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HomeMy WebLinkAbout0018 GREAT MARSH ROAD - Health 18 GREAT MARSH ROAD Centerville A = 230 - 006 T MEAe Na 2-15UM UPC 12534 smead.com • Made In USA No: Fee THEOMM NWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISICN . TOWN OF BARNSTABLE, MASSACHUSETTS application for IDispooal-OpBtem Construction 3pPrmit Application for a Permit to Construct( ) Repair(?k Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Cz,R6;,*Y ► ARS f1 1Zn Owner's Name,Address,and Tel.No. Assessor's Map/Parcel o23 0 0 O 1 g C-jZe�4T Ao,+95 RD <4B��JJU. ' Installer's Name,Address,and Tel.No. �Cj&-t�,r�r� ��� Designer's Name,Address,and Tel.No. CA®cWtN,- 01 �S&-r SC. 153 C-00A uc11QtA-C. SC A-165 P ' M'54 Type of Building: DwellingNo.of Bedrooms � Lot Size �1 f�:.15 '�sq.fr. Garbage Grinder( ) Other Type of Building P_tS 1pLA)Tl j4L_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) o gpd Design flow provided 3 , ;O gpd Plan Date 10 ^-;L�L r 31,01 A. Number of sheets I Revision Date Title 19 Q-0-t*-e- (4Ai2SR Ri,A0 Size of Septic Tank 1 500 Gr 4(_t,0 0 Type of S.A.S. 11 Apt e 3(-, 1-4c, a 1 O D 1 FF J_(A:;5 Description of Soil r-Ih)6 —A4&T (_()AJA-4 6AV-1T) Q �j0 At( 1bI S r-_� P(��j Nature of Repairs or Alterations(Answer when applicable) 1lC F '1�4& W tom) C)"3 O>G T'O 2 Ry ka ,,. 8 6r -7 AQC- 2>6 64L A(CNF P�� 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 He S' e v Date (;p, Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 1(f:7� 3 - Date Issued Fee O THE MM NWEALTH OF MASSACHUSETTS Entered in computer: . Yes PUBLIC HEALTH DIV -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for 30isporMpstem Construction 3pPrmit Application for a Permit to Construct( ) Repair(X Upgrraade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 18 QR6-p.r MARStt RT) `` ,Owner's Name,Address,and Tel.No. Csmne V/ .WtAYTI4t'U_1 C--WtG Assessor's Map/Parcel U 0(7 IS -tke-A-T- At 0_5 20 1:L� 1 _4Gr Installer's Name,Address,and Tel.No. sblf-4 Y 7-66 Designer's Name,Address,and Tel.No. Lewtoer (_-,r -AjUJS&T ZC :puC. G C' SIT- Type of Building: :. Dwelling No.of Bedrooms Lot Size Et V;1,S++sq.ft. Garbage Grinder( ) Other Type of Building p jErS t RtWTt jot_ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3:C) gpd Design flow provided 3 7 3,O gpd Plan Date 1 p --Z�- c� � 1 Number of sheets I Revision Date Title 1 e C_Q - ,N4A(ZS14 P,Q 4 b Size of Septic Tank 1 5oD GAt t-o tJ Type of S.A.S. ;t I A& 0_ I-4e F-j=QkW- Description of Soil I A�� K,f� 1)AdAy Stfw� ® 30" AI Q�t u u.e 5 g4jb CZ�lC� t 1 Nature of Repairs or Alterations(Answer when applicable) V5G �I a t-) (Sao C-�04-4v (?Cy(61`L 5 8OX, Im 2 R sa.1e lr,)F 77 Ai<<3(= A(CD1PFH� 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. Si Date I(:) -;Lq-20(� Application Approved by Date } y !- Application Disapproved by Date for the following reasons Permit No. I� Date Issued A4 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(x) Upgraded( ) Abandoned( )by CAPE(o)(p g C�Lc . at I R 6 A Q-r Aa dot S61 R b <6X)jTQ V j LL L:has been constructed in accordance L with the provisions of Title 5 and the for Disposal System Construction Permit No. dted Installer�tq_���, 9j<&9 L-C c Designer �L #bedrooms 3 Approved design flow 3 3 Q gpd The issuance of this permit shall not be construed as a guarantee that the system ilk 1 functiomasv 1`e+signed. Date I I Inspector C No. n f �" ��( Fee 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstent Construction J)ermit Permission is hereby granted to Construct( ) Repair(>� Upgrade( ) Abandon( ) System located at 19, QR EVVT M G'Qs u PC)" G�k&Gjq and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed wi hin three years of the date of this permit. f Date /� � � Approved by _ �� Town of Barnstable T Regulatory Services Thomas F. Geiler,Director °^"NS''ABM ' MA&7. Public Health. Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 flax: 508-790-6304 Date: 1 I"21 I Sewage Permit# 20 to Assessor's Map/Parcel . Z36 (o Installer & Designer Certification Form Designer: -SC E93t_neeCinn�, Tine, Installer: CaCeu:ide. 6&erect'se.S, L/-C Address: 2.L511 CC0AWX(1/ H14AWoy Address: (J 3 Ca r•-erUtia+ Sr East wc+rehuvn H� ca.�38 , `"1r�5�✓c�e �tr, a- 62�'-�� oll �0 2,mil. z e , C'ZI,�{r St was issued a permit to install a (date) (installe ) septic system at I g GfeaE �Orsl" 90A-d based on a design drawn by c (address) -TC L-t1 q:to e e r i Arc , Tyl C. dated ©jo�ozr 7 Z, Z 012. (designer) V/ 1 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. Stripout (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. Stripout (if req nspected and the soils were found satisfactory. "OF10 a CNN L. CMURCHI�I s 'w (I Iler's Signatu No ci J a1b07 Nn� esioner s Signatur (Affix esi e s mp Here) PLEASE RETURN O BARNSTABLE PUBLIC HEALTH 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. i t,tl'lir�limts\,I,signercuniliCatinn ftim.dut k t TOWN OF BARNSTABLE LOCATION /3' G rca.+ Altl z� R4 SEWAGE# VILLAGE C_p,rA�yr y+ AI _ASSESSOR'S MAP&PARCEL330 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY J LEACHING FACILITY:(type) / X 36 HC)H"dO (size) K X 35" NO.OF BEDROOMS,]? OWNER PERMIT DATE: /t912 y 12b 1 L COMPLIANCE DATE: Separation Distance Between the: s Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility4ixg--,nlcred n4 /dp Feet Private Water Supply Well and Leaching Facility(If any wells exist on i site or within 200 feet of leaching facility) /� 1� Feet Edge of Wetland and Leaching Facility(If any wetlands exist within e 300 feet of leaching facility) Feet //I FURNISHED BY I-L L GApew�ale E,✓TE�P�:�ES I � r r C-3 _a4� &57 6� s 9/l g/�z tHE Town of Barnstable Barmmnes .�� Board of Health 1���I $nartsrnst.t;, MASS 200 Main Street, Hyannis MA 02601 039. 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi Paul Canniff,D.M.D. November 20, 2012 Ms. Jacqueline Michelove P.O. Box 685 Hyannisport, MA 02647 RE 18`GreatMa`rsh`Road, Centerville A , 230-006 . Dear Ms. Michelove You are granted an extension, on behalf of the estate of Matthew Fink, to replace or upgrade the hydraulically failed septic system located at 18 Great Marsh Road, Centerville. This extension is granted for one year, until September 18, 2013. .You indicated in your e-mail that you are awaiting a decision from the Probate Court as to the naming of the Personal Representative to take care of the estate. Your cousin, . Matthew Fink, previously resided in the house and suddenly died on June 23, 2012. The house is currently vacant. Due to the above reasons, the Board is granting this extension. 4neeri, D., u Chairman lth Q:\WPFILES\SepticUpgradeExtension2012 Mlchelovel8GreatMaIshRdCent.doc Page 1 of 1 7 7 McKean, Thomas w From: Jacqui Michelove [Jacqueline.Michelove@comcast.net] 30 Sent: Wednesday, September 05, 2012 3:17 PM To: Health Subject: 18 Great Marsh Road Septic System Findings To: Thomas McKean, R.S. CHO Agent of the Board of Health Pursuant to our telephone conversation and receipt of certified mail#7006 0810 0000 3524 6642, 1 am requesting an extension for replacement of the cesspools at 18 Great Marsh Road, Centerville for up to 12 months. My cousin, Matthew J. Fink resided at that house and suddenly died on June 23, 2012. My husband and I are awaiting a decision from the Probate Court as to the naming of a Personal Representative to take care of his estate. No one is living in the house at this time. We are cleaning the house presently and will turn off the water when we are done. At this time, we are planning to contract with Capewide Enterprises to construct a Title V septic system in accordance with 310 CMR: Department of Environmental Protection. However, until we have cleared the financial issue with the Court, nothing can be accomplished. As soon as the Court appoints the Personal Representative, we will let you know and will proceed with the implementation of a Title V system. If you have any questions, I can be reached at 508-778-0711 or through the email above. Thank you for your consideration. Jacqui Michelove °pTHE Tp� Town of Barnstable Barnstable y� � Regulatory Services De A94mancaCm�;i, g y Department � ; R , � BARNSTABLE„ j 9 MASS. a ' ]Public Health Division O°A bgq. p`�m rfb MA�� 200 Main Street, Hyannis MA 02601 ZQQ'7 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7006 0810 0000 3524 6642 August 28, 2012 Estate of Matthew Fink 18 Great Marsh Road Centerville, MA 02632 The septic system located 18 Great Marsh Road, Centerville, MA was last inspected on 7/27//2012 by Shawn Mcelroy, 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: • The septic system is in hydraulic failure, You are ordered to (1) repair or replace the septic system within sixty (60) days from the date you receive this notification Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH omas McKean, R.S. CHO Agent of the Board of Health ' ti Document] Town of Barnstable Barnstable �F THE TO� Regulatory Services Department is IIA Imp -cs.LE,, �. public Health Division �- 039. A�� 2007 f°-- 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL# 7006 0810 0000 3524 6642 August 28, 2012 Estate of Matthew Fink 18 Great Marsh Road Centerville, MA 02632 The septic system located 18 Great Marsh Road, Centerville, MA was last inspected on 7/27//2012 by Shawn Mcelroy, 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: • The septic system is in hydraulic failure, You are ordered to (1) repair or replace the septic system within sixty (60) days from the date you receive this notification r.7 Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH omas McKean, R.S. CHO Agent of the Board of Health Documentl 1 Commonwealth of Massachusetts _ r Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form.Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. General Information 1. Inspector: , Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name 29 Atwater Dr Company Address E. Falmouth MA 02536 City/Town _ State Zip Code 1-508-495-0905 .� 1/Yl qo7 SI3971 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 7-27-12 Inspector's Signature' Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. 7 1 ` t5ins-11110• Tide 5 Official Inspe on orm:Subsurface Sewage Disposal System-Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 IL Commonwealth of Massachusetts _ r Title 5 Official Inspection. Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of.lnspection B. Certification (cost.) 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 s ❑ 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): t 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 r 1,1/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -'Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following,for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or ® El ' 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 %day flow t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Fora a - Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town, State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS,cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy.is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ z 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 8 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 El El Area 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•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth of Massachusetts u v, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments w, 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes"or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (if they were not available note as NIA) ® ❑ 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): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official -inspection Form a o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is Centerville. r MA 02632 7-27-12 required for every � . page. City/Town + State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? [if yes separate inspection required] ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? r ❑ Yes ® No Last date-of occupancy: t. 7-2012 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•11/10 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 w� 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is Centerville MA 02632 7-27-12 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: N/A 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) El 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-11110 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 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1958 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ® cast iron ❑ 40 PVC ❑ other(explain): Orangeburg Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: r, ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 L Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness- Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of 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•11/10 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 �M 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. CityTTown 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.): I' 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.): ' k *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins•11110 1 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert N/A 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.): Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•11/10 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 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA , 02632 7-27,71.2 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: r ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number,dimensions: ® overflow cesspool number: 6'x8' ❑ 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.): ; Overflow cesspool had clear signs of hydrolic failure with stain lines above inlet invert. i Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2-inline 7211 Depth—top of liquid to inlet invert 11 ,r Depth of solids layer 12 • 211 Depth of scum layer Dimensions of cesspool 6'x8' Materials of construction Block Indication of groundwater inflow ❑ Yes ® No t5ins-11/10' Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 M wl. Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 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-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville E MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below a ❑ drawing attached separately ga r dC g c _ a 1 t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 t Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water t ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database- explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 I r. Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 18 Great Marsh Rd Property Address Estate of Mattew Fink Owner Owner's Name information is required for every Centerville MA 02632 7-27-12 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file , t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 .1 TOWN OF BARN ESTABL LOCATION 8 Cn� f /V(CLf lPp/ SEWAGE # VILLAGE e o f Cry l�e ASSESSOR`S MAP&LOT INSTALI_.ER'S NAME&PHONE NO. SEPTIC TANK CAPACITY / LEACH]NG FACtI,ITY: (type) 462 5 _r (size) NO.OFBEDROOMS 3 - jaUILDER OR OWNER PERMITDATE: 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 209 feet of teaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of I hung facili ) Feet Furnished by s� � G�l ti G _p -0 - 3:4 Town of Barnstable P# ' Departinent of Regulatory Services s F Public Health Division Date 1-4 MABEL 200 Main Street,Hyannis MA 02601 10 5.Ja A:%Date Scheduled Time Fee Pd.- Soil SuitabilityAssessment • o�f Sewage Disposal ..," Performed-By:_BCodtZtf N. $eCkpt O C 1 l Witnessed By: LOCATION& GENERAL INFORMATION Location Address Owner's Name P104T-rogw G l N(L g GALt 4T �ZAU" Rve4 D Address 18 C't�T!!l•'4^) � G''✓lt.t a� '. �d��Ytc.C.E r Assessor's Map/Parcel: 30l bp(, Engineer's Name dDEk>[9E CX)raPQ4j 4:3c C,.1,5c teerm_5 NEW CONSTRUCTION REPAIR _ Telephone# 5oS-273-637 Land Use: -t(04e- �0,1i(y dwe. t n Slo es % L2 P ( ) Surface Stones Distances from: Open Water Body ft Possible Wet Area - ft Drinking Water Well _ ft • � Drainage Way y ft Property Line 7 P Y fU ft Other g SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) • Sc� a k}mod �l� Parent material(geologic) oukwas� Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Rpee Estimated Seasonal HIgh Groundwater 7 t 20 b5s DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Dcfecl C,46eauaytoh Depth Observed standing in obs.hole: -7 t 2 6 In, Depth to soil mottles: In. Dcpth to weeping from side of obs.hale- In, Groundwater Adjustment 1<. Index Well# Reading Date: Index Well level , Adj,t tetor Adj,Groundwater level PERCOLATION TEST Date `�-�-(Z Time I b ArJA4 Observation Hole# 1 Tim,at9" /6.2�R19 � �� 4 Depth of Perc �'y ' Z r Time at 6" 1o:3 i Art Start Pre-soak Time @ r 0:o 91Q H _ Min S End Pre-soak I0:2-YAN Rate Min:fluch 49 I Site Suitability Assessment: Site Passed yes Site Failed: Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back---------- I ***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:ISEPTICPERCPORM.DOC DEEP•OBSERVATION HOLE LOG Hole# I}2- Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) C (Munsell) Mottlin gA (Structure,Stones;Boulders. consiste " S A SL I 312 j6Y.- 54 _ 30�.92 C-i '�-n L.S . , 2;5'Y (D/6 _ 25%gcouol some csW s 9 2-120 C-2 2.5 i /3 -- — DEEP OBSERVATION HOLE LOG Hole# Depth from, '� S41fHorizon '. Soil Texture. Soil Color Soil Other Surface(in) (USDA) (Munsell) '' Mottli�ig " (Structure;Stones,Boulders. e %Gravel) DEED'OBSERVATION BOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. I e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon -Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Co si Flood Insurance Rate Map: Above 500 year flood bound No_ Yes . V Y M' Within 500 year boundary No Yes ' Within 100 year flood boundary No..✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �e S If not,what is the depth of naturally occurring pervious material? Certification 1p I certify that on oC l a (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 / I Q:WEP'1'1CIPERCFORM.DOC TOP OF FOUNDATION PROVIDE MANHOLE EXTENSION _ 4"SCHEDULE 40 PVC MIN. SLOPE 1 % ' _ = 47. '�' RISER WITH COVER TO WITHIN 6" INISH GRADE OVER D-BOX- 45.2 '} FINISHED GRADE OVER BIODIFFUSERS= 45.0 45.7 GENERAL NOTE S ELEV. 5 SLOPE @ 2% MIN. OF FINISH GRADE (TYP. FOR 2) REMOVABLE WATER-TIGHT COVER OVER INSPECTION PORT WITH 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION RISER TO WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN 3"OF METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL �5"DIA. OUTLET(S) F.G. (ONE PER OUTER ROW) CODE AND ANY APPLICABLE LOCAL RULES. FINISH GRADE @ FND. EL.= 46.3'± FINISH GRADE OVER TANK EL.= 46.4' ' _ - 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE (--EXISTING 4" SEWER P 24" MIN.ACCESS MANHOLE } i DESIGN ENGINEER. (TYPICAL FOR 2) 9" MIN• 9"MIN. 9"MIN. ' 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROPOSED 4" 36"MAX. 36"MAX. 36 MAX. TOP OF SAS/B.O. = 43.03 SYSTEM UNLESS OTHERWISE NOTED. SCH.40 PVC �\ 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 2" DROP MIN. �, L = 71�± PROVIDE WATERTIGHT I ELEVATION =43.03' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A 3" DROP MAX. 3 ��JOINTS (TYP.) 4" PVC IN FROM 1.33' 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF o SEPTIC TANK 4"PVC OUT TO (TYP.) 16 I THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 44.25' LEACHING FACILITY 0.90 10.75 (TYP) j o \-*44.7'± • + � 5. SLOPE ALL SOLID PIPE AT 1.0 /o MINIMUM. 12" [6- .1) 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. OUTLET TEE 42•87' MIN. 42.70' 42.60' 41 .70' (laid flat) 2.875'(34.5 44.50' INLET TEE (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK v 5.0' 6"CRUSHED STONE (TYP,) 5' MIN. FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS REQ'D GAS BAFFLE OVER MECHANICALLY 8.625' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 10.0' COMPACTED BASE 35.0' AND DESIGN ENGINEER. 5 OUTLET DISTRIBUTION BOX (TYP.) 8. ELEVATIONS BASED ON ASSUMED DATUM. BENCHMARK ELEVATION OF 46.00' TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 35.10' BIODIFFUSERS (END VIEW) ESTABLISHED ON THE CORNER OF A CONCRETE APRON AS SHOWN ON PLAN. 6" CRUSHED STONE BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION FPROPOSED 1 , OVER MECHANICALLY I PIPES TO BE LAID LEVEL. BIODIFFUSERS (PROFILE 500 GALLON PLASTIC SEPTIC TANK COMPACTED BASE THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT (BY INFILTRATOR SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY EXISTING LENGTH 140" WIDTH 64" DEPTH 62" CROSS SECTION VIEW ARC 36HC #3616BD1 H-20 BIODIFFUSERS TO THE DESIGN ENGINEER. ELEVATION PRIOR TO ANY WORK & SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL l ! 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. NOTIFY ENGINEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING / TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM i r# APPROPRIATE AUTHORITY. •� Hayes 0 PERC NO. 13749 MAP 230 •,• Pt INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS PARCEL 140 •' ' EVALUATOR: Bradley M. Bertolo, EIT LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE Littl THEY SHALL WITHSTAND H-20 LOADING. �? C.S.E. APPROVAL DATE: July 2003 rest DATE: September 25, y 20 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. Pt• +:`• + • �r TEST PIT#: 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE +'� '•` • « MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. /� �.w "` • R• \<� ELEV TOP= 45.10' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, * * �• + �► ' • ELEV WATER= < 35.10' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). MAP 230 MAP 230 , ' aq • ' • * • ZONE 2 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN w.. + • PERC RATE _ < 2 min./inch PARCEL 5 PARCEL 141 +* �1Y ,�"' • +•• • � ' 11 SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. cw • �••• • . �� r DEPTH OF PERC= 44"-62" 16. PROPOSED PROJECT IS LOCATED WITHIN: a. LOC U Vb 06 �+' "+••,• �•••+' • .• 1/� TEXTURAL CLASS: 1 ASSESSOR'S MAP 230 PARCEL 6 N �77 O • 'O '4 hr OWNER OF RECORD: MATTHEW J. FINK a ` ! • • s o Ov• ••p s r r O" 45.10' ADDRESS: 18 GREAT MARSH ROAD MAP 230 Sandy Loam •• •• d! * �� • A 10Yr 3/2 44.43' CENTERVILLE, MA 02632 PARCEL 6 �• • � 9,025 S.F.t SS * • 8��• • a6 0,t B Sandy Loam FEMA FLOOD ZONE C 1 OYr 5/6 COMMUNITY PANEL# 250001 0005 C 9s00"OF EXISTING CESSPOOL TO BE a.Chw • 30" 42.60' 17. DEED REFERENCE: BOOK 9539, PAGE 263 PUMPED, FILLED WITH CLEAN o SAND AND ABANDONED (TYP OF 2) - „• N • ' Perc 41.43' 18 PLAN REFERENCES: 1.)PLAN BOOK 228, PAGE 29(GREAT MARSH ROAD LAYOUT) •`� " Fine-Med. 2.)PLAN BOOK 122, PAGE 89 ohm p0 - HC-1 CP • !! • • `�\ • N ' 62" 39.93' g� h' PROPOSED 1,500 GALLON . . s . • • . Loamy Sand 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. � �46-., PLASTIC SEPTIC TANK • •• � �// � • � • C-1 2.5Y 6/6 �- , ;!/ . • , i (25/o gravel; 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY ---46` + •. A A •• i some cobbles) FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY ` +► . FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. CID 46x2' I 92" 37.43' 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405, THE FOLLOWING LOCAL UPGRADE (1 APPROVAL IS REQUESTED FROM 310 CMR 15.211: GARAGE / �1� T� LOCUS PLAN Medium Sand (1.) A 2.7'WAIVER(20.0'- 17.3') FOR THE SETBACK FROM THE PROPOSED LEACHING C-2 ST ccF�i,L 46x6' 2.5Y 6/3 SYSTEM TO THE EXISTING FOUNDATION. 00,0 \ cc SCALE: 1"= 1000' 120" 35.10' / 46x3 No Mottling, Weeping or Standing Observed Benchmark - HC-4 � (2 �' DESIGN DATA TEST PIT DATA LEGEND Concrete Comer - -- # 18 / PERC NO. 13749 Elev. =46.00' EXISTING Assumed Datum INSPECTOR: Donald Desmarais, R.S. 50x0' EXISTING SPOT GRADE � /� 3-BEDROOM � -- EX. INV. S EVALUATOR: Bradley M.Bertolo, EIT DWELLING =44.7'± r NUMBER OF BEDROOMS (DESIGN) 3 July 2003 - - - 50 - - - EXISTING CONTOUR S,9 - I '� C.S.E. APPROVAL DATE: ��- HC-2 ; DESIGN FLOW 110 GAUDAY/BEDROOM DATE: September 25, 2012 --L50 PROPOSED CONTOUR p(z TOTAL DESIGN FLOW 330 GAUDAY TEST PIT#: 2 ❑/H/W - EXISTING OVERHEAD UTILITIES H � jo DESIGN FLOW X 200 % = 660 GAUDAY 9 ELEV TOP= 45.10 �,,/ W EXISTING WATER LINE \ S O• a' _-_-- USE PROPOSED 1,500 GALLON PLASTIC SEPTIC TANK O ' ELEV WATER= <35.10' s TEST PIT LOCATION \gs \ 4s SHRUB 46� `�Q, PERC RATE _ (g \ �1 HC- G�' DEPTH OF PERC= O PROPOSED 1,500 GALLON PLASTIC SEPTIC TANK \ \ MAP 230 INSTALL 21 - ARC 36HC (#3616BD) H-20 BIODIFFUSERS PARCEL 7 TEXTURAL CLASS: 1 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE \ SYSTEM CAPACITY\ � � - ❑ PROPOSED DISTRIBUTION BOX �QO, .9�AA__ �� \ (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.)=GPD 0" 45.10' k/b, "`�,9 44xT \ (5 _ (105.0')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 373.0 GAL. LEACHING/DAY A Sandy 10Yr 3/2m PROPOSED ARC 36HC (#3616BD) H-20 BIODIFFUSER "'S \5 TREE •O, 8„ 44.43' AGe�jcsy� \ \/y'l� •\ PROP.40 MIL. IMPERVIOUS TOTALS: B Sandy Loam GEOMEMBRANE LINER TOTAL NUMBER OF BIODIFFUSERS: 21 1OYr 5/6 C�y0& 140 TOP EL. =43.03' TOTAL NUMBER OF COUPLINGS: 0 ' TP 2 n BOT. EL. = 38.03' 30„ 42.60 45x1 TOTAL LEACHING AREA: 504.0 TOTAL LEACHING CAPACITY: 373.0 REV. DATE BY APP'D. DESCRIPTION � _TP 1 3) ��� Fine- Med. PROPOSED SEPTIC SYSTEM UPGRADE 45xl Loamy Sand PROPOSED INSPECTION PORT (TYP OF 2) 44x4' ' NOTE: 2.5Y 6/6 PREPARED FOR: ---(4 EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE C-1 (25%gravel; PROPOSED DISTRIBUTION BOX CAPEWIDE ENTERPRISES \ DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER some cobbles) PROP. TOTAL 21 ARC 36HC (#3616BD) H-20 0 �O "MODIFIED APPROVAL FOR GENERAL USE" ISSUED TO INFILTRATOR ��' O' SYSTEMS, INC., DATE OF ISSUANCE OCTOBER 3, 2003 (LAST MODIFIED BIODIFFUSERS IN A FIELD CONFIGURATION SAS, MARCH 14, 2012). TRANSMITTAL NUMBER=X235253. 92 37.431 LOCATED AT O „ £ SWING-TIES 18 GREAT MARSH ROAD Medium Sand O� C-2 2.5Y 6/3 CENTERVILLE, MA 02632 � �i I DESCRIPTION HC-1 HC-2 HC-3 HC-4 SCALE: 1 INCH = 10 FT. DATE: OCTOBER 22, 2012 NOTES: F.Lj \ o - - 120" 35.10' j= SEPITC COVER IN (1) 30.6 22.1 o 10 20 40 so FEET - - 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF No Mottling, Weeping or Standing Observed PQH OF/,,, O� - qs - EACH SEPTIC SYSTEM COMPONENT. SEPTIC COVER OUT(2) 42.6' 14.0' - RESERVED FOR BOARD OF HEALTH USE �`` JOHN s9 PREPARED BY: 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE 44x3 --44\�\ ( BIODIFFUSER CORNER(3) -- 20.0' 58.3' CHU��HILL JR n, JC ENGINEERING, INC. PROPOSED LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT BIODIFFUSER CORNER(4) -- -- 27.9' 60.8' N0. / 2854 CRANBERRY HIGHWAY DATA SHOWN ON THIS PLAN. REPORT TO ENGINEER AND LOCAL BOARD OF EAST WAREHAM, MA 02538 HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST PIT DATA. -- 36.7' 30.7' �`r\ SITE PLAN BIODIFFUSER CORNER(5) -- �, • 508.273.0377 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS. SCALE: 1"= 10' BIODIFFUSER CORNER(6) -- -- 31.1' 25.4' Drawn By: MCP Designed By:MCP Checked By:JLC I JOB No.2312