTH �� --: 3 ? O F -- 1V 0 ..�.5.1 7 FEE.........._L............ iu o a =�5 Tonstrurtiun rrutit Permission is hereby granted-------- - `-------- f" =-•----------------------------------------------•---------..............._._. \ to Construct ( ) oyr Ree aair ( ) an Individual Sewage Disposal System \ at No............... .( f 4— ----- . ........... --•-•------••... l street �. as shown on the application for Disposal Works Construction Permit__N( _��'l__l Date j --- .... -_.__._....._ DATE Boac'• of Health ................. - ' �-------�-ll-.S�----- G, FORM 1255 HOBBS &;WARREN, INC., PUBLISHERS X I 0 A P r! Cfi T _� F.j-�`'� :i .-f,='_l T TO V -. _r A 4 c lT IOU __npl-cat:o_L is hereby 77,a6e .or t t0 ,p crate a public, se�li-public, or wad pool. iris pool is to operated according to the minimum standards for swiMMing pools set ?ortll in S of *r:e Sanitary Code of the Common»calth of Massach-usetts. LOCATION /G q Cep dr/c a (°�x, TYPE OF POOL S rce( _LENC-TH .39 WIDTH ff VOi,tPHE�G`/� SKETCH (A detail al-2n must be filed with original application) S-1ZE• Stvl?'ZfTNG AREA NON SINI22iiNG AREA O DIVING AREA COUP,,CE OF t:!_TER Gu A-, lu-4 tr v DISPOSE? OF S ':AGE AND CASTE v:'-_TZR TYPE OF FINISH V .V y C SC2N GUTTER -- DECK• TYPE AND t,TIDTH � / �ON�GYt✓ C•'- SF:IMHERS: WEIR LENGTH 14 TREATT NT SYSTEM (Kind of filters'atc ) /V 5 -3 6 - DISINFECTION rE-THOD (Method, type, capacity etc.) -Z�ZlIVt- odfD k vl Lb CF-EMICAL TtRFA ,ANT (Feeders, capacity, cuantitV etc.) RED-A-KS SIG-NED (/G�OI, 0z Da T g �9 �� _ _ •yti,rl�Or7`� � D� 631� (Perm-its expire. on Dec. 31) E=Ptit t%u7 Y.Q=-5 n K'F.n..=N. INC. L ' 3 I ` TOWN OF BARNSTABLE I:OC:A7i'ION SEWAQE # Lip VILLAGE ASSESSOR'S MAP & 4)kl-1 INSTALLER'S NAME & PHONE NO. �/���'L?/,,s SEPTIC TANK CAPACITY LEACHING FACILITY:(type) / '�� „ (size) NO. OF BEDROOMS PRIVATE WELL UBLIC WATER BUILDER OR OWNER /,/,9 ell DATE PERMIT ISSUED: i DATE .COMPLIANCE ISSUED: 1C� VARIANCE GRANTED: Yes No (,/ i 1` e) h J7 G C l I\ , tT � I UZ C 2 1777 Z- J�ZZIL11W 1 arc f V r e,� Gip OF LOCUS DATA ��� �p�� LOCUS o ED HARD � /, � P �i, °/ G / \ � STONE N ' 7� ��"' N CURRENT OWNER MARIE M. No. 898 � �/ o �\ w %5 per �o SOUZA LOT 40 0 �� —72 0 PLAN REFERENCE 281 ' 1 i i G ° �� \�� 0 DEED REFERENCE 32119-134 ZONING DISTRICT RC / GP /° °c'� 4 �-- \��` 60 28 ° p 39 - 60 LOCUS MA FLOOD ZONE "X" ��<<, NOT TO SCALE: ASSESSORS MAP 149 G�� �`'�� e #169 DECK `S' 19-0120 Gad �p ( moo, PARCEL 84EXISTING OVERLAY DISTRICT STATE ZONE II ,�6`°` F�J� SEPTIC TANK LOT AREA 23,519f S.F. OJ�'p �� o 0 228TO REMAIN LOT 41 SITE & SEWAGE - BENCHMARK REPAIR PLAN 0 10 15 20 CORNER OF CONCRETE BULKHEAD ELEV 60.85 6�= D.T.H. #2 -59 #16,9 '- CEDRIC ROAD 1 GRAPHIC INCH 0 FEET TLE: . J 16.6'H #1 -- '-- PROPOSED S.A.S. IN SUBSKETCH °�'4 (2) 500 GALLON H-20 ' ENT CONCRETE LEACHING CEN TER VI LLE, MASS PUMP, CRUSH 'AND �� N ABANDON EXISTING ��,� SHED CHAMBERS WITH 4' OF STONE DATE: JULY 12, 201 �'� ( � 1 \\ LEACHING PITS IN ✓ `�A• - ALL AROUND. 13.0'x25.0' ACCORDANCE WITH TITLE 5. OWNER/APPLICANT: MARIE M. SOUZA LOT 38 LOT 39 169 CEDRIC ROAD _ 2s,5,9f 0 CENTERVILLE, MA 02632 H. #2 Ilk 1°�y 508- 776- 3940 ' 61y�1° SHEET 1 OF 2 5.0' I PREPARED BY: ,s.2' 13.0' D.T.H. #1 EAS SURVEY, INC. 0 30 45 60 P. O. BOX 1729 16.6' SANDWICH , MA 02563 GRAPHIC SCALE: 1 INCH = 30 FEET `!4 SITE PLAN CELL (508) 527-3600 r VENT EAS.SURVEY@YAHOO.COM / I f •:,� 1 VENT RAISE COVERS TO WITHIN 6" OF FINISH GRADE '( SYSTEM DESIGN t CENTER CHAMBER RISER DESIGN FLOW TCF = 61.70 FINISH GRADE i RAISE TO WITHIN 6" GRADE 60.6 -: ELEV. 59.9 FINISH GRADE 3 BEDROOMS AT 110 GPB/D 33-5 GPD OF FINISH GRADE \ 8 ELEV. 59.6 FINISH GRADE 60.0 T�o REQUIRED SEPTIC TANK TOP ELEV 56.20 3.8' MAX / _ 330 x_2__ _ _____660 GAL. EXISTING 4" PVC 20'@S=0.07 EXISTING SEPTIC TANK = _1.000_GAL. 40 -+r--�-- 4" PVC SCH 40 8' ®S= 0.01 O O O O O o o O O O O O o INV.= 2 MIN-3 MAX 8.20 OOO o o O O O SIZE OF LEACHING FACILITY REQUIRED T7SCH TO REMAIN EXIST.57.02 10"TEE71�STALL4"TEE INV.= O 00 OC O 00 00 56.85ZNV. 0000 0 0 000005'-7" EXIST. DESIGN PERC RATE <2 MIN./INCH 4'-61/" BAFFLE OUTLET / TWO 5'-0"x8'-6"x3'-O" H-20 CHAMBERS` LONG TERM APPL. RATE_214_GPD/S.F. 2 4'-1" LIQUID LEVEL 20 DB3 55.42 INV.=55.20 S.A.S. (13.0' x 25.0') o w / SIZE OF LEACHING SYSTEM PROVIDED: .=55.28 DATUM: LBOT. a o 53.20 330 _ 0.74 SF/GPD = 495 S.F. MIN. REQ. vi Lo VERTICAL DATUM: EXISTING 1,000 GALLON ELEV. 48.1 ✓ USING H-20 CONCRETE LEACHING CHAMBERS _MSL± / BARNSTABLE GIS SEPTIC TANK TO REMAIN WITH 4' OF STONE ALL AROUND BENCH MARK USED: CONCRETE BULKHEAD BOTTOM (13.0' x 25.0') = 325 S.F. ELEVATION 60.85 CONSTRUCTION NOTES: SIDE WALL (13.0' + 25.0') 2x2 = 152 S.F 19-0120 00000 0 0 00000 477 S.F. 1. CONTRACTORS / INSTALLERS SHALL VERIFY GRADES AND O O O o o 00000 ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING 0 00 00 0 O 0 477 S.F.x 0.74 G/SF = 352 GPD SITE & SEWAGE WORK ON THE SITE. O 00 00 0 0 0 352 GPD PROV > 330 GPD REQ. = 22 GPD RES. 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE REPAIR PLAN WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT --4.0' 5.0' --�--4.0---� NO (GARBAGE DISPOSAL / GRINDER ALLOWED) IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. I TPT-19-76 16-Q 3. VEHICULAR TRAFFIC, PARKING OF VEHICLES AND PLACING 13.0' /j` MATERIALS OVER THE SEPTIC TANK, DISTRIBUTION BOX AND D.T.H. #1 D.T.H. #2 ib S.A.S. AREA IS PROHIBITED SIDE VIEW DATE: 7-5-2019 DATE: 7-5-2019 CEDRIC ROAD GROUND ELEV. 59.6 GROUND ELEV. 60.0 GENERAL NOTES: I CERTIFY THAT I AM CURRENTLY APPROVED BY THE NO GROUNDWATER NO GROUNDWATER IN 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. DEPARTMENT OF ENVIRONMENTAL PROTECTION TO CONDUCT C E N TE R VI L L E MASS TITLE V AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS A A SOIL EVALUATIONS AND THAT THE RESULTS OF MY SOIL FOR SUBSURFACE DISPOSAL OF SEWERAGE. EVALUATION ARE ACCURATE AND IN ACCORDANCE WITH 310 LOAMY SAND LOAMY SAND 2. AT LEAST ONE ACCESS POINT OVER TANK TEES SHALL BE CMR 15.100 THROUG 10 10YR 4/2 " 10YR 4/2 DATE: JULY 12, 201" ACCESSIBLE WITHIN 3" OF FINISH GRADE, WITH ANY REMAINING �__ _ _ _ 8 6' ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. ___ __ B B 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE EDWARD A STONE, CERTIFIED S IL EVALUATOR LOAMY SAND LOAMY SAND OWNER APPLICANT: CAPABLE OF WITHSTANDING H-10 LOADING UNLESS 7.5YR 6/4 7.5YR 6/4 OTHERWISE SPECIFIED. 28" 24" M AR I E M. SOU Z A 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION �� INDICATES DEEP c-1 c-1 OF ALL UTILITIES PRIOR TO ANY EXCAVATION. DTH #1 SANDY LOAM SANDY LOAM 169 CEDRIC ROAD 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE DA TEST HOLE 10YR 6/6 10YR 6/6 OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. 6. FINISH GRADE SHALL HAVE A MINIMUM OF 0.02 FEET PER F H R Y, 42" 48" CEN TER VI LLE, MA 02632 FOOT OVER THE S.A.S. AND DISTRIBUTION BOX. 0 1 11 INDICATES EL. = 56.1 EL. = 56.0 5 0 8-7 7 6- 3 9 40 7. SEPTIC TANK SANITARY TEE'S SHALL BE CONSTRUCTED OF srE P-1 64" PERC TEST SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6 ABOVE SHEET 2 OF 2 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND Ni nR ' NO MOTTLING C-2 C-2 64" LOCATED DIRECTLY UNDER THE CLEAN OUT MANHOLES. NO WEEPING COARSE SAND COARSE SAND 8. THE INLET PIPE INVERT ELEVATION SHALL BE NO LESS THAN 7/ �L /� 2.5Y 7/6 2.5Y 7/6 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT tt f �� 48.1"INDICATES ADJ. GROUNDWATER PREPARED BY: ELEVATION OF THE OUTLET PIPE. NO G.WATER NO G.WATER � NO OBS. GROUNDWATER 138" 138" = 48.5 E A S SURVEY, INC. 9• THE SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES EL. = 48.1 EL. 10. THE OUTLET SANITARY TEE SHALL BE EQUIPPED WITH A GAS BAFFLE, 4 INCHES IN DIAMETER AND CONSTRUCTED OF 4" PVC B.O.H. P. O. B 0 X 1729 11. ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND NO OBSERVED GROUNDWATER DAVE STANTON SHALL BE SLOPED 1/4 INCH PER FOOT MIN. EXCEPT FOR THE I DEPTH TO BOTTOM OF HOLE 11.5' SOILED.EVALUATOR S ONE SANDWICH , M A 0 2 5 6 3 BE LEVEL FIRST TWO FEET OUT OF THE DISTRIBUTION BOX WHICH SHALL VARIANCES REQUESTED BACKHOE OPERATOR. 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION JOEY DeBARROS TO EAS SURVEY INC. FOR B.O.H. AND DESIGN ENGINEERS REVIEW NONE SOIL TYPE: 1_ CELL (508) 527-3600 AND APPROVAL. PERC RATE: <2 MIN. PER INCH EAS.SURVEY©YAHOO.COM 13. MAGNETIC TAPE ON ALL COMPONENTS. LOADING RATE: 0.74 GAL/SF/MIN ,