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0319 LAKE ELIZABETH DRIVE - Health
i 319 Lake Elizabeth Drive Centerville A=--227 — 010 '' ; i Town of Barnstable Regulatory Services Thomas F. Geiler, Director * BAMSTASLE. 9 MASS: $ 1639. .E Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 4, 2007 Mr James Peterson 319 Lake Elizabeth Drive Centerville, MA 02632 ORDER TO COMPLY WITH STATE ENVIROMENTAL CODE, TITLE 5 The septic system located at 319 Lake Elizabeth Drive, MA was last inspected on May18lb, 2007,by Jason Burnie, a certified septic inspector for the State of ( Massachusetts. The inspection of the septic system showed that the system"Failed"under the guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following: System is in hydraulic failure You have 60 days from the date of the system failure to bring the system into compliance. If there are any questions about this reminder,please feel free to contact the Barnstable Health Department. BARNSTABLE HEALTH DEPARTMENT ' Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health il"IL... " TOWN OF BARNSTABLE LOCATION b SEWAGE# 2! 07 VILLAGE_(! �1 jru jl l p ASSESSOR'S MAP&PARCEL 9-27- 0 INSTALLERS NAME&PHONE NO. t Ac�w� SEPTIC TANK CAPACITY It0o LEACHING FACILITY: (type) C- 1-1 C o (size) �y,3a�(13 '3°/ NO.OF BEDROOMS OWNER J �^ PERMIT DATE: g/a/®'7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility S 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 V o V\ A Scex i c. P 4•��� ;L 2el�G�/ 3 .. rro a� l�®��e o q=Gd 7- 2 7 D 4- 7� y, 7 L CC�CP�P Oai3.A)fJ N�a.�o t 1�l;y 'POI.0 A� No /1''J Fee -E�'�� U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYication for 33i5poeal 6p9tem Conotructiott Vermit Application for a Permit to Construct( ) Repair(1f"Upgrade( ) Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 311 l-&�e E1 mabPYh Dr Owner's Name,Address;and Tel.No. Learvtl� Assessor's Map/Parcel 2 A MI or Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ,00os1u% A Qrnwo VN Asso�la vr4 g3 3- L70Y Type of Building: Dwelling No.of Bedrooms 3 Lot Size 8 3�1 sq. ft. Garbage Grinder ( ) Other Type of Building P}dtjb t° No.of Persons Showers( ) Cafeteria( ) Other Fixtures 1 Design Flow(min.required) 3 3 0 gpd Design flow provided 3 St,,I gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank I -skiNc Type of S.A.S. !!? crIkee a 'N dn*yy pAic C A;n $ Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environ ntal Code and not to place the system in operation until a Certificate of Compliance has been issued by th' of Si Date Application Approved by Date VYQ Application Disapproved by: Date for the following reasons Permit No. Date Issued J' - i `'�`..Rr``t-^...�..,. .. ,. ,. f++•-'.���i3�' .. •. •'_y._�„ ti. ,i' 4 ��.Jd�,ear.�4p.< Ja * No-�2C . � '" � ; t Fee 11 inn , ' THEYCOMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH.DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYication for jlliopogaY *p4tem: Con0truction Permit Application for a Permit to Construct( ) Repair 64 Upgrade( ) Abandon( ) ❑.Complete System ❑Individual Components Location Address or Lot No. 319 m Owner's Name,Address; d'Tel.No. �u��e �1t�GbPrh �r Assessor's Map/Parcel 7 1 p OCR Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. --, s VN Asso�laF�s �33- aoy Type of Building: Dwelling No.of Bedrooms 3, Lot Size 1/,0 3( sq. ft. Garbage Grinder ( ) s Other Type o£Buif"ding.f lka yip t `+ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 � 't �+ 11 C.-r"-7•gpd Design flow provided gpd Plan Date 1 Number of sheets Revision Date Title Size of Septic Tank _ I(( E /Satf;v" f t� C Type of S.A.S. !I /eh-ee e -xt Jrafv nAtf& lye) Sj'"- Description of Soil Nature of Repairs or Alterations(Answer when applicable);f 11 kj<+.r,M.At., Date last inspected: �! Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by tli' and of lth. Si ned. Date Application Approved by Date Application Disapproved by: Date for the following reasons'J0. Permit No. ��cP 1Y0 Date Issued _-______________________________ _ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE;-MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired (y ) Upgraded ( ) Abandoned( )by ,� ��S �, ((�t�r) at 3 IC, L ecq,3+ has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Cl/ 0-7 A -�-� t Installer7po0�S A R f r, N Designer o.0 #bedrooms Approved design flow '3�_G �_ gpd The issuance of this permit shall not be construed as a guarantee that the system will ction as designed. Date /G�OS/1) �� Inspector No. �./ / - 1 f Lt o Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS, 1wigpoat *p.5tem Cott.5truction Permit Permission is hereby granted to Construct ( ) Repair (\,,-) Upgrade ( ) Abandon ( ) System located at 31 ,,,� e, y, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions., Provided: Constru iiion m st be completed within three years of the dat is �Ser 't Date 2 Approve -b• —... Town of Barnstable Regulatory Services 'Thomas F. r ,Director WA% a/ Public Health Division 16 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer c&Designer Certification Form Date: �7 Sewage Permit# .20V 7 41�O Assessor's Map\Parcel 2_217 D/p Designer: y��So y c<���°� Installer: �(J7/ f/C NJI��/�. if Address: _ >6 6&12t /ZW/ Address: too 6x 14f_ On f Oyu was issued a permit to install a (date) (installer) �kltlr septic system at �l9 Le � based on a design drawn by (address) Agmcrole5 dated 7,2 G�'49 (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. I certify that the septic system referenced above was installed with maj or 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 or certified as-built by designer to follow. OFMgss9c AWfiM sN staller's Signature) u VON HONE 9 #1068 p y S���scEQ a qNi TP, (Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-BUILT CARD ARE O RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:Health/Septic/Designer Certification Form 3-26-04.doe i Town of BAmsta.ble pit Department of Regulatory Services Public Heap Division Date .6sy ems$ 200 Main Street,Hyannis MA 02601 rFp Date scheduled 'Time Fee `oil Suitability Assessment for Sewage Disposal l Performed By: ,0 e, ! Witnessed BY'- --��� �O i LOCATION &GENERAL INFORMATION Location Address'. ,�//j ,Cake. �/z�f��� /Jdt v'� Owner's Name Address Assessor's Map1P4rcel: 2�7/ d II Engineer's Name n � j0"®7f'I� ,.Ay/• t� i Tele hone# 279 p�-7 NEW CONSTRUtON REPAIR P V —if Land Use /��°��d/ Slopes(96) ' �S Surface Stones Distances from: Open Water Body, R Possible Wet Area _ ft Drinldng Water Well ft i Drainage Way ft. Property Line �_ft Other ft SKETCH:($treet name,dimensious'of lot,exact locations of t 't holes&pere tests,locate wetlands in proximity to holes) -3/9 b ,4 '75�,Ot �f3. 4C Parent material(geologic) o Et56, "IW4, //�r� i ;A Depth-Depth to Bedrock f Depth to Groundwaor. Standing Water in Hole i Weeping Ftom Pit Pace a ' Estimated Seasonal.fth Groundwater D ERMIN TION FOR SEASONAL HIGH WATER TABLE _ r. Method Used: 4 1n. > Depth db�erved standIng;in obs.hole in. Depth to snll mottles: i in Ciraundwate�t A��ustment ii M toiweeping from side of o hole- Depth , --- 1,Groundwater Levy. •Ltdex Well#W Reading Date: Index Well level r Adj•factor r\3. PERCOLATION TEST Date 7//0 �e d' 4� M m Observation Trine at W, �...�.. ..----- Hole# t7 Time at 6" Depth of Pere 6' - i 'Dime(9"-6") r3 Start Pre-soak Time.0 -- End Pre-soak �•,�3 Ytate Min./Inch i Site Suitability Assc$smenl: Site Passed Site Failed; Additional Testing Needed(YIN) BeCom leted on Back OriginaL•.Public 1141th Division Observation Hole Data TO P ***Ifper cola ibn testis to be conducted within 100'of wetland,,you must first notify the 9 Barnstable C i}servation Division at least one(1)wedk prioir to beginning- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Olt Consistency,%G vel DEEP OBSERVATION HOLE LOG Hole# ;Z - Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistencv.%Gravel) DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil , Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsiste c Oravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nit , Flood Insurance Rate May: Above 500 year flood boundary No_ Yes� . Within 500 year boundary No_ Yes_{ Within 100 year flood boundary No v Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervi us material exist.in all areas observed throughout the area proposed for the soil absorption system? BPS If not,what is the depth of naturally occurring p rvious material? Certification _ I certify that on AI0V 2&16date)I have passed the soil evaluator examination approved by the ' Department of Environmental Protection and that the above analysis was performed by me consistent with = the required training expertise and experience described in 3:10 CUR 15.017. Signature Q:\.SEPTIOPERCFORM.DOC TOWN OF BARNSTABLE I a �TION 9 F l► r-Et 2 SEWAGE # .VIL-AG E ASSESSOR'S MAP & LOToV -,Old 4 . FS NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) 3 NO.OF BEDROOMS SbM:HER-9&R OWNER PERMITDATE: r ro-N'% 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 Commonwealth of Massachusetts N Title 5 Official Ins ection Form i W p � Not for Voluntary Assessment ^M Subsurface Sewage Disposal System Form 6�� � m Inspection results must be submitted on this form. Inspection forms may not be altered in any A way. Information ! q'.S Important: When filling out 1. Property Information: forms on the computer, use 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 only the tab key Property Address to move your JAMES PETERSON cursor-do not use the return Owner's Name key. P.0 BOX 671 Owner's Address W. HYANNISPORT MA 02632 City/Town State ! Zip Code Date of Inspection: 5-18-07 Date I I 2. Inspector: JASON BURNIE j Name of Inspector D.J BURNIE & SONS bluewater holding corp Company Name 105 FERNDOC ST UNIT A Company Address HYANNIS MA ! 02601 City/Town State ` Zip Code 508-775-0139 :. Telephone Number r ' B. Certification �- C1 I certify that I have personally inspected the sewage disposal system at this address and thet the information reported below is true, accurate and complete as off the time of the in&ction. -[f p insps�ction was performed based on my training and experience in the proper function and rtFat�ltenanc-w on-=site sewage disposal systems. I am a DEP approved system inspector pursuant to S ction 1&.340 Title 5(310 CMR 15.000).The system: CD m ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority J - 5-18-0,7 Inspector's Sigqow, Date The system inspector shall submit a copy of this inspection;report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 1 of 16 I i i - I Commonwealth of Massachusetts ! W Title 5 Official Inspection Form a Not for Voluntary Assessments Subsurface Sewage Disposal System Form �M B. Certification (cont.) 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address CENTERVILLE MA 02632 Cityrrown State Zip Code JAMES PETERSON 5-18-6,7 Owner's Name Date of Inspection i Inspection Summary: Check A,B,C,D or E/always complete all of Section D i A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: i B) System Conditionally Passes: j ❑ 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. i ❑ 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 repla ed 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 y bars old is available. ND Explain: I I f i i i i i i back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 2 of 16 VM i i j Commonwealth of Massachusetts w Title 5 Official Inspection Form. Not for Voluntary Assessments Subsurface Sewage Disposal System Form i B. Certification (cont.) f 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address CENTERVILLE MA i 02632 Cityrrown State ' Zip Code JAMES PETERSON 5-18-07 Owner's Name Date of iinspection I B) System Conditionally Passes(cont.): , i ❑ 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): i 3 ❑ broken pipe(s)are replaced I ❑ obstruction is removed 1 ❑ distribution box is leveled or replaced ND Explain: I i ❑ 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 Boa td of Health): ❑ broken pipe(s) are replaced ❑ obstruction is removed ND Explain: I i i i C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the,1 Board of Health in order to determine if the system is failing to protect public health, safety or tie 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 i back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 3 of 16 i Commonwealth of Massachusetts i u Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form B. Certification (cont.) 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address I CENTERVILLE MA 02632 City/Town State I Zip Code JAMES PETERSON 5-18-07 Owners Name Date of inspection I C) Further Evaluation is Required by the Board of Health (cont.): 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: I ❑ 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. 1 i El The The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. a ❑ 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: I "*This system passes if the well water analysis, performedlat a DEP certified laboratory, for coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. i 3. Other: I I I i i back up 1.doc.doc•03/20.06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 4 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form k1,4 SVey`v i B. Certification (cont.) i i 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address i CENTERVILLE MA 1 02632 Citylrown State f ZipCode JAMES PETERSON 5-18-07 Owner's Name Date of Inspection D)System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No i ® El clogged of sewage into facility or systi m 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 '/2 day flow 1. El ® 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. i ❑ ® 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 ho 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 of chain of custody must be attach i ed to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. i Yes No ® ❑ The system fails. I have determinedthat one or more of the above failure criteria exist as described in 310 MR 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. i i i back up 1.doc.doc•03/2006 Title 5 Official Inspeiction Form:Subsurface Sewage Disposal System Page 5 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form iG�M i C. Checklist 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address CENTERVILLE MA ' 02632 Cityfrown State + Zip Code JAMES PETERSON 5-18-07 Owner's Name Date of Inspection Check if the following have been done. You must indicate'yes" or"no"as to each of the following: YES NO ® ❑ Pumping information was provided by the owner, occupant, or Board of Health I ❑ ® Were any of the system components umped out in the previous two weeks? i ® ❑ 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? I ® ElWere as built plans of the system obtained and examined? (If they were:not available note as N/A) ® ❑ Was the facility or dwelling inspected fir signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components 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? I ® ❑ 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: i ❑ ® 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 unaccepta!!ble) [310 CMR 15.302(5)] I I I i i i i back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System i Page 7 of 16 i Commonwealth of Massachusetts w64Title 5 Official Inspection Form Not for Voluntary Assessments � rY Subsurface Sewage Disposal System Form G M Seye t D. System Information i 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address CENTERVILLE MA 02632 City/Town State Zip Code JAMES PETERSON 5-18-07 Owner's Name Date of Inspection Residential Flow Conditions: i Number of bedrooms (design): unknown Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): unknown I Number of current residents: � 2 Does residence have a garbage grinder? i ❑ Yes ® No Is laundryon a separate sewage system? [if yes separate iInspecti n required] ❑ Yes ® No Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ® No 06= 145gpd Water meter readings, if available(last 2 years usage(gpd)): 05=85gpd Sump pump? ( ❑ Yes ® No Last date of occupancy: i current Date Commercial/Industrial Flow Conditions: Type of Establishment: I Design flow(based on 310 CM 15.203): j Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? I ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: i I Last date of occupancy/use: j Date I Other(describe): i I i back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 8 of 16 i Commonwealth of Massachusetts I Title 5 Official Inspection Form Not for Voluntary Assessments �M Subsurface Sewage Disposal System Form D. System Information (cont.) 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address CENTERVILLE MA 02632 City/Town State ; Zip Code JAMES PETERSON 5-18-07 Owner's Name Date of Inspection I General Information Pumping Records: Source of information: OWNER PUMPED APPX 1 YEAR AGO Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1000 FROM THE PIT AND- 1024 FROM THE TANK AND BOX How was quantity pumped determined? PUMP SLIPS FROM THE TREATMENT PLANT I Reason for pumping: SYSTEM WAS FAILING AND IN ORDER TO FINISH INSPECTION IT NEEDED TO BE PUMPED Type of System: I ® Septic tank, distribution box, soil absorptioh system i ❑ Single cesspool ❑ Overflow cesspool ❑ Privy I ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from;system owner) ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): Approximate age of all components, date installed (if known)and source of information: i 1977 HOUSE WAS BUILT I Were sewage odors detected when arriving at the site? ❑ Yes ® No I i I i back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 9 of 16 I Commonwealth of Massachusetts Title 5 Official Inspection Form ° Not for Voluntary Assessments iVe e Subsurface Sewage Disposal System Form D. System Information (cont.) 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address CENTERVILLE MA 02632 Cityrrown State I Zip Code JAMES PETERSON 5-18-07 Owner's Name Date of Inspection Building Sewer(locate on site plan): Depth below grade: i 9 feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): i Distance from private water supply well or suction line: i feet Comments (on condition of joints, venting, evidence of leakage, etc.): f Septic Tank(locate on site plan): i 4" Depth below grade: I 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 aicopy of certificate) El Yes El No ----------------------------------------------------------------------- ----------- -- ----------------------------------- Dimensions: 1000 GAL Sludge depth: 10" Distance from top of sludge to bottom of outlet tee or baffle! I Scum thickness 811 Distance from top of scum to top of outlet tee or baffle i Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? SLUDGE JUDGE I back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 10 of 16 I Commonwealth of Massachusetts Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form j D. System Information (cont.) 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address I CENTERVILLE MA 1 02632 City/Town State I Zip Code JAMES PETERSON 5-18-07 Owner's Name Date of;Inspection Comments (on pumping recommendations, inlet and outlet,tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage; etc.): I I Grease Trap(locate on site plan): Depth below grade: I feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass I ❑ polyethylene ❑ other(explain): I I Dimensions: I Scum thickness Distance from top of scum to top of outlet tee or baffle I Distance from bottom of scum to bottom of outlet tee or baffle t 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.): i j I Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): I Depth below grade: Material of construction: i ❑ concrete El metal ❑ fiberglass l ❑ polyethylene ❑ other(explain): i i ,i back up 1.doc.doc•03l2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 11 of 16 iI Comm i onwealth of Massachusetts Title 5 Official Ins p ection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form D. System Information (cont.) � 319 LAKE ELIZABETH DR CENTERVILLE, MA 02032 Property Address I CENTERVILLE MA 02632 City/Town State ! Zip Code JAMES PETERSON 5-18-07 Owner's Name Date of Inspection Tight or Holding Tank(cont.) Dimensions: I Capacity: gallons j Design Flow: gallons per day Alarm present: ❑ Yes ❑ No i Alarm level: Alarm? Date of last in working order: [I Yes El No pumping:p p g Date 1 Comments(condition of alarm and float switches, etc.): i i *Attach copy of current pumping contract(required). Is co y attached? ❑ Yes ❑ No Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert BOX WAS OVER FULL i 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.): THE BOX WAS ROTTED AND NEEDS TO BE REPLACED ALSO WHEN BOX COVER WAS OPENED EFFULENT WAS OVERFLOWING. I Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No Alarms in working order: ❑ Yes ❑ No i i i back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System �:% Page 12.of 16 I Commonwealth of Massachusetts I - W Title 5 Official Inspection Form Not for Voluntary Assessments Subsurface Sewage Disposal System Form �M 1 D. System Information (cont.) 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address I CENTERVILLE MA 02632 City/Town State ; Zip Code JAMES PETERSON 5-18-07 Owner's Name Date of�Inspection Comments (note condition of pump chamber, condition of plumps and appurtenances, etc.): I f t I Soil Absorption System (SAS) (locate on site plan, excavation not required): I I If SAS not located, explain why: i i i I Type: ® leaching pits number: 1-6 X 6 I ❑ leaching chambers I umber: ❑ leaching galleries number: ❑ leaching trenches number, length: i ❑ leaching fields number, dimensions: ❑ overflow cesspool 'number: ❑ innovative/alternative system Type/name of technology: I Comments (note condition of soil, signs of hydraulic failure! level of ponding, damp soil, condition of vegetation, etc.): WE DID A AUGUR HOLE DOWN THE SIDE OF THE SAS AND APPROXIMETLY 2' FROM GRADE EFFLUENT STARTED TO FILL THE HOLE. WE DUG DOWN TO THE TOP OF THE SAS AND HOLE STARTED TO FILL WITH WASTE WATER AND WE OPENED THE COVER AND FOUND THE SAS WAS FULL TO THE BOTTOM OF THE COVER! i I( I back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 13 of 16 i Commonwealth of Massachusetts ! w w Title 5 Official Inspection Form Not for Voluntary Assessments i4^M Subsurface Sewage Disposal System Form D. System Information (cont.) 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address i CENTERVILLE MA 02632 City/Town State ( Zip Code JAMES PETERSON 5-18-d7 Owner's Name Date of!lnspection Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): I Number and configuration j i Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer i 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.): i I i Privy (locate on site plan): Materials of construction: i i I Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): ! i ; i back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System i Page 14 of 16 L� I 1 1 I Commonwealth of Massachusetts i Title 5 Official Insp ection Form Not for Voluntary Assessments i Subsurface Sewage Disposal System Form ,wM I 1 • D. System Information (cont.) 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 • Property Address CENTERVILLE MA , 02632 City/Town State I Zip Code JAMES PETERSON 5-18 07 Owner's Name Date of Inspection I Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. I I i I I A F RQ�Y i I na C� o r C 3'°y 'D- 36` y r � Z) l� ` :3'? I F = 36 `7 , I a i I—Ake i I I back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System- Page 15 of 16 Commonwealth of Massachusetts Title 5 Official Inspection Form ° Not for Voluntary Assessments ` Subsurface Sewage Disposal System Form D. System Information (cont.) j 319 LAKE ELIZABETH DR CENTERVILLE, MA 02632 Property Address CENTERVILLE MA 1 02632 City/Town State I Zip Code JAMES PETERSON 5-18-07 Owners Name Date of inspection Site Exam: I Slope Surface water A-�-` i Check cellar i Shallow wells All) i I Estimated depth to ground water: 9/E' Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date I lu] Observed site(abutting property/observation Mole within 150 feet of SAS) ❑ Checked with local Board of Health-explain: ❑ Checked with local excavators, installers-(attach documentation) ® Accessed USGS database -explain: MIW-29 ZONE A 0-2 WATER LEVEL 7.01 .9 X 12= 11"ADJUSTMENT You must describe how you established the high ground water elevation: FROM GRADE TO BOTTOM OF SAS IT IS 8'8". WE USED A TRANSIT TO FIND THE DIFFERENCE BETWEEN THE GRADE AT THE SAS AND THE PROPERTY ACROSS THE STREET.WE ALSO USED A PLAN ON FILE AT THE BARNSTABLE BOH. THERE IS A 4' DIFFERENCE BETWEEN THE TWO PROPERTIES ANDiA TEST HOLE WAS DONE AND WATER WAS FOUND AT 66". YOU ARE ONLY OUT OF GROUNDWATER BY 10". I i I I back up 1.doc.doc•03/2006 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 16 of 16 + 6 OL6 . >flit f! vN bon root �_—-----—-- ------ -------- 1 L f�CfShl �S l"�CrCnC2 ci IG 1r � ai ?�1 !Ur1 1 rom 1 � LO' �=CATION ���- - SEWAGE PERMIT NO.. 'R V Ill AGE Gi.v INSTA LLER'S NAME & ADDRESS B UtLDE R OR OWNER DATE PERMIT ISSUED 77 DATE COMPLIANCE ISSUED _77 - i .1 o 3t •ti Cox J / .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town.........---oF...Barnstable Appliration -fur Dii�rusal Works ........................Tomitrurtiuii Vrrumit �,/? Application is hereby`made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Dispos System at: ..........Lake...Kimheth... rive ...I ................................................................................................ Location-Address or Lot No. a - et rso .............................................................................•-•--... ----Craigville. W Owner Centerville Address a p . Ph..-P......Macomber...&.-Son .Inc..___.. .._.. ............ ... Installer Address Q Type of Building - Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) A4 Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) da Other fixtures ------------------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter................ Depth---------------- x Disposal Trench—No. -._____•-..--._--___ Width-------------------- Total Length.................... Total leaching area-------------.------sq. ft. Seepage Pit No____________________ Diameter-------------------- Depth below inlet-----_........TT_ Total leaching area..-----_.-.-..__-.s(. ft. Z Other Distribution box ( ) Dosing tank ( �� //�� �f� f la- ,Q� W Percolation Test Results Performed by----------------_--- �---------------------- Date___......_._._.------ --.--- Test Pit No. 1................minutes per inch Depth of Test Pit._........__.._.__.. Depth to ground water.........__. : ..._- (4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_.-.-.---_- _..---.- a •--•------------------------•----------------------------•-----•------•--------------------------------------•-----------------•-•---.------_---------------- O Description of Soil-.--___$ d__....&. .fix' Y� _________________ x / . .- v �`- � / .-------- W U Nature of Repairs or Alterations—Answer when applicable.-.-1-1000 gallon tank--1-1000 g6116n overflow-l-Distribution Box Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article \I of the State Sanitary Code—The undersigne4 further agrees not to place the system in operation until a Certificate of Compliance has been i d by t e boodyohlth. igned. (� `/311..7.7- _ Date Application Approved By........... ---- -------- -�•• ..__....1'< ' �` 7-----, Date Application Disapproved for the following reasons:............................. -----------------------------------------------------------•---------------------------•----------------------------•••----•--•••--•--•-••--••-•--•-----------•--------------------------------------- Date PermitNo........................................................ Issued------------------------- .............................. Date No.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........OF Barnstable .................I............................................................... Aplifiration -for Uhnplaiial Works Towitrurtion Vrruift "'i Application is hereby'made for a Permit to Construct (X ) or Repair an Individual Sewage Disposal System at: ..........Eal.e..E I i ma-1-5 ei, ...a 1�t------------------------------- ............................................................................... Location-Address or Lot No. ................................................................................................. .................................................................................................. Owner -� 11e Address Jos,-,:�nlq P. �.n_o,Abrir & Son Inc . Centerville.......... ......... Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-------------------------------------- -----Expansion Attic Garbage Grinder aOther—Type of Building ---------------------------- No. of persons_-___-_--._____________-.._ Showers Cafeteria Otherfixtures ----- ....... --------------------------------------------------------------------------------------------------------------------------------------- Design Flow............ ----------------------------- --"allons per per-son per day. Total daily flow--------------------------------------------gallons. - 1:4 Septic Tmk Liquid capacity------------gallons Length________________ Width.____...._.__.. Diameter_--....--.-_--_ Depth.____.-_.-_-._ x Disposal Trench—No---------- ---------- Width____________________ Total Length_______._..______-._ Total leaching area....... ............sq. ft. Seepage Pit No_____________________ Diameter_______-_----_-__-.- Depth below lillet,-...a?------4,-- Total loac1hy.;1gea....... ------ tt Other Distribution box Dosing tank Date--------------------------.---------_-- Percolation Test Results Per-formed by-----------------------------------I.........7.0---------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit--._--____________-- Depth to -round water------------------------ 1:14 Test Pit No. 2----------------minutes per inch Depth of Test Pit.._____._.__.__.____ Depth to ground water------------------------ .................................................................. ------_------------.................-- ---- ------------------------ --------------- 0 Description of Soil......S9Ad......&..(' . ....................... , ............ ......... ---------------------------------- ..... .. ....... T ------------------ -------------- U ----------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------- ------------------------------------ --------------------------------------------------------------------------------------------------------------------------------------- ---------------------- U Nature of Repairs or Alterations—Answer when applicable...1.-1...10 0..r,-,- 1-1- ------ nn i-1------I-------1--0---0--------0a11 on ------------ overflow-l-Distribution Box - - - - - - - ----------------- ------------------------------------------------------------------- ------------------------------------------------------------------ ---------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued-by the board of,/health. /77 .. . .... ............I------ ---------------------- ----------- 6"-V e— '77 Application Approved By............ ------ - --- -- ------------- --------------- ............ -------------------------_-------------- Date Application Disapproved for the following reasons:..................4-1. 7 ----------- .......................................................................... ............................................................................................... ------------------------------------------------------------------------------------------------ Date PermitNo------------- •--- ............................. Issued...................................1, ..................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH" - ..........................................OF e l ....................................................... THIS IS TO CERTIFY, That the Individual S6vag_e' Disposal System' constructed (K or Repaired by • Jose-oh P. Macomber � Son Inch ................................................................................................. Installer a+ L�_-_o Zlizabet ^, Drive, Craif-,v'.1 e Peterson ..................-----------------1%-------------------------- ...................................... --------------------------------------------- ................................................ has been installed in'accordance with the provisions of Art s-de s ?xi�yl State,5anitary CoU a in the application for Disposal Works Construction Permit No---___ ...................R----------- dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM Wl"NCTION SATISFACTOR-Y. DATE.........C ./ .......... ... . ........7... Inspector...... -- --------------------------- --------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tn�7- 9-f -�)T P.................................OF...519.r. ........ Iq —WEIZZ ...... FEE....r ......... N ................ np a fin rprtta rmit Pernfis.§iotri�is hereby granted-_ Ak_'k ;4_1---------------------------------- :1.....", I n.-"01T 0 �11., 'T to Construct-(X ) or Repair ( ;_an Individual Sewage Disposal System at No-------1A),e Eliz�_behh Drive , Craia.vj_lle ...........................................................I..................... �rc'0" .............................. Street as shown on the application for Disposal Works Construction 'Permit D d 6--3/it-7-7----------- ------------------------ DATE....... ------------------------------------------- a d Mf&Het a 1;t I FORM 1255 HOE38S & WARREN. INC.. PUBLISHERS ASSESSOR'S MAP: 227 GENERAL NOTES: LOCUS v+�%e geac PARCEL: 10 d C�a� REFERENCE: PL. BK. 118 PG. 3 1. VERTICAL DATUM: Assumed p 2. MUNICIPAL WATER NOT AVAILABLE. FLOOD ZONE: B & C Town of Barnstable ( 3. SCHEDULE 40 PVC PIPE TO BE USED THRO.PGHOUT SYSTEM o #250001 0008 D (7/2/92) UNLESS OTHERWISE NOTED. 4. ALL PRECAST UNITS TO CONFORM TO Iv Q- ./Ir AASHTO: H-10& 20 4eth M 5. PIPE PITCH-1/4" PER FOOT UNLESS OTHERWISE NOTED. a 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA Craigville ea c °ri° Road ENVIR. CODE(TITLE V)AND LOCAL REGULATIONS. i 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO LOCUS MAP N.T.S. Y m CONSTRUCTION. ! 0- a LEGEND: PROPOSED CONTOUR gg PROPOSED SPOT GRADE Lot 1 — 40 - EXISTING CONTOUR 11,831t S.F. — 30.23— EXISTING SPOT GRADE 0.27i AC. TEST PIT Map 227 �� Parcel 10 sS(90 X 1 do8 6 24 kk ® EXISTING WATER SERVICE o° 109,25 1 ©X— WORK LIMIT LINE 904 Off. i i 'tNOFMASS- OfAI 2 !� ,roe 0 .3 7 q�, Ac s � y ' 107,36 r Existin Tank 1 1 A m ��� TARRY Gs� o�`'` to Remain i o VON HONE 61 ANN N #319 i #1068�a NWAHN72R TOF=112.74 �� stone 1 5,b3 (Assumed) i �g �� g 101.39 /J Z !A �Zfi pP� Benchmark Set.Ak Faile PK Nail set in Road ?� ` 101.40 \ - i/� � ��1•�eser `\`� 10' IP/FND EL. 100.00 (Assumed) �/a7 zDeck = 110,72 X /'� x 10' 108.11 < 10*0 x �� Hai ;`:S�o�`. J,� 100,. 110.30 52' e�<~:::: loa ; -_� 104 40' ri`e > "\ 105 NOTE: This plan is to be used for septic 10 ,9t7 `-- 0 105.35 .1�q.� \�AKI� ��/ system purposes only and is not to be `-X 'y 20' _ considered a property line survey. 100.92 � 4 . Q ~� Zj 103.96 �5h` 101. 82 loo �4D, — 319 LAKE ELIZABETH DR., BARNSTABLE, MA U' 18', 2 00 i( -~ PREPARED FOR: NOTE: Removal of unsuitable 99.05 \� 24 �` ,�� 1i associates Douglas Brown soils Fill A E B horizons 5 �.3 SEPTIC SYSTEM DESIGNS ( , , ) loo, ,,: .. .:��,-- :':.: . :::�:: . . and around and below leach facility `� 98 84 0':: Ston �39,66 to an approximate depth of 54". 320CatultRoad James K. Peterson p 10' �6 Drib% Sandwich,MA02563 Replace with clean fill per Title ��, 508.833.0041 P.O. BOX 671 V specifications. loo _____ X 1 1��.12 waao X 4 99.55 99,57 ` West Hyannisport, MA 02672 9 9.3 9 surveying by: 40 ml Polyvinyl Liner For Breakout \10 CB/DH/F-N UP V� Terry A. Warner.P.L.S. 22 Lan Road ET N 0. Top EL. 100.0. Bottom EL. 98.0 99.28 Harwich, ►�A 02645 DATE REVISED SCALE SHE Scale: 1"= 20' ' c5�� 432-83og 07/25/07 1" = 20' 1 of 2 a r r T.Q.F.(Walkout) Provide Riser over D-box NOTE:All components to be marked with NOTE:To prevent breakout,final grade EL 112.74 to within 6"of final grade t magnetic tape or similar prior to final cover. of EL.99.35 to be carried out a F.G.EL: 107.0-109.Ot F.G. EL: 105.53t minimum 15'beyond edge of leach Existing �- F.G. EL: 102.Ot Maintain Min.2%slope over leach facility to prevent ponding F.G. EL: 101.5t facility. EXISTING " Min. 1 Inspection Port 6"to Grade EL. 104.00t Install risers w/covers over inlet and Clean 13ackfiN Sand Over Filter Fabric/Min.14 for HD Loading P Below Stab outlet to within 6"of final grade 8.5' L=12' EL. 100.O(Top of Cultec 4"SCH 4O PVC L=35' L=10' Effective Length 8.0' #410 Filter Fabric) • 4"SCH 40 PVC ti 4"SCH 40 PVC Top f 1. 100.0 ;. CAS=(2%MIN) to•t 14. CAS=9.5%(1%MIN) 6 CAS=1°/6(0.5%MIN) "Small " _ " " 9.35( reakout Elev.) EL 103.2 EL.99.7 Install Gas Baffle EL.99.87 °� Rib Large Rib o0 40 ml.polyvinyl EL 99.6 barrier and wall EL. 103.85 PROPOSED DB-3 Use 9 Cuttec C4 Drain Panels without Stone 6 for breakout am Jim 'M WE.... H 20 DISTRIBUTION BOX Clean Title V Sand 3 Rows of 3 Units set 6"apart(24.34'x 13'x 3") (Install PVC Inlet&Outlet Tees) El SEPTIC SYSTEM PROFILE Heavy Duty(HD)Loading Bottom EL.9$.0 EXISTING 1000 GALLON EL.94.35 H-10 SEPTIC TANK r 13 ~`� N.T.S. Adjusted Groundwater SOIL LOG 3" 4" DIA. DESIGN CRITERIA EL.100.00(Top of Units and Cultec#410 f;J%4'U5 Number of Bedrooms: Existing 3 Bedrooms SOIL EVALUATOR: AMY VON HONE, R.S.SE#25178.511 INSPECTOR: DONNA MORANDI, R.S., BOH o EL 99.35(Breako Soil Type: Class I DATE: JULY 11,2007 10:00 AM 1 Bottom of Units 1 Design Percolation Rate: <2 min/Inch PERCOLATION RATE: <2 MIN/INCH 0.5' LEACH FIELD LAYOUT Daily Flow: 330 G.P.D. Design Flow: 330 G.P.D. (Min. Required) T 0 E 2.0 L.101.08 1 T - 2 ADDITIONAL NOTES Adjusted Groundwater EL 1ater Garbage Grinder: No � E Fill Fill 1. Contractor to confim soil suitability prior to installation. Contact BOH in the event of Leaching Area Required: (330)/0.74 = 594.59 S.F. varying soils from original soil test. 20„ 100.33 9" 100.33 Septic Tank Required: 1000 Gallon(Existing) Loam Sand Loamy sand 2. Failed leach pit to be pumped and backfilled per Title V specifications.All Use 9 Cultec C4 Drain Panels(HD)with Clean Sand Fill: 10YR4/2 10YR3/2 contaminated soils to be removed within 5'of proposed leach facility. Leach Field Dimensions: 24.34'long x 13'wide x 3" deep 30" 99.5 18" 99.58 Per DEP General Approval Letter.Cultec C4 Drain Panel: 6.7 SF/LF for Field Configuration 3. Sewer lines to be sleeved at any waterline crossings and within 10'of any septic Loamy-Sand Loamy sand components, as needed, per Water Department requirements.10YR5/6 10YR5/8 Cultec C4 Drain Panel Unit Length =8'x 6.7 SF/LF= 53.6 SF/Unit• 54' • 97.5 32" 98.41 4. Any existing orangeburg pipe to be replaced with Sch. 40 PVC pipe back to existing Minimum 445.9 SF required/53.6 SF/Unit=9 Units Required C1 C1 cast iron or PVC pipe. 9 Units with End Caps =482.4 SF Total Provided Perc Medium Coarse Sand Medium Coarse Sand Design Flow Provided: 0.74(482.2 S.F.)=356.9 G.P.D. 2.5Y6/8 2.5Y6/8 5. Maximum 3'of cover to be maintained over leach facility. Regrade area over leach 66"To 15%Cobbles 15%Cobbles facility to maintain maximum cover. 319 LAKE ELIZABETH DR., BARNSTABLE, MA 92" Ad'.water 94.35 81" Ad'.Water 94.35 i �� / I FLOOR PLAN 4 VH N.T.S. PREPARED FOR: 105" 93,25 94" 93.25 � ' aSSOCIateS Douglas Brown 120" 92.0 120" 91.07 J ( SEPTIC SYSTEM DESIGNS and PERC RATE:<2 MIN/IN.(Cl Horizon) ' 320 Cotuft Road Kitchen Bed 3 Sandwich,MA02563 James K. Peterson 24 Gallons in 11:03 minutes 'S 508.833.0041 P.O. BOX 671 Living � y. West Hyannlsport, MA 02672 1,Amy L.von Hone,R.S.,hereby certify that I am currently approved bythe DEP pursuant to g �O TerryA. tamer.P.L.S. 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been Room Q' 22 Lo„g.Rood performed by me consistent with the requirements of 310 CMR 15.017. 1 further certify that '`' V3 Harwich, MA 0260 DATE REVISED SCALE SHEET NO. I have successfully passed the Soil Evaluator's Exam on November,2004, (soe) 4n-&M9 07/25/07 �n = 20' 2 Of 2 i ASSESSOR'S,MAP: 227 GENERAL NOTES: i �e Beach PARCEL: 10 LOCUS ; ,� d bra REFERENCE: PL. BK. 11$ PG. 3 1. VERTICAL DATUM: Assumed FLOOD ZONE B & C Town Of Barnstable 2. MUNICIPAL WATER NOT AVAILABLE. #250001 OOOH D 7 2 92 3. SCHEDULE 40 PVC PIPE TO BE USED THROUGHOUT SYSTEM ) UNLESS OTHERWISE NOTED. / 4.. ALL PRECAST UNITS TO CONFORM TO Y i eth CY) AASHTO: H-10& 20 / 5. PIPE PITCH-JV4- PER FOOT UNLESS OTHERWISE NOTED. a 6. ALL CONSTRUCTION DETAILS TO BE IN CONFORMANCE WITH MA Cralgville eac CORoad ENVIR.CODE(TITLE V)AND LOCAL REGULATIONS. CO 7. CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO LOCUS MAP N.T.S. m CONSTRUCTION. a LEGEND: PROPOSED CONTOUR 99 PROPOSED SPOT GRADE ' Lot 1 — 4D — EXISTING CONTOUR 11,831±S.F. — 30.23— EXISTING SPOT GRADE 0.27±AC. Map 227 TEST PIT Parcel 10 SSB-S x 106.� ® EXISTING WATER SERVICE o10`-.:":; d08 �39 AO o x WORK LIMIT LINE . g 04 0 Aj� oj� i �N OF A9gs � OF _ //Existin ITank d02 101..37 0� AM7, 9y� aa� �sgek, 10 7.:�6� � � . L. rn TIEFtR Y to Remain VON HONE y o ANN N #319 � ° / i ,9 #1068 '0 �AR ER 411 .381 TOF=112.74 �_ K �cissE� - (Assumed) _ stoned 7 �U� � 3 ,j-�;�� 1.01:39 Benchmark Set: FailecWd y�` PK Nai1`set in Road -1'� Deck i10,7? - ,� It ,/ ,�e,�� 10 IPi ND EL 100.00 (Assumed) it 1, 9r• !(( / T— Ii-l' EL�O .x (/•• 4� y`w �! ON, 10, 1.00 r�J 110.30 I I I . �a / 1oa ��7 �_ 1�J—`�, 10a o ; 40 �e . 05 NOTE: This plan is to be used for septic i� 0 1 system purposes only and is not to be j I �x ti \ 201 T . - ° raP[ 100:9 _ `; considered a property line survey. ~� d 1.03:9E, �5hed 7 0 ��t� too 41.40, - _ H Q o � .319 LAKE ELIZABETH DR., BARNSTABLE, MA 99,56 ZSS , _ �_ ) 00 VH NOTE: Removal of unsuitable 0 J � I •L 02. I` cQj PREPARED FOR: 2 associates Douglas Brown soils (FIII, A;E, 8 horizons)5 10Q X \ '� Q �� SEPTIC SYSTEM DESIGNS and around and below leach facility \ 98,84 � \,- 10 1:, Ston to an approximate depth of 54". ��- V 320CotuftRoad Jaynes K. Peterson 10 7 Dri e k Sandwich, .0041 3 P.O. Box 671 Replace with clean fill per Title r 5oss33.00a1 100 _ x 0\ �r%JI ' aoa v specifications. --- 99 `� , 41,1 West Hya n n isport MA 02672 �; 100,47 >r 10 �7 �y 3 Surveying by; 40 ml Polyvinyl f 1100.0 Liner o r Breakout re gout 11 B 1;H,, r / JI � Terry A. Warner.P.L.S. ` U ,� p ' .28 Harrwich"MA 02645 DATE REVISED SCALE SHEET NO. Scale: 1"= 20' % (508) 432—s309 07/25J07 1" = 201 ; 1Of2 0 �� 11 EXIST. E EXIST. O BEDROOM #3 _ O Q � N HALL EXIST. �., Q LD Q E..r ran w e w a © EXISCLOS. \ I � Z N EXIST. EXIST. x 7 w LIVING BEDROOM #1 IOL C LOS. w I EXIST. EXIST. EXIST. __ ---_-- - ---i- -----=-----E_----�---- ---- (W x30", I ATTIC DN. ACCESSco I m EXPANDED ANDERSEN L� Z BEDROOM #2 TW 2542 b 0. ANDERSEN Nt ,ram o TW 2642 0 B __ - 4 CD ED Ar Zo ANDERSEN (V F- o A 45-3042-18 Q A4 (ADDITION) WINDOWS FIRST FLOOR PLAN —LINE OF WINDOW -� --� ABOVE LEGEND: