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0067 LAKESIDE DRIVE EAST - Health
67 LAKESIDE DRIVE EAST Centerville A= 252 - 096 1 a SMSAD KEEPING YOU ORGANIZED No. 12534 2-153L0R FORESTRY"' B' MIN.RECYCLED Certfie6ITIATIVEinp C0NTENT10% www.af propram.orp POST-CONSUMER s�aoixu MADE IN USA GET ORGANIZED AT SMEAD,COM down cape engineering, in(SIEVE SOILS ANALYSIS 67 LAKESIDE DRIVE EAST CENTERVILLE, MA DATE OF REPORT: 1116119 .JOB : GRAIN SIZE ANALYSIS-SIEVE TEST SITE: 67 LAKESIDE DRIVE EAST, CENTERVILLE LOCATION: TOM McCLELLAN TEST HOLE } F SIEVE ANALYSIS Weight Sample(Grams): 183.8 SIZE :WEIGHT RETAINED % RETAINED %PASSED (sum ) 1" € 0.0` 0.0 :: 100.0% ._----------__p.....................................................>----'__-_------------?•----_______------- ------------:......................................................-------- 1/2" 0.0 0.0% 100.0% -------------p................ ........................... ......'s--------------------'}------------------ E 3/8" ....�:....--------------0.%=-- 100.0% #4 °. 0.0: 0.0% 100A% --------------p............................-.«...........».........)--------------------4.................. _10.7%E 89.3% #20 70.8 38.5%:: 615% ................................................,.....,-_-_-_-____-________.9..................................... #40 128.2 69.7% _30:3% -------------- ............................._.............._....:------------- ° : ° #50 148.7: 80.9/°: 19.1 /o -------------..................................... ...........>-------------------1..................................... #80 164.1 ______89.3% 10.7% ------------- .........:...........................................:---__ ..................................... #100 1716 _ 93.4%€ 6.6% --------------................................... -------------------}- #200 _. 177.6 96.6% 3.4% --------------...................................... ...........:---------------------=------------------ PAN: 181.3- 100.0%: 0.0% - ------------------ -•--------------------- ---------------- ------------- ------- -- SAMPLE: 183.8 NOTE:TEST ON PASSING#4 ONLY, 8.0% RETAINED ON#4<45% O.K. RESULTS: SOIL CLASSIFIED AS AASHTO A-1-b(SAND AND GRAVEL)(UNCOMPACTED) PERCENTAGE OF MATERIAL PASSING#4 SIEVE : #4 100% (TEST ONLY MATERIAL PASSING#4) OK #5010%-100% OK I #100 0%-20% OK #200 0%-5% OK SAMPLE MEETS TITLE 5 FILL SPECIFICATION >96% SAND RESULTS: PERMEABLE MATERIAL-CLASS 1 <2 MIN./IN. MATERIAL VA aF L4 NONCOMPACTEDa�� p NIELA_ SOIL DESCRIPTION: MEDIUM/COARSE SAND OJALA 0 CIVii. No,46502 BOH 1/22/19 67 LAKESIDE DRIVE EAST, CENT. PMA"OlV HEY. SEPTIC SYSTEM DESIC.IV SEPTIC SYSTEM SECTION ONO EXISTING fANTOUR:---- rNOTE:INN TPIPE CENTER E INUET. LC PROPOSED I`—11EVATI..:--• / IS NOT THE CENTEq WLET. �+�• EXISTING SPOT ELEVATION:I. FLOW ESTIMATE: FIRST FLOOR / PROPOSED SPOT ELEVATION: 5© OFFIAIWEDGRA' Si LIME V1EVl Ct'q TEST HDLE:Ho- _f BEDflOONS AT 1_GAL IOAY.ES�GAL)DAY IBI.9 OF FINSHEO Gfl.UIE\ OP OF IRBRYPOLE:-O- :'FOUNDATION WS,OGgAD- INSPECTION PORT I1D E_UNE: - SEPTIC TAVK: a �A QSIDE . fil GALIDAV_DAYS•1DA GAl 1� IR I RETAWNG WALL® IP'a�iw= 10LJi COAX. `LOCUS LSE 1y9_GALLON SEPTIC TANK 1.8_rp IC17 LAKE :g•wrA ',I•NIi11/ WEOUAOUET J2Q LEACHING AREA ELEV. LJ y— USEEUWFILTRATOR QUICK J PLUS STANDARD CHAMBERS OOZT 4 —AT.NAP LL \ ELE OX E{EV. •. a.e 10T,28 M.ALRESI ELEV. A$SNOVM(J2'x15'x0'EFFECTNE DEPTHI(STONFlF551 116'oF STONE urvoEA ACTED) ELEV. ASSESSOgS VASE I3 PAgCEL:P6 90B GAL \ MECHMKwLLYCOwACTED) LANRCWRi CASE A2DC SIOEMEA: NA ID.]J).NA GALAAVwTANN \\\\l �5'CF STONEUNDEROR USEJBDCAPCITY OUICE g LEACH AREA DETAIL BOTT0.N AREA J'x50 UNRSxJ.?=9105F (D.]J)=§96 GALDAV NECHAMCALLV COMPACTED) STMISNO1.CAPACITY 'D8ER5 CAPACITY._GAUOAY TEE 512E5: AS SHOL(S DJ'xISxO'DEEPI INLET:6'UP,IY OOIMa ACi,AS BAFFLE (ST NEIESSI OUTLET:6'IIP,IA'DOWN ONRETTEE PERptw�ERw✓..++++•J++9J0 N Txx TEST HOLE LOGS FUL TH RLL €tLLIF, Saf Lrshen ENGINEER THOM1$M[LEILAN,P.E. LADE ttgWW, fOO1" WTTA'ESS:oQNUDDEyJAmUs.R.s. 11 SIDE pRIVE 1,- DATE:182D IS,1E3S-1BN PERCHEDD PERCHED � lvm GROIINDW ER WiOUNOWATER N.A. )P v FAlsr Mm rmm E cnwnaN i 2 & N ° I 1W2 Im� 1MIIOb HORrzJN rz0 FEAT IDBB �P e9.° ss'°NORO T �a,NEDIWASAND BJ.O OPOND ELEVATION•W.BB / 10p'x m iA" J EDGE wln LAt ° °0A I NOTES: BENCHMARK AT `b"T m'I'l2p, .IF°"CTTC PP EORM.N 12V G o J EE�N t-iiy ICpm 1.VEflTiCALOANN:A55UNE0 ELEVAT •IG1 gN .82 2.NUYCAIAL—EFIISAVAILABLE. - 1L SCHEMUL -A'PVCPIPETOBEUSEDTHROUGNOUTSEPTICSYSTEM. J ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORlA WITN AASHTORIOSPECIFICATIONS. SA S.PIPE PITCH=1,B•PER FOOT(UNLESSNOTED OTHERWISE). FASTING FLOOR PUN 6.FBJSTYOFPIFf OIiTOF DBOXTO BESETLEVEL pprl \ SJ�' nBwJ ).THE SEPTIC SYSTEM HAS NOT BEEN DESIC14M TO ACCOMODAM THE USE OF A GARBAGE DISPOSAL ` B A L CONSTRUCTION O(TITLE CTI DETA ILS ARE ATO I BE IN C 0IS. 14FONANCE WITH THE STATEOF MASS.ENNRONMENTAL = I PAVED L \, G i ORNE -1D2 °.COMRgCTORTO VERIFY L°CATO S OF ALL UTNTEB PPI0R TO CONSTRUCTION. l\ y 10.GROUND COVEq OVEP ALL SEPIICSYSTEM COMPONENTSNOT TO EXCEED CVATIpUT VAAIMCE. Q gEJt}NO�� TH1'.FlELD SURVEY PROVIDED BY TERRY A-EFL P.L.S.HAMIGH.MA. o�k°F'4' 12.THI$PLAN REOUIRESE RENEW WN AND APPROVAL OF ONE OR MORE TO DEPARTMENTS AND _;'1T-�O°Rt/ /Jy .� -..-.I00 MSUBIECTT0 CHANGE UNTIL SUCH TIME.THIS PLAN HAS BEEN PREPARED FOR TIE SOLE fRURPPESEM CONSTREUCTtODPROPEVi SEP CSYSTENANDDOESNOTNECESSARILY EPR9b ID,EXISTING CES$POOLS(J)ARE TO BE PUMPED AND FILLED VATH SAND OR REMOVED. 1 SR 14.O-BOXTO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. ' Ii ALL UNSUITABLE SOIL EAT.APPROX.1T DEEP)WRHIN S'OF PROPOSED LEACH AREA IS TO BE ') 1 REMOVEDANDREPUD WITH CLEAN MEDIUMS MD. 1 ' 16.SEVIER UNE TO BE ENCASED WIiFDN A T PVC PIPE VMEN WITHIN ID OF WATER S—CE. �. ........95 Qo ' SIT);PLAN WCATMON: LAKESIDE DR.EAST.CENTERVILLE.AMA 9+' PREPARED RTR; DAIMON S NATALIE FIELDG.ATE FQ _Q% DATE 1"-L 8 SCALE:I'=30 FlF rb�(AFr `� BASS RIVER ENGINEERING THOMAS J.Ni.LELLAN.P.G. P.O.BOX 1163.FIST DENNIS.MA 0611 A11868 SR6J61•XHS Town of Barnstable Regulatory Services Richard V. . Interim Director „4 "s Public Health Division t'hamas 11cKean, Director 200 Nizit1.Mrty„It)aunisi.. %tA 02601 tl3�sz`a: �`#:►�i.«;r,�-.�t+3�3 t"�,� �t�+a.��itt.t,tiw Htameo%ner'Certiftcation FOrCEt for Attematire S stt'm% PropcM F'tdt ms: t,, r 1 �ssc*ssctr'c 11ap Pastel: 2 t t Proper" Ow N'ume: )A M.� ��" o l`r�t.. ;F r Lj 4jF'. fit a:tccordartcce u tth 4a.,..:tclttt�1t• UEP altenutlre -sysacyn approval tLiter.s. the follo%ving ceniftcattcst; mrortnation ts required hy the Owner of record.. The Owner ner of rcv. rd triust plats; an "s in d applicable bux next`tu cash foie cenify-ttig the tntcerrtt:ttttrt. " 1 3 X I lave:been provided a copyofthe Title._5 1 A technoluzs Apprcrval letter• t l:pagc Standard Condition.letter and the specitit techrmlogN letters l have been provided with the C.tvvncr`s Manual c I hark:ttcco p ovided with thk Operatt<tn and klaint�rtartca Manusi For SVNICIVIV installed und':1 3 RetiiedialUse Appruv.al.I a`ticc wt fulfill etc\ resp nsibilit tb to 3 to\idc:a 0�ced Notice as reytttrcd b) z lit C"tilit 15.2874 1 U) and the Approv4l_ For Systems installed under,a Kt dial Use Approv:tl..l :agree to fulfill m% to pro4idc written notirwattun of the Apprmudt to an\ rive t Svc"net,.t'rtNIltr`d bN *1(ICZtR I>'1+ f13 If the&Nigh class lWt ImtVt k Ci►r the u."A:Of guiders-lift r"itVikin LN Uncl:,r'.'tmul. and accepted v Whether or not co%erA by a u-atrartlY. 1 Untictstartcl the tc utfernent to re pm. rc be ,mudo\ or,take any tether action as roquirW bti the Depavinic.,rit txr t1w 1 AA.ifthe Drpanment or t r 1JVA deterrttincs the System to he faifing to proteti public th-alth and aiciy and thc ctttiirvntttent,as defitwd in 310 CM11 1330% DArqoV I . ` �i�:A Li l<f OFF- ;"-'Ilt to Winply,with all feast,anti condaton,aboN Property Owners print p" t c l � _ �a 9 Property 4-teis " t 'ant -This. Crt us he sutim..t t ttlutt ►"ittt 1 r e is .s`etetra disvesalQrt "t. anolication eta stems lactudingw covititrnrtftt . airs tt sad , %th and wl hout +r ate Kane. acid with conventional . esl rt criteria or credited deli n TOWN OF BARNSTABLE /� LOCATION( ��I� � o� WAGE #DO 19'0 VF--,3 AG 3��� SSOR'SMAAP & LOT INSTALLER'S NAME&PHONE NO. mc, SEPTIC TANK CAPACITY LEACHING FACILITY: C(type) (size) NO.OF BEDROOMS BUILDER OR OWNER IVID0 ` - . PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 r A-1 — 46 n ^ 4 r -4- g-2 - 4S a r6M _ �, �� f,�� dr. ��sr / TOW N o].BARNST.A ALE LOCAION �S� AW b _. V3LL e`Gr Zvi�2f'(J �t I f A+Smssbit'S.Iw&1..OT IPt9TR�1..Y.ER'S NAB A�'Hom No STANK TANS CAI' CTTY LEAtCiiO 3 �C�TTY (QY �) (sine) 77 NO 0f;. FIDjko0mS,.&..... �YJL1 ObL 0W1Vl�tR 1ittTDA' � OII'1fR�TG .AAT ; Sep�taott�istaun,�c��etvie�ta t��e • Nlaximumlcl}astd�JGrautsc(waceeTabletailarH�itamOfLcachingl�f�VilIty .-.—. . feet l lva�c;'dVatcr Supply�'o wid Leachueg�?actlaty �utily vjol9s cxisti Fcai l tilt site ae.wlth►n'7A0 feet clues cyf 1 Sand acid Leachjo$V&cijity(U:spy w�tiands exist ivithu�jQ0 feet aliidg Puciii .}. Hose urnlsktocl; Fro�� c �n� v -/- 331 sa �s'6 c-3 ,3,3 - 36 No.2-d' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS s 2ppfttatiou for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. d-t Owner's Name,Address,and Tel.No.D*WQ tV Assessor's Map/Parcel �- Install is Name,Address,and Tel.No. Designer's N e,A dress,and Tel.No. a 0 0 A UdAam�� CA ((A e—ef-0—i C � Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date ' i d� Number of sheets Revision Date_ u. Title Size of Septic Tank � s� Type of S.A.S. JC 61, Description of Soil aaL Nature of epairs or Alterations(Answer when applicable) LL;n S Date last inspected: Agreement: The undersigned agrees to ensure the onstru 'on and maintenance of e aforye described on-site sewage disposal system in accordance with the provisions of Title(dotf. e En 'ro ntal-Ge d not t ace thle system in operation until a Certificate of Compliance has been issued by this Bo gned \ u Date 2 /1 Application Approved by ' "� Date Application Disapproved b , Date for the following reasons Permit No. Date Issued No Zd1 0W a `4 •. nr _... Fee ! " THE COMMONWEALTH OF MASSACHUSETTS Entered incompuier 'r` - y PUBLIC HEALTH DIVISION -,TOWN OF BARNSTABLE -MASSACHUSETTS •2ppli ation for Misposal *pstPm Construction Vermit. Application for a Permit to Construct Repair Upgrade Abandon te pp (, ) r p' ( ) pgr _ ( ) ( ) i❑Co�mpl�te System. ❑Individual Components Owner's Name,Address,and Tel.N Location Address or Lot No.60 Assessor's Map/Parcel Installer's Name,Address,and Te- No. Designer's NW A dress,and Tel.No. T/ Type of Building: j y FA Dwelling No.of Bedrooms �� Lot Size u:��{ � ;> sq.,ft. Garbage Grinder,(--, ) Other Type of Build .,° 1 yp g `� "7 a( )` No:of Persons r Showers( ) Cafeteria(- ) Other Fixtures Design Flow(min.required) ` gpd Design flow provided i' gpd Plan Date ,; �A— f (A Number of sheets Revision Date �� JQ / to ni Title'AIM U N/ - (V/.l }7) I� � 'ICE--e_l����`?= ,,i; �� � . E,/ � r ^� �1 Size of Septic Tank f . Type-of S.A.S. r ,:..jP Description of Soil .0f1 /r r Nature of Repairs or Alterations(Answer .+when �applicable) (a' C� _ [ (����_ r Z) �-`�0 0 ` �`)`'��• Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of e�afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the En orunental.Code.and not to,p"lace the system in operation until a,Certificate of Compliance has been issued by this B d of,He'a�th.( ` , ,Signed 1� A��� - ` Date -r ;/7.W Application Approved by t,/ 1 Date T/Ozo Application Disapproved bey _ Date 1 + for the following reasons Permit No. Date Issued /(I THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS N. Certificate of Compliance THIS IS TO CERTIFYthat the On-site Sew��age•Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by '— Y 1� (:�')1\.,'\V A- -1 1 at (f� y �r--S t-F. D k Cam. -r C_l;n/ rha 1Seen constructed in accordance _... _ with the provisions of Tit�ler 5 and the for Disposal System Construction Permit N4,r4 --0� dated Installer-f'��/� C -f�� ���IT S .�!L'C= Designer ,P SS :A\/ 616-W, #bedrooms („ Approved design,flow, 00 gpd The issuance of this permit shall not be construed as a guarantee that the system will funct/i'd was designed. r Date i Inspector / ( l _(i {C 1 - -- ---------- -- -------- -- -_---------------- -- - - -- - ----_-- No.�`'!� a Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction,Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade(./) Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. j`f I Provided:Cornsttruc'on must be completed within three years of the date of this pe it. Date Approved by McKean, Thomas From: Tom Lee <tlee@horsleywitten.com> Sent: Tuesday, March 12, 2019 9:35 AM To: McKean,Thomas; Donald Guadagnoli, M.D.;johnnorman12@comcast.net; Paul Canniff (canniff.paul@gmail.com) Subject: RE: Clarification/67 Lakeside Drive East From my recollection,the BOH approval the six bedrooms in this house. That means that the septic system should be sized for 6 bedrooms for BOH approval. F. P. (Tom).Lee,P.E. I Principal Engineer Horsley Witten Group 90 Route 6A I [;nit I Sandwich_ MA 02 63 Office: >08-833-0600 k 3 From: McKean,Thomas<Thomas.McKean @town.barnstable.ma.us> Sent:Tuesday, March 12, 2019 9:30 AM To: Donald Guadagnoli, M.D. <dguadagnoli@capecodhealth.org>;Tom Lee<tlee@horsleywitten.com>; iohnnorman12@comcast.net; Paul Canniff(canniff.paul@gmail.com)<canniff.paul@gmail.com> Subject: Clarification/67 Lakeside Drive East Recall, Attorney Kenney was at our last meeting. After some discussion,the Board of Health agreed that there were six bedrooms existing in this house at the present time. Does this mean we can now approve a six bedroom system at this property? CAUTI®N:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! a 1 McKean, Thomas From: Weil, Ruth Sent: Thursday, March 14, 2019 10:00 AM To: Ca,nnif.paul@gmail.com Cc: Houghton, David; McLaughlin, Charles; McKean, Thomas Subject: RE: Clarification/67 Lakeside Drive East Dear Dr. Canniff: Following up on my telephone message, I did listen to the videotape of the January, 2019 Board of Health meeting regarding the above property.The Board of Health voted unanimously that there were six bedrooms for the purpose of determining the appropriate size of the on-site sewage disposal system. It was left to Town staff to determine whether the system.proposed, based upon the six bedroom count, complied with Title V and the town's regulation or whether a variance was required by the Board of Health. Please call with questions. Best, Ruth Ri,ah j. lG'ed Town Attorney Town of Barnstable. 367 Main Street I Lyannis, MA 02601 508-862-4620 (elephoye) SOb' 862 4?24 The information contained in this electronic transmission ("e-mail"),including any attachment (the"Information"), may be confidential or otherwise exempt from disclosure. It is for the addressee only. This Information may be privileged and confidential attorney work-product or a privileged and confidential attorney-client communication. The Information.may also be deliberative and pre-decisional in nature. its such., it is for internal use only. ':11he Information may not be disclosed without the prior written consent of the Town Attorney's Office of the Town of Barnstable. If rou hax-e received this e-mail by.mistake, please notify- the sender and delete it from your system. Please do not copy or foi-Nvard it.'thank you for your cooperation. From: McKean, Thomas Sent: Wednesday, March 13, 2019 9:20 AM To: Weil, Ruth Cc: Houghton, David; McLaughlin, Charles; Florence, Brian Subject: RE: Clarification/ 67 Lakeside Drive East Thank you for this advisement. Will do. From: Weil, Ruth Sent: Wednesday, March 13, 2019 9:10 AM To: McKean,Thomas Cc: Houghton, David; McLaughlin, Charles; Florence, Brian Subject: FW: Clarification/ 67 Lakeside Drive East Dear Tom: It has been brought to our attention that you sent the below e-mail to all members of the Board of Health, seeking a determination from the Board as to whether a six bedroom system on the above-referenced had been or could be approved by the Board. While I appreciate that you were perhaps seeking clarification of what the members of the 1 VIHME � Town of Barnstable Barnstable Am-pmerieaCity BARNSI'ABLE, • 1 ► 6� A,�$' Board of Health fo 3+ 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 John Norman Donald A.Guadagnoli,M.D. March 15, 2019 Mr. John W. Kenney, Esq. Law Office of John W. Kenney Suite 12, 1550 Falmouth Road Centerville, MA 02632 , RE: 67 Lakeside Drive, East, Centerville, MA A= 252 -096 Dear Attorney Kenney, You are granted permission, on behalf of your clients Darmon and Natalie Fieldgate, to maintain six (6) bedrooms at your property located at 67 Lakeside Drive, East, Centerville, Massachusetts. The Board of Health -held hearings on November 27, 2018 and January 22, 2019. The Board is in receipt of your letter dated November 9, 2018 along with two affidavits; one from Claire L. Reid dated September 20, 2018 and the other from Roger W. and Karen K. Challen dated May 11, 2018. Although the current assessors' records indicates this property contains three (3) bedrooms and although a 1979 building permit application specifically listed the proposed use of the rooms in the proposed lower level addition as follows: `recreation, playroom, study, and sewing,' the affidavit from Claire L. Reid indicated 'three (3) more bedrooms were added to the basement area' in 1979, the same year as the described building permit application. This affidavit also indicated the 'house contained six (6) bedrooms' in 1985. Hence, the bedrooms were in existence before local regulations were adopted restricting wastewater discharge flows in this area. Section 232-5 of the Town of Barnstable Code, Wastewater Discharge, which restricts wastewater flows in the Groundwater Protection (GP) and Well Protection (WP) districts, was adopted two years later in 1987. Section 360-45, Interim Saltwater Estuary Protection Regulation, which also restricts wastewater discharge flows, was adopted twenty-three years later in 2008. After hearing testimony and reviewing the information provided, the Board voted unanimously in favor in allowing the owners to maintain six (6) bedrooms at this property. This permission is granted because it was demonstrated six bedrooms were in use at this property prior to the adoption of local regulations which restrict the number of bedrooms at properties in this area. The septic system will be replaced and will provide sufficient capacity for six bedrooms in the near future. Sincerely yours, a I P, DM4 Q:\W PFILES\KenneyBedroomCountApprova12019.docx 4— i Town of Barnstable . Inspectional Services Public.Health Division Thomas McKean,Director 200 Mann Street,Hyannis,MA 02601 Office: 5084624644 Fax: 508-790-6304 Installer&.Desipner Certification Form Date: 3 ' 4_t Sewage Permit# �- Assessor's MapWarcel Designers 14Vurz- c-mv,4N8dR.h6 installer. 'p l✓� Address: PO. 50 1163 Address: UNt�I S , (nQ 6 2,6t4 t On `^S r 1 �w,-� ,f�no�f.� +as sued a permit to install a (date) (installer) septic system at O LAKES1rI Dp r BA1J based on a design drawn by (address) THD/►'IAS Mcct-zu,Atj P E. dated 06CD`. 3,Z0. 11 . (designer) /I. certifythat the septic stem referenced above was installed substantially according to. p system the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed 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 accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed ' i ee with the terms of the approval letters(if applicable) (Installer's Signature) `' No,36471 (Designer's 'gnature) (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 RECEIVED BY TIDE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. WooWepulNEALTMSEwER connocOSEMODaiWrC tifc4an Foam Rm&14-13.DOC i • ' Barnstable 'THE Town of Barnstable 0* Regulatory Services Department 1 erIaC., 9BARNSTABM ;`39 ,�� Public Health Division ' P OµA'IA 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4988 0244 April 11, 2018 CHALLEN, ROGER W & KAREN K 29 OAK HILL RD FAYVILLE, MA 01745 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 67 Lakeside Drive East, Centerville, MA was inspected on 03/19/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are ordered to repair or replace the septic system within two (2) years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF T BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\67 Lakeside Dr East Centerville.doc w IKE?I Town of Barnstable swRrisra�r,>e. Regulatory Services Department Arfd�,�A Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Richard Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 5/11/16 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15,000) An"x"marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE (1) YEAR DEADLINE CRITERIA ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑ Any portion of the cesspool within a Zone 1 to a public well ❑ Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to 14-10 components, etc) �I eaching facility with standing liquid level at or above the invert pipe (per Town -Code §360-20 h) OTHER Repair deadline: O:ISEPTIMDEADLINES TO REPAIR FAILED SYSTEMS.doc aSt,2 0 9 -� Commonwealth of Massachusetts ate" j� Title 5 Official Inspection Form hl Subsurface Sewage Disposal System Form -Not for Voluntary Assessments >" 67 Lakeside Dr East ,/r.' Property Address IMP f Roger Challen Owner Owner's Name l / information is O:+Centerville�/ MA 02632 3-19-18 ;.2 required for every •r• page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered ininy way. Please see completeness checklist at the end of the form. A. General Information 's /a9a,o 1. Inspector: Shawn Mcelroy Name of Inspector Upper Cape Septic Services Company Name P.O. Box 73 Company Address E. Falmouth MA 02536 City/Town State Zip Code 1-508-495-0905 S13971 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 16.000).The system: ❑ Passes ❑ Conditionally Passes ® -Fails ❑ Needs Furthe Local Approving Authority 3-19-18 Inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original 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. t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 1 of 17 �e��6dvS Commonwealth of Massachusetts Title 5 Official Inspection Form ' i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D 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: B) System Conditionally Passes: ❑ one or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will pass. 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):, , t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y El ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑Y ❑N ❑ ND (Explain below): ❑ obstruction is removed ❑Y ❑N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health.determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 1 Commonwealth of Massachusetts L,p Title 5 Official Inspection Form ws� i�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: ** This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes"or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ® ❑ Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ! i�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: '❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I.have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems:To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking'water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered "yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 5 of 17 c Commonwealth of Massachusetts , ,. Title 5 Official Inspection Form 0 Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate,"yes" or"no" as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (if they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Wasthe facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 6 Number of bedrooms (actual): 6 DESIGN flowbased on 310 CMR 15.203 (for example: 110 gpd.x#of bedrooms): 660 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts M. pit Title 5 Official Inspection Form ! C�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments T„ 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ® Yes ❑ No Water meter readings, if available (last 2 years usage (gpd)): Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: 2018 Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 � ,\ Commonwealth of Massachusetts �r Title 5 Official Inspection Form i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: N/A Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ❑ Septic tank, distribution box, soil absorption system ® Single cesspool ® Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract (to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts ,w Title 5 Official Inspection Form hI Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 1970's Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 24"feet Material of construction: ® cast iron ® 40 PVC ® other(explain): Orangeburg Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): Good condition. Septic Tank(locate on site plan): Depth below grade: See Cesspools Pg 13 feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins.doc•rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 s Commonwealth of Massachusetts Title 5 Official Inspection Form l A Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 i page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Septic Tank (cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ 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 t5ins.doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 1 Commonwealth of Massachusetts ,. Title 5 Official Inspection Form r�i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments f,N 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank (tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract (required). Is copy attached? ❑ Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ri Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville . MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened)(locate on site plan): Depth of liquid level above outlet invert N/A Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 s � Commonwealth of Massachusetts ra Title 5 Official Inspection Form �i Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 2 ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Both cesspools show signs of failure with stain lines at or above inlet invert. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 4-Separate 2+2 Depth—top of liquid to inlet invert 48" Depth of solids layer 12" litDepth of scum layer Dimensions of cesspool 6x6 Materials of construction Block Indication of groundwater inflow ® Yes ❑ No t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts „ ,w Title 5 Official Inspection Form i C�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t a. 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): All four cesspools show signs of failure with stain lines above inlet inverts. Cesspools had about 1' of water in bottom at inspection. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins.doc•rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 r Commonwealth of Massachusetts Title 5 Official Inspection Form ? i�l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments >s' 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately fir UO 13 i //may frf/j� 7 l � Y t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form ' . I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 8'feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ® Observed site (abutting property/observation hole within 150 feet of SAS) ® Checked with local Board of Health -explain: ® Checked with local excavators, installers- (attach documentation) ® Accessed USGS database- explain: You must describe how you established the high ground water elevation: USGS and town maps show groundwater at about 10'. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins.doc-rev.6116 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form -r Subsurface Sewage Disposal System Form -Not for Voluntary Assessments IYuN r `I 67 Lakeside Dr East Property Address Roger Challen Owner Owner's Name x information is required for every Centerville MA 02632 3-19-18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins,doc-rev.6/16 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 17 of 17 -- Town of Barnstable Barn THE T ti Regulatory Services Departmentmi-m�'I.j ■utN$rA m I ' 916 NAn �$ Public Health Division 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO 4-11-18 4:20pm Via EMAIL: damonfieldgateis@gmail.com April 11, 2018 Damon Fieldgate 10 Morris Street Lexington, MA 02420 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 67 Lakeside Drive East, Centerville, MA was inspected on 03/19/2018 by Shawn Mcelroy, certified Title V Septic Inspector for the State of Massachusetts. t The inspection of the septic system showed that the system"Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Leaching facility with standing liquid level at or above the invert pipe (per Town Code 360-20 h). You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF T BOARD OF HEALTH Thomas McKean, R.S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\67 Lakeside Dr East Centerville.doc Crocker, Sharon From: McKean, Thomas Sent: Thursday, May 03, 2018 9:00 AM To: 'Natalie Fieldgate' Cc: Crocker, Subject: ARE:67 Lakeside Drive E Centerville Dear Ms. Fieldgate, Thank you for your e-mail. I have only found the Assessor's Office records as having this property as having three (3) bedrooms. There is also an inspection report on file from Shawn McElroy, a private DEP certified inspector notingsix(6) bedrooms in his report dated March 19, 2018. You may seek approval by appealing to the three member Board of Health. They hold meetings once monthly. The next meeting will be held on May 22, 2018 (followed by the next meeting which will be held on June 26, 2018). Applications for appeals must be filed at 15 days or greater before each hearing date. Please submit five copies of documentation to the Board of Health (220 Main Street Hyannis, MA, Attention: Sharon Crocker) , including floor plans, affidavits, any permits issued from the Building Department for the additional bedrooms were permitted, disposal works construction permits from the Health Division, and any other official documentation. There is no fee for an appeal. Sincerely, Thomas McKean From: Natalie Fieldgate [mailto:nataliefieldgate@icloud.com] Sent: Wednesday, May 02, 2018 8:03 PM To: McKean, Thomas Subject: 67 Lakeside Drive E Centerville Dear Tom, Our house did not pass the title 5 inspection and we are in the process of getting our septic up to code. We have hired an Engineer, Peter Mcentee to draw up the plans and he advised for me to contact you regarding the size of the Septic. The plans that are filed with the Town of Barnstable show that our house is only a 3 Bedroom, 2 Bathroom House. The House is actually 6 Bedroom, 3 Bathroom. 3 bedrooms and 2 bathrooms on the main level and 3 Bedrooms and 1 Bathroom on the basement/ground level. The house has been like this for 50 years. Peter mentioned for me to contact you to find out the process of having the house remain as is (6 Bed, 3 Bath) Within the house I have found plans dating back 50 years showing the bedrooms, I could also try to contact the previous owner to sigh an affidavit, saying the house was like this when he purchased it 35 years ago Please could you advise what I can do next to help our situation. We need to know what size septic to install so Peter can go ahead and draw up the plans. i Affidavit I, Claire L. Reid of 88 Cap'n Jac's Road, Centerville, Barnstable County, Massachusetts, do under oath depose and say the following: 1. I am the daughter of Edward S. Ruete who purchased the property located at 67 Lakeside Drive East, Centerville, MA on August 12, 1970. 2. 1 moved into the property at 67 Lakeside Drive East, Centerville, MA 02632 in 1978. At that time the property consisted of three (3) bedrooms on the first floor. 3. In 1979 the property was improved to include an enlargement of the basement recreation area. At that time 3 more bedrooms were added to the basement area. 4. 1 moved out of the property at 67 Lakeside Drive East, Centerville, MA in 1985. At the time I vacated the premises, the house contained six bedrooms. Executed under the penalties of perjury this& day of September, 2018. Claire L. Reid COMMONWEALTH OF MASSACHYUSETTS County of Barnstable, ss. On this W�/9 day of September, 2018, before me, the undersigned notary public, personally appeared Claire L. Reid, and proved to me through satisfactory evidence of identification, which was a Md. 'baV&S JJQWCj , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. gFPublic: John W. Ken yJOHN W. KENNEY mission expires: 1/18/2019 Notary Public COMMONWEALTH OF MASSACHUSETfS My Commission Expires January 18,2019 AFFIDAVIT OF ROGER W.AND KAREN K.CHALLEN COMMONWEALTH OF MASSACHUSETTS COUNTY OF 0101,1 SEle The undersigned,Roger W.and Karen K.Challen, being duly sworn,hereby deposes and each says: 1. I am over the age of 18,suffer no legal disabilities,and am a resident of the Commonwealth of Massachusetts. 2. 1 have personal knowledge of the facts set forth herein,and,if called as a witness,could testify completely thereto. 3. We were the owners of the property at 67 Lakeside Drive East in Centerville, Massachusetts,from November 15, 1989, until April 10,2018 4. The property had 6 bedrooms and 3 full bathrooms when we acquired it in 1989. 5. We made no additions or structural changes to any of the bedrooms or bathrooms at any time during the period of time that we owned the property. 6. We willingly sold the said property on April 10, 2018 to Damon and Natalie Fleldgate with the Title V responsibility falling with the buyer. I declare that,to the best of knowledge and belief,the information herein is true,correct,and complete. Executed this / ( t4 day of Y') �� . 20_1. d'L� Yv C" Ir 41, , - ,t(�� Roger WChallen Karen K.Challen NOTARY ACKNOWLEJDGEMENT COMMONWEALTH OF MASSACHUSETTS,COUNTY OF H/ d16RW ,ss: On this day of Ma 20 Q before me personally appeared Roger W.Challen and Karen K.Challen,to me known to he the persons described in and who executed the foregoing Affidavit, and,being first duly sworn on oath according to law,deposes and says the he/she has read the foregoing Affidavit subscribed by him/her,and that matters stated herein are true to the best of his/her informa knowledge and belief. Notary Public LORR..AINE GOMES MIItA�IDA Title(and Rank) r�0� onS MyComin, 'EresNov I0021 My commission expires NoyZt7� NOV C921 JOHN W. $-ENNEY ATTORNEY AT LAW 12 CENTER PLACE 1550 FALMOUTH ROAD CENTERVILLE, MASSACHUSETTS 02632 TELEPHONE 771-9300 FAX NO.775-6029 AREA CODE 506 e-mail:john@jwkesq.com November 9, 2018 Via E-mail Town of Barnstable Board of Health ATTN.: Sharon Crocker 200 Main Street Hyannis, Massachusetts 02601 Re: 67 Lakeside Drive East, Centerville, MA Damon Fieldgate and Natalie Fieldgate Dear Sharon: This office represents Damon and Natalie Fieldgate, owners of the property located at 67 Lakeside Drive East, Centerville, Massachusetts. On behalf of our clients we are requesting to be added to the agenda for the next meeting of the Board of Health on November 27, 2018. The purpose of the request is to discuss the number of bedrooms in the home. The Assessor's records show the house as a three (3) bedroom house but there are six (6) bedrooms which have existed since 1979. See the attached Affidavits regarding the number of bedrooms for your reference, Please feel free to contact me if you have any questions regarding this matter. Very� yours, 7 John W. Kenney, Esq. Bp/ Enclosure IKE Town of Barnstable Board of Health MPNWAB " a 200 Main Street, Hyannis MA 02601 OFFICE: 508-862-4644 Paul Canniff,D.M.D. FAX: 508-790-6304 Donald A.'Guadagnoli,M.D. John Norman F.P.(Tom)Lee,Alternate John W. Kenney, Atty at Law, 1550 Falmouth Road, Centerville, MA 02632 Email: john@jwkesq.com ACKNOWLEDGEMENT: November 9, 2018 'This is to acknowledge receipt of your request to be put on the Board of Yfealth agenda for our neat meeting in regards to bedroom count for your clients Damon and%atalie Fieldgate, 67 Lakeside Drive East, Centerville. Thankyou. Your item is scheduled to be heard at the Board of Health Meeting on the: Date of: Tub esday,_November 27, 2018; Meeting Location: Town Hall, 367 Main St, Hyannis Hearing Room, Second Floor Time: 3:00 6:00 P.M. Approximately three days prior to meeting, an agenda will be sent out to you— once it is available. It will also be available on line at the town website: www.town.barnstable.ma.us Go to ..."Boards & Committees > Board of Health - or- Go to Official Agendas Any questions, please call Sharon Crocker at 508-862-4739. Thank you. QAAGENDAS 130H1let Receipt of BOH Submission 67 Lakeside Drive East Cent Nov2018.doc Town of Barnstable P# /u-�8!2 Department of Regulatory Services I,I...j Public Health Division -Date 6— MA9.4 a63� 200 Main Street,Hyannis MA 02601 J rEB MKl r I+3 Date Scheduled D L Time Fee Pd. ! a 6 .121P _0 Soil Suitability Assessment for Se • e Disposal Performed•By: �fIO/►'1A /1�(lXi L�l� t• Witnessed By: LOCATION&.GENERAL INFORMATION Location Address , ^.�-pLiE F' r C�, mac» _ Owner's Name A y�- ��7`j f'1/', ( 47 LAKES)ram Iv, EA ST/ c4 ►� 20 LJ, Address 67 IA�S) 012. � AS �t. Assessor's Map/Parcel: `2J�g6 Engincer's Name 1J410&yil� AulL-411 NEW CONSTRUC'170N REPAIR L Telephone# 5oQ`3- ( ,, qo 8 . Land Use �.' Slopes(9G) % ' Surface Stones WAS Distances from: Open WeterBody y� ft Possible Wet-Area��Od ft Drinking Water Well LV—A—ft Dmlhage Way ft Property Une 1 D ft Other tt SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands-in proximity to holes) 4f A% 'Pit- tv v Parent material(geologic) OUTIM,a Depth to Bedrock /V ' H a a Depth to Groundwater. Standing Water In Hole: 3q . Weeping*oln Pit Fnee O Estimated Seasonal High Oroundwater DETERMINATION FOR SEASONALUIGD WATER TABLE Method Used: P_69XA e►7 Depth Observed standing in obs.hole: In, Depth to soil mottles, In," Depth to weeping from side of obs.hole: _in, aroundwater Adjustment tt. Index Well-0 Reading Date: Index Well level Adj,•factor, Adj.GroundwaterLevnl,,,_ PERCOLATION TEST Dote,.,__,,,.,_,,,, Thug___^ ' Observation ' c Hole# J 1 EV AN/Ol.S(,�t U Time at 0" Depth of Pero Time at 6" Start Pre-soak Time 0 Time(9"4") , End Pre-soak Rate Min./Inch . Site Suitability Assessment: Slid Passea SIto Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observlition Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. QASEPTIMERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# -- Depth from Soli Horizon Soil Texture Sdil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucturc,Stones;Boulders. o lsistency.%'ari►vcll 14 PEAT 5MYN L10 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sol]Color Soil Other Surface(in.) (USDA) (Munsell) , Mottling (Structure,Stones,Boulders. Consistency. DEEP OBSERVATION HOLE LOG Hole,# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. Consistency, DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Solt Color 81311 Other Surface(in.) (USDA) (Munsell) Mottling (Structure,S;ones;Boulders, Consist � I Flood Insurance Rate Map: Above 500 year Mood boundary No— Yes Within 500 year boundary No Yes Within 100 year flood boundary No., Yes Death of Naturally Occurring Pervious Materlal Does at least four feet of naturally occurring pervious msterlal exist in all areas observed thrpughout the area proposed for the soil absorption system? If not,what is the depth of naturally occurring pervious material?, . .. Certification I certify that on 11-4` . (date)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 10 CMR 15.017. Z�Z2.1� • Signature Datb - Q:\SBPTICWERCPORM.DOC C3 I CIA s , e 5Eb goo r .. - 62-Avill . > 77 a. Crocker, Sharon From: John Kenney <john@JWKesq.com> Sent: Monday, December 17, 2018 2:31 PM To: Crocker, Sharon Subject: FW: Finished plan for 67 Lakeside Drive, Centerville Attachments: ATT00001.htm; M18-100 LAKESIDE CENT.pdf �( �.Q� Sharon, Could you please send this plan to the members of the Board of Health and put it into the file for the hearing tomorrow? Thank you, �S --.�.` ` s . Y1 i" John W. Kenney, Esq. C �(A- Law Office of John W. Kenney �� o Suite 12 1550 Falmouth Road �\J�� Centerville, MA 02632 T: 508-771-9300 F: 508-775-6029 has E-Mail: john@iwkesg.com �� f� -7 Commonwealth of Mas,achusetiz Executive Office of Energy &Egvironmental Affair, Department of Environmental Protection One Winter Street Boston, MA o2108.617-292-5500 Cmaries o 13mat PAs"es A Beat= Gmetnot Seaef3ry Karyn E Polito Manm'Suta tteuietient Goverw s;or:urrssb+aner APPROVAL FOR GENERAL USE Pursuant to Title 5,310 CMR 15.000 Name and Address of Applicant: Infiltrator Water Technologies.LLC. P.O.Box 769 6 Business Park Road Old Saybrook.CT 0647 Trade name of technology and model: Higli Capacity chamber, High Capacity H-20 chamber', Quick-4 High Capacity chamber, Quick4 High Capacity H.D. chamber, Quick4 Plus High Capacity chamber (8- inch invert). Quick4 Plus High Capacity chamber (13-inch invert), Standard chamber, Quick4 Standard chamber, Quick4 Standard H-D chamber, Quick4 Plus Standard chamber (53-inch invert). Quick4 Plus Standard chamber (8.0-inch invert), Quick4 Pius Standard LP (Low Profile) chamber (3.3-inch invert), Quick4 Plus Standard LP (Low Profile) chamber (8-inch invert), Infiltrator 3050 (Storm Tech SC-740) chamber.Equalizer 24 chamber,Quick4 Equalizer 24 chamber, Equalizer 36 chamber, Quick4 Equalizer 36 chamber,Quick4 Equalizer 24 LP(Low Profile)chamber(6 inch invert),and Quick4 Equalizer 24 LP (Low Profile) chamber(2 inch invert) (hereinafter the"System").Schematic drawings of the System and a design and installation manual are a part of this Certification. This approval allows the installation of the above identified chambers without aggregate. Transmittal Number: \2591.83 Date of`Revision: February 19.2015.modified June 12.2015 Authority for Issuance Pursuant to Title.5 of the State Environmental Code,310 CMR 15.000,the Department of Environmental Protection hereby issues this Certification to: Infiltrator Water Technologies, LLC., P.O. Box 768, 6 Business Park Road, Old Saybrook Cl' 06475 (hereinafter "the Company"), for General Use of the System described herein. The sale, design, installation, and use of the System are conditioned on compliance by the Company, the Designer, the Installer and the System Owner with the terms and conditions set forth. below. Any noncompliance with the tetras or conditions of this Approval constitutes a violation of 310 CMR 15.000. June 12.2015 David Ferris.Director Date. Wastewater Management Program Bureau of Water Resources This Wl a+.Woo is avallatate ht&12*r sata'4amrat CAN 04*c w,at*17-M2.5751 TTv*MasaRelar$*r^ca+aril#-439-n7o Orxxbc4 an RecvdW Paper B t1 ` ..ap and lot number ........ . �• �C�- 3 /, .....a... y 7�. s i P�Of THE tp�y r'ermit number SEP-11L SYSTEM MUST BE / INSTALLED IN C ,, •OIi,PLIR number .......... ,, �; _ C MAR33TADLE, N.,"TH A;^;TIC+ 11 STATE *,po,"6 9 \e�� ✓- -Lnd-�t�!//'v"` 1'9 "`/!/ J����7; SANITAi'Y CODE AND TOWN RFD NO6. TOWN / OF B-AR�TX1LE SUBJECT TO APPROVAL OF BUILDING ,"N,S P E C T 0 R BARNST CBLE CONSERVA T'�. APPLICATION FOR PERMIT TOf..,. :,,,,..., .......( ...Se .Jt .......` m TYPE OF CONSTRUCTION ..... (�I. .................................................................................. °_�n.�.....!.` .............19.2.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .'!=.�....�q.��.:, ?:?:t:.1�..L...�. �� ... ... 4. ...:...f?)t......O ..:z.L ............................ Proposed ,Use 5:��n�i.�n-a..'. .. i� .� S.:� .iw............... Zoning District ....�,.D..: I............. � G . .....................................Fire District ..��..�*�t-L-1:....... Name of Owner �� �C`. S � ................... �1 ...... ..................................... Name of Builder .1�. ?'.......y.0 .....................Address ....Ll�R 5. ....... 1..................... . , tt,,.S,,yS,t..� Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........ ..':3..................... Foundation ...... .................................................................... Exlerior ....5 .............................................................Roofing x ......................................... C e ^...... I ? Floors .............CJ•.. .........�...........................................Interior Heating ..�...�:��f �v.4...........................................Plumbing Fireplace .......h S?....................................................................Approximate Cost ...1. �: Definitive Plan Approved by Planning Board _ 19 . Area .... .......................... Diagram of Lot and Building with Dimensions / .� Fee ...1........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH sor's map and lot number .�1 a`.....�a '� 94 e" � 6 �� ' �-' 7y . ........ S�d'TLC 6YE7=. ' SE INSE 'AI.LED IN COMPLIAl age Permit number . �r t�l .../ ............ WITIA ;~IF�Y$CLE If STATE btu o*'THEro TORN OF BAR EtV opYa�•`� RU,ILD-I4HG INSPECTOR a a� APPLICATIONFOR PERMIT TO ..................A......... `.......... ......................................................:............... TYPE OF CONSTRUCTION. ..........................:... .........:....................................................................... .................19.7°f/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: :j Location7 � !8r!!s!!4e......... ....................................... .!!..1.............. ............................................ ............ ...... ProposedUse .. .........................:............................ ZoningDistrict ........1..`. .... ................................................Fire District ..... ....�........... ............................... Name of Owner .......................Address ....077 .laP!•1�P&.4�....L..... ........... Name of Builder ....A .. ....... ..................................Address 'T"��....k'"'""".. Name of Architect ..................................................................Address .................................. Number of Rooms ..................................................................Foundation I.VaA4011 4a4p4!��"4 Exterior ..... .....� .....................................Roofing ..... Floors ............Interior .... Heating ..............................................................Plumbing .....: .".14W........................................................ Fireplace ....._v!1%!'91fA_. .......................................................Approximate Cost ... .wtt4.A...............:................................. Definitive Plan Approved by Planning Board -------_______—-----------19______. Area .. .. Diagram of Lot and Building with Dimensions Fee ................../...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r N SHALLOW EXISTING CONTOUR: ---- SEPTIC SYSTEM DESIGN SEPTIC SYSTEM SECTION NOTE: INLET PIPE WITH 5.3"INVERT 4 yGC�/ POND PROPOSED CONTOUR: •------------ IS THE CENTER INLET. tis EXISTING SPOT ELEVATION: 25.5 FLOW ESTIMATE: FIRST FLOOR 43.43 COVERS WITHIN 6" >-� yFC�� PROPOSED SPOT ELEVATION: 25.5 6 BEDROOMS AT 110 GAL/DAY= 660 GAL/DAY 103.9 OF FINISHED GRADE OJO LAKEVIEW �p� TEST HOLE: TOP OF 2a AVE UTILITY POLE: -p- FOUNDATION =" -'-y . ,. . „ FINISHED GRADE INSPECTION PORT FENCE LINE: SEPTIC TANK: 41 1/8 per ft ELEV.=39.85 KESIDE HYDRANT: 660 GAL/DAY x 2 DAYS= 1320 GAL " LA 41.05 T MAX.`« ,r , --�- - �. DRNF- RETAINING WALL: o USE 1500 GALLON SEPTIC TANK 40.23&40.73 35' 1/8"per ft COVER � � LOCUS ELEV. 6 1/8' LAKE LEACHING AREA: EV i 1, (1'MIN) ft� WEQUAQUET 42.0' ELEV. 9.4 USE 50 INFILTRATOR QUICK 4 PLUS STANDARD CHAMBERS 9, 8 39.57 LE ELEV. ELEV. 38.85 . . . . . . . . . . . . . LOCATION MAP ELEV. D-BOX 39.29 LOT 138 (0.52 ACRES) 0 6"OF STONE UNDER OR ELEV. ELEV. AS SHOWN (42'x 15'x 5.3"EFFECTIVE DEPTH)(STONELESS) ASSESSORS MAP:252 PARCEL:96 1500 GAL MECHANICALLY COMPACTED) F 42'x 15' LAND COURT CASE 20239C SIDE AREA: NA (0.74)=NA GAL/DAY SEPTIC TANK OF STONE UNDER USE 50 INFILTRATOR QUICK 4 PLUS 5.W (6 CH BOTTOM AREA: 4'x 50 UNITS x 4.7= 940 SF (0.74)=696 GAL/DAY MECHANICALLY COMPACTED) STANDARD CAPACITY CHAMBERS LEACH AREA DETAIL AS SHOWN (42'x 15'x 5.3"DEEP) CAPACITY=696 GAL/DAY TEE SIZES: GAS BAFFLE (S ONELESS) INLET:6"UP, 13"DOWN AT OUTLET TEE OUTLET:6"UP, 14"DOWN PERCHEDUSE PONGROUNDWATER ELEVAT ELEVATION 33 ELEVATION, OH3 5 33.8 N kite TEST HOLE LOGS FILL TH 1 ELLEV. FILL TH 2 40.5 ELEV. kitchen bed bed ENGINEER: THOMAS McLELLAN,P.E. hyd. room room ESID WITNESS: DONALD DESMARIUS,R.S. bed bath dining DATE: 10-23-18&11-29-18 GROUNDWATER GROUNDWATER fd a ofP E EASE- room bath living PERCOLATION RATE: <2 MIN/IN 84" 3.5 84" 33.5 39 9 A HORIZON A HORIZON stake \\ 398 ��men "_. 40 1st floor room PEAT PEAT 40.1 144" 28.5 156" 27.5 S 75o4100910"E --• . 40.4 C HORIZON , 00' 204" MEDIUM SAND 23.5 Ind POND ELEVATION=32.6 40 80 q1 � basement 40 hog storage bath /40.0 40.4 X i EDGE LAWN bed NOTES: BENCHMARK AT th 1 , room family room RIGHT CORNER th-2* G am' 16, 1.VERTICAL DATUM: NAVD 88 OF CONC.PORCH 2' ELEVATION=43.35 0 basement iv boom boom 2.MUNICAPAL WATER IS AVAILABLE. birch cluster w, i -ceilingg 9'-2" 3.SCHEDULE 40-4"PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. ter. i heighT-7-1" 30" cetttn 4.ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS. maple i heigh�=7'-2.5" 38 �\«cp /� 5.PIPE PITCH= 1/8" PER FOOT(UNLESS NOTED OTHERWISE). r0 �j EXISTING FLOOR PLAN 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. W 18" 10 42 q ST pruce 7.THE SEPTIC SYSTEM HAS NOT BEEN DESIGNED TO ACCOMODATE THE USE OF A GARBAGE DISPOSAL. / 8.ALL CONSTRUCTION DETAILS ARE TO BE IN CONFORMANCE WITH THE STATE OF MASS. ENVIRONMENTAL PAVED 40 p G i f 42 CODE(TITLE FIVE)AND LOCAL HEALTH REGULATIONS. 2 DRIVE f + 9.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. 10.GROUND COVER OVERALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 3 WITHOUT VARIANCE. 11.FIELD SURVEY PROVIDED BY TERRY A.WARNER,P.L.S.,HARWICH,MA. �Ob �4k a2 orph •�. 12.THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND �go�tiG�2j zn 40 IS SUBJECT TO CHANGE UNTIL SUCH TIME. THIS PLAN HAS BEEN PREPARED FOR THE SOLE 34 v3 PURPOSE OF CONSTRUCTION OF A NEW SEPTIC SYSTEM AND DOES NOT NECESSARILY A3 REPRESENT A FULL DETAILED PROPERTY SURVEY. \ 13.EXISTING CESS POOLS(4)ARE TO BE PUMPED AND FILLED WITH SAND OR REMOVED. 14.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. \ 36 38 15.ALL UNSUITABLE SOIL,(PEAT,APPROX. 13'DEEP)WITHIN 5'OF PROPOSED LEACH AREA IS TO BE $ REMOVED AND REPLACED WITH CLEAN MEDIUM SAND. 16.SEWER LINE TO BE ENCASED WITHIN A 6"PVC PIPE WHEN WITHIN 10'OF WATER SERVICE, 00 36 _ SITE PLAN 34 LOCATION: No �NaFI '` 67 LAKESIDE DR. EAST, CENTERVILLE, MA McLEL m' PREPARED FOR: Civii gTFDOFQ s�s71 a ; DAMON & NATALIE FIELDGATE (.L GF pFp 34----- 9F P� DATE: 12-12-18 SCALE: 1"=30' REVISED:3-20-19 NAVD 88 VERTICAL DATUM BASS RIVER ENGINEERING �.. ?67 THOMAS J. McLELLAN, P.E. P.O. BOX 1163, EAST DENNIS,MA 02641 M 18-68 508-364-9048