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HomeMy WebLinkAbout1078 CRAIGVILLE BEACH ROAD - Health •1078 CRAIGVILLE BEACH RD CENTIERVILLE A-206-130 > �" 'I I Ord NO. 152 1/3 ORA 0/a Commonwealth of Massachusetts W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments arx, 0 7M 1078 5"• Crai9 ville Beach Road Property Address h Tim Revellese Owner Owner's Name µ information is s- required for every Centerville (/ MA 02632 10-23-17 s page. City/Town State Zip Code Date of Inspection's 63 Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information � on the computer, �` �� \```� �tN OF Iyg01,1,,i use only the tab 1. Inspector: key to move your cursor-do not James D ��:' JAMES .Sears :mom: use the return — _ Name of Inspector v: ;�, rt z key. Capewide Enterprises s*,,'•._o _ o V V Company Name '%� �?.. .... ```zz 153 Commercial Street '���i�i �5t 1N SP p���`�`` Company Address Mashpee MA 02649 City/Town State Zip Code 508477-8877 S 1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 10-23-17 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 should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 '0 j 4w V Commonwealth of Massachusetts w v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is Centerville MA 02632 10-23-17 required for every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 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: The system is a two compartment tank 1500 Gal. 500 Gal. D Box and three pipe field. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): f t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts w - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville. MA 02632 10-23-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ 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): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts u . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in is less than 6" below invert or available volume is less than %day flow C#J*v t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts 4 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone 11 of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts M Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms(actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 l5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I_ Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is Centerville MA 02632 10-23-17 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: 1500-500 Gal. Tank D Box and field. Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonaluse? ® Yes ❑ No Water meter readings, if available last 2 ears usage d NA 9 ( Y 9 (gp ))� Detail Sump pump? ❑ Yes ® No Last date of occupancy: NA Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CM 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 L Commonwealth of Massachusetts G W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: NA Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M ' 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 2007 Permit # 2007-532. Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 18" 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. Septic Tank(locate on site plan): 8" Depth below grade: 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: 1500-500 Gal. Precast H-10 Sludge depth: 1" t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 1 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 29" Scum thickness 0 11 Distance from top of scum to top of outlet tee or baffle 8" Distance from bottom of scum to bottom of outlet tee or baffle 18" How were dimensions determined? Asbuilt-Plan-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 covers at 2" below grade. In and outlet tee's. No sign of leakage or over loading. Note: Tank is a two compartment tank w/pump chamber. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins.doc-rev 6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts N W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M ,e 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D Box is 16"x16"at grade w/steel cover in raised area. Three line's out w/2" in w/no tee. No sign of over loading or solid carry over. 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.): Pump chamber is clean. Pump and alarm working. * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 I Commonwealth of Massachusetts w - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 28'x11'x6' ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is a three pipe field ( 28'x11'x 6') in raises area. Ck D Box and camera out lines. No sign of over loading or solid carry over. No sign of holding water. 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 I Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts u W Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts w - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately f i 0 Vr" � A Q � o0 3 a i s �`3L 'ae 13-3' 6 At t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts w W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M , 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 . 10-23-17 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: 9-6-07 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: T.H.on Design plan 9-6-07 4" G.W.. Leaching is a raised system w/G.W. at 5' below leaching. Before filing this Inspection Report, please see Report Completeness Checklist on next page. I t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 1078 Craigville Beach Road Property Address Tim Revellese Owner Owner's Name information is required for every Centerville MA 02632 10-23-17 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information— Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 f , f Commonwealth of Massachusetts - lTitle 5 Official InSpection Form pt Subsurface Sewage.Dispcisal System Form,- Not for Voluntary Assessments. 1078 Craigville Beach Road - - Property Address � TETREAULT, LINDA L & COHEN, MARK E Owner .... m_...:_ __.�...._- --- ,..... _ Owner's Name information is Centerville m Ma 02632 9120/2013 : requiredfocevery — page.; Gtty(Iown State Zip Code Date of lnspectiom Inspection.results.must be submitted on this form. Inspection forms may not be:altered in any way. Please see completeness checklist et the end of the form. Important:When A ever ,l:. for fi Ct : filling:out forms, I on the computer, �l use only the tab key move your inspector; . . - cursor-do not: Sean M. Jones use the return ____ ..._,_ key: Name of Inspector _ Capewide Enterprises _,: - _ . ........................ ......._. _.. Company Name 153 Commercial St.. m Mash Ma W649 .pee .... ......Cityfrown State Zip Gode. 508-477-8877 S1 4�522 _ _...............: ........ .. .......... ... __—._.._�_ _.. .. __-:_ _,. .:. .... Telephone Number License Number a 0elirtification t certify ttat I have personallynspecfed the sewage disposal system at this address and that the information reported below is true, accurate and cornpiete as of the time of theinspecton. The Inspection was performed:based on my training and experience in the proper function and maintenance of on site - sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15 340 f 'title S. (310 CMR 15.000). The system: _ 2 Passes ❑ .Conditionally Passes Fails 0 Needs.Further Evaluation b the Local Approving.Authod y __. 9/20/2013 ...... . ...... ........ .._. Inspector's Signature Date The system inspector shall submit.a copy,of this inspection report to the Approving Authority(Board of Health ar DEP)uvithin 30 days-of corripleting this inspection. If the system is a shared systerri!or has a design flow of 10,OC10 gpd or greater, the inspector and the system owner shall submit4he. report to the appropriate regional office of the DEP.The original should be sent to the system owner. and copies sent to the buyer, if applicable, and the approving authority. O *** This report.only describes conditions at the;time of inspection and under the conditions of use at Chet time.This inspection does not address how the srstern'virill pectorn in: he fttture under the same or different conditions of use. t5ins•3113 Title 5 Official inspection Fo V' surfam Sev age Disposa'System•Pa4e:1 of 1:7 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: The dwelling located at 1078 Craigville Beach Rd Centerville is served by a Title V septic system consisting of a 1500/500 gallon septic tank pump chamber unit, distribution box and a 1600' raised leach field. The system was found to be in proper working condition at the time of inspection. B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 y Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ 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): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes" to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner,.occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ,❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 248.E gpd provided t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail: 2011= 17,000 total =46 gpd 2012= 18,000 total = 49 gpd Sump pump? ❑ Yes ® No Last date of occupancy: seasonal Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow (seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. Cityrrown State Zip Code Date of Inspection. D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: system installed 12/7/2007 per town records- Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1 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.): Joint were ok, no leaks, vented through the roof Septic Tank (locate on site plan): Depth below grade: 5 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 gals septic-500 gals pump chamber Sludge depth: 6" t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) •Distance from top of sludge to bottom of outlet tee or baffle 3,1 Scum thickness 3" Distance from top of.scum to top of outlet tee or baffle 6" Distance from bottom of scum to bottom of outlet tee or baffle 101, How were dimensions determined? opened covers, took measurements 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 does not need to be cleaned now but should be done soon and again every 2 years for proper maintenance. water level was even with outlet, tank was not leaking and was structurally sound. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Distribution box was in good condition, no rot, water level was even with outlet invert. Pump Chamber(locate on site plan): Pumps in working order: ® Yes ❑ No" Alarms in working order: ® Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Both the pump and alarm were found in working order-when manually activated. pump chamber was in good condition. If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .'` 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ® leaching fields number, dimensions: 1 30'x15' ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Soil and stone surrounding s.a.s. was found to be dry with no sign of past saturation. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 17 Commonwealth of Massachusetts u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. Cityffown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Totle 5 Official Inspection Form 'ubsr# ce.Sewage Disposal System FormNot for VgluntaryAssessments< 10.n Crab Ville .. ...... .. __.— --=---- ......:: Property Address'' TETREAULT, LINDA L & COHEN, MARK E _.. - W _ _...-- _— __ -...... ............. .. ._ Owner. _., _......, .:............ _ Owner's Name information i required for every Centerville Ma 02632 9/20/201.3 — - -- -- __ ....... ........ ......_._ — — page; City/Town State Zip Code Date;of Inspection eSystem: Information,(cont.)_ Sketch Of Sewage Disposal System: Provide a'view-of the sewage dlspasaI system mg1,Uding ttes to - at least two permanent reference landmarks or beriehmarks. Locate:all'we'lls within 1010,feet. Locate where public water supply enters the building. Check one of the boxes beiaw: hand-sketch.:in.the area below ❑, drawingattached separately . Li -�otvt ;: .01 J . x � TL 41 13 ;: 2l _ ! -1 w:7G /3--t/ 5 _ ¢5ins,3113 Title Official lhspection Forhi.S6s&face Sewage Disposal System -Page 15'6F.1.7 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is Centerville Ma 02632 9/20/2013 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ -Check cellar ❑ .Shallow wells Estimated depth to high ground water: 4 feet Please indicate all methods used to determine the high ground water elevation: ® Obtained from system design plans on record If checked, date of design plan reviewed: 9/28/2007Date ❑ 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: Design plan dated 9/28/2007 indicates that groundwater was encountered at 48". The leach field is a raised system, the s.a.s is designed to have a seperation of 5' between the bottom and the adjusted high groundwater elevation. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 1078 Craigville Beach Road Property Address TETREAULT, LINDA L & COHEN, MARK E Owner Owner's Name information is required for every Centerville Ma 02632 9/20/2013 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® :System Information— Estimated depth to high groundwater ® `Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file Lt5m. /13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 x s �� � � , �✓ it 4 r z i , At '� t�ti r iy } � ^: •-ice t ��.t �� '' � �' � "` ��;w ' V . r, r .1 z .r of I i e i Y �'1� '3' ( R1 tf •$ s> t AIi .�#� '.Y .. r '�P•� rt� � S. 1 f i r� Rl1. ,T"� �,r��� ii7-i7 a �ef{11t'� R`• IV Su xr 1 c�i rtI t w� I LJ'irrilI tf rr .., � ,r: r;'� " '�l t • r i � / i 1.•r.s;" i� ; �n,.4 ! �i'`�f # ,r r;{ ` I,(- rY l� ++���'t1. t ' / s �l I' ,:< ' 16r:.. .l t'!l '�� �' �, t���� r1r ,rye' �{ i, i'-�4., �.-.• lE,"}61Y��gtP' i�� �4�t �#,.�S ����u+lf= r) � {� s��;•�l`.A 'X i — '�.. � i��1�#'je � ,�f�)",! +.- 4} r •r "s 't F.. � 3li�ff,� r �4�? ;' �f 4��� V _ '�+ff{ji'I.Sr� .�1i'AH Pr # ( tilqg wl � ..�'� a*'#��' �r'�ry�h�v "'fir� '�sti` k;�' �• _ �tilf.�s3rat, 117zzR r i P g. _ t ' �A i _ All S A(�.rat 1 l�1 '74 3 i� �K'".`�rl'„irr�=4 )�� ,gi_'#.'S�li.�•r1.+�+##�y r .� p � � �� rs7''f —Ar ,;;; t!� ii ... i 4'j 1t1.;'' s,at k , r �Yi.- '�•.. �• i ,� fii`r t�ia.GYf.{} #ii` i 'k- �r� { ' ! � •# ��' �+ '�,� f+ �.C#'�.���1i'•�tt. �r� /'J'%r�� �� ,f �1 r 9r r*i �r��f '! �; �4 — �'k.' - 'A —1�" s r r � 1+ �7 + +'t+� f# � la .ux•�i a' �j +r 5 e s r. ,!/{ r • {��j�$� �1r�r•�i�Tr' j+�7frr�r� t'a{ ��� ��� t ��r� i'�'^•_` �� t I t �y�. ! 7 br i.t��)��k}1�r'1 l���t><lf�'�� ;>•�� .e_, ta'��-' 4y. . 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A �Y � �►i�' '•. . mt ;r ., qv 11 J ?' ! �• C +�' _ � r , i .r mot,, r ty � �^ � , �� � � � � � �i J ' No. . v Fee _/O_� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BAMSTABLE, MASSACHUSETTS Yes pplicatiou for aW6pont 6pgtem Cott.5tructiou Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components N Location Address or Lot No. / wner's Na e, ddress, Tel. Moo..' f Assessor's Map/Parcel �{�✓�/O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. L 4 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(min.required) ,J- gpd Design flow provided d gP 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) 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. Sign /Aate 0 Application Approved byWWK51- 9 1-114AUKITL Application Disapproved by: Date for the following reasons Permit No. Date Issued f f No. -t Fee computer:Entered' in com "' T•H'Es COMMONWEALTH OF MAS;SACHUSETTS p I PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes Z(pplication for �DiO Oal 6p5tem Con0truction Permit Application for a Permit to Construct O Repair O Upgrade O Abandon O ❑.Complete System❑Individual Components A Location Address or Lot No. 0 / wner's Name.Address,an-d Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Desi/gner''s.Name,Address and �Tel.No. # Type of Building: 4 Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) I--_ Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �L gpd Design flow provided gpd Plan Date Number of sheets Revision Date 4 Title k� " Size of Septic Tank Type of S.A.S. t% Description of Soil A Nature of Repairs or Alterations(Answer when applicable) A T /1/' Date last inspected: ` o 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. / Sign i / Nr ate Application Approved by I / Application Disapproved by: Date v for the following reasons C •Permit No. Date.Issued - 1 ' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance • . i `r f THIS IS TO.CERTI that the On-site Sewage Disposal System Constructed ( ) Repaired ( ') Upgraded ( ) Abandoned( )by cab t"n -S at � 7 & �rr� �V►1 It, th®,h f"1 1. IkQ has Peen constructed in acco dance with the provisions of Title 5 and the for"Disposal System Construction Permit No. 0 �t dated Installer Db►0-so r. � _� 'ls (_-c-Designer t-, or,5 #bedrooms Approved design-flow gpd 'r The issuance of this permit shall not be construed as a guarantee that the system will func\n�a designed. Date j �r 7 h Inspector ———————————— ———— ——— —Now —' —————�;"b �_/_-.1cl— Fee THE COMMONWEALTH OF MASSACHUSETTS `PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS �DiOpoal *p!gtem Con0truction Permit Permission is hereby granted to Ct-,(- ) Repair ( ) Upg de ( ) Ano I A�- System located at I K and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. fProvided: Construction must be dompl to within three years of the date of this p i Date /2", Approved by i _ - Town-of Barnstable y - °& ' ti f Regulatory Services Thomas F. Geffer,Director i63� .®� Public Health Division �Fo A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601. Office: 508-862-4644 Fax: 508-79046304. Installer&Designer Certification'Form Date: `l ? 1,-1 Sewage Permit# 2wi- 53.2, Assessor's Map\Parcel 206/1 30 Designer•,. Lisa Lyons- Instaner: Wm E .Robinson Sr Septic. Address: 62 W Hyannisport Cir Address: PO Box 10.89 Hyannis Centerville k On :j r/ /o,. Wm E Robinson_.Sx Se t w a :issued a permit to-install a (date) (installer) septic system:at 1078 .Craigvil.le-Beach Rd based on a.design drawn by (address) Centerville Lisa 'Lyons_ dated-.09-28-07 ,�- (designer) . 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. that the septic-:system referenced above was installed with ma or char i I cerhfY ' es (• e I g . . ... . . greater,than=l0' lateral-relocation of the SAS or any vertical relocation of any component of,the septic`system)but in accordance with State BcLocai Regulations:-Plan revision or " ceiWied,as built by designer to follow. �GpLTH OF tijq ®�G s J i L' s Sq (Installer's Signature) - l Y S e m- a .......- _ .:. ,...� L I n 4 °nicP'•O��iS7 143. eoe (Designer' iga e) gner's Stamp Here) PLEASE:.::RETURN= TO BARNSTABLB PUBLIC HEALTH- -DIVISION. CERTIFICATE OF COMPLIANCE '1 L NOT..:.BE ISSUED.UNTEL BOTH'.THIS .FORM AND AS-BUILT.CARD .ARE: RECEIVED BY.THE BARNSTABLE_PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/SepticMesignerCertification Form IwM-04.doc TOWN OF BARNSTABLE LOCATION l®7k CRCogi!ak &inck AoAV SEWAGE# Joo7-5732- VILLAGE Cc-AC-auo(( �- ASSESSOR'S MAP&PARCEL 20to•- l3® INSTALLERS NAME&PHONE NO. Ro"k-issoty SE AK t C 509-71 S-87-7(® SEPTIC TANK CAPACITY i S c o Scud S�� LEACHING FACILITY:(type) 9CAckt'ro t, (CA (size) it V-Z.T)4 fo NO.OF BEDROOMS OWNER K#JDA "r6 fJZEA U I�- PERMIT DATE: W-11 10-7 COMPLIANCE DATE: 1 z17ly- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY I A � Li Ls_L-,�I J C, O J �v IC 3.c)0 A-3� �a° D Town of Barnstable P# Department of Regulatory Services Public Health D'1V1 uuas. S1o11 Date t63p �� 200 Main street,Hyannis MA 02601 Date Scheduled Jime Fee Pd. Soil.Suitability Assessment for Sewage Disposal Performed By: Witnessed By: LOCATION& GENERAL INFORMATION Location Address ,,� Owner's Name Io7� 6YaU' V),&, t a -fi 1 , C Address Assessor's Ma /Parcel: L *"f P 2c�� �I3o Engineer's Name %„(._Se. �,���S' NEW CONSTRUCTION REPAIR Telephone# ��`� T f p gZ'�O Land Use Slopes(9'0) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other g SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) ,_. Parent material(geologic) Depth to Bedrock, Depth to Groundwater. Standing Water in Hole: ,� ! Weeping from Pit Face //ii Estimated Seasonal High Groundwater `'tom DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: M 0`1— ►—L,65 Depth Observed standing in obs.hole: in, Depth to soil mottles: 4—ci Depth to weeping from side of obs.hole: In, Groundwater Adjustment f[. t _' Index Well# Reading Date: Index Well level Adj.factor— Adj.Groundwater Level, e PERCOLATION TEST Date- Thne,.� Observation „ Hole# t 'r Time at 9" Depth of Pere {%V Time at 6" Start Pre-soak Time @ y:co Time(9"41 _ i End Pre-soak ' - :°,7 I Rate MinJlnch ,. Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the, Barnstable Conservation Division at least one (1) week prior to beginning. Q:VSEPTICIPERCFORM.DOC DEEROBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,% ravel r0 ,S ` 0 Ire 67,A- r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consisten v.%Gravel) A LS V ' C/ u J Iy DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, o Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cons' ten I Flood Insurance Rate Mau: Above 500 year flood boundary No_ Yes Within 500 year boundary No= Yes Within 100 year flood boundary No— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the la area proposed for the soil absorption system? --=Yts � If not,what is the depth of naturally occurring pervious material? Certification I certify that oi (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training expertise and exper.ence described in 310 CMR 15.017. 27�0� Signature �• Date • Q:\.S.EPTICIPERCFORM.DOC f - Doo_= 1 5,077 Y 573 11-23-2007 9 0 22 ------ BARN STABLE LAND COURT REGISTRY DEED RESTRICTION IN TOWN OF BARNSTABLE WHEREAS, Linda Tetreault of 6 Sunset Terrace, Hyannis MA (owner's name) (address) is the owner of 1078 Craiqville Beach Road located at Centerville MA (address) hereinafter referred to as 1078 Craiqville Beach Road and being shown on a plan entitled "Subdivision of Land in Barnstable MA, Property of Linda Tetreault_, et al duly recorded in Barnstable County Registry of Deeds in Plan Book Page ; Or on Land Court Plan Number 9288-T 6(pi WHEREAS, Linda Tetreault as the owner of said lot has agreed with (owner's name) the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on said lot as a pre-condition N' to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the �o Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMR 15.200, State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building permit for the construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, NOW, THEREFORE, Linda Tetreault does hereby place the following (owner's name) restriction on her above-referenced land in accordance with his agreement with .the Town of Barnstable Board of Health, which restriction shall run with the land 'and be binding upon all successors in title: 1. 1078 Craiqville Beach Road may have constructed upon the lot a (address) house containing no more than two (2) bedrooms. Linda Tetreault that this shall be permanent deed restriction so long (owner's name) as the property is served by private septic system. affecting 1078 Craiqville Beach Road located in Barnstable MA, and being shown on the plan recorded in Plan Book , Paged Or on Land Court Plan 9288T I . t For title of 1078 Craiqville Beach Road seethe following deed: Book Page . Or Land Court Certificate of Title Number 270069-1 Executed as a sealed instrument day of Q 0 Owner's signature Owner's signature COMMONWEALTH OF MASSACHUSETTS 23Q�y_S� 4__ SS _�-1 o 20 0_� a-,/PJbI+ i 9�Z/tu 4-f Then personally appeared the above-named known to me to be the person who executed the foregoing instrument and acknowledged the same to be free act and deed, before me, Notary Public My commission expires: D 6 & DEBORAH A. POOLE (date) Notary Public Commonwealth of Massachusetts My Commission Expires April 18,2008 Crocker, Sharon From: Miorandi, Donna Sent: Tuesday, October 16, 2007 12:24 PM To: 'Lisa C. Lyons' Cc: Heath DeptMailbox; Conservation Mailbox Subject: 1078 Craigville Beach Road, Centerville Hi Lisa, Just informed by Conservation that you must file for an RDA because you are in the 100 yr.flood plain due to elevation. Donna 1 r Message Page 1 of 1 McKean, Thomas From: McKean, Thomas Sent: Tuesday, October 16, 2007 10:09 AM To: Miorandi, Donna; Stanton, David Subject: FW: 1078 Craigville Beach Rd FYI -----Original Message----- From: Gatewood, Rob Sent: Monday, October 15, 2007 12:05 PM To: 'PETER MCENTEE' Cc: McKean, Thomas Subject: RE: 1078 Craigville Beach Rd Thanks Peter. I've taken liberty of cc-ing Tom. Project is clearly within 100 yr floodplain by elevation, if not by FIRM. -----Original Message----- From: PETER MCENTEE [mailto:peter.mcentee@gmail.com] Sent: Monday, October 15, 2007 11:15 AM To: Gatewood, Rob Subject: 1078 Craigville Beach Rd Rob, I am a bit frustrated about a septic upgrade project for 1078 Craigville Beach Rd that has been submitted to the Board of Health for review. The plan was prepared on an Assumed Datum and the statement made that the subject site did not lie within the 100 year flood plain as depicted on FIRM. I have prepared a plan for the abutting property located at 1084 Craigville Beach Rd with NGVD elevations and have determined that the site elevation of approx. EL= 6.0 is 5 ft below Zone A10 (EL 11). We have already filed an RDA with your department for 1084 Craigville Beach Rd. I don't mean to cause more work for homeowners, however, I think that everybody should play by the same rules. If a plan gets approved without going through all of the required steps of due diligence to see whose jurisdiction the project falls under, it makes the efforts that were made by this engineer appear unnecessary. In my opinion, 1078 Craigville Beach Rd should be shown on NGVD so that the correct flood zone can be identified. Regards, Peter McEntee PE 10/16/2007 3/0 i5.220: preparation of Plans.ana Specifications rl- 14/e V f 4;,e Mo�rc.ti f 9 The plans and specifications for every on-site system shall be prepared as follows: o?e c/2-.f 144. (1) -Every system shall be designed by a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian provided that such Sanitarian shall not design a Q system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 15.203. Any other agent of the owner.may prepare plans for the repair of a system.designed to 0 discharge not more than than 2,000 gallons per day pursuant to 310 CMR 15.2 `03 provided they are reviewed by a Massachusetts Registered Sanitarian and approved by the approving authority; • -'' C u 7 / (2) Every plan submitted for approval must be dated and bear the stamp and signature of ST�.vi �y„�� 1 V the designer, (3) Every plan for a new system or plan for the upgrade or expansion of an existing system -4 which requires a variance to a property line setback distance,'must.also reference a plan T 3(6) Iwhich bears the e stamp and signature of a Massachusetts: Licensed Land Surveyor in accordance with M.&L. c: 112, § 811); `f 5� ;S XE� (4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot �d ,,, plans and one inch = 20 feet or fewer for details of system components) and shall include depiction of. ✓ _ (a) the legal boundaries of the facility to be served; (b) the holder and location of any easements appurtenant to or which could impact the N system; L (c) the location of the all dwellings)or building(s)existing and proposed on the facility and identification of those to be served by the system; 2 -(d) • the"location of existing or proposed impervious areas, including driveways and parking areas; (e) location and dimensions of the system (including reserve area); (f) system design calculations,including design daily sewage flow, septic tank capacity(required and provided); soil absorption system capacity (required and provided); and whether system is designed for garbage grinder, ✓. (g) North arrow and existing and proposed contours; (h) _ location and log of deep'observation hole tests including the date of test, existing grade elevations marked on each test. and the names of the representative of the approving authority and soil evaluator; ✓ (i) location and results of percolation tests including the sate of test and the names of the representative of the approving authority and soil evaluator, ✓ (i) name and certification number of the Soil Evaluator of record; (k) location of every water supply,public and private, 1. within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply wells, 2. within 250 feet.of the proposed system location in the case:of tubular public water supply wells, and 3. within 150 feet of the.proposed system location in the case of private water supply wells; l location of any surface waters of the Commonwealth, rivers, bordering vegetated wetlands, salt marshes, inland or coastal banks, regulatory floodway, velocity zone, surface water supplies,tributaries to surface water supplies,certified vernal pools,private water supplies or suction lines, gravel packed or tubular public water supply wells, Jsubsurface drains, leaching catch basins, or dry wells; and the location of any nitrogen sensitive area identified in 310 CMR 15.215 within which portions of the proposed system are located. (m) location of water lines and other subsurface utilities on the facility; (n) observed and adjusted ground-water elevation in the vicinity of the system; c (o) a complete profile of the system; (p) a note on the plan listing all variances to the provisions of 310 CMR 15.000 sought in conjunction with the plan; (q) . the location and elevation of one benchmark within 50 to 75 feet of the facility ✓ which is not Subject to dislocation or loss during construction on the facility; (r) when dosing is-proposed,complete design and specification of the dosing system proposed including but not limited to dosing chamber capacity (required and provided), pump curves and specifications,number 6f dosing cycles and depth per cycle; (s) when a Recirculating Sand Filter or equivalent alternative technology is required or ft/(�" proposed,a complete plan and specification for the system,including a hydraulic profile;. ✓ (t) a locus plan.to show the location of the facility including the nearest existing street; ✓ (u) the street number and lot number, if any, of the facility; and. (v) the materials of construction.and the specifications of the system. I Town of Barnstable Board of Health NAM 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 13, 2003 Mr. Robert Bortolotti 45 Industry Road Marstons Mills, MA 02648 ear Mr. Bortolott Your request for a variance to utilize a sketch plan for a proposed replacement soil absorption system at 1078 Craigville Beach Road, Centerville is not granted. Specifically, you requested permission to connect a 500 gallon chamber with one foot of stone surrounding it into the existing piping from the first cesspool. Section 310 CMR 15.020 of the State Environmental Code, Title 5, reads as follows "no person shall construct, upgrade, or expand a system without a Disposal System Construction permit which has been issued by the approving authority after a soil evaluation set forth in 310 CMR 15.100 through 310 CMR 15.107 has been completed." However, no soil evaluations were performed or witnessed by a health agent at this site. Also during the hearing, the applicant was asked what is groundwater table elevation in relation to the proposed leaching facility shown on the sketch. The applicant replied that he did not have that information. Thus, the Board was unable to make a determination of whether there will be sufficient vertical separation distance between the groundwater table and the bottom of the leaching facility based upon your sketch plan and presentation made at the hearing. Section 310 CMR 15.212 of the State Environmental Code, Title 5, requires a five feet minimum vertical separation distance in soils with a recorded percolation rate of two minutes or less per inch. 310 CMR 15.410 reads as follows: `Local approving authorities and the Department may vary the application of any provisions of 310 CMR 15.00 with respect to any particular case. Variances shall be granted only when, in the opinion of the approving authority: (a) the person requesting a variance has established that enforcement of the provision of 310 CMR 15.000 from which a variance is sought would be manifestly unjust, considering all the relevant facts and circumstances of the individual case; and (b) the person requesting a variance has established that a level of environmental protection that is at least - Q:WP/BortolottiPuleo 4 equivalent to that provided under 310 CMR 15.000 can be achieved without strict application of the provision of 310 CMR 15.000 from which a variance is sought.' The applicant failed to demonstrate that the strict enforcement of the particular provisions of 310 CMR 15.000 from which variances were sought would be manifestly unjust. In addition, you did not establish that a level of environmental protection that is at least equivalent to that provided under 310 CMR 15.000 can be achieved without strict application of the provision of 310 CMR 15.000 from which a variance is sought. Therefore, your request for a variance is not granted. However it should be noted that during the public meeting, the Board indicated being receptive to granting a one foot variance to the applicant in regards to the separation distance to groundwater - if it is determined that only four (4) feet -- rt[cal-sepa- ve . - - -- - -r-ation=distance--coul-d=beF=obtairred-betwe�eTy-the=b6ttom=o#th=e- - --- - proposed leaching facility and the maximum adjusted groundwater table. As has been consistently required by the Board during the past several years, a soil evaluation and an engineer stamped plan shall be required for all proposed septic system construction, including upgrades and repairs. Once an engineered stamped plan is submitted by either the applicant or the homeowner, it will be thoroughly reviewed for compliance with the State Environmental Code, Title 5 and local Board of Health Regulations listed under PART Vill. If you should have any questions in this regard, please telephone our Health Agent, Thomas McKean, at (508) 862-4644. Sincerely, ayn Miller, M.D., Chairman usan G. sk, R.S. Sumner Kaufman, M.S.P.H. Board of Health Town of Barnstable Cc: Linda Puleo Q:WP/BortolottiPuleo l pU DATE: FEE: * sa>uvSTAKE, • nsnss. 9� 9 3 1 6 • REC. BY A'E . Town of Barnstable SCHED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: I®7 Assessor's Map and Parcel Number: 2— .mil Size of Lot: �o Z,3 aCA 6 Wetlands Within 300 Ft. Yes Business Name: �01�� No Subdivision Name: APPLICANT'S NAME:_90�el 7— -90/ 101,9 Phone Did the owner of the property authorize you to represent him or her? Yes V No PROPERTY OWNER'S NAME CONTACT PERSON / Name: t_% ��1 e 0 Name: Address: I ll e Gn . �/4lf ddress: qs ���� �ly /pp1, Phone: - JC�$'�Z�— ��©,� Phone: 7 7 �� S VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) 1 N ST- t-L r4 SOO�3 aD C4AA--AAA , e� D EATZV-t- ^-�- /nl PU-rti 01= coUA0L� (AA=i'—;L� _S Z/W kC Ax y-t�y:-1 G�SrS(7001 /4—S/ZETC-44 NATURE OF WORK: House Addition ❑❑❑❑❑❑ House Renovation ❑ Repair of Failed Septic System Checklist(to be completed by office staff-person receiving variance request application) _ Four(4)copies of the completed variance request form _ Four(4)copies of engineered plan submitted(e.g.septic system plans) _ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) _ Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) _ Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems [only if no expansion to the building proposed]) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R-S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\WPFILES\VARIREQ.DOC BORTOLOTTI CONSTRUCTION INC. DRAINAGE LAND DEVELOPMENT SEPTIC SYSTEMS, April 25,.2003 , To Whom It May•Concern: N li I, Vincent Puleo and Linda Puleo, being owner's of record of the property at 1078 Craigville Beach,Road, do hereby give Bortolotti Construction, Inca the Authority to represent us in the Variance Application process. Thank you for you ntion in this matter. Vincent Puleo Date: D`f-V'dam Linda Puleo Date: P �✓ r P.O.BOX 704 • MARSTONS MILLS,MASSACHUSETTS 02648 • (508) 771-9399 • FAX(508)428:9399 DATE: • RARNSTABLE, F FEE: �Q MASS.i639 OiDTf �.1 s REC. BY Town of Barnstable SCIiED. DATE: Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Susan G.Rask,R.S. Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION �� Property Address: Assessor's Map and Parcel Number: j/, Size of Lot:_ !. cl r Wetlands Within 300 Ft., Yes Business Name: No Subdivision Name: APPLICANT'S NAME: PO 4 er r 91-71' 117 ' Phone ''- 7 7/— s� Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: J mil✓( Al l e"I Name: IPfr'C Address: .f V 'ti ' �'1� �lll'I �!d ��11/1ddress:_ l� �i�o Gl✓ y � i��ll/�1`f�i� Phone: Phone: 7 Q'9 VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) /N St.au ;A, SO6 57 P �i /�._ a —(,,j ?Uy-Li- o.= Gbh 4���v [nl%t _ 5 /W 7ZC, NATURE OF WORK: House Addition ❑00000 House Renovation ❑ Repair of Failed Septic System 01 Checklist(to be completed by office staff-person receiving variance request application) Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) Variance request application fee collected (no fee for lifeguard modification renewals, grease trap variance renewals [same owner/leasee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage_disposal systems . [only if no expansion to the building proposed)) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED NOT APPROVED Susan G.Rask,RS.,Chairman Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL Wayne A.Miller,M.D. Q:\HEALTH\WPFILES\VARIREQ.DOC .Alit i D i /f• -"N. Al Co VJ y D l � C i er \ R �� I STANDARD LEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY \ # 1\1/00 __ EDGE OF DECIDUOUS TREES \ EDGE OF BRUSH \. Map 2 6 r Ma\ ORCHARD OR NURSERY � ) �\ \" / ' 2 0 6� V—V—V--V EDGE OF CONIFEROUS TREES p\ i c J \� MARSH AREA q o \ ` EDGE OF WATER ,\ DIRT ROAD � 107 � - \ a 206 O _:__;` DRIVEWAY p I .F——PARKING LOT �_____--- PAVED ROAD DRAINAGE DITCH \ \ 4 . 5 . ❑ � � PATH/TRAIL 1084 \ PARCEL LINE** / \ m w uo E-----MAP# \ / Z1 E PARCEL NUMBER #18so me HOUSE NUMBER Ma 06 ", 2 FOOT CONTOUR LINE \ - - 10 FOOT CONTOUR LINE M a p 206 Elevation based on NGVD29 0 R - 7 j�4.9 SPOT ELEVATION 78- ,J STONE WALL FENCE 1068 RETAINING WALL RAIL ROAD TRACK STONE JETTY M a 06 4 SWIMMING POOL /'I \ PORCH/DECK ° BUILDING/STRUCTURE Mq,pI206 ' # '1'0 5 - I , ray c—c DOCK/PIER HYDRANT 60 6 VALVE O MANHOLE 0 POST 0" FLAG POLE O W N' O F \B A R N S T A B L E G E O O R A P H 1 C 1 N F. O R M A T 1 O' N S Y S T ,E- M S U N I T — 0 SIGN STORM DRAIN N PRINTED STAtE IN FEET *NOTE:This,map Is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-mode features)were Interpreted from 1995 aerial photographs by The lames 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD o UTILITY POLE ❑ TOWER i P P physical I Ptopography, 0 PPNational, P ry III 0 20 40 National Mop Accuracy Standards at this do not represent actual relationships to P h iml objects Corporation. Plonimetria, and vegetation were mapped to meet a Accura Stondards i 1 INfll=40 FFFT* enlarged stall. nn the mnn I COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 s JANE SWIFT BOB DURAND Governor Secretary LAUREN A.LISS Commissioner GUIDELINES FOR DESIGN AND INSTALLATION OF IMPERVIOUS BARRIERS AND SLOPE STABILIZATION FOR TITLE 5 SYSTEMS Effective date: March 1, 2002 Policy/SOP/Guideline#: 13RP/DWM/WPeP/G02-1 Program Applicability BRP,Watershed Permitting, Title 5 Approved by: [signed] Regulation Reference: 310 CMR 15.211(1)4. Cynthia Giles, 310 CMR 15.255 Assistant Commissioner,BRP Supersedes Policy/SOP/Guideline: NONE PURPOSE: These guidelines supplement Title 5, 310 CMR 15.255, which addresses systems constructed in fill. Specifically, this guidance contains design and installation criteria for impervious barriers, and slope stabilization when either is required by 310 CMR 15.255 in conjunction with a system constructed in fill. Additionally, this guidance supplements 310 CMR 15.211(l)[4],which requires slope stabilization for certain soil absorption systems adjacent to naturally occurring downhill slopes. APPLICABILITY: This document is a guide for Massachusetts Registered Professional Engineers (PE) and Massachusetts Registered Sanitarians (RS) who design Title 5 systems using impervious barriers, and for PE's that design impervious barriers using retaining walls, or structural barriers such as concrete retaining walls, and for boards of health and DEP staff who review applications for Title 5 systems and who observe and inspect the installation of Title 5 systems. This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. DEP on the World Wide Web: http://wvfw.state.ma.us/dep Zia Printed on Recycled Paper I (4 Guidelines for the Design and Installation of Impervious Barriers INTRODUCTION: Title 5, 310 CMR 15.255, addresses the construction of systems in fill. An impervious barrier is required for systems constructed in fill when the designer can not provide the minimum 15 foot horizontal distance between the edge of the top of the two inch layer of washed stone (peastone) cover over the soil absorption system, and the top of the sideslope. For a system constructed in fill, 310 CMR 15.255 requires slope stabilization, such as a concrete retaining wall, when the sideslopes to a soil absorption system are steeper than 3:1 (horizontal: vertical). Section 310 CMR 15.211(1)[4] requires slope stabilization when systems are located in an area adjacent to a naturally occurring downhill slope steeper than 3:1. When a naturally occurring downhill slope adjacent to a system is steeper than 3:1, Title 5 requires stabilization in accordance with accepted engineering practice which may include installation of a concrete retaining wall designed in accordance with 310 CMR 15.255(2)(a)through(g), TEXT: Impervious Barriers: Pursuant to 310 CMR 15.255(2), an impervious barrier is required for a system constructed in fill when the designer can not provide a minimum distance of 15 feet between the edge of soil absorption system and the top of the side slope. Impervious barriers must also be incorporated into the design when a minimum 15-foot horizontal distance cannot be provided between the edge of the soil absorption system and an adjacent naturally occurring downhill slope. (see Figure 1) Less than 15' Finished Grade Top Elevation of SAS 10 O O Soil Absorption System Impervious Barrier a� 3:1 slope > Fill or Naturally Occurring Pervious Material 10 N minimum- 1 mmlmum; atu rally Occurri Pervious'Material , 6 :minimum Figure 1: Impervious Barrier Page 2 of 5 Guidelines for the Design and Installation of Impervious Barriers Swales or grading shall be incorporated into the design to prevent ponding by directing storm water away from the system. The grading shall be designed so that the stormwater is not diverted onto abutting properties in accordance with 310 CMR 15.255 (2). Any impervious barrier may be designed by a Massachusetts Registered Professional Engineer. When the system has a design flow of less than 2,000 gallons per day, a Massachusetts Registered Sanitarian can design impervious barriers that do not include a retaining wall that provides any structural support for the slope. Impervious barriers shall have the following design characteristics: 1. A top elevation that is at least as high as the top of the two-inch layer of peastone covering the pipes in the soil absorption system, or at least as high as the top of the chambers when leaching chambers are used. 2. The bottom of the impervious barrier shall extend to a minimum depth of at least one foot below the existing natural ground elevation. 3. There shall be at least a 10-foot horizontal distance between the bottom of the impervious barrier and the edge of the adjacent finished side slope. 4. In remedial situations where there is less than four feet of vertical distance between the bottom of the soil absorption system and ledge or other impervious strata, (consistent with the requirements for the granting of a variance specified in 310 CMR 15.415), the bottom of the impervious barrier should be at least six inches above the impervious strata to avoid impounding the treated effluent. Clay barriers shall be: 1. constructed of compacted clay(conforming to NRCS classifications for clay,with a hydraulic conductivity no higher than 10-7 cm/sec); 2. at least two feet in width; and 3. covered with at least six inches of cover material(soil) and stabilized (e.g.,vegetated)to prevent erosion of clay due to weather conditions. Plastic membrane barriers shall be: 1. of sufficient tensile strength to withstand perforation, including cracking, tearing and breaking; 2. at least 40 mils in thickness, and have significant durability and resistance to the temperature and moisture conditions expected in the subsurface environment; and 3. installed without holes or gaps and so that perforations do not develop after installation. Additionally, as specified in 310 CMR 15.255(2): Materials for impervious barriers shall: 1. have no weep holes; 2. have a waterproof surface on at least the upgradient side, consisting of a durable waterproof lining or applied waterproof coating; 3. be anchored or reinforced as necessary to maintain structural integrity; and 4. not allow seepage or deteriorate over time. Page 3 of 5 r Guidelines for the Design and Installation of Impervious Barriers Impervious Barrier with Retaining Wall: An impervious barrier, as an integral part of a retaining wall, is required when both the horizontal distance between the edges of the two inch layer of washed peastone and the adjacent side slope can not be met and the side slope is steeper than 3:1 (310 CMR 15. 255(2)) . The criteria listed in this guidance for impervious barriers shall also apply to impervious barriers using retaining walls. The following conditions also apply to retaining walls used only for structural purposes: 1. Materials used shall be structurally sound, non-degradable and waterproof. The structure shall have no weep holes when used as an impervious barrier. 2. It shall be designed by a Massachusetts Registered Professional Engineer, consistent with the provisions in 310 CMR 15.255(2)(b). 3. The horizontal distance from the edge of the SAS to the retaining wall shall be measured from the SAS to the closest edge of the footing if a footing is used. 4. In accordance with 310 CMR 15.255(2)(d), a Massachusetts Registered Professional Engineer shall design and inspect the installation and construction of the impervious barrier using a retaining wall or a retaining wall, and shall certify, in writing, that the structure has been constructed according to the approved design. The written certification shall be submitted to the approving authority prior to the issuance of the Certificate of Compliance. 15'minimum* Finished Grade ...............................................................................p......................................................... To Elevation of SAS 10 O O Slope w/out Soil Absorption System retaining wall Fill (steeper than 3:1) : :Naturally Occurring Pervious Material • . . . . . .". • • . . • • • • • • •.•.•.•.• •. . . .•'•'•'f'•'•'•'•'•'•'•'•'•'•••••••••••'•'•'•'•'•'•••'•'•.•'•'•'•••.•'•.• •.• •.•.•.•.• •.• • •.•.•.•.•.• •.•. .•. . . '•'•. . . . . '•'•'•'•.• •.•.•.•.• •.•.•.• •.•.•.•.• •.•.• /. •. . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . .".. . . . . . . . . . . . . . . . . . . . . . . . . . . .". . . . . .". . . .". . . . . Finished:: ::::::::::::::::::::::. . . . . . . . . . . . . . . . •. Footing: Grade .:.: : : : : : : : : . . "impervious barrier necessary if less than 15' Figure 2: Typical Retaining Wall without Impervious Barrier Page 4 of 5 Guidelines for the Design and Installation of Impervious Barriers Construction Construction of any impervious barrier, impervious barrier and retaining wall, or retaining wall alone, shall follow accepted engineering practice. They shall not be constructed during weather conditions that may prevent the proper installation of the structure. Extreme temperatures may affect newly poured concrete, for example, and may cause a membrane liner material to become overly inflexible,brittle or weak. Wet conditions may prevent the application of waterproof coatings or the ability to properly compact clays. Structures shall not be backfilled without inspection by the designer and the approving authority. The owner shall not modify the impervious barrier, or retaining structures without approval of the designer and without receiving appropriate approvals from the Board of Health or DEP (when DEP approval is required). Engineers, Registered Sanitarians and system installers should review and be fully aware o f s tate a nd 1 ocal building c odes t hat c ontain r equirements a pplicable f o r etaining walls and other structures used for slope stabilization. In accordance with 310 CMR 15.255(2)(e), an as-built plan shall be prepared and the designer shall certify that the impervious barrier, and/or retaining structure has been constructed in accordance with the approved plan. These plans must be submitted to the approving authority. imp.barr.doc Page 5 of 5 I - Ca�M�NT.S 0.q 4/4 1 x OySg-i2Virp C'rce yv.`lCr i3tc1c JAJ ccj 7Z `r�i g ✓.'lle , �c 7C `� odd s,� ✓�-ToGrv� ,`n ,`s �._. 9. 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' r � ' k. � ..... 1 .... y ...... ! .�.. i � _ +..... � �.�.. � � > 3 { 1 � ` . x' i { Y 9 { e 9 , „ �"'',. L; No. E 14,1 0 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Digpogar �&pgtem (Conoruction Permit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No7 3 7—3 2 2 3 1078 Craigville Beach Rd Linda Tetreault Assessor'sMap/Parcel 206/130 Centerville 1078 Craigville Beach Rd,Centerville Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 7 9 0—9 2 7 0 Wm E Robinson Sr Septic Lisa-Lyons PO Box 1089 Centerville 62 W. H annis ort Cir, Hyannis Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder P0) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 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(An wer when applicable) Install a new Title 5 septic system to plans of Lisa Iyons, dated u9-zb-u / 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 H- alth. Signed i,, ,�-�—^—t_ Date & — 01 Application Approved by Date Applicat` io_n DisaP_Pro_v_ed.by_ Da-----r , —for the following reasons —— KZ4 Af�` Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Tetreault (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic at 1078 Craigville Beach Road, Cent eryiU been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer #bedrooms Approved design flow gpd The'i�suance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector No. b$e1 0 0.0 0 Tetreault THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 71ANgpogal *pgtem Cow6truction Permit Permission is hereby granted to Construct ( ) Repair ( X ) Upgrade ( ) Abandon ( ) System located at 1 078 Craigville Beach Rd, Centerville and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date�__ Approved by t No. c.; t t ee 0 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS} Yes pplication for �DiopooaY �bp!Arm Cow5truction Permit Application for a Permit to Construct( ) Repair(X) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components ,''Location Address or Lot No. Owner's Name,Address,and Tel.N7 3 7—3 2 2 3 1078 Craigville Beach Rd Linda Tetreault Assessor'sMap/Parcel 206/130 Centerville 1078 Craigville Beach .Rd,Centervill; 76 87 Installer's Name,Address,and Tel.No. 775- Designer's Name,Address and Tel.No. 7 9 O—9 2 7 O Wm E Robinson Sr Septic Lisa Lyons PO Box 1089, Centerville 162 W. H annisport Cir, H annis Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq.ft. Garbage Grinder T�O) Other Type of Building No.of,Persons Showers( )"Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd . Plan Date Number of sheets Revision Date Title Size.gf Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Iterations(Answer when plic ble Install a new Title 5 septic system to plans off' L�S� Lyons, dated 09-28-07 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 Z Date � '1 Application Approved by /ar, Date / Application Disapproved by:, (./f; f�l,� i�,!_ �j� % -f' %� Date % for the following reasons ,m ' Permit No. .>' Date Issued ————————————————---—————————_———————————————- -`"" THE COMMONWEALTH OF MASSACHUSETTS ,. BARNSTABLE, MASSACHUSETTS Tetreault Certificate of'compl ance a THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic at 1078 Craigville Beach Road, CentervilAas-been constructed inaccordance with-the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer r Designer- 4 bedrooms Approved design flow f I gpd The issuance of this permit shall not be construed as a guarantee that the system will function as;designed. 1 Date_-- Inspector #/'r ——— ———————————————— 1—.—.——— s! No. . --'� »e3 0 0.0 0 `>~etreault THE COMMONWEALTH OF MASSACHUSETTS '='—.PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS -- lwigont 6potem Construction Permit Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon 1078 Craigville Beach Rd Centerville n System located at g r ' I f - 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. f' Provided: Construction must be completed within three years of the date of this permit. Date Approved by R �5 ZZd iateparation of Yians.and sAeci�� n o •. �- r< -' - ' Tne plans and specifications .for every on-site system shall be prepared as follows: (1) Every system shall be designed by a Massachusetts Registered Professional Engineer _ � 47, 4 or a Massachusetts Registered Sanitarian provided that such Sanitarian shall nut-design a. m system designed to discharge more than 2,000 gallons per day pursuant to 310 CMR 1S-203. P,> Any other-agent of the owner•.tnay prepare plans for the repair of a system.desi ned to discharge not more than than 2,000 gallons per day pursuant to 310 CMR 15_203 provided they are reviewed by:a Massachusetts Reg stead Sanitarian and.approved by the approving �S 3/ lra authority; - _-- .( ). .Every,plan.submitted for approval must be dated and bear the stamp and signature of - the designer, (3) Every plan for a new system or plan for the upgrade or expansion of an a istitig:systerit' Sr. a _ which requires a variance to a property'llne setback,distance, must:alsn reference a gran 2 7 S which bears the stamp and signature of a Massachusetts; Licensed Land Surveyor in < /a �� n accordance with M.b_L. c: 112, � S 1D; (4) Every plan for a system shall be of suitable seal..(one inch=40 feet or fewer for plot Tans and one inch 20 feet or .fewer for derails of system.components). fgd.shall.include. : o. , depiction of: (a) the legal boandar'es of the facility to be served; (b) the holder and location of any easements appurtenant appurtenant to or which could impact the system; _ �J (c) the lO_arf•of the all dwellings)or buildmg(s)existing and proposed on the fac�ity and identifieatidri of those to be served by posed ithe system; '(d) =the location of ekistirig or pro mper�[ious areas, inclu ng:driveways and parking areas; _ - (e) location and dimensions of th'e system (including reserve area); P (f), system design calculations, iricIuding design daily sewage flow, septic tank capacity L _ (required and proyidcd); soil absorption system capacity (required and provided); and ¢ whether system is designedi for garbage gander; ( ) North arrow and existing and proposed contours; h)- Iodation and•log of deep observation hole tests including the date of teusYce f titftc grade elevations marked on each 'r test, and the names of the represents approving authority and sail evaluator, (i) location and results of percclatintr tests including the aatc-of test and the names of (fir, V;> the.representative of the approving authority and soil_tvaluator, . I o C, (j} name and certification number of the Soil Evaluator of record; �`u I l� 1 r (k) location o£every. water supply,public and'pzivate, R�► IA t �G I. within 400 feet of the grop osed system location in the case of surface %iarcr • ��✓t supplies-and gravel packed public water supply wells, p� public 2. within 250 feet of the proposed system location in the case;of tubular water supply wells, and �y- 3, within ISO feet of the proposed'system•location in the, ease of private water ll�c� supply wells: etated l) location of any surface waters of the Commonwealth,avers, bordering v eg wetlands, salt marshes, inland or coastal banks. regulatory floodway, velocity zonq, surface water supplies, tributaries to surface water supplies,certified vernal pools,private `: p rk water supplies or suctio china catch blines, gravel asins, oel packed-or tubular public water supply wells, c g r dry-wells; and the location of any nitrogen subsurface drains, lea l./ sensitive area identified in 310 CNLR 15.215 within which portions of the proposed stem are located. Q,Jc` (m) location of water lines and-otI subsurface Futilities i the facithe (n) observed and adjusted ground-water elevaa°n to the vicinity of the system; C j o) a complete profile of the system; _7:i(np •a note on the plan listing all variances to the provisions of 310 C.tvIR 15.000 sought conjunction with the plan; (q) . the location and.elevation of one benchmark.within 50 to 7S feet of the facility which is not subject to dislocation or loss.dizr`�ng constructiois'ori'the facility; (r) when dosing is'proposcd, complete design• a.-specification of the dosing system propo-sed including but itoi Limited to dosing,cha a b`e1 spacity and der ��erde� provided),' um _curves and specifications, number.of d'es cntca teznarzve technology is required or f eczrcu a=il San ter or roposed, a complete plan and spcciacation for the system,including a hydraulic profile; (t) a locus glan,to show the location of the facility including the nearest existing street; (u the street number and lot number, if any, of the facility; and and the specifications of the system. v) the materials of construction. �� � �b7� c��:��� P SI �� �� � � . �_ C�s)-,q�D s SRM4 4/10 Horsepower Residential Sewage Pump ADVANTAGES BY DESIGN DURABLE MOTOR WILL DELIVER MANY YEARS OF RELIABLE SERVICE. ■ Oil-filled motor for maximum heat dissipation and continuous bearing lubrication. ■ Overload protected shaded pole motor elimi nates starting switches. ■ Recessed vortex impeller provides minimal radial loading for long bearing life. THE SRM4P IS ENGINEERED FOR MANY YEARS OF MAINTENANCE-FREE OPERATION. ■ Wide-angle piggy-back float switch for maxi- mum draw down.(Automatic models) ■ Pump can be operated manually by unplug- ging piggy-back switch and plugging pump directly into outlet(Automatic models). ■ Recessed vortex impeller operates completely out of volute and provides free flow through passage for solids and liquids. .:: PRODUCT CAPABILITIES Capacities To 95 gpm 360 lmp Heads To 18 It. 5.5 m 19 ft.shutoff 5.8 m Pump Down Range Float Switch 7 to 14 in. 178 to 356 mm Solids Handling Capacity 2 in. 50.8 mm Liquids Handling raw sewage, effluent, drain water Intermittent Liquid Temp. up to 140°F I up to 60°C Motor 4/10 HP shaded pole 1550 RPM P�YIA Electrical 115V, 12A or 230V,, 6A, U` ca ® 10, 60 Hz. Acceptable pH Range 5-9 . Discharge, NPT 2 in. 50.8 mm Minimum Sump Diameter Simplex 18 in. 457 mm Duplex 30 in. 762 mm THE SRM4 NON-CLOG PUMP IS THE MOST RELIABLE 4/10 HORSEPOWER RESIDENTIAL SEWAGE PUMP AVAIL- ABLE TODAY. The SRM4 is a plumbers/contractors dream...it ConshuctionMaterials will not clog! Its recessed impeller design allows 2"solids to pass freely through the volute without the chance of jam- Motor Housing cast iron,Class 30,ASTM A48 ming the impeller. The SRM4 series pump has a volute Case cast iron,class 30,ASTM A48 national field-proven record of reliability. Look to your Myers distributor for the answer to your residential sewage han- Impeller recessed,thermoplastic dling needs...and across the counter will be the Myers mini Power Cord 120 ft.16/3 SJTW/SJTW A non-clog,the SRM4. It works for you! For more information, call your Myers distributor today,or the Myers Ashand,Ohio Mechanical Seal carbon and ceramic sales office at 419/289-1144. WHERE INNOVATION MEETS TRADITION M"M E S.RM4 4/10 Horsepower Residential Sewage Pump ADVANTAGES BY DESIGN / DURABLE MOTOR WILL DELIVER MANY YEARS OF ! RELIABLE SERVICE. ■ Oil-filled motor for maximum heat dissipation and continuous bearing lubrication. ' ■ Overload protected shaded pole motor elimi- nates starting switches. ■ Recessed vortex impeller provides minimal r radial loading for long bearing life. THE SRM4P IS ENGINEERED FOR MANY YEARS OF w+` MAINTENANCE-FREE OPERATION. Wide-angle�. ■ g piggy-back float switch for maxi- mum draw down.(Automatic models) ■ Pump can be operated manually by unplug- ging piggy-back switch and plugging pump directly into outlet(Automatic models). -` ■ Recessed vortex impeller operates completely out of volute and provides free flow through passage for solids and liquids. PRODUCT CAPABILITIES Capacities To 95 gpm 360 Imp Heads To 18 ft. 5.5 m 19 ft.shutoff 5.8 m Pump Down Range Float Switch 7 to 14 in. 178 to 356 mm Solids Handling Capacity 2 in. 50.8 mm Liquids Handling raw sewage, effluent, drain water Intermittent Liquid Temp. up to 140°F I up to 60°C Motor 4/10 HP shaded pole 1550 RPM Electrical 115V, 12A or 230V, 6A, Q- 'IS-SM" 10, 60 Hz. Acceptable pH Range 5 9 Discharge, NPT 2 in. 50.8 mm Minimum Sump Diameter Simplex 18 in. 457 mm Duplex 30 in. 762 mm HE SRM4 NON-CLOG PUMP IS THE MOST RELIABLE 4/10 HORSEPOWER RESIDENTIAL SEWAGE PUMP AVAIL- ABLE TODAY. The SRM4 is a plumbers`/contractors dream...it ConstmcnonMaterials will not clog! Its recessed impeller design allows 2"solids to pass freely through the volute without the chance of jam- Motor Housing cast iron,Class 30,ASTM A48 ming the impeller. The SRM4 series pump has a volute Case cast iron,Class 30,ASTM A48 national field-proven record of reliability. Look to your Myers distributor for the answer to your residential sewage han- Impeller recessed,thermoplastic dling needs...and across the counter will be the Myers mini Power Cord 20 ft.16/3 SJTW/SJTW A non-clog,the SRM4. It works for you! For more information, call your Myers distributor today,or the Myers Ashand,Ohio Mechanical Seal carbon and ceramic sales office at 419/289-1144. WHERE INNOVATION MEETS TRADITION M"M Y� L J' SRM4 4/10 Horsepower Residential Sewage Pump DIMENSIONS MECHANICAL FLOAT SWITCH Mercury-free,900 angle operation. (Piggyback 7 p models only). — — 4/10 HP MOTOR — Pressed in place and Oil-filled for best POWER CORD alignment and heat ` Quick-disconnect transfer. Built-in watertight fitting. overload protection. MOTOR HOUSING - — Heavy cast iron for f DUAL THRUST efficient heat tansfer. WASHERS,SLEEVE — BEARINGS Oil lubricated, — --- enhance smooth - -_ - _ --_ CAST IRON VOLUTE i operation and _ I _ Passes 2"diameter _--- �✓ extend pump life. solids. I � - I T PERFORMANCE CURATE CAPACITY LITERS PER MINUTE 40 6o 120 160 200 240 280 320 360 24 _J 16 N 6 LL 6 2 2 Z MECHANICAL SHAFT RECESSED IMPELLER a 1z ° SEAL. Operates out of volute = , _ Carbon and ceramic passage,allowing c e z o faces,body is stationary, maximum flow of liquids prevents string or trash and solids. ° r - + from winding on seal. 0 10 20 30 40 so 60 70 80 90:.. CAPACITY GALLONS PER MINUTE K3305 3103 ® F.E.Myers,1101 Myers Parkway,Ashland,Ohio 44805-1969 Printed in U.S.A. ILVIL, 419/289-1144,FAX:419/289-6658,TLX:98-7443 Myers(Canada),269 Trillium Drive,Kitchener,Ontario N2G 4W5 Pentair Pump Group 519/748-5470,FAX: 519/748-2553 :c Q) O� „I o �.�{ O O cx SEF X98.75 PUK -I [ X98 1? 02,4 [n� Cu 'of fl I CD, SAS DI 1 I CD - ` 102.4 o =` / OVERDI j I i -F p___._-_ { LINES. BE TWEE 10- -27 �l o �� f . __._._. ------ � �4 40 MIL L OF SAS 830 V INTO 1 REGRA[ { : CRAIGVILLE BEACH ROAD ACME 1500/500 GALLON TANK-WATERPROOFED DISTRIBUTION BOX LEACHING FIELD DETAIL CROSS SECTION LOCUS PLAN NOT TO SCALE-SEE NOTES LOW PROFILE WITH INLET TEE NOT TO SCALE NOT TO SCALE Iozs \ 102.4 MIN 2%SLOPE 102.25 NOT TO SCALE 24"MAN HOLE \� / M 0.0 99.2 99.2 FINISHED GRAD �\/\�\ \�\/\�\�\�\�\�\�\ TO 28 MIN.9"COVER 4"CAP \ \ MAIN STREET COVERS TO WITHIN 6"OF GRADE r MUST FLOW BACK TO TANK 4"SCH.40 P.V.0 , . FILTER FABRIC �// 101 2 /� FILTER FABRIC 4"SCM 40 P.V.C. "MINIMUM RCE tt _ ,� _ _ �-� =� . / 5' / " i -;ems- �� 3 OS. 7 101.3 5 374-1 1/2 DOUBLE•WASHEDS D 98,1 3 96.9 \: \ 4XX" / Ioo.7 . . . . . . . . . . WEEP BGL 101.4 y } �c� '�� L❑C U S 97,15 4.51 F'i�'a' cIIEEPHOL 100.85 A1800 ALARM ON ELEV.94.0 30' 13' q 10.0 MIN PUMP ON ELEV.93.7 TON SIDES AND BETWEEN DISTRIBUTION LINES cy PUMP OFF ELEV.832 MOTTLES 95.7 P� TANK BOTTOM ELEV.92.7 CRAIGVILLE BEACH MEYERS SUBMERSIBLE SEWAGE PUMPSMR4 4/10 HP SITE SPECIFIC NOTES 12' BEDROOM DESIGN CALCULATIONS GENERAL NOTES FLOOR PLAN TANK TO BE WATERPROOFED AND SEALED AT SEAM ALL PIPING TO BE SCHEDULE 40 P.V.C. (MOMOLITHIC TANK CAN BE USED INSTEAD) Map 206 NOT TO SCALE EXISTING BEDROOMS 2 0 110 G.P.D.= ALL LOCATIONS OF SEPTIC OUTLET TO HAVE ZABEL FILTER A1800 Parcel 130 220 G.P.D. MARKED BY DIG-SAFE UTILITIES AND ARE WN E AS ETO BE O I�{ AC VERIFIED BY INSTALLER PRIOR TO 40 ML VINYL MEMBRANE TO BE INSTALLED AROUND SAS CONSTRUCTION DRIVEWAY TO BE SHIFTED OVER APPROX 4' AS SHOWN DEPTH BELOW INV. .5' THERE ARE NO KNOWN WETLANDS WITHIN WIDTH 12' 150' OF THE PROPOSED LEACHING FACILITY LENGTH 28' UNLESS SHOWN. PUMP AND ALARM TO BE ON SEPARATE CIRCUITS BEDROOM HERE ARE NO KNOWN POTABLE WELLS WITHIN ELECTRICAL PERMIT REQUIRED E N CH MARK SET 12x28 = 336 SO FT 150' OF THE PROPOSED LEACHING FACILITY. LEACHING AREA TO BE STABILIZED BY PLANTING QUICK X 0.74 = 248.5 GPD THERE ARE NO KNOWN IRRIGATION WELLS WITHIN 50' OF THE PROPOSED LEACHING GERMINATING GRASS (IE RYE GRASS) p FACILITY EXISTING CESSPOOLS TO BE REMOVED. COS S e" // , /l BATH CAPACITY TOTAL 248.6 G.P.D. THIS PROPERTY FALLS WITHIN FLOOD ZONE B INSPECTIONS TO BE COORDINATED WITH DESIGNER El, -100, CA_g5umeU'l LIVING ROOM AS SHOWN ON FIRM MAP 2500001 8D BEDROOM THIS DEE 5S(IGN DOES REQUIRE VARIANCES TO THIS SYSTEM NOT DESIGNED TO su PLEME3NTTAL 10 R GULATTIIONS.R BARNSTABLE ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE L' CP i BATH DISPOSAL WITH TITLE 5 REGULATIONS.AND BARNSTABLE SUPPLEMENTAL LIVING ROOM IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION INV. ® HousE APPRox 98.1 PROPERTY LINE .DATA FROM KITCHEN INV INTO TANK 97.15 : DOWN CAPE ENGINEERING MAR 5/79 INV OUT OF PUMP 96.55 PLAN TO BE USED FOR INSTALLATION INV INTO D-BOX 101.57 OF SEPTIC SYSTEM ONLY ;• Ca INV OUT OF D-BOX 101.4 INV INTO FIELD 101.35 NOT FOR DETERMINING PROPERTY LINES N BOTTOM OF FIELD 100.85 BENCH MARK 11 aonoM Vr"ids HALE yz.� WATER TABLE 95.7 (MOTTLES) L CORNER OF STEP ELEV, 100.0 G , ; DATE: OBSERVED BY: WITNESSED BY: SOIL TOGS Sept 6, 2007 LISA C. LYONS DONNA MIORANDI SOIL EVALUATOR BOARD OF HEALTH COD -0 X ELEV. OBS. HOLE#1DEPTH ELEV. OBS. HOLE #DETI PT O 99 0 A LOAMY SAND O" 99.0 A LOAMY SAND 0 11 Cx 1 OYR 4/3 10YR 4/3 4_11 O 98.6 B LOAMY SAND 5 11"98.1 LOAMY SAND ACME 500/500 B r O 00 !Q 97.6 1 OYR 6/6 18" 97.5 1 OYR 6/6 19" SEPTIC TANK/ C FINE SAND C FINE SAND J PUMP CHAMBER 2.sY 7/3 441, X98.75 2.5Y 7/3 � _ 95.7 MOTTLES 7.5Y5/6 40" 95.7 MOTTLES 7.5Y5/6 40" 9 9`4 ��) BO UYA N CY CALCULATIONS 95.07 OBSERVED GROUND H2 48" 95.07 OBSERVED GROUND H2 48" i _� ------_._-. 100.41 .__ ___.__. m. 2000 GALLON TANK WITH WATERPROOFING 92.o 84" 92.0 s4" �/ O 9. ,._....._.. _ _ 10.1_.4°k-...-_____ DOWNWARD FORCE WEIGHT 22,000 PNDS X98-�y J ' _ ___,_ _. __._ ; SOIL OVER TANK 12 X 6.5 X.75- 58.5 cf I ' 58.5 cf @ I I0#/cf=6,435 pnds I I - - 0 2,4 TOTAL 22,000+6,435 IS 28, grids PERC RATE<2 MINS./INCH In i in ��� ;CD SAS DETAILS (v � ! 0 ?�I UPWARD FORCE VOLUME DISPLACED a 4 t ' { 11.66 X 6.17(95.7-92.4)=M7.4d [o = 102.4 YD OVERDIG REQUIRED FOR 5' AROUND TO 237.4cf@62.4#/cf=14,814pnds T ELEV 97.5 MOTLES FOUND AT 40" DOWNWARD FORCE EXCEEDS UPWARD FORCE BY 1.9:1 I USE MOTTLES FOR SEPARATION 10 ILI�. 28 X 12 FIEF_D WITH 3 DISTRIBUTION VARIANCE REQUEST N DES AND P# 11 I � _ _ I BETWEEN TO EON SIDES • x ._ . ..._. .. LINES. 3 S A variance is requested from 310 CMR 15 211 940 A variance of 1'is requested from the setback to the crawl space; 9 P r 10 and 1'from setback to street. A liner will be installed as shown. _,__...._ 9 9 eY4 `•- 40 MIL LINER INSTALLED 3' FROM EDGE OF SAS FROM TOP OF SAS TO AT LEAST �F��Ass �® ON SITE SEWAGE DESIGN V INTO NATURALLY OCCURRING SOIL. d„,a..�..gayo0 J, ^ �a+.4; .°pa '#1 c'�;jam PLAN SHOWING: REGRADE AS SHOWN. � � � , •�-�0 It ��rD� PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE 1�,1aS, u'® FOR: DRAWN BY- LISA C. LYONS y U%I LINDA T'ETREAULT' DESIGNED & CHECKED A'C. LYONS v m , #11 a 3� 2� h LOCATION: REVISIONS: DATE: d�0 • IM 10/9/07 * G I s `��.� 107 8#CRAIGVILLE BE DA H RD Centerville ADDED PERC INFO:PUMP SPECS 10/9/07 EFFLUENT FD.TER:PUMP ELEV CRAIGVILLE BEACH ROAD SCALE 0 � � 114 ISA C. L R.S. MAP 206,P 130 SEPT 28,2007 TANx sAss►ze Drn>BNSIONs ��✓�9�m I CERTIFY THAT THIS PLAN CONFORMS TO LISA C LYONS , R . S. (774)48'7-1638 TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS (5o8) 790-92'70 (EXCLUDING WAIVERS SPECIFIED) HTANNIS, MASSACHUSETTS .,. ....._...,..... J -"��W�..... �o��/Z.s._.. d i�',.•'�'-. / .ir./.A I�/I Gq✓S '^""YY•�G/ 1500 GAL SEPTIC TANK-WATERPROOFED 1000 GAL PUMP CHAMBER - WATERPROOFED DISTRIBUTION BOX LEACHING FIELD DETAIL CROSS SECTION LOCUS PLAN NOT TO SCALE-SEE NOTES NOT TO SCALE LOW PROFILE WITH INLET TEE NOT TO SCALE NOT TO SCALE 102.5 \ 102.1 MIN 2%SLOPE NOT TO SCALE M 0.0 993 101 FINISHED GRAD / \ \\ \\ \\�\\�\\�\\�\ \�\\�\\�\\�\ \\�\\�\\�\\�\\�\\�\\�\\�\\ .\� TO 28 /� /� MIN.9"COVER 4^CAP /�/�/�/ �/�/�/� MAIN STREET CO TO WTrH N 6"OF GRADE 101.5 r 3^ 3^MINR1fUM RCE NL MUST FLOW BACK TO TANK n" a^Scx.ao P.v.0 . FILTER FABRIC �// 101.2 /� FILTER FABRIC a^scB.ao P.v.c a^scx.ao e.v.c• I FORCE MAIN �E ' \c-- - -f- \ = A-too s=o.mMnr. P.E. 200 PS j�„ / 2' 5 " ••' / s' / •U 3 101.�5 �`ala 1 t/2 novs,>swng�Ds1'oNE-:�:�:�:-:':-:-:-:�:-:�:�: 97.34 13 wEErxoL 96.7 101,57 \ D _ n cIIECx vAL i o 4 96.9 / C� APPROX lI / � R❑ - / ]00.7 M N ELEV. • •`•••`�`.`� _.__....._..._ ALAR 0 - 9 F l - 97,15 ZABEL 96.8 101.4 ./.• /. /.. /. /i. /.. /, /.�/,�/..�/i�/..�/,�/..�/.�/•% '\ /, /. /..�/,�/..�/i�/..�/..�/..�/.�/.. L 4.0' Faren PUMP ON ELEV.93.2 MEY ER5 SUBMERSIBLE �� FAIMLUE SEWAGE PUMP SMR4 4/10 HP l0u.Q5 F`� '\ L C U S 10. ' I PUMP OFF ELEV.92.7 3V 15' �9 MIN ANK BOTTOM ELEV.92.2 TON SIDES AND BETWEEN DISTRIBUTION LINES Cti 6 6fSTO14EUNnEtf7ANR .: :.': . ' MOTTLES 95.7 P� 6":OFSIONf? NI?EIL IAtsFIG:. '• ' . 10.5' I CRAIGVILLE BEACH r. SITE SPECIFIC NOTES BEDROOM DESIGN CALCULATIONS GENERAL NOTES FLOOR PLAN BOTH TANKS TO BE WATERPROOFED AND SEALED AT ALL PIPING TO BE SCHEDULE 40 P.V.C. SEAM (MOMOLITHIC TANKS CAN BE USED INSTEAD) Map 206 NOT TO SCALE EXISTING BEDROOMS 2 0 110 G.P_D.= ALL LOCATIONS OF UTILITIES SHOWN ARE AS SEPTIC TANK TO HAVE ZABEL FILTER A1800 Parcel 130 220 G.P.D. MARKED BY DIG-SAFE AND ARE TO BE 1.3± AC, 40 ML VINYL MEMBRANE TO BE INSTALLED AROUND SAS 0, VERIFIED BY INSTALLER PRIOR TO a CONSTRUCTION DRIVEWAY TO BE SHIFTED OVER APPROX 4' AS SHOWN DEPTH BELOW INV. .5, THERE ARE NO KNOWN WETLANDS WITHIN WIDTH 15' 150' OF THE PROPOSED LEACHING FACILITY LENGTH 30' UNLESS SHOWN. PUMP AND ALARM TO BE ON SEPARATE CIRCUITS BEDROOM HERE ARE NO KNOWN POTABLE WELLS WITHIN ELECTRICAL PERMIT REQUIRED 15 X 30 = 450 SQ FT w 1��� A /L ^� (1�� ,�y' 150' OF THE PROPOSED LEACHING FACILITY. INTERNAL PLUMBING CHANGES TO BE DONE BY LIC PLUMBER (V / 'VIHK J X 0.74 = 333 GPD WITHIN SOREOFOTHE PROPOSED IRRIGATION WELLS L eor, 5 tep FACILITY BATH CAPACITY TOTAL 333 G.P.D. EXISTING CESSPOOLS TO BE REMOVED. / / �,/l ,.�' THIS PROPERTY FALLS WITHIN FLOOD ZONE B INSPECTIONS TO BE COORDINATED WITH DESIGNER E -100, \A55Umecl LIVING ROOM AS SHOWN ON FIRM MAP 2500001 8D BEDROOM THIS DESIGN DOES REQUIRE VARIANCES TO TITLE 5THIS SYSTEM NOT DESIGNED TO SUPPLEME3NTAL 10 REGULATIIONS.R BARNSTABLE ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE / `''P DISPOSAL WITH TITLE 5 AND BARNSTABLE SUPPLEMENTAL BATH REGULATIONS. LIVING ROOM IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION - INV. ® HOUSE APPROX 97.39 ROPERTY LINE DATA FROM KITCHEN INV INTO TANK 97.15 : INV OUT OF TANK 96.9 DOWN CAPE ENGINEERING MAR 5/79 INV INTO PUMP 96.8 INV OUT OF PUMP 96.7 PLAN TO BE USED FOR INSTALLATION INV INTO D-BOX 101.57 OF SEPTIC SYSTEM ONLY �ay INV OUT OF D-BOX 101.4 INV INTO FIELD 101.35 NOT FOR DETERMINING PROPERTY LINES -� BOTTOM OF FIELD 100.85 ' BOTTOM OF OSS HOLE 92-Ub' BENCH MARK - WATER TABLE 95.7 (MOTTLES) L CORNER OF STEP ELEV. 100.0 'L BO V 1 A V C i CALCULATIONS DATE: OBSERVED BY: WITNESSED BY:. .�, SC1II'TOGS Sept 6, 2007 LISA C. LYONSrB ONNA MORIANDI 1500 GALLON TANK WITH WATERPROOFING SOIL EVALUATORARD OF HEALTH = DOWNWARD FORCE WEIGHT 11,500 FINDS OBS. HOLE OBS. HOLE #2 ;� 0 SOIL OVER TANK 10.5X6XI= 63d co ELEV. DEPTH ELEV. DEPTH \� - 63 cf @ 110#/cf 6,930 pnds 99.0 A LOAMY SAND o If 99.0 A LOAMY SAND 011 a TOTAL 11,500+6,930=18,430 pnds 10YR 4/3 1 OYR 4/3 -� : Q 98.6 B LOAMY SAND 5 98.1 B LOAMY SAND 11" 0 SEPTIC TANK IOYR 616 1 IOYR 6/6 O UPWARD FORCE VOLUME DISPLACED 97.6 18' 97.5 19 9.7 X 5.71 (95.7-92.7)=166CI C FINE SAND PUMP (;HAMBER = 2.5Y7/3 y��.7c: 166cf @ 62.4#/cf-10,358 pods 2.5Y 7/3 32" C FINE SAND /� J 44" O DOWNWARD FORCE EXCEEDS UPWARD FORCE BY 1.8:1 95.7 MOTTLES 7.5Y5/6 40" 95.7 MOTTLES 7.5Y5/6 40" 0 DOWNWARD �( l 95.07 OBSERVED GROUND H2 48" 95.07 OBSERVED GROUND H2 48" �\0 1000 GALLON TANK H WATERPROOFING _... .__ � WITH R DOWNWARD FORCE WEIGHT 8,240 FINDS 92.0 84" 92.0 84" SOIL OVER TANK 8X5X3= 1200f X9v.�y�7 J i 120 cf @ 110#/cf=13,200 pods jjl�\--/ ` 99.05 TOTAL 8,240+13,200=21,440 pds In PERC RATE<2 MINS./INCH SAS DETAILS UPWARD FORCE VOLUME DISPLACED 10�1� E 7.6X4.88(95.7-92.3)=126cf �;o , CP ;° 1 OVERDIG FtEQUiRED FOR 5' 126cf@62.4.7,862prias �' - O AROUND TO ELEV 97.5 DOWNWARD FORCE EXCEEDS UPWARD FORCE BY 2.7:1 MOTTLES FOUND AT ao^ USE MOTTLES FOR SEPARATION E 30 X.15 FIELD WITH 4 DISTRIBUTION 1 VARIANCE REQUEST 3' ST LINES. ONE ON SIDES AND -- - A variance is requested from 310 CM 15.211. P# 11 940 101 BETWEEN A variance of 5'is requested from the setback to the crawl space. _ I I q 9 9 A liner will be installed as shown. 40 MIL LINER INSTALLED AROUND SAS AND REGRADING AS SHOWN. ``�'►�P�.••.""'''�•;yGs�, ON SITE SEWAGE DESIGN N e PLAN SHOWING: o � PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE J = 1 C # 43,2« FOR: DRAWN BY: LISA C. LYONS IL '�� LINDA TETREAULT DESIGNED & CHECKED IS - A• N LOCATION: RE IONS: DATE: t! 1}r� j 1078 T#CRAIGVILLE BE ACHE RD Centerville ADDED PERC INFO;PUMP SPA/ 10/9/07 DAT : EFFLUMT FILTER;PUMP ELEV 1019/07 CRAIGVILLE BEACH ROAD SCALE 1 : 10 ISAC. L�S, S. MAP 206,P 130 SLPT 28,2007kiI CERTIFY THAT THIS PLAN CONFORMS TO LISA C. L Y O N S , R . S . (774)487-1<63 TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS (5o8) 790-9270 (EXCLUDING WAIVERS SPECIFIED) HYANNIS, MASSACI`TUSETTS 1500 GAL SEPTIC TANK-WATERPROOFED 1000 GAL PUMP CHAMBER - WATERPROOFED DISTRIBUTION BOX LEACHING FIELD DETAIL CROSS NOT TO SCALE-SEE NOTES NOT TO SCALE LOW PROFILE WITH INLET TEE NOT TO SCALE OT G�ON L�C U S P L A N O S SECTION 102.5 102.1 MIN 2%SLOPE NOT TO SCALE FINISHED MAN HOLE �\ M 0.0 99.3 101 FIN � TO 28 ISHED GRAD \/\/\/\/\/\// /\/�/����\�\�\ \/\�\���� \/ �\\� .\� / /\//`// MIN.9"COVER 4„CAP . MAIN STREET. COVE TO WITHIN 6"OF GRADE 4"SCH.40 P.V.0 � � FILTER FABRIC .i�'�-'�-.:101.5 C- MUST FLOW BACK TO TANK _-_101.2 _u`/ FILTER FABRIC Ff 4"SCH.40 P.V.0 3" 4"BCH.40 P.V.C. 3"MINIMUM ACE MA = - A-100 s=0.01MIN. E, 200 PSI FORCE MAIN - „ 2" P 13 3 WEEP 1 1,57 101.:35 374-1'112 D(1UBI;EWASHEDSIOPIE'•'•'• s 97,34 96.7 - \ D - �� cl�cx VAL i e1 U­j 4 96.9 / C� PP X -- / APPROX - 00.7� 1 . ALARM ON ELEV.93.5 . . . . � � . . . . . . .' ._.._.._....__ q ZABB 96.s 1o1.a / /i / /i /i / ,/i,./i,/i,./i,. 97.15 F,�� PUMP ON ELEV.932 / / / / / / //i,//i//i//i//i//i,//i//i. /. i i /i, i i / � MEYERS SUBMERSIBLE i. /i /i /�. /i /�. /� 4.0 AIM SEWAGE PUMP SMR4 4/10 HP 101'�5 � � � F`�� L❑C LI S 10. ' PUMP OFF ELEV.92.7 30' 15' Fq NUN ANK BOTTOM ELEV.92.2 Y ON SIDES AND BETWEEN DISTRIBUTION LINES Oy 6"of STONE UNDER Y 4tait MOTTLES 95.7 PO g^.bi STONBUN�I?RTAic:: 8.5' 110.5' CRAIGVILLE BEACH SITE SPECIFIC NOTES BEDROOM T DESIGN CALCULATIONS GENERAL NOTES BOTH TANKS TO BE WATERPROOFED AND SEALED AT FLOOR PLAlr SEAM (MOMOLITHIC TANKS CAN BE USED INSTEAD) Map 206 NOT TO SCALE EXISTING BEDROOMS 2 0 110 G.P.D.= ALL PIPING TO BE SCHEDULE SHOWN P.V.C. SEPTIC TANK TO HAVE ZABEL FILTER A1800 Parcel 13D j 220 G.P.D. MARKEOD BYODIG-SAFEI ANDS R TO BE AS 1.J�- AC VERIFIED BY INSTALLER PRIOR TO 40 ML VINYL MEMBRANE TO BE INSTALLED AROUND SAS U CONSTRUCTION DRIVEWAY TO BE SHIFTED OVER APPROX 4' AS SHOWN DEPTH BELOW INV. .5' THERE ARE NO KNOWN WETLANDS WITHIN WIDTH 15' 150' OF THE PROPOSED LEACHING FACILITY PUMP AND ALARM TO BE ON SEPARATE CIRCUITS BEDROOM LENGTH 30' UNLESS SHOWN. ELECTRICAL PERMIT REQUIRED 15 X 30 = 450 SO FT HERE ARE NO KNOWN POTABLE WELLS WITHIN LJ�N V 1 ru \�1 I V IAI�� S�T ,�y' 150' OF THE PROPOSED LEACHING FACILITY. R INTERNAL PLUMBING CHANGES TO BE DONE BY LIC PLUMBER X 0,74 = 333 GPD THERE ARE NO KNOWN IRRIGATION WELLS WITHIN 5O' OF THE PROPOSED LEACHING EXISTING CESSPOOLS TO BE REMOVED. C���, S�e/ FACILITY BATH CAPACITY TOTAL 333 G.P.D. THIS PROPERTY FALLS WITHIN FLOOD ZONE B �l - 900 �/1 SSU�y)e�l) LIVING ROOM AS SHOWN ON FIRM MAP 2500001 8D INSPECTIONS TO BE COORDINATED WITH DESIGNER ( 1 H 1�i7 BEDROOM THIS DES(IGN DOES REQUIR)E VARIANCES TO TITLE 5THIS SYSTEM) NOT DESIGNED TO SUPPLEMENTAL REGULATIIONS.R BARNSTABLE r ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE DISPOSAL WITH TITLE 5 AND BARNSTABLE SUPPLEMENTAL CP BATH REGULATIONS. J r \S s LIVING ROOM IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION INV. ® HOUSE APPROX 97.39 ROPERTY LINE DATA FROM KITCHEN INV INTO TANK 97.15. : INV OUT OF TANK 96.9 DOWN CAPE ENGINEERING MAR 5/79 INV INTO PUMP 96.8 `` INV OUT OF PUMP 96.7 PLAN TO BE USED FOR INSTALLATION INV INTO D-BOX 101.57 OF SEPTIC SYSTEM ONLY .:� INV OUT OF D-BOX 101.4 ` INV INTO FIELD 101.35,,, NOT FOR DETERMINING PROPERTY LINES : Q� 5 BOTTOM FIELD,TOM OF OBSHOCc �00.8 RFNr` 'AplC r� AA - ( ' WATER TABLE 95.7 (ti107TLES) L CORNER OF STEP ELEV. 100.0 �d� I " SOIL'TOGS � BOUYANCY CALCULATIONS DATE: OBSERVED BY: WITNESSED BY: Sept 6, 2007 LISA C. LYONS DONNA MORIANDI C'0 a 1500 GALLON TANK WITH WATERPROOFING SOIL EVALUATOR BOARD of HEALTH N DOWNWARD FORCE WEIGHT 11,500PNDS OBS. HOLE #1 OBS. HOLE #2 ELEV. DEPTH ELEV. DEPM Q� CO SOIL OVER TANK 10.5 X 6 X 1= 63 d 99.0 0" 99.0 0" ` O 63 cf @ I I0#/cf 6,930 Ands A LOAMY SAND . 5-- oAMY SAND _ Q TOTAL 11,500+6,930=18,430 pnds 98.6 IOYR 4/3 5„ 98.1 1OYR 4/3 `O B LOAMY SAND B LOAMY SAND lilt SEPTIC TANK UPWARD FORCE VOLUME DISPLACED 1OYR 616 1, 1OYR 6/6 11 �� O O• � Q 97.6 18 9.7 X 5.71 (95.7-92.7)=166d C FINE SAND 97.5 C FINE SAND 19 PUMP (CHAMBER 166cf @ 62.4#/cf=10,358 pads 2.5Y 7/3 32 X98.75 44" 2.SY 7/3 1 t DOWNWARD FORCE EXCEEDS UPWARD FORCE BY 1.8:1 95.7 MOTTLES 7.5Y5/6 40" 95.7 MOTTLl3S 7.5Y5/6 40" O ": 95.07 OBSERVED GROUND H2 48 �•� 95.07 OBSERVED GROUND I32 48", 101 ' 1000 GALLON TANK WITH WATERPROOFING _.._... 92.0 84" 92.0 84" DOWNWARD FORCE WEIGHT 8,240 PNDS 5/ j SOIL OVER TANK 8X5X3= 120d X98.9 3 E I 120 cf @ 110#/d=13,200 pnds F 99.95 E TOTAL 8,240+13,200=21,440 pds t I �+/� C PERC RATE<2 MINS./INCH �_ SAS D ET.',i�LS UPWARD FORCE VOLUME DISPLACED� � CJ CID 1�2 1 7.6X4.89(95.7-92.3)=12sd 126 cf @ 62.4 7,862 pads OVERDIG REQUIRED FOR 5 I CD AROUND TO ELEV 97.5 DOWNWARD FORCE EXCEEDS UPWARD FORCE BY 2.7:1 MOTTLES FOUND AT 40" I s USE MOTTLES FOR SEPARATION { 0 ' 30 X 15 FIELD WITH 4 DISTRIBUTION VARIANCE REQUEST LINES. 3' ,TONE ON SIDES AND 1..01.__ A variance is requested from 310 CMR 15.211. P# 11 ,94Q i.._. ...._ ...._ __...._ __ ..._ BETWEEN A variance of 5'is requested from the setback to the crawl space. 9 9 A liner will be installed as shown. 1Q E _...__:.. ._....___.. 40 MIL LINER INSTALLED AROUND ON SITE SEWAGE DESIGN SAS AND REGRADING AS SHOWN. `®,o�NOF°MaSsq®®,® 0G�,�I�� PLAN SHOWING: PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE ►V S FOR: DRAWN BY: LISA C. LYONS Q tl :. V DESIGNED & CHECKED BY: LINDA TETREAULT • � r �i 3. � I A R LOCATION: REVISIONS: DATE: 'P••'• RfG I SZk����������� \~ 1078 CRAIGVILLE BEACH Ii_D Centerville ADDED PERC INFO;PUMP SPECS 1019/07 lo ,#F +4Y,►II A M �9 LOT#: DATE:. EFPLUENT FU.TER;PUMP ELEV 10/1/-7 SCALE 1 : 10 �a►*' MAP Zo6,P 130 SEPT 28,aoo� A C. YQ S, .S. CRAI,GVILLE BEACH CERTIFY THAT THIS PLAN CONFORMS TO LISA C . LYONS , R . S. (774)487-><6g8 TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS HYANNIS, MASSACI-USETTS (508) 790-9270 (EXCLUDING WAIVERS SPECIFIED) 1500 GAL SEPTIC TANK- WATERPROOFED 1000 GAL PUMP CHAMBER - WATERPROOFED DISTRIBUTION BOX LEACHING FIELD DETAIL CROSS SECTION LOCUS PLAN NOT TO SCALE-SEE NOTES NOT TO SCALE LOW PROFILE WITH INLET TEE NOT TO SCALE NOT TO SCALE MANIoz.s 102.1 MTN 2%SLOPE NOT TO SCALE M 0.0 FIAiISHFD GRAD O \\ \\ \\ /�/�/�/�/�/�/�/�/�/�/�/�/�/�/�/�/�/�/� / / / /� /\ MIN.9"COVER 4"CAP N\� � MAIN STREET CO TO WITHIII 6'OF GRADE F_ _ 4"9CH.40P.V.0 FILIERFABRIC 101.5 /� 4"SCH.40 P.V.0 3"��M 4"SCH.40 P.V.C. 3"MINIMUM RCE MUST FLOW BACK TO TANK i y/-- --- -- „ _ .. 1012 FILTER FABRIC v1 - . _.__.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . \ 3„ A-too S=0.01 NUN. 2 P.E. 200 PSI FORCE MAIN / : . . . . . . : : : : : : : : . : : : : : : : : : : : : : : : D 97.34 13 WEEPI10 96,6 101.57 101.: �� :•:974":1 /2"•I?4 'AASH S1c?NE;..........'.........'._.. 5' . . . . . . . . . . . . . .. . . . . . . . . . . . . . •.•.•.•.•.•.•.•.•.•.•. . . . . . . . .•.•.•.•.•. . . . . . . . . . . . . . . . ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .c� APPROX 14 96.85 c1� vAL / c f I - ALARM ON ELEV.93.5 \�\�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '4 100.7 : . . . . : . . . . . : . . . . . : 4.0,)71 PUMP ON ELEV.93.2 MEYERS SUBMERSIBLE }/� /��/ �/.�/ �/��/A�//. /A�/A�/4�/. /A / SEWAGE PUMP ME 40 4/10 HP � 35 L C U S 10 0, PUMP OFF ELEV.92.7 30' I 1 15' 1 eFy AK BOTTOM ELEV.92.2 1 TON SIDES AND BETWEEN DISTRIBUTION LINES Cy 67 OF STONE UNDER TANK MOTTLES 95.7 P� i 6"OF STONE UND$R;TANK 1 8.0' 10.5' 1 CRAIGVILLE BEACH SITE SPECIFIC NOTES BEDROOM BOTH TANKS TO HAVE BITUMINOUS SEALCOAT FLOOR PLAN DESIGN CALCULATIONS GEN AL N Map 206 ALL PIPING TO BE SCHEDULE 40 P.V.C. NOT TO SCALE EXISTING BEDROOMS 2 0 110 G.P.D.= ALL LOCATIONS OF UTILITIES SHOWN ARE AS 40 ML VINYL MEMBRANE TO BE INSTALLED AROUND SAS Parcel 130 220 G.P.D. MARKED BY DIG-SAFE AND ARE TO BE DRIVEWAY TO BE SHIFTED OVER APPROX 4' AS SHOWN 0.13+ AC. VERIFIED BY INSTALLER PRIOR TO CONSTRUCTION DEPTH BELOW INV. .5' THERE ARE NO KNOWN WETLANDS WITHIN PUMP AND ALARM TO BE ON SEPARATE CIRCUITS WIDTH 15' 150' OF THE PROPOSED LEACHING FACILITY ELE,TRICAL PERMIT REQUIRED LENGTH 30' UNLESS SHOWN. _ BEDROOM ERE ARE NO KNOWN POTABLE WELLS WITHIN BENCHMARK SET 15 X 30 = 450 SO FT INTERNAL PLUMBING CHANGES TO BE DONE BY LIC PLUMBER /V 150' OF THE PROPOSED LEACHING FACILITY. X 0.74 - 333 GPD THERE ARE NO KNOWN IRRIGATION WELLS L con, step FACILITYWITHIN 50' THE PROPOSED LEACHING EXISTING CESSPOOLS TO BE REMOVED. BATH CAPACITY TOTAL 333 G.P.D. THIS PROPERTY DOES NOT FALL. WITHIN A NSPECTIONS TO BE COORDINATED WITH DESIGNER ET -1`J n 0, (r/�c>s urn e d) LIVING 1ttlOM FLOOD ZONE AS SHOWN ON FIRM MAP BEDROOM THIS DESIGN DOES REQUIRE VARIANCES TO TITLE 5THIS SYSTEM NOT DESIGNED TO SUPPLEMENiTTAL REGULATIONS. BARNSTABLE ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE `� CP BATH DISPOSAL WITH TITLE 5 REGULATION$AND BARNSTABLE SUPPLEMENTAL. LIVING ROOM IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY TNFORMATION INV. 0 HOUSE APPROX 97.39 PROPERTY LINE DATA FROM KITCHEN INV INTO TANK 97.1 INV OUT OF TANK 96.85 DOWN CAPE ENGINEERING MAR 5/79 INV INTO PUMP 96.7 ` INV OUT OF PUMP 96.6 �1 INV INTO D-BOX 101.57 PLAN TO BE USED FOR INSTALLATION OF SEPTIC SYSTEM ONLY =V INV OUT OF D-BOX 101.4 INV INTO FIELD 101.35 NOT FOR DETERMINING PROPERTY LINES BOTTOM OF FIELD 100.85 13ENCH MARK - G ; a_ WATER TABLE 95.7 (MOTTLES) L CORNER OF STEP ELEV. 100.0 BOUYANCY CALCULATIONS SOIL LOGS DATE: OBSERVED BY: WITNESSED BY: _� Sept 6, 2007 LISA C. LYONS DONNA MORIANDI 1500 GALLON TANK WITH WATERPROOFING SOIL EVALUATOR BOARD OF HEALTH DOWNWARD FORCE WEIGHT 11,500 PNDS OBS. HOLE #1 OBS. HOLE #2 ELEV. DEPTH ELEV. DEPTH SOIL OVER TANK 10.5 X 6 X 0.75- 47.25 Cf 99.0 0" 99.0_ 0" 0 47.25 Cf @ 110#/cf=5,197.5 pnds A LOAMY SAND A LOAMY SAND 0 TOTAL 11,500+5,198=16,698 pnds 1 OYR 4/3 ^ lOYR 4/3 0 98.6 B LOAMY SAND 5„ 98.1 B LOAMY SAND i l" LZ SEPTIC TANK 10YR 6/6 IOYR 6/6 1 O OI UPWARD FORCE VOLUME DISPLACED 97.6 18" 97.5 19, PUMP CHAMBER 16 06cf @ 62.4#/cf 601 002 pndss c FINE SAND C FINE S7/AND X98.75 10 ` DOWNWARD FORCE EXCEEDS UPWARD FORCE BY 167:1 95.7 MOTTLES 7.5Y5/6 40" 95.7 MOTTLES 7.5Y5/6 40" 95.07 OBSERVED GROUND H20 48" 95.07 OBSERVED GROUND 112 48" 1 0 1 �� 1000 GALLON TANK WITH WATERPROOFING i I DOWNWARD FORCE WEIGHT 8,240 PNDS 92.0 84" 92.0 84" X9 o./p�� �1 SOIL OVER TANK 8 X 5 X 1- 40 cf JCS l���V�J 99.f✓5 40 cf nq 110#/cf=4,400 TOTAL 8,240+4,400=12,640 pds PERC RATE<2 MINS./INCH SAS D ETA LS UPWARD FORCE VOLUME DISPLACED CD CD CP 102,1 �, 7.6 X 4.88(61.04 60.35)=25.6 cf OVERDID PEOU IRED FOR 5' 25.6 cf @ 62.4=1,597 pads O, (JI) AROUND TJ ELEV 97.5 DOWNWARD FORCE EXCEEDS UPWARD FORCE BY 7.9:1 MOTTLES FOUND AT 40" USE MOTTLES FOR SEPARATION 10 30 X 15 FIE-D WITH 4 DISTRIBUTION VARIANCE REQUEST _ LINES. 3' STONE ON SIDES AND A variance is requested from 310 CMR 15.211. P# 11 940 101 BETWEEN A variance of 5'is requested from the setback to the crawl space. 9 9 A liner will be installed as shown. _. - 40 MIL LINER INSTALLED AROUND SAS AND RE-GRADING AS SHOWN. ��`�oE:::::::HsFI, ON SITE SEWAGE DESIGN PLAN SHOWING: 3 PROPOSED SEPTIC SYSTEM REPAIR IN BARNSTABLE FOR: DRAWN BY: LISA C. LYONS LINDA TETREAULT DESIGNED & CHECKED BY: �O•t \�+' Qom,• Q LISA C. LYONS ��J •• \ E LOCATION: REVISIONS: DATE: �EGISTEa;�� `, l -�� �Z �, 10078 CRAIGVILLE BEACH RD Centerville ��,STE MAP 206,P 130 DAB SEPT 28,2U07 CRAIGVILLE BEACH ROAD SCALE 1 : 1 LISA CL SY .S. I CERTIFY THAT THIS PLAN CONFORMS TO LISA C . LYONS , R . S . (774) 487-1638 TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS (508) 790-9270 (EXCLUDING WAIVERS SPECIFIED) H(YYAANNIS, MASSACHUSETTS i i ACME 1500/500 GALLON TANK- WATERPROOFED DISTRIBUTION BOX LEACHING FIELD DETAIL CROSS SECTION LOCUS PLAN NOT TO SCALE-SEE NOTES LOW PROFILE WITH INLET TEE NOT TO SCALE NOT TO SCALE 102.5 102.4 MIN 2%SLOPE 102.25 NOT TO SCALE 4 BM 100.0 99.2 992 FINISHED �� H To 28 GRAD /�W /�/� . \\�\\�\\�\\/\ /\ MIN.9�COVER 4" Y- D ffi 6"OF GRADE I MAIN STREET COVERS TO 4"SCH.40 P.V.0 i . . FILTER FABRIC i�j 101.5 FILTER FABRIC r 4"SCH.40 P.V.C. "MINIMUM MAST FLAW BACK TOTANK /1" _ 101.2 /` RCE �E' �._._.. ._._.. -- -- s-0.02 6 „ / / s / „ 3 101..35 314-'i'i/.2.aui?i7i�t,JA"a,S ? . D 98.1 3 ^ 96.9 101.57 \: \ n 4 i 00.7 ' 9 ._. _�.._ M 97.15 ZABEL wFEPHo 4i �./, /i,./i,/i,./i,./i,./i,./i,./i./i,./i,./i� 4.5 FILTER 100,'35/ I I /�F L❑CUS , FT_,>,+ CHECK VAL ALARM ON ELEV.94.0 28' 1 U.0 MIN PUMP ON ELEV.93.7 3'ON SIDES AND BETWEEN DISTRIBUTION LINES 9�ti MOTTLES 95.7 1> PUMP OFF ELEV.93.2 O TANK BOTTOM ELEV.92.7 CRAIGVILLE.BEACH MEYERSSUBMIILSIDLE SEWAGE PUMP SMR4 4/10 HP SITE SPECIFIC NOTES 12 BEDROOM DESIGN CALCULATIONS GENERAL NOTES FLOOR PLAN TANK TO BE WATERPROOFED AND SEALED AT SEAM 2O6 NOT TO SCALE EXISTING BEDROOMS 2 ® 110 G.P,D.= ALL PIPING TO BE SCHEDULE 40 P.V.C. MQ (MOMOLITHIC TANK CAN BE USED INSTEAD) P ALL LOCATIONS OF UTILITIES SHOWN ARE AS SEPTIC OUTLET TO HAVE ZABEL FILTER A1800 ParcL-1 130 220 G.P.D., MARKED BY DIG-SAFE AND ARE TO BE 1 ± AC VERIFIED BY INSTALLER PRIOR TO 40 ML VINYL MEMBRANE TO BE INSTALLED AROUND SAS CONSTRUCTION DEPTH BELOW INV. .5' THERE ARE NO KNOWN WETLANDS WITHIN DRIVEWAY TO BE SHIFTED OVER APPROX 5' AS SHOWN WIDTH- 11' 150' OF THE PROPOSED LEACHING FACILITY LENGTH 28' UNLESS SHOWN. PUMP AND ALARM TO BE ON SEPARATE CIRCUITS ELECTRICAL PERMIT REQUIRED BEDROOM 12x28 308 SO FT ERE ARE NO KNOWN POTABLE WELLS WITHIN w ^� ,�rt I T =,N 150' OF THE PROPOSED LEACHING FACILITY. ��N���HK LEACHING AREA AND SLOPES TO BE STABILIZED USING X 0.74 = 227.9 GPD THERE AORE NO KNOWN IRRIGATION WELLS WITHIN OF OF THE PROPOSED LEACHING QUICK GERMINATING GRASS (IE RYE GRASS) / �OY. �ep FACILITY EXISTING CESSPOOLS TO BE REMOVED. g L ,.,// BATH CAPACITY TOTAL 227.9 G.P.D. E , -1 0 0, �A SS um e U� THIS PROPERTY FALLS WITHIN FLOOD ZONE B (// LIVING ROOM AS SHOWN ON FIRM MAP 2500001 8D INSPECTIONS TO BE COORDINATED WITH DESIGNER BEDROOM THIS DESIGN DOES REQUIRE VARIANCES TO THIS SYSTEM NOT DESIGNED TO SUPPLEME3N AL REGULATIIONS.R BARNSTABLE .' ACCOMODATE A GARBAGE ALL CONSTRUCTION SHALL BE IN ACCORDANCE ! } CP BATH DISPOSAL NTH TITLE 5 REGULATIONS AND BARNSTABLE SUPPLEMENTAL is, 9 E LIVING ROOM IN-LINE ELEVATIONS PROPOSED AS-BUILT SURVEY INFORMATION INV. ® HOUSE APPROX 98.1 PROPERTY LINE DATA FROM KITCHEN INV INTO TANK 97.15 DOWN CAPE ENGINEERING MAR 5/79 INV OUT OF PUMP 96.55 PLAN TO BE USED FOR INSTALLATION C_hs INV� INTO O BOX 101.57 OF SEPTIC SYSTEM ONLY INV OF D qk INV INTO FIELD 101.35 NOT FOR DETERMINING PROPERTY LINES BOTTOM OF FIELD 100.85 •_,,. _ rr<� r BENCH MARK OTS WATER TABLE 95.7 (MOTTLES) L CORNER OF STEP ELEV. 100.0 G 'i DATE: OBSERVED BY: WITH 1SSED BY: :' SOIL LOGS Sept 6, 2007 LISA C. LYONS DQNNA MIORANDI SOIL EVALUATOR BOARD OF HEALTH OBS. HOLE #1 OBS. HOLE #2 O ELEV. DEPTH ELEV. DEPTH 99.0 0" 99.0 Vt A LOAMY SATIM A LOAMY SAND 1 OYR 4/3 1 OYR 4/3 98.6 B LOAMY SAND 5" 98.1 g LOAMY SAND 11" ACME 500/500 CIL 97.6 1OYR 6/6 1s" 97s 10VR 6/6 19" SEPTIC,TANK/ C FINE SAND 32. C FINE SAND __.._... _... 2°.._ PUMP CHAMBER O 2.SY 713 2.5Y 7/3 X98.75: 44" BOUYANCY CALCULATIONS 10 95.0 MOTTLES 7OUN 40 95.0 MOTTLES 7OUN 40 95.07 OBSERVED GROUND 132 48 95.07 OBSERVED GROUND H2 48 9_'_.__.__ � _.._.._._._ 1.�1..1_4 ...._..._.. ,, ! DOWNWARD GALLON TANK WITH WATERPROOFING 92.0 84" 92.0 84" 8"� WARD FORCE WEIGHT 22,000 PNDS X9 j j j SOIL OVER TANK 12 X 6.5 X.75= 58.5 cf i t I z I I 58.5 cf @ 110#/cf=6,435 Ands CLI fo 2,4 ? i TOTAL 22,000+6,435=28,435 pnds PERC RATE<2 MINS./INCH m i I SAS DETA! AILS , , , ; `tr S; � UPWARD FORCE VOLUME DISPLACED 11.66 X 6.17(95.7-92.4)=237.4cf CDb' OVERDID REQUIRED FOR 5' AROUND TO 237.4d@62.4#/cf-14,814pnds CJ� ELEV 97.5 MOTTLES FOUr?n AT 40" DOWNWARD FORCE EXCEEDS UPWARD FORCE BY 1.9:1 - I tD USE M017MES FOR SEPARATION 1i0 a I 28 X 11 FIELD WITH 3 DISTRIBUTION EREQUEST d -- i 177f 3 I LINES. 2.5 VARIANCE 102 j 'STONE ON SIDES AND 3' f ! I A variance is requested from 310 CMR 15.211. P# 11 9 ,40 BETWEEN A variance of 1'is requested from the setback to the crawl space. _...... .� _.._. ;:..._:.._ _......_ __.._._ A liner will be installed as shown. 10 101 - 100 40 MIL LINER INSTALLED 3' FROM EDGE MA . OF SAS (FROM TOP OF SAS TO AT LEAST X,P�.���Q'�„dssq�yee�� ORSITE SEWAGE DESIGN 1 INTO NA7 URALLY OCCURRING SOIL. 'o�sG , ? .• • PLAN SHOWING: REGRADE AS SHOWN. ENSURE �; a~f 8�" �' :�'� �� �� �� PRC►POSED SEPTIC SYSTEM REPAIR IN BARNSTABLE ADEQUATE COVER OVER BARRIER. ®� ': �yoNS : N= FOR: - DRAWN BY: HE E LYONs i #11 A 3�_ P r ocA INDA TETREAULT DESIGNED & CHECKED,SPY-C. Y N '��e9F�'•.;FCIs1EP;°'�Q��e 1078 CRAIGVILLE BEACH RD Centerville ADDED PE CINFO;PUMP SPECS o y/07 ��STFRE D S P�\ LOT#: DATE: EFFIUFTff FMTER,PUMP ELEV 10/9/E7 CALE �� Iltld�l� � MAP 206,P 130 SEPT 28,2007 TANK 9A93DB DPIE4I9ION9 ��/�9lmA V E BE A HROAD 1 A C. LYO S, S. I CERTIFY THAT THIS PLAN CONFORMS TO (774).487-1638 TITLE 5 AND BARNSTABLE B.O.H. REGULATIONS �I �� �� �Y�� � 5 (EXCLUDING WAIVERS SPECIFIED) HYANNIS, MASSACHUSETTS (5o8) 790-9270 I j