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HomeMy WebLinkAbout0136 FOX HILL ROAD - Health 136 Fox Hill Road Centerville \ A= 190-044-001 _ SMEAD No.2-153LOR UPC 12534 smead.com • Made in USA 2 � y FIBtUS®NMSPRODMNE SFIOF DE SH PWGUM SOURCMG r € � r E 6 Y �. r r Town of Barnstable Barnstable �t� Regulatory Services Department 1111 V AlllAmeduC ft t639• `"M �r Public Health Division �� �EONi"`p 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL #7012 1010 0000 2851 0701 September 26, 2013 Alice S. Demetriou 136 Fox Hill Road Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5. The septic system located at 136 Fox Hill Road, Centerville, MA was last inspected on 8/20/2013, by Mark Polselli, a certified septic inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) Due to the following: • System is in hydraulic failure. • The Inspector noted there were five (5) existing bedrooms in original home, after walk through. Assessors list this as three (3) bedrooms. Must verify originally built for five and replace with appropriate system. You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system with the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Thomas McKean, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\136 Fox Hill Rd Cent Sept 2013.doc 1 I Commonwealth of Massachusetts Title 5 Official Inspection Form 8 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address h Ce VV? i o v1 ON ner ON ner's Name /l information is r_'Ievi-�V'V4( lam /,/7 D� o - n `3required for every — page, WTown State Zip Code Date of fnspection Inspectlon 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. Mpo out f Men en filling out f A. General Information on the computer, %1 use only the tab 1, inspector: key to move your cursor-do not /r a✓lr,J //O use the return Nam of Inspector />key. �t�/O / LG/7 Company Name ,4�lO Company Address L�.5 7 SIG✓LI / '/� �.��- rwan Cityt7own State Zip Code Telephone Nufter License Numper B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the LU — 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 1-: � sewage disposal systems. I am a DEP approved system Inspector pursuant to Section 15.340 of i V _ Title 5 (310 CM 15.000). The system: cc CO ❑� Passes ❑ Conditionally Passes EY Fails ® cs� ❑ Nee s Further Evaluation by the Local Approving Authority o ES I% / nspec is Signature Date The ystem inspector shall submit a copy of this inspection report to the Approving Authority (Board of H alth 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. Y ****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. 0M•3113 TMe501nciel Inspection Farm Subsurfece Sawage0lsposal SysteM-Pape 1oW q1Iv`13 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address P Wl2 ✓� o �► ON ner ON ner's Name information Is �/` / required for every t �Q� ✓ter G /�1 0 6 �� �' �� / page, City/Town State Zip Code Date of spectio B. Certification (cont.) Inspection Summary: Check A,B,C,D or E I 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 CM 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. 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): !Sing'3113 Tift 50f5clel Inspecuon Form Subsvface SewageDlsposal System-Page 20f 17 tX, Commonwealth of Massachusetts VTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments13 6 zi, / P(2d Property Address Le VVI e- 0 G4 ON ner Owner's Name information is ( evf ti ✓V, 6 UoL6 3a� �e required for every i — page. City/Town State Zip Code Date of Aspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes(cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s), The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation Is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in orderto 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 mannerwhich 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 \egetated wetland or a salt marsh t5lns-Y13 Tile 5 0l8cial Ins peotlm F orm Sutxvf we Sewage Disposal System-Page 3 of I? �L\ Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form • Not for Voluntary Assessments r' 126 Property Address Ow ner (�� ��lO L4 0w ner's Name information is required for ev ✓1 r/(i! -e— o � page. Cityfrown State Zip Code Date of Insp6ction B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system Is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3, Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No" to each of the following for all Inspections: Yes o ❑ 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 y 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 day flow One 3113 Title50fficisllrtspsc bon Form Subsu^faceSewegeolsposst System.Page 4of17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form •Not for Voluntary Assessments 136 o �4 l ,// 1�d Property Address )0e tmt-11/-/0 L4 Ow ner O,rr ner's Name / e Information is required for every ll ii page, Uyffown State Zip code Date of I spection B. Certification (cost.) Yes No ❑ �' Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: . ❑ l� Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ E__," Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ L—J✓ A-'nny portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ],,f'" 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, pryyvided that no other failure criteria are triggered. A copy of the analysis nd chain of custody must be attached to this form.] ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000g pd. ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CM 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 16,000 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. t5itts•3113 Title 5 Officisi Inspection Form Subsulace SewageDlsposal System Page Sol17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewaager Disposal System Form - Not forr Vol unto A essments Property Address inforrmn,ation Is Ong ner's Name nf 4v` U 1 .�� n � required forevery /Ptn v6 / � O d oAj page. Uy/Town Slate Zip Code Date of In pectior C. Checklist Check if the following have been done, You must indicate"yes"or"no" as to each of the following: Yes es`z'No 1 ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ Cg -.',Were any of the system components pumped out in the previous two weeks? ❑ Ld —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) [a Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? C� ❑ --,,,.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, ___-,drfnensions, 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): Number of bedrooms (actual): DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x #of bedrooms): �j y roe t51ne•3/13 aZ Me wage Disposal System Page 9 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments P Property Address Ow ner Owner's Name / Information Is ��� G � required for every o- page. City/Town State Zip Code Date of nspection D. System Information Description: / / ze 1-21 Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes l.7 No Is laundry on a separate sewage system? (Include laundry system inspection 9Ly- No information in this report.) p Yes --No Laundry system inspected? ❑ Yes 9- No Seasonal use? ❑ Yes [;,,"No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ �Yes Last date of occupancy: Date Commercial/Industrial Flow Conditions; Type of Establishment: Design flow(based on 310 CM 15,203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft,, etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3113 Tite B Official Iris pecaon F brm SubsLrf ebe Sewage olsposel System•Page 7 of 17 Commonwealth of Massachusetts M Title 5 Official Inspection Form s Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address Cw ner Cw ner's Name information is required for every page, Gty/Town State Zip Code Date of In pectic D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, vol ume pumped: gallons Howwas quantity pumped determined? Reason for pumping: Type of System: ❑ Septt tank, distribution box, soil absorption system ❑ Single cesspool �\ 1 Overflow cesspool C) % ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, If any) Cl Innovative/Altemative technology, Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other (describe): t5ns•3113 Title5Official h3pectonFam SUI)SU18 0 SewageDlepoaal System•Page 8of17 f Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address ON"er ON ner's Name J'I)e VVI e, information is required for every CIO page. (Ay/Town State Zip Code gate of I spectio D. System Information (cont,) Approximate age of all components, date installed (if known) and sourcep�infoyrmation: Ss r7 0 / � 14 -- 6/ r y Were sewage odors detected when arriving at the site? ❑ Yes 2 --No Building Sewer (locate on site plan): / Depth below grade: feet Material of construction: r ❑ 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: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimenslons: Sludge depth: r5 rss•3113 Title 5 orAclal Ins pectlm f arm Subsurtace Sewage Disposal System•Pape 9of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage ?Disposal System Form -Not for Voluntary Assessments erty Prop Address e vile /i o � Ow nor Cw ner's Name information is required for every __ Q`� t/(/`6 / 11T �02��� o�?o page. City/Town State Zip Code Date f Inspe tion 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, e\ldence of leakage, etc.): Grease Trap (locate on site plan): Dept h bel ow g ra de; 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 , Ons 3/13 TlneSofncial lnspecaonForm SubsWace Sewageolsposat System Page 10d 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address (/V72 Cw ner Ow ner's Name ,7 information is Ce�, ✓�/ O / required for every l� c— /�/ X�O page, City/Town State Zip Code Date of Inspec ion D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, e\idence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): "Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No Ons 3113 Title501fldel InspectlonFant Subsurface SewageDlapasal System-Pape 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form . Not for Voluntary Assessments ie_ Property Address Cw ner Cw ner's Name Information is �� / �a 6 required for every -P✓� page. City rrown State Zip Code Date Insp tion D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber (locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): If pumps or alarms are not In working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3113 No5OfAClal Ins pectionForm Subsurteoe SewageDisposel System Papa 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments Property Address Ow ner Owner's Name information Is `l,-/ / ,✓ � �3oZ "'� o?o �� required for every rx." page. City/Town State Zip Code Date of I pecti n D. System Information (cont.) Type: -� �Y f leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/altematitfe 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 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 U No i t6ina•3/13 Tiue 5 Off dal Ins pection F orm Subsurface Sewage Disposal System•Pape 13 d 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments r? 136 Fo ,,/ f4l l/ Property Address -;�-eT ON ner Owner's Dame information is ) required forevery 1... �'�' ✓y<` `� v�".b �a`-- � `�C, page. C yffown State Zip Code Date Af Insp ction D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): .1/ lq� c�IL `7< 1W,'- ! e-) 4✓ G l oK s-e a 7`Lq/,e o L1 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,): Tom CO�.� o 7- --Wf L Ons-3113 TI a 50M69 inspeebon F am SubUrfece Sewage DiapoSel SySlem•Page 14 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments P' /Y6 Fox N,/ 4?c� Property Address ON ner pv ner's Name information is 0:4 2.2— required for every �� -- '— equipage City/Town State Zip Code Date f insp tion 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 blic water supply enters the building. Check one of the boxes below: hand-sketch in the area below ❑ drawing attached separately i i6c �. a igl -2 t5n 3113 Tide 5016cialimpeceon Form Subsuface Sewage 015poedSystem-POGO 15d17 I Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address Cw ner Cw ner's Name information is o�6�oZ ap / required for every page. Cityfrown State Zip Code Date q Inspe tion D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells ;;2 Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ —Observed site(abutting prop ertylobservation 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 3113 Title 6 Official Inspection FormSubsurfaee Sewage Disposal System-Page 18of17 I - - Commonwealth of Massachusetts Title 5 Official Inspection Form 5 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments Property Address n / Cw ner ON ner's Name / information is required for every 14 page. City/Town State Zip Code Date of/l spectio E. Report Completeness Checklist Inspection Summary: A, B, C, D, or E checked In—spection Summary D(System Failure Criteria Applicable to All Systems) completed IJ�Sy m Information— Estimated depth to high groundwater Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ns•W 3 Tile 5 0fflcial Ins peo bon F am Subsu7ace sew9g9 Disposal System-Page 17 of 17 No. / Fee Aa 1 ?v � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliLation for Zispo8al 6pstrm Cone-tCULtion Permit Application for a Permit to Construct( ) Repair( ) Upgrade(V) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. Q,2.41. D,sZ vAJGV Assessor's Map/Parcel 1% d©` q—001 �'�� DL4 GLOuv-o � T3n��u�r�Y& Installer's Name,Address,and Tel.No. 'a _ L.1� �, Designer's Name,Address,and Tel.No. '36 2 'qq Q a Type of Building: Dwelling No.of Bedrooms Ll Lot Size J rj l(' sq.ft. Garbage Grinder( ) Other Type of Building 2AAA QLJ',ra��,.Qwn No.of Persons Showers( ) Cafeteria( ) Other Fixtures Q 1 Design Flow(min.required) 440 gpd Design flow provided 9 5d gpd Plan Date Ip a.` � Number of sheets I Revision Date 101 sa k3 Title Size of Septic Tank 1 600 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) .2,212, Qar� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date 1i 1 1 Application Approved by Date i\ 3 Application Disapproved by Date for the following reasons Permit No. aqv 3 — Date Issued 1 q{ 7 No. 13 ,. AS Fee /Q r Entered in com r: THE COMMONWEALTH OF MSACHUSETTS .te p k 11-1 PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplication for Disposal 6pstem Construction j3erutit Application for a Permit to Construct( ) Repair( ) Upgrade V Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. '3 6JjU Owner's Name,Address,and Tel.No. Q,Q):4 Assessor's Map/Parcel k0to (O q-4 —0 01 aZ�t Gt(;vvtielL 1 r�Cn i i Installer's Name,Address,and Tel.No. 36a_ L) y a Designer's Name,Address,and Tel.No. a � MG ,(� d AnG I Type of Building: DwellingNo.of Bedrooms t �"� Lot Size ��a rj,� sq.ft. Garbage Grinder( ) Other Type of Building i No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow(min.required) gpd Design flow provided SO gpd Plan Date 'a�� 1 �, Number of sheets Revision Date l h hyi �3 Title Size of Septic Tank Type of S.A.S. „ JyA j;, _y Description of Soil 1 I Nature of Repairs or Alterations(Answer when applicable) Date last inspected: i Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. — � , 1-� Signe Date i Application Approved by Date \\ Application Disapproved by Date for the following reasons Permit No. D—C- 'y a Date Issued 1 ---------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(14 Abandoned by at 1 G • :cM I d,0 QJ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No, �" y� dated k O � ' 1 Installer Q r '4 Aoc2 Designer XAnh #bedrooms Approved dg n flow gpd The issuance of this permit shall not�eecconitru)guarantee that the sys m will fu as signed. w# Date /l` Inspect --------------------------------------=------------- --------------------------------------------------------------------------------- No. -3 TU Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(1,/) Abandon System located at 136 jlbli_I QI and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must b com leted within three years of the date of this permit. Date ) 1 Approved b}� t The Demetriou Family C/O Peter Demetriou, Power of Attorney for Alice Demetriou 29 Cranes Lane, Brewster, MA 02631800 MEMO/FAX To Whom It May Concern: October 27,2013 Re: 136 Fox Hill Lane, Centerville, MA 02632 My parents, Alice and Michael Demetriou, bought a lot and had a house built by Alan Small in 1966. The house was a front to back split design with FOUR BEDROOMS and a bath on the upper floor, a kitchen, dining room and living room on the ground.f loor, and a family room with fireplace, a laundry area, office/den and finished bathroom on the lower'lever. This home was always a four bedroom,two bath home for the Demetriou family of four children and two.parents. Please contact me if you need any additional information. Sincerely, Peter Demetriou. Power of Attorney for Alice Demetriou (508) 280-4786 6. Alice S. Demetriou Town ,of Barnstable �1H1 Regulatory Services Richard V. Scali, Interim Director • BASWSTABLB, « Public Health Division Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: J&fi&i3 Sewage Permit# ZG(3-- �2`� Assessor's Map\Parcel 9 vet Designer: A , -_> Installer: Address: Q2-�> i?,oV i5C— rick Address: On ( l 1 3 4 ,hyvas issued a permit to install a (date) (mst er) septic system at 17>6, 1= X R i L.L. R_tp based on a design drawn by (address) L—Pli-cam A dated (designer) I certify that the septic system referenced above was installed substantially accordingto the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the I\A approval letters (if applicable) }' '� (Installer's i nature) l . (Designer's Signature) (Affi e s Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEAL H DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:1Septic\Designer Certification Form Rev 8-14-13.doc 'Town of Barnstable r# Department of Regulatory Services Public Health Division Date MA93 �p i639. ��� 200 Main Street,Hyannis MA 02601 Date Scheduled � ttV// Time Fee gad. _ Soil Suitability Assessment,f®r Sewvgge lsp®sal Performed By: r� c ` Wittiessed By: 1[ /„ CATION& GENE,RA]L INFORMATION Location Address . .} �'- (I p P Owner's Name a �U l v�'1/ Address Assessor's Map/Parcel: AD Engineer's Name NEW CONSTRUCTION REPAIR Telephone# g Land Use Slopes(%) 0� Surface Stones., s -Y Distances from: Open Water Body.j 000 _ft Possible Wet Area ft Drinking Water Well _ ft �-Y Draibage Way ft Property Line ft Other ft SICCI'TCII:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands(n proximity to holes) �A Parent material(geologic)Se &t j QuylJa Depth to Bedrock Depth to Groundwater. Standing Water in Hole: 1^ Weeping$'oin Pit Fltce NOVA Estimated Seasonal High Groundwater (V 1A DETERMINATION FOR SEASONAL HIGH WA,'TI+R I'AB LE Method Used: Depth Observed standing in obs.hole: _ In. Depth to soil mottles: ►n. Depth to weeping from side of obs.hole: �T r bL Oroundwater Adjulitment ft. Index Well# Rcading Date: Index Well level _�� Adj,factor 9a T AtU.Groundwater Level PEIRCOL,ATION T +'ST Date 10 W13 Time 10_1 Observation I Hole# Tinte at 0" Depth of Pere qq Time at 6" Start Pre-soak Time @ l�A�'1� Time(V-6") End Pre-soak ltl Rate Min./anch " o� Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- **4`If percolation test is to be conducted within 100' of wetland,you must first notify the (Barnstable Conservation Division at least one (1) week prior to beginning. Q:\serr[C\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Dale# j _ Depth from Soil Horizon Soil Texture .Sdil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. ormblency,46 Gravel) 3`2. �. . 3a•6,q c t f=. �. 7! DEEP OBSERVATION HOLE,LOG Hole# '2. Depth from, Soil Horizon Soil Texture Soil Colo. ,Soil Other Surface(in.)',,, (USDA) (Mansell) ` Mottling (Structure,Stones,Boulders. onsisten % ravel 0=5 L ., , 1bW i^ S %a _ DIE P OBSERVA TIO N H®LE LOG Holy# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in_) (USDA) (Muusoll) Mottling (Structure,Stones,Bouldcrs. Consistency,%Gravel) DEEP OBSERVATION HOLE LOG Hole# ' s Depth from Soil Horizon Soil Texture Soil Color soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency. 6 a if 1•lood Ins•.azance Rate. l!!1>;po..- Above 500 year.Flood boundary No— Yes WitWn 500 year boundary No= Yes Within 100 year flood boundary No_— Yes Depth of Naturafly Occurring Pervious Material _ Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material? —_ Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and experience described in 10 CMR 15.017. . Signature Date Q:W EPTIC\PRRCFORM.DOC Page 1 of 1 Miorandi, Donna From: dick@dickmartinera.com Sent: Monday, September 16, 2013 10:20 AM To: Miorandi, Donna Cc: susanne@capecodera.com Subject: 136 Fox Hill Rd., Centerville Hi Donna, I left you a message as per your message to me through Zillow. I have talked to assessors before in an attempt to clean up the inaccuracy in the assessors records. They said they would have to do a site inspection and I gave them the lock box code in order to do that. I was told they may not be able to use that and may need me to meet them. I gave them my contact info but have heard nothing. I would also be happy to meet anyone at your convenience. I am selling this property for the original owners family who had the home custom built around 1962 exactly as it is seen today. The assessors show the home as a one level ranch when in fact it is (and always has been) a 3 level reverse split cape. There are 4 bedrooms on the upper level and 1 on the full walkout level. A new 5 bedroom septic is presently be engineered as the existing system has failed. I am anxious to get this corrected on your part so there is no further confusion from either the towns or consumers part. Thank you. Dick Martin President/Co-Owner ERA Leaders Circle- Top 25 ERA Brokers Nationwide ERA Cape Real Estate LLC. Presidents Circle Company -Top 100 ERA Companies Nationwide 965 Route 281, South Yarmouth, MA 02664 Office: 508-398-4444 Cell: 508-243-7541 9/16/2013 TOWN OF BARNSTABLE LOCATION j 3�� � � �SEWAGE# _ yd� VILLAGE ASSESSOR'S MAP&PARCEL o I INSTALLER'S NAME&PHONE NO. `� �11� 502 36,; � SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO.OF BEDROOMS OWNER G ]] / PERMIT DATE: COMPLIANCE DATE: i t'�7l I3 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility N/h Feet Private Water Supply Well and Leaching Facility.(If any wells exist on site or within 200 feet of leaching facility) 'Nth Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) 10O Feet FURNISHED BY •�• tiL�yVVCJInnJ � r d s tP- r�9 L4 �V' f 1 2% d ,x 3 1 �•� H ' 34, G• 5 vb•'� , aid / ,vs No. --- Fss...,$....ZQ._A�-. /�— THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .............T.own..................OF.......Bar.ns.t.alal.e..-----------------................................ `�3co Allplutttiun for DiupmFal Works Tiamitrnstiun rrrmft Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: ........... ......................................... ................•-----.............-•------ ----•-•---._.............................. Location-Address or Lot No. ...._......1.32...F ox_..HIL1...Rnad._.0 enL ru i 11e.Ma sus......................... Owner Address W .....d..P...Ma-C.Qmbez...J.r-------------•-----...----------•---.......-- ----...------.............................................................................. Installer Address UType of Building Size Lot............................Sq. feet Dwelling-�E-No. of Bedrooms..........3...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.........................--- Showers ( ) Cafeteria ( ) a Other fixtures ......-•••••-••--•......•....•-- ... W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. WSeptic Tank—Liquid'capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. ..:................. Width.................... Total Length............0....... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................--. Depth below inlet.................... Total leaching area.............,....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.......................................................................... Date............ ........... aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ GL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix •--...........•...........•••••-•-•-•--••••--••-•--••••....•-•-•••-•.................•-•..._--••--......................................................... 0 Description of Soil................................................................................................................................................................-•--•--- x Hand--.&---gr.am.el.....................• v W ----- ------------------------- --•---------------------------------------------..........-•-•••-•-----••-•----••---•---•-••--•-•-•--••-••-•••---•-•-•••••-•-•--•----•-•-•--•-•---•........._..._---••- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ -..................................................................................-..........................- ...v -t t----------------------.............--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI..i� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. fsig;e d '� � � � -------- --7 8 A D to Application Approved BY E ........... •-�.•---•- ---- -•----.... — •.--- Da e Application Disapproved for the following reasons:---•--------------------------•----------•--------------------------------------•-------..............••-•....-- ...-•----•-------------------------- --- ..------.......-------------•---•------•--------•-----•---------------•---------------------------- •....-- Permit No..-. --.. Issued...........................................Date---•--•--•- Date No. .13 Fss.................. ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , f _. Allpfiration for Diopooal Works Tonotrurtion Fautit Application is hereby made for a Permit to Construct ( ) or Repair (rX) an Individual Sewage Disposal System at: ................ .....,....5.....^-i4:.......r.f:..J. ........................................ ................................................................................................._ Location-Address or Lot No. : . -- • ........................ Owner Address ..........:.........:.``::.......... -'Sr..Installer._........-............................. ..........------............................ ------------............................... PQ Address Q Type of Building Size Lot____________________________Sq. feet Dwelling'4-No. of Bedrooms.......... ................................Expansion Attic ( ) Garbage Grindor ( ) Other—T e of Building ..............No. of ersons_................... Showers a YP g -•------•------ ---•--------.P -- ----- (• ) — Cafeteria ( ) d Other fixtures ................................ -- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid*capacity............gallons Length......4........ Width................ Diameter...---_._____- Depth................ �13W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) - aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I............:...minutes per inch Depth of Test Pit.................... Depth to ground water........................ tT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------------------••-----------.......----................-•----...........-----...............----------...._.......----•.•... 0 Description of Soil....................................................................._...----------------------------------------------------------------------------------._.......--•- U its c sw'-r'-eavr_.i -----------------------------------•-••-•-•--•--••-------• f.._ W VNature of Repairs or Alterations—Answer when applicable._.............................................................................................. Cr: 1 — .; [s -W :J f f ......---••.............•...`..._....---••--••-••••........._-••-•• Agreement The undersigned agrees to install the afored ribed Individual Sewage Disposal System in accordance with the provisions of TIT"T , 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed_...__Zl . z- ?�' ` ''.. ri Q'.......--•• ~ ...... 1. _- Da>�Application Approved BY _•-- e Application Disapproved for the following reasons:.............................................----------------------------------------------------.....-•---•--- 3 #- Date PermitNo. --•-•-............ ------------------- Issued-...................................Z.................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD{{ OF HiiE+ALTH ...........li,...'.1....................01 .........CZ..� ...'............o................ .......................... Trrtifirtttr of ToutpfiFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ('.K) by.....j-._ c�FdC°Orq' l,-Ir Jr •-------•-----------------------•---•-....---------•--•---......--•••••--•--......-_..............••--------•---••--•.._...........--•-••---•-•.....................--------- .,.,: .t Installer -•----•-•---------------........................................................................-••--••••••••---•----••••---•-••....--•--•-•-••••••---•-•--•........................ has been installed in accordance with the provisions of 9" r• 5 State Sanitary as bed in the application for Disposal Works Construction Permit No.',?. _ �___.____ dated....; _ _.� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A ARANTE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. `5 DATE..............•---•-----..........--------•--........-----------------......._.. Inspector.........................................-.......................................... s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y3......--.-.3. FEE...........I r� 7r•i No._ .. ............. 19ioposal Works ,TlInstr ion rrutit �. Permission is hereby granted------------------u.......................................................................................................................... to Construct,,( ) or }Zepair �',_i) an F Individual.S�.-4rage > posal System atNo----------------------- -•-------.....----...------......................------....-•----•--'-•--•••----------•-••••--- ••-•••---............................ •-' � I Street + ?? as shown on the application for Disposal Works Constructi rmit No. _ .....�_ Date _ ,.,7...... '.... 4 .-- r DATE ........................................... of Health �.7 -�' ------------------••-•-•............ Bo FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS < � `J � � .. . TOWN OF BARNSTABLE LOCATION ' a /� 4 d- SEWAGE VILLAGE (f C?r y ASSESSOR'S MAP Cz LOT LZg - ®Yw.aof INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) el (size) / 6oa NO. OF BEDROOMS ,3 PRIV��ATE WELL OR PUBLIC WATER BUILDER OR OWNER �101 t Ck' e .4z�z DATE PERMIT ISSUED: DATE COMPLIANCE.ISSUED: 7 - / :5 -� �! VARIANCE GRANTED: Yes No ,:. '47; C.0 �� �0 TOWN OF BARNSTABLE LOCATION 1 e X f / L „ SEWAGE # D - 3 3, VILLAGE (f C ti 7 ASSESSOR'S MAP & LOT j.& - y�1 i INSTALLER'S NAME &.PHONE NO. j /p / 4 e o SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -(size) NO. OF BEDROOMS ,3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: `] _ DATE COMPLIANCE ISSUED: I VARIANCE GRANTED: Yes No 11�' A N i i ----------- - BACKFILL S.A.S. WITH 24" C.I. COVERS WITH RISER MINIMUM OF 9" MINIMUM COVER 9" TO FINAL GRADE COVER WITH RISER TEST HOLE LOG BASEMENT FLOOR COVER WITH RISER WITHIN 6" OF FINAL GRADE DATE: 10/10/13 , WITHIN 6" OF GRADE 101.00 F.G. EXISTING 100.5 F.G. COVER WITH RISER 7 1 97.00 PIPE TO BE LEVEL 101.5 F.G. TEST BY: MICHAEL O'LOUGHLIN S.E. WITHIN 6" OF FINAL GRADE FOR 2' OUT OF D-BOX 96.6 TOP @ 99.5 WITNESSED BY: DAVE STANTON 0//9 -67 100.0 98.7 r_1 r,�r_1 C=1 VERIFY ALL =1===== ====== ==== TEST HOLE # 1 FLOW OUTLET 10" TEE 98.8�_O 98.7 CM 10- TEE 3.87 TEE H-20 r_1 r-1=1 ot) 95.8- 14" TEE 95.519 10" TEE D-BOX C=1 E=1 CZ3 C==C=3 EZ3=3 101.56 EL & 95.5 98.5 BOTTOM @ 96.5 A LOAMY SAND (3) 500 GALLON H-10 DRYWELLS 10YR 3/2 6" COMPACT STONE WITH DOUBLE WASHED STONE 5" _ 101.15 EL NOTE A: WASTE PIPE FROM BATHROOM OR COMPACTED BASE BW LOAMY SAND91.3 LOCATED IN CELLAR WAS NOT FOUND. -91-01 5.67 SEPARATION 321* 10YR 5/8 98.9 EL BEFORE•INSTALLING TANKS, THIS PIPE MUST HEAVY TOP 1500 GALLON PUMP/DOSING CHAMBER 90.83 EL C1 FINE SAND BE LOCATED TO VERIFY ASSUMED ELEVATION AND H-10 SEPTIC TANK HEAVY TOP 1000 GALLON 10YR 7/3 DISIGNER (J. OLOUGHLIN INC.) NOTIFIED FOR INSPECTION. 6" COMPACT STONE BOTTOM OF 64*$ - 96.25 EL OR COMPACTED BASE TEST HOLE # 2 C2 MEDIUM/ COARSE SAND W/ GRAVEL 1000 H10 MONO PUMP CHAMBER JUNCTION BOX 2.5Y 6/2 6' X 9' WITH A 18" OPENING WATERPROOFED (ALL ELECTRICAL 126" 91.06 EL CONNECTIONS FOR 18" CAST IRON COVER ACCESSCO R PUMPS AND FLOATS TO GRADE (TO GRADE) TO BE MADE INSIDE) WATER NOT ENCOUNTERED \0 1a,30 %0 x 0 f� 100.00 01P TEST HOLE # 2 HOISTING CABLE /SET 101.33 EL LOAMY SAND 3/8 HO BLEEDER T 15- 10YR 3/2 5" 100.9 EL it BW LOAMY SAND .04 67.43 2,o ALARM ON dlc� o- I 10YR 5/8 98.9 EL r 11) 4 14.16 100 32" 00 PUMP ON 101,00 C1 FINE SAND x S5.8 T 10YR 7/3 5 1/4" PUMP 98,14 o 62" 96.2 EL 3» PUMP OFF 6„ 9111 V: C2 MEDIUM/ o. x a 'S 1% 3.5"- 80 Q) COARSE SAND 10' 2" 0 1 62.85 15-5 84 E See Note A W/ GRAVEL 4" so NOTES 14.12 al. C.0 Pipe not located U`P/134/3 126" 2.5Y 6/2 90.83 EL --for down stairs 1. 4/10 HIP SEWER EJECTION PUMP 0 x both. 10 1S, tl_ 2. S.S. FLOAT SHOULD BE INSTALLED WITH A FLOAT BRACKET & WEIGHTS TO BE WATER NOT ENCOUNTERED REACHED FROM MAN-HOLE COVER -4 ISS - 0136 A 3. 2 FLOAT SYSTEM WITH ALARM FLOATED OFF A STAINESS STEEL BRACKET 4. ELECTRICAL WORK TO BE COMPLETED BY A LISENCED ELECTRICIAN WITH A PERMIT 88 1 Pat o TOF=101,12 90 (Assumed) x 101,11 IS TO 4 4" 102.Sro INSTALLER TO x LOCUST MAP C.0 �_VERIFY ALL 05 WATER FLOW.EOf=ONr->/ x 09) 'Ib S S , 0 14,20 ' PU GENERAL NOTES AND ILL IN Lot IS 100,98 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION T 5- 2 CES OLS Map IC30 Garage OF ALL UTILITIES, ABOVE & UNDERGROUND, PRIOR TO h, 0 C� Parcel 44-1 ANY EXCAVATION OR CONSTRUCTION. X0,38+/- AC. 103,131 2. SEPTIC SYSTEM IS TO BE INSTALLED IN COMPLIANCE enc-hm k set 04 WITH 310 CMR 15.00:TITLE V. 16,5141- S.F. X 100,16 Sto a C>rlve 104.Oro 0 jo,_ Left rner door 3. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS sr - B CHMA PLAN IS TO BE USED FOR SEPTIC SYSTEM UPGRADE. < all 1. 2101.28 'o 6 4. DESIGNER TO INSPECT & CERTIFY OVER- "A seumed) DIG, WHEN REQUIRED BY PLAN, AND FINAL INSPECTION BEFORE 15/ Nr-> 0 x PUMP OUT PUMP MACS/SET B AC KFILL. 5. CONTRACTOR TO PROVIDE 48 HOUR NOTICE FOR ANY P AND REMOVE S.. 2 101.ALARM 104.81 REQUIRED INSPECTIONS. LEACWINC-i PIT AND O TH #1 0 6. THIS SYSTEM IS NOT DESIGNED FOR THE USE OF A CONTAMINATED SOILS GARBAGE DISPOSAL. 105.12 7. THE TOP OF ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING TAPE OR A COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED. 10 8. IF SOILS ARE FOUND UNSUITABLE OR DIFFERING FROM THOSE FOUND IN SOIL LOG CONTACT DESIGNER AND THE BOARD OF HEALTH. 0 (38,18 Co 9. IF UNSUITABLE MATERIAL IS FOUND IN THE PRIMARY OR THE 07 04 RESERVE OF THE S.A.S. AN OVERDIG REQUIRING CLEAN 28 TING 310CMR 15.255(3) SHOULD BE USED 104.01 GRANULAR SAND MEETING F`VC:-VENT/AIBUT AS FILL MATERIAL, 5' AROUND AND UNDER S.A.S.. 10. ALL 4" PIPE CONNECTION AT SEPTIC TANK AND D-BOX SHALL BE MORTARED IN PLACE. IF USING 18" PLASTIC RISER PIPES, PUMP FLOW DESIGN x`°O THESE TOO SHALL BE MORTARED IN PLACE. X DESIGN FLOW: 440 GPD 6' x 102,60 Scale: I"=20' DOSING REQUIRED: 4 CYCLES/DAY (SAND) 440 : 4 = 110 GALLONS/CYCLE 01 201 roo, STORAGE PROVIDED INV (IN) EL 96.17' PUMP ON EL 92.86' DIFFERENCE = 3.31' V= 3.31 X 5 X 2.51 = 105.52 C U/FT 105.5 C U/FT X 7.5 GAL/CU-FT = 791.25 GALLONS RESERVE HEALTH AGENT APPROVAL DATE LIVING DINING KITCHEN 1 ST FLOOR 0 DESIGN DATA, WARNER SURVEY SEWAGE PLAN ENGINEER: SEPTIC PLAN STEPHEN HATS DAILY FLOW: (4) BEDROOM X 110 GPD 440 GPD BED BATH BED BED BED 2ND FLOOR NOT DESIGNED FOR A GARBAGE GRINDER FULL LOCATION: 136 FOX HILL RD, CENTERVILLE MA. 02632 SEPTIC TANK: 440 GPD X 200% = 880 GPD USE: 1500 GAL H-10 MONO SEPTIC TANK \I�AOFMASS 16 PREPARED FOR: PETER DEMETRIOU 1000 GAL H-10 MONO PUMP CHAMBER D- BOX: 6 HOLE H-20 D-BOX SPLIT RANCH 29 CRANES LANE, BREWSTER MA 02631 -ANN LEACHING AREA: 440 GPD/ .74 = 594.6 SF USE: 424.9 SF AREA WITH (3) 500 GALLON WARNER 0 No 38721 SCALE: 1 20 MAP: 190 PARCEL: 044-001 . H-10 DRYWELLS AND STONE LOWER FULL bo PERIMETER = 92' CRAWL SPACE - BASEMENT JOB NUMBER: 136-FH DATE: 10/22/2013 AREA = 424.9 SF 0 92' X 2 = 184. SF WALKOUT SHEET NUMBER: 1 REVISION: 10/30/2013 TOTAL = 608.9 SF BASEMENT 7 /� � CAPACITY: OFFICE FAMILY LAUNDRY J. O'LOUGHLIN INC. SIDEWALL: 92' X 2 X .74 = 136.16 29F 3 714 MAIN STREET, YARMOUTH PORT, MA 02675 BOTTOM AREA: 424 SF X .74 = 313.76 DRAWN BY: TOTAL: = 450 GPD NOT TO SCALE (508) 362-4942 KENNETH JANSSON