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Home My WebLink About0326 HOLLY POINT ROAD - Health 3L i MOLLY POINT ROAD .,_ Centerville A = 232 — 027 { 4 1 No. 4210 1/3 ORA Pendaflexo -'►®a MM 10% s i TOWN OF BARNSTABLE LOCATION /� ` '�� /C)in� e SEWAGE# VILLAGE lyw"T2dz.'�� ASSESSOR'S MAP&PAR/CEL INSTALLER'S NAME&PHONE NO. T�r SEPTIC TANK CAPACITY fS`Lvc� LEACHING FACILITY:(type) —Sd-CgtPMC-"b" (size) NO.OF BEDROOMS OWNER v^ PERMIT DATE: COMPLIANCE DATE: Il Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY 3 1Z'►° ZA . �� y! 3a� ';� 3 3 '9f 1� d D � 3 r R TOWN OF BARNSTABLE LOCATION �;3Z 770 21 n 4 k SEWAGE# VILLAGE �W"��v � ASSESSOR'S MAP&PARCEL .2 JZ — 0•2 7 INSTALLER'S NAME&PHONE NO. To--z c zbyc-c SEPTIC TANK CAPACITY lS'—VD LEACHING FACILITY:(type) c3'S��CQ (size) �n NO.OF BEDROOMS OWNER rr'7 PERMIT DATE: A I I q COMPLIANCE DATE: J( Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY hay fill i 1 0 32b ' 7 i � D � No. Fee • THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplication for Bisposar 6pstem Co Uttioll permit Application for a Permit to Construct(,Repair( ) Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. 3 m � ti. ��.�� Owner's Name,Address,and Tel.No. Vz.,ej 4,% LAC& Oao Assessor's Map/Parcel a Installer's Name,Address,and Tel.No. p Desi "�er's Name,�idress,and Tel.No. Fy'ins..,,^�•.� cue 'Ta�- w c �►� Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date ��-L2�� Number of sheets Revision Date Title Size of Septic Tank t,set Type of S.A.S. 01 1 C%9 C Description of Soils-- COS 3 Nature of Repairs or Alterations(Answer when applicable) XX%4Z C,4Z*MCAN 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 of to place the system in operation until a Certificate of Compliance has been issued by this Boar of Ith. =1- Signed: Date A. Application Approved by Date�� j Application Disapproved by Date for the following reasons Permit No. 1 /l Date Issued 0 1 No. ! Fee - Y, THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plication for Misposal Opstem Construction Permit Application for a Permit to Construct(y) Repair( ) Upgrade( ) Abandon( ) ®Complete System ❑Individual Components LocatiZp,f ddress or Lot No. `3�t, �,s w ft.,- Owner's Name,Address,and Tel.No. �,— / t,�, ,,,� ��3a, G�r'lf+t�{1/:i.L `� D�i,,es•;n,,, QL+. 1�OL .Assessor's Map/Parcel Z3Z) p Installer's Name,Address,and Tel.No. ' " C;t Designer's a Name,Atddress,and Tel.No. �/1y+"t!t�..� �Ah+r�s�",�rE� � sc�,fj.y Cpa �.,•- [�� :�N� 1t. ►r Ce..c�51-+•.:G�.u� r,,& [�S b�►we- Type of Building: �¢ Dwelling No.of Bedrooms t -Lot Size sq.ft. Garbage Grinder( ) Other Type of Building r No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow(min.required) 44 A gpd Design flow provided gpd 1(Z2 Plan Date 01 m Number of sheets Revision Date Title Size of Septic Tank Sa 4 p- , Type of S.A.S. b 4IL A C�Ca^13 Description of Soil- , E! Y . Nature of Repairs or Alterations(Answer when applicable) rls';k r Date last inspected: Agreement: Tlie undersigne"grees 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 p ration until a Certificate of l h4Compliance has been issued by this Board of Health. 4 Signed,/4 A _ Date k A r,1 l�a k.Application Approved by -}.: 1' •( /� Date /d—/f'(c/ v � ` Application,Disapproved by �'� / Date for the following reasons ``'-` Permit No. r c)j .. i q Date Issued [o r (Cy- ----------------- 1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS N- Certificate of Compliante THIS IS TO CERTIFY,that theOn-site Sewage Disposal system Constructed( � Repaired( ) Upgraded( ) Abandoned( )by t. ty. at 32.t4 1a1� mid��"°� �L fi V�I`\ -has bee at in accordance with the provisions ,o�f`Title 5/and the for Disposal System Construction Permit No. dated �p— l — 9 Installer/"d� ��=~� Designer 14n _ ;n: A/r Pt,r : G- x r E #bedrooms Approved design flow- j � � gpd The issuance of this permit shall not be construed as a guarantee that the system willvfunctio •as desigc Ad. Date Insect {�� p or 1 r t --- = -- - -- - - - /_1 " -- _- No. _ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposat 6pstem Construction Permit Permission is hereby granted to C�struct( ) repair( ) �Upgrade( ) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction mus a completed within three years of the date of this permit. Date Q f Approved by f i w 'THE Town of Barnstable pm Regulatory Services BARNStAHLE, Richard V. Scali, Interim Director nsnss0 Public Health Division Thomas McKean,Director 200 Main Street,HYallnis,MA 02601 Office: 508-862-1644 Fax: 508-'790-6304 Installer& Desi.g-ner("Prtifien6n. Form Date: Sewage Permit# Z&tlj -J?f Assessor's Map\Parcel 'z-?,,Z r M C C- J)esigner: <; Installer: Address: 1Z dy (I ,LC.,IC/ f_,,t Address: 'AMA rjz6qq On was issued a permit to install a ,dat ) (installer) septic system at drawn on a desigrdrawn by X"t a;-t s fk dated (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation. of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed Nviti, major changes (i.e- greater than. 10' lateral relocation of the SAS or any vertical relocation of any component of the Septic,system) but in accordance with State & Local Regulations, Plan revision of- certified as-built by designer to follow. St it(if required) was inspected and,the soils were found satisfactory. P I certify that the rs erence above was constructed Ill with the tel-l-ris th- U app ers (if'applicable) fLLr-e) CNIL stalker s SignY MC NO GIST (Designer's Si nature d ffix Designe ...ere) PLEASE, RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED LiNTIL BOTH THIS FORM AND AS- BUILT CARD-ARE RE111EE1 NTED BY'rF1EBARNSTAB1X±�Uj3jjC�F-IE�AMTW6�fMSJON THANbLY21UL Q'Soptic'Designcr Certific,ation Fonn Rev 8-14-11doc Engineers note:This certification is limited to an as-built inspection of system components as installed prior to backlill.The engineer did not supervise construction of the system.The installer assumes responsibility for all materials,workmanship,backfilling to specified grades with proper compaction and setting riserskovers as shown on the design plan. �;- TOWN OF BARNSTABLE LOCATION 3a(D /i 7 SEWAGE# U� VILLAGE C'Ln�G(Vt I6 ASSESSOR'S MAP&PARCEL a3a Oaf 7-� INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY C�Ss�C1Q l�a� LEACHING FACILITY.(type) C4,X.5 dp (size) NO.OF BEDROOMS OWNER Cat u PERMIT DATE: COMPLIANCE DATE: :. Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility feet Private Water Supply Well and Leaching Facility(if any wells exist on site or within.200"feet of leaching facility) feet. Edge of Wetland and Leaching Facility(if any wetlands exist within 300 feet of leaching facility). feet FURNISHED BY T_4- p e.GT I De . '.T_ FOr� 1 a 009 r� Fro i a A L3 Q O 0 y3 sa 3 a3 an 1 T r oFt Town of Barnstable Barnstable Inspectional Services Department '*ftaicacj BARNSTABLE. "'" i6g 9. Public Health Division I. �� ArfiO 200 Main Street, Hyannis MA 02601 2007 Officc 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 9767 July 9, 2019 CRESS, VIVIAN M 6 GRAYSTONE LN WESTON, MA 02493 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 326 Holly Point Road, Centerville, MA was inspected on 06/06/2019 by Chad Hathaway, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Needs Further Evaluation" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • System consists of three old block cesspools, 2.1 feet above groundwater table. Section 360-20 of the Town of Barnstable Code requires a four (4) feet minimum separation distance between the bottom of a cesspool and the maximum groundwater elevation. You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. You may request a hearing if written petition requesting same is received by the Board of Health within ten (10) days of your receipt of this notice. PER ORDER OF E BOARD OF HEALTH 11-� "s cKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\326 Holly Point Road Centerville.doc Town of Barnstable BARNSTABLE, 9�A b 9 A Inspectional Services Department TED MA'S Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 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 ❑ Structurally unsound septic tank or SAS ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool i VAny portion of the SAS, cesspool, or pri igh grou dwa ion ❑ 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 6/20/19 The property at 326 Holly Point is: • Is in Zone II • At least one of the Cesspool is< 100 ft from the pond now that the water levels are higher • The property is in a sensitive area—cyanobacteria blooms problematic-Across street(at 305 Holly Point) the Town has installed a rain garden to help water quality • The ground water elevations are calculated using 32.5 which is inaccurate so all cesspools are closer to ground water I recommend a failure. I recommend drip irrigation for new system. Karen Malkus- Benjamin Coastal Health Resource Coordinator -TOWN OBARNSTABLE F ` ,ad�ra 1 �'• _ •f• .I Itlt ��I�y -� --.�` _ - - -- _ �� •. �y�Y..'.]i ar . Y Y. �+ `. III �, _ , - � �- -• `- t _ -i a f 9 - { y i � F � it P _ * yy u y� t.7 ..Yam. • I. •5 1 �F�ti 4 �- ��,y,'�'f r P r4 a.sl .. - �d.�. �"'�':: •.yc^ �� ! � .fig !. 45` I - `t • !I` aim!,�t`�.. � ,�1 ��. x F . y r Legend i Road Names t 232029003 #266 #'25.6" t a' x '''�� =2320290 2 �•�_ ��. �� ,u#'.27 �, � ar�' HOLY Pa��TRp� ��. #2 �32047 236 + ' X 23202900iti �J { kX .or #300i 23204 232070 232069 } �1; :r*� 2' 027 ;9� �" •fir` d 232067 i�.- 232068 AAA !� � '�'•232026 4 :' o 0-M1 .0 i Map printed on: 6/19/2019 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Sheet,Hyannis,MA 026o1 O 83 167 0 an on-the-ground survey.It maybe generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:1 inch= 83 feet cartographic errors or omissions. gis@town.balnstable.ma.us I Q �O G2S9 dv( over-4D W cessf oc)) i� 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.211: continued [3] Surface or subsurface drains which will regularly or periodically intercept the seasonal high groundwater table and carry that groundwater away from an area must meet the specified setbacks. [4] The setback distance shall be measured from a naturally-occurring downhill slope which is not steeper than 3:1 (horizontal:vertical). A minimum 15 foot horizontal separation distance shall be provided between the top of the two inch layer of to inch washed stone above the pipe,or the geotextile material above the pipe or the top of the chamber and the adjacent downhill slope. For a system located in an area with any adjacent naturally occurring downhill slope steeper than 3:1,slope stabilization shall be provided in accordance with best engineering practice which may include construction of a retaining wall designed by a Massachusetts Registered Professional Engineer. [5] Locating a system component or any part thereof beyond a property line of the facility, whether pursuant to an easement or otherwise,requires a variance issued in accordance with 310 CMR 15.410,except that the placement of fill or grading material beyond the property line of the facility,pursuant to an easement or otherwise,shall not require a variance under 310 CMR 15.410. (2) No system shall be constructed within a Zone I of a public water supply well or wellfield. No system shall be upgraded or expanded within a Zone I of a public water supply well or wellfield unless a variance is granted pursuant to 310 CMR 15.410 through 15.415. (3) All setback distances from water bodies shall be measured from the bank of the water body. All setback distances from wetlands shall be measured in accordance with the criteria of the Wetlands Protection Act and 310 CMR 10.00: Wetlands Protection,from the most landward edge of the following features:bordering vegetated wetland as defined in 310 CMR 10.55(2): Definition,Critical Characteristics and Boundary;salt marsh as defined in 310 CMR 10.32(2): Definitions; top of inland bank as defined in 310 CMR 10.54(2):, Definition, Critical Characteristics and Boundary; or top of coastal bank as defined in 310 CMR 10.30(2): Definition. In the event of disputes concerning landward boundary of resources subject to the Wetlands Protection Act, the boundary shall be as delineated by the municipal Conservation Commission or the Department in accordance with 310 CMR 10.00: Wetlands Protection,and relevant interpretive guidance documents. 15.212: Depth to Groundwater (1) The minimum vertical separation distance between the bottom of the stone underlying the soil absorption system above the high ground-water elevation shall be (a) four feet in soils with a recorded percolation rate of more than two minutes per inch; (b) five feet in soils with a recorded percolation rate of two minutes or less per inch. (2) For systems with a design flow of 2,000 gpd or greater, the separation from high groundwater as required by 310 CMR 15.212(1)shall be calculated after adding the effect of groundwater mounding to the high groundwater elevation as determined pursuant to 310 CMR 15.103(3). 15.213: Construction in Velocity Zones and Floodways (1) No septic tank or humus/composting toilet shall be constructed in a velocity zone on a coastal beach, barrier beach, or dune, or in a regulatory floodway, except a septic tank that replaces a tank in existence on the site as of March 31, 1995 that has been damaged,removed or destroyed,where placement of the tank outside of the velocity zone or regulatory floodway, either horizontally or vertically,is not feasible. Where reconstruction of a system in existence on March 31, 1995 occurs or reconstruction of a building or buildings is allowed in accordance with the Wetlands Protection Act and 310 CMR 10.00: Wetlands Protection, it shall be presumed to be feasible to elevate the tank if the building is elevated above the velocity zone or regulatory floodway. (2) No soil absorption system shall be constructed in a velocity zone on a coastal beach,barrier beach,or dune,or in a regulatory floodway,unless (a) the system is to serve a building or buildings that were in existence on March 31, 1995 or reconstruction of such building or buildings where allowed in accordance with the Wetlands Protection Act,M.G.L.c.140,§131 and its implementing regulations as 310 CMR 10.00: Wetlands Protection; Effective 9/9/2016 f Commonwealth of Massachusetts a`3�..• �02-�- Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 326 Holly Point Rd `? Property Address P;t Cress Owner Owner's Name 1/ information is Centerville Ma 02632 6/6/2019 required for every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information on the computer, Chad hathaway use only the tab key to move your Name of Inspector cursor-do not HPS use the return Company Name key. cCompany Address Forestdale Ma 02644 Citylrown State Zip Code low 774 274 2581 12866 Telephone Number - License Number B. Certification I certify that: I 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 the property address listed 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 6/6/11 Inspector's Sign re Date The system inspector shall subaayf this inspection report to the Approving Authority(Board of Health or DEP)within 30 dating 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 Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. Cityrrown 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: This inspection is not a guaranteeand applies no warrantyof the described septic components in this report including but not limited to piping structual intergrity of components and life exspectancy of leaching and described components. This inspection is to describe conditions witnessed at time of inspection only. Regular tank maintenance and water conservation can prolong life of septic systems Information on care and do's and don'ts can be found at town health dept or mass.gov 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no"or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 Commonwealth of Massachusetts 1� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 page. City/Town 6/6/2019 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 El ❑ 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): 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 �n Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. Cityrrown 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: System consists of 3 block cesspools and is within the 4 feet of ground water, but not in ground water. Cesspools are in good condition and show signs of light seasonal use. A diagram of cesspools and elevations pertaining to elevations based off town GIS mapping and abutting property#336 were referanced to determine high ground water 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 ,4 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is Centerville required for every Ma 02632 6/6/2019 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 '/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. ❑ ® 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 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 CM 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 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 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 all 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? ® ❑ 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)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments v 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): Number of bedrooms (actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): Description: no design flow on file Number of current residents: seasonal use 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: current seasonal Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 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: unknown Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 18 Commonwealth of Massachusetts r� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. Cityrrown 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: origanal to house. Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 2'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.): no evidence of poor venting or leaks. both sewer pipe had been replaced with PVC time unknown t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 f ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): t5insp.doc•rev.7/2 61201 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. CitylTown 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.): 8. 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 11 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4� 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 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 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.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts �o Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. Cityrrown 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: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 3)6'x6' cesspools ❑ 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 I Commonwealth of Massachusetts = Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 4�� 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 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.): 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 3 see asbuilt for piping diagram Depth—top of liquid to inlet invert cesspools dry at time of inspection Depth of solids layer #1 4" dry sludge #2 6" dry sludge#3 clean and dry Depth of scum layer 0" all three Dimensions of cesspool All 6'x6' Materials of construction block Indication of groundwater inflow ❑ Yes ® No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): none cesspools in good working order#1 staining up 1'from bottom.#3 clean sand and no staining #2 staining 2 feet from bottom t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 1 a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is Centerville Ma 02632 6/6/2019 required for every page. Cityrrown 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.): t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts ,p Title 5 Official Inspection Form �n Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 326 Holly Point Rd u Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. Cityrrown 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 V 60(iC Rx O o `13t t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18 • Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 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: 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: 2007 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: town GIS lot el. in area of cesspools el.44 You must describe how you established the high ground water elevation: ground wate per plan in april 2007 and lake 32.5 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 r� Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 326 Holly Point Rd Property Address Cress Owner Owner's Name information is required for every Centerville Ma 02632 6/6/2019 page. Citylrown 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 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 Sewage Disposal System•Page 18 of 18 I l07 44 r COMMONWEALTH OF MASSACHUSETTS u EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 326 Holly Point Road Centerville, MA 02632 � Owner's Name: Vivian Gress Owner's Address: Date of Inspection: November 19, 2009 Name.of Inspector: (Please Print)James M. Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508) 862-9400 CERTIFICATION STATEMENT 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 perfonned based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes itionally Passes CoNe Further Evaluation by the Local Approving Authority Fa is Inspector's. Signature: Date: November 24 2009 The system inspector shall su it a.copy of t is inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the systern.owner and copies sent to the buyer, if applicable, and the approving authority. . Notes and Comments ****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 Inspection Form 6/15/2000 page I `� Page 2 of 11 OFFICIAL INSPECTION'FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 326 Holly Point Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2069 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any infonnation which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in'the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 326 Holly Pohit Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2009 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further.evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has,a septic tank and SAS and the SAS is within 50 feet of a private water supply well. 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,perfonned at a DEP certified laboratory, for colifonn bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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: 3 Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM ` PART A CERTIFICATION (continued) Property Address: 326 Holly Point Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2009 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or. clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6" below invert or available volume is less than ''/z 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 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 coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility 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.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in310 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 System: To be considered a large system the system must serve a facility with a design flow of 16,000 gpd to 15,000 gpd• You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) 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 Il 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. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 326 Holly Point Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2009 Check if the following have been done: You must indicate"yes"or"no"as to each of the following: Yes No ✓ Pumping infonnation 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 nonnal 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 infonnation 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: Yes No ✓ Existing information. For example,a plan at the Board of Health. ✓ Detennined 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(3)(b)J. 5 l Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 326 Holly Point Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2009 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): n/a Number of bedrooms(actual): 4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 440, Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings; if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last date of occupancy: Unknown C OMMERCIAVINDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unavailable Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: _gallons--How was quantity pumped detennined? 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 recordsi if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Date of installation unknown Were sewage odors detected when arriving at the site(yes or no): No 6 i Page 7 of I 1 OFFICIAL INSPECTION FORM -NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 326 Holly Point Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2009 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron 40 PVC other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage, etc.): SEPTIC TANK: (2) ✓ (locate on site plan) (Cesspool acting as a septic tank) Depth below grade.: 20 Material of construction: ✓ concrete _metal _fiberglass _polyethylene other(explain) If tank is metal list age: Is age confirmed by Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 5'wx5'tx8'bottom to Zrade Sludge depth: 0" Distance from top of sludge to bottom of outlet tee or baffle: -- Scum thickness: 0" 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: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage, etc.): The both Cesspools were dry, The covers were 20"below grade. GREASE TRAP: Now (locate on site plan) Depth below grade: 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: Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage,etc.): 7 r Page 8 of 1 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 326 Holly Point Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2009 TIGHT or HOLDING TANK: None (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/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: None (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: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 I Page 9 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 326 Holly Point Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2009 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type leaching pits,number: leaching chambers,number: leaching galleries,number: leaching trenches,number, length: . leaching fields,number,dimensions: ✓ overflow cesspool,number: I overflow 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.): The overflow was dry and clean.. There was no scum line it was in new condition Both main cesspools drain to this overflow. The cover was 13"below grade. CESSPOOLS: None (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 or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding,condition of vegetation,etc.): PRIVY: one (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.): 9 •: Page 10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 326 Holly Point Load Centerville, MA . Owner: Vivian Cress Date of Inspection: November 19, 2009 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two pennanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. pro tj ,q 6ArA52; Q n r� 3 aFq3 s a 10 Page 11 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 326 Holly Point Road Centerville, MA Owner: Vivian Cress Date of Inspection: November 19, 2009 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 17+/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours mans the maps were showing approximately 17'+/- Around water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the fixture. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic system, the inspection, this report andlor any components of the septic systeru which have not been located and inspected. 11 s " i r 10 00 44 CoA CK I ► IQ G i.__OT 0 L._u-/ Pol tA-r o vf4 'A �N m f2— � J r a? 1 it --100--EXISTING CONTOUR N x 100,98 EXISTING SPOT GRADE W EXISTING WATER SERVICE G EXISTING GAS SERVICE Lake I..Ms R o o, agvagve Lake -e.H.W OVERHEAD WIRES o -�JGW-- UNDERGROUND WIRES %' �, P, Lakeside Dr WATER SURFACE 7/19 0 6, °'nt 34.20 TEST PIT 1 Ocus T==== B V W2 $ BENCHMARK BVW1 �35.40 LEGEND '� ram- QVW3 B V W 4 r • . 15 �. 35.90 34.99 f Wate, � �y (r `\ 0+.34.27 ed9 BEAU�oGh - - `\sole la C LOT 43 . ' _ A �`35• �i�BA e g of b ' ' Wequaquet Lake J1 16, -2.4-f.SF ____- LCP 20239 C •'� 36,89 x 38 86 LOCUS MAP x 37.37 x N NOT TO SCALE ,83 x � -� GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 40, x 38,79 BOARD OF HEALTH AND THE DESIGN ENGINEER. x � 40J6 �p x 40.98 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS 1 oM-1 DEC (above) / (b OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE COR. BOTT. STEP PATI below) l,`��,I LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: ( EL.=46.0 I I42,91 -LOCAL REGULATION Chapter 360-1. Location of Components with -� WALKOUT BASEMENT O Respect to Water Body's: �- /�/ 43,98 O. 1) A 19' variance, septic tank to closest wetland resource area, N j ` N for an 81' setback. MADEP Title 5 requirement is 25'. EXISTING _ ao 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR v: cn HOUSE(#326) x 44.46 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. W o / T.O.F.=46.2f' J 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING pN x O FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 4 87 C ENGINEER BEFORE CONSTRUCTION CONTINUES. o 0 5. ALL ELEVATIONS BASED ON NGVD. EX. SEWER-2 x 44.35 C 46.0 /lVV.=44.00f 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF EX. SEWER-1 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. WORK LIMIT 45.0 INV.=44.87t 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. m T -70.o SHRUBS 5,53 , N 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. O SHRUBS GARAGE 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS PROP. EXISTING CESSPOOL AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 7 ¢ SEPTIC 45. 4 TO BE REMOVED �� DIRECTED BY THE APPROVING AUTHORITIES. 001 9iL HOLLY TANK O 1'7' x 46 4 (SEE NOTE 11) �� 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY TO� FFiQ ;a x 45 4 •90 �� THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING /4 •4ER/ CONSTRUCTION. �4 416100 8�'�H 1 1. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS �t0 BEA IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND :g':'.; :: ';• `� REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). _ �.:. OF EXISTING CESSPOOLS x 45,73 �_�_ ` ... �`� MgSs12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE Q � qINSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. TO BE PUMPED, FILLED t-71 ..�� G W/SAND & ABANDONED, 44.98 y, �r/•., •: o PETER T. 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND C� ry 47,71 McENTEE NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. OR REMOVED J �'.:; O • , O O .': J C ::: WORK LIMIT CIVIL LAWN '� 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC PROPOSED A.$..;:.': �, o. 35109 SYSTEM COMPONENTS NOT SHOWN ON THE PLAN IRRIGATION yam• .r_ :_.�� ",42.::.:':.;: 1a PIN SYSTEM 4 �x o 33.5' �1 PARCEL ID: 232-027 TP-1 TP-246,72 �` SS WETLAND CONSULTANT C. 1 44.37 lit rail fence 7 .00' -lop _. a-d 5;. :oo:: : PROPOSED SEPTIC SYSTEM UPGRADE PLAN 211 Observa Observatory Ln ❑ 4' 6 _ : :.p 6 81 :Ws Pocasset, MA 02559 E edge of pavement 46,82 P 9 7 ( 2�) �� 326 HOLLY POINT ROAD, CENTERVILLE, MA l/ GREEN HEDGE AG SE 47.19 (508) 563-5349 - 47.09 Prepared for: Douglas Cress, 1299 Fairfield Beach Rd, Fairfield, CT 06824 � FLOOD PLAIN DESIGNATION 45.94 T6M-2 OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. FLOOD MAP NO. 250001 CO562J =20 " ' P.T.M. HOLLY PINT RD MAG. NAIL SET CRESS, VIVIAN M Engineering Works, Inc. 1 218-19 EFFECTIVE ON 7/16/14 ZONE X-NON HAZARD EL.=47.09 134 BOSTON POST ROAD 12 West Crossfield Road,. Forestdale, MA 02644 DATE CHECKED SHEET N0. WAYLAND, MA 01778 (508) 477-5313 7/28/19 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, FINAL GRADE SHALL NOT BE AT, OR BELOW, EL.=43.35 FOR A DISTANCE OF 15' FROM THE EDGE SEPTIC TANK PROPOSED D—BOX OF THE PROPOSED S.A.S. Ex. SEWER-2/ INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER PROPOSED S.A.S. IkV.=44.00E OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND EX. SEWER-1 T.O.F.=42.6t SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT INV.=44.87t F.G. EL.=45.5f F.G. EL.=46.0f F.G. EL.=46.4t F.G. EL.=46.5t GARAGE MAINTAIN 2% SLOPE OVER S.A.S. L 1 = 40' L2 = 30' L = 7' ® _ _ L = 15' "SCH40(PVC) ®'S=1% (PVC) ® S=1% (M*IN 4"SCH40 P 2" LAYER OF 1/8" TO 1/2"YI/ 6" DOUBLE N) ED STONE 00 o"I t4„ 6 qj!! (OR APPROVED FILTER FABRIC) � �\Z9 ' 2' EFF INV.=43.50 48" LIQUID DEPTH ---3/4" TO 1-1/2" DOUBLE LEVEL ADD PROPOSED WASHED STONE 1 T GAS BAFFLE INV.=43.17 D BOX INV.=43.00 INV.=43.25 3 OUTLETS T' ' INV.=42.85 N PROPOSED SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS ao� SURROUNDED WITH STONE AS SHOWN -1 PROPOSED S.A.S. CONNECT TO EXISTING SUITABLE SEWER H-10 RATED33.5' =i PIPE AT HOUSE, SEWER-1 INV.=44.87E TOP CONC. ELEV.=43.6f SEWER-2 INV.=44.00t BREAKOUT ELEV.=43.35 Ba SEPTIC LAYOUT INV. ELEV.=42.85 aB aaaaa NOTES: aaaaaaaaaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & BOTTOM ELEV.=40.85 aaa®aaaaaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. 4' 3 x 8.5' = 25.5' 1 4' 2) SEPTIC TANK & BOX SHALL BE SET LEVEL AND TRUE 4' OF NATURALLY OCCURRING EFFECTIVE LENGTH = 33.5' TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED PERVIOUS MATERIAL =E3 STONE BASE, AS SPECIFIED 310 CMR 15.221(2). 5' (MIN.) ABOVE G.W. ® q „3) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION - 37NO G.W./BOTTOM OF TP-1, EL.35.5 - d w4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE EST. HIGH G.W. EL: 34.8(NGVD) N Z ® AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. (MAX. LAKE WATER SURFACE) - SEPTIC SYSTEM PROFILE 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT DATE: JULY 24, 2019 (REF#TPT-19-83 20" DIA. COVER NUMBER OF BEDROOMS: 4 BEDROOMS SOIL EVALUATOR: PETER McENTEE PE(SE#1542) WITNESS: DAVID STANTON R.S. HEALTH AGENT 4" KNOCKOUT 4" KNOCKOUT 58' ' SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH DESIGN PERCOLATION RATE: <2 MIN/IN 46.5 A 0" 46.6 A 01; 0 DAILY FLOW: 440 GPD LOAMY SAND LOAMY SAND DESIGN FLOW: 440 GPD 46.2 10YR 4/2 46.3 10YR 4/2 4" KNOCKOUT GARBAGE GRINDER: NO—not allowed with design B 4„ B 4„ LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF L10MR /6D LOAMY 5/6D 500 GALLON CAPACITY, H-10 LOADING .74 GPD/SF 43.8 C 32" 43.8 C 33" CHAMBERS PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PERC PROPOSED D—BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 32"/50" USE 3-500 GALLON LEACHING CHAMBERS IN SERIES M—C SAND M-C SAND SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES PROPOSED SEPTIC SYSTEM UPGRADE PLAN 2.5Y 6/6 2.5Y 6/6 326 HOLLY POINT ROAD, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 33.5') X 2 = 185.2 S.F. Prepared for: Douglas Cress, 1299 Fairfield Beach Rd, Fairfield, CT 06824 BOTTOM AREA: 12.8' x 33.5' = 428.8 S.F. 35.5 132" 35.6 132" y'Engineeringb SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 614.0 S.F. PERC RATE <2 MIN/IN. "C" HORIZON g g En ineerin Works, Inc. N.T.S. P.T.M. 218-19 DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD NO GROUNDWATER ENCOUNTERED 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 7/28/19 P.T.M. 2 Of 2 1 i weo � ILA � I j PLAN LEGEND: +43.8 5POT GRADC ' 'IIa UTILITY POW r- R VINE sr 8 WETLAND FLAG ^ r" L oveRHPADWLRFs 1 ;u K � Q tii i 42 _ l 005TING CONTO y�J UR r ® 035TING HVAC `3 LOCUS MAP MTING HYDRANT �• O TDGnPDe PENCE Girt 5T8 S 579"k I'40"W LOCU3 ADDRE95: l\ 48.1 32C HOLLY POINT ROAD aLONG DRIVE - l CENTERVILLE,MA I ATf O A55E550R5 MAP 232 PARCEL 27 SCOW OWN .�, q:ugHev STONE DRIVE 1 I Q REFERENCE CER7: 152583 . 1 g PLAN REFERENCE:LC 20239C(3) \ 51 h LOT 43 yt I 510'e Wpa g REC.LOT AREA= 16,224t S.F. g �t B�AG1 9TO BRB END.NE WAIL ^ ",1-Yr R ZONING D19iR1Gi:RD-1 4 END OT10WN Ben.BM END. - �D UNDWATER OVERLAY DI5TRICT:GP +44.5 Y I EL 46A'NAVD - �LAY�T `fl to MACHOAK % i G DEGK9 \ BUFFER '=a'�✓/ _ ABOVE 20'FRONTAGE AND 1 ' 125'WIDTH 111 I 5am ; 30'FRONT YARD Al 10'51DE AND REAR YARD t. ypafsODo` ;r: DWELLING ---'�;� LOT 43 ., l�r rrry ':srpNE Z.' / #326 f / o $ MAX.5LD.HEIGHT-30' Q BVW/4 .:. PATIO. I $ 4S Ti J I sa FROM MHW +aa.4 yl /" I +44.7 FEMA ZONE:W(0.2%) j FIRM MAP:25001COSM I 1 g0 B I +44.8 MAP DATE:JULY 16,2014 j RECORD PROPERTY OWNERS: VIVIAN M.CRE55 _ \ u'- 5230 CARVERVILLP RD. l� HOLLY 1-4f� � .� / J DOYI35TOWN,PA 18902 ' I I LILARING Ii•? CHAIN UNR PENCE 42.8 rn I 153't RECORD WETLAND CONSULTANT: j I �o' ARLENE VAL50N A.M.WIL50N A55OCIATE9,INC 20 RA5CALLY RABBIT ROAD I MAR5TON5 MILL5.MA 02648 i 500 420-9792 i ls� ! .p_ EXI5TING CONDITION5 PLAN i L PREPARED FOR #326 HOLLY POINT ROAD CENTERV1LLE,MA55ACHU5ETT5 ' DATE:OCTOBE R 13,201 a 1 I 5CALE: 1' 2(l i _ 4 aP 4A ryat psi ,A,u:EnY.•�/ gtl'IRfi it T PLAN REV1510N5. I oti� Iwvl F I ' I.1\L•�4 I 1 to Z=�� 5TEPHEN DOYLE AND A55OCIATE5 PO BOX621 EAST FALMOUTH,MA55ACHU5ETT5 0253G i TELEPHONE:508 540-2534 { 5JD5URVEY®AOL.COM I i