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0125 GREELY AVENUE - Health
125 Greely Ave ' n Centerville A=245-003 No. 4210 1/3 ORA EMMA Pena'af lex' ;►®� 10% a r No. , FeA16-0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for ]Disposal 6pstem Construttion j3ermit Application for a Permit to Construct( ) Repair(-�4upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 12 S G vL-c►I Y A.,r Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2.y S__W*3 . Yu( S Fe 1- Installer's Name,Address,and Tel.No. Design 's Name,Address,and Tel.No. rre,) /Ukey rr Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building katKC �cr r c�a No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) g gpd Design flow provided eccq.0S t gpd Plan Date ej 1 :1-- 1—Number of sheets 2_ Revision Date 1p T) 1 ) 2_ Title Size of Septic Tank i SOD cvoC) 2000 Type of S.A.S. Arc- 3 G t4 20 Description of Soil Nature of Repairs or Alterations(Answer when applicable) l0SkCc`1 se MC ��l St-en/\ 4S �c�d roluaS �� !D,,,cre,,j M ..,!trr Dr,VP) aI Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' Date /O `�— Application Approved by Date 4 Application Disapproved by Date for the following reasons Permit No. Date Issued a No. Q THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(411--lupgrade( ) Abandon( ) ❑Complete System ❑Individual Components + f Location Address or Lot No. 12 S Co v p r f f Ave Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 2 _�� (y,�pN,'��? `t J r l/ Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. L SI�s i3caua� S,_)C ;,t < AAey rr Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building ,,,xF Cc f r ,c cp No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided (C)C(j:0f3 gpd Plan Date 2 1 2-1 12 Number of sheets 2_ Revision Date 1()l 1 1 12 -r—-r Title Size of Septic Tank 1 S'OD c,,)) 2 00(p Type of S.A.S. A rc :,r. N C E4 -.2n Description of Soil } Nature of Repairs or Alterations(Answer when applicable) �� M 2f r r ae F 1 cc��� Date last inspected: Agreement: ,A The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in _ accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. S' d Date /O 'L— Application Approved by Date //Zo 2_ Application Disapproved b Date for the following reasons Permit No. Date Issued --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ✓T`___Upgraded( ) Abandoned( )by,t x1G s A _NiorC.,. Z. N Q- la�✓� �� at �,✓ e r�v /�vim! ,oJ�-c'!d+ has been constructed in accordance with the provisions of�d the for Disposal System Construction Permit No.7-0I1"30q dated 10 Z Z-O t Z Installer C v✓c�-a Designer D r t r ry m p v r l #bedrooms Approved design floA Md. The issuance of t is permit shall not be construed as a guarantee that the system will-% ctio(n as design d Date I D S + Inspector �� �J y+�r c� � e -------------------------------------------------------------------------------------------------------------------------/---M---------- No.ZO IZ ^ �4 Fee ( �-CJD� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction Permit Permission is hereby granted to Construct( ) Repair( "}� Upgrade( ) Abandon( ) System located at I r e c-k�/ + Eo.� ✓y+1' Y and as described in the above Application for Disposal System Construction Permit. The applicant recognized hd h recognized to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permij. Date 1 d k /Zo t? Approved by �--� 10/05/2012 04:27PM 17744139468 MEYER AND SONS PAGE 01/01 I e . 'own of Barnstable Regulatory Services Thomas F.Geiter,Director 1 Public Health Division Tbomas McKean,Director 200 Main Street,Hyannis,1NLA,02601 O;t"iuc: 503-962-4644 Fax: 508-790-6304 Installer& De hTner Certl Ication Form Date: iQK-/ Sewage Permit# Assessor's Map\Parcel 063 Designer: }vl a 41 sw S Address: Q 0 q Address: y S C ie:�� ' `�_C�&G32 On ryas issued a permit to install a (date) (installer) septic system at G O U based on a design drawn by (ad ress) dated �? (designer) - 1 certify that the septic syste+n referenced above was iwtalled substantialxy according to the design, which may include minor approved changes such as lateral revocation ol't,�e distribution box and/or septic tank. 1 certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS of any vertical relocation of any component of the septic system) but in accordance with State 8c Local Regulations. Plan revision or certified as-built by designer to follow. c RR Nn (Irxstallees signature) Cl � (Designer's Signature; (affix Designer's Stamp Here) PLEASE RETURN TO BAPUNSTABLE PU$LIC E V SIOi�I. IZTIFECATE OF COi [PL1ANCE WILL ,NOT BE ISSUED UNTIL BOTH THIS FOR1NI AND AS-BULL-CARD ARE RECEIVED BY THE AARINSTABLE PUTiLIC HEALTH DIV SIGN. THAiNK YOU. Q:He3I114epticiDesivnr Certifiention Form 3-Z64.dm I I . I 'own of B��b ns table P# of� - Department of Regulatory Services Public Health Division Hate ie3y tee$ 200 Main Street•,Hyannis MA 02601 �rFD t�A't M I 0 Date Scheduled Time Fd.P i Soil Suitability AssessM n -for S - e Disposal / ) s Performed By: ! Witnessed By: �rL�wC.�.....� `t 1 LOCATION & GENERAL INFORMATION Location Address .�2� � �� Q/� Owners Name Address5 Assessor's Map/P�rce1: ���^/ Q®3 I Engineers Name AA L't NEW CONSIRU�'t;ION /REPAIR Telephone# Land Use I��� 'i � � � Slopes(40) '� ��' Surface Stones 2OG Distances from: Open Water Body '� 7 00 ft Possible Wee Area�V S ft Drinking Water Well ft i prainage Way 7 ft Property Linc ! �� ft Other ft SKETCH:(Street name,dimensions of Iot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) WOODEDVFW S1.11 CAR. GREELY AVENUE DOOR r 40: '•C'o�. \� s. .�A SIL > _ x -. . wOO. . ----- zJ ol V•� _ I/F� o d• -`;; :GARAGE,, e LOT LINE \ ll GREELY AVENUE F i - Parent material(geologic) e6i f,'I 14 U.i' Depth to Bedrock /s i Depth to Grroundwater. Standing Water in Hole:', Weeping� � i p g from Pit Face_,_. Estimated Seasonal Righ Groundwater DtTERIVIINATION FOR SEAS dNAL HIG[I WATER TALE Method Used: I Itt. Depth db�served standing in obs.hole: io. Depth,to spll mottles; ik- Depth toiweeping from side of obs.hole: in. ©roundwnter AdJutitment I AdJ,Craundwnter].evcl,,,,e. Index Well# _� Reading Date Index Well level Ad.flatoC PERCOLATION TEST . Datp.�_..-, Observation Time at 9" __....._.. — Hole# Time at 6" Depth of Pere Lj PAe Time(9"-6") Start Pre-soak Time.@ W�" End Pre-soak Rate MinJInch Site Suitability Assessment Site Passed Site Failed. Additional Testing Needed(YIN) Original:.Public k .d`lth Division Observation Hole Data To$e Completed on Back— ***If percolag6n test is to be conducted within 1.00' of wetland,you must first notify the Barnstable Conservation Division at least one (1)week prior to beginning- Barnstable DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel vl�- r 11 Cat M -0� l� (�.,,3/y 8v I N't L�011 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel) Logue 1, . J lug 2 d DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistent %Gravel DEEP OBSERVATION HOLE LOG Hole# Ij Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) A) (Munsell) Mottling (Structure,'Stones.Boulders. Consistency, ra I E Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes 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? If not,what is the depth of naturally occurring pervious material? Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of vironmental Protection and that the above analysis was performed by me consistent with the required t ini , pertise d experience described in 3,10 CMR 15.017. Signature Date Q:\.SEPTIC�PERCFORM.DOC Health Master Detail http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=245003 Health Master Logged In As: TO\^/N\flynnj Health Master Detail Tuesday,October 3020t2 Aoolication Center Parcel Lookuo Selection Items Reports Parcel Septic Perc I Well I Fuel Tank Parcel: 245-003 Location: 125 GREELV AVENUE,CENTERVILLE Owner: MARINELLA,SABINO&.CAMILLE T TRS Septic 1, 10/2/2012 New Septic... Permit number: 2012-304 Permit type: I Repair Complete system: I✓ Issue date : 10/2/2012 Complete date: 10/5/2012 Septic tank size: 1500&2000 Type/Size of SAS:JADS ARC36 HC biodiffusers w/o stone Installer: I Brown,Douglas A.,D.A.Brown Card on file: F I/A service type: Select service - Innovative/Alternative Technology type: Select IA type Variance date : i Abandon complete date : Abandon permit number: Repair deadline date : 10/7/2012 Repair notification date : 8/7/2012 3N Keyword: Comments: 8BR system Delete Septic Inspection 8/2/2012 New Inspection... Number Inspection Date Inspector Result 7355 8/2/2012 O'Connell,Patrick M. - F/R(Fail/Repaired) The following conditions)are occurring: F discharge or ponding of effluent to the surface of the ground f pumping more than 4 times during the last year NOT due to clogged or obstructed pipe f backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool f static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool f any portion of the SAS,cesspool,or privy below high groundwater elevation f any portion of the cesspool within a Zone 1 to a public well F any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis Received Date Comments 8/2/2012 Isixty day Itr sent 8/7/12-Perc test 9/7/12-House sold 9/8/12 jmf Delete Inspection Save Septic Changes I Return to Lookup http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=245003 10/30/2012 Parcel Detail http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=16923 Logged In As: Parcel Detail Tuesday, October 23 2012 Parcel Lookup. Parcel Info Parcel ID 245-003 Developer 337-346& 347-367Lo I . Location 125 GREELY AVENUE I Pri Frontage 475 Sec Sec Road HARBOR VIEW STREET I Frontage 612 village CENTERVILLE I Fire District C-O-MM Town sewer exists at this address No ( Road Index 0629 Asbuilt Septic Scan: r - 245003 1 Interactive Map 245003 2 J - Owner Info owner MARINELLA, SABINO&CAMILLE T TRS I Co-owner %SPEKTOROV, YURY Streets 275 GREEN DUNES Street2 City WEST HYANNISPORT I State MA I Zip 02672 Country - Land Info Acres 2.59 use Single Fam MDL-01 I Zoning RD-1 Nghbd WF10 Topography Level I Road Paved utilities Public Water,Gas,Septic ( Location Excel View,Waterfront Construction Info Building 1 of 1 Year 1910 Roof Gable/Hi Ext Wood Shingle I �iMT s sl Built I Struct - p Wall S3.a_ Living 4606 I Roof Asph/F GIs/Cmp AC Central Area Cover Type 3: ld Van A -_ . ..4 Style Gambrel I ant Plastered I Bed 7 Bedrooms I aM Wall Rooms FHS _ui 6 AUS Model Residential I ant Hardwood I Bath 4 Full+ 1 H I 7 1T IN nAS.. 3a Floor Rooms 10 a V.. US•' Heat Total Grade Luxury I Type Hot Air Rooms 12 Rooms I i 30 Heat Found a WDK Q' stories 2 1/2 Stories I Oil I Conc. Block I ` Fuel ation da Gross 9366 _I Area Permit History http://issgl2/intranet/propdata/Parce]Detail.aspx?ID=16923 10/23/2012 Postal CERTIFIED MNL,. RECEIPT (Domestic For delivery 1-nformation visit our website at www.usps.come ti 0 F t C I Ln m Postage $ O $CAS C3 Certified Fee ReturnReoeipt Fee. J P Here stmark f (Endorsement Required) 7!tl O RestrictedDelive-ry:Fee r-R (Endorsement Regwred) a ro fa C:3 Total Postage&Fees $ r C3 & Mrs. Sabino Marinella 14 Louis Drive i Jellesley, MA 02481-1163 Certified Mail Provides: s A mailing receipt (ew9ne0 ZppZ aunp'ooeE uuoj sd ■ A unique identifier for your mailpiece ' • A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. '' Certified Mail is not available for any class of international mail. +a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. is For an additional fee,a Retum Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailplece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery.".,' is If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt Is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery Information is not available on mail addressed to APOs and FPOs. oF"'E rah Town of Barnstable I U.S.POSTAGE>>PiTNer sowES o k _ � Public Health Division BARNSTABLE. ' 200 Main Street M ASS, OQ Hyannis,MA 02601 r ZIP 02601 02 1vv $ 005.75° 0001361475 AUG. 15. 2012, 7006M0810 0000 3524 6635 Mr. & Mrs. Sabino Marinella 14 Louis Drive h Wellesley, MA 02481-1163 P1. 3�� D� �' DE 1 00 13�.��8/ 2 T '1,4-DJ-LIVERABLE A "AD RE,SED UNABLE T, FORWARD BC: D26014 0200 _ 4s ?`. �? i • • DELIVERY COMPLETE • • ■ Complete items 1,2,and 3.Also complete A. Signature ' i item 4 if Restricted Delivery is desired. X ❑Agent ■ Print your name and address on the reverse 0 Addressee so that we Can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this cans to the back of the maiipiece, or on the front if space permits. I D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No I I I I Mrs:,&,Mrs. Sabino Marinella i 14'Louis Drive Type Wdlesley, MA 02481-1163 s. 13 CertServiceified fied ❑Certified Mail ❑Express Mail 0 Registered O Return Receipt for Merchandise I ❑insured Mail O C.O.D. I t 4. Restricted Delivery?(Extra Fee) ❑Yes i 2. Article Number (Tnansferfrom service)abeq 7006 0 810 0 0 0 0 3 5 2 4 - 6 6 3 5 { ,� ;1 Ps Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 I� 4 ` Town of Barnstable Barnstable pF'THE Tp� Regulatory Services Department e"a�1 �+ nAnNSTA6LE. �MASS. Public Health Division 0 i6;q. &, 2007 fb MA1 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 6635 August 7, 2012 Mr. &Mrs. Sabino Marinella 14 Louis Drive Wellesley, MA 02481-1163 The septic system located 125 Greely Avenue, Centerville, MA was last inspected on 5/22/2012 by Patrick M. O'Connell, a certified septic inspector for the State of Massachusetts. The Health Division has determined that the system "Fails". • System is in hydraulic failure You are ordered to repair or replace the septic system within sixty (60) days from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH s c an, R.S. CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eval\125 Greely Ave.,Cent..doc � d � s fry�,� �re. � ; J�-e 1 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22 2012 required for State Zip Code Date of Inspection every page. Citylrown Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use p 1. Inspector: only the tab key to move your Patrick M. O'Connell cursor-do not Name of Inspector use the return key. Septic Inspection Services Co. Company Name rab 189 Cammett Road Company Address Marstons Mills MA 02648 Cityrrown State Zip Code 508428-1779 S1 12855 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: ..i- Passes Passes ® Fails �.� _.... ❑ - - - - - ❑ Conditionally CIL !� ❑ Needs Further Ev. ion by the Local Approving Authority L, d Ma 22, 2012 Job# 12-81 C! r; Da Ins cfbrEs6igna re The sy�em inspector shall submit a copy of this inspection report to the Approving Authority (Boar c� `— 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. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 t5ins•11/10 t Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22 2012 required for State Zip Code Date of Inspection every page. Cityrrown B. Certification (cont.) B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 t5ins-11/10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22 2012 required for State Zip Code Date of Inspection every page. Cityrrown B. Certification (cont.) B) System Conditionally Passes (cont.): in El Observation or obstructed ed pipe(s) t or due a broken, level static water settled or uneven distribution distribution ion box System will o broken twill pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 t5ins•11110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22, 2012 required for State Zip Code Date of Inspection every page. CityrFown 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 a 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank-and SAS and the SAS is within a Zone 1 of a public water. supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool El ® Liquid depth in cesspool is less than 6" below invert or available volume is less than_day flow Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 t5ins-11110 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22, 2012 required for State Zip Code Date of Inspection every page. City/Town B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® The system fails. I have determined that one or more of the above failure El 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. f Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in.a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 t5ins•11/10 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is required for Centerville MA 02632 May 22, 2012 every page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A). ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? Was the facility owner(and occupants if different from owner) provided with ® information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has - - -- - - - - — - -- - -- ---- been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) (310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): N/A Number of bedrooms (actual): 7 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Unknown t5ins•11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22 2012 required for State Zip Code Date of Inspection every page. City/Town D. System Information Description: No design standards for cesspools. 0 Number of current residents: 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 Seasonaluse? ® Yes ❑ No N/A irrigation Water meter readings, if available (last 2 years usage (gpd)): system. Detail: El Yes ® No Sump pump? _ Unknown Last date of occupancy: 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: Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 15ins•1 Ill 0 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22 2012 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: None Source of information: Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: __ _ ❑ ._ _ Septic tank,.distribution box, soil absorption.system_ ❑ Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•11/10 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 125 Greely Ave Property Address Marinella Owner Owner's Name information is required for Centerville MA 02632 May 22, 2012 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: Unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 1' Depth below grade: feet Material of construction: ® cast iron E] 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): — - - --= - Depth below grade:- - - feet - ----— - - ---- --- — - ——-- - Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth- t5ins-11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 L Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22 2012 required for every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness 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: El concrete F1 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•11110 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Greely Ave - Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22 2012 required for 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.): Tight or Holding Tank (tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day _ Alarm present: - — _ _ --- . ❑ Yes -❑ No—__. Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins-11/10 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 r Commonwealth of Massachusetts : Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22, 2012 required for y every 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 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 125 Greely Ave Property Address Marinella Owner Owner's Name information is y required for Centerville MA 02632 May 22, 2012 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 2 stone pits. ❑ 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.): Pits show hydraulic_failure into main cesspool. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration One with 2 overflow pits. Depth—top of liquid to inlet invert 16" 4" Depth of solids layer 3 Depth of scum layer Dimensions of cesspool 6x6 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is required for Centerville MA 02632 May 22, 2012 every page. Cityfrown 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.): Cesspool had solids on top of outlet tees and staining on blocks to top of structure. 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address -------_—` — ------.— - Marinella Owner --- _-.-.- ------ Owner's Name — information is required for Centerville ___ MA 02632 May 22, 2012 every 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 n drauinn attar.hP.d_senarAtply / 01,111 f 1, f 30 26 20 21 27 Greely Ave SWV Y }h s t Commonwealth of Massachusetts UIVTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is y required for Centerville MA 02632 May 22, 2012 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ® Check Slope ® Surface water ® Check cellar ® Shallow wells Estimated depth to high ground water: N/A 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: 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 Commonwealth of Massachusetts kwTitle 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 125 Greely Ave Property Address Marinella Owner Owner's Name information is Centerville MA 02632 May 22, 2012 required for Y every page. Cityrrown 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 TOWN OF BARNSTABLE LOCATION XtIe , SEWAGE# &/Z—30� VILLAGE CeA4e_ryc L I Q ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 0 2,0000i o 1SZo6;-,*1 v LEACHING FACILITY:(type) Age 3& /1i e_o,' (size) —U.110 w3 fv.14 NO.OF BEDROOMS OWNER PERMIT DATE: /0-7,®20/Z_ COMPLIANCE DATE: la �- 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 D BY FURNISHE 1 � 8 I 3 � C-3 3e 'D-3 4 39 4 3s:1. - it SS'.( r -I j 5 G (1��A 6y ;CA [� Lv - --------- ` LEGEND HYANNISPORT PROPOSED CONTOUR DETAIL: ® PROPOSED SPOT GRADE SHOWING WHOLE �� PJ� __ 98 __ EXISTING CONTOUR G P + 96.52 EXISTING SPOT GRADE GVILLE $EACH ROAD W— EXISTING WATER SERVICE CRAI \� #12 F,�� TEST PIT >-w LOCUS WZ �\ PROP. I ,50OG Nq �Q O� ti SEPTIC TANK CP so&0c F UPOVE PARCEL ID: 'T's. 245/003 % AREA=2.59ACRES rr LOCUS MAP 18 0 �i` srj, LOCUS INFORMATION PROP. 2 OOOG 16"0 \W — — — PLAN REF: 281/26 & 34/91 I, SEPTIC TANK \� _m5p ports "" — —__ - _ TITLE REF: 23618/205 O Q 1 ` / C - - TOP OF PARCEL ID: MAP 245 PAR. 003 CAST IRON NOT IN ZONE II SEWAGE PIPE FLOOD ZONE: "C" _' ��' `�6'� ------ \ �\ `�� __ --�Q�' _ = ELEV=24.56 COMMUNITY PANEL: 250001-0008-0 DATE0:07/02/92 SEPTIC SYSTEM NOTE: ` 6 ' N I --•..y ''•••• REPAIR PLAN SEPTIC LOC. 1 "' •'•• ' __-- %� P �.•'' l j`� I -'�i LOCATED AT: PER TIE CARD' �,\ -:,r,, CP ---------- •'•. 2 I �•Y- ' 125 GREELY AVE. '\, rr CENTERVILLE, MA f QG' 1 N / • �`� "SPR /' 's �� ;/ PREPARED FOR DIG IT CONSTRUCTION $ D. •• _ ' i SEPTEMBER 27, 2012 •' —�'' '` REV: OCTOBER 1, 2012: FLOW CALCS _ OF 44,p 0000 PATIO �' .. / M. EL=22.0 �__— W J V{ ,urj\\( � _- O �l REGISTER ,� _- of VE �Rl E ••'''•• `• '/ a GR#125 A L ' �•••'•••• b� NITAR�a (� l �1/ ` •.. • 23 MEYER & SONS, INC - - - - - / P.O. BOX 981 ZO GRAPHIC SCALE 20 EAST SANDWICH, MA. 02537 L% oF 508 362-2922 �, �r- ( ) ( IN FEET ) 1 inch = 20 ft. SHEET 1 OF 2 J#1471 DESIGN CRITERIA MAI N HOUSE: NOTE: TO PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISH GRADE SHALL NOT BE < EL:19.06 DESIGN FLOW: 7 BEDROOM DWELLING W/ CARRIAGE HOUSE (STUDIO W/BATH) PERIMETERTOFCTHEFS.A.S.AROUND THE DESIGN USING 8 BEDROOMS X 110 GAL/DAY = 880 GAL/DAY -SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. SOIL TEXTURAL CLASS: CLASS I DESIGN LOADING RATE: 0.74GPD/SQ FT. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER OUTLET AND SET TO 6 OF FINISH GRADE - SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. Al GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) F.G. EL.=22.0t F.G. EL.=22.8t F.G. EL:22.0t F.G. EL: 22.0(MAX.) TANKS: f MAIN HOUSE: 7 BEDROOMS X 1 10GPD X 200% = 1,540 GPD **USE PROP. 2,000G TANK** L = 15't j ' 9" MIN COVER/ L = 60' L = 15'(MAX) INSTALL TWO INSPECTION PORTS (MIN.) ® S=1% (MIN.) • 36" MAX COVER ® S=1% MIN. CARRIAGE HOUSE: 1 TOTAL BEDROOMS X 110GPD X 200% = 220 GPD a"scHao PVc ® s=1% (MIN.) 4"scH4o(PVc) **USE NEW 1,50OG TANK** 4"SCH40 il PVC 10" is 6 10.75" TO DISTRIBUTION BOX: (7 OUTLETS (MINIMUM)) INV.=20.45 48'LIQUID �INV.=20.20 INVERT LEACHING AREA REQUIRED: (880)/.74 = 1,189.18 S.F. LEWL INV.= 18.60 GAS BAFFLE PROPOSED 7 ROWS OF 7 UNITS 0 5'/UNIT +1 COUPLERS 0 1.16'/UNIT = 36.16'/ROW PRIMARY S.A.S. INV.=19.00 �� De-s(H-zo) INv.=18.80 SOIL ABSORPTION SYSTEM (PROFILE) USE 7 ROWS OF 7 - ADS ARC36 3616HC (H20) UNITS-NO STONE PROPOSED 2,000 SEPTIC TANK RESTORE VEGETATIVE COVER AND EXTENDED 1.16' W COUPLERS IN BETWEEN EACH UNIT EXISTING SEWER OUTLETS f INV.=20.75 - BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.80 SF/LF OF CHAMBER) CARRIAGE HOUSE SANDFTO TOP OF CHAMBERS (CHAMBERS: 7/ROW) 49 UNITS x 5.0 LF x 4.80 SF/LF = 1,176.00 SF (COUPLER: 1/ROW) 7 UNITS x 1.16 LF x 4.80 SF/LF = 38-.97, SF SEPTIC TANK INSTALL RISERS & COVERS OVER INLET & BREAKOUT=TOP ELEV.= 19.06 TOTAL AREA = 1,214.97 SF OUTLET AND SET TO 6" OF FINISH GRADE INV. ELEV.= 18.60 • F.G. EL.=23.6t F.G. EL.=22.80t BOTTOM ELEV.= 17.73 EXIST. SUITABLE DESIGN FLOW PROVIDED: 0.74GPD SF 1 214.97SF = 899.08 GPD> 880 GPD re 'd 2,88' MATERIAL GENERAL NOTES: 5' MIN. ABOVE BOTTOM OF T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 7 x 2.88' = 20.16' L = 30't 9" MIN COVER/ L = 85' (6.73' PROVIDED) USE 7 ROWS OF 7-ADS ARC 36HC H2O UNITS 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL ( ) ® S=1% (MIN.) 36" MAX COVER 0S=1% MIN. BOARD OF HEALTH AND THE DESIGN ENGINEER. 4"SCH40 PVC 4"SCH40(PVC) BOTTOM OF TESTHOLE EL.=11.00 = No STONE W/ 1 COUPLER IN EACH ROW 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS " TO D-BOX OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. t0" 14 SHOVE ABOVE 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR INV.=20.60 48'LIQUID INV.=20.35 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE L£VFL DESIGN ENGINEER. GAS BAFFLE �� OF Mqs 4 ANY CONDITIONS THOSE ENCOUNTERED DURING CONSTRUCTION DIFFERING SHOWN H REON SHALLBE REPORED TO TTHE FROM DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. /c EN ✓+ / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. PROPOSED 1.500 GALLON SEPTIC TANK �YE 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF EXISTING SEWER OUTLET No. 1140THE HEALTH FOR ROPER INSPECTIONS DURING CONSTRUCTIOTOR OR OWNER TO NOTIFY THE LOCAL N. OF INV.=24.23 SOIL LOG P#: 13734 7. WATER SUPPLY PROVIDED BY TOWN WATER. ��sl DATE: SEPTEMBER 7, 2012 SANITAR�a� 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE. 1614 TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. # WITNESS: OONALD DESMARAIS, BARNSTABLE BOH �� I )L 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING PIPE INVERTS PRIOR TO CONSTRUCTION CONSTRUCTION. Elev. TP-1 Depth Elev. TP-2 Depth 2) TANKS AND D-BOX SHALL BE SET LEVEL AND 10. EXISTING CESSPOOLS FOR MAIN HOUSE AND CARRIAGE HOUSE TO BE PUMPED, REMOVED, AND 22.0 A 0" 22.0 A 0" TRUE TO GRADE ON A MECHANICALLY COMPACTED FILLED PER TITLE 5. LOAMY SAND SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 10YR 3/2 LOAMY .SAND 18" 10YR 3/2 310 CMR 15.221(2) 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY 20.50 B 20.50 18" AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY LOAMY SAND B LOAMY SAND 3) INSTALL INLET & OUTLET TEES W/ 13. NO PRIVATE WELLS WITHIN 150 Fr. OF PROPOSED LEACHING 10YR 5/8 10YR 5/8 GAS BAFFLE AS REQUIRED 14. ALL PIPE TO BE 4" SCH 40 ® 1/8"/Fr (UNLESS SPEC. OTHERWISE) 18.67 40" 18.67 40" PROPOSED SEPTIC SYSTEM/SITE P LA N 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW C FINE - C -FOR THE USE OF A GARBAGE GRINDER PERC ® MEDIUM SAND FINE - MEDIUM SAND 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING EL. 16.1.8 2.5Y 6/4 2.5Y 6/4 125 GREELY AVENUE CENTERVILLE MA 17. PLACE 6" SCH 40 PVC SLEEVE 10 FT ON EITHER SIDE OF WATER SERVICE Prepared for: Dig It Construction AS SHOWN ON SITE PLAN. Engineering by: Surveying by: SCALE DRAWN DATE Lt 11.01 132" 11.01 132" Meyer&Sons,Inc. MacBou ell Survey,Y NTS D.M.M. 09/27/12 ao BOX 981 PERC RATE <2 MIN/IN. ("Cl" HORIZON) EASTSANDWICH,MA 02537 (508) 419-10856 REV. DATE: CHECKED SHEET NO. NO GROUNDWATER OBSERVED 508-362-2922 10/01/12 D.M.M. 2 Of