HomeMy WebLinkAbout0068 KATHERINE ROAD - Health 69 KATHERINE ROAD, CENTERVILLE
A=228-050
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Commonwealth of Massachusetts ou8-'osb
Title 5 Official Inspection Form
I e Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville V/ Ma. 02632 3-11-21
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 A. Inspector Information �/
filling out forms 1 5 01
on the computer,
use only the tab Michael Sears
key to move your Name of Inspector
cursor-do not Robert B Our Co INC.
use the return Company Name
key.
363 Whites Path
Company Address
South Yarmouth Ma. 02664
City/Town State Zip Code
508-477-8877 SI 14430
Telephone Number License Number
B. Certification
I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 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 ``��.XV IA OF
2. ❑ Conditionally Passes °�� ''
°. MIGHAEL '.N
3. ❑ Needs Further Evaluation by the Local Approving Authority =o: SEARS
No.SI14430 y
4. ❑ Fails
3-11-21
Inspector's Si ture 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
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Il � Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
u
68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
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:
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):
L,5,nsp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18
Commonwealth of Massachusetts
�- p Title 5 Official Inspection Form
11 1 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
68 Katherine Rd.
u�
Property Address
John & Lisa Cranston
Owner Owner's Name
information is
required for every Centerville Ma. 02632 3-11-21
page. Cityrrown 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 ❑ 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:
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f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
�I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
!% 68 Katherine Rd.
V�
Property Address
John & Lisa Cranston
Owner Owner's Name
information is Centerville Ma. 02632 3-11-21
required for every
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 atordering 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 t
❑ ® 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
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
page. Cityrrown 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 1/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 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 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
Wi; Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
68 Katherine Rd.
V�
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
page. Cityrrown 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
T
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
hI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
68 Katherine Rd.
u�
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
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 flow based 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
Seasonaluse? ❑ Yes ® No
II
Water meter readings, if available (last 2 years usage (gpd)): 2019-67000ga12020-32000ga1
Detail:
Sump pump? ❑ Yes ® No
NA
Last date of occupancy: Date
l5insp.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
68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
page. Citylrown 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: NA
Was system pumped as part of the inspection? ❑ Yes ® No
If yes, volume pumped: gallons
How was quantity pumped determined?
Reason for pumping:
L15iinsr.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
.� 68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is
required for every Centerville Ma. 02632 3-11-21
page. City/Town State Zip Code Date of Inspection
D. System Information (cont.)
4. Type of System:
® Septic tank, distribution box, soil absorption system
El Single
in cesspool
9
❑ 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:
6-19-06 #06-287
Were sewage odors detected when arriving at the site? ❑ Yes ® No
5. Building Sewer(locate on site plan):
Depth below grade: 50"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.):
L15,nsp.cloc-rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18
Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
• 68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
page. City(rown State Zip Code Date of Inspection
D. System Information (cont.)
6. Septic Tank(locate on site plan):
.Depth below grade: 40"feet
Material of construction:
® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain)
1500 gal
If tank is metal, list age: years
Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No
Dimensions: 1500 gal
Sludge depth: 1
Distance from top of sludge to bottom of outlet tee or baffle
29"
Scum thickness 0
Distance from top of scum to top of outlet tee or baffle
8"
Distance from bottom of scum to bottom of outlet tee or baffle
18"
How were dimensions determined? Sludge judge, 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.):
1500 gal tank with in and out tees in place, inlet cover at 15" below grade
t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18
c , Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
!% 68 Katherine Rd.
u�
Property Address
John & Lisa Cranston
Owner Owner's Name
information is
required for every Centerville Ma. 02632 3-11-21
page. Cityfrown 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
, Title 5 Official Inspection Form
Ii Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
V � 68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
page. CitylTown 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 is 16x16 with 1 outlet pipe, cover at 24" below grade
t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18
ct, Commonwealth of Massachusetts
Title 5 Official Inspection Form
�I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
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:
❑ leaching chambers number:
® leaching galleries number:
5
❑ 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
c Commonwealth of Massachusetts
Title 5 Official Inspection Form
Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
. 68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
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.):
SAS is 5 leaching galleys in trench pattern, galleys are dry and clean with no sign of failure
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.):
l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18
cam, Commonwealth of Massachusetts
Title 5 Official Inspection Form
�I, Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
68 Katherine Rd.
V
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
page. Citylrown 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
f
Commonwealth of Massachusetts
Title 5 Official Inspection Form
� Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
68 Katherine Rd.
Property Address
John & Lisa Cranston _
Owner Owner's Name
information is required for every Centerville Ma. _ 02632 3-11-21
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
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3_6�6.b = k No.SI14430 ;o E
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Lt5msp •rev.7/2612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 16 of 18
i
Commonwealth of Massachusetts
�n Title 5 Official Inspection Form
_ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments
68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
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: 50'
feet
Please indicate all methods used to determine the high ground water elevation:
® Obtained from system design plans on record
If checked, date of design plan reviewed: 4-6-06
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:
No ground water per plan
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
C Commonwealth of Massachusetts
Title 5 Official Inspection Form
I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments
68 Katherine Rd.
Property Address
John & Lisa Cranston
Owner Owner's Name
information is required for every Centerville Ma. 02632 3-11-21
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 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
No.. 10 0 .0 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Application for Mi.5pogal �&p!tem Cow9truction Verm t
Application for a Permit to Construct( ) Repair 9) Upgrade( ) Abandon( ) ❑ Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No. 7 81 —8 9 3—4 5 61
68 Katherine Rd, Centerville Jim Devin
Assessor'sMap/Parcel 228/50 501 Lexington St #23, Waltham
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4-0 8 9 4
Wm E Robinson Sr Septic Eco-Tech
PO Box 1089., Centerville 1 43 Triangle Cir, Sandwich
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder ( np
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 septic
system to plans of Eco-Tec , #ETE-2282
Date last inspected:
Agreement:
The undersigned agrees to nsure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of itle 5 of the
EnvironmentalCode-and`not to place the system in operation until a Certificate of
Compliance has been issued by thi Bo 'd o He lth—. "'`��
S'gne Date
Application Approved by Date
Application Disapproved by: Date
for the following reasons
Permit No. Date Issued
`77- _`74,i O O.0 6
}
THE COMMONWEALTH OF MASSACRUSETTS Entered in computer: /
'.PUBLIC REAkTH-DIVISION - TOWN OF BARNSTABLE MASSACHUSETTS Yes
bad
F Rpplitat ors for nigoar *p!5tem Cow5tructiou permit ` A
Application for a Permit to Construct O Repair(X) Upgrade O Abandon O ❑ Complete System ''
p y ❑Ind'ividual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No. 7 81 —8 9 3—4 5 61
68 Katherine Rd, Centervill sim Devin
Assessor'sMap/parcel 228/50 501 Lexington St #23, Waltham
Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. 3 6 4—0 8 9 4
Wm E Robinson Sr Septic Eco—Tech
PO Box 1089 , Centerville 1 43 Triari le Cir, Sandwich
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder.,( i)O
�,
Other Type of Building -- No.of Persons Stowers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Install a new Title 5 septic
system to plans of Eco-Tech, 0TE-2282r
Date last inspected:
'.t Agreement: '
The undersigned agrees to insure the construction and maintenance of the afore described on-site sewage disposal system,'in
accordance with the provisions of We 5 oft the Environmenta ode-and-not to place the system in operation until a Certificate of
Compliance has beentissued by th1i Bo d o Hea
' S'gne Date �?r�
Application.Approved`by Date (p
Application Disapproved by: Date
for-the following reasons
Permit No. Iosko Date Issued O b
THE COMMONWEALTH OF MASSACHUSETTS
Devin BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (X ) Upgraded ( )
Abandoned( )by Wm E Robinson Sr Septic Service
at 68 Ka erine Road, Centerville has been constructed in accordance
with the provis{io s of Title 5 and the for Disposal System Construction Permit No. �Q G 4 15e dated 6 q �.
Install er `�- �Y's CN, Designer 7-3 t a " O V)_
#bedrooms V Approved design flow .:�>-3 gpd
The issuance of this permit shall not//be cof6sstrued`Ass a guarantee that the`system wli 1 functiod l lde jilted.
Date Inspector
";c'
No. �(0 ' � t F:BJ 0 0.0 0
THE COMMONWEALTH OF MASSACHUSETTS
DeBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS
&!5 o ar item �aor�gtruction Permit
�
p 1_�_
Permission is hereby granted to Construct ( ) Repair (X ) Upgrade ( ) Abandon ( )
System located at 68 :Katherine Road, Centerville
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction Jmust be completed within three years of the date of this p
Date �G / � l �O Approved b _..
t
I/ TOWN OF BARNSTABLE
LOCATION 699 1` 4, ,a ty\e- SEWAGE# 700 -ZX?
VILLAGE 0 / A//S--S''ESSOR'S MAP&PARCEL aaR—0
INSTALLERS NAME&PHONE NO.
SEPTIC TANK CAPACITY /,07Z�
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
OWNER kvyf, 6U [v-,
PERMIT DATE: — 19 - t=,(o COMPLIANCE DATE: to—
r
Se aration 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 30.0 feet of leaching facility) Feet
FURNISHED BY
�ih e ��
07 r
hz
1
Notice: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM
I, Pty i o D . C DUG HWOW f�hereby certify that the engineered plan signed by me
dated 4I6 G6 , concerning the property located at
('$' ��e►iK� I�1iu� meets all of the
following criteria:
• Two soil evaluations excavated for detailed examination(no hand augering) and two
percolation tests shall be conducted.
• This failed system is connected to a residential dwelling only. There are no commercial or
business uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes
per inch.
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
• The bottom of the proposed leaching facility will be located no less than five feet above the
maximum adjusted groundwater table elevation. [Adjust the groundwater table using the
Frimptor method when applicable]
Please complete the following:
1--^
A) Top of Ground Surface Elevation(using GIS information)
B) G.W. Elevation n-00 +adjustment for high G.W.9 2 _ ro
DIFFERENCE BETWEEN A and B
SIGNEDZ4 , DATE: 'r f r 1 I �� 200
NOTICE
Based upon the above information, a repair permit will be issued for bedrooms
maximum. No additional bedrooms are authorized in the future without engineered septic system
plans.
gASeptic\percexemp.doc
Town of Barnstable
�F THE Tp�
'Pam. .o• Regulatory Services
Thomas F. Geiler, Director
• BAANSTABL&
MASS., �� Public Health Division
ATfD1A°rA "Thomas McKean, Director
200 Main Street, Ilyauuis, NIA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date:
�'"�� 0 �O Sewage Permit# Assessor's flap\Parcel 228
Designer: Eco-Tech Installer: Wm E Robinson Sr Septic
Address: 43 Triangle Circle Address: PO Box 1089
Sandwich Centerville
On Wm E Robinson Sr SeptiRas issued a permit to install a
(date) (installer)
septic system at 68 Katherine Rd, Centerville based on a design,drawn by
(address)
Eco—Tech dated 04-06-06
(designer)
r �I certify that the septic system referenced above was installed substantially accordilig to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in ac oFda'nce with State S Local Regulations. Plan revision or
cery de er to follow.
�OF MgS�cy
DAVID
A)az
aller's Signature) COUGHANOWR N
No. 1093
9�4�81'BQ`w0
• s�NITAaIPa
(Designer's Signature) ("Affix Designer's Stamp Here)
PLEASE RETUIUN TO B:1R\STA13LE PUBLIC HEALTH MVISION. CERTIFICATE O
COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS 10101 AdNQ AS-BUILT CUM :\RE
RECEIVED BY THE BAR-STABLE PUBLIC HEALTH DIVISION. THANK YOU.
t
Q: Health;SepticiDesi¢ner Certification Fom
COMMONWEALTH OF MASSACHUSETTS
• EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS �v
= W
d DEPARTMENT OF ENVIRONMENTAL PROTECTION 01 /J
SOUTHEAST REGIONAL OFFICE
� e
ARGEO PAUL CELLUCCI TRUDY COXE
Govemor
Secretary
DAVID B.STRUHS
Commissioner
URGENT LEGAL MATTER-: PROMPT ACTION NECESSARY
CERTIFIED MAIL: RETURN RECEIPT REOUESTED
OAugust 12, 1998
James Devin RE : BARNSTABLE-BWSC ��
501 Lexington Street, Apt . 23 68 Katherine Road �,
Waltham, Massachusetts. 02154 RTN# 4-14101
NOTICE 'OF RESPONSIBILITY
M.G.L. c . 2_1E, 310 CMR 40 0000
ATTENTION: Mr. James Devin
On August 6, 1998 , at 12 :45 am, the Department of
Environmental Protection (the "Department" ) received oral
notification of a release and/or threat of release of oil and/or
hazardous material at the above referenced property which requires
one or more response actions . A release of fuel oil from. an
aboveground storage tank (AST) occurred within a finished-floor
basement .
The Massachusetts Oil and Hazardous Material Release
Prevention and Response Act, M.G.L. c . 21E, and the Massachusetts
Contingency Plan (the "MCP" ) , 310 CMR 40 . 0000, require the
performance of response actions to prevent harm to health, safety,
public welfare and the environment which may result from this
release and/or threat of release and govern the conduct of such
actions . The purpose of this notice is to inform you of your
legal responsibilities under State law for assessing and/or
remediating the release at this property. For purposes of 'this
Notice of Responsibility, the terms and phrases used herein shall
20 Riverside Drive•Lakeville,Massachusetts 02347• FAX(508)947-6557•Telephone(508)946-2700
This information is available in altemate format by calling our ADA Coordinator at(6I7)574-6872.
DEP on the World Wide Web: http:/twww.magnet,state.ma.us/dep _
0 Printed on Recycled Paper
til
-2-
have the meaning ascribed_ to such terms and phrases by the MCP
unless the context clearly indicates otherwise.
The Department has reason to believe that the release and/or
threat of release which has been reported is or may be a disposal
site as . defined by the M.C.P. The Department also has reason to
believe that you (as used in this letter, "you" refers to James
Devin) are a Potentially Responsible Party (a "PRP" ) with
liability under M.G.L. c .21E §5, for response action costs. This
liability is "strict" , meaning that it is not based on fault, but
solely on your status as owner, operator, generator, transporter,
disposer or other person specified in M.G.L. c . 21E §5:. This
liability is also "joint and several" , meaning that you may be
liable for all response action costs incurred at a disposal site
regardless of the existence of any other liable parties .
The Department encourages parties with liabilities under
M.G.L. c.21E to take prompt and appropriate actions in response to
releases and threats of release of oil and/or hazardous materials .
By taking prompt action; you may significantly lower your
assessment and cleanup costs and/or avoid liability for costs
incurred by the Department in taking such actions . You may also
avoid the imposition of, the amount of or reduce certain permit
and/or annual compliance assurance fees payable under 310 CMR
4 . 00 . Please refer to M.G.L. c . 21E for a complete description of
potential liability. For your convenience, a summary of liability
under M.G.L. c . 21E is attached to this notice .
You should be aware that you may have claims against third
parties for damages, including claims for contribution or
reimbursement for the costs of cleanup. Such claims do not exist
indefinitely but are governed by laws which establish the time
allowed for bringing litigation. The Department encourages you to
take any action necessary to protect any such claims you may have
against third parties .
At the time of oral notification to the Department, the
following response actions . were approved as an Immediate Response
Action (IRA) :
• Deployment of Absorbent/Containment Materials .
• Removal of Tanks/Drums/Containers .
-3-
• Removal of Other Contaminated Media.
• All Remediation Waste must be properly stored/handled
and disposed of within 120 days from the date of
generation per 310 CMR 40 . 0030 .
• Provision of Temporary Ventilation.
ACTIONS REQUIRED
Additional submittals are necessary with regard to this
notification including, but not limited to, the filing of a
written IRA Plan, IRA Completion Statement and/or an RAO
statement . The MCP requires that a fee of $750 . 00 be submitted to
the Department when an RAO statement is filed greater than 120 _
days from the date ' of initial notification. Specific approval is
required from. the Department for the implementation. of all IRAs,
and Release Abatement Measures (RAMS) pursuant to 31O CMR 40 . 0420
and 310 CMR 40 . 0443 , respectively. Assessment activities, the
construction of a fence and/or the posting of signs are actions
that are exempt from this approval requirement .
In addition to oral notification, ' 310 CMR 40 . 0333 requires
that a completed Release Notification Form (BWSC-103 , attached) be
submitted to the Department within sixty (60) calendar days of
August 6, 1998 .
You must employ or engage a Licensed Site Professional (LSP)
to manage,, supervise or actually perform the necessary response
actions at this site . You may obtain a list of . the names and
addresses of these licensed professionals from the Board of
Registration of Hazardous Waste Site Cleanup Professionals at
(617) 556-1145 .
Unless otherwise provided by the Department, potentially
responsible parties ( "PRP ' s" ) have one year from the initial date
of notification to the Department of a release or threat of a
release, pursuant to 310 CMR 40 . 0300, or from the date the
Department issues a Notice of Responsibility, whichever occurs
earlier, to file with the Department one of the following
submittals : (1) a completed Tier Classification Submittal; (2) a
Response Action Outcome Statement or, if applicable, (3) a
Downgradient Property Status . The deadline . for either of the
first two submittals for this disposal site is August 6, 1999 . If
required by the MCP, a completed Tier I Permit Application must
also accompany a Tier Classification Submittal .
-4-
This site shall not be deemed to have had all the necessary
and required response actions taken unless and until all
substantial hazards presented by the release and/or threat of
release have been eliminated and a level of No Significant Risk
exists or has . been achieved . in compliance with M.G.L. c . 21E and
the MCP.
If you have any questions relative to this notice, please
contact Tyson Rose at the letterhead address or at (508) 946-274.3 .
All future communications regarding this release must reference
the following Release Tracking Number: 4-14101 .
Very truly yours,
l�vM Fc}f
Richard F. Packard, Chief
Emergency Response / Release
Notification Section
P/TLR/cb
CERTIFIED MAIL NO. Z 598 884 991
RETURN RECEIPT REQUESTED
Attachments : Release Notification Form; BWSC-103 and Instructions
Summary of Liability under M.G.L. c . 21E
CC : Board of Selectmen
367 Main Street
Hyannis, MA 02601
Board of Health
PO Box 34
Hyannis, MA 02601
COMM Fire Department
1875 Falmouth Road
Centerville, MA 02632
Arthur McCormack
- - President
ram, ®uii roic aGuui Ue"nlb, MA UCDOU-U4/
800/974/4300 13081 305/6100 FAX(5081 385/6022
i
8r
PLUMBING
& HEATING CO INC.
HEATING OIL
778-0816 6lY04i;llSouth Rd.
1-800-453-6444 Hyannis,MA
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A __
East Coast Engineering, INC.
s
November 11, 1998 "-
Town of Barnstable
Board of Health
Hyannis, MA 02601
Reference: Devin Residence, 68 Katherine Road, Centerville, MA, Implementation of
Immediate Response Action, DEP RTN#4-14101
Attention: Mr. Tom McKean
Dear Mr. McKean:
In accordance with the Massachusetts Contingency Plan and 310 CMR 40.1403,please be advised
that the Immediate Response Action Plan will be implemented at the above-referenced location.
This work is being conducted in accordance with the Immediate Response Action Plan filed with
the Department of Environmental Protection on October 26, 1998. The proposed work includes the
removal of oil contaminated soil from beneath the basement floor of the residence. The work will
be conducted by Enviro-Safe Corporation and will commence on Monday,November 16, 1998.
{
To obtain a copy of this document,or if you have any questions relative to this work,please contact
East Coast Engineering, Inc. at (508) 748-2460.
Very truly yours,
EAST COAST ENGINEERING, INC.
l
Christine R. LeBlanc
Principal
cc: Mr. James Devin
Ms. Lauren Rikleen, Esq.
P. O. Box 745 156A Front Street Marion, MA 02738-0745 Tel: (508) 748-2460 Fax: (508) 748-2553
PLAN REFERENCE CONTOURS PjNE STREET
a =W 1 LAND COURT PLAN 30469-A EXISTING - - - - - - - 50 >
ASSESSOR'S MAP: 2 -8 MINIMAL GRADING PROPOSED vi N
LOT: 50
°�►- � ��° NOTE 71
\Z 0a>
�cn� � o � �' LOCUS
o 2(ntn m EXISTING SEWER LINE A IS TO BE, REROUTED z
J oo� `" INSIDE DWELLING AND EXIT A T LOCATION B. �
W ( XN k
- }- � 4 CENTERVILLE. MA
G
m N0 1- 38 FL x 7 FL x z FL LOCUS MAP
Z N LE;CHING GALLERY NOT TO, SCALE
LI z >_ f
z 3 ` 48 106 36f ".o
k w = W 5PJ � —
O ma W -- \ RETAIN�G
w z� U > �. LEGEND
Z O .
m
w W z �
�'"� % ` '� �' 1500 GALLON o
LJ I W L� w '` �� L` -� SEPTIC TANK
❑ \.
a 0 ' ' +,
Co 3 N ® 1 D-BOX 0
Z O TEST PIT
e
X = m \ I `� EXISTINGj
N rn o B CESSPOOL o
J O W \ rP-s rn� �] X \ � 1 UTILITY POLE
C o c„ 3 _ n m
20 FL
`ems/
J cn 0 u,m �"� �► rn0 (— A','f''' �i 44 TREE
N �� j't{��''''l{ -fW1'dBEP REFERS TD DIA'1ETEa
L- iIV Z --i ''I t !^. INCHES. LETTER DENOTES TYPE
cn ❑ Z O t' m O-OAK D-DECIDUOUS
O M
� Z ,
co In 1 1 ' a2- �,�� O O TP-1 \
W v ui LINE I 3
21 WATER BENCH MARK
6 TOP OF FOUNDATION
ELEVATION = 50.79
Z J < Zp z PAVEp pRIVE P \ f USGS DATUM ASSUMED
LIJ !_S-D
O J N� m J \
3 « cw LOT
L o co � _ �1 _ _ - 48 SEWAGE DISPOSAL SYSTEM PLAN
o Il. AREA 1®6�.3 sF +
n Q N , _!�4 ft -TO SERVE EXISTING DWELLING
LL ` w �--�" '0�2 5� JAMES E. DEVIN. JR.
o Lni
m O
68 KATHERINE ROAD CENTERVILLE. MA
5F--i—i-imn `s"°FAul4 ECO TECH ENVIRONMENTAL
�' q
m �_ ��°�� DAVID �yG� 43 TRIANGLE CIRCLE SANDWICH MA 02563
O O _j l9 C) v o D.
Q.
o w a SCALE: 1 1n = 20 FL " COUG ANO R y 508 364-0894
o pS ETE-2282 FAPRIL 6. 2006 1A 1 112
� e
SqN TAR THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS
a n v C INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED'
I-r prc , SEPTIC SYSTEM. FOR ANY OTHER-CHANGES TO PROPERTY
- OWNER SHOULD CONSULT WITH A REGISTERED LAND SURVEYOR.
DATE OF TEST:
SOIL TEST L 0 G W[OTNESSEVALUATOR:
R OU DAVID
�UNO 2006
AR LACES SOUGHT
. _ DESIGN CALCULATIONS ,
NO NCOUNTERED
TEST PIT 1 PARENTU MATERIAL: PROGLAC AL OUTWASH v
ELEVATION = 46.55 +- PERC AT 98 irl : 2 MIN/INCH IN C SOILS
DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD
DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS
46.55 (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
0-46 FILL DISTRIBUTION BOX: USE 3 OUTLET O-BOX.
46-50 Ap SANDY LOAM 10 YR 2/2 NONE FRIABLE
4005 50-78 B LOAMY SAND 10 YR 4/6 NONE LOOSE SOIL ABSORBTION SYSTEM: A 38 f E x 7 Ft x 2 Ft LEACHING TRENCH CAN LEACH
78-140 C MEDIUM SAND 10 YR 5/6 NONE LOOSE A b o t, = ( 38 x 7 ) = 266 s F
36.55 Asdw = ( 38 + 38 + 7 + 7 1 x 2 = I B 0 Sf
TEST PIT 2 NO GROUNDWATER ENCOUNTERED AE.ot_ = 446 sf
PART
ELEVATION = 47.12 +-
2 MIN/INCHT NRC SOLs GLACIAL OUTWASH Vt 0.74 x 446 = 330.04 GPD
USE A 38Ft x 7 Ft x 2 Ft GALLERY. Vt = 330.04.4 GPD > 330 GPD REOUIRED
DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING
47.12
0-92 FILL
92-96 Ap SANDY LOAM 10 YR 2/1 NONE FRIABLE
36.95 96-122 B LOAMY SAND 10 YR 4/6 NONE LOOSE 32.12 LEACHING GALLERY
122-180 C MEDIUM SAND 10 YR 6/6 NONE LOOSE
NO GROUNDWATER ENCOUNTERED CONSTRUCTION DETAIL
TEST PIT 3 PARENT MATERIAL: PROGLACIAL OUTWASH
CULTEC RECHARGER 330 UNIT
ELEVATION = 50.75 +- PERC AT 76 iri : 2 MIN/INCH IN C SOILS STONE
2 FL EFF. DEPTH
DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER 38.0 f t
(INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING -
50.75
0-24 FILL 4.
24-32 Ap LOAMY SAND 10 YR 3/3 NONE FRIABLE
4625
32-54 B LOAMY SAND 10 YR 4/4 NONE FRIABLE R ir' r`
54420 C MEDIUM SAND 10 YR 5/4 NONE LOOSE
40.75
;? ft 1.25 Ft-
NOTES 39.0 f t NOT
TO
SCALE
11 GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN
21 ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM.
31 ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOU[REMENTS
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 151
4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES
BEFORE EXCAVATING FOR SYSTEM.
51 EXISTING CESSPOOLS TO BE PUMPED. COLLAPSED. AND FILLED, OR REMOVED GROUNDWATER ADJUSTMENT
61 ALL STONE TO BE DOUBLE WASHED AND FREE OF [RON, FINES AND DUST IN PLACE EXISTING GROUNDWATER LEVEL SEWAGE DISPOSAL SYSTEM PLAN
71 LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0" BEFORE PITCHING DOWN BASED ON TOWN OF BARNSTABLE -TO SERVE EXISTING DWELLING
GIS DEPARTMENT RECORDS,
81 ECO-TECH ENVIRONMENTAL RECOMMENDS THE INSTALLATION OF LOW FLOW FIXTURES DAMES E. DEVIN. JR.
AND APPLIANCES. AND BIANNUAL PUMPING OF THESEPTIC TANK INDICATED GW 15.00
INDEX WELL M1W-29
91 SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR , LOADING. DO NOT ZONE D 68 KATHERINE ROAD CENTERVILLE. MA
PARK OR DRIVE VEHICLES OVER SEPTIC SYSTEM: ; READING DATE JAN. 2006
10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT , STA ADJUSTMENT 3.2 RTING WORK. READING 7.6 ECO-TECH ENVIRONMENTAL
11) SEPTIC TANKS SHALL BE INSTALLED LEVEL +
EL AND TRUE TO` GRADE ON A LEVEL ADJUSTED GW 18.2 43 TRIANGLE CIRCLE SANDWICH MA 02563
STABLE BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH
SIX [NCHES.-OF CRUSHED STONE HAS BEEN PLACED TOI M-INIMIZE UNEVEN SETTLING ETE-2282 APR[L 6. 2- 2/2