HomeMy WebLinkAbout1413 FALMOUTH ROAD/RTE 28 - Health 1413 Falmouth Road
Centerville -
A = 229—089
i
SMEAD
No.2-153LOR
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TOWN OF BARNSTABLE
LOCATION /y�� `�i�ID�!/4 L�r/ SEWAGE# 9017—/6(57-
VILLAGE GPrnlW b Jtt ASSESSOR'S MAP&PARCEL _
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 5 2Cd,M
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS 3
OWNER
PERMIT DATE:,! --2G /7 COMPLIANCE DATE: 3
Separation Distance Between the: �/ON2 PQN��w
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility a L-"efFeet
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�_
3Ack 1 go[
i
pVT-
a� 1D - 4tA
S36 ,K �2���
• � �l9 P�
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye ,
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftphtatlon for Misposal 6pstem Const union permit
Application for a Permit to Construct( ) Repair(Agrade(. ) Abandon( ) omplete System ❑Individual Components
Location Address or Lot No. �i�/`3 �,h�,;s-f� )7� Owner's Name,Address,and Tel.No.
Assessor s Ma cel
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel..No.
Type of Building: ��
Dwelling . No.of Bedrooms Lot ize sq.ft. Garbage Grinder( )
Other Type of Building �, (�'����,{-��j No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided S If, 7 gpd
Plan Date Number of sheets `%k— Revision Date
Title
Size of Septic Tank „Z C:cM Type of S.A.S. a
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.
Signed—— Date s—' :A&--/7
Lf Application Approved by /L Date^S�2( /—Z
Application Disapproved by Date
or the following reasons
Permit No. a 0 17 Date Issued 2C
No. a 1 b Fee ! (10--
THE�COMMONWEALTH OF MASSACHUSETTS Entered in computer: �
' - •* Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
w ftpfication for Misposal bpstem Construction Permit
Application for a Permit to Construct( ) Repair(Agrade( ) Abandon( ) Complete System ❑Individual Components
Location Addre s or Lot No. /y/',j Ai fiyC,v,� t KC-) Owner's Name,Address,and Tel.No.
Asseesso. j"Vaarcel f Ce-f C`!
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
.4"�,,.�,�t.S A 1�cr���J �Nc -yCaO•- /SS � !�� Gvro✓�G" �
Type of Building: �r ! r` , �
Dwelling No.of Bedrooms ?� Lot Size /7, 70 0 sq.ft. Garbage Grinder( )
Other Type of Building A I ot,40 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) ''I'?,(] gpd Design flow provided «;��'j "7 gpd
Plan Date S -2'3 -1`] Number of sheets Revision Date
Title
Size of Septic Tank 156C) A C-CM 0 Type of S.A.S. d
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.
Signed '� �1 /�-^�"" Date
Application Approved by s r ✓r f Date
Application Disapproved by Date
for the following reasons
Permit No. 0 1 -7 Date Issued 5-
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( )
Abandoned( )by e,%).o1c^ A 111 7 x C.
at. 1 Lj 13 Fey (lsrokj -Li �.� [-n��E ('%j Ile has been constructed in accordance
with the provisionsof Title 5 and the for Disposal System Construction Permit No. d7 C! 7_ /i)dated h' /�
Installer I 6,2,)&- 1� \ ) �t�.+t�1 �I�1 C. Designer s•r:�.w c /alb/ r S
#bedrooms Approved designyflow —X/17-5, and
The issuance of this permit shall no be construed as a guarantee that the system will funct o as esigned.
Date Inspector
No. 1 ( 7- I Fee /4)u
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Voposal *pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( �� Upgrade( ) Abandon( )
System located at 1Y!3 �4�/ytta it Gj /2C� ✓'�n/t l'✓Y'���i�
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit. � �
Date ` " % Approved bye"J
Regulatory Town of Barnstable
ervices
,f � l ichaadV.Seal , Interim Director
{1`� BARNSTABLE,/
NN
AM �m Public health .Divi!si on
t63q• `0
Thomas McKean, Director
'200 Mahe Sheet,.I:Iyannis,KA-02601
Office: 508-862-4644 ax: 50S-90-6304
Installer& Designer Certification Form
Date: A 131 1"� Sewn �Permit#
v�()l-'1•'fC�- _�ssessot• s .a�i�a�•cs.i 2=� F19
Designer: Nef nc, WyfW (k.L Installer: P� A, '�a 2,<n l vL.Q
Address: I Z Ull, cvvzS'q�etoL i Ad.dress: 'Pi0 , Q.Xfy 1
oil 2f✓ 17 2J.1 n (✓i L was issued a.permit to insiall a
(date) �(Installer)
septic system at_H l 3 a t,MG21�Qn r2c.� C�v► lvt ��ha sed o z� design dra�-t� }
(address) f
Fn L il�y, 'M M- dated
Weskmem
l certify that the septic system referenced above was Installed sabstantially according to
the design, which may include rninor approved cla,a:nges Such as lateral relocation of the-
distribaition box and/or septic tank. Strip out (if required) was inspecte€i and the soils
were found satisfactory.
1 certify that the septic system referenced above was installed with m..i ar -chan.�et 0,e.
Greater than 1'0' laicra.l-re.loca.r o.n of the SAS or aii.y vertical relocation of any commoncrt
of the sciatic systein) brat in Accoa•dance w ith State & ocal Remilaii.ons. Plan.re ti ls.io_ra or
certified as-built by designer to follow. Strip out (if required'! was inspcctcd and the. soi
were found satisfactory.
l certify that the sysi.ern.. refere a ed above, was constructed in.compliance with the t;m—ns
of the.AA approval letters (if applicable)
cable)
- r / PETER T.,
McENIEE
Ins ta.lter.'s Sion}tut�e) CIVIL
N1o. 35109 f
{De4icrool s Signature) f;Aftf.x Desi>> ll� tii
PLSJASE kE'-fl`V➢\N T*O B%:E.Ri.lSTABH.X PU.F.3.d..i. C .4.H.H':A.1,TH. D'lVI[SIO. C.E RTJF1.CA'1'E
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUI i'CAFE ARE RECEIVED D BY THE BARNSTABLE PUBLi C HEALTH DIVIS ON.
THANK YOU.
Q ASePtic"1Dm ner Certification Farm Rev -34-1?,.d0C
oF�
Town of Barnstable P#_ 1 33
Department of Regulatory Services
BARNBrABM
ublie lHealth Division Date_ 1r I /)
�A s67y ,b� et Hyannis MA 02601 y
1pOyA
��Date Scheduled '` Ttme Fee Pd. �_��zo
Soil Suitability Assessment for Se e Dispose
Performed By: ���� / c (�:-7—,, �_" Witnessed By: —
LOCATION& G .NERAL INFORMATION
Location Address Owner's Name -�I-
Address 14 2'1 �ri�✓At cv�{ d2c,
M,;A- O ?Z
Assessor's Map/Parcel: 'l.Z� 9 Engineer's Name 5�� 0
NEW CONSTRUCTION
Q, EPAIR oe Telephone# �0Y—737
Land Use v e-pl_ q F!h�*�tf (Slope i(R'o) ' 2— Surface Stones
Distances from: Open Water Body ` PP�� ft Poss �
�hle Wet Area b ft Drinking Water Well ft
Drainage Way Af ft Property Line l� l ft Other g
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes)
� 2
Parent material(geologic) Depth to Bedrock —
Depth to Groundwater. Standing Water in Hole: /`"�C3 Weeping froin Pit Face
Estimated Seasonal High Groundwater G Z�
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: in, Depth to sail mottles:
Depth to weeping from side of obs.hole: I in, Groundwater Adjustment ft.
Index Well# Reading Date: Index Well le,,el ms Adl,factor— Adj,Groundwater level m
I
PERCOLATION TEST bate Tithe,��
Observation
Hole# ' ' y Time at 0"
�' %
Depth of Pere Go G)
�G Time at 6"
Start Pre-soak Time @ 9 Time 19"6")
End Pre-soak
Rate Min./Inch.
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'.0f wetland,you must first notify the
Barnstable Conservation Division at least on (1) week prior to beginning.
Q:\S EPTIC\PERCFORM.DOC
(i
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Ldil Color Soil f Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Co iste cy.%Gravel
c&—L(j _ J ly
-
_ I
DEEP OBSERVATION HOLE LOG Hole# 2
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA)
unsell Mottling (Structure,Stones,Boulders.
) M ) g
Consistency,%Gravel)
0—
to--C9 q 2
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistencv.%Gravel)
I
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consi ten %
t I
Flood Insurance Rate Maw:.
Ai;uve 530 ye:r f cod Seurdary No— Yes
Within 500 year boundary No'�y Yes
Within 100 year flood boundary No Yes
Denth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring perviouus��material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification V
I certify that on o (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 ' ing,expertise and experience descriU'l((ed in 3 10 CMR 15.017.
Signature �— I Date
Q\SBPT10PBRCFORKDOC
Perry, Tom
To: judy carpenter
Cc: rmulligan@kinlingrove .com;�der-so ;-Robin
Subject: RE: rental prope -mat 1413 Falmouth rd. �`i
Judy,
Thanks for allowing me to view the property at 1413 Falmouth Rd,Centerville.Given what
I observed and the documentation that was supplied this property in my opinion is a pre-
existing non-conforming residence containing a main house with an accessory apartment
attached to the garage structure.The age appears to be from when this house was
constructed in the 1940 's.
Thanks,TP
-----Original Message-----
From: judy carpenter [mailto:capejudy@comcast.net]
Sent: Friday, April 04, 2014 12 :25 PM
To: Perry, Tom
Subject: rental property at 1413 Falmouth rd.
This is my request for you to send me a copy of your approval declaring that the apartment
attached to the garage at 1413 Falmouth Rd. , Centerville,MA. I appreciate you coming to
the property. Judy Carpenter (508-428-9208)
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EGO—TECH
Environmental
P.O. Box 1265
West Chatham, MA 02669
(508) 364-0894
March 15, 2014
Re: Clarification Letter
1413 Falmouth Road
Centerville
r
Barnstable Health Division
Barnstable, MA
To Whom It May Concern,
On March 14, 2014 I went back to the property at 1413 Falmouth Road in
Centerville and opened the property's primary cesspool to confirm that a sewer line feeds
in from the garage apartment, which.is a separate structure from the main dwelling. A
bucket of water was poured into the toilet of the bathroom in the garage apartment and
the plug of water was observed to flow directly into the primary cesspool.
Please call me if you have any questions.
H OF
DAVID sJCyGr
D.
Si _e ��UGHANOWR ^ `
\ o, 1 3
S9NI TAR\N��
David nowr, R.S.
ECOJECH
Environmental
P.O. Box 1265
West Chatham, MA 02669
(508) 364-0894
March 15, 2014
Re: Clarification Letter
1413 Falmouth Road
Centerville
Barnstable Health Division
Barnstable, MA
To Whom It May Concern,
On March 14, 2014 I went back to the property at 1413 Falmouth Road in
Centerville and opened the property's primary cesspool to confirm that a sewer line feeds
in from the garage apartment, which is a separate structure from the main dwelling. A
bucket of water was poured into the toilet of the bathroom in the garage apartment and
the plug of water was observed to flow directly into the primary cesspool.
Please call me if you have any questions.
jH OF f/,,, �c
o DAVID yGr., r
Si �&UGHANOWR 4
f
o. 1 3
NI:FAR%P��
David D. nowr, R.S.
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
° M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Center Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
page. City/Town State Zip Code Date of Inspection
Inspection results must be submitted on this form. Inspection forms may not be altered in any
way. Please see completeness checklist at the end of the form.
Important:When A. General Information
filling out forms I
on the computer,
use only the tab 1. Inspector:
key to move your
cursor-do not David D. Coughanowr, IRS
use the return Name of Inspector
key.
Eco-Tech Environmental
r� Company Name
P.O. Box 1265
Company Address
West Chatham MA 02669
City/Town State Zip Code
508 364-0894 1328
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
March 7, 2014
Inspector's Signature Date
The system inspector shall submit a copy of this inspection report to the Approving Authority (Board
of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or
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.
311� I U1
t5ins•3/13 Title 5 Official Inspection Fo : surface Sewage Disposal System•Page 1 of 17
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
page. Cityrrown 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
or-in 3 1'0 CMR"16'3u4ezist:any'faiiure criteria'not'evaluated are
indicated below.
Comments:
Inspector's Note==> The septic system described herein is deemed to pass this Real Estate Transfer
Inspection if it does not meet any of the failure criteria enumerated in Section D on pages 4-5, or
specified by local regulations. The scope of this inspection is limited to health and environmental
compliance. The septic system has been evaluated according to conditions at time of inspection. No
estimate or guarantee of system longevity is made or implied by a passing determination.
Inspector recommends supplementing existing cesspool covers with concrete covers & placing barrier(s)
to prevent vehicles from driving over or near cesspools, or voluntary upgrade to full title 5 compliance.
For consultation on upgrading system to full Title 5 compliance call Eco-Tech at 508 364-0894.
B) System Conditionally Passes:
❑
One or mores stem components as described in the"Conditional Pass" section need to be Y p
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•3113 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
c�M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
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 pipes) ordue-to a broken, settl4d,or'unven 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
1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
page. Cityrrown 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 orsystem 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 Y day flow
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17
1
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
°M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
page. Cityfrown 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
�M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
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?
N/A ❑ ❑ 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): n/a Number of bedrooms (actual): 2-3
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): n/a
t5ins•3/13 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 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7 2014
page. City/Town State Zip Code Date of Inspection
D. System Information `
Description:
No plan or permit application was found at Health Department. Exact bedroom capacity to be
determined by town.
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 ears usage d 62 gpd
9 ( y 9 (gpd)):
Detail:
2012: 29,000 gallons 2011: 16,000 gallons
Sump pump? ❑ Yes ® No
Last date of occupancy: ;� . A " t - . ,: October 2013
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? a ❑ Yes ❑ No
Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No
Water meter readings, if available:
L15ins /13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17
Commonwealth of Massachusetts
u W Title. 5 Official Inspection Form
o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
°M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner" Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
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: owner
Wass stem pumped as art of the inspection? El Yes ® No
Y P P p
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
�M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee -
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
page. Citylrown State Zip Code Date of Inspection
D. System Information (cont.)
Approximate age of all components, date installed (if known) and source of information:
Age unknown -system likely predates Title 5.
Were sewage odors detected when arriving at the site? ❑ Yes ® No
Building Sewer(locate on site plan):
Depth below grade: 2
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.):
Sewer line from main house appears structurally sound with no evidence of leakage or backup into
dwelling. Sewer from auxiliary structure is under concrete slab and not accessible.
Septic Tank (locate on site plan):
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:
Sludge depth:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Septic Tank(cont.)
Distance from top of sludge to bottom of outlet tee or baffle
Scum thickness
Distance from top of scum to top of outlet tee or baffle
Distance from bottom of scum to bottom of outlet tee or baffle
How were dimensions determined?
Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity,
liquid levels as related to outlet invert, evidence of leakage, etc.):
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 scram 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 '
u t e 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
;M s 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7 2014
page. Cityfrown 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
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
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
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.):
Pump Chamber(locate on site plan):
Pumps in working order: ❑ Yes ❑ No*
Alarms in working order: ❑ Yes ❑ No*
Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.):
* If pumps or alarms are not in working order, system is a conditional pass.
Soil Absorption System (SAS) (locate on site plan, excavation not required):
If SAS not located, explain why:
t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
�M 1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is
required for every Centerville MA 02632 March 7, 2014
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:
® overflow cesspool number: 2
❑ 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.):
3 cesspools total -#2 and#3 described in this section. Primary cesspool detailed in next section.
Soils above all cesspools appear unsaturated. No evidence of surface ponding, breakout, lush vegetation,
or other evidence of hydraulic failure was observed. Cesspool#2 had a small puddle of effluent in
bottom. Cesspool#3 was dry. All cesspools are made of concrete block.
NOTE ON BLOCK CESSPOOLS— Block cesspools consist of concrete blocks arranged in a beehive
formation and are held in place by gravity and soil pressure. Driving vehicles over or near block
cesspools could potentially destabilize the structure and lead to collapse. DO NOT DRIVE VEHLICES
OF ANY SORT NEAR CESSPOOLS.
Cesspools (cesspool must be pumped as part of inspection) (locate on site plan):
Number and configuration 3 total - 1 primary, 2 overflow
Depth —top of liquid to inlet invert 3 feet
Depth of solids layer trace
Depth of scum layer 2 inches
Dimensions of cesspool _. ._
6 ft x 6 ft approximately
Materials of.construction _ concrete block
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
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7 2014
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.):
Soils above were unsaturated with no lush vegetation observed. Cesspool is made of concrete block.
See "Note on block cesspools" above.
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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17
1
Commonwealth of Massachusetts
- Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
,M 1413 Falmouth Road Assessor's Map 229,Parcel 89
Property Address
Carpenter Nominee.Trust, Judith A Carpenter, Trustee
Owner Owner's Name
required
is Centerville MA 02632 March 7, 2014
required for every
page. Cityrrown 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
—OF SEPTIC COMPONENTS
—DISTANCES IN DECIMAL FEET
A g
I 1 41.5 30
. . 2 44.5 17
3 65 33
508 364-0894
1 OVERFLOW
PRIMARY CESSPOOL
CESSPOOL ( Z
. . O
WATER LINE
EXISTING
DWELLING A OVERFLOW
CESSPOOL
OF 9413 a
O
COMMON DRIVEWAY
PARKING AREA
t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17
1
i
Commonwealth of Massachusetts
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee
Owner Owner's Name
information is required for every Centerville MA 02632 March 7, 2014
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
Site Exam:
❑ Check Slope
❑ Surface water
❑ Check cellar
❑ Shallow wells
Estimated depth to high ground water: 20+
feet
Please indicate all methods used to determine the high ground water elevation:
❑ Obtained from system design plans on record
If checked, date of design plan reviewed: Date
❑ Observed.site (abutting property/observation hole within 150 feet of SAS)
❑ Checked with local Board of Health - explain:
❑ Checked with local excavators, installers- (attach documentation)
® Accessed USGS database -explain:
Barnstable GIS Department records
You must describe'how you established the high ground water elevation:
Town of Barnstable GIS Department records indicate that the property is over 20 feet above
groundwater table.
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
W Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
1413 Falmouth Road Assessor's Map 229 Parcel 89
Property Address
Carpenter Nominee Trust, Judith A Carpenter, Trustee.
Owner Owner's Name
information is Centerville MA 02632 March 7 2014
required for every ,
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
GEOHYDROLOGICAL PROFILE
NOT TO SCALE
t CE55 ,a
POOL .-
4., 5
N BOTTOM
POOL
LEACHING IS
ABOVE HIGH
GROUNDWATER
GROUNDWATER ELEVATION
PER GIS MAPS
t5iris•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17
——100—— EXISTING CONTOUR N ��
x 100.98 EXISTING SPOT GRADE ® 4
—W EXISTING WATER SVC. FALmOUTH RD (Rte 28) Qr`P
—G EXISTING GAS SVC.
0
H.-W-- OVERHEAD WIRES
IS TEST PIT Rd
�° LOCUS
pld POSt cc Sachem Dr
BENCHMARK Q,
Qr`
LEGEND
LOCUS MAP
NOT TO SCALE
r
-r FALMOUTH ROAD
(Route 28 96.83
96,39 EDGE OF PAV T/CURB
96,60
96.03 96.19
UP SIDEWALK -0.H_V�--
96,7 VIA --0.Fl:W1�-- g7.88
— RET. WALL 100.09 \
I 86'30' 5" E
T- A `96. 95
9 6.6 1 9 9.2 4 RE 47
• • \0,11 Bdh
81
CBdh
01 6. 'S;:`..°.>::: LAP
X 9915
Z
X 11 .\X0 \ I
100.95
l ? 99.63 V
,97.42 �34 9 .98
WALK
98.8 X 99.7
+ 9&9 :`_ ` ;<.`' i"'. � EXISTING
\ HOUSE(#1413)
NOTE: —- ' '.:.97.12 \ (BDG.111) / 99,55 •
UTILITIES SHOWN BETWEEN \ (2 BEDROOMS) 1
BUILDINGS IS APPROXIMATE T.O.F.=100.1f
97.94� •
\ o. •.: WALK 99.69 BENCHMARK:
9 18
97,52 COR. CONC. LANDING
96.79 I 3� \
ELEVATION=98.18
\ o _
96.91
ACCESSORY
PROP.
DWELLING •r O SEPTIC
�.. Z
D I(BDG.#2) Q TANK O
:. (1 BEDROOM) \ O U!
96.41..`„, T O.F.=97.5t \
96.93
\ EXISTING CESSPOOLS
TO BE PUMPED, FILLED W/
.•:':. _ p .r _1 SAND & ABANDONED.
96.49
.:I: .. ,. O ,i: r\ VENT
-.
0 ✓.
96.36
96.55
�g
96.43 /
0
l 96,78 / / X 97, 0b
g
3p
LOT A
17,700 f,SF
ti
- 14
t�t --1 ::: 97.59
CBdh =
99,16 N
m
0F Myss9cy� PARCEL ID: 229-089
o PETER T. PROPOSED SEPTIC SYSTEM UPGRADE PLAN
McENTEE
No.. 5109 1413 FALMOUTH ROAD, CENTERVILLE, MA
Ado �, SjE��D Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632
tJG\ Engineering by: SCALE DRAWN JOB. NO.
OWNER RECORD Engineering Works, Inc. 1"=20' P.T.M. 173-17
142E FALAMOM J
U N ESTATE OF 9 g
'( 1 421 UTH ROAD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET N0.
` CENTERVILLE, MA 02632 (508) 477-5313 5/23/17 P.T.M. 1 Of 2
,1
c�
R
NOTE: TO PREVENT BREAKOUT, FINAL GRADE
SHALL NOT BE AT, OR BELOW, EL.=92.5
SEPTIC TANK FOR A DISTANCE OF 15' FROM THE EDGE
PROPOSED D-BOX OF THE PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S.
OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE
INSTALL RISER & COVER OVER EACH CHAMBER AND
T.O.F. VARIES SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT
F.G. EL.=VARIES F.G. EL.=98.Ot VENT
F.G. EL.=97.0t �F.G. EL.=97.0t
MAINTAIN 2% SLOPE rOVER S.A.S.
L = 23'(BDG.1)
BOOM
L = 15'(BDG.2) L = 34' L = 5'
@ S=1% (MIN.) @ S=l% (MIN.) @ S=l% (MIN.)
4"SCH40 PVC 4"SCH40 PVC 4'SCH40 PVC 2" LAYER OF 1/8" TO 1/2"
6" DOUBLE WASHED STONE
io"t loll 6 as $ as (OR APPROVED FILTER FABRIC)
1q" �q• ... 6aa
aaaaaaa
INV.=95.25 48" UQ. aaaaaaa --3/4" TO 1-1/2" DOUBLE
LEVEL PROPOSED 4' 5.2' 4' WASHED STONE
ISLE BAFFLE INV.=92.67 D BOX INV.=92.50
• •• . "• INV.=95.00 EFFECTIVE WIDTH = 12.8'
3 OUTLETS INV.=92.00
PROPOSED 1500 GALLON (H-10) SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS
(2 COMPARTMENTS) SURROUNDED WITH STONE AS SHOWN
COMPARTMENT NO. 1 - 1000 GALLON MINIMUM STORAGE
COMPARTMENT NO. 2 - 500 GALLON MINIMUM STORAGE H-20 RATED
CONNECT TO EXISTING SEWER(BDG.-1), INV.=95.75(MIN.) TOP CONC. ELEV.=93.1 t
INSTALL NEW SEWER OUTLET (BDG.-2) INV.=95.50(MIN.) BREAKOUT ELEV.=92.50
INV. ELEV.=92.00 aeaaB
NOTES: aaaaaaaaaaa
aaaaaaaaaaa
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=90.00
INVERTS, PRIOR TO INSTALLATION. 4' 2 x 8.5' = 17.0' 4'
4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 25.0'
2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL & TRUE PERVIOUS MATERIAL
TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED 5' (MIN.) ABOVE G.W.
STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). LEACHING SYSTEM SECTION
3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=85.9
4) CONTRACTOR SHALL INSTALL A GAS BAFFLE ON THE
OUTLET TEE.
SEPTIC SYSTEM PROFILE
GENERAL NOTES: SOIL LOG
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: MAY 3, 2017 (REF#15,337)
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL EVALUATOR: PETER McENTEE PE(SE#1542)
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT
LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: ELEy. TP-1 DEPTH ELEv. TP-2 DEPTH
-310 CMR 15.405(1)(b): 96.5 0" 96.4 0"
1)A 3' variance, depth of cover, for 6' (max.) of cover over S.A.S. FILL FILL
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 95.7 9" 95.6 loll
TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE A A
DESIGN ENGINEER. SANDY LOAM SANDY LOAM
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 95.0 10YR 4/2 10YR 4/2
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN B 16" 94 9 B 18"
ENGINEER BEFORE CONSTRUCTION CONTINUES. SANDY LOAM SANDY LOAM
5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. 10YR 5/6 10YR 5/6
92.1 411, 92.1 40"
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF C C 42"
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF PERC
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 60"
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE.
M-C SAND M-C SAND
8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 2.5Y 6/4 2.5Y 6/4
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE
DIRECTED BY THE APPROVING AUTHORITIES. 86.0 126" 85.9 126"
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY PERC RATE <2 MIN/IN. "C" HORIZON
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. NO GROUNDWATER ENCOUNTERED
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). /EXISTING
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE HOUSE(#1413)
INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. (BDG.#1)/
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND
NOT CONSIDERED TO BE A PROPERTY LINE SURVEY.
14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC
SYSTEM COMPONENTS NOT SHOWN ON THE PLAN
DESIGN CRITERIA accESSORr
DWELLN'G l
NUMBER OF BEDROOMS: 2 BEDROOMS (BUILDING #1) (8DG.#2) 0) 6,
1 BEDROOM (BUILDING #2)
3 BEDROOMS - TOTAL
SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) / CID
DESIGN PERCOLATION RATE: <2 MIN/IN 40.0'
DAILY FLOW: 330 GPD 6'
DESIGN FLOW: 330 GPD �• �•�.�� \
\ \GARBAGE GRINDER: NO-not allowed with design
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF �• 5P '
.74 GPD/SF
PROPOSED SEPTIC TANK: 1500 GALLON-2 COMPARTMENT
COMPARTMENT NO. 1 - 1000 GALLON MIN. STORAGE SEPTIC LAYOUT
COMPARTMENT NO. 2 - 500 GALLON MIN. STORAGE
PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 2-500 GALLON LEACHING CHAMBERS IN SERIES 1413 FALMOUTH ROAD, CENTERVILLE, MA
SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES
SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. Prepared for: D.A. Brown, Inc, P.O. Box 145, Centerville, MA 02632
BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Engineering by: SCALE DRAWN JOB. NO.
TOTAL AREA.:..................................................11.......... 471.2 S.F. Engineering Works, Inc. N.T.S. P.T.M. 173-17
12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD (508) 477-5313 5/23/17 P.T.M. 2 Of 2