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HomeMy WebLinkAbout0404 GREAT MARSH ROAD - Health 404 Great Marsh Road Centerville A= 190-080 4 r S m ► No. H163OR UPC 10259 smead.com • Made in USA VECYC(I 2J� cOy a aoo7o � 7zz TOWN OF BARNSTABLE ' f LOCATION M*.t-alp. 12cJ SEWAGE# VILLAGE Ce^iX r'%,A t Lt ASSESSOR'S MAP&PARCEL /$O' 0 6-0 INSTALLERS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) k"p0 4-C 14 w (size) NO.OF BEDROOMS .3 OWNER @. PERMIT DATE: f COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted`Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY n 13 3t +$.o 'Ib.1 010.0 C/al as•C O 3q.0 34.,E At 36".c; C Flip 6s el 2.Ali -7. 0 r7s (al •r %I av ,S �P la6-O A'7 6q .o No. Fees►. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for �Digool 6raem Con0tructiou Vertnit Application for a Permit to Construct( ) Repair(v�Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. v4 �t4 Owner's Name,Address;and Tel.No. , c G L{ r rx ix sh A stf G4 Assessor's Map/Parcel ( f 0� L �,tn{e Rr`<< r►Nt� Installer's Name,Address,and Tel.No. C.�44-;. , ��AVP'4 S Designer's Name,Address and Tel.No. Q-0. :3Z r-Y -a4P3 t2 w c��s F.�►d Ezt�. ^A �b� y�1 5313 e�s*�w to �v►� Type of Building: Dwelling No.of Bedrooms Lot Size Z I f��S — sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3 3 , ` 49 gpd Plan Date 7/© :�- Q-7 Number of sheets Z Revision Date Title Size of Septic Tank o Type of S.A.S. Z oo +`►-L Description of Soil L-e• ,Q�✓?�, G. 3l- . Nature of Repairs or Alterations(Answer when applicable) A)LW Who k b Date last inspected: 7.,0.7 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date CAS`'-) Application Approved by Date (. - Application Disapproved by: Date for the following reasons Permit No. [ � Date Issued ' No. /rL( /C/- — 23 Fee_��7 ••THE COMMONWEALTH OF MASSAGHUSF6- T Entered igcomputer: F-4LIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es I j I Application for 3JDtgposSa16p5tem Congtructton Permit Application for a Permit to Construct O Repair e e Upgrade O Abandon O ❑.Complete System ❑Individual Components rL-ocation Address or Lot No. Owner's Name,Address;and Tel.No. -- "-- k.essor;s Map/Parcel 90 Q 0 c 0 \ �Owl 61t�1T An+a*S�)��a� Installer's Name,Address,and Tel.No. CAAj-"4112- Designer's Name,Address and Tel.No. E�5i2'�'�'7`f felon 1�3 ! Q. arm 7to3 /2 W. Clugy F.�11� rz >. S-U$ 4-71 S3 (3 r �s e5r7w 1c �v►� Type of Building: ` r= 4 Dwelling I No.of Bedrooms Lot Size �•���� �- sq. ft. Garbage Grinder ( ) I i` Other Type of Building No.of Persons Showers( ) Cafeteria( ) I ,:~ Other Fixtures Design Flow(min.required) �� gpd Design flow provided 1 • gpd Plan Date 7/0 5-Jy7 Number of sheets Revision Date Title N[�N G/tom /d•1�4 Size of Septic Tank /rp p Type of S.A.S. ]Q4 r4(, L. L•, (,•,/-)/'a,,, • Description of Soil .0 w.,, I Nature of Repairs orr Alterations(Answer when applicable) lJ e w 1 5-0o 4 ^/ 0 Wh r G�. 7) - 4t, ( Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of ...Compliance has been issued by this Board of Health. Signed Date R - � " Lo�^7 w �•�i Application Approved byDate - _ Application Disapproved by: Date for the following reasons i Permi€No. !`l ^ Date Issued 9/80 I THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Upgraded ( ) Abandoned( )by C .A40e,J,&A L c- at Lf O4 61c441r /�Ay%to fZe A4 C' 44,�-u-4 <<< has been constructed in accordance {� with the provisions of Title AA 5 and the for Disposal System Construction Permit No. p��� ,3 3>✓ dated (J o 7L . Installer_ ,,J•c�c -�(,/,/1/(.1 Designer L%{/((rkple.t rLz LA-'*A,kr i #bedrooms Approved design ow I IV _ gpd The issuance of this permit shall not b n rued as a guar mee that the system will *6� onn s designed. 7 Date Inspector `--------------------------------- No. ( Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS lwigozal �&pztem Co 5tructton Permit i` Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at O i 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. I Provided: Cons ruction must be completed within three years of the date of this t Date Approved by r 08;'13/2007 19:21 5084775313 ENGINEERING, WORKS PAGE 01 14)--v7 ova of unstable ' ' e9u06ry Services 1 Thomas I~',Geilex,Director Public Health MvWon t � _ Tbomas �McKean,Director I? 200 Main Street,By" MA 02601 t? tx::SOi<8624644 Rix: � 508-790--630.4 r e a < t sew Assfaer's /7 AdOm: Add css• x 76 j wSM,4s ()ll.__—..�_ Gvt��f�SG1W$S 133t1Cd 8 ' ( ) (installer) permit to vastall a acetic sy ..$t 0 q. f emirs l� C^e 4 t" (address) based on a design drawn by 3 jf�j / ' dated `7 S d� i mat the igpgc `system ref nCed arhichf u>sy ystmclude. ar a roved ewas in8talled snbstantwly. o to PP hanger such as lateral relot;on of the Mtn box and/or sephc tank, ; , -• I that the septic ,system ret�ereneed above `' ; I' R Om 10' 1a'& it relocation'Of the SAS or any' V installed with or abainges (i.e. of. .�system but in acc Y ertical relocation o anympo t c ) ordancc with State &Local Regulations: plea rpwision or as•built by desiper to follow. , Of AI ,� PETER T. CIVIL i Mo.3510ONAIL 9 O � S Si (,Aft x De$igner S Sham Mere { i1 5 P I N Q.K WDwigner C�Ocat on Fom 3-26-04.&;; F t R< iS �Zfl' �rPDaSa110f1 Ot f'lanS ana J13CC112CaL1U1,J p,., •, .- r, ter., [ r•r - r / — Tnd plans and specifications .for every on-site system shall be prepared.as follows: (1) -Every system shall be designed by a Massachusetts Registered Professional Engineer or a Massachusetts Registered Sanitarian provided that such Sanitarian shall nnt-design a. s stem designed to dis charge more than n2,000 gallons per day pursuant to 310 CMR 15.203. Any other-anent of the owner-.may prepare plans for the repair of a system designed to discharge not more.than than 2,000 gallons per day pursuant to 310 CMR 15.203 provided they are reviewed by.'a Massachusetts Registered Sanitarian and•approved by the approving authority' / .(2). .Every,plan.submitted for approval must be dated and bear the Stamp and signature of - the designer, •(3J Every plan for a new system or plan for the upgrade or expansion of an existing.sysic n• ' which requires a variance to a property line seibacic disunce,'must-also reference--a gIan ��- which bears the stamp and sign use signature of a Massachtts: Licensed Land Surveyor in accordance with M.t.L. c: 112, § 81D. 4) Every plan for a system shall be of suitable scale(one inch=40 feet or fewer for plot / plan and one ine#t=20 feet or fewer for details of system components). � d.shall include. a/ tcn.on of: (a) the legal boundares of the facility to be served. (b the holder and location of any easements appurtenant to or which could impact the stem; (c) the locanorr'of the all dwelling(s)or buildng(s) existing and proposed on the fzcility nd identifieatibri of thoselo be served by.the system; " • - - : d) the•'i-aeation of existing of proposed irtmper%ous areas, indtzding: riveways and tanking areas; _. - ._-.. . (a) ocation and dimensions of the system (including reserve area syst`m design calculations,including design daily sewage flow, septic rank capacity required and provided): soil absorption. systcm capacity (required and provided); and w then systemis designed for garbage grinder, North arrow and existing and proposed contours; ( Iodation and-log of deep'observation Bole tests including the dale of test, existing adc ovations marked on each test, and the names of the representative of the a oving authority and soil evaluator 1) location and results of percolation tests including the are of test and the names of representative of the approving authority and soil avaluatorl, . G? blame and rrtii.�icatinn number-of tht-So+3-Evaluator of record; (k) location .of every'water supply,public and private, 1. within 400 feet of the proposed system location in the case of surface water supplies,and gravel packed public water supply wells, 2. within 250 feet of the proposed system location in the case;of tubular public water supply wells, and p� 3. within 130 fact of rho proposed—system.location iri the. case of private water 1 " supply wells; elated I) location of-any surface waters of the Ccmrnonwealth,-•rivers, bordering--v eg wetlands, salt marshes, inland or coastal banks, regulatory fioodway, yzlociiy zone, surface water supplies, tributaries to surface water supplies,certified vernalpools,private —-- - watts supplies or•suctictiylines, gravei packed or tubular public water supply wells, substrdric-e .drains, leaching catch basins, or dry_wclls; and She location of any nitrogen sensitive area identified'in 310 CNC�t 15.215 within which portions of the propose stem ZZ6 located. . .) location of water lines and other subsurface utilities on the facvty; ( observed and adjusted ground-water elevation in the vicinity of the system; c) a complcte profile of the system; ' FF) •a note on the plan listing all variances to L`te provisions of 310 CMr2 IS.000 sought conjunction with the plan; �7 (q) , the location and elevation of one ben c..'iznark.within 50 to 75 feet of the facility [G() which is not szbject to dislocation or lost 4J:rng cons tctid`h'ort•the facility, (r) when dosing is'proposed, 'complete design'an pecification•of the dosing systern �propo.sed including.but not limited to dosing,ciiamber capacity (requred and provided), urnp curves and.specifcations, number.of d'esizg cycles and depth per cycle; (s) when a Recirculating Sand Filter or equivalent alternative technology is required or pr cation for the system,including a hydraulic profile; osed, a complete plan and specifi locus plan,to show ttie location of the facility including the nearest existing strec-, the sticct nu and lot number, if any, of the facility, and the rnaterials of constructien.and the specifications of the system. rtr ar t rr t rtt rr SENDER: • •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse a r/[ Addressee so that we can return the card to you. B. Received by(Printed N e) C. ale of Delivery ■ Attach this cans to the back of the mailpiece, ��� � , i, G or on the front if space permits. D. Is delivery address different from Rem ? ❑Yes 1. Article Addressed to: '— If YES,enter delivery address below: ❑No 1 _ Ms .Dorothy Pike 404 Great March Road 3. Service Type Centerville, MA 02632 ❑Certified Mail ❑Express Mall � ( ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number £;t; .. .::: :: (transfer from service labeq 7 0 D 5' 116 ` 0 0 0 0 '0191 3080 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender.Please print your name, address, and ZIP+4 in this box PUBLIC HEALTH DEPARTMENT TOWN OF BARNATABLE I 200 MAIN STREET HYANNIS, MA 02601 J I i i Postal CERTIFIED MAILTm RECEIPT m O D. Only; For delivery information visit our website at www.usps.com,'� D^ C3 Postage $ �3 ("'t jo%�'I.Oitwk p Certified FeeoO Retum Receipt Fee(Endorsement Required) � U�Restricted DeliveryFee(Endorsement Rquired)'� rq Total Postage&Fees $ � ul � 2'�T C3 t t. o.;ry,/ �•(/ /� f� or PO Box No. cm.Kar;1 z, "d yyj q cbT 6 3 a-- Certified Mail Provides: anay)ZOOZ aunf'009E wjo�Sd ■ A mailing receipt fasi ■ A unique identifier for your mailpiece ® A record of delivery kept by the Postal Service for two years Important Reminders: • Certified Mail may ONLY be combined with First-Class Maile or Priority Mail& ■ Certified Mail is not available for any class of international mail.- , ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return I Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,pease present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. Town of Barnstable 1HE p� Regulatory Services V ivscAs Thomas F. Geiler,Director "�: ,. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 4, 2007 Ms Dorothy Pike. 404 Great March Road Centerville,.MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system owned by you located at 404 Great Marsh Road, Centerville MA was last inspected March 22nd, 2007 by Robert Paolini, a certified septic inspector for the State of Massachusetts. The inspection of your septic system showed that your system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: System needs to be upgraded Back up of sewage into facility or system component due to overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6"below invert or available volume is less than day flow. Sandy soil. Cesspools are full. . You have 1 year from the date of the system failure to bring the system into compliance. If there are any questions about this.reminder,please feel free to.contact the.Barnstable Health Department. BARNSTABLE HEALTH DEPARTMENT Thomas.A. McKean, R.S.,.C.H.O. Agent of the Board of Health Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c,M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is ,required for Centerville Ma 02632 3/22/2007 every 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. Important: A. General Information When filling out ��� forms on the computer,use 1. Inspector: only the tab key a @ z z to move your Robert Paolini cursor-do not Name of Inspector - use the return , key. Capewide Enterprises,LLC Company Name ,_' r� P.O.Box 763 Company Address Centerville Ma. 02632=_ X= City/Town State Zip Code,-t = (508)428-4028 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 Evaluatio y Local Approving Authority 0 /ao 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. 404 great marsh rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every 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: Cesspools are in hydraulic failure.Title Five upgrade is needed. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. Answer yes, no or not determined (Y, N, ND) in the ❑for the following statements. If"not determined," please explain. ❑ The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND Explain: ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ' ❑ broken pipe(s)are replaced ❑ obstruction is removed 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments . ^M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ distribution box is leveled or replaced ND Explain: ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ obstruction is removed ND Explain: C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public"health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 15 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) C) Further Evaluation is Required by the Board of Health (cont.): ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance- **This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen,is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool El ® 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 '/2 day flow ❑ ❑ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. j ❑ . ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �^M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) D) System Failure Criteria Applicable to All Systems (cont.): Yes No ❑ ® 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 El ❑ 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. 404 great marsh rd.-08/06_ Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4 ^M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every 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? El ® 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)] 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 15 I Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary.Assessments 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville . Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection D. System Information Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 2 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 ears usage d 2006:79,000 g ( y g (gpd)): 2006:79,000 Sump pump? ❑ Yes ® No Last date of occupancy: 3/22/2007 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow (based on 310 CMR 15.203): Gallons per day(gpd) S 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: Last date of occupancy/use: Date Other(describe): 404 great marsh rd.•08106 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) General Information Pumping Records: Source of information: J.P.Macomber Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1800 gallons How was quantity pumped determined? measured Reason for pumping: Check for ground water intrusion 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) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: 45 years Were sewage odors detected when arriving at the site? ❑ Yes ® No 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form, _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Building Sewer(locate on site plan): 2' Depth below grade: feet Material of construction: ❑40 PVC Orangeburg ❑ cast iron ® other(explain): Distance from private water supply well or suction line. 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): Joints appear tight.No evidence of Ieakage.System vented through the house vents. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No ------------------------------------------------------------------------------------------------ ------------------------ Dimensions: Sludge depth: 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? 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 15 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ^M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town 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.): 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 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): 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 15 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Tight or Holding Tank(cont.) 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 Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to-outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 15 Commonwealth of Massachusetts = W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 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: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ 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.): 404 great marsh rd.•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 15 i Commonwealth of Massachusetts W Title 5 Official Inspection Form p , Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 Depth—top of liquid to inlet invert, 511 6" Depth of solids layer Depth of scum layer Dimensions of cesspool 6'x8' Materials of construction concrete block Indication of groundwater inflow ❑ Yes ® No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Sandy soil.Cesspools are full.System needs to be upgraded. 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.): 404 great marsh rd.-08/06 \ Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 15 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. / 404 great marsh rd.•08/06 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 15 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 404 Great Marsh Rd. Property Address Dorothy Pike Owner Owner's Name information is required for Centerville Ma 02632 3/22/2007 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar c ❑ Shallow wells � Estimated depth to ground water: 50'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: Used:Gaherty& Miller Model 12/16/94 ground water elevations.Used:USGS observation well data June 1992.Used:Technical bulletin 92-000-01 plate#2 annual ranges of ground water elevations. 404 great marsh rd.-08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 15 Town of Barnstable Health Inspector i t of'THE t Office Hours o Regulatory Services 8:30—9:30 Thomas F.Geiler,Director 1:00—2:00 • snxxsTnaLe, Public Health Division ArEo �A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY.PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: °S Address: �0 �J'r / ' 1�—, �/� )e-c Map /q 4 Parcel 0�-O Name: 0 0-y 0 4Pj"Ju Phone #: --7 5' 3 O fi 9 2a. How many bedrooms exist at your property now? y 2b. Are you planning to add any bedrooms? K10 If yes, how many? 2c. How many bedrooms total are proposed at this property (including the amnesty unit) 2d. Please include a copy of the floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room cle ly on the plans � d2 S Pis 3. Is the dwelling connected to public sewer? YES or NO If the dwelling is connected to public sewer,skip questions#4 through#9 below. 4. Location of dwelling is INSIDE or ID a Zone of Contribution to i public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to UBL WATER? ` -� 6. Is a disposal works construction permit on file? c+ YES nor 4"NO 6a. If yes,how many bedrooms were approved according to this permit? 4` E CrBedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or 'NO 8. Is there an engineered septic stem plan on file at the Health Division? YES ts' r- g p y p r,�;or t-FNO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO ------------------------------------------------------------------------------------------------------------------- FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: e S ,C11 '� &Unr Signed: Date: 4-/1,291 , Q;/health/wpfiles/amnestyapp �. �� iz' ---� � T �: a � o I'', ,� � � � � � , � — �, � 1 �1 e� a �-41 1\ � II r t Y t; ... Y i d i fif i � v I h McKean, Thomas From: McKean, Thomas Sent: Monday, March 12, 2007 1:56 PM To: Taylor, Madeline Subject: 404 Great Marsh Road There are no septic system records on file. Please have the owner hire a septic system inspector to have a 16 page report completed. AFAUG. ]. 2007 9; 50AM BARNSTABLE BOARD OF HEALTH N(N0. 978 P P. 2/2 °ram. 1 Town of Barnstable liedtlalwPector 1 Offiala Rours Regulatory Services 9:30-9:3a Thomas F.Geiler,Director Public Health Division 6n " Thomas McKean,Director 200 Main Street,Hyalmis,MA 02601 pax: 508-790-6304 Office: 508-862-4644 AMNESTY P OGRAM APPLZCAhU -- SEPTIC UESTIONNA T 1. General Information: Size of Property: Addross: 0 Y Kpk�� map/q 0 Parcel D�� Name: 0ayo P I Phone#: -7 J' 2a, How=y bedrooms exist at your property now? 2b. Are you planning to add any bedrooms? If yes,how=nary? 2c, How many bedrooms total are proposed at this property(including the amnesty unit)) 2d.Please include a copy of the floor plans for the e,mire property-showing the existing rooms In the home plus the proposed amnesty apartment and/or addition. please label each roots clearly onthe p ns C-Q & , Nd 3. Is the dwelling conmeotod to public sewer? YES or If tho dwelling is connocted to publio sewer,ski uestions#4 through#9 below. 4• Location of dwelling is INSIDE or Qa Zone of Contribution to public supply wells? 5. Is the dwelling omaocted to an ONSITE WELL or to 6, Is a disposal works construction permit on file? YES ; :%or .NO 6a. If yes,how many bedrooms were approved according to this permit? -.f,.,� ledr°ems, 7, Were any building permits obtained for coxistruetion of additional bedrooms? YES;'-or �D S. Is chore an engheered soptic system plan on file'at 0=Health Division? . YES r ar 'r-NO 9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO FOR oMca USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: 6ano I �(d/ CICe Signed: Date; !'l �,•/hsal6 leis/am�esN � 7 a 1i � V a � � 1 i i ff �* i _ i _ i _ .: �.Y�' \ 1 I� �lr - -.. i �� l ., z� " z�,�. l . `1 3 '� � � � �- 1 �� 1 �`�•�-/ r �-` / 3 f �' �' �' �. I i wR► f i I � i I i I i i IV 7-0 A,57- { W 4 � w z \ I I � 4 .-. ._...�_.�........_..._._��...��.. ._...� _ �r_ __ A LEGEND Moan Penny 11 R i O � o 7g PROPOSED CONTOUR 'Ooss 79 PROPOSED SPOT GRADE . ` y ter. 97,,, ..,-Z EXISTING CONTOUR a 576°13'40"E 57GO 1340"E 5 6°13'40"E �' r EXISTING SPOT GRADE x 9 7.2 2 v �n 54.9T - 25.03' - �- '_. -85:60 90 �) o wao&ow a cork or, !� `9 # 19 TEST PIT r l t o I---23�---I L a`n 0 99 _ T T. 71 o a W EXISTING WATER SVC. �aaeta R6' fF' PROP. S.A.S.; R cv —Olil#— OVERHEAD WIRES Great Marsh Rd EXISTING CESSPOOLS BENCHMARK 45' Tp=2 TP 1 TO BE PUMPED & LOCUS a `- -- / FILLED WITH SAND O SE O C , oq 0 T' NK LOCUS MAP N.T.S. O 34 /% i 00-' PROPANE CONC. r No 404/ TANK � , ,-'I STY.// j/WD.�FRMI.' ` T.O.F. N 5 O GENERAL NOTES: yR� i .,� / � j/ i / CONC. / i j i , / a /p O 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL tV / BOARD OF HEALTH AND THE DESIGN ENGINEER„ 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 10, '/� J I{F j E OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND N ANY APPLICABLE N + / / / i — 1 LOCAL RULES AND REGULATIONS. .GARAGE Z �W/AIaARTMENT' - ` :-- ` 3, THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR / ` TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE w (ON SLAB) '` ��0� / DESIGN ENGINEER. y' ; /� U W approx. 9 / T.O.F. m 100.26 / 4• ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING / INSTALLS / � ' FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. CLEANOLIT = t isL f?;elf I 5. ALL ELEVATIONS BASED ON ASSUMED DATUM, 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF r� H CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF/ � THE APN 190-080 // / // �� `99 I r HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. s �s 7. WATER SUPPLY PROVIDED BY TOWN WATER. 5 21 ,785t5.F. 0 �� 8. THERE ARE NO ABUTTING WELLS LOCATED WITHIN c 150' OF THE S.A.S. 9 ' •sr i � 'sz 9? Z` 1i 9 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED t Q I F II i 7-0 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR, / FIELD $ 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 4 ( ry;i,J THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. /- _ JI ________-- _i 00, 11, WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS �.�� IN THE AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF THE S.A.S. N76°i 3'40' i N76°13'40"I1N� ► AND REPLACE WITH CLEAN FILL AS SPECIFIED IN 310 CMR 255(3). of pavernent CP EXISTING LEACH FIELD J ���� R4S TO BE ABANDONED PETER T.I �`� y� PROPOSED SEPTIC SYSTEM M UPGRADE � s o rr, McENTEE 404 GREAT MARSH ROAD, CENTERVILLE, ]161— C H I U CIVIL eENci1MARK BD GREAT MAR5H ROAD ' a No. 35109 Prepared for: Dorothy Pike, 404 Great Marsh Rd., Centerville, M ELEVATION IOO.W (ASSUMED DATUM) pEG1S1�R�� �`� Engineering by: Surveying by: SCALE DRAWN Er G� EnginmdngWorks HOOD SURVEY GROUP 1 =20' P.T.M.12 West Crossfield Road 18 Route 6AForestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED(508) 477-5313 (508) 888-1090 7/5/07 P.T.M. i E�, I INSTALL RISERS W/COVERS OVER EACH MANHOLE PROVIDE RISER OVER D-BOX & SET NOTE: TO PREVENT BREAKOUT, THE PROPOSED TOP OF FOUNhTION TO WITHIN 6" OF FINISH GRADE F.G. EL: 99.8t FINISH GRADE SHALL NOT BE < ELHE AND SET COVER TO WITHIN 6" OF FINISH GRADE FOR A DISTANCE E S.A.S.AROUND THE EXISTING F.G. EL: 100.0t F.G. EL: 99.9t PERIMETER OF THE A. MAINTAIN 2% MIN SLOPE OVER S.A.S. 4' SCH 40 PVC PERFORATED PIPE WITH SCREW CAP SET TO WITHIN 3" OF FINISH 9-500 GAL I QN LEACHING CHAMBERS_ GRADE TO SERVE AS INSPECTION PORT. L-29' (SEWER-1 IN SERIES WITH STONE ALL SIDES L=37' (SEWER-2; INSTALL RISER OVER CHAMBER SHOWN ON PLAN AND SET COVER " 4" SCH 40 PVC L =12 L =5(MAX) WITHIN 6" OF FINISH GRADE g 4" SCH 40 PVC 4" SCH 40 PVC 2" LAYER OF 1/8" TO 1/2" { 0 S= 1% (MIN.) 10" �Ba�®®e DOUBLE WASHED STONE 14" 14' Cd S= 1% (MIN.) e ® S= 1% (MIN.) ®®®B®®a (OR APPROVED FILTER FABRIC) 48" UO• INV. ELEV.=96.55 2 EFF. DEPTH ®a130 ME r.:. INV.EL:97.15 LEVEL INV, ELEV.=96.72 3/4"-1 1/2" GAS GAS PROPOSED D-BOX 4' S.2' 4 DOUBLE WASHED BAFFLE BAFFLE EFFECTIVE WIDTH = 13.2' STONE INV.EL:96.90 RL TIE INTO EXISTING SEWERS PROPOSED 1500 GALLON SEPTIC TANK INV. ELEV.=96.50 AT CESSPOOL INLETS AT , OR ABOVE THE FOLLOWING COMPARTMENT NO. 1 — 1000 GALLON STORAGE SEWER-1, INV.=97.45 COMPARTMENT NO. 2 — 500 GALLON STORAGE TOP CONC. ELEV.=97.3 3 BREAKOUT ELEV.=97.0 SEWER-2, INV.=97.65 EM MODIFY PLUMBING AS REQ'D. INV. ELEV.=96.50 a®a®® NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE BOTTOM ELEV.=94.50 INVERTS PRIOR TO CONSTRUCTION. 3' 2 x 8.5' = 17.0' 3' 2) SEPTIC TANK AND D-BOX SHALL BE SET LEVEL 5' MIN. ABOVE BOTTOM OF EFFECTIVE LENGTH = 23.0' AND TRUE TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN T.P. EXCAVATION OR G.W. (3) 5" DIA.OUTLETS 310 CMR 15.221(2). LEACHING SYSTEM SECTION 15.5 --16" 2" 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO G.W. AT EL.=88.7 (TP-1) "I 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEES. 5„ SEPTIC SYSTEM PROFILE 5 6„ 0 N.T.S. 2" DESIGN CRITERIA SOIL LOG DATE: JUNE 26, 2007 (P-11,755) NUMBER OF BEDROOMS: 2 BR (HSE.)+1 BR (APT.)=3 BR SOIL EVALUATOR: PETER T. MCENTEE P.E. SOIL TYPE: CLASS I -- --- DESIGN PERCOLATION RATE: 2 MIN./IN. N i WITNESS: DONNA MIORANDI-HEALTH AGENT DAILY FLOW: 330 G.P.D. "tS PROP. S.A.S. INVERT ®®®® 0 ®®®® �30' Sy&' Elev. TP- 1 Depth Elev. TP 2 pepih DESIGN FLOW: 330 G.P.D ®®®®®®®®®®® GARBAGE GRINDER: NO ®®®®I®®®®®®® 33" 98, 7,2' 99.7 A SANDY LOAM O 99.8 A SANDY LOAM D LEACHING AREA REQUIRED: (330) = 445.9 S.F. 24" ®11=70®®0®®®0® cc � 10YR'3/3 10YR 3/3 .74 -0 % gg.4 B 4" 99.5 B 4" PROPOSED SEPTIC TANK: 1 00 GAL. 2 COMPARTMENT) ) 102" ro w ' 0404 SANDY LOAM SANDY LOAM SECTION I 10YR 5/6 1OYR 5/6 /WD.PRM i, 96.7 36" 97.3 30" USE 2-500 GALLON LEACHING CHAMBERS IN SERIES ,I jT.O.P,• 101.5' C C I 40" SIDEWALL AREA: 2(13.2' + 23.0') X 2 = 144.8 S.F. 4' KNOCKOUT 20" CIA. COVER PERC BOTTOM AREA: 13.2' x 23.0' = 303.6.0 S.F. 52" TOTAL AREA: 448.4 S.F. 4" KNOCKOUT O 4" KNOCKOUT 62" W/APARTM.EM' ON M-C SAND M-C SAND DESIGN FLOW PROVIDED: 0.74(448.4) = 331.8 G.P.D. 4" KNOCKOUT 2.5Y 6/4 2.5Y 6/4>207 GRAVEL T.O.f'.� 100.26' , >20%GRAVEL PROPOSED SEPTIC SYSTEM UPGRADE PLAN R ROAD NTERVI LLE MA 404 GREAT MARSH CE 500 GALLON CAPACITY, H-10 LOADING Prepared for: Dorothy Pike, 404 Great Marsh Rd., Centerville, MA 02632 8$,7 132" 88.8 132" Engineering by: Surveying by: SCALE DRAWN JOB, NO. CHAMBERS EngineeHngWorks HOOD SURVEY GROUP N.T.S. PTM 161-07 N.L0. S.A.S.S LAYOUT , NO GROUNDWATER OBSERVED 12 West Crossfield Rood 18 Route 6A PERC RATE <2 MIN/IN. Forestdole, MA 02644 Sandwich, MA 02563 DATE CHECKED SHEET NO. (508) 477-5313 (508) 888-1090 7/5/07 P.T.M. 2 Of 2