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Home My WebLink About0059 HITCHING POST LANE - Health i I 59 HITCHING POST LANE Centerville A= 173 -035 SMEAD No.2-153LOR UPC 12534 smead.com Made in USA ��cvcc� zJ TOV+mt OF BAYtNSTABLE - - LpC,�.TiOI+I AI g� flG �L M,' INSTALLER M P1HOI ENO. 'I�(C�'A1�Ii�CAPACI't'X L�A+Cilit'JG I�,ACIf�IT1t�.(�Ype) (ssze): .00 OF BFsDIL�1VIS FrIZ OR OIZ..:... FBRfVJEiT33A.'I' ' CO1U31yt.Ip► TC Snptiop D Bcitvigen tom: Daxlrnum kdjuetd Gmuteilwatec °able W the>3attom aXaehtno �UtFeet , .� pc Ultatcr u ly iN �i aa�d t.e�ahin pacitery'(ifainf�rells a lst on egtc.cr wlttiin 2Ap feot a�l�act�tn�fctci!liy�) po9 Eti�,r c�#tte +d and lLeAcbinPadlllcy +y wetlands exist �fitlain' Q(1 feet pi letcl�f q fmctliry) / fee 'll�irnl3bed b f' �� 1'sc a A-1- on i t]f 1HE? Town of Barnstable Barnstable a� Inspectional Services Cac j aarui��rasLe, a 9. ,�� Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Thomas A.McKean,CHO FAX: 508-790-6304 CERTIFIED MAIL#7015 1730 0001 4987 9552 March 8, 2019 BOMMER, DOLORES TR 59 HITCHING POST LANE CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 59 Hitching Post Lane,Centerville, MA was inspected on 02/22/2019 by Shawn McElroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1) year 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 <; Aom an, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\59 Hitching Post Lane Centerville.doc Town of Barnstable KAM • )ARNBfABLE. • Regulatory Services Department — -- - - --- Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool NE 1 YEAR DEADLINE CRITERIA Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any"conditionally passed systems" (broken cover,relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc Commonwealth of Massachusetts r� lip Title 5 Official Inspection Form _ : Subsurface Sewage Disposal System Form Not for Voluntary Assessments 59 Hitching Post Ln ' Property Address Steven Bommer " Owner Owner's Name 'ea information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection Inspection results must be.submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. A. Inspector Information 61W /S&R3 Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that:l am a DEP approved system inspector in full compliance with Section 16.340 of Title 5 (310 CMR 15.000);1 have personally inspected the sewage disposal system at theproperty address listed r above;the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.After conducting this inspection I have determined that the system: 1. ❑ Passes -2. ❑ Conditionally Passes , 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 2-22-19 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 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 form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: 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. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ill Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2=22-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) 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: 2) System Conditionally Passes: ❑ One or more system components as described in the "ConditionalPass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage)Disposal System-Page 2 of 18 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) - 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ 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 ON ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): t. ❑ 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 El ❑ ND (Explain below): ❑ obstruction is removed ❑Y El ❑ ND (Explain below): 3) 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. a. 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: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 18 Commonwealth of Massachusetts 3 Title 5 Official- Inspection Form II i�I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ 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 b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: []The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. c. Other: 4) 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 t5insp.doc•rev_7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts w Title 5 Official Inspection Form a HI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) .System Failure Criteria Applicable to All Systems: (cont.) Yes No ® ❑ 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 V2 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. ❑ ® 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 water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. M1 ' ❑ ® 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 o, and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ 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. 5) 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 CA. 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 t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form ,%I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes"to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes"or"no"for each of the following for a►/inspections: 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? ® ❑ Wasthe 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage;Disposal System-Page 6 of 18 Commonwealth of Massachusetts p,, Title 5 Official Inspection Form HI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: 2019 Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i,-1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. 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 Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: 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 below): 3. Pumping Records: Source of information: Owner--pumped 4 yrs ago Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for Maintenance pumping: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface SewageiDisposal System-Page 8 of 18 < Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments >°i 59 Hitching Post Ln 1•.=._r Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age-of all components, date installed (if known) and source of information: 1978 Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): , 24" Depth below grade: feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form - ' it Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: 18"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: 1000gal Sludge depth: 12" Distance from top of sludge to bottom of outlet tee or baffle 20" 1" Scum thickness Distance from top of scum to top of outlet tee or baffle 611 Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Tape Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank is in good condition with no sign of leakage. Concrete outlet baffle has fallen off and should be replaced. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface SewageiDisposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form l,l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln J Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 7. 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.): B. 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 t5insp.doc-rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form i.l Subsurface Sewage Disposal System Form Not for Voluntary Assessments a 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) 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 9. Distribution Box (if present must be opened)(locate on site plan): Depth of liquid level above outlet invert 0 Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): D-box in poor condition and falling apart with signs of overflow above inlet invert. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface SewageiDisposal System-Page 12 of 18 t Commonwealth of Massachusetts Title 5 Official Inspection Form ai Subsurface Sewage Disposal System Form =Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ® leaching pits number: 1-1000 gal ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form w_� i i�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leach pit was holding 24" of water at inspection with stain lines above inlet invert and into riser. 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev:7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage0sposal System•Page 14 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form ? i,l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ., 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. 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.): I t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form " �1i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments z. 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately 0 . R f ' ! ` '22. C��. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage;Disposal System•Page 16 of 18 f Commonwealth of Massachusetts ii Form Title 5 Official Inspection r�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments :;�� 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 20' feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site(abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database - explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at greater than 20'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 18 Commonwealth of Massachusetts 3 Title 5 Official Inspection Form �i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f �,; :'' 59 Hitching Post Ln Property Address Steven Bommer Owner Owner's Name information is required for every Centerville MA 02632 2-22-19 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank—Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage0isposal System-Page 18 of 18 1 TOWN OF BARNSTABLE LOCATIO ,Utau. SEWAGE# a0� ,VILLAGE cz it{Tr SESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO.4 ah SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) �1 p 2 NO.OF BEDROOMS OWNER .- O PERMIT DATE: 3 r}7r COMPLIANCE DATE: Separation Distance Between he: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility X01 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 ac i facili Feet FURNISHED B aLr . o 1 2 Q Mr28 5' 2q A4 ' 30 2 No. lN (/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS R: U Application for Disposal 6pstrin Construction 3pPrmi.t 3� Application for a Permit to Construct Repair Upgrade Abandon pp ( ) p ( ) pgr (� ( ) Complete System [1��ndividual Components Location Address or Lot No.S I Owner's Name,Address,and Tel.No. r. Assessor's Map/Parcel Y(,W r S Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. inc „brK 4 NAVRA 2- �till-5813 Type of Building: Dwelling No.of Bedrooms 3 Lot Size 171 36q sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided a of 7 gpd Plan Date I i q Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil _ina Nature of Repairs or Alterations(Answer when applicable) 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 is Bo d Heal Date Application Approved by J&W11W1fY Date Application Disapproved by Date for,the following reasons Permit No. r Date Issued '+ 1"�• _"! �!/ Fee /THE'COMMONWEALTH OF MASSACHUSETTS Entered in computer: l Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 010plication for 3318tlosal 6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade o-1/Abandon( ) ❑Complete System 54dividual Components w� Location Address or Lot No.511 �'�I�(l�! �j .! �Q$}" � • Owner's Name,Address,and Tel.No. Assessor's Map/Parcel 5 -Dr IDrrS Z6ftkPU r" } Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. a (�llnhs Fvavq-hbr ljyy 3`t2-()U,-0 �4lh-tLrt WgrK3 1rC. /S-u%Li?'t-S313 Type of Building: `r Dwelling d No.of Bedrooms Lot Size f 1 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required). 330 gpd Design flow provided ,�, p• gpd Plan Date 11 I I I Number of sheets ,? Revision Date Title 17 ,( w ( a�lr. "�i!�► OW1111111 han Sq 141�� 1 m Size.;of Septic Tank jp)O Type of S.A.S. 0) Description koilrt� t1 ty Nature of Repairs or Alterations(Answer when applicable) r Lr�P•(Yr fL (KC t^.Lr/f a Date last inspected: Agreement: ., The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in f 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 Boar�� Hea Vlm- y�gn,�e' R I d --- Date .4I L? ,J APP ,1? hc tiori Approved byf i/.� �: u i �s P�i[ I .�� yam. -!�— Date - Application Disapproved by ( / w l Date u for the following reasons Permit No. / �1 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ., Certificate of Compliance THIS IS TO CERTIFY,that the On-site eSSewwa/ge D)isyp/osall system C4 onstructed(� ) Repaired( ) Upgraded(14 Abandoned( by 1�10 i� �i X( .�k.1{ !i l A/ 1 at 5�1 �T(.�'I I Hr S : .I.1;t Qa has been constructed>in accordance p i afi yt .�° with the r/o1vistons of Title�5'and the for �Disposal System Construction Permit No. p -P dated Installer 0LA(hN S• G X(((t V0 1 1()h ° is gner L`ro �p • ! & #bedrooms, ATprovedrdesign=flow• j�A I L►J(,rI N WL)f K11 gpd ` S The issuance of this pehnitt shall not be construed as a guarantee that the system will f mCtion designed. Date l,� ( l 1 Inspector �� :-- ------^-- J---- - --- - ---:------------------ ---- -------- ---- ----- ---------------- - - -- No. 1 �_/16) I Fee �(�/I '�- _ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal *pstem Constructiow i3ermit Permission is hereby granted to CRRIKA t_ ) Repair( ) Upgra (v( bandon( ) P System located at 5Nt (W) and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with f Title 5 and the following local provisions or special conditions. Provided:Construction d1 t be c • pleted within three years of the date of this permit. _1 Date �� OC.� Approved by41 f ,. . t Town. of Barnstable Dy 1 Regulatory Services UAIiNS!1y hard V. Scali,Interim Director. 'ABLE. '+ Ric n>Ass, a �e39. `mom Public Health Division ApE°MA+� Thomas Mclaean, Directin- 200 illain Street,Hyazrnis,_.NIA 0260.1 Oi'ticC: 508-�62-464d FMa SH-790-"+04 installer& Designer Certification Farm Mite: 2�\� — Selvage Permit# _assessors AlapTarcel Desibner: ' i 1C Installer: v f 4-Y7 S GXCcl. Address: I:Zryss �lcl rlclelr.ess:Oil t'1^�at� MA d.goeyq- 4.1 3__.— eras issued a permit to install.a (elate} (installer) septic syste:ln at qc>s F UL I'' based on a design,d!"a.4 n by (address) i� 1i1✓1c (Ucs �1ts dated (designer) 'I certify that the septic systern referenced above was i�stti.11ed substantially according to the design, v hicli may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. i certify that the septic systerni referenced above was installed with major changes (i.e. greater than 1() lateral relocation of the SAS orally vertical relocation of any component of the septic system) but in.accordance. vvith State & .Local Regulations. Plan revision or certified as-built by d.es.igner to follow. Strip out('if required} Baas inspected and the soils were found satisfactory. [ certify tIA the system referenced above was 1constructed ill. Witli the terns of tie h a zroval letters(if applicable) n al.ler s ignature) CIVtL � �10.35109 (Designer`s Signature) (Affix Designe PLEASE RETURN '110 BARNSTABLE PUBLIC HEALTH. DIV.ISIOI\r. CERI"IFICA.F OF COMPLFAiTCE WILL NOT BE ISSUED UNTIL BOTH. HIS FORM ANDAS- BUILT CARD ARE RECEIVED BY THE BARNSTAE3LE PUBLIC FiEALTI-f DIVISION 'THANK YOU. :`:S pii '..fe igner C`ec4ification Form R,-3-14-iIdoc Engineers note: I hs certification,is limited to an as-built inspection of system cornconens as insla!leb prior to b ^dill.The angineef did not su;peivise construction of the system..The installer assumes responsibility(or all materials,workmanship,backfilling to specified grades vAth proper compaction and setting risers'covers as sh:o—r-,on the design plan, Town of Barnstable Department of Regulatory Services Public Health Division Date n MAS& 3-to1�1 t�.. �o ialq ,�� 20u.Main Street;Hyannis MA 02601 ,�� ire - ++ iX.;� Date Scheduled 1 1 cQQ Time Fee Pd. ;� Soil Suitability Assessment for Sewa e Disposal Performed;By: 4 ZW. ttnessed By: LOCATION& GENERAL INFORMATION J..ocation.Address , Owner's Name ._ . _ . +. __4t, Ce V c,l Address �-(- }C r'1 'FG�J4L Assessor's Map/Parcel: ('73 a--G 3� Engineer's NameNEW CONSTRUCTIONREPAIR J Telephone,# Ladd"Use` i-e5 iokf-,-%`--t 1 Slopes(%) Surface Stones A/fr+Ze- Distances fromc. Open Water Body ft 'Possible Wet Area d O ft Drinking Water WeIJ Drainage Way NM" ft Property Line ft Other ft SKETCH:(Street name,dimensions of jot,exact locationsof test holes&pere.tests,locate wetlands in proximity fo holes) 4 Z F, Parent material(geologic) (0,3Iy, N Depth to Bedrock Depth to Groundwater. Standing Water in Hole: 1V L Weeping from Pit Face Estimated;Seasonal High Groundwater. DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: r Depth Observedstanding in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs.hole: - __ in. Groundwater Adjustment Index Well# Reading Date- Index Welt level Adi,factor,,,,,,�.,r•Adj:groundwater lAvel PERCOLATION"TEST Date Thee �. Observation Hole# 2� Time at V Depth of Perc. d 11 Tlmc:at 6" -7-7 Start Pre-soak Time.6 Time ff'-6") 4 C�l End Pre=soak Rate MimAnch Z Site SuitabilityAssessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation I3ol.e Data.To Be Co,mpteted on:Back--.--------- *If percolation testis tot be conducted within100' dwedand,you niust first notify the Barnstable Conser,yation Division at least one(1)week prior to beginning. Q:\S EPTJCIPERCrORM.DOG DEEP OBSERVATION HOLE LOG Hole#�_ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling; (Structure;Stones;Boulders.. n i ten . ravel)30 DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil, Other Surface(in.) (.USDA) (Mur.mll) Mottling (Structure,Stones:Boulders. Consistency,% rave! d-(v At U0,r- Sq 4�`f✓L Ut z 3Cu- 2 G25�rro DEEP OBSERVATION DOLE LOG Hole# Depth.from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munseli) Mottling (Structure,Stones,Boulders. Consistency,%.Gravel i i DEEP OBSERVATION HOLE LOG. Hole# Depth from 'Sol[Horizon Soil Texture Soil Color Soil Other Surface(ins) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,. Consistency. ra . Flood Insurance Rate Man: ,( Above 500 year flood boundary No— Yes ./__`_ iVitlun SCO,yearboundary No'K— Yw Within 100 year tlood.boundary No Yes - Denth'of Naturally Occurring Pervious Material Does at least four feet of naturally occurring peryious.material exist in all areas observed throughout the area for the soil absorption system? proposed If not,what is the depth of naturally occumng pervious material? w Certification I certify that on ll 10. (date)i have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above anaiysls.was performed by me consistent with the.required training rtise and experience described in l0 CMR 15.017 Signature. Date i g Q i\.S,EjYrl0PERCFORM.DOG LO A SEWAGE PERMIT NO. - 2 6-- 24��",4 )Q o-,;c t L VILLAGE INST LLE 'S VNE g ADDRESS B U I'L E R OR OWN R J DA T E PERMIT ISSUED OAT E COMPLIANCE ISSUED ' � �� L P it ' No....../ ._. Fps.../1`•®v �. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH j P - D� OF. ...�i T1l G Appliratiun -fur Bhipwial Works Tunitrurtiun Vrrutd Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: AOB 7- / .................-........ �z ----• -------------------•----•---•--•-•-----•--- ---Location-Address ` or t I'o. Owner W I -Address ..�,� .� ,� .t� 4Fe A e 1_ x� �.5 s .................. Installer Address Type of Building 3 Size Lot......, .__e®__6...5 feet Dwelling—No. of Bedrooms'._,__/.......................................Expansion Attic ( ) Garbage Grinderl( ) aOther—Type of Building _lN�®�!?----------- No. of persons..... ............. Showers ( ) — Cafeteria ( ) a' Other fixtures --------------------------------------------•----------------------------•--••-•-•----------------- W Design Flow...........................................gallons per person per day. Total daily flow•----_____---3.--77 J�.................gallons. WSeptic Tank—Liquid capacity,0V gallons Length---------------- Width--------.------- Diameter................ Depth..-.__----.----. x Disposal Trench—No. --------------------- Width---- Total Length----------------_- Total leaching area........------------sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................___ Total leaching area-..--.-._-.--__.-_sq. ft. Z Other Distribution box (,k) Dosing tank ( ) a Percolation Test Results Performed by.......................................................................... Date. ---zr t,e_5777 a Test Pit No. 1....�......minutes per inch Depth of "lest Pit-------j`Z'--- Depth to ground water-.._/�l.D.__._-.-. Gi Test Pit No. 2........Z,......minutes per inch Depth of Test Pit--------1_2n___ Depth to ground water__._.®-_-_----- ..... ............................ ........................... -------......7................................................................. O Description of Soil f - --�.__---- � ,t?_.____--_l ---_---�-Z x -------------•••-••------------------------------------- ------------ U .....................................................-.....................................................................................................................------------------------- ----------- -- -------------------------•------------------------------------------------------------------------------------------------------------------------------------ -------------------------- V Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------- --------------------------------•-----------------•- -------.-----------------------------------•--------------------------------------------------•-••------------------- --------•------------•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar rof health. Signed_h^ ---• Leartu-� _------------• �� Application Approved By------- 'l` ---------------------................................................. .l��. Date Application Disapproved for the following reasons--------------------------------------------------------------------------------------------------------------•- ---•••••••-----------••-----•---•---------•-•-----------------------••----•-••-•-•--••••--••-•-••--•-•--.------•---•----------------------------------------------------------------------------------- 0 Date Permit No. ��`5---------------------------------------- Issued /2^ Date Fizic THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........OF..................................................................................... Appliration -for 43itipaiial Worko Tomarurtion Prruid Application is hereby made for a Permit to Construct or Repair an Individual SezalgrW' isposal system at: ...................... -A 7---------------------------------------- -------------------------------------------------------------------------------- ___Locati6n"'' ddress `*V j��"t'k� ,- , or t No. jt ..�A_A.,aZy...................................... ... ..........----------------- Owner aAddress A A 10 .......... _----------_-- .............. ................... Installer Address Type.of Building Size Lot..... ...Sq. feet J Dwelling—No. of Bedroorrts--,_______________________________________Expansion Attic Garbage Grinder ( ) per,,, Other—Type of Building -0"Ph........... No. of persons..-__-2-0---------------- Showers Cafeteria ( ) P4Other fixtures ----------------------------------------------------_ .....................------------------------------------------------------------------ Design Flow............................................gallons per person per day. Total daily flow._.._.._._._.`�5 0------------------gallons. P4 Septic Tank—Liquid capacity/,AP-gallons Length________________ Width._._......._.. Diameter_-:-....---- -- Depth.._..___-.-.--. Disposal Trench—No--------------------7WIdth.. --- Total Length____________________ Total leaching area....................sq. f t. Seepage Pit No_____________________ Diameter----------------------Depth below inlet___..____________._,. Total leaching area.--:-.- __-_sq. ft. Other Distribution box O Dosing tank � Percolation Test Results Performed ------------------------------------------------------------- DateSAY----4%_ Test Pit No. _____--minutes per inch Depth of Test Pit------ ---- Depth to ground Water../_P: ------ rl� Test Pit No. 2.....e......minutes per inch Depth of Test Pit.._____ Depth to ground water..../V'0------------------- W4 .............L----------------- ............... -------------------------------------------------------------------- ---------- ------ -------------7_ 0 Description of Soil-------4&1 0.,#f_6..AF..........:P . ....... ----------------------------------------------------------------------- U ----------------------------------------------------------------------------------------.................................................................... ...................................... W --------------------------- ----------------------------------------------------------------------------------------------------------------- -------------------------1........................... J Nature of Repairs or AlteratiQ:'ns—Answer when applicable..-._-_-.__._-___..-___-_--__------------------------------------------------ ---------------- .................. .................................. ---------------------------------------------Y--------------------------------------------------------------------------------------------------- Agreement: The undersigned ageees"to -install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa of hea) h. Signed.44 ............ ....................................... . ..... ... ........... D't 77 Application Approved By---------- ---------------------------------------------------- ------ ---------- ---------- - ---------------- Date Application Disapproved for the following reasons:: -----------------•----------......-------=---...------------------------------------...... .............................. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date PermitNo-------71.•......................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................0 F...................................ze. .............................. ............. TprtifiratV of 0.11mpliaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired 44� /7 by----_---- ------------ .......................I............................................................................................ • 10413#0 v '�:4 :�Pstiller at--------_------ek_.;--------- ---------- V-_W' '6-4W------------------------------------------ has been installed in accordance with the proAsions of Article XI of T4 State Sanitary Code as described in the application for Disposal Works-.Construction PermA�No---- -------------------------- dated......../ ................ THE ISSUANCE OF THIS.1 CERTIFICATE Skii NO I T BE CONSTRUED-AS A GUARANTEE THAT THE SYSTEM WILL JFYNCTION SATISFACTORY. DATE ------------------- ..................t----------------------- Inspector.................................................................................... - t4 -v" THE COMMONWEALTH OF.MASSACIA0 ETTS BOARD OF,,HEALTH ; ........... OF ----- -------- ----------------------------- A6......................... t. FEE.-W,.................... %sVniial Works Q1,omitrurtion Vamit Permission is hereby granted/fZ,,9.46_cZ------------ ..................................................................................... to Constr6t or Repair an Individual Sewage Disposal System at No.....Z-6 ..........4, ,<........... - ---------- ------ e5 A--'rew vxr t r----------------------- -- Street as showfi on the application f6r Disposal,.W,- Permit,2 at ....... ..........--------------------- ............... ....... yard of Ith DATE ------------/.A.............. .. ................................ 1255 HOBBS WARREN1A,8 ISHERS FORM INCINCJ 6�1!e6 V. ,1 ` may So' �',CW++�i ht R�•+� � �' S '- ��; ,.� -ems IT+T r s.0 - zCvt t E� 1iaa T "z Vim•p4m6v =330 X1,5= j5ki b t', NCH Tl ' 96,,off �' • ' qj L-10 plc, NO Pi �'G•.�..rri�', �r,�tk�'t7' v�1T� . �lW14 w � r L� .� •�1�' .a.'�.-�� rev �-r�> ter. 1177 { + d F 1r N LEGEND ® 0 —— 98 —— EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE LOCUS —�H.W OVERHEAD WIRES �a —t�Gyy-- UNDERGROUND WIRES ° P%rah; G EXISTING GAS SERVICE a oa osr �n9 �v W EXISTING WATER SERVICE P�f `� � 6o ccotc �a p9 r<� Qo TEST PIT 0 o BENCHMARK Q�c LOCUS MAP NOT TO SCALE H T k'L T T�� 99,40 LA NZ NZ edge of pa vemen t PK SET —� • 100.00 100.16 = S 83*26'40" E MP 101.00• -. 100.53 0 o x x x 100.83 100,90 0 z 10061 ' '� :. J n 100.85 01.14 10 18 Q I + w ON .., W c00n 100 9 Q 00.46 I 2 101, .. I x 100.43 T - I. I iEXISTING GARAGE 10. BENCHMARK HDUSE(#59) CORNER/BULKHEAD 99.97 T.O.F.=101.5E EL.—100.54 W BM o 100, 4 BH h o vex �C �\ ry0\, 1008 1 119 99.18 � :� 10 .47 O - i.:: / TP-2/.•: •- O ' rin e / T 109 3 1 j O _>1 \ DECK TOF, J x -/j9,32/O / PROPOSED S.A.S. 100.00 �•"��:J 2-500 GALLON CHAMBERS • TP-1 �� SURROUNDED W/4' STONE 99.19 WALK0 /l 0' 99.6 • + 98,44 �r EXISTING TO REMAIN) TANK �v ) I + 99.03 TOP OF TANK, EL.=99.00E • x 98.11 ARBOR SHED INV.(OUT)=97.67E / SHED 0 0 0 • 98.84 / � + 98,01 � 9803 LOT 25 I \ I I EXISTING LEACH PIT 17,369 f S.F. TO BE PUMPED, FILLED I I \ WITH SAND & ABANDONED 1 z-9\.8(� I I 100.25' I x 98,0 N 79 25'Sp,. IN 44ss9� PARCEL ID: 173-035 PETER T y� PROPOSED SEPTIC SYSTEM UPGRADE PLAN o . �, McENTE CIVIL E N 59 HITCHING POST LANE, CENTERVILLE, MA No. 35109 Prepared for: Delores Bommer, 59 Hitching Post Ln, Centerville, MA /S1F� � OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. I�p BOMMER FAMILY TRUST 1"=20' P.T.M. 137-19 BOMMER, DELORES TR Engineering Works, Inc. 59 HITCHING POST LANE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. 11 CENTERVILLE, MA 02632 (508) 477-5313 4/19/19 P.T.M. 1 of 2 5 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=96.5 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D-BOX OF THE`013, OSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT PROPOSED . .S. / OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE INSTA SER & COVER OV R ONE CHAMBER AND T.O.F.=101.5f SET 0 OF F.G. TO SER AS INSPECTION PORT F.G. EL.=100.4t F.G. EL.=100.5t F.G. EL.=99.3t G. EL.=96.2t MAINTAIN 2% SLOPE OVER S.A.S. _✓ L = 30' L = 13' ®"SCH 0(PVC) 04"SCH40(PVC) 2" LAYER OF 1/8" TO 1/2" I DOUBLE WASHED STONE as $ as (OR APPROVED FILTER FABRIC) 14" s 2' EFF. aaaaaaa EXISTING8" LIQUID DEPTH aaaaaaa --3/4- TO 1-1/2" DOUBLE LEVEL ADD 4' 4.8' 4' WASHED STONE Gas INV.=96.47 PROPOSED INV.=96.30 INV.=97.67t D-BOX EFFECTIVE WIDTH = 12.8' EXISTING INV.=96.00 EXISTING SEPTIC TANK 2-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN NOTES: H-10 RATED 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=96.8t INVERTS, PRIOR TO INSTALLATION. BREAKOUT ELEV.=96.50 INV. ELEV.=96.00 aaaa 2) D-BOX SHALL BE SET LEVEL AND TRUE TO 9aaaa GRADE ON A MECHANICALLY COMPACTED SIX eaaaaaaaaBa INCH CRUSHED STONE BASE, AS SPECIFIED IN BOTTOM ELEV.=94.00 310 CMR 15.221(2). 4' 8.5' 4' 3).INSTALL INLET & OUTLET TEES AS REQUIRED. 4' OF NATURALLY OCCURRING PERVIOUS MATERIAL VARIES-REFER TO SKETCH 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 5' (MIN.) ABOVE G.W. AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. NO G.W., EL=88.2 - LEACHING SYSTEM SECTION SEPTIC SYSTEM PROFILE N.T.S. GENERAL NOTES: Pp,Q�H 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS EXISTING GARAGE OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE HOUSE(#59) LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: T.O.F.=101.5t -310 CMR 15.405(1)(b): 1) A 4' variance, S.A.S. to cellar wall (bulkhead), for a 16' setback. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR H TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. O. A.-ANY CONDITIONS ENCOUNTERED_DURING,.CONSTRUCTION-DIFFERING FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN rL N ENGINEER BEFORE CONSTRUCTION CONTINUES. �pc0' 55.943. 5. ALL ELEVATIONS BASED ON AN ASSIGNED DATUM. Q? 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF co 60.9' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF. HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. , A'L6 DECK 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. 2�•3'� 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS '7 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. SEPTIC LAYOUT 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS SOIL LOG IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). DATE: MARCH 15, 2019 (REF#15,918) 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE SOIL EVALUATOR: PETER McENTEE PE(SE#1542) INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. WITNESS: DONALD DESMARAIS R.S.HEALTH AGENT 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 99.2 q O 99.2 q 0„ LOAMY SAND LOAMY SAND 10YR 4/2 10YR 4/2 98/2 B 12" 98.4 B 10" LOAMY SAND LOAMY SAND 10YR 5/8 10YR 5/8 DESIGN CRITERIA -I s.5' 96.7 30" 96.2 36" ___--I c c ��rr I�-12.8' PERC NUMBER OF BEDROOMS: 3 BEDROOMS t i L_ 3.7' 28"/46" SOIL TEXTURAL CLASS: CLASS I I ITT DESIGN PERCOLATION RATE: <2 MIN/IN coo 1 BOTTOM AREA1 00 1 320.0 S.F. I N MED. SAND MED. SAND DAILY FLOW: 330 GPD 1 L----_-j� 2.5Y 6/6 2.5Y 6/6 DESIGN FLOW: 330 GPD -21.3'--I GARBAGE GRINDER: NO EXISTING SEPTIC TANK:1000 GALLON CAPACITY PERIMETER=75.6' SAS DIMENSIONS 88.2 132" 88.2 132" LEACHING AREA REQUIRED: (330 GPD)=445.9 SF SKETCH PERC RATE <2 MIN/IN. "C" HORIZON .74 GPD/SF NO GROUNDWATER ENCOUNTERED USE 2-500 GALLON LEACHING CHAMBERS IN SERIES PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY 4' DOUBLE WASHED STONE-ALL SIDES 59 HITCHING POST LANE, CENTERVILLE, MA SIDEWALL AREA: 76.4'(PERIMETER) x 2'(EFF. DEPTH) = 151.2 SF Prepared for: Delores Bommer, 59 Hitching Post Ln, Centerville, MA BOTTOM AREA:............................................................... = 320.0 SF Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.................................................................. 471.2 SF Engineering Works, Inc. N.T.S. P.T.M. 137-19 DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET No. (508) 477-5313 4/19/19 P.T.M. 2 of 2