The URL can be used to link to this page

Home My WebLink About0040 COTTAGE LANE - Health 40 Cottage Lane Centerville 229 088003 IV UPC 12543 N0. 53LOR ,TOWN OF BARNSTABLE LOCATION 1410 C(// �A 6� �_ SEWAGE# -Z c 20 VILLAGE �' r� //j' C ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. G � ] f91od SEPTIC TANK CAPACITY LEACHING FACILITY:(type) kUi ' AW—C 3,/JJr1I jn(size) NO.OF BEDROOMS OWNER PERMIT DATE: l a_u COMPLIANCE DATE: la 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 - 1 G�v'Z-07-Ile -6- ✓ ` At �� No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4pf tatlon for NopoSal *pstpm Construction VPrmit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.Ile C6 e 41Z C' Owner's Name Address,and Tel No. Assessor's Map/Parcel g i v Installer's Name,Address,and Tel /L 0-M E>i'v1 p/— Designer's Name,Address,and Tel.No. Type of Building: a Dwelling No.of Bedrooms Lot Size 0 0 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures L/ Design Flow(min.required) gpd Design flow provided y gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank / Type of S.A.S. p ` f� Description of Soil ref— Nature of Repairs or Alterations(Answer when applicable) 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 o ealth. Si / Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ' Date Issued - ---------------- - ----------------------------- - - -- --� No. �U Fee /V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,.MASSACHUSETTS Rptication for Disposal 6pstem Construction i3ermit +� . Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components . Location Address or Lot No.,55/6 �p7Tc�/P L,7 C (/j/�o� Owner's Name,Address,and Tel.No. w Assessor's Map/Parcel X r�.�1 '. ./ % fl , s I+ Installers Name Address and Tel. esigner's Name,Address andrTel.No. �>< 6� / ycf�r Type of Building: Dwelling No.of Bedrooms Lot Size e �sq.ft. Garbage Grinder( ) Other Type of Building /,r No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) G//�/r, gpd Design flow provided `gpd Plan Date v Number of sheets Revision Date %r r Title r f^ �. Size of Septic Tank 7 i" _ Type,6f S.A.S. Description.of Soil. ; �,. ✓/ -L / 4:Tom/s. r � r. Nature of Repairs or Alterations(Answer when applicable) `%�j, {��y` ��J r_=5 !�4 I , Date last inspected: i 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 // /_,"'n Date Z— Application Approved by Date � / -2—) , 4. t •- Application Disapproved by Date for the following reasons ' Permit No. U — �-� Date Issued ------ -------------------------------------------------------------------- --------- ------ --------------------- ------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Cotnpiiance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(�)` Upgraded( ) Abandoned( )by i//1i, at //i/ i '/r ,;, �,�,// �r/i,:'has-been.constructed in-accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 7o V—171 dated 1 — 3-d Installer Designer l #bedrooms Lf Approved design flow �-F a�j gpd r The issuance of this permit shall no),be construed as a guarantee that the system will(fu cri-fir try gned Date (i Inspector V u` �/ AC> & ) ----------------------------- - ----------------------------------------------- --- ------------------------------------------------- No. f! Fee z THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS wr� Disposal 6pstent Construction Permit Permission is hereby granted to Construct( ) Repair( )_ Upgrade( ) Abandon( ) System located at /-_, ,, / a. - ,, �, l%, ',. 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. t� Provided:Construction must be completed within three years of the date of this permit. Date _ !7 Approved by Town of Barnstable Inspectional Services Public Health Division. HAnrisrnBM MASS � Thomas'McKean, Director '°rFo►u►�A 200 Main Street,Hyannis, MA 02601 Office: 508-8624644 f=ax: .508-740-6304 Installer & Designer Certification Form Date: 11AR Z7, 2620 Sewage Permit# Assessor's Man\Parcel Designer: D k v;A t�' Installer: Address: t 55 Gee Zyfet P-A Address: OU33 On was.issued a permit to install a (date) (installer) septic system at 40 Col1 w La tc e based on a design drawn by (address) t� d; c( (0vj'� 25 dated ff�t',I ZoZ (designer) V 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 sails were found satisfactory. I certify that the septic system referenced above was installed with major changes ( .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 in compliance with the to rms of the I\A approval letters(if applicable) DAVID � IH n� r� COUGHANOWR /° (Installer's Signature ` No. 1093 � TSVL�� 1 �*� S x�rtit� (Designer's Signature) (Affix Design `mp Here) PLEASE RETURN rO 3ARNS'rABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NUT IiE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. 1\ton\dens\HGALTI-1\SEWER connect\rricmesignerCertification Fonn Rev&14-13.00C �5 Town of Barnstable Inspectional Services Department RNSrABLL MASI Public Health Division i639 10� '�Fc rya+" 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 1777 April 14, 2020 LEONELLI-ELMER, CHRISTINE 610 UNION STREET SCHENECTADY,NY 12305 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 40 Cottage Lane, Centerville, MA was inspected on 01/09/2020 by Douglas A. Brown, 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 Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\40 Cottage Lane Centerville.doc Town of Barnstable • MRVSfABLE, MASSa 1670. Inspectional Services Department `�� '°l fD MAGI Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 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 ❑ Structurally unsound septic tank or SAS O 1 YEAR DEADLINE CRITERIA VA, tatic 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 088- CrO3 Commonwealth of Massachusetts �v ,9 Title 5 Official Inspection Form (/t Subsurface Sewage Disposal System Form Not for Voluntary Assessments 4' 40 Cottage Ln Property Address t t owner Leonelli t information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. Citylrown State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. > Important: A. Inspector Information When filling out p forms on the computer, use Douglas A Brown only the tab key Name of Inspector to move your D.A.Brown Inc cursor-do not Company Name use the return key. P.o Box 145 Company Address r� Centerville Ma 02632 Citylrown State Zip Code 508-420-4534 S14297 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 1-9-2020 `ftect ignature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 40 Cottage Ln Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 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: 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 40 Cottage Ln Property Address Owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 f Commonwealth of Massachusetts r= I; Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ti 40 Cottage Ln Property Address Owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. Cityfrown 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 asses if the well water analysis, performed at a DEP certified laboratory, for fecal Y P Y , P ry, 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: leach field and distribution box are clogged with solids ( photos attached ) 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Cottage Ln Property Address Owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ® Static liquid level in the distribution box above outlet invert due to an overloaded El or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 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.4. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Cottage Ln Property Address Leonelli inform Owneration is Owner's Name required for Centerville Ma 02632 1-9-2020 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 N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ❑ ® Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 18 i Commonwealth of Massachusetts lF Title 5 Official Inspection Form III Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Cottage Ln Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 as-built Number of bedrooms (actual): 4 assessors DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Per as-built card this system consists of a 1500 gallon septic tank, distribution box, and a18x35x.5 ft field. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ❑ No Does residence have a water treatment unit? ❑ Yes ❑ No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonaluse? ❑ Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail: 2018 and 2019 average gpd was 187gpd Sump pump? ® Yes ❑ No Last date of occupancy: Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^ � 40 Cottage Ln V� Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Cottage Ln Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the 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: 7-17-96 per as-built Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts lF Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Cottage Ln Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: 1 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: 1500 per as-built Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle 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 How were dimensions determined? . Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Pumping is recommended tank has not been pumped in a while from the looks of it. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts 1p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Cottage Ln Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ 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 l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Cottage Ln Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert liquid at top of pipes 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.): Photos attached of extremely heavy solids in d-box and into leach field pipes indicating failure. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments L 40 Cottage Ln Property Address Owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. Cityrrown 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: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 18x35x.5 ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts �m IR Title 5 Official Inspection Form III I' Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �^a � 40 Cottage Ln v Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. CityTrown 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.): Pipes into field had heavy solid carry over from d-box indicating failure ( see attached photos ) 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.): l5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 18 Commonwealth of Massachusetts ,i Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 40 Cottage Ln Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 f - Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments L 40 Cottage Ln Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 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. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 Commonwealth of Massachusetts �n ,p Title 5 Official Inspection Form J. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Cottage Ln Property Address Owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: 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: System in failure so I didn't check depth to ground water. But the property is on Long Pond and there was a sump pump that was running the entire time we were there so ground water is close. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts �m I Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 40 Cottage Ln u Property Address owner Leonelli information is Owner's Name required for Centerville Ma 02632 1-9-2020 every page. City(rown 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, 2i 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Assessing As-Built Cards Page 1 of 2 TOvvN OF BARNSTABLE LOCAIIOENfi.r"� C a _�•, H(Q SEWAGE# VILLAG h7e R"U t U Pi ASSESSOR'S MAP .&LOT n'S>�e INSTALLER'S NAME&PHONE NO. !�41=10.` SEPTIC TANK CAPACITY L UP CAL LEACHING FACILITY• % •(type)�1? (siu) ��g,��J -NO.OF BEDROOMS 3 OW IN e _BUILDER OR OWNgR v 1 PERMTTDATE: ZA,rl COMPLIANCE TE: ^fz Separation Distance Between the: , Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of �faci'ty) Feet Famished by ffi A -E= 5(�` qccoc 43' V https://townofbamstable.us/Departments/Assessing/Property_Values/HMdisplay.asp?mapp... 1/14/2020 Assessing As-Built Cards Page 2 of 2.. https://townofbamstable.us/Departments/Assessing/Property_Values/HMdisplay.asp?mapp... 1/14/2020 s y r� +l�,, .-�` � r''''+ �� •�b� '.� 1 '«�.� . vane ,ti gi�•w� r` wit < ��.�' '�'`S.<•. . .�. .a �.�_�' r anti" � ��'4 tC . x • V+ ~ , i"x,y`, }"Yi �♦ 'Yk <P...' + %,"';y +„�" a.,,y,�A :' w "«ttt.' lit.t Pt ' " yf,� • /` ,r a �.• • ,� . „ �, i iY,•["`+t,.,. .'t '` 4.. i �,,�r". s, t�f"., '.'p` ��•`i`y�-;�� y"� � ` i• � - ( r. 4`� 2 «- �i,F n1 1, yi.A T�.�y� �� •• � 4,,•� i.3 , � ,,.�' � ��"�'+'�#� L.. •„�fir. �C'+y, � * ;w '••i' "iS ,�;�'X.+y`�+` �email: .\�1� •«�, �•',3s. a�"i .^�.'!�0• >'1-a� :. > . . a a �w� t �' 9` � .a'� g aa,{'.* ,,�:�."'t•r�+.�.t'*<, •t '•'w �m.s"� �� "'�, , kln ¢�.+��,' t.'-t r <a. 1 'Y ;'rx' rn«b •' „Y.t .r''•. i' +l .L '•i:y w} lt• r' fA 4. .", A ° . �� sa1t. �: i"r .%° ��„`,as �-F� s tli,"� �:.M��t �`��Jpl > ��• 'j � R� L` � ` •a• r •M � 0 �"w w." � '�•{ «'r,.R a. I ! �t �:'Ga t • '�(� �t�' �t��t. aGz b „a t}' •� � �,hR "� � �1�x " ''.� a`1" '•`'a a;y",�'' 'Jt' w`.: 'V4 - '�y ' +` 'lA•�F�`,+'y.'�a ` .y. E,'X r`�-1,, • i �'��±< �'�dry. . "'� �,,, +��,�`7 � . fj �/, Y. "' ��' `i �`y�'y \t�� i >� '� �` • i�. _�q{1 0.�'+� t ��dj ��. • -►+ ti«_'+� aR �'.` ��'��"'� ;`'` { 4 .,tits '0�•"� 1, . ' _•! a�7.1 v K;- ��S' ~° ��b'�S'�' '• '''•t / e?'` t •`y x rz �i' + t y � f $' G�Vr ' R W.. tr' r � •� yY`` � � �y�l ta•" Rx,rjYt•,p}tS"•+' �t'• n 't� •'`.r,`.-lI�1• y;�� vx, v, ,p/ *# I. t•s.ia' aR ; • .1't 4 .4 r`.. ""f:"• a.. t,.`,.�,N �,•a,'y:♦ _Cw^, `? M y•e 'ay as�� s d' • f] a�tw +two (•i, c �b �3 < * '.A s`� 1. ,►�it(, � �y 'ems t� a :,� � � •�3 t�(`�T;• d'��P� '.•r�Y e.y r+ fat.�'�:�.'�-t1•t: � t' , '� x1 ♦, ,. a5,'�.1y. �t# W `}j is •1i w` tt' Y'1e « Wit_ / ,S � R ,•t _ �� t? f '.. ••roFr, fit- � s�,�a�*!�M ♦ 'C'-" ;�i �ys� �+•.1 r�e.[F�yvt �`.r .tx 'a�tt �.R �,r• ,�� ,� Vta ��' =l..t` y e ��," x .RA to"� "w� * R�.+ ,•"aN v,+pl 1 , r�iF°� �'xt(- v.t•r 'a "`y ,•� `nt, '',. �•*/ V •i .�•,',*��a�;twY i!a'd'1^�p t"ta,�.s ( { +"; + k�! .�'� � F f ''r!j• .�r:.+.� .C,'w"4' �, 1+.`l R ..fart'�". , • t,, �. „y «.. ++��++" x •• � � a �,� i� � .�'"s. „� a�Ti."?r ��-R"��r} J�S4 �w� +�j ° r\�`�4r•�'� � �`Y�".�� C w:.•�y°��' g+sQA74�z.�a�;� • 1�. + 1! •a Y= J►'.. � . ��e� � �sy e,C�� r i w...!'�! �. 3 "-, w • +,x„ Y� R �', 1}+ `x: rti• � �}'A-'� K'�'��''.� «�4•�• :ya'��'��,,t.a•.if• _.;•.!�'� v {,\fit �ryb�t., .�, . !t 1aL ��. +"�'-,�e�• rr'.• J�.�r"�^r+`i`�.. �e�r' <��{ ..i. I�! 1 � b ��i •4 s••.S.Vi.�. Y��'+ " � _ y...{ ram• i..i�r ,Ca `ice" '` Y,.,.� s9t'' b i• {,�.'^''!(,ay` ' �v• a�l . �•Ay`�' r1 /: •~' „mow p e • ` a }�� .°e• ,',}( •b, ,ti - �� l:�• Y 1". 4,t, • .- ,�f a ,. '�w 't (a 17 9 �1 ! O t,(a." 'sky. r t! •��ti r"i`4�a {+. #_ r��s_i f''d+ .+i' ,�• i�r,�"!. 1' r 1'�'<S�� i s's. 3� ..Ir r" �, „�r �'�• } • 1 tf,''•. ti•�� 'a ;� i. ��... �Y,��.+ „«`a r :a`. s`''S « t/►�� , .'� �3'• 'i"r �"• ' �.+�yJ- +r``"•, P• .,:'n♦ I�wR � }, �! «e..s »` "•t'�= - taa t aJ°.-r� rf'�' w J r �p 'a �+iF «In �r g v'► '. a •1 4 ti w t"if f v`f•_'q `- i) 1 s, = . •�+ • . a t t'a` �`i _ i ♦ , a �� " #,x•�� y* yam♦ +1'1•r'" t• t+ ��.A` 1• < 1^"`r t o / �� N r � �r �1�ti• L F n 'F �,,irr ��` a t �a•• it �t' 19 +ti t� 'h t '-•'ar. - '�:�`� 1.��.-''�I'��,� +' _ .�,,�rt.•a i ' ^+ ��ynY�,^� Y " ,�,t�''�+-,,,,,, � ,.1 !t -i,f�,,ra'lt;��j. 3 a �s` z, f.lA •, +`r �" •. 1' *a« S ,yam�"r t.t.. +wa1 f��aa'4 «f 1, d ' �Y ��w t" �, °�.. 4" �,•* ,*F ts('t'.Ari OJI tit 4 s-9 Y,z*t `�r� �� L `I r �, +� : "��b`'�tr� `''+r" ,tj•,. � y^ "S•4 ��t .,�.�,,Y"f# 'v I i No. oy Fee N'SI S 4c, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓� Yes PUBLIC HEALTH DIVISION --TOWN OF BARNSTABLE., MASSACHUSETTS 3pplitation for 30th5po t *p aem (Con.5truction Permit Application for a Permit to Construct( . j Repair(✓)Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. 410 co�t�� L� Owner's Name,Address and Tel.No. (��l M ed �� /�d �•- , Assessor's Map/Parcel C&JT&Pv1 LL(T -00 i6-2 v t c,,-C—let4, Installer's(Name,Address,and Tel.No./� Designer's Name,Address and Tel.No. iv, 01C iqtejfL4 to 071A Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1014-mi Lrn/& P'e9lb ,�n✓ 9A 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 T' e 5 of the Env' enrft ntal Code nd not to place the system in operation until a Certifi- cate of Compliance has been' ed by is Board o ealth. Signed Date- ' Application Approved by A.J Date -{T�f Application Disapproved for the following reasons Permit No. 2 CIO S4—s—,(�� Date Issued No: 0 d 'Sr' Fee + THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC•HEALTH-DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS — ZIppYicat on for ;Migpogal Opgtem Construction Permit F s Application)for a Permit to Construct( . )Repair K-).-U'pgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.4r0 corrA CrE (—A) Owner's Name,Address and Tel.No. f1 m el tW i p Assessor's Map/Parcel C&&.I-r6,Lou I I- Installer's Name, Address,and Tel.No. Designer's Name,Address and Tel,No. ?Q+�K� CA-d/-1-77 d -U 4 CI /A f l re,4d (e 0764 Type of Building: 'Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( )' Cafeteria( ) Other Fixtures Design.Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title g - Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) h, Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance witk the provisions TT'�le 5 of the En .ie errm' nta Code nd not to place the system in operation until a Certifi- cate of Compliance has bee rued d b this Board Health. t/ Signed -'� Date Application Approved by ` Q4k> Date_T),e-0 Application Disapproved for the follows g reasons Permit No. 2 00 t1-S / J� Date Issued THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE, MASSACHUSETTS n/I�,� ��lre ( tPhceey+Q:� !— (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (,,)Upgraded( ) Abandoned( ) y Y t'e at Cu a "n _ has been constructed in accordance with the provisions of 747tie 5 and the for Disposal System Construction Permit No.,2w t(- dated 9 �1 Installer Designer The issuance of th, peJ 't shall not be construed as a guarantee that the sy win wi I functio as de/signed. Date I b/uN Inspector 1 rL-. �IC�IE� — ------------------------------ No. 2 Oy _0� Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mizpogal *p.5tem Construction Permit Permission is hereby granted to onstruct( )Repair(� )Upgrade( )Abandon( ) System located at V o c of_Z4.e and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Constructiorus t be completed within three years of the date of t t. Dater Approved by 2 + No. / � s Fe ? t o THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETT y 0 01pprication for Woogal*P-5tem Con,5truction Vermit Application is hereby made for a Permit to Construct( V)or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Add�ss and Tel N_1_� vic.c�' C�u� C^IG � / � Installer's ame, ddress,and Tel.No. Designer's Name,Address and Tel.No. U�� A fl1f1&AUK �ewN 93s �qin/ ri Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures [f� Design Flow 7 gallons per day. Calculated daily flow !?E3 gallons. Plan Date /3 f G Number of sheets Revision Date Title X-1—C—A+-O Pc-4 J 0,9= /3fS- 9.,0 1Xra- Zj� /N 741c4— ??1WAI 0—TCEn17G�e✓/4CE) CC—�/`! f1e�P,y�tCoo �02 !r't�Y GOG / Description of Soil o''— Le .*f o Z 2,F'-'- 76" G cc,¢,eJ'c— s P io s' 76 3 " e 2- Af60. J,9tAJ0 /o y/L c Z_ 08s�,e✓�-� �o Nature of Repairs or Alterations(Answer when applicable) 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 Cod and not to place the system in operation until a Certifi- cate of Compliance has been i u t .s alth. Signe Date Application Approved by Application Disapproved for the ollowing reasons Permit No. 1�9 Date Issued n A , ..r. �.....- ,.n.,, j7....., a... i. t+t�F.�-'4... .i. ..wa.r�- �l Fe 0. THE COMMONWEALTH OF MASSACHUSETTS ' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETT ' pplicattion for!Migogal *pgtem Congtruction Permit Application is hereb de for a Permit to Construct lw<or Repair( )an On-site Sewage Disposal System at: r. Location Address or Lot No. Owner's Name,Addr ss and Tel.No. ��jM— �A�. a�rH 2U,` cc,�. �e v�Lc� C7 u�� Cale► / fru r4 �5' S"1 8T" 6 d - 7 � to 7 4, 1 Installler''sJPame,Address,and Tel. Tel.No. 1i Jy��(��1{�� J �/� Designer's Name,Address and Tel.No. / V �y1� a/CJUV ! DOc.rN �A�'c C—NGrNGc=%�1NG— /�vG r i r�39 /+s.vir�/ S%' }%4 RMoc.Tk -r"o/f—'Ir A40 Type of Building: Dwelling No.of Bedrooms— 1 Garbage Grinder( ) Other Type of Building No. of Persons ' ,. Showers( ) Cafeteria( ) . Other Fixtures Design Flow T 0 gallons per day: Calculated daily flow gallons. Plan Date 61/3 :f'G. `i gmvoeofdsk�`et`s` Revision Date `Title X/- A /x/ TNT _ TOWN a>C' c't�N il=�'✓/LL F 1,j,4r.v :,v Qc.C�NfA.sJ fi•2G PAA:C� �02 �=uy GOC�%T/ ` Description of Soil O"- "A Iri.�•v r c o A.rI a ,,2 2— Z� "- 7(0 " C C aH�IE J�4,s/G /d y�2 .5 G 7G � /3 4/ C MEN. J,4iy0 /o Y2 6 Z_ /r 1 `J Nature of Repairs or Alterations(Answer when applicable) Date last inspected: n Agreement: R 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 Cod and not to place the system in operation until a Certifi- cate of Compliance has been i sued-b this oord-o ealth. Signe Date Application Approved by . Application Disapproved for the ollowing reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS f. Certificate of.Compliance THIS IS TO CE TIjY,th t the O -site Sewa Disposal System installed( r epaire replaced( )on "`7� by J1i �G D .G �D!!�4l)for t✓ 2�__ ti as has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No, 4'G .3ko dated Use of this system is conditioned on compliance with the provisions set forth below: x� .r No. AoZ�� ../ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC.HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mig garYAL6 *p Congtructton Permit Permission is hereby granted to &5A 17 to construct(✓ )ega"ir( )an On-site Sewage System located at �" w ( and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. rn All constructio mus be gompleted withinvtwo years of the date below. o e Date: Approved by N �' 1 • I C' va (lot Ba qv Jl� �ct @L v cr t� �S' IF MAP.129 89 88-1 #1413 :T MAP 229 MAP 2a9 118 #86 #36 ' '&P 229 W,11379, 1 I. A2f9� 1 MAP 229 9�0- 1 8-2 P 9 a 42 ` f MAP 229 #40'; MA919 1P / #101 117 MAP 229 PARCEL 088 Ext 003 With. 100 E ,� ft ALE: l =100 - s. )TE: Planimetria,topography,and **NOTE: The parcel lines ore only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted ►om 1995 aerial photographs by the James etation were mapped to meet National of property boundaries. They are not hue locations,and W.Sewall Company. Topography and vegetation were interpreted from 1489 aerial photographs by GEOD tti Accuracy Standards at a scale of do not represent actual relationshi s to =100'. on the map. p Physical objects of u scale of 1PIan 00' Parcpel I neshwere digerhzed from FY2002 own of Barnstable Assespsors tax Standards b : —.TOuTT OF BARNSTABLE i SEWAGE# LOCATION W _ VILLAGE (�y�vl 1 ' t 17 �l,C�,' J ASSESSOR'S MAP&LOT-4 + - INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY L SG& 4AL LEACHING FACILITY: (type) T4&EL] t 42W (size) S•�•S�J x .S i NO.OF BEDROOMS '�5 BUILDER OR OWN�R 1Q IRv t d PERMITDATE: s�%,P COMPLIANCE ATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) G Feet Furnished by h �� c= Oi SC 4H� BID C'= I Fj,�S B �- � NOTE:trot all symbob., GOLF COURS. EDGE OF DECDUOUS, EDGE OF BRUSH t-_--7 ORCHARD OR NURSERY v-v-v-v EDGE OF CONIFEROUS TREES S MUSH AREA ----— EDGE OF WATER DIRT ROAD DRIVEWAY PARON6 LOT �--PAVED ROAD / ------- BRAIX46EDITCH a ----- PATH/TRAIL oc PARCEL UNE** ` ILO F-- MAP#E 2 1 E PARCEL NUMBER llim-HOUSE NUMBER 2 FOOT CONTOUR LIKE —iB— 10 FOOT CONTOUR LINE Owdoe based on KGVD29 4.9 SPOT ELEVATION STONE WALL -X—X- DICE RETAINING WALL 229 RAIL ROAD TUC( STONE JETTY ♦ F .�; swIAAMINs POOL PORCH/DECK 0 BUILDING/STRUCTURE y �- DOCK/PIER 40 HYDRANT e VALVE 0 WAKE o POST Ow RAS PME T O W N O IF A R N S T A 6 L C A a O O R A P N l c I N F O R M A T I O N S Y S T a M S U N I T v SIG STDK IIRAIR a *NONE Tbts map N an enlalpealeataf o **NOTE The parcel Dws me only bic repntse�albm DATA SOIIRCES:pialmobow(webomownk"Whin 1M aerial pbobpmphs byTheJames 1'=100 stye map and may NOT meet of pmpeny boundartas They are not Eros bmAolar and W.SmroN ny.TommpAy and weJelaNN was imaprefed ban I M Mw pbgmpbs by GWD ID U111lIY POLE TOWER w e 0 10 20 NaRorpl AmimayStmldaldsatthk doaot adad to ml and winmWiltomedKetiord, SAnda�ds f:\dgn\conservation.dgn 06/21/0210:57:01 AM THE COMMONWEALTH OF MASSACHUSETTS APPRMO BOARD OF HEALTH Bernet"Coneeroabo"W"Wt TOWN OF BARNSTABLE _, •+ wtat:r DwItusal Works Tondrnrtinn ramit Application is here},, pa�de for a Permit to Construct ( ) or Repair e(-) an Individual Sewage Disposal System at: `6- ojG�2�O-k_A_ ........................... .......-....•...................................r............... -•--•-•-••--•----------•.....................-------No.••---•------............»------..-----•. oJcat�ioi�t-Address O �,J /yy�� _ ....................»».........__.. l_......._......1 ------ ----- ......�.1. �...�.... ..... caner ddress W --- � !7 .�.J_ /yI/GL8 - -- .......................................................... ----------------------------- .......................................................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtu i • ------•---------•-•-•-•--•-------------------------•------------------•-----------------------------•- ............................. W Design Flow.....................�7�j ....................... per person per day. Total daily flow_.._...................G................gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.--_______---_-.... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2---•--_-__-_-_minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' •----------------------------------------•-•----•---------••----•-...............-------•----------......................................................... 0 Description of Soil....................................................................................................................................................................... x V .....-----••----•-•----•••-•--•-------•--------•--------•-------•---------•---------------------•-----------•-•--------------•--•--------••--•--•--•---•---•-•----•-••---------------•------.....--•---.. W ----••-•---•---------------••---------------------...-----------------•••--•••-••--•-•------•--•-------•------ .......................................... ......................................... V Nature of epairs or Altera Ions—Answer when applicable___- /lI .Ll ............... . ....................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc�bn a th oard of health. Signed --------- ..... . .... ... -------- ------ r ��/ � Application Approved By ..... .P^--"''�- �•-- y= �e. .' Application Disapproved for the following reasons- ------------------------------------------- -------------------------------------------------------------------------- =------- ----------------------------------------------------------------------------------------- -------------------------------------- ------------ -------- ........................................... ........................................ Permit No. ..........?"11 /4- -_----------------------- Issued .......................................----- ........ .....--- Dare k y _:........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appl rA i n' r Diipniittl Works Tonot-nrfuan ramit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: �//Z-Z IV- . ......___ •-•---- ........ .............. ...........•••-•----•-••••----•-------------------•----•--------•--------..._.........---------•-- or•.• Location-Address a rLoNo.•. Owner Address ....................-------•-•••. •...-•-••-......•-•--•---•--•-•------• •------------ ...................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.................. �.._.....-_-.-___..__..Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............... No. of ersons...._....._......._.._.._.._ Showers G.I YP g ------------- P ( ) — Cafeteria ( ) p I Other fixtures ----------------------------------------- -- w Design Flow-------------------�S-----------__gallons per person per day. Total daily flow.__......•..._�`..............._....._gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by...........................................: ` a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_________-_-____---____. (i Test Pit No.2................minutes per inch Depth of Test Pit.................... Depth to ground water-----------------------. P4 --•••-----•-------•----------•--•••••••-•••--•-•-••--•••--.........••-•................•------------------•-•-•-•-•--•-•----••--••-•-•---•.........•---•-•--- 0 Description of Soil...............................................................................:............•-----------------------•-----------.........-•-••-•-••••--.............__. x c., w U Nature of Repairs or Alterations—Answer when applicable.-___ys. <<- .__._._._,.�cs�► _.%! ______________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has-been issued by the board of health. y I Signed ------.lC�1it�<c J.....e .............................. --------------- ------'/7 �S i v------'- ,.. ° Dale-1 ---'- Application Approved By ..............�� -.. .. ` ----- Application Disapproved for the o lowing reasons: ------------- --= ...........................................................-----------------------------te------------------ ------------------------------------- -- -- -------------------- - ---- ---- --- -------------------------------------------------------------------------------------------------------------- --------------- -------------------- Dace PermitNo. ---------- ------------_----------- Issued -------------------------------------------------- ---------------- Date THE COMMONWEALTH OF MASSACHUSETTS -1 BOARD OF HEALTH TOWN OF BARNSTABLE Gerttftcttte of Tompliance THIS IS TO CERTIFY, That the_Individual Sewage Disposal System constructed ( ) or Repaired ( by------------------ - ------------------------------................ 4,3 ................ — ..................... Installer at ------------------................................................. � 1' s�..------- .................---- �^ - ............... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. _/---0` 1---------- -/�...� ...... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEdAS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r DATE........................... ..o��- Inspector . C�+ r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 124.— FEE.................. �io�osttl �rko �on�#rnr#ion rrmi# Permission is hereby granted.................. /�...----....�Gx/�S7` . • • ...•••••--•••................•--.....:. to Construct ( ) or Repair (/><) an Individual Sewage Disposal" System atNo......................................... ......... .............. .................................. Street as shown on the application for Disposal Works Construction Permit No -� ..... Dated.......................................... Board of Health DATE........ -----;--.�.�----------------------•--------------••---- FORM 36508 HOBBS h WARREN.INC..PUBLISHERS �7J TOWN OF BARNSTABLE LOCATION �U - � Q SEWAGE # VILLAGE VT ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER O I PERMIT DATE: ECOMPLIANCE DATE: '7 I 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 1_ = 1 ►.-Tr - Ig' T= Ltl# �r ,� ICOT0. TAG E'/ EXISTING SOIL ABSORPTION SYSTEM VARIANCE RE O UES TED Nor CENTERVILLE, MA I r� LANE " � TO BE ABANDONED IN PLACE. MAY BE GRANTED IMMEDIATELY BY HEALTH AGENT OR HEALTH INSPECTOR. SCALE Q� Wvm �� 310 CMR 15.2110) — SOIL ABSORPTION FALMOUTH ROAD 39 38 91.76 ft �� oka ROUTE 28 40 � , 36 SYSTEM TO CELLAR WALL. 20 ft MIN -y 8 � c 37 REQUIRED — VARIANCE TO 14 ft `` z / G 117.89 ft SEPARATION REQUESTED. "0 ^I o ry 40 38 PROPOSED SOIL 13 ft -- � � � u 14m, ews A';l Exlsr►NG ABSORPTION PAsVED \ SYSTEM , LEACH ` 38 PARKING LONG POND Laaa. w wp w a FIELD om -SEE DETAIL 1 ft EXISTING 4""'PAREA*404I 1J& RE ER INCH Mq� ON BACK A E A 4na�E GIs o GARAGE , 0 OPQ� ATOM 'fr Q Sa ELEVA HUN 35.82 3_5.8 2 24 in FINAL OAK �N IL IN \NEBa� LEGE ND CONTOUR 36 SEPTIC COMPONENTS REUSE 1500 GALLON - -----r SEPTIC TANK _ UTILITIES INSTALL 1000 GALLON PUMP - 20 in / - -- - EXISTING ' 34 CHAMBER OAK I 4 BEDRGo�f,' li WATER LINE —Q— I W WATER GATE O DISTRIBUTION BOX❑e • 0 -- • I / / p DWELLING GAS LINE TEST PIT TOP OF FNDN GAS GATE O �I / 0 JQ �A EL _ 35.20 ♦- _--i TEST BORING �'/0 0 --; 39 c,0 Z 1 38 —�- --� — / 32 •�. S GARB lV �}/ / i T i G R I II - 36 I � � OT 30 OWED 3 4-1-- / I LOT B Q �_ 0 28 32 ( ) AREA = 29000 sf+- / / �N OF hlgs ��H pF MAS PLAN BOOK 161 PAGE 119 ��P� DAVID s9�yGJ o�P DAVID S90�GJ 3O "�_ ASSR MAP 229 PCL 88-3 �� / ' D. L) THIS IS A COUGHANOWR COUGHANOWR / COLOR No. 1093 No. 461 PLN Q -� �� USE COLORPLAN ONLY SFGIS 9PPRC '28 FOR INSTALLATION 9 AR EV � 5' � FULL DETAIL 15 BEST VIEWED IN FULL COLOR THIS PLAN IS INTENDED SOLELY FOR INSTALLATION OF THE SEPTIC SYSTEM DEPICTED ON IT. FOR ANY OTHER CHANGES TO THE PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS, FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. oND PLAN • SEWAGE DISPOSAL SYSTEM PLAN P SCALE: 1 in = 20 ft -TO SERVE EXISTING DWELLING L O NG 0 20 40 CHRISTINE ' LEONELLI—ELMER 0 10 20 • OWNERISI OF RECORD PRINT ON 11 x 17 in 40 COTTAGE LANE PAPER FOR PROPER SCALE 155 Geo R der Rd S CENTERVILLE, MA y PROPERTY ADDRESS Chatham, MA 02633 DovidcouOHotmoiLcom IOATE: APRIL 6. 2020 508 364-0894 PG.1I2 woe# ETE-4432 AB�oE • • ' ' '1500 GALLON SEPTIC TANK 1000 GALLON PUMP CHAMBER DISTRIBUTION BOX DIMENSIONS SOIL EVALUATOR: DAVID D. COUGHANOWR. ASE #461 DIMENSIONS & DETAIL DIMENSIONS AND DETAIL ELECTRICAL PERMIT NEEDED USE SHOREY D8-6 H-20 WITNESSED BY: DAVID STANTON, HEALTH DEPT. FOR PUMP SYSTEM USE EXISTING TANK IF STRUCTURALLY SOUND. NOT NOT TEST PIT GROUNDWATER ENCOUNTERED AT 108 in BUOYANCY ! in TO TO 1 16 in PERC AT 54 in - 2 MIN/INCH IN C SOILS PUMP & INSPECT TANK REPLACE WITH A NEW SCALE CAL CS TAPER � � � SCALE - ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER AT TIME OF REPAIR 1500 GALLON TANK a 09w INCHES HORIZON TEXTURE (MUNSELL) MOTTLES IF CRACKED, ROTTED SEASONAL HIGH F -� 35.20 n GROUNDWATER = 27.70 p I -� 0-12 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE I in � OR OTHERWISE FROM ) c 32.37 12-34 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE TAPER COMPROMISED. Po ProH CHAMBER = 27.50 p C TANK 1 TO gs 26.20 34-120 C MEDIUM SAND 10 YR 5/4 NONE LOOSE 3� t - DEPTH OF WATER �� ap _ SAS 25.20 z DISPLACED = 0.20 ft _ 441. _ \�` O O y t µ . all _ F �� EXTERIOR DIMENSIONS OF TEST PIT 2 GROUNDWATER ENCOUNTERED AT 105 in r 5 f t_ UNIT = 8.5 ft x 4.83 ft ti \0 6 in STONE BASE 2 MIN/INCH IN C SOILS 8.5 x 4.83 x 0.2 = 8.2 cu ft 6 fr_6 Q ° 8 in 8.2 cu ft x 7.48 = 61.3 go/ ") 29 in 2 CROSS SECTION VIEW ELEVATION DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER ? 8 Ib/ of = 490 # USE SHOREY PRECAST INCHES HORIZON TEXTURE (MUNSELL) MOTTLES 61.3 x g a , 34.95 0-10 Ap LOAMY SAND 10 YR 3/2 NONE FRIABLE W PUMP CHAMBER WEIGHS 8240# ST-1000 H-10 NOT PUMP CHAMBER WILL NOT FLOAT OR EQUIVALENT 31.95 10-36 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE 26.20 36-120 C MEDIUM SAND 10 YR 5/4 NONE LOOSE T O TANK TO BE CERTIFIED WATERPROOF ALL ELECTRICAL CONNECTIONS �o SOIL ABSORPTION 24.95 f SCALE $ WATERTIGHT BY MANUFACTURER TO BE MADE OUTSIDE CHAMBER t-6 in CONTROL PANEL TO CONSIST OF AUDIBLE AND VISUAL ALARM ON S Y S T E M CONSTRUCTION DE T A I L INDEPENDANT CIRCUIT AND TO BE LOCATED OUTSIDE DWELLING. INLET OUTLET USE BARNES SE411 PUMP 0.4 HP. 115 V. 1750 RPM USE ADS ARC 36 HC 8106IFFUSERS COVER COVER PASSING 1-112 in SOLIDS A PROVIDE 1/4 in PORT A - e INSTALL QUICK COVER INSPECTION TO DESIGN FLOW: 4 BEDROOMS x 110 gal/day �3 /N DROPFLOW LINE WEEPHOLE TO DISCONNECT RA 25.0 ft DRAIN PIPE AFTER COUPLER GRADE FROM _ INTO RISER Q u� �� . a PER BEDROOM = 440 GALLONS PER DAY 10 in - 14 ' T PUMP SEPTIC TANK: 440 GIRD X 2 DAYS = 880 GALLONS BUILDING' TO D-8,�' ' �'"1 CYCLE41 D-BOXY �„ USE EXISTING 1500 GALLON SEPTIC TANK IF IN 48 I n G S FROM STORAGE = 500 GALLONS O - SOUND STRUCTURAL CONDITION. IF NOT. INSTALL LIQUID' / 1 ' ' � SEPTIC WEEP a � �, � NEW 1500 GALLON SEPTIC TANK. AFFLE i ALARM ON 24 in HOLE „� wb m �• °T LEVEL r TANK �` "' PUMP CHAMBER: INSTALL 1000 GALLON PUMP CHAMBER , € CHECK ^ PUMP ON 16 in -- -_ _-_� VALVE DISTRIBUTION BOX: INSTALL UNIT DEPICTED BELOW. b`;in;STONE BASE a,�'' u,Q O PUMP OFF 10 In ` o . a ti 5 � - SOIL ABSORBTION SYSTEM: c�v ' SEPARATION BETWE,N INLET :�OU'TLET. �, THE LONG TERM ACCEPTANCE RATE FOR A CLASS ONE TEES NO LESS TH N-k1 ID DEPTH OJ`c SOIL WITH A PERCOLATION RATE BELOW 5 MINUTES CROSS SECTION VIEW a Q. 6 )n STONE BASE" 25 UNITS TOTAL - 5.0 ft PER UNIT PER INCH = 0.74 GALLONS PER DAY PER SQUARE FOOT. DOSING = 105 GAL/CYCLE = 4 CYCLES/DAY INSTALL 25 ADS ARC 36 BIODIFFUSER UNITS GROUNDWATER , , ADJUSTMENT , I STORAGE = 480 GALLONS > 440 GIRD REQUIRED CROSS SECTION VIEW CROSS SECTION VIEW RESTORE VEGETATIVE COVER 25 UNITS x 5 ft / UNIT = 125 L.F. (LINEAR FEET) OBSERVED GW 26.20 BACKFILL WITH CLEAN PERC 125.0 L.F. x 4.8 S.F./L.F = 600 S.F. (SQUARE FEET) INDEX WELL MIW-29 SAND TO TOP OF CHAMBERS 600.0 S.F x .74 G.P.D. / S.F. = 444.0 gal/day ZONE D -INSTALL 25 ADS ARC 36 BIODIFFUSERS AS READING DATE FEBRUARY 2020 � CONFIGURED BELOW. READING. !" 1 er ADJUSTMENT L5 -FLOW CAPACITY = 444.0 al/do WHICH EXCEEDS )V i. THE 440 gal/day REQUIRED FOR FOUR BEDROOMS. ADJUSTED OW 27.70 i Ur Ib inch / 44 104 .75 in HI-CAP TOTAL DEPTH r I EFF DEPTH UNITS ,, � y F � . „�.�' EXISTING F . �I � L � a � rE r O, C 2.875' SUITABLE ' MATERIAL f� „ / EFFECTIVE WIDTH = 5 x 2.875' = 14.375' VENT �,�r;� 1V.� '/ TOP OF FOUNDATION RAISE COVERS TO WITHIN ALL PIPE TO BE SCH. 40 PVC REFER T2 DEP APPROVAL LETTER TRANSMITTAL AND TO PITCH AT 1/8 in/ft MIN PIPE # X264258 FOR CERTIFICATION OF INFILTRTATOR EL = 35.20 += 6 in OF FINAL GRADE SYSTEMS BIODIFFUSER UNITS. 38-39 37 l 20 in WATER D-BOX 3 ft 4f 33.73 TTIGHT O GRADE ER MAX INSPECTION S�o�oe TEST BORING 36.00 PORT 33.25 TEE -INSTALLERKS EXISTING MARCH 2 . 2020 -AL MEET UNWITNESSED PERMIT BEFORE STARTING WORK. REFER TO DETAIL BOX 3S•8� -- -- -- ---- -- -- __ -- _- -- -- -_ ______ _________________= 1 L COMPONENTS INSTALLED SHALL THE MINIMUM REQUIREMENTS OF _ 1500 GALLON - EXISTING PROPOSED - 35 63 ----------------__-------- � MASSACHUSETTS 151)TLE 5 SEPTIC SEPTIC TANK 32.23 JIM GALLON S�ONE + DEPTH SOIL -INSTALLER 10 VERIFY LOCATIONS OF ALL REFER TO DETAIL BOX PUMP CHAMBER SOIL ABSORPTION � INCHES CLASSIFICATION EXISTING 31.75 BASE --- (} UNDERGROUND UTILITIES BEFORE 27.9E 35.57 REFER TO 39.00 p-8 Ap EXCAVATING FOR SYSTEM. 27.50 SYSTEM 0 -ECO-TECH RAPID RESPONSE RECOMMENDS 6 in STONE BASE DETAIL BOX THE INSTALLATION OF LOW FLOW 32.OQ 8-34 Bw 6 in STONE BASE � FIXTURES & APPLIANCES. AND PERIODIC 20 ft 116 ft 3-8 f t 3q,'67 ADJUSTED SEASONAL T 36.17 34-126 PUMPING OF THE SEPTIC TANK. EXISTING _-- HIGH GROUNDWATER - 50 -SYSTEM IS NOT DESIGNED TO WITHSTAND 28. PIPE FROM PUMP CHAMBER TO D-BOX SHALL BE 2 in 27•70 VEHICULAR LOADING. DO NOT PARK OR SCH. 80 PVC WITH I cu ft OF THRUST BLOCKING AT BENDS. DRIVE VEHICLES OVER SEPTIC SYSTEM. SEWAGE DISPOSAL SYSTEM PLAN1140 COTTAGE LANE CENTERVILLE. MA APRIL 6. 2020 ETE-4432 PG 2/2 \ AL \ I \ Desig L:1.0-0 L_� LOFT u^ e2 Rm.� X fl-IL onte.e. Lwa.m�Xeu,o06 i e�vde zss.'o�eo; d-AlL l�iJ11LILlL�°_. .. _ PAN-] 1 16B ad-or5W406ar Q ' I R-mall adAad-areMle.eon Ll ' 1 ' ' �_ 91eT61 'A TO lbe 260-Odp ♦ .�-�_S_'__ _.__ BEL00�.. FAX 60S 2d6-OXO VP -2� a-LX.0 eaa-e�.eV.00c ---------- ----- _ EXT f \ -- ` - EN-2 \\ \ l SECOND -LOOK PC. ER LIGH7ING PLAN \ /' •�` _ ... -- _— __ SCALE:I/4'=I'-O' k 0 r �— LAUNDRY _ �.\ COVERED PORCH I `"�'MUDROOM 0a /' •i EXIST. 0 oN TO --> a e _ a ._ -- BATH 42:. T W. '� � ENTRY r a EXISTING'�♦ ATsm,''ra\' KITCHEN \ ' --- BEDROOM EXIST A2 IN DRADIiR 1 RC-] ; ' 1 1\ I ♦ I 't,� _ BATH 21 ®I ♦-rf- l3�__ /�LhN 1 ♦\ I 1 ♦yam ----' - ` _ —,. De4: ReNatonn' RC-X� "-4RC-1�� ♦ a Eli -------- �i• S --------.._ —...._. I � ^. �- (Da �TC I • _L-- V lJ T- \, ♦\ _ , ------ _�♦ t ' i I \ EXISTING KALL - p.Aell.n�a.N•�•� I '� RcM.BATH l 4i . `' L.,�-_T _-_ _ ........... ... ale f- M. CLOSET M•iHmALL �\ i --— L_ - N �5♦ f _ — D RevL as J -,- _._ _ RC. ---�' - - --- DINING so- j; \ 0, PAN-I \ 1 \'.1 '___ ___ ______ ♦e `- _`-____P -___________�_____ a�, C Cl _ ------ ,- ------------ --- ' - — ® ---�.-r------ RCT� _ `p _j EXISTING v nc-��` r0 OFFICE BEDROOM#1 EXTUlli♦\\ i \`a_----�� iiD-]` '�(E�-] \ RC-2 RC-] _ A /, I 1 __-__ -_ TER BE DECK MA I\CF^VgvY��/ �l SDROOMS o i=�--= - -- I 11 � i � \ /r\ {` `\ ___`y-?II'-- - ��• PATIO �v LIVING PATIO EXT TO F RE \ lJ RC-1 ORC ♦♦\ a H ` 1s 4'_9 -. '' \RELOCATE LLB' nn 011 FOR I \� eOVE 'q : ` \ - F'_-_.�-��. 9ASTING -�\ �' Seale: AS NO «+ \\\. Drown: �7 \ PATIO %, Eq E ' H- ,a.0 PLAN 17.2003L IaIN � .L X 0204.00 ASTERIK DENOTES EXISTING TO REMAIN SCALE:1/T•1'-0' �y 0 P Scete: A5 NOTED . DTaw¢ 7 �` dS y 15� J F_ - - ---- SEPTIC PROFILE TEST HOLE LOGS T.O.F. AT EL (NOT TO SCALE) ACCESS COVER TO WITHIN Ir OF FIN. GRADE ACCESS COVER (WATERTIGHT') TO ENGINEER:..., WIT" 6" OF FIN. GRADE. MINIMUM .75' OF COVER OVER PREGAST • 2% SLOPE REOUIRED OVER SYSTEM WITNESS: RUN PVE LEYEL -7 (DB—) FOR FVW 2' DATE: -------- PROPOSED sA4P ,9e,4 GALLON SEPTIC 2, /,�l TAW (H �9 PIERC. RATE t CLASS SO - (;L% SLOPE, • CRUSHED STONE OR MFCHANICAL DEPTH OF FLOW COMPACTION. (15.221 (2]) TEE SIZES: SLOPF) SLOPE) L'lj 71, r- Pll.',XI'14CO -SrJr'/I'.- Cr INLET DEPTH - OUTLET DEPTH LOCATION MAP ASSESSORS MAP PARCEL FOUNDATION— Z SEPTIC TANK 0' BOX LEACHING FACILITY �k f FLOOD ZONE. L112 BUILDING ZONE: A SETBACKS: FRONT SIDE REAR PLAN REFERENCE: I Awt, 7 0,!4 /-d 7- -7-fop, 4 t< 1 . DATUM IS Cox- z PTIC (QVIMW DISPOSER ts - .+,ram MUNICIPAL WATER IS 3. MINIMUM PIPE PITCH ro sE ile PER FOOT. A�p BEDROOMS GPO) GPD 4. DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO-H 05F. A GPD DFSIGN Ft OW 5, PIPE JOINTS TO BE MADE WATERTIGHT. K: GALLON" `,EPTIC TAN 1, GP ( �'._) = V 6. CONSTRUCTION DETAILS 'TO BE IN ACCOROANCE WITH MASS. ENVIRONMENTAL CODE 'TITLE V. 14 USE A GALL-ON SEPTIC TANK 7- ► f THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE L�ACHINQ USED FOR LOT LINE STAKING. H. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. 13OTTOM:___Z�,7� P D A' COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT �'OTAL- S.F. GPD 1p I INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED 7, 71 FROM HOARD OF HEALTH. A • 10, -ILLE0 WITH CLEAN EXISTING CFSSPOOL-S TO BE PUMPED AND f SAND OR REMOVED AS NECESSARY, /3, 4C e- Af -ru el*_: 'S _7"4 t 4- z .4-r 5 A 0-1 r?r A SITE AND SEWAGE PLAN OP 7,- 4 - , ,4 Ala -�" f '• ?r'' � .1•+,t .�'., J ,7�'/'r..�j ___��/7 ""� �.+'-f,'.,-✓'t!�4w..✓ ' .�f} 1k,,�'"J!`?`.' � '�'�� /J IN THE TOWN OF: BOARD OF HEAL TN A A lo MA PREPARED FOR: e APPROVED DATE 0 DAT19- SCALE: 2 down cape engineering, inc. AAW W4. CIVIL FNGINEERS I LAND SURVEYORS PHONE 4541 , /-- FAX "--362-"80 939 main st. yarmouth, rua JOB#