Loading...
HomeMy WebLinkAbout0221 FIVE CORNERS ROAD - Health 221 Five Corners Rd., Centerville A= r^ No 2 55 LOR HASTINGS,MN 12,16 v 5 4 y 1 r L 1 4 ' tl r I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every page. Cltylrown 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. ImPoitn When filling out A. General Information forms on the n computer,use 1. Inspector: 1 // ) only the tab key lI JJ���✓ to move your DOUGLAS A BROWN cursor-do not use the return Name of Inspector key. DOUGLAS A BROWN INC Company Name P.O. BOX 145 Company Address CENTERVILLE MA 02632 City/Town State Zip Code 508-420-4534 S14297 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. 1 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 6/2/10 4s4pecsature Date � `"t 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"drr 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•osroe 1�,/ Title 5 Official Inspecdon Form:Subsurface Sewage'*a System•Vge of 77 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is required for CENTERVILLE MA 02632 6/2/10 every page. Cltyrrown State Zip Code Date of Inspection B. Certification (cunt.) 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: SYSTEM MEETS MINIMUM PASSING REQUIREMENTS AT THIS TIME, BECAUSE THERE ARE NO OBSERVATION PORTS ON THE S.A.S I WAS UNABLE TO DETERMINE THE OVERALL CONDITION OF THE S.A.S BUT IT WAS FUNCTIONING PROPERLY AT 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-09W Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '( 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVI LLE required for MA 02632 6/2/10 every page. Cltyfrown State Zip Code Date of Inspection B. Certification (cont.) 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•OMB Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Jr 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every 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 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'/z day flow t5ins•09/08 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 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 every page. City/Town b State Zip Code Daatete of Inspection B. Certification (cunt.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: El ® 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•09108 Title 5 Official Inspection Form;Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments '< 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2110 every page. City/Town Zip Code Date of Date of State 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): 7 Number of bedrooms(actual): 7 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 777 DESIGN t5ins•09M Title 5 Official Inspection Form:Subsurface Sewage Disposal Sy stem ystem•Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 every page. Crtylrown 6/2/10 State Zip Code Date of Inspection D. System Information Description: ACCORDING TO DESIGN PLAN SYSTEM CONSISTS OF A 2000 GALLON SEPTIC TANK,1000 GALLON PUMP CHAMBER D-BOX AND 2 LEACH FIELDS ONE OLDER AND ONE NEWER WITH A COMBINED DESIGN FLOW OF 777 G.P.D Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?[if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): SEE BELOW Detail 2007-1019 GPD 2008-367GPD 2009-271GPD Sump pump? ❑ Yes ® No Last date of occupancy: 2009 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-09M Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface a e Sewage Disposal System Form Not for Voluntary Assessments 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is required for CENTERVI LLE MA 02632 6/2/10 every page. -dy/rown State Zi Code Date of Inspection P D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: SCOTT FRANK PUMPED 2 TIMES IN 09 DUE TO CLOGGED FILTER 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•09= Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every 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: NEWEST S.A.S.INSTALLED IN1/26/2006 BY JOEYS SEPTIC Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints,venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ®concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain) 2000 GALLON SEPTIC TANK HAS EFFULENT FILTER THAT WAS IN NEED OF CLEANING AT TIME OF INSPECTION 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•09108 Title 5 Official Insp ection 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 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is required for CENTERVILLE MA 02632 6/2/10 every page. Cityfrown 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.): TANK LOOKS OK AT THIS TIME APPEARS TO BE H-10 AND IS UNDER STONE PARKING AREA ALONG WITH THE PUMP CHAMBER THAT ALSO APPEARS TO BE H-10 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•0908 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 •,� 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every page. Cltylrown 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.): BOTH THE SEPTIC TANK AND THE PUMP CHAMBER HAVE A GREASY FILM ON THEM PROBABLY DUE TO A PREVIOUS GARBAGE GRINDER THAT WAS DISCONNECTED ACCORDING TO B.O.H RECORDS 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•179/>J$ 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 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every page. Clty/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 11 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.): DEFINATE SIGNS OF SOME CARRY OVER BUT AS PREVIOUSLY STATED SYSTEM IS WORKING PROPERLY AT THIS TIME 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.): I RAN THE PUMP FOR AT LEAST TEN MINUTES WITH NO PROBLEMS Soil Absorption System (SAS)(locate on site plan, excavation not required): If SAS not located, explain why: SAS ARE LEACH FIELDS WITH NO OBSERVATION PORTS BUT DID NOT APPEAR TO BE IN HYDRAULIC FAILURE AT TIME OF INSPECTION, DUE TO THE FACT THAT I RAN THE PUMP FOR AT LEAST TEN MINUTES WITH NO SIGNS OF BACK-UP, I CAN NOT PREDICT THE FUTURE PERFORMANCE OF THE SAS t5ins•09108 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every page. City/Town Date of 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: 2 12X25/50X15 ❑ 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.): 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•09108 Title 5 Official Inspection Form:Subsurface Se wage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments y< 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every page. Cityrrown Date of 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•09108 Title 5 Official Inspection Form:Subsurface Sewage Dis g posal System•Page 14 of 17 Commonwealth of Massachusetts Am% Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every page. CltylTown Date of 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 t5ins•09/08 Title 5 Official Inspection Form:Subsurface Sewage Disp osal posal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 221 FIVE CORNERS RD Properly Address CHASE HOME FINANCE Owner Owner's Name information ma is required fo CENTERVILLE for MA 02632 6/2l10 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: 5 FT 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: 6/2/10 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: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•09/08 Tide 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 221 FIVE CORNERS RD Property Address CHASE HOME FINANCE Owner Owner's Name information is CENTERVILLE required for MA 02632 6/2/10 every page. Cdy/Town State Tip 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-09A)8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 TOWN OF BA/RNSTABLE c� • Lf'CAT10N SEWAGE # 00q VILLAGE GF�TGrrrr//r. ASSESSOR'S MAP & LOT - -,STALLER'S NAME&PHONE NO._��& �7'1°D-973�r/OscJo� </G /9/r'OS iv SEPTIC TANK CAPACITY 000 LEACHING FACILITY: size) NO. OF BEDROOMS ' Sox /S BUILDER OR OWNER_-/'/'ls/� %�/XFj/'p PERMITDATE: .� O y COMPLIANCE DATE:_ / Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facili ty (If any wells exist on site or within 200 feet of leaching facility) Feet I. Edge of Wetland and Leaching Facility(If any wetlands exist a within 300 feet of leaching faci "ty) Feet Furnished by o ,2 oo0 6,*/ .41. loop Cal, Pap f`j��� /� o-a�x ' '`£ g � - (/J" �4� '- as .4•� 3 � �.:.,;� ,i � .V � ���v '�into oo lot' 3. ! Lky .17 got 2r Cam" x _ 'tilt - i J whate, v�,t w� x. e ,son4 r, ..G t { a•F c r .t jpq s g. x'^�9 •2' �,low 44 1too:ar.71 {� �Mi t s k�k�` a �' � ydE ,�,( • ZAN son 1f • tl • An TV 11 tit, Awr. All, A 6 ` 1y 9 's r a, T TOWN OF BARNSTABLE r 1 v LOCATION _2 2/ SEWAGE # VILLAGE ASSESSOR'S MAP & LOT . - n:»TALLER'S NAME&PHONE NO. _J_d& 520-.9�3� / ,� 16 SEPTIC TANK CAPACITY 000 / LEACHING FACILITY: (typef I��G/nlr"� size] �S A� > $ • NO. OF BEDROOMS 'I BUILDER OR OWNER_ )W.477— /H,/XF//'fo PERMITDATE: —y COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and'Leaching Facility (If any wells exist on site or.within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands_exist within 300 feet of leaching faci 'ty) Feet Furnished by wGLu 1 �Igc�c 2 000 641 .51- Irsoo GA/, p��p cLi��d � D-Box ram- } FEB--01-2006 02 :59 PM DAN I EL JOHNSON 508 420 911S 16 P. 01 Town of Barnstable Regulatory Services Thomas F.Geller,Director Public Health Division Thomas McKean,Mrector 2f10 Main Street,Hyannis,MA 02601 Office: 508-862.4644 Fax: 508-790-6304 DjqjMaer Cerdflcadoa Form Date: +'1 / 06 Designer: A N ! 007� ta,4 /R.S, Address: DSre't.r "Ld Sri' On �,1��� �t'a �JOCY _;DifrS. ►M-eS was issued a permit to install a date) (installer) septic system at +-4 E 6 00-1 A-i based on, a design I drew, (address) dated— r gL>s o,,z, I certify that the septic =rystem referenced above was installed substantially according to the design. I certify that the septic syst{:rn referenced above was installed with changes but in accordance with State & !Local Regulations. Revision or certii'aed as-built by designer to follow. W. (:Des! is Signature) (Affix SWrip Caere) rA,jnSE RET[IRiV' B���LE PUB IC__��j� BDIVI IONLATE F C LLA �O t• YO , �3 BI D PUBLIC Q:Health/saptiviDesipr Certification Form Town of Barnstable qNAM , Board of Health P.O. Box 534, Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. F December 20, 2002 Mr. Mateus Assis Teixeira 221 Five Corners Road Centerville, MA 02632 j f�E22�1�F�ue Cflr �r�t,.��Road �Ce�tervfle � n�. �, �A� 168���'I�fx Dear Mr. Teixeira, You are granted conditional permission to update your septic system at 221 Five Corners Road Centerville'by constructing an additional leaching field, installing a 2,500 gallon septic tank, and converting the existing septic tank into a pump chamber as designed by Daniel Johnson R.S..on his plan dated December 12, 2002. This permission is granted with the following conditions:. (1) No more than seven (7) bedrooms are authorized at this property. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the Massachusetts Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to seven (7) bedrooms maximum. A copy of the_. recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the submitted plans dated December 12, 2002, signed by the Daniel Benjamin Johnson, Registered Sanitarian. (4) The designing sanitarian shall`supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board.of Health that the system,was installed in substantial compliance with.the submitted plans dated December 12; 2002. Q:HEALTH/WP/reixeira7bedrroms (5) The recording of an appropriate amnesty affordable housing restriction. Sin rely your Wayn Miller, M.D. Chair an BO OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP/Teixeira7bedrroms I_ Bk., 18031 Ps211 014U55Q 12--15-2O+C1�3 A 1 i:55a REGULATORY AGREEMENT AND DECLARATION OF RESTRICTIVE COVENANTS THIS REGULATORY AGREEMENT and DECLARATION OF RESTRICTIVE COVENANTS,is made this�M) dayof �C tin/ i� ,2003,byand between Marcelo T.Assis,Mateus A.Teixeira,and Wilma M.Teixeira of 221 Five Corners Road,Centerville,MA 02632,and its successors and assigns (hereinafter the"Owner");and the TOWN OF BARNSTABLE (the"Municipalit}'),a political subdivision of the Commonwealth, J WHEREAS the Owner has been granted a Comprehensive Permit under Massachusetts General Law Chapter 40B and local regulations by the Zoning Board of Appeals to permit the creation of an accessory apartment in an owner occupied dwelling which will be rented to a Low or Moderate Income Person/Family(hereinafter "Designated Affordable Unit";and NOW THEREFORE,in mutual consideration of the agreements and covenants contained herein,and other good and valuable consideration,the receipt and sufficiency of which is hereby acknowledged,the parties agree as follows: I. PROJECT SCOPE AND DESIGN: A The terms of this Agreement and Covenant regulate the property located at 221 Five Corners Road, Centerville,ME1,as further described in Exhibit"A"hereto annexed. B. The Project located at 221 Five Corners Road,Centerville,MA will consist of one accessory apartment unit which will be rented to an eligible low or moderate income individual or family(the"Designated Affordable Unit"or the"Unit"). C. The Owner agrees to construct the Project in accordance with the terms of the comprehensive permit, Appeal No.2002-85 and any plans submitted therewith and all applicable state,federal and municipal laws and regulations(A copy of the comprehensive permit is annexed hereto as Exhibit"B"). D. The Owner agrees to occupy the principal dwelling unit located on the property as their year round residence in accordance with the terms of the comprehensive permit. 1i. THE OWNER'S COVENANTS AND RESPONSIBILITIES: A THE OWNER HEREBY REPRESENTS,COVENANTS AND WARRANTS AS FOLLOWS: 1 In receiving the comprehensive permit to create the Designated Affordable unit,the Owner agreed that the Designated Affordable Unit shall be set aside in perpetuity for the public purpose of providing safe and decent housing to persons of low income(herein defined as 80%or less of the median income of Barnstable- Yarmouth Metropolitan Statistical Area(MSA)and that the Designated Affordable Unit shall be deemed to be impressed with a public trust. 2. The Designated Affordable Unit shall be rented in perpetuity to a household with a maximum income of 80%of Area Median Income or less of the Area Median Income(AMI)of Barnstable-Yarmouth Metropolitan Statistical Area(MSA)and that rent(including utilities) shall not exceed the rents established bythe Department of Housing and Urban Development(HUD)for a household whose income is 80%of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utility allowance established by the Barnstable Housing Authority shall be deducted from HUD's rent level. 3. The Designated Affordable Unit will be retained as permanent,year round rental dwelling units with at least one-year leases. 4. The Owner has the full legal right,power and authority to execute and deliver this Agreement. 1 � Bk 18031 Pg 212 #140550 5. The execution and performance of this Agreement by the Owner will not violate or,as applicable,has not violated any provision of law,rule or regulation,or any order of any court or other agency or governmental body,and will not violate or,as applicable,has not violated any provision of any indenture,agreement,mortgage, mortgage note,or other instrument to which the Owner is a party or by which it or the Owner is bound,will not result in the creation or imposition of any prohibited encumbrance of any nature. 6. The Owner,at the time of execution and delivery of this Agreement,has good,clear marketable title to the premises. 7. There is no action,suit or proceeding at law or in equity or by or before any governmental instrumentality or other agency now pending,or,to the knowledge of the Owner,threatened against or affecting it,or any of its properties or rights,which,if adversely determined,would materially impair its right to carry on business substantially as now conducted(and as now contemplated by this Agreement)or would materially adversely affect its financial condition. B. GOMPLIANCE The Owner hereby agrees that any and all requirements of the laws of the Commonwealth of Massachusetts to be satisfied in order for the provisions of this Agreement to constitute restrictions and covenants running with the land shall be deemed to be satisfied in full and that any requirements of privileges of estate are also deemed to be satisfied in full. C. LIMITATION ON PROFITS 1. The Owner agrees to limit his/her profit by renting the Designated Affordable Unit in perpetuity to a household with a maximum income of 80%or less of the Area Median Income(AMI)of Barnstable-Yarmouth Metropolitan Statistical Area(MSA)and that rent(including utilities)shall not exceed the rents established by the Department of Housing and Urban Development(HUD)for a household whose income is 80%of the median income of Barnstable-Yarmouth Metropolitan Statistical Area. In the event that utilities are separately metered, the utilityallowance established bythe Barnstable Housing Authority shall be deducted from HUD's rent level i 2. The Owner shall annually deliver to the Municipality and to the Monitoring Agent,as designated by the Town Manager,proof that the Designated Affordable Unit is rented,the tenant's income verification,a copy of the lease agreement and the rent charged for the unit or units. Such information shall also be forwarded to the Monitoring Agent within 30 days of the occupation of the dwelling unit or units by a new tenant. The Owner shall notify the Monitoring Agent,as designated by the Town Manager,within thirty(30)days of the date that a tenant has vacated the Designated Affordable Unit. IV, MUNICIPALITY COVENANTS AND RESPONSIBILITIES. 1. The MUNICIPALITY,through the monitoring agent designated bythe Town Manager agrees to perform the duties of verifying that the Designated Affordable Unit is being rented in perpetuntyto a household with a maximum income of 80%or less of the Area Median Income(AMI)of Barnstable-Yarmouth Metropolitan Statistical Area(MSA)and that rent(inchxding utilities)shall not exceed the rents established bythe Department of Housing and Urban Development(HM)for a household whose income is 80%of the median income of Barnstable-Yarmouth Metropolitan Statistical Area.In the event that utilities are separately metered, the utility allowance established bythe Barnstable Housing Authority shall be deducted from HUD's rent level. V. RECORDING OF AGREEMENT: Upon execution,the OWNER shall immediately cause this Agreement and any amendments hereto to be recorded with the Registry of Deeds for Barnstable County or,if the Project consists in whole or in part of 2 Bk 18031 Pg 213 #140550 registered land,file this Agreement and any amendments hereto with the Registry District of the Barnstable Land Court(collectively hereinafter the"Registry of Deeds"),and the Owner shall pay all fees and charges incurred in connection therewith. Upon recording or filling,as applicable,the Owner shall immediately transmit to the Municipality evidence of such recording or filing including the date and instrument,book and page or registration number of the Agreement. VI GOVERNING OF AGREEMENT: This Agreement shall be governed by the laws of the Commonwealth of Massachusetts. Any amendments to this Agreement must be in writing and executed by all of the parties hereto. The invalidity of any clause,part or provision of this Agreement shall not affect the validity of the remaining portions hereof. VUL NOTICE: All notices to be given pursuant to this Agreement shall be in writing and shall be deemed given when delivered by hand or when mailed by certified or registered mail,postage prepaid,return receipt requested,to the parties hereto at the addresses set forth below,or to such other place as a party may from time to time designate by written notice. IX HOLD HARMLESS: The Owner hereby agrees to indemnifyand hold harmless Municipality and/or its delegate from any and all actions or inactions by the Owner,its agents,servants or employees which result in claims made against Municipality and/or its delegate,including but not limited to awards,judgments,out-of-pocket expenses and attorneys fees necessitated by such actions. X ENTIRE UNDERSTANDING: A. This Agreement shall constitute the entire understanding between the parties and any amendments or changes hereto must be in writing,executed by the parties,and appended to this document. B. This Agreement and all of the covenants,agreements and restrictions contained herein shall be deemed to be for the public purpose of providing safe affordable housing and shall be deemed to be,and bythese presents are,granted by the Owner to run in perpetuity in favor of and be held by the Municipality as any other permanent restriction held by a governmental body as that term is used in MGL Ch. 184,Section 26 which shall run with the land described in Exhibit"A"hereto annexed and shall be binding upon the Owner and all successors in title. This Agreement is made for the benefit of the Municipality and the Municipality shall be deemed to be the holder of the restriction created by this Agreement. The Municipality has determined that the acquiring of such a restriction is in the public interest. The Municipality shall not be subject to.the defense of lack of privity of estate. The covenants and restrictions contained in this Agreement shall be deemed to affect the title to the property described in Exhibit"A". XI. TERM OF AGREEMENT: The term of this Agreement shall be perpetual,provided,however,that the Owner of a Designated Affordable Unit or Units may voluntarily cancel the granted Comprehensive Permit and the terns and restrictions imposed herein. Such cancellation shall only take effect after. 1)expiation of the lease terms entered into between the Owner and Tenant occupying said unit and 2)notification bythe Owner of said dwelling to the Zoning Board of Appeals of his/her desire to cancel the Comprehensive permit upon a date certain and the recording of said notice at the Barnstable County Registry of Deeds or Barnstable County Registry of the Land Court as the case may be,thus rendering said Comprehensive Permit void. Upon the cancellation of the comprehensive permit,the property which is the subject matter of this restrictive covenant 3 Bk 18031 Pg 214 #140550 shad revert to the use permitted under zoning and the restrictive covenant shall be rendered void XII. SUCCESSORS AND ASSIGNS: A. The Parties to this Agreement intend,declare,and covenant on behalf of themselves and any successors and assigns their rights and duties as defined in this Regulatory Agreement and the attached comprehensive permit. B. The Owner intends,declares,and covenants on behalf of itself and its successors and assigns(i)that this Agreement and the covenants,agreements and restrictions contained herein shall be and are covenants running with the land,encumbering the Project for the term of this Agreement,and are binding upon the Owner's successors in title,(n)are not merely personal covenants of the Owner,and(its)shall bind the Owner,its successors and assigns and inure to the benefit of the Municipality and its successors and assigns for the term of the Agreement. XIII. DEFAULT: If any default,violation or breach bythe Owner of this Agreement is not cured to the satisfaction of the Monitoring Agent within thirty(30)days after notice to the Owner thereof,then the Monitoring Agent may send notification to the Municipality that the Owner is in violation of the terms and conditions hereof. The Municipality may exercise any remedy available to it. The Owner will pay all costs and expenses,including legal fees,incurred by the Monitoring Agent in enforcing this Agreement and the Owner hereby agrees that the Municipality and the Monitoring Agent will have alien on the Project to secure payment of such costs and expenses. The Monitoring Agent may perfect such a lien on the Project by recording a certificate setting forth the amount of the costs and expense due and owing in the Registry of Deeds or the Registry of the District Land Court for Barnstable County. A purchaser of the Projector any portion thereof will be liable for the payment of anyunpaid costs and expenses that were the subject of a perfected lien prior to the purchaser's acquisition of the Project or portion thereof. )GV. MORTGAGEE CONSENT: The Owner represents and warrants that it has obtained the consent of all existing mortgagees of the Project to the execution and recording of this Agreement and to the terms and conditions hereof and that all such mortgagees have executed consent to this Agreement. IN WITNESS WHEREOF,we hereunto set our ban and seals this Aay of -&�iYnAJA— ,200.1 OWNER OWNER Owner. Signature lgml= Printed: Marcelo T.Assis P ' d: Mateus A.Teixeira Printed: Wilma M.Teixeira TOWN OF TABLE BY: signature Printed:John G Rlimm.Town Manageer 4 Bk 18031 Pg 215 #140550 COMMONWEALTH OF MASSACHLISETTS County of Barnstable,ss: hzt-.W ,2003. . r�Then personally appeared the above-named M . �ssrs ,as OWNER and acknowied�th foregoing instument to be his/her free act and eed,before me. PautMee Therosa-McAuttffe rsa.• ..eh of M ssachnn tte Notary Public My(`,pp } T/04= 8 Printed: ""''`' My Commission Expires: V •�`� unty of Barnstable,ss: V • v ; ' 2002 Then personally appeared the above-namedX X44i-'4 If, ( X6.r4&— ,as OWNER and acknowl'" €�� �*� m �•` foregoing instrument to be his/her free act and deed,before e. �MO+i Paulette Theresa-McAallffe Notary Publieammonwealth of Massachusetts Printed: My Commission Expires 7/04/2008 My Commission Expires: �,,��``"1O��""a,UZIt,,. County of Barnstable,ss:200.3. :+ S �' �•. Then personally appeared the above-named as OWNER and acknowledged tht.eb••••�`;�; � '. foregoing instrument to be his/her free act and deed,before1►t3N 4Pe050ft ThOMNAoAultffe NotaryPubligNMONSafth of Mona anhusetts Printed MY CNIO&MIN Expireq,7"20Q,8 MyCornmission Expires: FF'' COMMONWEALTH OF MASSAML SETTS •t' �' V •h Counryof Bamt4Lble,ss: •,d •;• Qv ' .'ate 2008 ��4, rOYWEf►�`.. Then personally appeared the above-named.JeA M k L r M M ,Town Manager for the Town of Barnstable and acknowledged the foregoing instrument to be his her free act and deed(,before me. . tary, p A.Wheelden,Notary Public My0°mr �• ...�a�z woes ,.•, Bk 18031 Pg 216 #140550 EXHIBIT„fT 68 MASSACHUSETTS OUITCLAiM DEED P VWe,Adolfo A.Teixeira,MarciaN.Assis and Marcelo T.Assis of 221 Five Comers Road, Centerville,Massachusetts 02632,for consideration paid,and in full coasideration of Less'Than One Hundred Dollars,grant to Marcelo T.Assis,Mateus A.Teixeira and Wilma M.Teixeitq Tenants in Common,of 221 Five Comets Road,Centerville,Massachusetts 02632 with gafulaun covenants the following property in Barnstable County,Massachusetts. The land with the buildings thereon, situated in Centerville,Barnstable County, Massachusetts,being shown as Lot 22B on a plan of land in Centerville,Barnstable,Massachusetts.property of Robert Fleske and Robert Payton Scale 1"-30 feet September 1978 Whibaey&Bassett Hyannis.containing 19,716•square feet according to said plan,being recorded in Barnstable County Registry of Deeds. Being the same premises conveyed to the herein named grantor(s)by deed recorded with BarnstAbIt County Registry of Deeds in Book 11786,Page 251. Witness my/our hand(s)and seal(s)this 26th day of April,2002. !fit/d- A Teixeira a N.Assis Mard6la T.Assis Commonwealth of Massachusetts Barnstable, SS: April 26,2002 Then personally appeared the above-named Adolfo A.Teixeira,Marcia N.Assis and Marcelo T.Assis and acknowledged the foregoing instrument to be bi and deed befrnenme. i SuU,Ea ahthbo e Notary Public: Hmery pubk t...u"Sob My Commission Expires: Mrcomys PROPERTY ADDRESS:. 221 Five Corners Road Centerville,Massachusetts 02632 B L.A MEAt7E, 1 Bk 18031 Pg 217 #140550 • EXHIBITS CLCI t,\ BARNST!Z"! ` 7M3 FEB 10 Psi q* 09 Town of Barnstable Zoning Board of Appeals Comprehensive Permit Decision and Notice Appeal 2002-85-Teixeira Applicant: Mateus Teixeira Property Address: 221 Five Comers Road,Centerville,MA Assessor's Map/Parcel: Map 168 Parcel 080/001 Zoning: Residential D Groundwater Overlay: AP Aquifer Protection Overlay District Applicant: The applicant is Mateus Teixeira,with an address of 221 Five Corners Road,Centerville,MA Mr. Teixeira is the individual to whom this Comprehensive Permit is issued to create an accessory apartment unit within the basement of a single-family dwelling as an affordable rental unit in accordance with all conditions of this permit. Relief Requested: The applicant has applied for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts,Chapter 40B—§20-23 and in accordance with the General.Ordinance of the Town of Barnstable Chapter III,Article LXV,"Pre-existing and Unperrnitted Dwelling Units and for New Dwelling Units in Existing Structures," more commonly termed the"Accessory Affordable Housing Program" The zoning relief necessary for this Comprehensive Permit to be issued is that of a variance to Section 3-1.3 (2)of the Zoning Ordinance—Accessory-Uses to permit an accessory apartment unit to a single-family owner-occupied residential dwelling.The issuance of this Comprehensive Permit would allow for an owner- occupied single-family residence with an accessory affordable apartment unit located within the single-family dwelling. Locus and Background: The property is a.45 acre lot that is developed with a 5-bedroom,31/2-bathroom,5,336 square feet single-family,Colonial style home. The applicant bought the property four years ago and conceived of building an accessory unit someday.The applicant recently heard about the program through a friend and decided to apply for it. The accessory unit is proposed to be added in the basement of the min house. It will be a two- bedroom unit at approximately 2,600 square feet. The locus is in a Residential D,in AP Aquifer Protection Overlay District. Procedural Summary: This appeal was filed at the Town Clerk's Office and the Office of the Zoning Board of Appeals. A II public hearing before the Zoning Board of Appeals Hearing Officer was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on July.24,2002 at which time the Hearings Officer announced that the case would be continued due to program upgrades resulting from state level changes in the Chapter 40B process.The case was continued to August 21, 2002 and continued three more on September 25,2002,November 6,2002 and December 11,2002. At each continuance,Mr.Teixeira asked for more time in order to upgrade the septic system to accommodate the total number of bedrooms at the property. The Hearing was continued once more to r Bk 18031 Pg 218 #140550 January 22,2003 at which time the Comprehensive Permit was granted. Officer,Gail Nightingale presided over the public hearing. Also present were Paulette Theresa-McAuliffe,AccessoryAffordable Housing Program Coordinator,and Mchelle McKinstry,Barnstable Housing Authority. Findings as to Standing and The Comprehensive Permit: At the January 22,2003 hearing,the Hearing Officer made the following findings of fact: 1. The applicant is Mateus Teixeira with an address of 221 Five Comers Road,Centerville, Mr.Teixeira has owned the property since October 26,1998,as documented and recorded at the Registry of Deeds in Book 15113,page 347. Mr. Teixeira is requesting a Comprehensive Permit to create an affordable rental apartment to be accessory to the single-family owner-occupied residential dwelling. The applicant has submitted a copy of Certificate No. 39068,documenting his ownership of the property. 2. The applicant was issued a site approval letter dated January 17,2003 from Kevin Shea, Director,Office of Community&Economic Development,qualifying his application for the Accessory Affordable Housing Program. The source of the subsidyis the federal Community Development Block Grant(®BG)program 3. The rental unit is proposed for approximately2,600 square feet and will have 2 bedrooms. It will be located in the basement of the single-family Colonial style home. 4. According to the Assessor's record,there is a total of five bedrooms on the property. All are in the main house. The property is serviced by a septic system and the site is in the AP Aquifer Protection Overlay District. The Public Health Department approved the septic system at the site for a total of 7 bedrooms as per written approval by Thomas McKeon,Public Health Director dated January 16,2003. Prior to this approval from the Public Health Department,the applicant was granted special authorization to"add an additional leaching field,install a 2500 gallon septic tank,and convert his existing septic tank into a pump chamber"in order to handle up to but not more than a total of seven(7)bedrooms on the property. The approval from the Town of Barnstable's Board of Health is dated December 20,2002. 5. The Barnstable Housing Authority completed an inspection on June 4,2002 of the property where the unit is proposed to be created. The applicant is aware that an official inspection bythe Building Division will be required before he is given an Amnesty Certificate of Participation. 6. On August 12,2002,the applicant signed an Accessory Affordable Housing(Amnesty)Program Affidavit agreeing to comply with the programs requirements,including owner occupancy of the principal dwelling unit and further agreeing to comply with the provisions set forth in Article LXV(65)of the Town Ordinances that include their signing and recording of the Regulatory Agreement&Declaration of Restrictive Covenants. The subsidizing agency has determined that the signing and recording of the regulatory agreement qualifies the applicant as a"limited dividend organization"as that term is used under M.G.L.c.40B§§20-23. 7. The applicant understands that the affordable unit will be rented to a person or familywhose income is 80%or less of the Area Median Income(ANQ of Bamstable-Yarmouth Metropolitan Statistical Area(MSA)and further agrees that rent(including utilities)shall not exceed the rents established by the Department of Housing and Urban Development(I-M). 8. The Barnstable Housing Authority has committed to the monitoring of this affordable rental unit. 2 I Bk 18031 Pg 219 #140550 9. According to the Massachusetts Department of Housing and Community Development,as of October 1,2001,4.7%of the town's year-round housing stock qualified as affordable housing units. The town has not reached the statutory minimum under M.G.L.c.40B§§20-23 or its implementing regulations. Under the Town of Barnstable's Local Comprehensive Plan,the use of existing housing to create affordable units and the dispersal of these units throughout the town is encouraged. 10. Based upon the findings,the project is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Bamstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Pernut are strictly followed. " Ruling and Conditions: Based upon the findings,the Hearing Officer ruled that the applicant has standing to apply for a Comprehensive Permit under the General Law of the Commonwealth of Massachusetts,Chapter 40B— §§20-23 and in accordance with the General Ordinance of the Town of Barnstable Chapter III,Article LXV,"Pre-existing and Unpermitted Dwelling Units and for New Dwelling Units in Existing Structures,"more commonly termed the"Accessory Affordable Housing Program." The granting of this Comprehensive Permit is to the applicant,Mateus Teixeira.It is issued to permit the creation of an accessory apartment unit to a single-family owner-occupied residential dwelling of 2,600 square feet,subject to the following conditions: 1. The property owner shall occupy the principal dwelling as his year-round residence. 2. Occupancy of the affordable unit shall not exceed two adults or a family of four. 3. This unit shall not be occupied by a family member. 4. To meet the requirements of affordability,the cost of housing('including utilities)shall not exceed the Department of Housing and Urban Development's (I-M)(or any successor agenc} 80%rent limits as published from time to time. Eligible tenants shall have an income at or below 80%of the Area Median Income,adjusted by household size. Both the rent limits and income limits can be secured from the Barnstable Housing Authority or from the agent of the town implementing this program. 5. All leases shall have a minimum term of one year. 6. The applicant shall have the unit re-inspected bythe Building Division to assure that all necessary requirements are met according to minimum state building and fire codes. It shall also be reviewed by the Health Division to assure compliance with applicable on-site wastewater discharge requirements. 7. The applicant may select their own tenant(s)provided the tenant(s)meet all requirements of the program and provided that person(s)income is reviewed and approved by the Barnstable Housing Authority as a qualified individual. The applicant will be required to work with the Housing Authority to provide information necessaryto document that the tenant(s) qualify. To insure that the unit is rented in an open and fair basis to an income eligible individual or family, the unit must be listed with the Barnstable Housing Authority(BHA) and the Housing Assistance Corporation(HAG)whenever a vacancy occurs. Also,the applicant must notify the monitoring agent of a vacancywhenever it occurs. 8. Every twelve months the applicant shall review the income eligibility of those individuals occupying the unit. No later than a year from the date of issuance of this Comprehensive Permit the applicant 3 w Bk 18031 Pg 220 #140550 shall file with the Barnstable Housing Authority an annual affidavit listing the rent charged and income level of the occupant(s)of the unit. The applicant shall provide the Bamstable Housing Authority any additional information it deems necessaryto verifythe information provided in the affidavit. Upon any report from the Barnstable Housing Authority that the terms and conditions of this permit are not being upheld,the Zoning Board of Appeals or it's Hearing Officer shall have the ability to hold a hearing to show cause as to why this permit should not be revoked. 9. The Accessory Affordable Unit shall be affordable in perpetuity(as affordable is defined herein) unless this Comprehensive Permit is rendered void. 10. This Comprehensive Permit shall not be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be filed at the Barnstable County Registry of Deeds. If the ownership of the property is transferred,the - Barnstable Housing Authority shall be notified within 60 days the name and address of the new owner. 11. All parking for the dwelling and accessoryunit shall be accommodated on site,and no lodging shall be permitted on site for the duration of this Comprehensive Permit. 12. This Comprehensive Permit must be exercised and the unit occupied within 12 months of its issuance or it shall expire. Transmission of the Decision of the Hearing Officer to the Barnstable Zoning Board of Appeals In accordance with Part II,Section 4.02 and Part M,Section 3.72 of the Town of Barnstable Administrative Code,the hearing officer transmitted her written decision to the Zoning Board of Appeals on January 22,2003,and fourteen days having elapsed since said transmittal with the Zoning Board of Appeals taking no action to reverse the decision,this decision becomes the decision for this Comprehensive Permit application. Ordered: Comprehensive Permit 2002-85 has been granted with conditions. Appeals of this decision,if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A,Section 17,within twenty(20)days after the date of the filing of this decision in the office of the Town Clerk The applicant has the right to appeal this decision as outlined in MGL Chapter 40B,Section 22. Id Y�j' ho 10-3 a I He cer Da Si ned w • .0 fA r : 6 I, a H e 'der,CTi f the Town of Barnstable,Barnstable County,Massaorm' cen'&y that twenty(20)days have elapsed since the Zoning Board of Appeals filed tl s`ydle no appeal of the decision as been 'e in the office of the Town Clerk j� �6•••; `"M'- Signed and sealed day of. Cc-c d G� ''J�}nder the pains and pe V Linda Hutchenrider,Town Clerk BARNSTABLE REGISTRY OF DEEDS 4 Postal M ! 'CERTIFIED MAILT. RECEIPT -� (Domestic Mail Only; rU 1:0 .For delivery information visit our website at vv"�uspsxom& Ln Arlk Ln Postage $>.. C3 Certified Fee O A ,3 ar� Postinark'oS p Retum Reciept Fee JAB Here (Endorsement Required) O Restricted Delivery Fee i f ca (Endorsement Required) P5 / Total Postage.&Fees All / Im o —gent—To Street,Apt.No.; or PO Box No.'a Q /V'e Co r17(7 'S d ------------/ ..-e - 0 63 a--------- City,Sta ,�/P+4 At? ✓�L `l?A P'S Form :rr June 2002 Certified Mail Provides: ■ A mailing receipt (esieney)zooz eunr'opec uuod Sd ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811 to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it.when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. i SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS . . i ■ Complete items 1,2,and 3.Also complete A. Si at e item 4 if Restricted Delivery is desired. , ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. R�eqceived by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, A R C r-r s( or on the front if space permits. 1. !'�J/�c D. Is delivery4ddress different from item 1? ❑Yes � 1. Article Addressed to: If YES nt delivaddress:_ low: ❑No I C `� I Cn I'm' I IIArCeLLo 4ss,,s- � G- o?d o r/i o r,-5 IC Q� 3. Service Ty 0666 /7 ❑Certified Mail Express Mall 1. P1)t,v►'k-,- L,J, e t4 ❑ Registered ❑Return Receipt for Merchandise �a o,;)- vZ ❑ Insured Mail ❑G.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label PS Form 3811-,August 2001 Domestic Return Receipt, 102595-02-M-1540 I UNITED STATES POSTAL SERVIO@w- First-Class `P-68tage- e2alf USPS.- "Permit No.GGl 0 Sender: Please print ur.b6im",e,.'a'address, and ZIP+4 in this box 0 PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE-, 200 MAIN STREET HYANNIS,MASSACHUSETTS 02601 rj c?lcS I HIM I:IdI III I III I I 111111killi!I dII If HIIIII I IdIff Iddil COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION 090 00 Property Address: 221 Five Corners Road Centerville Owner's Name: Marcello Assiss Owner's Address: '/ . Date of Inspection: 12/22/2005 6r 3730 r <, Name of Inspector: (please print) Patrick T. Sullivan Cn M Company Name: Ready Rooter 7 Mailing Address: P.O.Box 371 N) Sandwich,MA 02563 �„� rr- Telephone Number: (508)888-6055 rn CERTIFICATION STATEMENT 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 ✓Needs Further Evaluation by the Local Authority Fails 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. Notes and Comments - n l � �O.r►rr� pe ****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. I Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D C. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"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. Answer yes,no or not determined (Y,N,ND)in the 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. ND explain: 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 obstruction is removed distribution box is leveled or replaced ND explain: 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 obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: ^ -7i f�-�L�r�e v �-`B34 v 3 �'� 5�� ►h. C�S " �..' {���.�.� �B L �Z4���2�•�CJ� i Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 221.Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 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 and overloaded or clogged SAS or cesspool f Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. Any portion of a cesspool or privy is 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] A3 n (Yes/No)The system fails. I have determined that one or more of the above 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 faci ty with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the follow' g: (The following criteria apply to large systems in addition the criteria above) yes no the system is within 400 feet of a surface hiking water supply the system is within 200 feet of a tribu to a surface drinking water supply _the system is located in a nitrogen ensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply ell If you have answered"yes"to any que ion in Section E the system is considered a significant threat,or answered "yes"in Section D above the large sy em has failed.The owner or operator of any large system considered a significant threat under Section E o failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should ontact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 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? _ 3Z'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 than 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: Yes No _ Existing information. For example,a plan at the Board of Health. 4[ _ 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(3)(b)] i Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 FLOW CONDITIONS RESIDENTIAL e Number of bedrooms(design): S- Number of bedrooms(actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Number of current residents: 11 _ Does residence have a garbage grinder(yes or no): � Is laundry on a separate sewage system(yes or no):CYD[if yes separate inspection required] Laundry system inspected(yes or no):_ Seasonal use: (yes or no):. ZDC;04 Water meter readings, if available(last 2 years usage(gpd)):46 ,,,,�,;ems ,� �5 L(5-0 Sump Pump(yes or no):6Y; Last date of occupancy: <=,,-, COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sq.f c.): Grease trap present(yes or no):_ Industrial waste holding tank present es or no): Non-sanitary waste discharged to th itle 5 system(yes or no):_ Water meter readings,if available- Last Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Was system pumped as part of the inspection(yes or no): `<:S If yes,volume pumped: gallons--How was quantity pumped determined? Z51-T%:r, q-, �� 4 Reason for pumping: J��,.,;, �� ,� r• ,,� ©t:��5 , TYPE OF SYSTEM _j,L'&ptic 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) Tight tank _Attach a copy of the DEP approval Other(describe): Approximate age of all components,da installed(if known)and source of information: Were sewage odors detected when arriving at the site(yes or no):Q0 r Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 BUILDING SEWER(locate on site plan) Depth below grade: Is Materials of construction:_cast iron�0 PVC_other(e plain): Distance from private water supply well or suction line: Comments(on condition of joints, venting,evidence of le ge,etc.): SEPTIC TANK: (locate on site plan) Depth below grade: I'D Material of construction: \Zconcrete—metal—fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):—(attach a copy of certificate) Dimensions: Sludge depth: Distance from the top of sludge to bottom of outlet tee or baffle: yv`� Scum thickness: ">O 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.): ©3i'1+,��� •C'�c.e.. w�,u�"� �+� �'-�e t.C.e1�c 1� ��� c���cZ ����� �' l� `CSVZ Ca�_ 4•�.U�a.H�. Gi'Jv�P r-b�� WAd�`� i w �'! _ �^� GREASE TRAP:—(locate on site plan) Depth below grade:_ Material of construction: concrete metal fiberglass other — — g ___polyethylene— (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet a or baffle: Distance from bottom of scum to bottom f outlet tee or baffle: Date of last pumping: Comments(on pumping recommend ons, inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence f leakage,etc.): r Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 TIGHT or HOLDING TANK: (t7must pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction:_concrete berglass_polyethylene_other(explain): Dimensions: Capacity:_ gall s Design Flow: g ons/day Alarm present(yes or no): Alarm level: Alarm ' working order(yes or no): Date of last pumping: Comments(condition of al and float switches,etc.): DISTRIBUTION BOX: (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert:—<Z Comments(not if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): rc � •,..�: - 3 �: �. �� C - � l ca r n ate` Axs- i�c01.+�cQ PUMP CHAMBER:J�(locate on site plan) Pumps in working order(yes or no): Y Alarms in working order(yes or no): Ye 5 Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 SOIL ABSORPTION SYSTEM(SAS): locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number, length: lz!fleaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): "'6r— CESSPOOLS: (cesspool must be pumped a 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 i ow(yes or no): Comments(note conditio 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 so' , signs of hydraulic failure,level of ponding,condition of vegetation,etc.): Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch 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. A O J i 1 r - Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 221 Five Corners Road Centerville Owner: Marcello Assis Date of Inspection: 12/22/2005 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water>S i feet Please indicate(check)all methods used to determine the high ground water elevation: ,.�Obtained from system design plans on record—If checked,date of design plan reviewed: �� Observed site(abutting property/observation hole within 150 feet of SAS) Checked with the 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: c 4 T��.� — �s .�- c'' 'S P:u234 1490s- DEED RESTRICTION WHEREAS, MARCELLO T. ASSIS, MATEUS ASSIS TEIXEIRA and WILMA TEIXEIRA of 221 Five Corners Road, Centerville, Massachusetts 02632 , are the owners of the land with buildings thereon located Nat 221 Five Corners Road, Barnstable (Centerville) , Barnstable County, Massachusetts, more particularly described in a deed Q dated April 26, 2002, at Barnstable Registry of Deeds Book 1'5113 Page WHEREAS, Marcello T. Assis,. Mateus Assis Teixeira and Wilma Q/ Teixeira, as the owners of said property, have agreed with the 1 Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any home built on C said lot as a pre-condition to obtaining a disposal works con- , V struction permit in compliance with 310 CMR 15. 000 State Environ- mental Code, Title V, Minimum Requirements _for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable .Board of Health, as a pre- \1 condition to granting a disposal works construction permit for a �.D septic system in compliance with 310 CMR 15. 000 State Environ- mental 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 restric- tion 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, Marcello T. Assis, Mateus Assis Teixeira and Wilma Teixeira do hereby place the following restriction on the above-referenced land in accordance with the agreement with the Town of Barnstable Board of Health, which restriction shall run with the land and be binding upon all successors in title; 221 Five Corners Road, Barnstable (Centerville) , Massachu SYKES AND COLE ATTORNEYS AT LAW setts, may have .constructed upon the lot a house containing no 420 SOUTH STREET POST OFFICE BOX 1358 more than SEVEN (7) bedrooms. Marcello T. .Assis, Mateus Assis HYANNIS,MA 02601 . TEL.(508)775-9147 NO. ` �� TkE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH r OF GF.�►T�A v,u � Sr9��c Y APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct (X) Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete System Xndividual Components Z�1 f ,-JC 6oAwE-4-t /LD LC-NrLR-yrLL& 7-Eix-//L-9 L9cation Owner's Name /6 a / go Lo,Z &-1tr ap/Parcel# / dd Address Lot# M e Telephone# to s Name Designer's Name -� N►�i1r 1 r, Jam,r� ,g osI�v,LL Add ss Address Telephone# Telephone# Type of Building: /LE'1/hEN 7-444 Lot Size Sq.feet Dwelling,—No.of Bedrooms Sego t X 1,A(01W'050 Tvt*i-) Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) gpd Calculated design flow gpd Design flow provided 77� gpd Plan: Date Number of sheets / Revision Date Title $ c`J- L J/!/I►— Description of Soil(s) f ycy Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation is �'-4 DESCRIPTION OF REPAIRS OR ALTERATIONS .Q4 i✓-6--' )L00z 82KS r-/A6- /Oo a 6,4 t.Lo a/ f Lrp77c T,w.tc r-Q f /'"`y° 6f.4/+'rd,0% A--g A- .n'�L tc ,, vV Le -c/l,,nlG- Xeez el<-1J rz ye'- .ST'L_X /S'snv G- The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections �� v FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 - "�'�'. i '6 ..x . .• i' - - -�I-NO. �` `'� 1/• •TlOE C&I MON,WEALTH OF MASSACHUSETTS FEE 6 D y BOARD:O-F, HJEA'LTH / ✓� OF � E APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct QC) Repair ( ) Upgrade ( ) Abandon ( ) - ❑Complete SystemIndividual Components j;j fives CaAwt� cf /LD CE-N,re't I L. 111 H ti4 - �•4TT 7'61�B/M Lycation Owner's Name A ,6 8 / 8o .��/ F�vr 4(a17-N tMap/Parcel# Address s Lot# Telephone# t sta s Name Designer's Name .� ' �wt�l✓d�.t //J t3J9 SIN 1T, J/iTzs AQ of/Z'^yicLf A dress Address —�12a-9�38' rSV y Telephone# Telephone# Type of uilding: - A-V/bFN 7r,414 Lot Size Sq.feet ' f ;# Dwellin —No.of Bedrooms 'gXl}1" t X 1A o/-yirrrorl(_� Ttv �� Garbage Grinder ( ) }I r Other_=Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow min.required) �.o gpd Calculated design flow gpd Design flow provided 77) gpd ,,,Plan: Date Number of sheets / R Revision Date Title. Qj-f I1 rJTt-�^ Description of Soil(s) A4 E9. f:*/C4 Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation i s 5's DESCRIPTION OF REPAIRS OR ALTERATIONS .4 CrrfcL.a.•- fo/nc 6., �T f« tk/.!S -1 6- /a o a 6-4 U-0.4 /'i •�( f�r/Ji[ T79+�-�c �-�o � �'"� G f,L9/�+,/L�"� �q.�� A-oq ".9= J�,�/t.y /X Avt! r/e?,e Kegir S-V'L-'g /Tilt E�wl"ye.-G/eLh i The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of f� TITLE 5 and further,agrees not to place the system in operation,until a Certificate of Compliance has been issued by the Board of Health. ,j� ��w Signed _.fJ6t� Date Inspections i 7 r FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 is t t ..A • �. .r(o/.J�-_,.��.._- -- NO. y'"""I THE COMMONWEALTH OF MASSACHUSETTS FEE /�p { '. 5rrS"h' BOARD OF HEALTH { CERTIFICATE OF COMPLIANCE Description of Work: [/individual Componeni(s) ❑Complete System The ude'r gned hereby.certify that the Sewage Disposal System;Constructed( ),Repaired( ),Upgraded ;Abandoned( ) at has been installed in accordance with the provisions of 310 eCMR15.00 (Title 5) and the approved desi n lans/as-built G t. plans relating to application No. dated Approved Design Flow (gpd) ' Installer 1. Designer: ` `'' Inspecto Date l Kt 4 The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 ,I No.���O�C-' THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at e.e�ra,,p,r-_S as described in the application for Disposal System Construction Pe mit.No. dated ./ot 3, © q Provided: Construction shall be completed within three years of the date f-t•lTis`Pe .A a onditions must be met. Date I I Board Of He I FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W Homs&WARREN TM PUBLISHERS- BOSTON �r ` r� TOWN OF BA,cRNSTABLE �c� L ATION 121 SEWAGE # o4Y-/;?y ASSESSOR'S MAP & LOT 16y-030 6-ow7li'-'STALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 000 LEACHING FACILITY: (typejZeO4/ 1E, / (4ize) NO. OF BEDROOMS 7 '# �N%' y _57 /S BUILDER OR OWNER FYI TI /yx,51 M PERMITDA,TE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching f�acii ty) Feet Furnished by �fc G �� �• s 6.�r rC 3 ,?pop Colo/ .S f 1000 G�►l, Pd�,p c/i��r6. r �r. y 4 Town of Barnstable • SttltiT5fA84E. • Board of Health P.O. Box 534, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. December 20, 2002 Mr. Mateus Assis Teixeira 221 Five Corners Road Centerville, MA 02632 le lV act. , "1' � ^a- "`" ° .�.n xz w ,., Yc aasa•�r ;, +�Y:i sY' REy221ueGorrers Roads Genfierulle . A.1fi8-08001 ' Dear Mr. Teixeira, You are granted conditional permission to update your septic system at 221 Five Corners Road Centerville by constructing an additional leaching field, installing a 2,500 gallon septic tank, and converting the existing septic tank into a pump chamber as designed by Daniel Johnson R.S. on his plan dated December 12, 2002. This permission is granted with the following conditions: (1) No more than seven (7) bedrooms are authorized at this property. Dens, study rooms, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms".according to the Massachusetts Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to seven (7) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The septic system shall be installed in strict accordance with the submitted plans dated December 12, 2002, signed by the Daniel Benjamin Johnson, Registered Sanitarian. (4) The designing sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing,to the Board of Health that the system was installed in substantial compliance with the submitted plans dated December 12, 2002. Q:HEALTH/WP/Teixeira7bedrroms ♦ , X 1 (5) The recording of an appropriate amnesty affordable housing restriction. Sin rely you. k, / Wayn Miller, M.D. Chair an BO OF HEALTH TOWN OF BARNSTABLE Q:HEALTH/WP/Teixeira71edrroms Town of Barnstable 'Health Inspector �VE Office Hours Regulatory Services 8:30—9:30 Thomas F.Geiler,Director 1:00—2:00 * ansxsTnac.E, r pMASS, � Public Health Division Tfn �s Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: Address: -2aI F;Vt� 6XIVJ 40 a,4Eg✓tYy /w a,263,2 Map Parcel Name: 7yl4el�- y 0 8:b Aw Phone#: Y - A v-)3 2a. How many bedrooms exist at your property now? 09 2b. Are you planning to add any bedrooms? If yes,how many? 2c. Ho many bedrooms total are proposed at this property(including the amnesty unit)? 2d. Please include a copy of the floor plans for the entire property-showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO If the dwelling is connected to public sewer,skip questions#4 through 49 below. 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to PUBLIC WATER? I 6. Is a disposal works construction permit on file? fES OE:-, � NOG 6a. If yes,how many bedrooms were approved according to this permit? J Bed:rooms:�- 7. Were any building permits obtained for construction of additional bedrooms? YES o NOx o 8. Is there an engineered septic system plan on file at the Health Division? YES o N= 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YE dr ]1 R r- ------------------------------------------------------------------------------------------------ --------- -----r*I FOR OFFICE USE ONLY The Public Health Division has no objection to V7 bedrooms at this pr erty. Special Conditions: f`��� .� leS'2� nGd Q;/health/wpfiles/amnestyapp � '�07 r � - 01>0 s,F- i NEW SMOKE DETrC�'OR REQUIREMENTS ARE NOW LAW. E', THE ADDITION OF A i NEW BEDROOM 'kr;IILL TRIGGER AN OFTNce UPGRADE OF THE SMOKE DETECTORS FOR THE WHOLE HOUSE. YOU MUST PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE PERMIT AT THE FIRE DEPARTMENT. tit c1,os?} i ;:q N 7.1 I poer ip r EA k d e c` t��ht�0ut3 SMOKE DETECTORS O.K. Fri Lvkf✓� 2Z.1 FwE C®IRNPMra ROAD B E BBUILDI DDEPT. C:'ENt'E poi 1L.LE, YAA efteWIENT A-PkQ7f4 Wr N)L Aw T tCALe 1;!5CS 0Y S. RDDx A-Vn. ! 50:S 428 ll l?-t 151 Aa'I /Z--1 11,-2 Nuih ber of Bedrooms Total Roorns = 0 � 11 = 2 = 5.5 • I Rounded down = 5 Bedrooms IJv Bed Bth study Kit Family Din Room Foyer clOff Bth Lndry Bth -_Bed co #3 i B B Bed e4 (984.) Test Pit,# TOWN OF BARNSTABLE I BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date ` Owner ,r-% `'G"�'h Tenant Address L5140/ 2,r-442 C-0t-11i0 Address fCompliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities yo,! 4. Water Supply S. Hot Water Facilities 6. Heating Facilities . 7. Lighting and Electrical Facilities 8. Ventilation c� 9. Installation and Maintenance of Facilities 10. Curtailment of Service rto 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements PL 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal +k 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Persons) Interviewed Inspecto If Public Building such as Store or Hotel/Motel specify here Date: v// 16/ TOWN OF BARNSTABLE TOXIC AND HAZ ARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: CL eAY) E.C. S er V I CE BUSINESS LOCATION: 'la I Flue cpa c?ns Po INVENTORY MAILING ADDRESS: r\,\Wk %i-LUX; IMF - (aajo31 TOTAL AMOUNT: TELEPHONE NUMBER: g - ya - 0:� CONTACT PERSON: Q' 1 ,LAW EMERGENCY CONTACT TELEPHONE NUMBER: 0 � 3LI MSDS ON SITE? TYPE OF BUSINESS: C Ce n b yo G INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor & furniture strippers Other products not listed which you feel Metal polishes may be toxic or haz ous (please list): Laundry soil & stain removers e (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS • .. "^R''$$}kyrn✓ye�` .."-."'�,vA.:��'�^,�sx..dai'�'^r '4r.1}'�.y.:d .. +.. �+dl,j, F _ ,i � 1 Date: c✓I/ 00 Q� R TOWN OF BARNSTABLE a TOXIC AND HAZARDOUS MATERIALS ON—SITE INVENTORY NAME OF BUSINESS: FUEL&I CZQA Y v?6 S(?i0 V rG(__j BUSINESS LOCATION: �02 nets) INVENTORY MAILING ADDRESS: ` j N,M�Vkv1 LW MP, - 01b3)- TOTAL AMOUNT: TELEPHONE NUMBER: 5(97 - y 2 b _ o4 V S 3 CONTACT PERSON: V 4 le > Ur L`AW l ( I EMERGENCY CONTACT TELEPHONE NUMBER: `�Jb �D 3 1 MSS •N SITE' . TYPE OF BUSINESS: �n i V) INFORMATION/RECOMMENDATIONS: Fire District: i a Waste Transportation: Last shipment of hazardous waste: Name of Hauler: ______Destination: Waste Product: Licpensed? Yes No NOTE: Under the provisions of Ch. 111 , Section 31, off the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) — Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants G Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners b,' (inc. carbon tetrachloride) NEW bSED _ Any.other products with "poison labels Paint &varnish removers, deglossers t'� (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor& furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers lj (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents (IlIvyr Q� Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS YOU WISH TO OPEN A BUSINESS? E r Information: Business certificates (cost$30.00for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which t do by M.G.L.-it does not give you permissiontoope.rate.) Business Certificates are available at the Town Clerk's Office, 1" FL., 367 eet, Hyannis, MA.02601 (Town Hall) Fill in please: APPLIGANT'S YOUR NAME: 11 ,,. BUSIN S5 W YOUR HOM ADDRESS: 1� Flog ("(')eVlQaj TELEPHONE # Ho' md Telephone Number _ 410 . $3 NAME OF NEW BUSINESS ,h}VV Y) TYPE OF BUSIN.ESS: UZ W�'1,��(', 15 THIS A HOME OCG['PATION? ' . YES IVO . Have you been given approval f�cun the build ng':divis ori? Y 5 NO_ '� ADDRESS OF BUSINESS_'N ` I'1ve (T�LYIC�dLS gh :MAP/PARCEL NUMBER When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations bf the Town of Barnstable. This form is intended to assist you in obtaining the information you [nay need.. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street).to make sure you have the appropriate permits and licenses-required to legally operate your business in this town. 1. BUILDING'COMMISSIONER'S OFFICE This individual has been informed-of any permit requirements that pertain to.this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has f' infor f th rm�requ�iris that pertain to this type of business. S1y0LLvin93u SjvIa3.1bw sn00NVZyH Au&arized Signature llbHllM�lld COMMENTS: . WO N O1 SnW 3::CONSUMER AFFAIRS ALICENSING AUTHORITY This individual ha .b n i f r of the line s• g r q it e is that pertain to this type of business. Authorized Signature.* COMMENTS: I aterials Inventory Sheet Checklist �ical Street Address-Check database to ensure it exists king Phone Number al Amounts-(fie.gas being used to fuel machines,thinner to brushes all count as hazardous materials) age Information-location of storage,how long is storage for? ne,note.that.osal Information-where and who?If none,note that. icant Signature-understand what is listed and noted Initial-any questions,know who to ask le Washing/Rinsing? -provide a vehicle washing policy and in it-note that it was given Attach the Business Certificate with your sign off and comments The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. a � OOD cb` "� ' pF THE Tp� DATE: a )I * FEE: * BARNSTABLE, 9 MASS. 1639. REC. BY ATFDMA'tA 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: old l 1:::,, (1 co Ir AV Ee S R8 Assessor's Map and Parcel Number: / Size of Lot: Q,q5 A( Wetlands Within 300 Ft. Yes ? Business Name: No Subdivision Name: APPLICANT'S NAME: Phone Did the owner of the property authorize you to represent him or her? Yes No PROPERTY OWNER'S NAME CONTACT PERSON Name: )OAT-9-US /' 5 5(� r6i* V&i'rl Name: Address: .J„�l Fl �/E Co Y NC-X S Il{d Address: Phone: mil; — ZJ,QO — 82 5G Phone: VARIANCE FROM REGULATION(List Res.) REASON FOR VARIANCE(May attach if more space needed) 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 (tor 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\Application Forms\VARIREQ.DOC } r 1 I ' { c' % t1 1 1:c.R. 1 Number of Bedrooms Total Rooms = i 11 = 2 = 5. 5 Rounded down = 5 Bedrooms Iiv t Bed Bth study Kit #1 Family Din Room Foyer � 5 cfoJBU Lndry Bth Bed #3 i Bed Bed -Bed `5 ,if4 � zN�tF� 698 4) Test f 4 7- - 1 o © s NEW SMOKE DETECTOR REQUIREMENTS ARE NOW LAW. E?.' x' "HE ADDITION OF A + i NEW BEDROOM WILL TRIGGER AN pfV�1t�Y �L�OWI UPGRADE OF THE SMOKE DETECTORS F FOR THE WHOLE HOUSE. YOU MUST PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE — PERMIT AT THE FIRE DEPARTMENT. } --—1 Zre f —� bt �F.Dkoo Vol i.q I t _ 4-4 Ff-fog E--° Dover fo r 51 idt� �dJ in�0u, SMOKE DETECTORS OX Fri L.�C� ZZ.1 rwe Ccove o ROAD - Five48 *L-F:"BUILMIG DEPT. C'eN-jte LV LLE, YAA 07.6?�2. Site etir A-VART"tNr "?LAWt 9Y T. klom in ! 50,8 4 z811�'t Nurn ber of Bedrooms Total Rooms 11 = 2 = 5. 5 Rounded down = 5 Bedrooms Liv Bed Bth shay Kit #1 Family F- -71 Din Room Foyer 157 cl� BLb Lndry Bth .-_Bed 88� BW Bed A5 f4 ay . N101C I -r.s, (98 4� Test Pit,,4? �ri,/ Public Health Division Town of Bamstabie PO Box 534 Hyannis,Massachusetts 02601 Fax(508)775-3344 Phone(508)790-6265 �\) rs — / / S l,.,c,,,, } d 3-�0� G�'�+ � !G� � l S r-fa!c wDESIG INSTALLATIONNINGENGINEER MUST SUPERVISE �(�l� P Gum �s G� THE SYSTEM WAS 13�FY IN WRITING ACCORDANCE TO PLAN. 0 IN STRICT No. Fee J i THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppliration for Migpooar 6potem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade }.Abandon( ) O Complete System O Individual Components Location Address or Lot No.a z)` ')".—Co trNelfi Owner's Name,Address and Tel.No. Assessor's Map/Parcel k 1 0 0 Installer's Name,Address,and Tel.No. a(VJ ���� Des'r er's Name,Address Tel.No. Am 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 7 0 gallons per day. C lculated daily flow ��J J gallons. Plan Date � Number of sheets Revision Date Title )!4 41 Size of Septic Tank e X0C`A `ftz kOCID Type of S.A.S. e Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last in DESIGNING ENGINE ER MUST SUPERVISE INSTALLATION AND CERTIFY IN WRITING Agreement: THE SYSTEM WAS INSTALLED IN STRICT The undersigned agrees to ensure the construction and maintenance offiiP etesCcnbed onsite'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 Certifi- cate of Compliance has b i sue y t t Sign � Date��^� Application Approved by C�__ Date Application Disapproved for th ollowing reason Permit No. ZZ/ Date Issued No. 9y G fF / ti'` I Fee T l a J Y : ,. THE CO.. ►�T MMON4 H'OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN"OF BARNSTABLE., MASSACHUSETTS ' 0[ppricatton for Mtopoar &rgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade 64.�Abandon( ) El Complete System ❑Individual Components Location Address or Lot No.a z?` 'F)q-P_Co rwe(S; Owner's Name,Address and Tel.No. Assessor's Map/Parcel ,(00 Installer's Name,Address,and Tel.No. �2,7 esi ner's Name„Address and Tel.No. ?F-D/D � ���r- 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 Flower d gallons per day. Calculated daily flow ) gallons. Plan Date Number of sheets Revision Date Title _!j;�2fn y A c k Size of Septic Tank "r-, Type of S.A.S. tf Description of Soil Nature of Repairs or Alterations(Answer when applicable) De✓ ) taG 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 Certifi- cate of Compliance has be�wi ue y th1 o. d e.-Health. Signed- / Date Application Approved by Cr Date Application Disapproved for the ollowing reason Permit No. Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded Y� >' Abandoned( )by — ( s at 1 ) C E &A,T has been constructed in'accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. ` Date n - d -�Z1 Inspector No. !�!![d � ---------------------------Fee ,!�Vr � I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS' Ig�lOgar p$teln �Congtru I it—CERTIFY MUST SUPERVISE 1e CERTIFY IN WRITING Permission is hereby granted to Construct( )Repair( )U grade ),?TMEA E0 WAS INSTALLED IN STRICT ` System located at ova � V I e Co r2&_e-14 5 CO CE TO PLAN. C-OPl/L l i and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to ,�.. comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. d Date: ga� Approved by = �' TOWN OF BARNST LE f 'L. CATION c��l /'1 VAC�J 2)'lJ�f��/ SEWAGE # C�91 VILLAGE ' � WT��\)�l �1-� ASSESSOR'S MAP& LOT-& $-OSIo_®a 0 t IN,STALLER'S NAME&PHONE NO. M t Q---Q Cl SEPTIC TANK CAPACrrY �r)C i S r�k 07A7 LEACHING FACELrrY: (type) (size) s-d s'Isy l NO.OF BEDROOMS 7 BUILDER OR OWNERS Vk& rVy PERMUDATE: �10 P 7 COMPLIANCE DATE: /5 D:o —c/X Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist - within 300 feet of leaching facility) Feet Furnished by 190 � w 7a' 3 (o�� 3 ,' TOWN OF BARNSTABLEn LOCATION 69/ .VILLAGE �w�sU .��� ASSESSOR'S MAP& LOT IC? --= ,INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY C>z:xn LEACHING FACILITY: (type) L -- (size) NO.OF BEDROOMS S cQ e's:� � 1��x '•�� BUILDER OR OWNER ��,aw S PERMITDATE: <) 1-7 4'COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwate a e to the Bottom of Leaching Facility Feet Private Water Supply Well aching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by <p1r, :n � u�— �_ gs..+_S�� .L�, O , I � . ti 1 � •/�1 i 1 � I tHETp��O Town of Barnstable Public Health Division * iARNSTABLE, • 1639: ,0�' 200 Main Street, Hyannis MA 02601 FAX Date: Number of pages to follow: To: all/ From: Phone: Phone: 508-862-4644 Fax phone: T a Fax phone: 508-790-6304 CC: REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP ❑ Please comment orM 68080001lPcel ^ ae�earxf C KA w, r v ram;For WEJW lu ber 168080001 Rental Property( IN} Bu$mes� a�me� �:Zone ofi Contnbut�on(Y/N}�� ` A ea Number j Y Contam►nantRel(Yl,N} , Phone 000 0000000 fuel St rageTank Perms �� Card On File � ��' � �, Perc Test � Construction ��� � � Well Permit i Ott, a /� ��...� ._/��' .e.. F y 2004124 File/Permit No" � , Issuance D'a 03/23/2004 CO�ilpletlte 'Srie,�ofSeptle� Type/Size of SOBS 1000 gallon pump chamber w/leaching field Tank 2000 �'� % �;, Comments ' old 98 661 EX 1000 1000 P C DBOX 15X50 L.F. x . _ .... .... ... � . .. r3 11 m ppar 168080001 Owner TEIXEIRA ADOLFO A&ASSIS MA proploe 221 FIVE CORNERS ROAD rr i o rr Innoua71, t- YAK ernat, Technology Septic Sy terns Single orb IIA Ser�vrceOType Clustered A add records=? d I records? I e ete yy �� , NOV-04-2002 10 : 14 AM DANIEL JOHNSON 508 420 9316 P. 02 DQlffSTIC SEPTIC DLESIGN, ZNC. 804 !main street, suite 8 osterviile, ja 02655 Phone: (508) 420 - 1904 Fax: (508) 420 - 9316 Daniel H. Johnson, R.S. ,C.S.E. November 4 , 2002 Tom McKean Board of' Health Town Hall 200 Main Street Hyannis, MA 02601 RE: increase Flow to Existinq Septic System 221, Five Corners Road, Centerville, MA Dear Mr. McKean: Based on the information provided by the Barnstable Board of Health and site review of the existing septic system, it appears that the existing 5 bedroom septic system which services the above referenced site can be expanded to 7 bedrooms and comply with 310 CMR 15 . 000 and the Barnstable Board of Health regulat ions . l thank you in advance for your attention to this matter. If you have any questions, please do not hesitate to call . Sincerely ours, Daniel B. J hnson, R.S. , C. S . E. NOV-04-2002 10 : 14 AM DANIEL JOHNSON 508 420 9316 P. 01 DOMESTIC SEPTIC DESIGN, INC. 804 MrN STRUT, SUITE B OSTBRV/ZZLr, J! 02653 TZZ (508) 420-1904 FAX (508) 420-9316 DANIEL B. JOM;S N, R.8. , C.S.E. FAX COV$R SHEET TO: Tom McKean COMPANY: Barnstable Board of Health DATE: 11/4/02 RkFERENCE: Septic System Design for 221 Five Corners Rd, Centerville FAX NO. : (508) 790-6304 SENT BY: Daniel Johnson MESSAGE: Attached is the letter addressing the expansion of the existing septic system at 221 Five Corners Road, Centerville. Paulette Theresa-McAuliffe would like you to E-mail her to confirm that this letter was received by you. If you have any questions, please do not hesitate to call. i 0 b 40 o a 7D - TOWN OF BARNST LE LOCATION �� 1 �e Co 21�. r��/ SEWAGE# 91 VILLAGE L 1�✓i ��:.)`l ��.e ASSESSOR'S MAP& LOT /L$-Lya_Bo l INSTALLER'S NAME&.PHONE NO. 114Sf� �l SEPTIC TANK CAPACITY '-. iC i r`%r— (77�� ` f LEACHING FACILITY: (type) (size)(size) G17`ir� NO.OF BEDROOMS 7 BUILDER OR OWNERS PERMITDATE: i© — -7 - `�V COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i A & M Land Services, Inc. 33 Old Main Street South Yarmouth, MA 02664 (508) 398-2121 Fax 394-9642 October 16, 1998 Town of Barnstable Health Dept. South Street Hyannis, MA RE: 221 Five Corners Road Dear Sir, We recently inspected the septic system installation at 221 Five Corners road in Centerville, MA. The system was designed by A & M Land Services, Inc. on or about October 5, 1998. The system was installed on or about October 15, 1998 by Midcape Septic Inc. The leaching area, d-box, pump chamber and septic tank were in place at the time of the inspection prior to backfilling. In my opinion, the installation of the septic system is in accordance with the approved engineering plans. If you have any questions concerning this matter, please call at your convenience. B t regards, l 0 ! leyL�-- Winslow Spo RLS, PE cc: Midcape Septic . t 1 i I v I � f i 1 I I - 4 Y 9 � r i � a L I XIS-� - }�y^4FLf[ � i 1 i 1 � f a i � i k I i-,- it ZA i i i I t � ! 1 LAI Nl- a,i) i l ? ' i ! I ; t j. i 4 1 1 I---- ________­__­____--__-----.�--.--,,�--,�-----,--�,---,�---..---.11, - ­­­­_'_____________._____­11-------____________­­---------__,___________,_,__,____,__ - , __---------___­__._­-1.I—___ ---I----­­­­,----I____________ _------ � _______,_______ -- ___ __ __ ,______.__________r_____.___________________ �-, ___ ___ ________________________ -, -----,---"---------------------�------------,------------,-----------.------�----''----------,------- ---------------------�----,---�---,------------,------, _ - _ � -,-- I I �- __________ _____________­ ___ I ­ ­ -­ -I­­­_________J_______ ___ _ - ­ __ ____ _________­­_ , I , I � � I � I : : � . . � I 1. �--- . I . I 11 1. ­1­...­..­11. I ''.."'..- -1.11 I.1. 1­1111.1 I \ . . ­ -'--'--�-'�-/-WU-U�ZLONSEf:qICTANK---'-'�- ­ ­ " ' ' ' -­ - ' 11 I �, � I CALCULATIONS ' I I I 1. I � ­ I MODEL ST-2000-1-11 0(SHOREY PRECAST CONCJ I . . I . I � ­1 . , . I ELAN 0 io-o �5 CIO 1­1 6 �!Jy/vl � TEST PIT DATA � �I ProposedLeachn I I �. EL.=100.0 �_� � . I I 11.11 FINISHED GR I ADE . - - __ _____ - -_ I ____ . I -_ , ;( � ,rP-I . � . I I I - I I I I I . 4LC : /"�-10' � I I I . I I III III I 111�111 24'�'DIA. -9'IMIN) 24"DIA . I k I 6 a.OPS,40, . . � I 1 24"DIA . Am= 1 1 � er 1 ms (P . 1 I I I I I I , I . I ' ' I 11 I ',­­ I I I I I ! I 0) . . �. � I I . I , I I 1 . . . I I _-_ -T_ 11 I_ I I I I 11 I � I I I I . ; I � I I I 0, k . _1� .I � � I I 1- 2 Bedr . I I . - 3-1 ' I I I 1 30' � I -10 . I � I 1. I I I I ­ 1, I TP-1 I I I I I I I I 11 . . . I , H I . I I I I I Percolation Rate - < 2 MPI I I . I I I . I . I I __ . I 11 I I � , . 0� k 95�7 1 J I I I �i I I I I . I I I . I I I I - I I I . 600 , I Z . I I� , I . I 1, J � . I I I I I 11 I I - I 'g. I I I I I I . Soil I I . I �� I 1. I I , I- �., I . I : � 19.>*%. \1 I . 14 1 0TV . I. . I ,Class,: Class I (0.74 G/SF) I . I I I � - 6! 1 1. I I I I �I I 11.1 I I ! I 1 18- .A, 10YR412 , Loamy sand I I. I I . I . I 11 I I I I I I I - I I I . - 1 -11 ,. � I I � I I I I . I I I i ,4i 1 � � . . . 1. . . I � . I 1 4"SCH 40,EL;=97.75 , I : : ^_� N. ,. I I - I ,� I I � I - . I �I � � � I I 11 I I I 11 I I I I I I I I . , - I ,�1, I I I I I I I 1 18 . I I 1, . . , , I I I . � ; 1_% I %.- " - 24- Bw� 10YR3/8 Loa sand I I I I 1 4"SCH 40 : I o FLOW LINE I I I 11 _� I it, � I I I . . I � I MY , I . 11 I 11 I . . � . . .1 I I. ., I � I I I .1 1 � .14" * I 11 ­ I I 1-� I I 251 L X 121W X 0 51H I I . I 1IIX ,:1 I I .-ZABEL -100, I I . I I I� - I . I . I I I I I I I I I � I I � . I I , FILTER A � I _­. - , - - - - - �96 0 1 1 '2 4" - 84" �Cl� 2.5Y5/6 Medium sand . 11 I I , I I I I I I I I I . EL*=gIloo 1,1 I I 1 . . I I ,� � I - ��_ I 11 I 1. I � I I I I . I 11 11 . �� .1. I 1. -- - ; I I I I __� � I- I I I I I I I I I I - Bottom Area:. 300 ,SF X 0.74 G/SF -- 22 GPD � 7 11 I . I 11 I 1. - 11 I . 4"SCH 40 TEE I . I �, I I . SEPTICTANK TO MEET ! I 1_� ku lu, :78" Observed GW (El_ =, 89. 1)� . . .: . I � � I ­ .. I . . I I . . F I I . . . � � I I I ,. I. - I � ­ . I I I I-- At 0 1 1 1 1 1 . . . I :� I . � . I I 11 .1.1 I I . .11 . . .1, I I . -IV LIQUID LEVEL : . � �,��;,,, , I :REQUIREMENTS OF: I . . I . I Leachin I I I . � I I I ­ 11 I I I I 11 ,_ = 92 7) 11 . I I Ig Capacity,: , I I 1 222 GPD : w . . I .1 . 1. - I I I � I - I-— ,� I I I 1 . GAS BAFFLE. 1 31 0 CMR 15,226 1 FOR:� I I , , I I ! . -, Z z I Adjusted GW by , 3. 61 (El. . I � . . I I I.- . _. � I I I I'll I I .I . I I . 1 . � . I �_ I I : -­O. I I . I I � I I . , I I .1 I I I I . 1, I I I I S SCH �'. - I . � I � I . I I . � � I - � - , I I I . . I .1 . I I I I I . I . : I I . I .I I I .111 , � ,4! 40�, I � 11 � I I I ,: . I .. . I p . �. I I . . � - I I . I � . � I . I I . I . I I .I I .1 I . 11 I I I I- . .11 I I I 1. 11 I. .'' I I I I I I . 1 I I I WATER TIGHTNESS,I I 11 I I I I . I . I I I 1, I . �1. I . 1. .1 I I . . - � 11 .1 . . I I . I I , � I I � Existing Leaching F eld: . � . I I � ­�, � I 11 11 I : � TEE . � ETC. , I I I I I '9� __________� � I I I. , . i I � . . �, I I 11 - I 1.I.. . '' I 'll I I 111.1, 11.1. I I ­.. ­ -1 I � 1 . I �. � I 11 I I ­ 1. I I I I I � 8,� I I I I I � I . I I I I I I . .1 . � 11 . - 11 . �'. I - I 1 I . - .. .-I .1 � I I I I '' I'll I .. I � I � - . - . I . I ___ I I I I ' . I I � ___� TP-2 . 1 1. . I I I 1: lo- I 11 .1 I I . . . I I I I . I I I I I I I . . ALLWAIISLEEVEVGASKETS I I I K 'l I �.I -_. I , I I 11 I I 'll, � � � I . . I 1. . I I I . . . � I 11 I I I ­ . I ,ill : I ., - I ­ 11 I � I �i / � __ - ___ � I . . - I I ... . I . . I . I I I I <=> I I � 11 I I I I . I � I I - - � I I . I I I I . C:k I � i - _� , � .. I I I 11 � .1 .1, I ... ,5. Bedrooms ( I I . I SHALL BE CAST IN PLACE OR .. " (MIN.) - I C:,: <::> � ------------ . I. I I . .1 I . I I . I �� 6 , EL-;,-gas I 11 ­ I I I . � I I I I 11 1 � MECHANICALLY . _ I . , I . I : c . ­', I I I I � i I I I . I � I I ..I I - I INSERTED AT FACTORY,:11 I -=�_ ��, ,, ,� ,: 1. I � I . 1 . C) - � . � I . . . . I � .1 I I I I I . I I - I ...." � . . I I I � � I I . 1 ­ I I .1 ____:_��, � , , I I 1. I . I 110 GPD/Bedroom :X�,5 Bedr 11 I .�, .1. . 11 I ­. I . , I I I _ c:) �, .COMPACTED. 11 11 1, I . I . .1 I I I I I I , 1 . - 16" :A 10YR4/2 to . I I . - I I . , m - I . . 11 � : : I . I I . . I I - _,.� I � 0" , f I , amy .sa.nd 11 � ". I I I 11 I I I I I I I � 11, 11 1''.., .". 1. ­ � I., I 11 . I .". .11 ­1 I I 11 %� I I � � I I I I . I � I I .1 .1 -1 I ­ I I CRUSHED STONE­ � I ---- I . I I .. Pn Rate - < 2 MPI . . 11 I I I E, I I I I I � . I i 16" - 3 8"' Bwi JOYR5/8 Loamy sand I I '.. . I I I I I I APPROVED PENETRATION SEAL 0- STABLE LEVEL BAS : ., ­­­ I I. I I � I � I I I I I I I <=314!`DIA.: I I 1. .. � r I - . - I I I � 11�� . . I I ., � � I I , METHOD REQUIRED - I I I I I I I. .' ... I � I I I 'I, I I I I I �I - 1. 11 11 I ; . 1, I I I I . 11 ss I (0.74 G/SF I... I I— I I .I .1 I I. . I. I I � I I I I '' I'll I . 11 11 ; . o . . 1 . . 1 I I ,) , � 11 . .. I . 1. I I I 11 I . I I I I 11 ­ I . I 11 I I .; .11: I � .1 1. I � 1. ­ I I I I I I 11 I I I � � I I I I . I . . . I 11 . I I ­ I I 11 ­ . i 1_%. 1 38" -120" CIL, 2.,5Y5/8 Medium sand- .. . I I . . I I 11 �SEPTIC TANK DIMENSIONS:11Z LX 6�6"X.5'F'A,. I � � i . .11 I I , I . 5-415rld(f ____" . _.. I... . I . I � I I I 11 . I ;: _ 11 . 11 I I . I I . 11 :1 I I� I - .1 I I % , ,. � I , . 11 I 11 . 11 11 I i _-.1 � 1�8 er (EL. =, 88 . 9) , , I .. I 1. I I I I .. I 11 I . . 1.11.1 I '­­ I 11 11 .1 I - .I 11 - . I I . � I . I I . 11 I i I I . _ I , . I I ,, . I .1 . 11 . 11 I I 1, . 11 ..". _ I .1 � I I , I I . - I I I I.. I . I. I . ­ . � I I I I I I I ,�, :� :, . I I I I . I I . I I I I .11 I I 1: .. � � I 11 : I I _1 �. I , I I I , I i . I 11 I I .1 � . I . .I . I .1� � ­ I I,�. I � I I I . 11, . I I 11. 11 1. I 11 11 I . : � ,, , . � . . aching. field: 501L X 151 W X 0.51,W : I I I . I — — . . 1 I 11 I I I I .1 . I I I � . . . � 11 I - . I . : P-604- :�_ ­ Le . I ­1 ­_ . I . I 111. I . 1. : I - ___� I I __ I I ' Adjusted� GW by 3. 6" (Elo = 92.5) 1 1 1- 1. I I .1 I . I . .1 � � I I . I I ��___,�, I � � . I w 'i I .� "I" I , � I . � � I � I I I I I I . � � ... 11, 1 . I I � � I I I . I . I I .. � I I I I I , .. I � i __ 11 . ___11 I I I 11 I . I I I 11 ' I..I '' 1, �.�O­ I I - . . . I � � I � I I I . I I . I I I: I . I , I I I ( AtEz>) , . . I, I . 11 Bottom .Area:.' 750 SF :X 0.74 GISF = 555 GPD . ��I � -- I I , I I � . I I I . I : 1,11, I I �� '' . . 11 . I . � � � ; -To SX RZ1,1- I I ,,, 1. � . I I I I � I I . I I � I .. I I . 11 :]:� I . J�� ., I I I I � �� - I I - � - I'%- - _�= - ___1 I . I I I I 1. I I I . . 11 I I . I I 11 I I . . .. . . I I I � .. I 11 I � � I ALARM TO BE AUDIO AND ... I I I I .1 I., I I I . 11�, - EASTING ; _ I " I ' '. ''I ­1 � I. ,, �. I 1� I I I 1. � � ­ 11 I __ Irelk .., � :1� -.%. .,'100, I- I I . I I Leaching,�Capacity: . I I I . VISUAL , : I ". I I �I I 000 GALLON PUMP CHAMBER � I I I � I I I I I , - 555 GPD I I � I . I I . I ­ I I I I I � I I I I � ! I I _', �*gL"-J99.1 � O.- 1___� - C�/5 r//Y& I 11 PERCOLATION TEST DATA 1, I 11 �.I I I I I 11 . I I I . I I. .I . I . I I � I I I . "I I F I . � I I '11, . I I I � I I I I I I I . .� .� � 0,0� 1_� __. .. I I . I I I .. .1 . I . 11 I I . I I I I . , , , I I I I � I . � I . 1. I I I . . ---**, i � I I I .1 I - 1 . �_ I I I I 11 11 I � I . _� _ � I I 11 I I � - I � I I - I I - I I 11 I I � 11 I , I I I I I I 1. � I I . I I' ll I I I I I I I 11 - I I I I I 1. I I . I I ­ I I I I - - I--,' � �e, %11�1__ .To't,* /5 W 1 1 1 . . I I I � . . I I I I .. I� � . I I � � I'll., I I 11 I � � .� ­ �, I I I I I ., I I I 11 � � . I I I . , I . I . . , , , I . I I I � I I - � T6ta1'Le' ichin4 Capacity: . 1 I 777..GPD I � .� . ­ ,%, .. . '. I I � ­1 I I I . I I � __� 1-11 .__� I 1­0 &r,4c#1d6- ,=04-4' I I 1 1 . . . I I . . I . I I I . . I I . I I . . 1. I SCALE�NONE ,'EL.­��1 00.0 -FINISHED GRADE , I I ___� .___1 11.N. I � 11 I I I . I . - I I - I I I I �� I- - I � I I I � I I . I . I 11 .� I .�_, . I I � � � I I . I .11 I­ . 1, I I .! . 11 I I I I 1. � - I I I I 11 I,� I I ! I I I � � I I I I I ,� _ 1.111 I I I ,.� 11 I I I �- I . I I 1. . I . .1 I I I I � _­_ I 1-111, 1*1.. . 'I' ll I I .11,I'll .I 1-1� I - I I I :, I _ � I,, I I ­111=. I I I I . . . I I I I I __Mwffl__­1__ _­_ �, - 1. I . I I I ... .. . 1 . � . � I I � 1. I 111�� Ill 11 � � I I . : . 1 , . _111'. 11 ,�. . ,� - I 00 4�Ckq, I -_011 . I I � I . .1 I I . � 1. � IIIEEIII , I I I . I I - -.11 Soil .Class: Class I (0.74 G/SF) I I I � I I . I '' .. I 11 ­ 11 I ­ � ­_­ ­v _ 1. - -0�-_-,�. �...11-1-�4,�,­....�.�", :. I I . I I I "I . .11,.11 I ­.,�.�­­ ,� . 24"DIA 24"D ." ,: 6"MIN , 24",DIA , 1-1 .: .... .. I I I I I I I : I . I 1- 1 I ; 11 I . I. ­ I ­ I . ely r _­1 _*1 - I . I I .11 I I I . 11 I I I 1. I 11 , I I I I ,.. I . I 11 I "� V, I I I I I � 11 I I ,� , . ,%1,11,� I I ., .1 ­ 1 _ - . EE"PUMP C.ALCUL I ATIONS"AND .I .I I I 11 . I 11 11 I I I� HARDWIRE'.CONTROLS I I I � P,e Q 9 4.�Iz - I .1-11 1-01 11%% �I.; ­ ­ ., � 1 11.7 :, � I:& IA �:, p-a%)k A.I. 1-10 I I I � I 11 �I I . � I . 1 I I , , , , I I I I - .. I-, 11 I , �, I 0 4�CH140_� 11_� **_1 I I I I . I I , ­ . I 1 .11, . I . I I I , � I . ., �� , ,. , ,. I I .. I I Is I . I ,. I \ .0.1 I-' I I . I., .11 _. �I I I . .11 , 11 I I . � , I. , I I 1. I I � I �, 1, 11 � TOCOMPLYWITH , � I � . : . I I . 11 : . I 11 I I 11 � . ­: �, - 't I �, 1, 111 .1 . ­ 11 11 �� I : � I � - I I I 11 , � I . ­ 1. -- I I ­ � , � . A . , 3 1 MANUFACTURERS: , :11 I I'll:A, I I 11 �I I I I I I � I FI 1­ 11 , I :� � "FOR ' , Js,01) I,--- I--' 1-01 *-----" 11%. Pe I I I I � I I I'll I I . � .1 1 . 3 1 2 �,_�;J I"FLOAT SVATCHES �:A"SCH%40 I . I I I � . - . 1, I I 11 I . I 11 I � 11 : . . I I I I I I , I I I I ! I � 71 , � : ,: , . '' , I ­ 11 .. ,. ,el � SPECIFICATIONS, . CMIN '1� � I � I I I . 11 I I I -I- '' I '� I .1 1:�:J_ .1 I I F I . . I i � �� FURTHER DETAILS, : 1. I -w 98 55 . I 1 . , ,,,FLOAT SAIL I :_ . I I . . I I i .._1*1 ,--, 1%. I I . I - I " r I I I i : 1: I - .I : EL. . � - I , . 11 , , I . I . I 1. ; �. � I I I - . - � . I 1. ," I 1. , I 1.. I . .11 . � I . 1. 1, - 11 I : � � I I I I � � I i , I I � , I I I . I I I I I I ..., I I 11 I I . I 1. I I I 4. ,: ­ ., ,. . 1 ­ I I I �:1_ , I I I I I 11, �, I � , 11 I - I 11 i 11 I I I -, 11 1, I I . 1­0 -3�9 . I I _ �, I I I : V I 11 I ��� � I I , * I . � . __�_% �� I 1. . 11 :. , I I I -98.30 ,1, I I I I I iei� /01 I-- I I I I I .1 . � 11 I . I I'_I I ., --_-1, .,� ''I �� �PUMP CHAMBER TO MEET. :, 11 : ­ . �� ­ : . , 1:11, � I % I. Z'SCH 40,EL=I : _ ! I I . � I I . I I �, I I � I �%-_ �:� , I � I I F" . � I 11 I I - .� 11 . 11 I I �, I ­ . - I 11 I .1 ­ 11 I I % I I - : I i I 11 I 11 . I I I I � UJ 24 -- I - ­ ­ . I I .- I � WATER TIGHTNESS: , � ,: : 1".1-111 1 . .. I., 11 ,111, . I . 1. � � I I . ,� I �.11,111.1111 , I ". re I I . ,\ � 1 4 11SC-0 40 : SCHEDULE OF ELEVATIONS I , I I I 11 1! . 7%%,�.:�, :_ , . 11 1. 11 I �­ I I I I I . 1-1 :, . I I I I I ­ 11 .1. 1 . I I I I I I I '- I I I I ­ - I , - 1 � I 11. 1 I I I � ', � :� I I 11 . � I I . � I 11 . I I I I I I HIGH . ��< 1-11 - ;000 &ALLOINJ I I . "I I I I . � : a ., - --- _: I - AND PUMPTO HAVE OVERLOAD ,� 19 o� I 11 1i8"D1A.%WEEP HOLE : _� , : I I . I . - I I I . I _J%._: � 4110HP , I 1, ::� : , . . I 1, :WATER . : : I I I I I 11 I- I _,0% . I 1. . � I I I 1: I I I I , I . _ Fg-oposrb 1_____1 $ � . I I I I �� < 1 . I - �. . . I � 11 I : I I � I I I � I \ / �_� C^#A) 5e?ri-L ?,,+tJx � I . I I I I �. I �I 1� W � I - � I I I , I , I _1 r.1 .1,1, , I �. . PRO,TECTION .�,, I .. , :_, I .- ­�Ie 1. I � I �. 1 . -, I'll I 11�', 1. I I ,',I. .r I � I I I I I I I I ­ . � I I . I I �I r I . r � I I . . I I . . - - I , . I . � I I r r r ECKVALVE I I I I I - -, ,_ I I 1, � 1 . I ....- . � . I I I r .1 r - I � , E� :: 1:'r ­ r r I rr I . r CH r I r ,,, I '' I I I . -�pprox- ) : : �: '0 r ,� 1 . � � I I I I : : . . I r r . r rr��:rr ­: rr r'r rr I I � ,X,5"k.7L /A W, .. -p$r//4& \ Inv. Below rSlab, (existing) 98. 5 (a I : 11 r r r r 2 1 1 r, r 4",SCH 4P TE I . r / 00Y.1 . I � . I I ­*f_% rIr - I I r , I _ 'r r 11 r - r ( . I r � � I : r r r 1, :2 ,,; ,,,r I I ­ � r : : � I r. rr � I r r .rrr r r r �r 1. r I I . r _ I � I I .r I I I I I 1 . r I ,. . � r I I I �wte&D )"'qe_#Alfts�FOL \ _____� I I I % rr . 9,16 _­iO -_ � I I . 1 . I r � r I I . I Inv. In Septic Tank 98. 00 � i . ;.I � r : rr r: 'r,.I r :_ � . r I I I. I � - � I I I r . I r r J,FAcIWAfe � I : < . 11 � I � 'r�._,_ � . I 1. , I r I I I 1. .1 I I � PUMP CHAMBER TO r ,r I I� . . I r I r r r r r I � � . I . - r 1% � I - I ,. � I I 11 I - ,r I I _"' I : r r r I SCILEAU'Veo) / / I r : I 11 - r ', r r - 1 . I � I I 11 - . ,''I . rC( I � I . r I i � CTV . r I -Inv. Out SeptiCrr Tank. . 97.75 . I � � r� I I -r: r, 'rl r. � ­�1".. I r I rr,r I � ­11 r I I r � r I .PUMP.ON ,:r I " I' '. I r' EET REQUIREMENTS I 'r r I I ; � I I I I r r : r a .I r r r _ I r­ r . I : I � I � . I . I . r r r . I., - 1. - r , r : ­1.I �I I.A- r I r I I I'll I r . _ r . I I I r I � I r r . I 11, I� ,r r I I � ! W 1 I , , I I _�] � r _% . r I ' I OF310CMR,15.r.31 I r I r ! � I ­ r r I r . r I I [� . I. . r I i I r . I I 1. � r I I I ­:� I r r I I I I : � r� rrr r . r ­ I I r � I \ / � 11 Inv. In Pump ,Chamber I ,I 97 . 55 1 I r I � ____ , I 'r".1- , .r'. ,,r I � I r � I . . I I r PUMPOFF : r I r I 11 I I I I r I r r � � r � -- , , r r ,r I I r . I . .. I r I r, r : I . I i . I / . I r . I I I ,r __ I : "I I r I ..r A, r. .. r r : N� I. :� . ,I I r 1.. 1: .,.,, ,.r 11.1.. I . � I 11.11. . . ­ ,­_ r, rr'�H.Jorrrr r'rr r rrr _ I I I I . : � I., . r r \ . ­111.-I-11­ ­,, ­ ­r r I— .. I Inv. . Out r Pump: Chamber �' 97 -30 � .r 8 - - _ I r . - ____ r:I �:� � . r � . I , ­ I . � I I r� r r r : � � DC4K ,r, r . r r r . �: � " I r I - � I I . I r I -%%% r -r r r I I r . ..11 ,.r., I �1� I I rr .'r I r I - 11.1 I r r r r r I I I� ,C:� r ­, I ., 1. . r r I � I - � I I - . I --- - .:..rrr r�r'r.r � I r I ,r , . 'ELr=S (MINr r � I 1,� � 1 ..,21 � rrr ,r (=> <:� - rr r I I I I " r I I r r r . I - I r I r 13.6 � - MECHANICALLY I / \ I � , . Distzib I . 87 r , I r . r r I I �� � ��. � I I � I r �. Inv In . 98 , I I , , I � I r r r I I . I r I I I � 1) �r .. . . r r r I \ r . I r . I . --- :1 I __ I ' r r r.r I I r I .1 1. �rl r,r r . I I , I .� I r I I I I I r r r -1 I - I. � I I / \ / . r 0 � I . . r I I r_ _I -- r r r r . � r <> I� � r,r r r, r .r I . I r r r r r I I I C. , �C> ,� , , , COMPACTED I I r � I r r Inv. L 1 98 .70 1 . .� � r r I r I rr 11 I I ',r I .11 . r.r r r � I rr . LIFTING CHAIN SECURED TO � .r r r_, r r_ , .11 . r I I , I r I .r r I r I I 0 \ � I r � I I I I I - I . r I I . r r ..� r r r : I I r r r I I I . .r, � �rr I r r I I I 11 1, I I ! I .1 11 . . - ,. .,r r r I r S r r 11, � , r I I ,�J.;,MUZ)rJtVrZ)I ONE , I r I r I r I I I I ,405ct+40 ' r I r I r .1 .. . ...� r � , I r . r, r � r r . I �r i I - . � rr I I I I . r r � . r I - , � � I I r � �\ I r I r , r I r FLOAT,RAIL AND PUMPJACCES r;r r r r. I I I :r r I <=314'DIA. ,117*,14 0,4,r\ I (� r . I I I I I � .r I Sr- I STABLE,LEVEL BASE r, I I r , ,,*-4 .0 � '��� /I I , I I I I I � k / /Y\ 1 64 ce., e f)t0P4)S6,D 4`sck A0 . hing Field 98 . 33 1 1 1. . 0 0 20 r . or Ir .- I - __ - ,: � .r : ' � r I 11 � ." : ., / / J S,,,,OX r 4 : 60 1 r N r r __- . : FROM MANHOLE)..ALL VALVE r r.r . 1 I I _�_ I r .� ... r i I , I r r 100 � 120 1 r r . r r I r 1. �, 7--77= .r I. .1 Ir r . 'r I I I I r. r r r r . \ $ '901L 3"�C# 4() ,\\ : . I I r . r - r I / .4 . Inv. Endr of leaching Field 98 .20 .� .. rr r : .. r I I I . r ­ ., ­ r I r I , I . � r I I . � I r r ! ('01 V / ersis rl,V6 to o&I W) I ,�, I �� r I . .1 1. r r ;1 I .I "WACM_U,S.d.P.NL r� , Ir I I 11 I - I I I. I . . r OUTFITTED TO BE REMOVED,r.r 11.11 I I r . - . r . 1 _B"H I I ­ r.. ! F0"6 MW I . � _ I . I. I � .: . 1 r I . . I . I I .. I - .11. . I I TIGHT TANK,DIME NSIOINS.VLX5'Z'rWX5' I I I r.r­ ; I I r I r � r . ­ r r . :, r . 1. . . �� r I ! (:,$1 d I \ rBottom of Leziching Field 1 97 .70 1 1 - I r r I . I ., � .. I I r I ­ - Ir I r I� r r -­e: 1., :r rr I I I . I . Ir � r I 11 I I : I . :r ,­ ' , I . �. 1, r, r . , - 1 2 . . . r : \ .a-,N 0. � I . ,� 4 1 11 - I r r I - i I . r r I .. .11 . I.. I... Ir � � �, .1 r r 11 I r r r I : � / 4 **...�' I I I . I I r. r � � � I 1 P,44) / \ � . 11� � I r , I r I � I .1 r, .1 ALL WALL SLEEVES/GASKETS r r. r, rr .1 � r � I ;�� , i - Adjusted GW �JP-1 1 92.7 r , T at'llead (I*at) 4 � :� r r 8 r r 12 r ,�r r - I - r I PUMP.SHALL BE INSTALLED INr$TRICT CONFORMANCE WITH . -FLOAT SVATCHES REF. r I 6 \ � /On-0 I �-1,r - I r r, I , 16 .20 r r .r r r D I, � I I . r r r . .1 .I r I r,::, -124 : 1 28r.­ � �.. r . r, MANUFACTURERS SPECIFICATIONS'AN SHALLBEEQUIPPED �FROM BOTTOM OF I, � 010 I'Day-S I / 'Adjusted GW JP-2' 1 92 .5 r , ''I 1­1 11 r :108 _ go 11 .F I .11 1, -I'll �,�.I � ! r I r I CAST IN PLACE"INSERTED r,r ,r r r r r . .r , r' r I I I I 1 ��11 GPM 11,4/1 0 HP I 'r 120 r r r r 0 '�, r 11 - AT : r' . rr 'AT'AN ALARM POWERED BYACIRCUIT SEPERATE:MOM PUMPCHAMBER "I r,r � � . r . . . I r . 4 . 1 � � , � 68 - 42­ r2O � I FACTORY� APPROVED . I I \ I � I ... '' r I...... . 1. I . % r . . . r r .I r I r I r 1. : rr I I . r . I r I . r :PUMP. ALARM TO BE LOCATED VATHINr BUILDING. I I I ,r I � I I 11 . r. r \ E*IS7-146, r - ­­­ r . I . -. .-I I 11­1 ­ ­-:` '7�I I"r I��'��r'�"'­� - "I,r 11 r I I I . - 11 � � r7i!� ,'' I Ill: PENETRATION SEA METHOD. r r r I ... r � I I r . r I r r r r r I I ..I 11 I I�....­....r. . I r �-1-11 I r . . . . r. I � r . I r, I r , I I I I I r r I � r . 1 . ,r .1 � r . 1 . r \ \ r I � I I . _____--- ,1, I I ,.r .I I r I '' I � I r �r r I . :­. .-r,r , .r I I'll I� r rr. I r I r I I . I I , r I \ \ .. I 0 a 0 &.4 a ot-4 11 ,�,�, - . ­ ­ _ Ir '--,k­­ r ' -­. ­ '.''r. �­­r r,��S ­ - � I I I I ­1­1 - I ---,r I-."-�;'--�-�-�=wol-lm�,-��,----",--", 1, . ,,"_\'%'r t I r " / 11,r-­-, ­ 11 1"Ir � �) I .11 � .r : . r r . I I � . � I. I 11 r ­ . - \ \ / i . , A '11 ::� 14 1 r .1�9-1."S I ?I "V, r 11 : ',r I r .1 r I r r I I . . I I r r r I __ \ ��e-ri�_-rA14 I � 1\1- '.1 1?�r � I r I r . . r r I— r � I � I I 11 K Lt, : . r (.11 � . I I r r � r I r . r I V ' . r I - I I � I� . I I. r I . . I I DISTRIBUTION BOX , Ir r r I I . I I r 11 I , I : � _$' r R- - ��t I . � I I I I . I r � r. r r I I 11 r Ir r \ \ . I �U" �..- r � � �t I I \ -rV : ,; , "�. r I), 14 I I r ­,--,vQ4, It I 1% I � .I � r r r . � 11 11 - rr I I I r r H rlO I I 11 r . I" ON vee / r . 1. C 11 /00 I I � . � I .. ,r I � C.,,r r I I I I r r I � I ,r . r I I 1 . I r I I I * . r 1�-'. r eC . I I MODEL DB-5(SHOREY PRECAST: ,r. ". I r ­ : � �* 't r r � I r � I I I I ?I- , CO �,,� \ 7-0 6'� C / % ,r . I , \ \ e#.#M is elt . C i_. r , ft r r , I I I r I I I � - r I I . I �N I I r � 4 Z . "%F. I t ;p, r : r, : R ,� r \ f,om, _1 r I - 11�1 ,J� 0 1 ., . r I r I I I \ ,;E/VC9#V(*&?-, 1 70 1 / r 1% FLO--0 4&A, . . (,r L -,� r Is I, I tort I ,� I'OsL r - I I I rr r . r r r r I I I .r r , REMOVABLE COVE TEFVALS r r r I \ \ . I in PO . : I r I r I � r I., .1 - 4"SCH 40 OUTLET LA I r. . '*, r ' SOA/ �� I ',r', :'T r I . I ­ r . r r r � I I 1. r I . r. . I r r I fJ'J M 4E E4 I z 194.010 'I r _ r rr 9� . I, . . I r r \ (5 6C N 14 re-,) I - �� r r I Q r r ' r r . r r. � r I r I . I I I I I I . r I � I I I . r I , Or �C� ,% ".x . . k_ r e� 9 �, I I I I r I .I SHALL BE SET LEVEL FOR A r \ \ 4 , r At 0 !X� �.' r.: .. I , ': I r e 'rr 0 , � . I DISTRIBUTION pok TO MEET, , ,r r I . ­ I -� I r ,�MINIMUM DFIHE FIRST LTWO r I I I—. r r r : OF 4�*IST-114(r . Ff VA 11� J,; C I ". r 1� , .I I r . :REQUIREMENTS(IF 310 CMR, Ir r- r I I r Dr 11 ,� r r \ \ . / .*- *" S ( r rr A D I <�,I P,� 1, " � . \ n 0 1 ,6,7�, t,o� .ft I - r $1 ;r I 11 I r. r . r ' ' 'I r r. r I I I .�I 'FEET AND CONNECTE TO , I ."r r, r r . I ;;j�7,brj&, lr,019 �JO,JJC -96'r- 11: r 4U Cr . 1, . __ r_�, r I � . \ D-11 - �:_,_�:___�� I Y I I r r r I � r r 11 I 'r*I S T/,kl 6- 1 JV19. - 11C 'r .,AL 1A I 'ON, , C ti I J',JL r . I 1 5.232 WATERTIGHTNESS. : r I� ,Nr r ak %� t r I I r rr I � . I � :r r ,�,. r 11 I 1, I EACH DISTRIBUTION LINE ' � - I . r 1. r I I 0 r I I I I , 11111A 1� ,� - � r - _ r \ , - ENTER . r : _ Z' I \ \ / � . r UIR , r . :r . r rCONSTRUCTION ETC). . SCHr r 4 ,C4'-'� Pf.4��r 1� � I I r e I I � I L_L���� '�' � < . _7-- , . WITH.SOLID 40 PVC PIPE I ' r : I p C \ LAPCH . I � r r r r r ,I \ I "' . r I I I . r : N - J�4 i'MA" 1,���7-_ -P . �/C-t ' � r,r �:j V11 L I I I � , 1. . I � I . . .. r 1, r ,. . , r . 1, ,C,4�11_1, .r C� I I I L L.A .r r , I � r ,� r _16'. 1 \ �f',E(.$LA8-� = I 0 4,'O t: � ��; r'�� 7 � \ \ . I :2 -- ,R1ZD>rr r 0, I I ?_ r 'r . I r, . r I � F" r r r �-'rrr I I- r. ,,, I � . .r 1, r ­ � I I .I rr r ! 1. r , � I r . I I I r r . 4"SCH � I : r 1� .I 1.;, , r I I I. r, I r r I r rr ! A*A .11 r, :� '11 , �.. .,� I �� - _0111110MM , 11 - 40 r I � rr I �' .r r I r . 10 \ I \ \ - - . I ..NO.-OF OUTLETS.5 r. r � I , . r .r r r r I ,r . \ . � 4"L'6�4 't r r - r r.r r r I lk .o : f I r � I r, . .� �� L-98.87 r r./ - rr . I �I I E L;t-SO.87 ,� : I I 1,�. I r I � , I I ­ I 11 �\f , , r r r. I r I I . I r r r - I E ­ I I ,I � r I z ft `0� - I. I I "I'll, 11 .I , ,V$" r �y �r I I r r � I� rr r I 11 r � : I I r I r 1, ZQ . '. r I _ e 1 - . .. r 1. 1. ,� 11 I r. c,. - MECHANICALLY CRUSHED , r I I r \ \ \ � I I C r � , ,k91 'EAr . . r 06,� / I I . � 0 r I r i r 0 ,, . r .r,r I � 0� Q ,� Ir r r I I � I I I . r . ., Irp F0 15 r� , . I I . . I- 0 __ \ \ , I - ;N,., r W'SCH 40 INLET TEE T BE I/ D v(MIN) r \ \ �� 1.4 r Itk . r 1�� I . U �v rDA r .. . M. 0 a - I � � I I., �r I I . ) - � . 1. . ­ r-0 . .STONE I(<I 13A"DW) I I rr \ r I :.... r � �� , I r- INsTALLEDr r r ,. r � .1 . I ., r I 11 I I 11 r .1 11 .1. It \ I .1 I � Q r I .. .1 .1. ,r...Ir . 0 b I'04J$r I r �� : � I .. _1 . r I I 1,I I - ,r rr r I 11 r 11 I, r '' .. .I 1,r I r r r I 111.11 I I ,. .r r ­r \ \I 01.0 . ; . . . I :�r r-f � r . L,ow I .1 ,, I . I I I r r I I I I . I I I . I . I t \ . 1�1 * (I t 'rrr P . 0, , , ; I r r .. r I *, I I I I SIRO,O" , "I" r r,r 11� - I ­­1111­11.1 I . .r 11 Ir. r . I I . I � r 'rr I I I 1__.___________,_____ ___­ ______­_­­_­­­------�,----,.-"-,.---",------,---,�--,.---,-�-----�.-.�--"r-r.-�""-"'--'----'--�-'�-�---.r-'-------.-�I--_._._,.,_-.-___­­ 'r""'"I r I'­­­ r ' � '' 11 , r I 0 M J4Z 0 r. " I ____________ I /_1 I , 11 , I ' '�', - I :1 00. , 1� .r _.: rr I Of - - W­­��­___ . I �_.../ \ .: *_` �?_* (0,�,o I r r I r­1, I � r I I r I_; .1. ­�. . I ­� r, ', 1q_1 a "KS' -J I , Ir r I 10 P, "" __ ------­--"­­-___-___-______.________'_�__1­11-----------____________-­­------�___,._­_,­­._,_­­---------�' ­_­ -� - I ,� I I I � I I ­1 r. M-1. , � \ < 0A ' r, - �-p i � . I ., I � r I I I . I I . � I . r ­ � 1. r I I r - 601V4, R.,V-r, " L ,�. r I It, 9 ., r , - E I I � I I I r I r ­ r , , I rrr J"J"I I I r I . . r � � I -- I - _­ I I - I - - � r I 0 . I . � I - r I I r. I , I i I� I r r N'J.f'!;_ CTUAL,r� , J!"TION . r , r I - . " I ,­ I , r I - r 11 .fs 1P "D I .0 I ,r � r I - I I �� I I _ "r­�, ,_ I ._ I A I I I i I , ..-T. I r I I I - .I I 1), "I.". ---O�� ,- & I \�� I � , , , ,) . . .- . I � � , � I . 1 0<;P0 00,; � I � ;:�-, I K -14 7� p .� I 11z I& I'll . r r� I � I r I r .I I � I I - 1 , I I I I I-".',',7,S,'�*_t , I- I . � - W, &%.%ArtL � 11 � I tot : r r:` ALITUMN 11 � 1 r �3 el I I I .1 . I .. I I r I I � � I I �. I� . I I I 11 . . I � I I � . . __� rZ r I jtCl rr 3.,,I�. r ,, rrr, %. I. . ?a M �7,0 � r I I r LEACHING FIELD ,;1 I �'r I 1 I ,�r I r .11 �r . 1 I r r r ; I'*-- - I , �' *_�''_ 'I Z' � rrr H o L- 'A � LENGTH OF LEACHING LINE;26 , I r r Ir r . r r �r I I I I I I . - . VC - r q 4 V I - r I r r r r I 'r � I r !�"r4 C 0//W � I r So:�� z rr 1. � "r IN - !�, r -r r r . r - I r . .r - ­ r - I 11 I .11. I r I r - r r Ir r I r r 1:� .. 1.4 r.fL r,. Z, Z r tf­ r I 0 1 � r r ­ I .1 I :r r, . I .1 I r "END" r r ,r r r , �r LEACHING FIELD DIMENSIONS:.. � r I I . � r I r I I � . . I rr. , - � r r . r I � � r CA'SS SECTION, 11 . r 1, : I I ..r I r­1 .;..I r r Scuoo I I I I r I I., .I r I�. 11 . li I I Ir. . I I I 20'WXJZWXD.5'H I 11 L � - 1 Z 1 'A, - r I r � r ,r , I . I .r r .r � I � ' r r � ,9-y7'EAvj4,4L,C I I �,� I - I - �. 1. rr rrr C I 'Ile< KAV � , � r I �r r I r � � � I I r I r - y L . SCALE NONE r I � I I r I r . I C,&Afewr.09,ty � .r I I r' I, I I . = . r r � r � � : IS,:,,,, r 0 .� 19-1 I * , I I 1, ,r,', r . . I �FINAL G RADE T . . r I I I I r � r I "S I " , � I I � 0 BESTABILIZED 1. . I I I I I r r r. r r I I I r rr r r r r I . � I I I I I rr� I I � I � � I . ,r I I :r r r . r ­ I . r r. . r . r r I � I I I r I 4. r,,6U -1 (19K . ; I r rr r I � � . I I I r I . � I . P'5 - ,(1.t K , 0 * I , ­ r,, r' , r . � . r r I I I 11 I . r I I� � . I . : , I, �.r ,, . : I I ,r r r r � 40 1 � a, � � .r r ,I I I I � � 7 1 1 1 r Z r ' Q I]�r 4' . . I . r r r I � I I r r - . . I, ,r I . �.r . I I r � FINISHED'GRADE r(SLOPE=.02) r I .I . I r 11to :1 r �J� r rr�� .. r, .r N� r I .. r r� r' r I . rr r r r I I r r �� I r r . . . I I r I � : � I . , . .. I . I . I I I I I. . � r I I r I I I : , A,. -__.�,. .�� . r 7 't T, L�� . Z� - IEL�101.0, : I -lill p T- , I I.. . ..'q, : S ., 't - ' � I 1.1'r �-�-rl Jrlt , �, r ... ­�it� 1.,-1 re r 09 V I­"9 A r ­ , .r.I 1,rr�,,,�f 0 ,V�, I I I I I r,r .: r r , r rrr,.rr,,r I. � =,I I I " . _ rr =r - I r� I r , I . I -I r I I I ,� - � Ir r r I : ----------�� . .1-1---.1-1 I .-­_._­­ ­­......... I 1, ­11 �11­.­,­ __ r r r �._ .r ­ I rr Ill_. ,:.r rr I 11= r'r r, I. I I r . r r r.11 I -:::: r I I I I rr -,­­1 1­.. - 1......r ,, I 1 4"SCH 40 PVC PI PE r.r�%�S,i,.rr I r � ' I ,r I I r I I-- I I - r I I r r I I r r rr . I : . r -r r...­�­-r-1�I...­­­_1­_,­_7�;1.­_­------_­­,___,______­­1r------_,__­'­1__-___­__­­_­---------�___ _­­­­....,­I—-11-I— _­ 11 I I � I � . . r r . I �I I I I ,,.,r rr 11 . � .1 . � . I r r�.. 1Z (MIN)r ,' I r r r� - I I I I I I r r I . . I I I . I I I I I � r . - � I r .r , r r _: � . __J:r r I I I I I r � I r r I r . r. r Ir r I . . I I I I I r,r ,r, r rr r - . � I I I I : I r I , I r I I r I r I r I r I a, r, ; I ,, I r r . .rr.: r : r� : rr r rr I r , I . rr r .,r r r I : r I r I I r I . r I � __ ­ I I r , - 'r r Ir I r r - . , r I. � r r r r . r r I I-�__`��_ - r I I r r rr r � r r r I-r- .---2"LAYE A 1/8"'�1 i2": , , r r r : . I I 11 I r I r r r I r . . � I . I EL.,= .83 �.I ­.� r- � !S!.- r. I r r I I � r I I . I: i .. . I I r rr r I � I . (BREAKOUT)� ;._­ � I. r I . . r �I r I I I r I . r . r . r ' r rr r.rr:r r ..1 Ir I., _1\ �.�, .r I I r . I . I r r ' r ,r - � ___y -__1 r I r I � �. r . I r I r I r " . I I I -­7��� ' I r ' - :. , : r . r I LEGMW r . I rr EXISTING r � r , I I I -�-r3' .r ' � r._ r I �A:' I .DOUBLE WASHED STONE rrr rr r r r I � - I I I r I . � ' r - r r r I rr I r . . _____ -------21;�' 1 3(0,;z 5, 1 1 r I - I I I r . r r r r r I r r I . �, I . r r I 11 I .rr � � r. r .I Ill: ::,���_ � I I � I I : r, r r r I � I __;____ I I I I 1 . I . r . . r . . I . r 1. r . ..r r r I., I -EL...98.33,(BEGIN), , ' . I r . . I � I r r � 1 .� . . . r r ­ �r r .1 � rr r r . . r I . � ­ r . 11 r. . r I I - ,9/,&,z I � . I . r �. I I I I r r I r 5� � I r I r,, .r I .1 I " IA.r �. r rr..�:�rr r. I r r I I I ,r r I I;--- r I I � � r . I . I .,,r I r .I .1 . I r I ..5A OR .,r S#$ �., r' ' r, . . r� r r - I 1, . 11 ,� . I r r r I / F1 VC (_ 0 A/Velz S /Z 0,4 Z> . - , r � Existing .Contour r I�. ._ r_ r I r �,� I r r � I. I ­ r I � H FACE D .r r I - r r . I r I I . � r ; I _ 98 r- � - r I r I 1. r I I I . r r,I� ,,r � r . I I I 11 r .. I r�,.,.. 11 I -11i2"DOUBLEWASHE:� - r r r : r � �, . r �= r � � � I , r � . ;,I I � r r r � 3/4" r , r I -_ -1 _____­ r - ­-Ir - r - - I r I r r I r 1. . ..� I 1, � � I I I I I I I r ; r r r r r ­ � � � r � . 0 , r r I 11 � __ 11 ___­1 - . r r rr rr I r, I r % I � I I - 0 1 . - - .__­ __ . I - - ,- , I r I I . r I I r � . rr I r . - ' STONE, r . . r r i � --- 11 --,-- ­ I ---r. �� - � r, I I r I . I . I I i': � � I ­ I'll. ,r r .. I I . . ,­,;, : r ".,."""','�, ' r r� -� --- I -_ -_ - I . . . � � .1 ­ � . I I I r I r r r r r r 11 �- - ­ I- ­­ ­ - ___ _. � ­11__- � - ­ I- __ -1 - - � ______ - -1 I I I r r I �,',,;,.r I I r � . I 11 I I � I I I... 120 .r r.:r'.,, , , . r.r ­4 i I . ­ .1 r .,r r I I I ,I Ir. I - - � r �': r I r r � I r I r I I I . 11 I I I I I I I I I � I _____ __ ___ . __ . Proposed Contour I . r , I . I I r I I I I . ­ I - � r . r . r I I � r I r I � r r I r­40- - r­ r ,z_I I � I I I r r r r r I � I I I I,I 11 . r r. I I EL.=97.70 1 1 1 . I I I .1 r I r � - I r � I I r ,r r . r . I I � I I I I r r r I . � r I . �� r I I r I r� I I r . . r I.-I . I r r I � I I r .e.... r L r r � I I - r I I I I I ­ � . I I I r r � I � I .1 . . r r . ��,;­r r � 1, .. I r r I r I I I I I � , . . .r I r . I I I I r I r � r I I rr I �­:,�,:: I r Sr , 'r.r I r r r I � . . I I I I � r I I � r r - I � . . r I r . - r,,,,, . END OF DISTRIBUTION LINE TO r. r r r ,r I I r I I I , LEACHINGTIELD TO MEET ,1:�: I , . � r'r I r . i��,�';�­ ­ . I � I r� � . I . 1 104 , i . I r r I . � I � I I , r , �­­ I D r I � ., . I . � I r REQUIREMENTS OF 310 I.11 I I . I r r I rr � I 11 . I . I- , I . I '. r I I r r I . : ,.r . I., I r . � r I I I I r I I . r r r � 1 5 � I r . � PICO pri(,6: or ez,a 17 L SO Y s7ctj) . I 11 I� r ., r r r I I "I r r r I I r r r . . r I I I I I :,.r . r I r r 'r � I I. I I �(REF.PLAN AND PROFILE) .rr r -rr%-. r 11 I I I r I I I I I � I r, I ... I I .I CMR 15.252. ,r r r r r � r I"Se(4 4,0 I I r r r , I I r' �r I r - I r. I I 11 - � . . r rr I.. .. . r � �,'r � . .. r � r r r r r I r .r 11 11 I I I ,r � I r 1, I I I � I I I r r r, � I I r r . . � I . r I � . r L I , I . I I I I : !;(-A 4f: *5 f4o UJ tv \1 6,,-'*r I I r Finished :F oor Elevation r. FFE . . � I � r L I : I I I I I I I I I I I ., r . - r r , r I I 1. � r . . . . I I I r I r r r I . I r . I . I � I r I . r 1. r . r r I . . . r r. 1 . r ,r I I .. I . I r 1. 11 r ,r r I I r r. I .. I I .ADJUSTED =92.7) , , I I I I I I I I I . r r I I I � .I . .. r I �. � I r r I Ir I .1, r 1. I 11 rr I I 1. .r r r � r r I I I GVV(EL I I . I � I I I : I Ir - : � I I I r � . 1- rr � � 11 I I I I ,.r I I I I I I I I . I I . � r ..r ,,. . r r, r r .1. I I r . r I r f. I I I I Basement .T 1 oo r El evat ion r r' , I . r I I I r I I I . ,I I I ,I r r TP-1 I r r Ir, I I I r rr r . I Ir I � I � . - I .BFE . I r . - r , I 11 I I �. I I r I I � I r r I I � . � I ,., .r. . .�� I I I : I . � r r r r I .. . r . �. I � I .1 ­r I. -­�­ ' I . 11 I ­ ­11 1:r , ', ,, ­ - ,, I I 1. . .L I I r 1. I I 11 r r i � � . . . � I I I r 1. � I I I ',__� ____ - ­1 r I-I .11, ­ r -r :_ I I I � . I r . r . I �AWrM--- I� I I 01 - 1 3 MW) � I I .. � 1, r ­ � I r � I � I ��� I r r I r I W _ , r I r r r r r�r r r r. I . 1. I �. - . 11­ 11 I 1,I., 1. ­­­r.r ­­_­r­1­_ :11�­-­­­­­ - .­­ , ­I 1.1­111.1 ­­1 ­1 _-11 I 1. . I—- ­­­11- 1­11111­­ ­111 ­ I..­,­ 1.r-11 I r ­ r �� . I I I I � Ir I I I (5L,+6) r ep�lwqdr 6"'D F_ I . r r r r �� I I � . I I . r I r I 0 � . , r . � I I r ,,,, ­ r . r rr r 1, I I r r . I � r r . W*, 10I.0t "_____� I I� ­ I I I .� "r I I I 11 1:�..r- I I I I � r r 1, �,,�FLOAT SWITCHES I I ..I I r I r I r I I I Ir r � r � r r . . � I I . r � . � I I I r r r I . . . � I r I , I . I .I r I r I� I . G - ; r . 4 r .r I I I I I_------ r r r I r r r . 'r r � . � I Ir I I r I r, r r � r � I � I I I r r r I : . r I I I . r I I I I I r � I . I r r r r r I I . I r . r r I I I . . I . I I I : . . r . I .I r, I ...': I . � "I � r � r � : ::,­ I Lk- = I I I I r . r I I . I er Alarm: 21" (El.r= 95.2) 1 1 r I 11 I I I I I r i r r r I I I I I I r I r ______ I I I ; �. �Over .Head Wire -rOHW I I r � � . I Ir I .r . r r . I . ,r I I r I I 11 ., r I I I . r r I : I I � "___� I . I I .r I I I r I ... r r r I I r r � � ___�- - - -100 I - - + I r .1 .1 r r r . I r . r I . . I I I I r I . I I I r. r I r . : too- I . I I r I 11 . I r � I I I ,r r . I I I I I . r I I., r I ­ I I Ir I I . ­ . , ' r" - ' ­ .. I r . r I r r r � . I r I 111. I 4'�a 40 . ':I r". , ., ,r I Pump On_: rr - . r r r r r r I I r r I I I I I r r I I � � I ! _ - 1, I r 15" (El.= ,94. 1) r r I . . e-, OYF I I I I � ­ r r 11 I I rr r. I - 1.-1 I.,--,:, .1 I �r " _ ­­­ � . I—— _________ .I---- r ­1 r r I � I I r r r r I � I . r r r I ; � . i _ :, I :­.­ '­­.Irr. rr ­I . I . r .� r r I r r r I r r : r r I r I r . r . I r r . I r I I I r r . r I I I I I ; � r � I .� i C44E,w%>4T) ,I . NOTES r I I I I � r .r r I . � r r r r r . I - rr � � I 111- 2.51 � . I I r r . - � � Pump :Off. .611, (El..= 93, 9) r I I . r . r r � I r ,r .r r I I I I � r . r r I . rr I � r , r r' .r rrr � r I . . IMPa I I . � 11 . ..: I . r I I . : I 4r, () . FJ r . r �1� I : r ,r r I I ''I I I I I I r ,r. r I I I � I I . . r I . 1 40 ,;01. . . . . . I � . - r r I I . I. �� r r I r I I r I I . I r r 11 Ir r 1 . Al 1 construction sconform to the Title V (310, (El r = I I r I I r 0 - 50 r . I I ­ I , r r r r r r 'r I Bottom of, Tank: 93.3) , � ' r r I . I I I I r I I � . , <___ I ,i0J6fi,q0 few, /46 ,�:;I 0 Cks. e.;_0 I r r I I . � - � r I I I I I � , T . )3 - CMR 15) and the Barnstable Boar o ulat ions.� r , : r I I . r I I I r I I r .I . 1. . I I r r I I 96 - I q. 8,o r I r � r � . � , r , . - . r r . I I r I .1 r . � . I r r � . I . I r �r I � � r. I . � . : I 0 %.lot . L � � . . r r r I . � I . .r r r r r, r ,� � � I I �r.. � r I I r � I . r .r I ! � I � r r . . r .1 I r I r r ' r r I . . r r I r r I I I . ; I I . I I r I * Distances referencedr,from botto�ftlrrofrr h �ber � r r I I I i I . I I r r r I ,r PUMP ' C allr �I I � I I $I st �8,0 PP-0?05.60 ,� 1 2., The k pri c lls within 150 � I I gie I 1 UM'Si:r 9 r I ­ I I r r r ­ I . � . I i I . : 1 7,30 . ,+001rIONAL I I -r . . I r r r r 1, I r I � I r I ** 24 :Hr. ...stora vo � 7 g . I I I . � .I I I I I I I I I 1 67)'-I�r/N& 7,*?S I 6-Fleo \27-2_10 r � .1 feet/400 f y, fromrthe proposed leaching 1.( I I I r. 11 I r r I � I I I I- i 4�64�At-A/ I I . 1. I r r I I r I I 7 .51L X 4 .7'W ;X 3_01 H) X 7.48 _G/CF I I 1 ,3"Se-,r 4 4 Q ,0,5"6'A"11V ,Y.a,'T Ity I r area. There are 'no known wetlandSr:,:r within 100 feet of the I i , r fr I I Ir I 11 . 11 I : " g6,L-)vXW r I I'll I � 1. . , 1, . I r �*** Includes :Back flow, from orce main I r r r r r I : � � 6-M.54CA6 &04 7-0 IPI""P) r I I proposed leaching. area, nor is the �proposed leach � . , r r � .� I ..I'� r . . I I . 94 1 1 $ 1 r I I I I I , r . I I - � I I I I I I I r -�I.1- ----I- __ ____ i � .q I I I w fa riverfront.. I I . � I � I I r I r rr I � ­-­� � I b1srX180-10N 5 r r I r r I r . r . I �­ r , r . I . 1. I r r .I I r , r r rr r r : I � I r I r . I . I r I I I I I � � . I I . r r � � (4 I ; I 11 I I r r r . � 11 It � I I ,r � r I . . r r r r r z - r 11 . 1: IZ 11 � ,8.0'y� �, I i I I r I � r. I . r I I r r : r PTJHP CALCLMATIONS r r r rr r rr rrr r r r I r r. I r r r r r I I I I r r r r � � r I � r r . � I ­ r I j . r r � . I . . I . . I 11 . rrr rr I r 1,r . . I I ­ r r r r Ir I I - I , I I I . 1 3.1 I Existing pump chamber , to�%be pumped land ro 0 , . � I I .., . I . I 11 r I - �� .. r r, r' I . . I r r I I ' I r *L I I I I r . . . i ew �septic tan k/cr on rierted 1000 gallon septic I'r I I ­ .11 1. r r r . � � r � 1� I 1, I I 11 I . � r . I I ... � r -, 1, I I r I � : r I I I I I I 1 Jai 1 1 1 1 . I I IV r r � I I I r � > I I I r r torpump � .­ I StatiCrHead: 98 . 9 - 93.8 1 = 5.�l I I r I I r . r r � I . I tank chamber. r . 11 . I I I., I . ,r r r I � r ,r I r r r r� ., r I I rr I rr r I . r r , r r . r r I I r r r I I r . r �� r r I I I I � � I I I I -I r 1.7 r r I r I.I � . r I . I r I . I r .r I . 1r1r I I I r I I I � . I r I � r I I I I :r r, r r r r r � 94 1 1 1 � I r r . I I r I r , ,r r I I : �I , I I I I . I I . i 1 4 . Sr M a I Dynamic Head-, 30'.rL �X 2.75 FT/100FT = 0.83 1 1 1 1 1. I No change are to .be ade in the field without the pproval , � . I r, I I r � I I I I I I � I � I . . . . r I I � � I I r .. r r I � I� , r . I I �r r I I I I : I I � ­ rrr . . r I � � 1, ofthe Board of Health andrthe s � I I � I. r 1, I I r . I � I r I .1 , de ign engineer. I I� . ' r .I r r r I I : I I I I . r . .1 ,� I rr .1 . I . Total Dyn r r . r r r , . r I� . I r F I A00Q 6-41.1,0N I I I � I . .1 Ir r I . � r r . � I . � rr . D � I � r � I . r I r I I � P,e6-E.�I f rm& . . 1 r r r . I r I .r ,r r I r I I I . � I � � I r r I I W L 'rAt4i< + "7 ,4bi,jL r,r,a Orw : 5. r Proposed leaching field is I . � I I I r I I I > 5 E-P n 7 . r . . � I � r I . r r . I I I r I. . " I . I I r I I � I � 0 - r _ �_ � /000 6-A"O" 4-C, z '9;0ere-1) � . r r :1 r I . r I Pump Spef .Hydromatic SP A 0Ml :(r r .E qu iva 1 en t) I � r I � a: �vyI,iP C 14+^AEJL q I I I I , z . 4 . r . I I � I I - I I I I I I a. 9) . r 1. ; r I . r r r I . I I I r I � 4/10 ,HPf I Phase, , 11Volts � I Ir r r I I r I I I . r r , cc . r' I r I I I I r r r r < i gr � I r rr r � r X r notify D Safer 72 hours priorto I I 11 11 1/4"' Solids r 0 1 -� (0N\iCA",F.0 19-IL"^ r I I r . � I I I .1 � .I .r, I I I I 111. I r 11 I r I I I �.�. 1. rq r I I I . r , I X 4,C,4C.H1,V& I r �r . I I . Q . I e*1S7,1Hd .SrP,n(- .�,140rsr: ,+,A.b1r1Q,q,+f_ ?A0?0,fFD I r 800) 344-7233. r I - I ­ 11 I r r r 9 . - _let - ,,.(66 1 11 I . . I I I � z 6,40'ove) , _0 .SjzSb poX a fAoF . 0 1,+N k.- 6;6 . I I r f r 11 I ,,,,, r r I r I - � � D � 6a"o,vo, ey_i�r,W6 Va 4.)t/e IA/ 7. Property line,/-in rmatio W r r , 0 r I ''I ­1 11 I r ­1 � r I. r. � - I I I . r I r r I . I . I I r ', 11 r. - ,r , 11 I . r � I , I- r­ r r.� I r I I . r I .1�t'­�;4�*,":�� ; r -rr r . ­ . .r � � I . I r. I�,� ,� r', �:� �. I � I , ,�r.r . 11 I � � FL , I ,0,� " ,1 I I r I I ! � . c. Plan .not to be used "I I i, r , O_ _ z "exa-4z .Saeo ,�C*A Plan Book 327, Page ,89r ,��A�&^'r q: �C,qc#IN�- I Septi as a r 1. I � I , "', SUBSURFACEI�SEWAGE .,DISPOSAL SYSTEM r r . . I I � I .. 'A. t Z� I I I I 11 I .. r I . r I , � . . 111,��1_1%?.11 r . r,I I I .,,,, - I 1: �- : � , r r .11 . I r . ,. r, I I I I r I r - M 10. . 'ns, Wr4j C*Pvfory I I .� P vey. . I I � t, ",-� '1�1, � r r .1 C,.�r' . r ' ,r .111 I :�I I I r , I . I I -, 11 . �I rr ' V3.r e I 11 I r � ,�ee,OAW r � . ,,7$�'j­q r . 221 Five,. Corners Rci d , I � I I., r,C,,,, r I r a enter � I I . I I" 1, r -11. : r I I 1. I r r I r I I .r I . . /f�4 � r . r 11 ,I I � .� - r: r r I r r I r dL e 40,-+C&IM�- 1 . I I � . r I 11 ', � I ,:- ,��-�, . r ..r. r - :, I r � r. r rr r r � . . r r i I - r � I I .r I r I I I I .I ,r .r r ,� , . .I 0 a 10� &4 rlk Ve � . "I, , � r, I 11.. r � r r, � 8 . Contra tor shall 1 we" NJAMON �,o,`�' r � r , r I r. I � " r I I I c. grfrom exist 1 , ,5i�- I :Sl,, r AJ'PROVED'�BY ��_ r, I I ".I � a- /S 7 6e-,6,z'00,"-%, r I � r 11 . I � I � r I K I . SCALE: AS Wn� 'r.rr I I , r I I DRAWN BY r � I 11 JOHNI<114 I 7_1,`.� I I . I I - I � willbe connected to the:'new .septicsystemprior .to . .L,` I. .rr r r.r r I I I �I ,r I B Joba$lon­ I I - , r : , X I r I I. r r r r I I rr . 4 N").1 G�7 / r,- , r .12/12/02 , r - Daniel r , I I I I r -a. zobnson , .1 : 0 I � ir � DATE, . r 1. I r r. I r I rr�,r r � ., � - I I I r I r r I � . I , If any existing plumb I _� I L� � ng ,exiting the " 11,141, � 0 r I r , 41,11 ..,I .r I . � prepaXe� ,f&tt r Tei irar ,r r r 1 I r ' I " �"",_, r .1 1, 40 r.(508)r 420�,-:,'9256­ . I - . . , I ,� , r I � I I 11 I . , r 11 : 11 � I I I I I I r r or r . ff r tr r i �,,,, ",�_, -, I .r r , . ��.' I : . .1 r r 4. ---I------------ -­17- - ___------- I r r r r r' I . r I I I r r I V.1, - structure is foundrto be . di erent thertha shown on the , , `�"".�, '�,,� `-* :,Ir 221 FiN,4:Corn*rs Ro -Ville,,MA 02632 r r rr I , r I �.. , ,-, .ror: , r I ___t____ -- ____r I--�_ ----------F I r I r . . 1,� � � I 0 ,:,�'?, ­_r­ ,,r I I a4f r Ce X r I I . I . I ",I I I 11 � .nPa I . � I I , : W ro I ' Ctr . ,.� I . I � I � rr I ' I . t- . ..I . r .1 I I . . I rr r I t- 0+00 0+10 &A 0 ot,30 Of4o 0+�ra 040 0+70 0+80 0*�.00 1*0* f4_10 /*.L 0 /,�s 0 It,fo r app ved septic system ,,plan, the: c6ntra or shall notify. the rr r , r'Ir , I ­ I � , ., I 11 I I I r r r r r � I r, r. 11 I r I . r r r r r + . rr I I I . 11 r 'Ir I 11 - r r I I r r r r r r I I � LU r I �r r r r 3 , r I r r I I I ­ � r ,r I - 11 r . I I I I r r r r r r � Cc � . . designer. All internal be connected to new r. ,�. r fi A___________L__':�� r I r . L __1 I / J Lh I U � I r / �r 0 r r . r I ,61,� <> , I I 0 ± P12 r ,, , ""- "W�s ,-,,, , 6 - ""' , , �- `� I I. I W 11 11/Ntl;b ;1 � , ,-,��11'11� , P ,'IV- t,�:�Z,.r,-, -1 . -- cc . - r . ; , - /�� ", 110 , rrepa.rea r D=SW"Q,'SF.FT;C DZg4�;,:::1NC. 1509) �425-1904 , , DRAWING NUMBER < I I I 11 .. I 1, I r , I � : I ­ I . I : � � I r Xr I r r r � . . r I �. I Ir 0 Ho X, I'I-/c)-' P s, eptic .system, unless otherwise specified.. r . I I � ,;�-J' By: - 804 Main r I ,r,, ,­ ;0 r 1 ,,,,r r I I . I,1. r ,' rr !(�A r . I � -I �:r. ­ �.." 1. 1.Street, ,SUite B I sterrVille, NA'02 r 1. J-825 " , I r 11 I . . � : ' ' r r­' . qr rr - r. , � � Ir r, ­,.1,­1 1, . r r .1 r I r.. 11 . � r I . I r r r r. I .. r r r I r I . I r I ­ .­­�.. 11 11 r .1 r .r r r .1 �- �r r I . r I I ,r I � . � V I - I - I I I I I , - I 1�"_11� ___ --� I . 1--, 11 -1 __ _'.�"'r­ ---I I __­1 I I � I" - I I _'. � - ­ I I— I � I 11 ''.­_�,- . - I I 1- I ­ - ;,�__ - �'r I_�_ ,,,,-­­�,___-, _.__---_..�L_­_ I I r I----__-___'__�_____-- _,� I r __ I " - _ I I , , _,_____1­­.__ ­_, � " ---,-- , , I I I , __ ` I 11- ", ­ , , ,-,.,. , I I" '1­1 ,, ,_,r' - --- :��r - - ' '� `�;' _,:, 11, _.",," :,--- I , , �_-, _� ,­ , I- -­_ _� - -,. I -, � 1. �1_ -I--- ­1_111­_' - _�'7-",'�r�,_"��'-�1--------"' '-- ' ­­ ­­­ � _ _ - " , 11--1­1 ­ I ,"� I I ,� �__ _1­11--1 _�­­­ I I ­ ' - _- '__ _� -I,--____� I -- ­ ___�- ­ --- -___­ _ _ � -,___­_'­___ I -�r--'--"-'--'-----�--.-------�--- ' �­_­------­­----­------I—— --------­--­-­_­_1_ __-_­--l-__ -­ -, __ _ I __, ___ - _______',I— - ­­­ I­__,_,_­_­"_­­­1----' -,.------- - --_---- I _.. ., .. -..,. .... .zuuU-GALLpN SERTTC-TANK- 6-t0 i T M CALCULATIONS ELAN V �� � r C � �S � TEST PIT. DATA MODEL: sT-200�D•H•10(SHDREYPRECAST CONC.) EL.=100.0 FINISHED GRADE Proposed .Leaching Field: _ to rP-t >tZr'- 5b Date: September 29, 1998 2 Bedrooms (Proposed) 24"DtA 24"DIA, 9"[MINI 24"DIA oar° 1 110 GPD/Bedroom X 2 Bedrooms 220 GPD �. 4 TP-1 3 3" - H-10 Percolation Rate - < 2 MPI 6„ Soil Class: . Class I (0.74 G/SF) 6„ Z 0" - 18" A, 1 OYR4/2 Loamy. sand 4"SCH 40,EL=97.75 ° 18" - 2 4" Bw, 1 OYR3/8 Loamy sand 4"SCH 40 FLOW LINE Leaching, Field: 25 L X 12'W X 0. ' _ 10' 4" ZABELFI ' 0 24 84 Cl,, 2.5Y5/6 Medium sand 5 H EL.-98.00 FILTER _ Bottom Area: 300 SF X 0.74 G SF - 5 T � k► � 78 Observed GW (El. - 89.1) / 4 SCH 40 TEE e EP IC TANK TO MEET Leachin Ca acit 4 LIQUID LEVEL REQUIREMENTS OF` I Add usted GW by 3. 6' (El 92.7) g P y' 222 GPD GAS BAFFLE 310 CMR 1t.226FOR 4'"SCH 40 WATERTIGHTNESS, Existing Leaching Field TEE ETC. TP-2 ALL WALL SL.EEVEVGASKETS 5. Bedrooms (existing) SHALL BE CAST IN PLACE OR 6" (MIN.) ; ` EL=93.5 '� cr. MECHANICALLY , INSERTED AT FACTORY, o o- LAICALLY 110 GPD/Bedroom X 5: Bedrooms 50 GPD= 5 ca COMPACTED -... 0" . 16" A, 1OYR412 Loamy sand Percolation Rate < 2 MPI CRUSHED STONE .._.. .,,,,, 16" - 38" Bw, 1 OYRS/8 .Loamy =sand. APPROVED PENETRATION SEAL STABLE LEVEL BASE _ 38" 120" Gl 2.5Y5/8 Medium :sand Soil C1ass'r Class I {Q.74 G/SF) METHOD REQUIRED : 314'DfA. _ SEPTIC TANK DIMENSIONS: i2'lX 6'S'X 5'B"H 114" Observed GW (EL. _ 88 . 9) a8 Leachin field: 50'L X 15'W 1 p_g4� g X 0.5 W Pt,atE� � Adjusted GW `by 3.:6 (E1. - 92.5) Cro se �� Bottom .Area: 750 SF X 0.74 G/SF = .55 ,gam _:EXISTING • ,,ALARM TO BE AUDIO AND PERCOLATION TEST DATALeaching Capacity 555 GPD VISUAL 1000 GALLON PUMP CHAMBER IS W . /.� Date: S t er 2 1 'Total Leaching Capacity: 777 GPD CrA6*,,V(" FPE ep emb 9, 998 SCALE NONE EL.=100.0 ,FINISHED GRADE F'.eoP0SGa ,.� Soil Class: Class I 0.74 G SF "DIA 24"DIA. 6"-MIN 24"DIA / S N4o -� E " " `o SEE PUMP CALCULATIONS"AND TORP E,CONTROLS „'FLOAT`SVJfTCHES"FOR CO LY W Perc Rate: < 2 MPI 4 SCH d0 3 OAT I MANUFACTURERS FURTHER DETAILS. EL 98.55 FL RA L - V, SPECIFICATIONS 4 % 99 t1' o PUMP CHAMBER TO MEET 2 SCH 40,EL =98.30 cd�° - WATER TIGHTNESS s SCHEDULE OF ELEVATIONS A o0ot(.on! 99�3 ti HIGH CrG o AND PUMP TO HAVE OVERLOAD - .10 .1 DIA. WEEP, HOLE PROTECTION fKaPd$E \ C�,�N� SgPfeC TitNK W 4/10 HP L.yt /.2 WATER - x. : .: � CHECK VALVE ,.75 Ex�sr �� \ / o ,t, `''``'�• Inv. Below .Slab (existing) 98 .5 (approx. ) . 0 4'SCH40TEE 8 cditnf�' F/ECt� ,+.Acrf�anrB �L --' la Inv. In Septic Tank 98. 00 rti BEREntevE'D"� /' ,� _.•� p a 16 � PUMP CHAMBER TO i z PUMP ON MEET REQUIREMENTS d Inv. Out. Septic Tank. 97 ,75 0 _ . \ Inv. In PumpChamber 97. 55 - UM 0 5231 -. P P FF OF 310 CMR 1 . \ Inv. Out Pump Chamber 97 .30 o s H-10 EL 93.th MECHANICALLY' 1 Inv. In Distribution Box 98 .87 6 (MIN.j f \ f S t� COMPACTED �0 1 of �.� u Inv. Out. Distribution Box 98 .70 LIFTING CHAIN SECURED TO y t° Scr��o ,� a v ct{k • FLOAT RAIGAND PUMPJACCESS ss•.� 1 $ CRUSHED STONE 1 \ EtEc. �.E P,GoPoSE ��4,vo.t: q S S Inv. Began or Leaching Field 9$.33 o STABLE LEVEL BASE -<=3/4"DIA. r / / 5 ,, u , OX 0 20 40 60 W FROM MANHOLE). ALL VALVES � � gax 3 Scy �Po ., s , n� Inv. End- of Leaching Field 98 .20 100 120 13► 1 o k (o K nNlr I r"r � g 'caPactrr•us.G.P.M. OUTFITTED TORE REMOVED': _- / ` a.�cc�iN TIGHT TANK DIMENSIOINS:$'LX:;'2'"V�JX 5'S"Fi' too u Bottom of Leaching Field 97 .70 g / \ 4 SFE PUMP SHALL BE INSTALLED IN STRICT CONFORMANCE WITH x Adjusted usted GW TP-1 92.7 4-Total Nead(feet) 4 $ 1Z l ALLWA_LSLEEVES/GASKET5 FLOAT SWITCHES REF. 1,/g o/�0 3 - 6 ZO . 24 . Z8 MANUFACTURERS SPECIFICATIONS AND SHALL BE EQUIPPED FROM BOTTOM OF: CAST 1N PLACE OR INSERTED - 4 to to �S Adjusted GW ,TP 2 92.5 GPM 4/tOHP 120 WITH AN ALARM POWERED 108 90 b$ 42 , -RO 0 AT FACTORY. APPROVED ` . PUMP CHAMBER G PUMP. ALARM TO BE LOCATED THIN i \ \ E�.�Sr/nt � - 1 .•.._: -_, �. PENETRATION SEA METHOD. . E 1+JI BUILDING. 1 \ A/J k , a A9 sCPrt LT r�t'ED p •'' •• C. � . s'- rR W aa''�P � o`� '' .DISTRIBUTION BOX 15 Ca 6 9 _�, 0 :. Q k Cf+g ppgQ H..1� r° \ �f+tGFF.M/�2f4- To p�,+nPGN�P�gE�' i q ��*'i�F ° c,Po`po ",yes �� ;'I Ro'Do�ch JS�� .. �£ p, MODEL:DB 5(SHOREY PRECAST CONC. j . Fio No (& PL c, °F>. yt oR REMOVABLE COVER s uM E Z;Cr Z104�0•G CSE� /e(OT�� o .. Po ne 6 q� d d a �ccrsoN (�5Rr z wx y q Poo SHALL BE SET LEVEL FOR-A J w £R 4"SCH 40 OUTLET LATERALS 4 PF �I ST ls°t(t r<acsr CIA r PEA o � Ro i,op 000 DISTRIBUTION BOX TO MEET MINIMUM OF THE FIRST TWO TANf`S cRP ,,,► 3: �� M F �: REQUIREMENTS OF 31D CMR EP rt t. 'r,4NK C IS rlty& f}0 v1£ 1! � � `� � tAa�" ��` e oti�P N r`L� FEET AND CONNECTED TO 5 d - A - r o CE NTE-R c .�75.232(WATERTIGNTNESS. , VeRmte a a� r �a EACH DISTRIBUTION LINE �FE 5LAt = I0i.o " :�Fauo°� p �.E10-` } a`' c iARCH ` WITH SOLID SCH 40 PVCPIPE R .vciaotfry Rp o n,,. c`� c�,�r, y� V J1 L L �� 9 CONSTRUCTION.ETG). 6" 10 \ , r F NO.OF OUTLETS:S 4 SCH 40 EL. 98.87. _ EL =9$.87 `� .. wtsrMrrvsrER a MECHANICALLY CRUSHED ' rc av 's oR �`"°o , 4„SCH 40 INLET TEE TO BE o 0 6 [MIN) °a e � o 0 0 9 0 0_ U o STONE(<=314'"DIA j INSTALLED - ---- i `,totem ,� ��� '. ;: � •;' � tro-A v�A COL+PS Y'�<[�'Y�,� `" f4;,.ow`- STABLE LEVEL BASE w T °ok aG (03 X `9T Z £SpoO vyoo Ro (,ONC, Rzr, WkGL 4 Q . l o 144 oPK d :,M -� : @R ►P ' o r . _0 4. ••POND QF' c:J ....•• � � NO.OFACTUAL DISTRIBUTION �alhtt. _ { w,? �F�y 14: w M oa e LINES:2. ,mt .2Ti f! G' LEACHING FIELD , 0 q o�' F� „w ��F l'e k � o� Noy � p �• _ AS LENGTH OF LEACHING LINE: 25 . �WE` W� t 1 M"` w 1 y o "END" SECTION LEACHING FIELD DIMENSIONS: `oi oosrERv,eCS o sr 4�o w GOSuroG seuo�ep' e'p�fc x KALr. 20'WX12'WX0.5'H LG`ME,v.TARY -1 ••,,• >'A BAY -b SCALE= NONE P ac„°or Mp5 A Re. 4 0 �� FINAL GRADE 70 BE STABILIZED' • 8u x 3 KrrxK wHrrp ,. �, _�_ r ,�a r f+ B R. x_ c ;3 `" Q see EL=101.0 FINISHED GRADE(SLOPE (-7.o- _ 4"SCH 40PVCPIPE III=1]� I L= EL.=98.83 0 0 (BREAKOUT) 2"LAYER 118"-'112" LEGEND EXISTING 3' 6' ' 3' DOUBLE WASHED STONE 91,6A . EL.=9B.33(BEGIN) F1 V, C 0 A/"V CIZ S ���'C� Existing Contour - - - 98 � : a518" ORIFACE DIA. ty"' 0 3/4'' 11J2"DOUBLE WASHE o STONE 12 � Proposed Contour --- 98 EL.=37.70 toq Test Pit ':, END OF DISTRIBUTION LINES TO LEACHING FIELD TO MEET L SY S t EM „ScN 40 BE CAPPED.UNLESS VENTED. 5" REQUIREMENTS OF 310 q (REF.PLAN AND PROFILE) CMR 15.252. sc�4CE= k5 Swr/ vENr Finished Floor Elevation ' FF:E ADJUSTED GW(EL=92-7) TP•1: Basement Floor Elevation BFE _ r oa. (SCAB) ESfir^t GAD E Water Line W 8t'E= toLo'" . f FLOAT SWITCHES Gas Line �--- G High Water Alarm: 21., (El.= 95.2) Over Head. .Wire w--- OHW - � w�E Pump On: 15" (El.= 94 .7) cca w OJT NOTES zs Pump Off: 6" (El.= 93,9) o o' (� `µgot• - 1 All construction methods shall conform to the Title V (310 r z /3 3 Sx,oaS S,z o _ - Bottom of .Tank: (El.= 93.3} o 9" c/taa PeRY /arc CMR 15) and the Barnstable Board of Health Regulations o t 8,$9 G * Distances referenced .from bottom of um chamber ,'7 2.• There are no known private or public wells within 150 I * pump S�v o pR-oPos�v 7,?S �..30 $ ,�as��rtn��t »o 24 Hr. :storage volume: 791 gallons - feet/400 feet, respective) from the ro osed leachin Ert Sr/x b 8,33 LEiICtF r�l fiEt.Q Y P p � r "Sctt o �o���N 9 r , , , (7. 5 L X 4 .7 W X 3. O H� X; 7.48 G/CF area. There are no known wetlands within 100 feet of the * *91,55 Y.3 4 �� L�/2 w °r Includes Back flow from force main 6-M 31_0tE e4CX Ta Pol"P) proposed leaching area, nor is the proposed leaching area 9b , btsr�r6�rra S within 200 feet of a riverfront. 3. Existing PUMP CALCULATIONS g 'pump chamber to be pumped :and removed prior to installing the new septic tank/converted 1000 gallon septic i Static Head: 98 .9 - 93.8 _ 5 i' _ tank to pump chamber. 94 4 . No changes are to be made in the field without the approval Dynamic Head: 30'1L X' 2.75 FT/100FT = 0. 83' p}a � , of the Board .of Health and the design engineer. Total D namic: Head: 5. 93' a�O �1'f}L.4 al+l '� PRE EKt Sr��G SE-Pro �}n��srF.n �W 5. Proposed leaching field is not designed y /Q o o -,¢c.c onr gned for use with �� v arba e pur►+P GN �'''�F' �� g g disposal., Pump Specifications Hydromatic SPOM1 (or Equivalent) 92 4/10 HP, 1 Phase, 1.1Volts _ 6. Contractor to notifyDi Safe 72 hours 1 1/4" Solids E� nroTE: A vn trco�t�� PRoPo mo GE-IcNhV& g Prior to rSTi�+lCg S�P�t construction. (800) 344-7233. - 0 7'/Il�tt<. (St:E �E� Fi�LD SIzED Fo,t a fAoP3tEd 0 7 . Property line information taken from Plan of Land, reference -- W BED6�oo�S, E�t�r��G Sai.�•tS v✓ ftG' b ,St�'n fo� Plan Book 327, Page 89. Septic- Plan not to be used as aI �` ° ' �BE�� vests. �7,,44. C*P444" property line survey.' ; SUBSURFACE SEWAGE DISPOSAL SYSTEM 221 Five Corners Road Centetville j 0 O tf En�c r�/,��' GGrsf•ch`��'Cr� 't �, , Contractor shall verify all plumbing from existing structure , I� •iN r e e >° SCALE: As Shorn APPROVED'BY DRAWN BY a� P t�aI tS t3 ,d,2oo,+'�S, will be connected to the new septic system prior to ';> 1r,'� 11 xz/zz/oz Hansel Boon construction.. If any existing plumbing ,exitng the ` '` DATE:o 4- - B, Johnson a y repay Matt Teixeira (508) 420 - 8256 structure is found to be different ;the: that shown .on then ti 'or: 221 Five Corners Road, Centerville,;MA 02632 W r•_ra o+c° o+t9 a+lo a*3p Of 40 o+ a dt6a t;+7o cat go c�+.sho tea /rqo approved septic system':plan, the contractor shall notify the , designer. All internal plumbing shall be connected to new 11 DRAWING NUMBER �� , INC. ( 08) 420-1904 Hok r / 't� septic system, unless otherwise specified. m• I' G By: e04 Main street, suite 8, oster,.s,13e, t4�► oas55 7-825 • 1 -ZUUU"[iAI LON SEPTIC-TANK LAN i � S CIO TI L 1 T TEST PIT DATA _ CALCULATIONS p MODEL ST 20DU•H•10(SHOREY PRECAST CONC.) l EL.=100.0 - Proposed Leaching Field: j FINISHED GRADE Date.: September 29, 1998 24"DIA � 24"DIA, 91MIN) 24"DIA o� 2 Bedrooms (Proposed) 7 TP--1 110 GPD/Bedroom X 2 Bedrooms = 220 GPD 3„ 3„ 6 \ 9S�` Percolation Rate - < 2 MPI H 10 0,, 18"� A, 10YR4/2 Loamy sand Soil Class Class I (0.74 G/SF) K ES„ •� •. ; 'SCH 40,EL=97.?5 . 18" - 24" Bw, 10YR3/8 Loamy sand I Leaching Fields 4"SCH.4o 10' FLOW LINE 3 g 25 L X I2'W X 0,5'H 14"` -- -- - 96 0 24+' _ 84" CI„ 2 .SY5/6 Medium sand EL.=98.00 Z4BELFlLTERA 100 Bottom Area: 300 SF ., _ X 0.7 4 G ' 78 Observed GW (El. 89.1) , /SF = 4"SCH 40TEE SEPTICTANKTOMEET �` o ► Leaching Capacity: 222 GPD 4 LIQUID LEVEL REQUIREMENTS OF Adjusted GW' by 3. 6' (El = 92.7) GAS BAFFLE REQ10 UIREMENTS R MENT FOR ..... �„ I ( V SCH 40 WATER TIGHTNESS, 98 .., 9? Existin Leachin Field- g g - TEE ETC. 5 ALL WALL SLEEVES/GASKETS : o -- Bedrooms (existing) SHALI:BE CAST IN PLACE OR INS 6" (MIN.) EL=93.5 g o c> . MECHANICALLY`. 110 GPD/Bedroom ,X' 5 `B ERTEDAT FACTORY. , -- ' 0 _ 16" A, 10YR4/2 Loam sand edrooms 550 GPD I ca COMPACTED Percolation Rate _ 2 NIPI APPROVED PENETRATION STABLE E CRUSHED STONE 16., � 3 8" Bw, 10YR5/8 Loamy sand RA N SEAL LEV L BASE 38" -120" Cl, 2.5Y5/8 Medium :sand Soil Glass, Class 'I (0.74 G/SF) METHOD REQUIRED <=3/4"pIA. Ears r��rG .: SEPTIC TANK DIMENSIONS:'1Z L X 6'6"X 5':S"H A-god ✓' -- �g 1I4 Observed GW (EL. = 88 . 9) to ,. _ Leaching field: 50'L X 1 ' 0.51W , � ' Adjusted GW by 3,6 (El. 92.5) g 5 W X •.. �p>z. �., .-� Bottom Area: 750 SF X 0.74 G/SF EXISTING ' �h ��,-9g.q -,, •-- ALARM TO BE AUDIO AND / ` { Leaching Capacity 555 GPD '1000 GALLON PUMP CHAMBER Lr'�c./ST!/+E�' � PERCOLATION .TEST- DATA VISUAL Date; September 29, 1998 Total Leaching Capacity: 777 GPD PIZ c pasty SCALE NONE EL.=100.0 FINISHED GRADE Ewr �- Soil Class: Class I (0.74 G/SF ^` 24"D 8"MIN 24"DIA _:. 24"DIA : IA. . ✓' HARDWIRE.CONTROLS .0,oN `� 32. SEE"PUMP CALCULATIONS" G� ) / / Perc Rate, < 2 MPI "FLOAT SWITCHES"FOR .;: „ . TO COMPLY WITH FURTHER DETAILS. 4 SCH 40 3 FLOAT RAIL MANUFACTURERS EL..=98.55 o y 6. SPECIFICATIONS r / c� s . ; PUMP CHAMBER TO MEET � 5cd 40 �', t :2! SCH 44,EL,:�98.30 / Q . �-3 SCHEDULE OF ELEVATIONS 24 WATER TIGHTNESS (rAt.(.otJ 99 tl' \ / c AND PUMP TO HAVE OVERLOAD 10' HIGH ' /.7'e�•� / (.�+�44) s >•tC T.tNK ua, Otto HP WATER 118"DIA. WEEP HOLE . ,Z5 4 V. gxti5tintlr \ 1```'�.� t, _ PROTECTION . j ax Inv. Below Slab (existing) 98 .5 (approx.) ACNIN& FIC44� �r.P G1�i4ht8�Ft ,.r. IO ( g L P \ r - i 4 SCH 40 TEE Mavaa (apP o ) s �, CHECK VALVE ruse / j Inv. In Septic Tank 98. 00!o C 1 . a PUMP CHAMBER TO d Inv. Out Septic Tank z pt c n 97 ,75 > PUMP ON MEET REQUIREMENTS \/ / Inv. In Pump Chamber. 97 .55 a OF 310 CMR 15.231 PUMP OFF Inv. Out Pump Chamber 97 :30 0 $ HID DGcI� }- \ Inv. In r a. ci Distribution Box 98 . 87 EL -93.Oq ,, MIN MECHANICALLY or "ScrF�Q q Inv. Out.. Distribution Box 98 ,70 LIFTINGCHAiNS R C> o COMPACTED 1 \ �PoSE.0 a oar Sc#�$o '� SECURED TO \ EGfG. E P u ek 4 ` �, Inv. Begin of Leachin F i FLOAT RAILAND PUMP A C S CRUSHED STONE �5 •,, ! g eld 98 .33 0 ,( C E S o STABLE LEVEL BASE <=314"DIA: 60 80 FROM MANHOLE. ALL VALVES Inv. End of Leaching Fie �o0 72U )lft t,'�I 1 Bo7� 3 s� �o , ,,o� �� g Field 98 .20 � •o: , r RL �j�/ EXIS r/NCr IO w rN�� f., ',CAPACITY-U.S. OUTFITTED G,6 fU ,, u s.G.P.M.G.a:nn. FlTT i0 BE REMOVED: ErntCP- \ B TIGHT TANK DIMENSIONS:e'LX 5'2''W X 5.8"H a s Bottom. of Leaching Field 97 ,70 Adjusted .GW TP-1 7 X $ 1 Z 16 I ALLWALL SLEEVES/GASKETS PUMP SHALL BE INSTALLED IN STRICT CONFORMANCE WITH . FLOAT:SWITCHES RE Io►t9 o�KS / 3 92. ?otal Head(feed 4 20 24 t A _ Z8 1 CAST MANUFACTURERS SPECIFICATIONSAND SHALL E EQUIPPED F dusted GW TP 2 92,5 GAM !N PLACE . B EQ I PED .' FROM BOTTOM OF r \ 4110 NP 120 .108 90 68 T WITH AN ALARM POWERED BYA'CIRCU T S 42 20 0 A FACTORY, APPROVED I EPERATE FROM PUMP CHAMBER \ \ EX S _ _.., PUMP.ALARMTO BE LOCATED, PENETRATION SEA METHOD. � \ _ WITHIN BUILDING- D. 44otJ ',rt+1 74 \ 7-0 6 GOrvYE DISTRIBUTION BOX NGlfrw42/4; ,v� Gt+t�P1gE2 " p ,� Qo AQo,v H 10 7� Pu z °��N'C,I MODEL D65(SHRREY PRECAST CONC.j u V /�. \ S uME �,=t00,0v SEA /�LflT'�' FLQO"° `'RAFT REMOVABLE COVER 4"SCH 40 OUTLET:LATERALS P of E1•1�r-114(T :eae ,a�!R 4p�,�s Rr o w� ' q e°wo oy 7n �.. ci r e a_ ap �,, Qo DISTRIBUTION BOX TO MEET cPP � �. � c. ,� ,� o ,e• :, SHALL BE LEVEL FOR A \ SEPrrL. 7�4,�fK ��tIST/nc(r /�o�s£ R { . 9 � �Q 1. MINIMUM OF THE FIRST TWO ''wA •<< "' REQUIREMENTS OF 310`CMR G AA pp t r� °� veRn sARA' '�` �• oti a�r+i L L 15,232(WATERTIGHTNESS- ENTER FEET AND"CONNECTED TO ` \ \ \ !- G.Rq _ 1 0('Q -. _ /iul,,° C o Q• W Q ..C7.EfR. M �• 9 $ .. _q - k [3 F.�S au9 �` : ; 2 ° < CONSTRUCTION,ETC).: I 2" EACH DISTRIBUTION LINE.. a `/I JL.L. E f WITH SOLID SCH 40 PVC PIPE•P /:E•g4 ,y J .LARCH ' 4"SCH 40 . ` 6 FR „�... �iP•�y� y'Y. .:i;A I ou h NO.OF OUTLETS:S EL -98,8? _ \ 1 \ \ EL. 98.87 - „ o ' CRUSHED : G/R. 2O. �(O�f i WE"M/NSrER ... t'.1rSl/N h'EDQfkr yC/fk;~: a O. MECHANICALLY 1 1 0 y` : e� nvp s oQ. . . : M �o ,, 4 .SCH 401NLET TEE TO BE 4 6 (MIN) o o 0 . �1011�9 r R STONE(<=314"DIA) ,o U .•:. r INSTALLED /4 ,a rRjE v�A C oG+Ib c, ?; ?� 'ow _ to3xa i ti csgo Fri _ STABLE LEVELBASE --------------- ..W..�..--e-••..-�-. (.O/VL, r�•EZ", WhLG ,.�s / .F^�a 2 a Z try ,.• m o e � o A. �aREt �e IPA Ilk R p °oNv ��°r : PIU.01 ACiiItaLD15TRIBUTION �, : T� Y�` tk \NY� Iv`� aurvMN . AR d d :: i.iNES:2 5� ©y o� a� tir v v F . F rcv Ha4`{ A a, 3, LEACHING FIELD , W J • w � �1�� ,v��` W a �,� •:: 'l .: N,�� �¢� y- a S LENGTHI]FLEACHINGUNE. 25 h "END"CROSS SECTION LEACHING FIELD DIMENSIONS: 69� OsrERvicCE R°c Sr q3�� ..Jt�Su 4 ( Y GQE� tp� x KAl` 20'WX12'WX0.5'H t CE�tt,✓t.1RY - o q ..,� FINAL GRADE TO BE STABILIZED SCALE= NONE • 6u 3 K',RK r�� B. .: v '3 EL -1 1 FINISHED GRADE(SLOPE=.02 - n .� o •0 ) . � 4"SCH�PVC Pig - - E _..� III 2a' -1 12 (MIN) fL.-98.83 00 - _ (BREAKOUT) �� 2"LAYER 1/8" 112" 3�,xS LEGEND : EXISTING _3,, g� 31 DOUBLE WASHED STONE " 9/,bx EL.=98.33(BEGIN) J r.v c KNGT� S Existing contour - 98 _ _ i 5/9 ORIFACEDIA. s„ a m o 0 3/4" 1VZ.'DOUBLE WASH STONE Proposed Contour 98 12' EL. 97.70 _ Test Pit END OF DISTRIBUTION LINES TO LEACHING FIELD 0` '' BE L T MEET (tea I ill PAo FI f. E o < Ef T'r L S Y S 1 EN1 CAPPED,UNLESS VENTED. 5' REQUIREMENTS OF 310 4"5cN 40 (REF.PLAN AND PROFILE) CMR'15.25Z 5C 44z. A-S . tk uJ V vENr Finished Floor Elevation FFE _ - ADJUSTED GW[EL.=92,?) Basement 'Floor Elevation BFE : ' TP1 t o1 Cs�saa) E-tSr1N6r Water Line �,r.. W ----- Gas Line ' �,--- G FLOAT SWITCHES e High Water Alarm: 21" (E1.= 95.2) Over Head Wire OHW I Q`sctFgo I w�E Pump On: 15" (El.= '94 .7) NOTES 25' Pump Off: 6" (El.= 93. 9) 0 '(0`20 SDI 1 30 ' - o - 1. All construction methods shall conform to the Title V (310 � sut4 PeRr: tvG _s-,oa5. �.zo � Bottom of Tank- _ CMR 15) and the Barnstable Board of Health Regulations, (E1.= 93.3) 7,?S 7.3 a g,�p PR•oP osFv * Distances:.referenced from bottom of pump chamber �a�fT-CoN�C »0 2, There are no known. private or public wells within 150 ** 24 :Hr. storage volume 791 gallons ErlSrrkb 96.33 L�hL�rr�f(rF/Et1? feet/400 feet, respectively, from the proposed leaching 9?,55 3 5cN q o fdR.cE�w+rry D'S N area. There {7 . 5'L x 4 .7'W X 3,0'H) X 7. 48 G/CF - �� �xtzw x are no known wetlands within 100 feet of the � *�* - C7a Scol lack ro PdrP) ro 1 Includes Back flow from force main proposed leaching area, .nor is the :proposed leaching area within 200 feet of a riverfront. la D15T'R t&+.TiQN PUMPCALCUhATIONS '�- 11 3. Existing pump chamber to be pumped and removed prior to installing the new septic tank/converted 1000 gallon septic - 94 tank to pump chamber: ` Static Head: 98 ;9 _ 93.8 = 5. 1' ! Dynamic: Head: 30'L X 2.75 FT/10OFT = Q•83' 4 . No changes are to be made in the field without the approval ) ! of the Board of Health and the design engineer. ' 3 a o o o G•,4 L.G.ort $�Pt L. T.4k i°RE'EXt ST/K� g g � Total Dynamic Head; 5, 93' �poogt.Ggnt 5. Proposed leaching field is not designed for use with 92 p�,�,p GAF garbage disposal. Pump Specifications: Hydromatic SP 40M1 (or Equivalent) 4/10 HP, 1 Phase, 11Volts 6. Contractor to notify Dig Safe 72 hours prior to Ei�tST/Klg Si;�P�t 1. 1/4" Solids o T'�rtk. (SGE,�a��E) , ,gore= ,gvct*co�t�f(. PQaPoslra cE"�cN/K�r construction. (800) 344-7233, o ,vie LO S)�EO ,ic;2x A J'Ao PstE�1 BED�oD�kS. E ttTir!(r ri/S+� _ 7 . Property line -information taken from Plan of Land, reference xe - a qo I LE',�KPf Y�' f/G"� Slued Fad Plan Book 327, Page 89. Septic- Plan not to be .used a a S BFA�a�Ms. roT�� `f' l`I' property line survey. �� ����.�� _ SUBSURFACE SEWAGE :DISPOSAL SYSTEM p Er[t'le E GG�Cft/�G '4 8 221 Five Corners Roacl, Centerville Av.� ! 3 BbR�o�►S. Contractor shall verify all plumbing from existing structures m� � k`" g � at0�i ax f' APPROVED BY will be connected to the new septic system prior to cnm SCALE: As :Shown DRAWN BY . ,�.1Ci ! ✓ DATE: 12/12/02 Daniel B Johnson B• Johnson ir �B construction. If any. existing plumbing •exitzng the ,�, =, - structure is found to be different ;the: h z repax Matt:Teixeira t5os) ago - 8256 that shown on the :, W 0+00 @+1A: 8410 D*Jo pt�° pt�-+3 o t7i s�"J * 0 rtoo p r j., tst .` :. : For: 221.Five Corners `Road Gentesvi ,., . , 11e, MA 02632 dtb r. o .s� r�ro r �o /.t3 /too approved septic system plan, the contractor shall notify the designer. All internal ,plumbing: shall 1 HoR-, r .ro• be connected to new f a , INC ( 08) 420-190a` DRAWING NUMBER septic system, unless otherwise specified. r ! s $oa Y Main Street, suite B, osterville, bA 02655 J-825 . F.