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Home My WebLink About0028 FOX RUN - Health 28 Fox Run Centerville A= 227- 149 I I Ill! UPC 12534 .2-153L0R ` - ..errs...✓._...,.�..s......�._4.�.r�.ri._.�.�..�....�_ _ — _ _...2.�uJ.WV'�Y^ c2-2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments Z2 y� 28 Fox Run M Property Address McEvoy Owner Owner's Name information is = required for Centerville MA 02632 5-20-18 every page. City/Town State Zip Code Date of Inspection eve a e. Ci /Town -�.. Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the c� computer,use 1. Inspector: only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. D.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. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority a 5-20-18 Inspecto Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Fox Run Property Address McEvoy Owner Owners Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: At time of inspection this system met all minimum passing requirements. This report can not predict the future performance under the same or increased usage.This report is not to be used for bedroom determination. 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-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments °M 28 Fox Run. Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times.a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND(Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy Is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Cityfrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I have determined that one or,more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Forth: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 wM 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 4 Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440 t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. City/Town State Zip Code Date of Inspection D. System Information Description: According to as-built card and permit this system consists of a 1000 gallon septic tank d-box and 5 30 50 h-20 infiltrators as shown on as-built. Number of current residents: Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available(last 2 years usage(gpd)): Detail: 2016---------— 208 2017-----------256 gpd system is not designed for use with a garbage disposal. I did not enter the house so I can not confirm that there is not a disposal. Sump pump? ❑ Yes ❑ No Last date of occupancy: occupied 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: occupied at time of inspection Date Other(describe below): General Information Pumping Records: Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GM 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: s.a.s installed in 9-20-06 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: feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 gallon Sludge depth: light to moderate heaviest at inlet t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA, 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness light and clumping 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? scour pole Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): If tank has not been pumped in the last 3 yrs I recommend pumping at time of transfer and every 2-3 yrs there after depending on usage. Tank was functionong properly at time of inspection. Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GM 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 0202 5-20-18 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Forth: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 GM ' 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 0" Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Box was functioning properly at time of inspection speed levels were on outlet pipes. There was a slight scum layer in d-box. 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: Although there is a observation port shown on as-built I was unable to locate it. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type. ❑ leaching pits number: ® leaching chambers number: 5 3050's ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching 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.): I ran water through the d-box and could hear water dropping into the chambers. From the d-box there were no signs of surcharge or overload. 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 28 Fox Run Property Address McEvoy Owner Owners Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ^M 28 Fox Run Property Address McEvoy Owner Owners Name information is required for Centerville MA 02632 5-20-18 every page. Cityrrown 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: greater than 5feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site(abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 17 Assessing As-Built Cards Page 2 of 2 Commonwealth of Massachusetts _ v Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 28 Fox Run Property Address McEvoy Owner Owner's Name information is required for Centerville MA 02632 5-20-18 every page. Citylrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=227149&seq=1 5/31/2018 Assessing As-Built Cards Page 1 of 2 T N OF BARNSTABLE LOCATION � C U 1 . SEWAGE#174 VILLAGE j�( ASSESSOR'S I&BARGEE ] INSTALLERS NAME&PHONE NO. c/F/� SEPTIC TANK CAPACITY ( _ 1. Q t 1. Lh. LEACHING FACILITY.(type) NO,0f-DM ow M AC FOWTDAM. COMPLIANCEDATE: Separation Distance Between the: . Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility . Feet Private Water Supply Well and Leaching Facility Of any wells exist r on site or within 200 feet of leaching facility)' Feet Edge of Wetland'and Leaching Facility Of any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 'i 043 �z► IL k3. � http://www.townoltbamstable.us/Assessing/HMdisplay.asp?mappar=227149&seq=1 5/31/2018 5 .,'r,eta fl S s°t t,' s1 s at'�`k"µ3+s• n ,. .-.,..:^,o r ;gv *riau <``�,�'4xe' �5;¢,`l.� r kr't`s' R v: s3tY`4 rc, xa .ae cr 6Y�'"#.+G", v�u'?�r.y b� v s?{'.41. 43, �... � : � ®�� .r!` is ,�. �t�e a� +�".n t'�3'c.�, ' -.3 Y C�:� a•";I �'cG'g° 2' �'��i� � .EX'. Jk11 T Y t.{::=f,� '°'✓`�."t.r:.�i R z:'F 4 S3' 4 �+... j�"�.`�w hAt li �' �' Y PRI .S,yt .. ,tlr�fl, v :. '`E"e k" :: f•E'm .i rxr,t:.n.r,'� 3k'1 x'ai,�i+�", .' °E['?` � .'' ..4 x#-,s�'" n a. 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'��r'"''�- 1�� : , Te � ��r$ �.;.� �,�T ,rJ4 ,w,�W� �.s 5.^"-�v�'�- ".t,�..+r��T��'t-am. & �+� '� �'BS>'3 "2�::��''•XN a.*'. �' -skai .�,$-- �O ea j_, ',, ,fyytY "' s, .: �''• w• fi^ JY' r" & �' ,�•s*i d yr m {.::.�. y ,. ��1 �r r'"h ` Agreement: 4 The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in t accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of 3 Compliance has been issued by this Board of Health. e S' ed Date _ — �� Application Approved by Date v"O �t Application Disapproved by: Date for the following reasons ;nt h�, sfy Permit No. �& "�� Date Issued ar-p leh -------------------------=----_.— _.--- the THE COMMONWEALTH OF MASSACHUSETTS led hall BARNSTABLE,MASSACHUSETTS sed Certificate of Compliance = THIS IS TO CE` r`RRT, at the On-site Sewage isposal System Constructed ( ) Repaired ( ) Upgraded Abandoned( )by at DMZg �� yN t=if-n—r has been constructed in accordance u .50 with the pro ' ' s of Title 5 and the for Disposal System Construction PermiNA1o.� G( - j 1 -7 dated ��c�a Installer c P• Designer '57 11 #bedrooms 4Y Approved design flow gpd - iT�he issuance of this permit shall oft be contrued as a guarantee that the system will f ctiop as l 1 Late6 a —.%.i .P+�+ �-ro,T.±. Y 'T^J"'�:'" It15peCOl' J. fi h r _ d+ /��'� A` x,r /� ..._ e.,-+e�+. �•z..�...a.W .r .i r � ,r,.,,. _.r . . <, Fee /p�.�. y.• F.;-. .C.- THE COMMONWEALTH OF MASSACHMSETTS t PUBLIC HEALTH DIVISION—BARNSTABLE,MASSACHUSETTS §ip!8;teW (EongtMCtion ermit Permission is hereby granted to Construct ( ) epalr ( ) Upgrade ( ) Abandon ( ) system located at �o 15= $ stem Construction Permit.The npplicaot recognizes his/her duty" and as described in the above Application for Dirpvol isioos or special conditions. to comply with Title S and the following local p wee years of the d�ro-this p provided:Construction mus}'be completed within o Approved'by Date— 'A, 1 „z f .s-Built Cards Page 1 of 2 T N OF BARNSTABLE LOCATION [ („J tj SEWAGE# VILLAGE ASSESSOR'S &PARCEL ' INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) r r �^'/ VA(size) Nt3,OF mmrs 4WNfR PERMIT DATE. COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility Of any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility Of any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY Q 31 . d http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=227149&seq=1 5/31/2018 40 1;7TaN OF BARNSTABLE OCATION J SEWAGE# `' L?7 ILLAGE ASSESSOR'S WP&PARCEL "' f INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 5 � �/�^r/(,l /�(size) NO.OF BEDROOMS OWNER ) PERMIT DATE: `IP' 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 f FURNISHED BY � �� f � o i � � � � � (� � m�__��_. ��'t sae , _ � � a' � � ► - � � Pa-� � �� 3� � �� r � q No. /� S Fee T F A H ETT Entered in computer: V THE COMMONWEALTH O MASS C US S PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 3ppli.Cation for Migozal *pgtem Con.5trurtiott Vermtt Application for a Permit to Construct( ) Repair( ) Upgrade Abandon( ) ❑ Complete System 2<4ndividual Components Location Address or Lot No.j5?? rI.0 t`Upj CeA,t fU tl Owner's Name,Address,and Tel.No. '37 Assessor's Map/Parcel 227 f Install Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) `7 `�' gpd Design flow provided gpd Plan Date Pf`�-a(o Number of sheets _ Revision Date Title Size of Septic Tank .1i6c1 k6o O Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /;�� ✓ �1 uc��y 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. S' ned Date ` Application Approved by, Date �$ Application Disapproved by: Date for.the following reasons h Permit No. O�l� "1 Date Issued 14d No. .tt t-i'O Q� ----� Fee " » THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplicatiott for Migogal .pgtem Cottgtructiott Permit Application for a Permit to Construct O Repair( ) Upgrade�andon O '❑ Complete System Kindividual Components Location Address or Lot No.0 r X f,t,/yV CCA P!'�V�� Owner's Name,Address,and Tel.No. ' Assessor's Map/Parcel 22-7— 1 Instal Or ame,Address,and Tel.No. Designer's Name,Address and Tel.No. Co. .,w..c SHi47/ , l Type of Building: ? Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flow(min.required) 41L D gpd Design flow provided T `�' 7 gpd Plan Date la Q�'La(a 7_07Av Number of sheets 1 Revision Date ' Title C_ CV 0 Size of Septic Tank GGKr 1 _\G 0 0 Type//oo�f S IA.S. 30 7` O C arts h" (_ Description of Soil LO �1 / kl I VLQ}C_ S�k LJ Nature of Repairs or Alterations(Answer when applicable) (,a.,'. ✓ iD�c/�t-" � � r 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. _ Si'gned� Date - -0/(/ Application Approved bye ,` Date Application Disapproved by: Date for the following reasons Ja � Permit No. ;` Date Issued Ll / THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance >< THIS IS TO CERRTTJ at the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded (✓}� Abandoned( , by { y b"v�S at D�? 1::6'1- KJ nJ G��vT-c"+ ��\� has been constructed in accordance with the prowsi n\s of Title 5 and the for Disposal System Construction Permit No.�- C�' /<< dated Installer d�O P am/ Designer .5;7 4 1 to #bedrooms 1 Approved design flow / , gpd The issuance of this permit shall not be construed as a guarantee that the system will fdnctiio as desi�1a Date j c3 v�(O Inspector No. " C—C)`s% " 1"3 / Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS igfJOgaY *p$te11I Cottgtructiott ermit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade (� Abandon ( ) System located at v2o K �-"`- G'�v�t ✓`\ and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction (must be completed within three years of the date of this permit.\ Date /cS ' Approved"by 12/16/2016 23: 13 FAX IR 001/001 Town of Barnstable 1He Regulatory Services Thomas F. Geiler,Director t etas, t - IL ' Public Yiealth Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862.4644 Fax: 508-790-6304 Installer&Designer Certification Form Date: 9-20-06 Designer: Shav Environmental Services, Inc, Installer: Robert Se tic Services. Address: P.O. Box 627 East Falmouth Address: 5 Trenton Street _ _MA 02536 _ Yarmouth.MA On 9/06/06 Robert Septic Service was issued a permit to install a (date) (installer) septic system at 28 FOX RUN. CENTERVILLE,MA based on a design drawn by (address) Shay Environmental Services. Inc. dated 9/05/06 (designer) XX I certify that the septic system referenced above was installed.substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. k 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. ARM (' s ler's ign ) E Y N 1181 �l� E¢ffi SAIN TLM P� (Designer's St (A esPIWITamp Here) PLEASE RETURN TO BARNST.A,BLE PUBLIC HEALTH DIVISION, CERTIFICATE OF COMPLIANCE WII.I, NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK,YOU. Q:Heix(WSepticMesigner Certification Form 9/16/03 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems. Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I �wc7 ►E� hereby certify that the engineered plan signed by me -- dated concerning the property located at Z meets all of the following criteria: • This failed system is.connected to a residential dwelling only....There.are no.commercial or business uses.associated with the.dwelling. • The.soil is classified as.CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct deep test holes and percolation tests.at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The.bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the. Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information). C3 B) G.W. Elevation +adjustment for high G.W.__� DIFFERENCE BETWEEN A an SIGNF,D : DATE: —4 lic. oc, NOTICE Based upon the above information; a repair permit will be issued for bedrooms maximum.. No additional bedrooms are authorized in the future without engineered septic system plans. gASeptic\percexemp.doc 1 �' 1.00AT ION �Ot &Xio SEWAGJPER�IIT NO. VILLAGE Cen ter id/L le. I N S T A LLER'S N E a ADDRESS J .S. f�r)s� d U 1 L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED jy � � � ��.� � � '' � � � � �� h ryWy� �I x •Fd I f No... Fmc 5.0............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....Terw-0..................OF...... Appliration for Dispoaal Works Tunstrurtion ram it Application is hereby made for a Permit to Construct ('-<or Repair an Individual Sewage Disposal Sy stem at .V.... . ........................... .................................................................................................. cyion-Address r Lot No. ...................................................... trAe.!�k .......m4L 0--- -----------------54 c OW Address ....�J.41nv.S...... -DAI 2�A--------------------------------- .............. Installer Address Type of Building Size ----Sq. feet Dwelling—No. of Bedrooms......I.................................Expansion Attic fJt)) Garbage Grinder (k16) 04 Other—Type of Building 004t....el)........ No. of persons.....3..-•••-•. Showers Cafeteria (,4jq 04 Other fixtures ......0...&-n,-.e............................................. ..................................................................... Design Flow............. .....................gallons per person per day. Total &ly flow.......... ....................gallons. W 1:4 Septic Tank—Liquid c.t 1&6'0-allons Length.....J.0..... Width .*....... Diameter---4L......... Depth...dons. Yr........ caRa i v.. ........- Disposal Trench—No. W.0��... Width.................... Total Length.................... Total leaching area__.2.(a4A.....sq. ft. Seepage Pit No_____________________ Diameter.__..._.._.......... Depth below inlet_._...._............ Total leaching area..................sq. f t. Z Other Distribution box (A) Dosing tank Percolation Test Results Performed by.__FxAXT r=_. .......................... Date-43/W o............ 1.4 ,_l Test Pit No. minutes per inch Depth of Test Pit...........__.. Depth to ground water..__ 1-� 44 Test Pit No. 2................minutes per inch Depth of Test Pit---_____---_____-_-- Depth to ground water..__._.................. P1 .............---------------------- ----------------------------------------------------------------------------------------------------------- 0 Description of Soil.....L.D.4 _g.... ......0.—.;)...............M.e ?......;, ................ U ......................................................................................................................................................................................................... W Z ....................................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------ ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE IL LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in oper n until a IC ifi t of Complia as been issued by the board of health. igned --- ---- . ............... Date .................... .. Application Approved By..... --------C-21 .................... , ------------------Date Application Disapproved for the ollowing reasons:................................................................................................................ ....................................................................................................................................................................................................... Date Permit N Perm, o------------ -5—_77----------------------- IssuedL............ ... ....9S............. D. , No. Fims.._.5.1?............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............................................. ApplirFation for DispnoFal Works Tonotrurtiow ramit Application is hereby made for a Permit to Construct (r--) or Repair ( ) an Individual Sewage Disposal System at: . O Location-.Address or Lot No. ......................--^..............................._..._..-*--•--••---•...-••-------•--•---- ---•--.._...._.... `-•`•---.....---............................................................. Ownei ' Address a - In Installer Address Type of Building Size Lot.... -----Sq. feet V Dwelling No. of Bedrooms.___.__�____________________ -____Ex anion Attic .�-+ g— --------- p ^(� ) Garbage Grinder aOther—Type of Building ..........'.......s_..._____ No. of persons..... _----------_._..._. Showers Cafeteria (r Otherfixtures .................. -----------------------------------.-•-•••••----••-•-•--•••-•••••--------•-----•--................................................ W Design Flow.............. _ _______________________gallons<?per person per day. Total daily flow------------ .......................gallons. WSeptic Tank—Liquid capacity_!?!'t)gallons Length___._.___!._____ Width---- Diameter._�_.___._.____ Depth___ __________ Disposal Trench—No.L'__' _ x . .E.. . ._.___ Width____________________ Total Length._._.______.....___. Total leaching area --------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (>e�) Dosing tank ( ) J Percolation Test Results Performed by..a.__�_w__�__:____�___._:..-L_.w._______________________________ Date_d--_ l._ Test Pit No. -'1 : -_:.:_.___minutes per inch Depth of Test Pit...+__ ___________ Depth to ground 1water... ________ . (z, Test Pit No. 2.................minutes per inch Depth of Test Pit..............:----- Depth to ground water........................ a -- ------------------------------------------------------------•--------------------- ----- -------------•-------- ti 1 , ' Description of foil - a=_ ......... ._-=----• ... r:..: ..............-------•-•• -- ••-••-•. =- ----•-------------•--...-------- x W ---------------------------------------------------•-------------------------------------------------------------------------------------------------------------------------------------------....._._. U Nature of Repairs or Alterations—Answer when applicable______________________________________________________________________________________________ -------------------------------------------------------------•-----........-- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in ope on until a C tifi t of Complia as been issued by the board of health. igned '----==---- ...ff tr _......---•---�-------------i•-_•_;=-----•---------•-----•'-- --------Date:_.....------ Appication Approved By------------------------------------------------------------------------------------------f------ D ate Application Disapproved for the following reasons----------------------------------------------------------------------------------------------•----•--•---•-•••- .....................................................=.............................-...................................................................... -----------------------------------•--•-••-- "` _ Date PermitNo........... ............7------------------------ Issued...........t --------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH • .......................................... ... �....a�..4, ....................................... Ur#if irtttr of f ompliFattrr THIS IS TO CERTIFY, That.the Individual Sewage Disposal System constructed ) or Repaired ( ) / f by---•-•. •••-=•••...:........ ....................�•-----••-••---•-•-----•..__.__...---••----••-•-----•...•----------••----•.._....• -----.....-•-...-----•-....•-•-•_-- _ Installer 1 { . ( ' has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code s d cribed in the application for Disposal Works Construction Permit No-----ia___"`��__: '......�1_____________ dated_...._.-./-___ _ -_._________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GU;AA EE THAT THE SYSTEM WILL FUN TON SATISFACTORY. DATE.................. ...... ....................................... Inspector.....----....-- --- ---- ............................................. THE CC6MMONWEALTH OF MASSACHUSETTS 6bAAD OF HEALTH ... y....LS�..... . OF.... t�.....__: ._:4 ..................l..t................................ p .. No.. - FEE..._ _. Bioposal Works Tyonstr ioat 'pan fit Permission is hereby granted________ _________J----------- ______._.___...___ '< -� ---------------------------------------------------••-----•--•-....•••_.._._........_...... to Construct (v) ort Repair ( .) an Individual Sewage Disposal System at No -' ` Street as shown on the application for Disposal Works Construction ermit No..................... Da d-------- ------ Bo _._._..__.....__._._..._.. .._....••-• � 1 ard of Healt DATE..--•- 4 Z_L_.tl1'-............. FORM 1255 A. M. SULKI N, INC., B STON r r to B TtIL�i ' lo I rJ TIW MAe A Ik,\985 33 �J r S.�N/7 �p7 hS'/7fJi�S.�p.1 Q�S� �fJ-1�jY 07/7oas'S'Np3a�i�i'/Y/1lOrG/S -a1S�Y/rY v'r✓�O��fI 1o/v s'i /1'v7o'S�f/1 �""�' ,- �• J, � 1��Z-/ ol c/7 vp �-�-z,,f cY ;;W-Z '7N/ �i//Y 9 a.31X{''� �H/`y�0/.5'.�/`/...L//-1//�7 S�C7lJJ�✓O.7 N��a�iy 8 `1t•� lti971 . i v1 OI • ''//v1 '.o . . /W/ 000' 1S/O ,yy oOCJ/ �o V- >41YI -�- '�'' �-i'vrY.1S9.l ovz ON 83-1 XV8 c�l U31:1d o� ,rS'm�J jo1a� 0�'�' _/No7.�'-47/y'Q 7b10-_Z /Y-5;/l , •p a'� OAS' _. �/ �I' a'S' vs' C-2 7/do Hqv�Fa'v9 ortr" -.G i Yumot. serer SECTION A -A PROFILE VIEW OF LEACHING SYSTEM �W�+�FROM BE J 10' min. from 'NOTE ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. t2• COfICREIE COVER house to septic tank D-BOX cover must be Not to Scale �T LL`�FOR AT LEAST z Existing Foundation Septic tank covers must be hin 6 in. of finished grade 'r-' T.O.F. elev. _ 100.00 within 6 In. of finished gradeKN60CKOU0 Grads over D-am-99.00 Z-Gode o.er sAs- se.so :" s r/I<•- r/s• �.ws rwae. \:caod.over Ssptic Tonk- 9850 I•�. f r/r • ti.R.s CrarMt s/w.. ' 3.5• lY OUTLET f 4 PVC(CAPPED)INSPECTION PORT TO LiE \ •: r S = 0.02 3 HOLE INSTALLED AND TO BE rIITMN 6.OF GRADE T Load - Etev. --95.88 S=0.o1 or greater (H-10) DIST BOX Top is s- N 10' EXIST. 1,000 GA S= 0.010" foot Co Top of SAS-Elev.=95.50 t.75• FROM DIITIIN SEPTIC TANK +s' o - M �. Lam. 24- Effective PLAN SECTION CROSS-SECTION = H-10 n as " �.... to to o Sidewaii �,,x. CONCRETE FULL Faa+an " " o o I �� 3 HOLE H-10 DISTRIBUTION BOX O > > rn 4. 4 4' o `�. V err o SYSTEM PROFILE LENGIMS AS SHOWN IN PLAN MEw NOT TO SCALE ,r " GENERAL NOTES Not to Scale c c o Effective Hleftfi j s h.of 3/4"_, 1/2• o S❑IL ABS❑RPTI❑N SYSTEM (SAS) E ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6• BELOW GRADE aampocted atomo 0 1. Contractor is responsible for Digsafe notification, Verification of Utilities NOT _ CD INFILTRATOR MODEL 3050 (H-20 LOADING)/ SUMNER & DUNBAR and protection of all underground utilities and pipes. 2. The septic tank anj distribution box shall be set No Groundwater observed a/32• (OR EQUIVALENT) level on 6" w of 3/4 -1 1/2" stone. Bottom of Test Hole I Elev.-87.50 NOTE: OVERALL HEIGHT i7F INFILTRATOR IS 30" AFFECTIVE HEIGHT IS 24" 3. Backfill should be clean sand or gravel with no Groundwater Observed - NONE OBSERVED stones over 3" in size. 4. This system is subject to inspection during installation PERCOLATION TEST by Carmen E. Shay - Environmental Services, Inc. 5. The contractor shall install this system in accordance with Title V of the Massachusetts state code, the approved plan Date of Percolation Test: APRIL 22, 2006 Test Performed By. CARMEN E. SHAY, R.S., C.S.E. and Local Regulations. Results Witnessed By. WAIVER (Per Barnstable B.O.H.) 6. If, during installation the contractor encounters any EXCAVATOR: Shay Env. Svcs. soil conditions or site conditions that are different Percolation Rate: Less Than 2 MPI ® 36" from those shown on the soil log or in our design installation must halt k immediate notification be Test Hole Test Hole - 00 made to Carmen E. Shay - Environmental Services, Inc. No. 1 No. 2 98 7. No vehicle or heavy machinery shall drive over the � DEPTH SOILS ELEV. DEPTH SOILS ELEV. �' 'y ��' septic system unless noted as H-20 septic components. 0 98.50 0 98 8. Install Tuf-rite gas baffles or equals on all outlet tee ends. 9. All Distribution Lines shall be 4 diameter Schedule 40 NSF PVC pipes. Sandy Loam Sandy Loom �/ �� ,o rR 3/-2to rR 3/2 ' � 1 10. All solid piping, tees k fittings shall be 4" diameter ' i Z�O Schedule 40 NSF PVC pipes with water tight joints. 0"-ti" A. 98.00 D•_g• As 98.00 / i ' / � 11. Municipal Water is Connected to ALL OF The Residence and Abutting Loamy Lam i t, Properties Within 150 Feet. � r to rR 5/6 ,o rR s/6 i THE PROPERTY LINES ARE APPROXIMATE AND 6"- 30" Be 95.50 6"- 36' Be 195.50 / ' TEST HOLE #2 j COMPILED FROM THE SURVEY PLAN GENERATED BY Medium/Coarse Medium/Coarse j BAXTER & NYE. of OSTERVILLE, MA Sand Sand , ELEV.= 98.50 f 1 / ENTITLED "CERTIFIED PLOT PLAN OF LOT #2 FOX RUN, 25-1 7/4 15 r 7/+ i 24 -I CENTERVILLE, MA, DATED JANUARY 2, 1985 30'- 132 G 30"- 132 C, f ; ,_ �_ :,� i AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN / i °'•- I , IT SHOULD BE USED FOR NO PURPOSE OTHER THAN f i / THE SEPTIC SYSTEM INSTALLATION. /i TEST HOLE #1 - / EXISTING LEACH PIT TO BE PUMPED OUT AND FILLED IN PLACE LOT #1 ELEV.= 98.50 2 • i •ram- / i NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE FROM THE EXISTING LEACH PIT TO BE DISPOSED OF AS PER BOARD OF HEALTH SPECIFICATIONS. / L-42. 1 5. THERE ARE NO WETLANDS ARE PRESENT WITHIN 200' .OF THE-PROPERTY Perc #1 . / Cb Depth to Perc: 36" to 54" I / I PA Perc Rate= 2 MPI j i i ASSESSORS MAP 227 RCEL 149 Groundwater Not Observed PROJECT BENCH MARK 1 t t EXIST. 1,000 GAL. SEPTIC TANK LEGEND No Observed ESHWT TOP OF FOUNDATION �� j ADJUSTED H2O Elev. = None ELEV. = 100.00 (Assumed)/ 017ailed i DENOTES PROPOSED 2-1a•DIMA. ACCESS MANHOLES \\ Leach PIt i' i LOT #3 104X1 SPOT GRADE �Op, �� 0 i DENOTES EXISTING / x 104.46 SPOT GRADE . .6 PL DECK PROPERTY LINE INLET \ :< OUT i jf r L ` ! PROPOSED CONTOUR /HE� T ACCESS COVERS FOR THESEPTIC TANK, -� -9 q EXISTING CONTOUR DMIPoBUTION Box AND LEACHING COMPONENT #28 SET DEEPER THAN 6 INCHES BELOW FLASHED +,e�_s :�'• ti s_ ?ti ..�,: ._... GRADE SHALL BE RAISED TO WITHIN 6' OF / EXIST. I i.STEEL REINFORCED PRECAST CONCRETEFINISHED GRAM GARAGE EXISTING Oft Eauus � 4 BEDROOM I t ^ ® DEEP TEST HOLE & 6vsrALL TUF-mE GAS BAFFLES o PLAN VIEW EXIST HOUSE ;\ �\ PERCOLATION TEST LOCATION 3-24' REMOVABLE COVERS-1\ \ DRIVEWAY `� .- 6 FOOT STOCKADE FENCE 4• 3• min. clearolmm ,r J}-WEr R1LET 8' min. Y min. Wet to outlet 6. ld mh Upuld IevN 't - OUTLET 5 -r _ s' -r I I P � 0pT I L�AI V i. E v 1. 4'-0•min. T / �� id depth OF PROPOSED SEPTIC SYSTEM UPGRADE t � / PREPARED FOR T. •�:� ;�_- serer :, 4--,0• , I LOT #2 60.62 CROSS6 SECTION END-SECTION I 2067 Square Feet CD ` L •�0, M R. JAM ES M C EVOY i I R 593I AT TYPICAL 1000 GALLON SEPTIC TANK w #2H FOX R U N NOT TO SALE f �- CENTERVILLE MA 1 � , Design Calculations i _ 9 7.52 PREPARED BY: Number of Bedrooms: 4 Bedroom EXISTING i I L I , � N OF Garbage Grinder. No 30.00 / � `n\� CARMEN E. SfA Y Leaching Capacity Required: 440 Gal./Day (MIN. PER TITLE V) - y� Septic Tank : - 2 x 440 Gal./Day =.880 USE EXIST. 1,000 GAL. Septic Tank. $i R � o �} IEWVIRONMENTAL SERVICES, INC. Bottom Area: 0.74gal/sq. ft. x 4-44 s . ft. = 328.56 gallons q Sidewall Area: 0.74 gal./sq. ft. x 200 sq. ft. = 148 gallons �� U� 0. P.O. BOX 627 Providing: = 476.56 gallons �"- -� � wP� �OF 0 0 20 40 50 Gas , �° EAST FALMOUTH, MA 02536 Use: (5) 3050 H-10 INFILTRATOR CHAMBERS, HAVING A 2' EFFECTIVE DEPTH, FOX R�GN� sq�i ��r>� TEL/FAX 508-539-7966 TO BE USED WITH 4' OF WASHED STONE ON THE SIDES AND AO FOOD 2' OF WASHED STONE ON THE ENDS. SE: 1"=20' DRAWN BY: CES DATE: APRIL 26, 2006 UNITS TO BE SEPARATELY PIPED AND PLACED AS SHOWN. SCALE: 1"=20' PROJECT#SD906 FILENAME: SD906PP.DWG SHEET 1 OF 1