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HomeMy WebLinkAbout0016 LAKEVIEW DRIVE - Health 16 I.,A.KF',,.( W DRIVF Centerville A = 214 - 050 - 001 a aI�-ado-oo� Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 16 Lakeview Drive � Property Address h4 Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 H page. City/Town State Zip Code Date of Inspection - cm fin Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. General Information ^ O �/.!? I« on the computer, use only the tab 1. Inspector: key to move your cursor-do not Matthew Gllfoy use the return key. Name of Inspector B&B Excavation ry Company Name 374 Route 130 Company Address Sandwich Ma 02563 City/Town State Zip Code (508)477-0653 S113640 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 15.000). The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7-10-17 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 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. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 W Commonwealth of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ,M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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: System was in working order at time of inspection. A new pump, pump float. Alarm float and d-box were installed just prior to inspection and the garbage grinder was removed. 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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 ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 3 of 17 r Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °w 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 page. Cityfrown 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 ondin of effluent to the rf❑ ® g p g e 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 'h day flow L15,r,s--3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °wM 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 page. City/Town 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 CM 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 Commonwealth. � of Massachusetts w Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 page. Cityfrown 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? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (Actual) _4 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 780gpd t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is Centerville Ma 02632 7-10-17 required for every page. Cityfrown State Zip Code Date of Inspection D. System Information Description: Number of current residents: Varies 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 Seasonaluse? ® Yes ❑ No Water meter readings, if available last 2 ears usage d See below 9 ( Y 9 (gp ))� i Detail: 2015-25,000gallons 2016-24,000gallons Sump pump? ® Yes ❑ No Last date of occupancy: Off and onDate Commercial/Industrial Flow Conditions: Type of Establishment: NA 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ^M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 page. Cityrrown 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: Pumper driver—pumped after inspection Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1500 gallons How was quantity pumped determined? Tank size Reason for pumping: Maintenance 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): Tank, pump chamber, d-box and 2 leach pits l5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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: Tank, pump chamber and pits installed in 1981. New pump and d-box installed in 2017 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 11101, feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line. Town feet Comments (on condition of joints, venting, evidence of leakage, etc.): Septic Tank (locate on site plan): Depth below grade: 101, 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: 1500gallons Sludge depth: 5" t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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 31" Scum thickness 2 Distance from top of scum to top of outlet tee or baffle 6 Distance from bottom of scum to bottom of outlet tee or baffle 15" How were dimensions determined? Measured Comments on pumping recommendations inlet and outlet tee or baffle condition,( P P 9structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank was in working order at time of inspection with liquid level equal to outlet invert. Tank was pumped after inspection and should be pumped every 2 years for maintenance. Grease Trap (locate on site plan): Depth below grade: NA 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•L3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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: NA 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-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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 0 11 Comments note if box is level and distribution to outlets equal, an evidence of solids carryover, an ( q Y rY Y evidence of leakage into or out of box, etc.): D-box was replaced with a new H-20 D133 and riser. Riser was installed to 1' above grade as it is in a wooded area and asbuilt ties are not able to be uses. 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.): Chamber, pump and alarm were all in working order. * 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 4.1 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: (2)6'X4' pits ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ 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.): Leaching was in working order at time of inspection. No high staining, damp soils or lush vegetation were present. Both pits were found to be dry when viewed. Risers on leaching also 1' above grade due to location. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration NA Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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.): Privy (locate on site plan): Materials of construction: NA Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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 LAKE FRONT Al-27' B1-42' A2-46` B2-56` (D 0 0 \✓ 142' 146' D-box and pits have risers V above grade due to location O 141U-- —14'6'> 0 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Y Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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: >4' below SASfeet 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: 2-9-81 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: Plan on file with BOH. Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ;M 16 Lakeview Drive Property Address Elsa Ramin Owner Owner's Name information is required for every Centerville Ma 02632 7-10-17 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•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION 1L, La.Kcu;c,�&i -DR SEWAGE# ZO 1`l - 33 VILLAGE ��� ASSESSOR'S MAP&PARCEL ZI(4 SO- 1 INSTALLER'S NAME&PHONE NO. R k 3 EXCcxVpA 1oA l4n9-0653 SEPTIC TANK CAPACITY /600 !jo.1 ST - /000 4a.1 ,PIC-- LEACHING FACILITY:(type) ,:W c)cJ (size) 13 x ZS x 2- NO.OF BEDROOMS OWNER ELSA PERMIT DATE: COMPLIANCE DATE: 10-Z— 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 Al - yo' A2. 4,619 r d5ou� A3. 523 ti3 Lis Aq- 088 ' 'IDS• 192� 8,5 Y., i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftplitation for bispo8al *pstrm Construction Permit Application for a Permit to Construct( ) Repair(✓f Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. B(� La,l(��/,�„J .,�R ' Owner's Name,Address,and Tel.No. Assessor's Ma /Parcel = o —17G fL3A R Ate, p �• v't 1,0 Installer's Name,Address,and Tel.No.i3 4tG £ACCXVc► 1VA Designer's Name,Address,and Tel.No. ly i-taScrr'y 1_rJ fa_rC-H talc 4y7. 0453 Type of Building: Dwelling No.of Bedrooms /V Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) A)jQ— gpd Design flow provided ��� gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Z 0.0 B O 1I N f4 P Pyom P #r Alorin - re lscc. cLepfox XS ' air DipC. 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 this Board ofHealth.. Signed ��,� Date ^�� Application Approved by Date Application Disapproved by Date for the following reasons Permit No. 20(4— ?i!5 Date Issued it%1- f No. ! Fee / J" THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 4plicatibu for Disposal *pstrtu-Construction Permit Application for a Permit to Construct( ) Repair(w,j Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.`�G L a}lc t/i c i,.1 R " JOwner's Name,Address,and Tel.No. Assessor's Map/Parcel EL 5 A R A rn i v\ Installer's Name,Address,and Tel.No.,3$ Designer's Name,Address,and Tel.No. ly z aScrry LiQ forzslolalc 4'17- OG,S3 Type of Building: Dwelling No.of Bedrooms 44A 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 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) N 7 O Q O X flip t 11�► HP PrJ^^P 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 this Board of Health. Signed 9c2 4 Date Application Approved by Date Application Disapproved by Date for the following reasons ..Permit No-. 201 - j_..,. .. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(,/f Upgraded( ) Abandoned( )by o.,)ra n& at �� � ,,J _�R has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.' dated Installer � _�Xr � Designer 4 #bedrooms Approved design gpd The issuance of this permit shall not a consprued as a guarantee that the system will ction signe . Date Inspector S __ _____ _ _ _ _ - .,. Y+T R � W&�� -_ _ _��' _ __________________ No. — Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Nsposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair Upgrade( ) Abandon( ) System located at /L L,;).Rt t Le R� and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this pe it. Date f� /2.A I� Approved b Town of Barnstable Regulatory Services Richard V. Scali,Interim Director w anxxszns�. M^� Public Health Division i639 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 10• 17 Sewage Permit# Assessor's Map\Parcel 2{ 50 "1 Designer: -T+i oxlA 5 Installer: Address: 90)♦ 110 Address: On was issued a permit to install a (date) (installer) R septic system at IL f A JCEVI FUJ J)P_ C EN162V1 L based on a design drawn by (address) 'THOOM MCI,E1I-;4 Re, dated 9-7• {7 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed 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 in 'coinkliance with the terms of the IAA approval letters (if applicable) lykOFMa' c 7NOMASi. ti WELD CIVIC, (Install is Signature)" v 4No.364Iso_ L (Designer's Sle dture) ( fix Designer's S a p 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 THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc Town of Barnstable P 1. 61-4 3� Department of Regulatory Services 8 wvran�sr�q a Public Health Division Date MASS. Ise i'e39• 200 Main Street,Hyannis MA 02601 tED►r1K<� M-a r Date Scheduled S J Time _ Fee Pd.--;IOm� p w '. Soil Suitability Assessment frSe Perfomcd•By;` OYI SMeI � y UkP WitnessedB age Dzspo, al LOCATION&.GENERAL INFORMATION Location Address k Owners Name . LAIf�M yv YFw t 2 ' . E(,YA RaM 1 kJ ( -✓I WE Address 5AMEE Assessor's Map/Parcel: ` Z 7/c�c — I Engineer's NEW CONSTRUCTION REPAIR Telephone# ✓� 3r; `�d I Land Use _ !��� Slopes(96) Surface Stones Distances from: Open Water Body Kt ft Possible Wet-Area L/t7L ft Drinking Water Well NA ft Dralhage Way > ©tf ft Property Line a 10 ft Other ft SSETCH,(Street name,dimensions of lot,exact locations of test holes&Para tests,locate wetlands in proximity to holes) A�����uJ pIZ Qt • �fD'L v u�E tJ 23�` vt� LAK F_� Parent material(geologic) uv\�^S Depth to Bedrock �0. r . q t Depth to Groundwater. Standing Water In Hole: r - Weeping 1YaT1 Pit Fnos �Q Estimated Seasonal High Groundwntcr � DETF1 ,N ATI N FOR SEASONAL•BIGH WATER TABU Method Used: Depth Observed standing in obs.hole: In, Depth to sell mottles., WA • Ins' De�th to weeping from side of obs.hole: in, Groundwater Adjuithreni ft. Index Well-# Reading Data: Index Wall lavol -,,, Acj,•fhetor Aril.Groundwater-Laval,, PERCOLATION TEST Observation Hole# Tinto at 9" _L - Depth of Pero G� � Time at 6" Start Pro-soak Time @ f' I t i A� �_ Time(911•0) End Pro-soak Rota Min./Inch L ' Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back---- ***If percolation testis to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\SBPTIMERCFORM.DOC DEEP.OBSERVATION HOLE LOG Hole# I Depth from Soll Horizon Soil Texture Sdil Color Soil. Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stoned;Boulders. o lslstency.Woravel) � tv Z 13 �S 6 n1 2.54 DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. -cons $ VIA. Lt ' 1Oq �{ L LAC 20 G I M S z S`( 7 !� DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soli Texture Soil Color Soil Other Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soll Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,S�otres;Boulders, Consistency. t Flood Insurance Rate Man: Above 500 year flood boundary No— Yes Within 500 year boundary No✓1 Yes Within 100 year flood boundary No. _ Yes J)epth of Naturally Occurring Pervious Materlal Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not,what Is the depth of naturally occurring pervious material? ... .. I certify that on (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 trat ng,expertise and experience described in�10 CUR 15.017. Signature '�/ Datb 17 Q:WBPTIC%PBRCPORM.DOC r' No. Fee Ion THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 9ppYitatiou for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(vj Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 116 L4KWC V j, jV1�G Owner's Name,Address,and Tel.No. �C'L:5A Qa rr)i n rivAssessor's Map/Parcel 'L 14 .60- 1 11, LAK E V-=60 JR Installer's Name,Address,and Tel.No. &V Designer's Namg,Address and Tel.No. BA55 Rlvc=' 6JA. - C .flcnn,s o8 - 3G Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) a 30 gpd Design flow provided 174 Q gpd Plan Date $- - Number of sheets Revision Date Title / Size of Septic Tank 11500 qa,J Type of S.A.S. ,'-00 qoj LI C ( 'Z \y Description of Soil Nature of Repairs or Alterations(Answer when applicable) I on V fr%P CyaM�J C r BOX Z .S20 40N 1 LG e 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 this Board of Health. Signe / Date -2- Application Approved by Date Application Disapproved by Date for the following reasons Permit Nollzn "� 30 1— Date Issued .. o /i •F +ikM • 7 • �d��.r ../ t�i+ • No. / Fee - THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye—E� 1 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application for Mieposal 6pstem Construction 3permit Application for a Permit to Construct( ) Repair(vJ Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. (kj 1„a G Owner's Name,Address,and Tel.No. CL SA Rct Mew t/i I(C , s Assessor's Map/Parcel 2I t{ 150 • 1 f L LAKE lJMCVJ ,,DR Installer's Name,Address,and Tel.No. (�, (Cn �jb� Designer's Namg,Address and Tel.No. f(.@, Yr BASS Plvcr- ttJb . 0 .Dr-- SoS • 36 0 qa Type of Building: ' ,l Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 3 q 4 gpd Plan Date $ - `) 1 Number of sheets Revision Date Title Size of Septic Tank 11500 !3 T pe of S.A.S. QQ a. L G Z Description of Soil rture of Repairs or Alterations(Answer when applicable) j o,n H o U M U BOX . Z • �'00 qcx I L-)C. 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 this Board of Health. Signe Date t7 Z • `1 Application Approved by Date 6 Application Disapproved by Date 3 for the following reasons Permit No,.ID ,3 Date Issued G -- - --- Y - _ - _, ----- _- .- ---- _ --- ----_- - - ------------- -- ------------- THE COMMONWEALTH OF MASSACHUSETTS �. BARNSTABLE,MASSACHUSETTS I Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(--I Upgraded( ) Abandoned( )by S ;- 3 F—)(C a V<7_4 ;C) at It, Lac 11 C V i M,.J _C R L'c Ac r v jj C has been constructed in accordance l with the provisions of Title 5 and the for Disposal System Construction Permit No. Ydated /0 /)/, Installer 2 �,3 EX cCL Va4 I ot-, Designer -T O,M c.S P1 c L C 11 a,% #bedrooms Approved design flow 3,30 gpd The issuance of this permit shall not be construed as a guarantee that the system wilLfuction as designed. Date n/JE//7 Inspector�L-���•_--�-✓' a r ------------------------------------- - - -- --- ----- -----•- ------------ ----------------------- 33` ICJ No. �i/7'� �' Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction J)Ermit Permission is hereby granted to Construct( ) Repair(vo� Upgrade( ) Abandon( ) System located at I G L a K c r- t/ and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three ears of the date of thiCby Date /a_ ; y Approve LOCATION SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S NAME i ADDRESS OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED - x -� =� v- VJ �t` No.... ..... ............... THE COMMONWEALTH OF MASSACHUSETTS E30A R® 2�= . y .. .....0F.......( .......................... Appliration for Dhip aal 10orkg Tomitrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: % - --.. —.................................. --•._.....•--•-•......---.....-•••------•---- ----•------.............................-- ---- Location-Address or Lot No. 1� � :� .cl w✓.......................... ..•-•------------------- -•---.............-----------...........-•---- ----•------••------....--•---•--Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms------- ..................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria P4Other fixtures ------------------------- ............................................................... Design Flow............... —tom_.__._._..........-_gallons per person per day. Total daily flow......................................._..__gallons. WSeptic Tank—Liquid capacity��4 O..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length............j______ Total leaching area--------------------sq. ft. Seepage Pit No...... Diameter.�4�X_Y..._. Depth below inlet...._SG_.......... Total leaching area... ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by--••••------- ----------- --------------------------------------------- Date........................................ Test Pit No. la ' ninutes per inch Depth of Test Pit-------------- .... Depth to ground water------------------------ (s, Test Pit No. 2................minutes per inch Depth of Test Pit----.- ....... I to ground water----3.`�/.......... ............................................................. of Soil.......... Via'....5 `................................... .'�3.----p '3 � ` '�-------------------- x -•---•--•••--••-•-...... ----••Ar •-•-•-•--•-••••-•-••...••-••---•-•-•-•-•--------•--••-•--•-......•-•-•-••---- w UNature of Repairs or Alterations—Answer when applicable...-___............................................................................_.._........_. -------------------------------------------------------------------•----•------------•-•---•------------------------------------------------------------------------------------------........_•--.••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTL p 5 of the State Sanitary Code— The undersigned furtl er agrees not to place the system in operation until a Certificate of Compliance has been issued by'the lboard of health. Signe _ 2.. :_v�!��l'.'".f`---------------------------- ��1 ate Application Approved By......... /- ----- � Da a Application Disapproved for the following reasons:............................................................•--••-•--••-••--•---•--••••... .........--- ...........................................••-•--••---•-••-•------•------•--------•••---------•--•........•-----••--••--•-••-••----••-••••---••-••-------••-••----------••-------•-••---•. ............. Date PermitNo......................................................... Issued....................................................... Date I I . No._-�f......_......�... FEs... Q.J`:`:........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® O HEA T Yt .. � .......... 11 !1.........OF......-..- - '------ .. Appliration for Uhnpvii al Works Tatuitrurtion rantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal- --System at• F ................. ...... Wt''wr........._.._..•-------------- .... _....---------------------------------...---- -..._.......----=---------......----- � Z tion•Address or Lot No. ---.. -�- t r.-�- •----------------- -------------- ..................................-.---------..... ------.---------- W � � Owner Address Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.......A.................................Expansion Attic ( ) Garbage Grinder ( )�+ �'4 Other—Type e of Building No. of ersons____________________________ Showers YP g --•--•-•••-•---------------- P �. ( ) — Cafeteria ( ) Otherfixtur s ----=-------------------------•-•-•••--"--••----••-•••-------••--a::--------------••-•--•--•-••--•-- W Design Flow.............. ..................... ______gallons per person per day. Total daily flow------------- _____._______._.___gallons. WSeptic Tank—Liquid*capacity?_``M__gallons Length................ Width................ Diameter________________ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length..............______ Total leaching area....................sq. ft. Seepage Pit No......0------------ Diameter._!62A9_.... Depth below inlet____.......... Total leaching area___ ...sq. ft. z ' Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1: Z____r7rlinutes per inch Depth of Test Pit______________,____ Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit------/2'_.____. D,aah to ground water----3.�1......... x --••- _ �t*f_" Description of Soil '"zn "' x -. ••.-•••-•••-- --•-••-••--...---••-••- W U Nature of Repairs or Alterations—Answer when applicable---------------------------------------------- :: ---------•----•-••-•.................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTL p 5 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 Poard of health. e�` l8• ( � ate Application Approved By•-•••••• .r•• ...... ......- /� ' Date Application Disapproved for the following reasons:--------••-----•-----•-•--------------------------------•---------------------------------••••••---•--•••----•-- .............................••••--•--•-••••-••••••-••••--•-..._..--•••••-----••---•-.....•--•------••-----•--•----•----•--------•-----•-••••---••-••••-----------•--•-•----•-------•-••------••-------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ...........OF........... . ... .. } Trrtifiratr of To ttph anre TaSs 0 C RTI ,-rh t" he Individual Sewage Disposal System constructed ( ) or Repaired ( ) ....................... ..-•_--•---t._..-___•__ I by........ a _.... .•-- ------------ stall m r has been installed in accordance with the provisions of 1 j� 5 of`The State Sanitary Code as descriked in the application for Disposal Works Construction Permit No.. f °I r THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS kG.UARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................ 1-' ........................... Inspector___. ............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH bv/. ..: .....OF.......... ..: ... ! '��� �i..N ._._ FEE........................ ts�rnaa , rkp _,'v auan �ermtt Permission s reby granted........ ........................................... ••• .............................. to Construe 7( Xr_e or Repay ( ) an Indlvldua evtr a Dis osal Syste�'m at No. i ----------- z'�t,1--- Street �� � � p^� as shown on the application for Disposal Works Construction Pe��✓nt _ o._______ _: O_ �__ D ed__•. _ ____-_�_________------ _ Board DATE................................................................................ . of Hea th , FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - } sERv- R SEPTIC SYSTEM DESIGN rwEELLENG) SEPTIC SYSTEM SECTION PUMP CHAMBER ER ROVER(S AND 0")TOCB A oRDE. ALL G FLOW ESTIMATE: (37.6) TO BE WITHIN 6"OF GRADE. 2"PEASTONE � - " �� 3/4"-1 1/2"DOUBLE �'O 3 BEDROOMS AT 110 GAL/DAY= 330 GAL/DAY 37.28 - ., c (37.3 WASHED STONE �F a TOP OF �% ) _��, LAKEVIE�1�1 ,,� ° FOUNDATION ram, - INSPECTION PORT g SEPTIC TANK: a�_,, �a s ��o.�., ELEV.=41.0 LOCUS 330 GAL/DAY x 2 DAYS= 660 GAL INLEETT� 3'MAX. N \,� 35.95 1/8"per ft. 1i8"per ft� COVER USE 1500 GALLON SEPTIC TANK ELEV. (EXISTING) a ELEV. 1000 GAL 35.44 2"pressure line (1'MIN) 4 LEACHING AREA: 1500 GAL PUMP CHAMBER 1/8"per ft WEQUAQUET LAKE 35.69 SEPTIC TANK 35.4 41.15 ° USE 2-500 GALLON CHAMBERS(8.5'x 4.8'x 2'EFF.DEPTH)WITH ELEV. 41.32 LOCATION MAP ELEV. ELEV. ELEV. ° 39.0 PARCEL 50-1 (104,083 SF) a 31.19 ZABEL FILTER 30.9 D-BOX ° ° > ELEV. 4'OF STONE ALL AROUND (25'x 12.8'x 2'DEEP) ELEV. &GAS BAFFLE (6"OF STONE UNDER) 4' 4' ASSESSORS MAP:214 PARCEL:50-1 ELEV. (H-20) � 25'x 12.8' PLAN BOOK:347, PAGE:14 SIDE AREA: (25'+12.8')x 2 x 2=151 SF (0.74)= 112 GAL/DAY TEE SIZES: WITH LIBERTY LE50 PUMP.PUMP ALARM 1/4"DRAIN HOLE 2-500 GALLON CHAMBERS WITH 5.2' INLET:6"UP, 13"DOWN PACKAGE TO BE INSTALLED IN DWELLING 41.0 BOTTOM AREA: 25'x 12.8'=320 SF (0.74)=237 GAUDAY OUTLET:6"UP, 14"DOWN POWERED BY A CIRCUIT SEPARATE FROM 4'OF STONE ALL AROUND THE PUMP CHECK ELEV. 25'x 12.8'x 2'DEEP CAPACITY=349 GAL/DAY ((6"OF STONE UNDER OR ONO F SWITOCH TO BE(DISTANCE) BETWEEN VALVE ( (H-20) ) MECHANICALLY COMPACTED) (DISTANCE BETWEEN ON SWITCH ADJUSTED GROUND WATER ELEVATION=33.8 kAAAL f0 AND ALARM TO BE 12") \ �lZ BUOYANCY CALCULATION: 42.0 44.0 N \ 0 1500 GALLON SEPTIC TANK TH-1 TH-2 -� 10.5'x5.67'x(33.8-31.19)x62.4LB/CF=9,616LB ri t=�`�) WEIGHT OF SOIL COVER=4 465 LB CIA HORIZON ELEV. O/A HORIZON ELEV, ••••••;••• ; �� �--� � ��_/ WL.GHT OF TANK=11,480 Lb TEST HOLE LOGS LOAMY SAND LOAMY SAND -44 \� a BUOYANCY CALCULATION: ENGINEER: THOMAS McLELLAN,P.E. 41.0 8" 10YR 4/2 43.3 44 _ u APPROXIMATE LOCATION B HORIZON B HORIZON 1000 GALLON PUMP CHAMBER OF 2 EXISTING LEACH PITS 8.5'x 4.83'x(33.8-30.9 x 62.4 LB/CF=7,429 LB WITNESS: DONALD DESMARIS,R.S. LOAMY SAND LOAMY SAND \ u WEIGHT OF SOIL COVER=3,079 LB 24" 10YR 4/6 40.0 24" 10YR 4/6 42,0 \ DATE: 8-2-17 WEIGHT OF TANK=8,240 LB C1 HORIZON C1 HORIZON it u PERCOLATION RATE: <2 MIN/IN MEDIUM SAND MEDIUM SAND th-1 _42 n 84° 2.5Y 7/4 35.0 2.5Y 7/4 pERC AT 42" Z N-- it SILT LOAM HORIZON 120" 34.0 2 42 ;_1 WEQUAQUET LAKE DATUM 2.5Y 6/4 HIGH WATER ` n ELEVATION=33.8 NAVD88 114" OBSERVED 32 5 C2 HORIZON LT LOAM ® -40 1 kitchen bed 2.5Y 6/4 � � °- a bath 126" GROUND WATER 31.5 126" 33.5 co d n room dining area .� �` Edge o_f Lawn a bed bed i it living room roam room NOTES: It / _38- __.A- u BENCHMARK AT 40 \ \ u WATER GATE �_ i �� EXISTING FLOOR PLAN 1.VERTICAL DATUM: NAVD88 ELEVATION=38.0 W k,` It i 2.MUNICAPAL WATER IS AVAILABLE. 36�• � �� 3.SCHEDULE 40-4"PVC PIPE TO BE USED THROUGHOUT SEPTIC SYSTEM. ii 4.ALL PRECAST UNITS SUBJECT TO TRAFFIC LOADS TO CONFORM WITH AASHTO H-20 SPECIFICATIONS. It 5.PIPE PITCH= 1/4" PER FOOT(UNLESS NOTED OTHERWISE). 0 38' ► 1 �•® ° 0 24" 1/ 6.FIRST 2'OF PIPE OUT OF D-BOX TO BE SET LEVEL. Q holly \ 1t �'' n EXISTING SEPTIC TANK It ` AND PUMP CHAMBER 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 CODE(TITLE FIVE)AND LOCAL HEALTH REGULATIONS. O r -- 9.CONTRACTOR TO VERIFY LOCATIONS OF ALL UTILITIES PRIOR TO CONSTRUCTION. y PC, "� ` 10.GROUND COVER OVER ALL SEPTIC SYSTEM COMPONENTS NOT TO EXCEED 3'WITHOUT VARIANCE. BENCHMARK AT TOP LEFT CORNER STEP 11.FIELD SURVEY PROVIDED BY TERRY A.WARNER,P.L.S.,HARWICH,MA. ELEVATION=37.45(NAVD88) \� j ii -0 36" r -i maple X N 12.THIS PLAN REQUIRES THE REVIEW AND APPROVAL OF ONE OR MORE TOWN DEPARTMENTS AND P i ST i //\ , �� IS SUBJECT TO CHANGE UNTIL SUCH TIME. wN W ST �•,, -`i- -- L„J�� N 13.EXISTING CESS POOL IS TO BE PUMPED AND FILLED WITH SAND OR REMOVED. 100'FROM MN f�P) 1, �_ ►1 It rn 14.D-BOX TO BE WATER TESTED TO ENSURE LEVELNESS AND EQUAL FLOW. 36 5' a /ram 15.AN ELECTRIC PERMIT FOR THE PUMP PACKAGE IS TO BE OBTAINED PRIOR TO CONSTRUCTION. _ O i 16.SEPTIC TANK AND PUMP CHAMBER ARE TO BE WATER PROOFED BY MANUFACTURER WITH IPANEX CONCRETE ADDITIVE OR CONSEAL 55.A^"EZ WRAP IS ALSO REQUIRED FOR BOTH TANKS. 17.2"PRESSURED SEWER LINE TO BE ENCASED WITHIN A 20'SECTION OF 4"PVC PIPE f36 WHEN CROSSING EXISTING WATER SERVICE.20'SECTION TO BE CENTERED OVER WATER LINE. invert c EXISTING EXISTING =35.95 T 5 BEDROOM I 3 BEDROOM W DWELLING DWELLING top fnd.=39.46 // top fnd.=37.28 SITE PLAN 50'FROM MNW Porch / i. t° LOCATION: p �s ' 16 LAKEVIEW DR., CENTERVILLE, MA KEY: _ 36 F I ��, PREPARED FOR: �E,w y EXISTING CONTOUR: ---- _ ----- - --_ __ t°0T� ��$ PROPOSED CONTOUR: -- Ed••••••. y e of Berm 34 GERALD & ELSA RAMIN EXISTING SPOT ELEVATION: 25.5 8 PROPOSED SPOT ELEVATION: 25.5 MHW AT ELEVATION=33; - Elev--._33.0 -------- --- E* s y DATE: 8-7-17 SCALE: 1"=30' TEST HOLE:E: Edge-of Water�J`20_1�7, 234,t BASS RIVER ENGINEERING UTILITY POLE: -O- 34--' FENCE LINE: ---- QUE-r LAKE . HYDRANT: b _.._-_ wEQUA RETAINING WALL: ® THOMAS J. McLEIAIA&, P.E. P.O.BOX 1163, EAST DENNIS,MA 02641 M 17-40 508-364-9048 U ' E j 0&t/c f f! 4 d t I J i i d4we le 0, ;S S Cl Ln } ge a f /-icc M fry t-' nR''v ``'#c 30 ! _ .. ! S c e e s SG i 'L F :t y rg S f fie,; 1/a • �' `' E�.t"✓ .�.�` f.[F r+ _.'t`�=''.-r OF We too t` I `:. w. . _ �` ,� (T Y ✓ f'L. / °�' j �l r A / S ! } r.A e h ., r t 64 owl y y, ' a: . l.c.. , ,;, ^ - i'.I :; ! %arpc.: a s .i• S e eta a .. t J`t r EK Pi r f � h T4z,r'4f. Id ' _s.sG__ GAL /t3�r I yJ p rO C A 4, }TM N .�.I, .C aW Jy Y ,�tiiG� -7 jot. i 7 �' GuTt'F CH Alf 0vl / X'S .+lav/tT- r UA4 JV#AF N t) e4, U/Y1 r t1,E sW 4 G. W A T A - T/G!} T A 4 vv fI G:N r*..,: f 44 ,NIc 1LA;,0 tCLFL OCO!< A PiSTA/vc 09 y, t ft10 GA L RR,k CA ST SAC'A)T i rf4ry i'C /h r /4h Q A, A /YNOL L' 7-0 GIAA C) E. i 4 GG GAL f Wit' {.° A S ' SAP TIC TAIYX R E ,E O Al t/ S T 13,6 M 4'? 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