HomeMy WebLinkAbout0056 LIAM LANE - Health 56 Liam Lane
Centerville
A= 167 -016 - 016
0
n
No. d� 0 t Fee 60
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
apphrattou for 33ioponl �§p.5tem Cou.5truction vermtt
Application for a Permit to Construct( ) Repair(}) Upgrade( ) Abandon( ) ❑ Complete System Individual Components
Location Address or Lot No.5� t' c��o3� Owner e A ees_s,and Tel.No.
CE11�'eXl1 ,�,., , Cll ���(�D S
Assessor's Map/Parcel 1 l�- L
Installer's Na e,Address,and Tel No Designer's Na a ddress and Tel.No.(69-6)?7_=<170.`�
Na
�Jfln �®►'1 6��p�G
`t'tJ boo,Ce(_n �4�1'2YU . o&y S,;i, 06 Po X A5C6 LQ- oxyfw 3
Type of Building:
Dwelling No.of Bedrooms Lot Size c-43, sq.ft. Garbage Grinder ( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.requi ed) / gpd Design flow provided 2)511 gpd
Plan Date (0 Number of sheets Revision Date
Title
Size of Septic Tank jO a Type of S.A.S. D D
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Vt V<_n ov I
-S9,9 q 0 ' A% 0.�9
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 byAhj§,§qir ea f
Signe Date O
Application Approved by Date b d
Application Disapproved by: Date
for the following reasons
Permit No. — 7 Date Issued 06
P
TOWN OF BARNSTABLE
LOCATION S�G 64/t1 I L A A1 2 SEWAGE# o o `- 17
VILLAGE C eAlreA Vlil- P ASSESSOR'S MAP&PARCEL
�1
INSTALLERS NAME&PHONE NO. -f o A C o A4 f3 e
SEPTIC TANK CAPACITY /, 6 o A t
LEACHING FACILITY: (type) &Ay 1&a ee s (size)
NO. OF BEDROOMS
OWNER C e S
PERMIT DATE: //f/ p COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
'*Private Water Supply Well and Leaching Facility(If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland-and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
FURNISHED/'BY
r E
100
Ave
No. (��19 v e " ` L .x Fee�60
.THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t/
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplication for Di5pogar *p$tem Con,5truction Permit
Application for a Permit to Construct( ) Repair()0 Upgrade( ) Abandon( ) ❑ Complete System Individual Components
Location Address or Lot No!56 t'L"a Lol Owner's Nam Address,and Tel.No.
R rtrt
Assessor's Map/Parcel 'G� " !t"' I
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No�.�� f
5 • Y1'}UC,ovr1 d OQrl 't}���
bflxce(.o cQac� �xv�� y�1 . -OS( , 1pQ box.)- 5'76 L0. t�axy►}1:,�; , �1�. ml,, 3
Type of Building:
Dwelling No.of Bedrooms 2 Lot Size ,9 sq. ft. Garbage GrinderIN
( )
Other Type of Building No.of Persons Showers ,
YP g ( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) r/ gpd Design flow provided ] gpd
Plan Date (0 (s), / D t.(7 Number of sheets Revision Date
Title
Size of Septic Tank Raw P—V t MCA Type of S.A.S. �`' �� j)Qj U, i
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) �� C(1 ,(e C� �' Y J�\1 `
L)DY cl i A a—5 J J D rtl 06 r) u� , L� ' s�Y'1r'✓ 0A\-0C,-g0y 6
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 Heal h%
' Signed J ,, Date (v/ fo(a
Application Approved by t ,� 1t14, p�� Date 1 k r-/0 C
Application Disapproved by: Date
for the following reasons
y
Permit No. not —�7O Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-s'te Sewage Disposal System Constructed ( ) Repaired ( ?O Upgraded
_ ( )
_ Abandoned( )by , n (x ' 11T07. Qt1]A 6n .
at fi( , I_ t n GA 11 j0_ �(1I`l Y 1)► n. . GIN. • � 4Phas been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. �)60( dated
Installer � LX1 } Designer Ot t C3 1,� C .
#bedrooms —:13 Approved design flow -7^05 0 gpd
The issuance of this permit shall not)e construed as a guarantee that the system ill functio;as designed.
Date �J � 69 Inspecto
No. .Qdtn7 Fee
r THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
Digont *p!9tem Construction Permit
Permission is hereby granted to Construct ( ) Repair Upgrade ( ) Abandon ( )
System located at r)C,7 JIV 1 u � \ `19.( qv
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the date of this permit.
Date �;, //�// Approved by c.. ' � r-2>
Town of Barnstable
Regulatory Services .
Thomas F.Geller,Director
MAMPublic Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer&Desieu6r Certification Form
Date: 06
M �
Designer: Installer:
Address: , �� - Address: (`i o G G
LA A
On C p 15 (O(D b�-� �.<r,[ was issued a permit to install a
(date) (installer)
septic system at �J (� L FYI L based on a design drawn by
(address)
dated Z 06
(designer)
I certify that-the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with 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.
P�(N OF MAssq
Wignaiume) RONALD cyN
o` JAMES
o CADI.LLAC
v #1060 a
CIO
S�G'IST�P�
i er' a e) (Affix Desi ' '` � e)
( gn �
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BO THIS FORM AND AS-
BUILT.CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Desiper Certification Form
Postal
m
m (Domestic Mail Only;
For delivery information visit our Y�ebsit6 at r�
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M Postage $ _
MCertified Fee d
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ReturnReceipt Fee Pbmark �Z
E3 (Endorsement Required) "Here Z
O Restricted Delivery Fee y
—D (Endorsement Required) \
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et,Apt.No.; /
or PO Box No. (�
- - State,--------- �1- - ---- - ----____-
City,State,ZIP+ n """""""'"
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Certified Mail Provides:■ A mailing receipt (asjanay)ZOOZ eunr'009t mod Sd
■ A unique identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Maile or Priority Maile.
e Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a'Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee`Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return.receipt,;a USPSe postmark on your Certified Mail receipt is
required.
For additioaa feedelivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement,3"Restricted Delivery".
o If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
Internet access to delivery information is not available on mail
addressed to APOs and FPOs.
till Is ti
COMPLETE •N COMPLETE THIS SECTIONON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X ❑Agent
• Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery,address below: ❑No
Mr Richard Heeps
56 Liam Lane a. service Type
Cente'iiie,MA 02632 ❑Certified Mail ❑Express Mail
❑Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
fete Numbers,t A-l% 5 116 0 0 0 0 0 0191 13 8 3
(rransfer from service laben I
Rai 38gnVtP .�LX:Depc Return Receipt 595-02-M-1540
I
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
C LISPS
Permit No.G-10
I
• Sender: Please print your name, address, and ZIP+4 in this box • j
I
I
I
PUBLIC HEALTH DIVISION I
TOWN OF BARNSTABLE
200 MAIN STREET
I
C HYANNIS, MASSACHUSETTS 02601
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THWE
Town of Barnstable
Public Health Division , a R�
200 Main Street z. � ®
`fFD Me.� Hyannis, MA 02601 }!:L 3 A11 ;' ' D ®@ PITwEv BOWES
�.� 02 1A �V OA�•640
7005 1160 0000 0191 13j13 : . MAILED FROM ZIP ODE 02606
liS N. , c.
Mr & Mrs /Richard Heeps
56 Liam Lane
Centerville, MA 02632 �w
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RETURN TO SENDER
ATTEMPTED NOT KNOWN
UNABL—E TO FORWARD
SC: 02601400200 *0969-06724-17-09
F 0260104002 Illi}Ili WIN)}III)III III}I}})IIM)I}}}}FIIMIIIIII}}}I}III
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r ;
/ TOWN OF BARNSTABLE
LOCATION G L��M 14ru- SEWAGE#
VILLAGE CfAlt( ASSESSOR'S MAP&P CEL
INSTALLERS NAME&PHONE NO.
SEPTIC TANK CAPACITY /o
LEACHING FACILITY:(type) PiT_ (size)
NO. OF BEDROOMS
OWNER l'1 eti0 fy��
PERMIT DATE: Ak� COMPLIANCE DATE:
Separation Distance Betweeln'
tV
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 J'/JSQ&`Tp^ J y�
k a
i a3 a8
a a� 33
- 3 aI ply
Town of Barnstable
FZHE Tpw
o Regulatory Services
SrnB Thomas F. Geiler,Director
RAM9wpM.
i6 A � Public Health Division
lED MA'S
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May 11, 2006
Mr Richard Heeps
56 Liam Lane
Centerville, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5
The septic system owned by you located 56 Liam Lane, Centerville, MA, was last
inspected on April 13th, 2006 by, James M. Ford, a certified septic inspector for the
State of Massachusetts.
The inspection of your septic system showed that your system has "Failed" under the
guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
Leaching pit is in hydraulic failure
You have 60 years from the date of the system failure to bring the system into
compliance.
If there are any questions about this reminder, please feel free to contact the Barnstable
Health Department.
BARNSTABLE HEALTH D PART
omas . c ean,
Agent of the Board of Health
f�
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
TITLE 5
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM
PART A
CERTIFICATION
Property Address: 56 Liam Lane 6, a
Centerville. MA 02632
Owner's Name: Richard Heeps ? « 7
Owner's Address: !�✓r6 c
Date of Inspection: April 13 2006'
771
Name of Inspector: (Please Print) James M. Ford c j -
Company Name: James M. Ford
Mailing Address: P.O.Box 49 r�>
Ostervllle,MA 02655-0049 '1
Telephone Number: (508)862-9400. __j hi
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system at this address and that the information reported.
below is true,accurate and complete as of the time of the inspection. The inspection was 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
Needs Further Evaluation by the Local Approving Authority
✓ Fails
Inspector's Signature: Date: April 13, 2006
The system inspector shall subm 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.
Notes and Comments
****This report only describes conditions,at.the time of inspection and under the conditions of use at that.
time: This inspection does not.address how the system will perform in the future under the same or different.
conditions of use.
i
Title 5 Inspection Form 6/15/2000 page I
Page 2 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 56 Liam Lane
Centerville, MA
Owner: Richard Heeps
Date of Inspection: April 13. 2006 .
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.
Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please
explain.
The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years'old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken,settled or uneven distribution box. System will pass inspection if (with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will
pass inspection if(with approval of the Board of Health):
broken pipe(s)are replaced
obstruction is removed
ND explain:
2
Page 3 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 56 Liam Lane
Centerville, MA
Owner: Richard Heeps
Date of Inspection: April 13, 2006
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 CAM 15.303(1)(b)that the
system is not functioning in a manner which will protect-public health,safety and the environment:
Cesspool or privy is within 50 feet of a surface water
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone.1 of a public water.supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used to determine distance
"This system passes if the well Water analysis,performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
3
i
Page 4 of 11
OFFICIAL INSPECTION FORM.-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 56 Liam Lane
Centerville, MA
Owner: Richard Heeps
Date of Inspection: April 13, 2006
D. System Failure Criteria applicable to all systems:
You must indicate either"yes"or"no"to each of the following for all inspections:
Yes No
✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool
✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than'/Z day flow
✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number
of times pumped_.
✓ Any portion of the SAS,cesspool or privy is below high ground water elevation.
✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface
water supply.
✓ Any portion of a cesspool'or privy is within a Zone 1 of a public well.
✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form.]
Yes (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as
described in 310 CMR 15303,therefore the system fails. The system owner should contact the Board,of
Health to determine what will be necessary to correct the failure.
E. Large System:
To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000
gPd•
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems in addition to the criteria above)
Yes No
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area.-IWPA)or a mapped
Zone 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.
4
Page 5 of 11
a
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
CHECKLIST
Property Address: 56 Liam Lane
Centerville,MA
Owner: Richard Heeps.
Date of Inspection: April 13, 2006
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:
Yes No
✓ _ 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(3)(b)].
5
s
Page 6 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 56 Liam Lane
Centerville: MA
Owner: Richard Heeps':
Date of Inspection: April 13, 2006
FLOW CONDITIONS
RESIDENTIAL
Number of bedrooms(design): 3 Number of bedrooms(actual): 3
DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 330
Number of current residents: N/a
Does residence have a garbage grinder(yes or no): N/a
Is laundry on a separate sewage system(yes or no): N/a [if yes separate inspection required]
Laundry system inspected(yes or no): No
Seasonal use(yes or no): No
Water meter readings,if available(last 2 years usage(gpd)): Unavailable
Sump Pump(yes or no): No
Last date of occupancy: Unknown
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): gpd
Basis of design flow(seats/persons/sgft,etc):
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no)
Non-sanitary waste discharged to the Title 5 system(yes or no):
Water meter readings,if available
Last date of occupancy/use:
OTHER(describe):
GENERAL INFORMATION
Pumping Records.
Source of information: Unavailable
Was system pumped as part of the inspection(yes or no): No
If yes,volume pumped: _gallons--How was quantity pumped 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)
Tight Tank Attach a copy of the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:
installed - 1211182 Per as-built card
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 56 Liam Lane
Centerville: MA
Owner: Richard Heeps
Date of Inspection: April 13, 2006
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction: _cast iron 40 PVC _other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
SEPTIC TANK: ✓ (locate on site plan)
Depth below grade: 4"
Material of construction: ✓ concrete metal fiberglass _polyethylene
other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions: 1000 2a1:
Sludge depth: 3
Distance from top of sludge to bottom of outlet tee or baffle: 28 "
Scum thickness: 10"
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: 10"
How were dimensions determined: Measuring stick
Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
The liquid level was above the outlet pipe. Liquid was backing up from the leach pit Tees were present
GREASE TRAP: None (locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _fiberglass _polyethylene _other
(explain):
Dimensions:
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffler
Date of last pumping:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage,etc.):
7
i
Page 8 of I
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 56 Liam Lane
Centerville, MA
Owner: Richard Heeps
Date of Inspection: April 13, 2006
TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade:
Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain):
Dimensions:
Capacity: gallons
Design Flow: gallons/day
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: Above
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover, any evidence of
leakage into or out of box,etc.):
D-Box was under water backing up from leach pit.
PUMP CHAMBER: None (locate on site plan)
Pumps in working order(yes or no):
Alanns in working order(yes or no)
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
8
Page 9 of 11
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued).
Property Address: 56 Liam Lane
Centerville, AM
Owner: Richard Heeps
Date of Inspection: April 13, 2006
SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required)
If SAS not located explain why:
Type
✓ leaching pits,number: 1-6'x 6'1000 gal.w/2'stone per plan
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.):
The liquid level was above the inlet pipe and up to the cover of the pit. The leach pit was in hydraulic failure.
CESSPOOLS: None (cesspool must be pumped as�part of inspection)(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no):
Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,.etc.):
PRIVY: None (locate on site plan)
Materials of construction:
Dimensions:
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
9
` Page 10 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 56 Liam Lane
Centerville. MA
Owner: Richard Heeps
Date.of Inspection: April 13, 2006
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within.100 feet. Locatew"here public water supply enters the building.
ac,k Q
c2 a$
a ai 33
10
s
;;�
Page 11 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION(continued)
Property Address: 56 Liam Lane'
Centerville, MA
Owner: Richard Heeps
Date of Inspection: April 13, 2006
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
Estimated depth to ground water 35+/- feet
Please indicate(check)all methods used to determine the high ground water elevation:
Obtained from system design plans on record-If checked,date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
✓ Checked with local Board of Health-explain: Topographic+ water contours map
Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the high ground water elevation:
Using Barnstable Topographic and water contours maps Maps are showing approximately 35'+1-to groundwater.
i
This report has been prepared only for the septic system and components described herein. This septic system has been
inspected and failed as of the date of inspection. This report is not a warranty or guarantee that the system will
function properly in the future. There have been no warranties or guarantees, either expressed,written or implied,
relating to the septic system; the inspection, this report andlor any components of the septic system which have not
been located and.inspected
11
Town of Barnstable
p THE rp�
do Regulatory Services
BAsrAB Thomas F. Geiler,Director
9�bp 69. A��� Public Health Division
lEo�s
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
May 11, 2006
Mr Richard Heeps
56 Liam Lane
Centerville, MA 02632
ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, Title 5
The septic system owned by you located 56 Liam Lane, Centerville, MA,was last
inspected on April 13th, 2006 by, James M. Ford, a certified septic inspector for the
State of Massachusetts.
The inspection of your septic system showed that your system has "Failed" under the
guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
Leaching pit is in hydraulic failure
You have 2 years from the date of the system failure to bring the system into compliance.
If there are any questions about this reminder, please feel free to contact the Barnstable
Health Department.
BARNSTABLE HEALTH DEPARTMENT
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
l 0 CA Tj N � � � SEWAGE PERMIT NO.
V I L GE
INSTA LlE NAME i ADDRESS
BUILDS OR OWN R
DA T E P ERMIT I S S U E D
r 0
q DATE COMPLIANCE ISSUED l/�J
O
�I
No. ....._..... [. FEE............... .........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
j__0_W_ &1 ........OF..............
Appliration for Dispog al Works Tomitrnrtion FarAft
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Se a Disposal
System at:
.................
- ----
ocation-Address I or Lot No.
- .__ .,t l - 9? C- ...................•-'---....1 .� ..S�.S�. Z�k....._.
er Address
-------------------------------------
Installer Address
Type of Building 7 Size Lot_2-1z. Z.�.Sq. feet
�-, Dwelling—No. of Bedrooms................................................................Expansion Attic (k-yo Garbage*Grinder
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures -------------------------------------------•---------•---•------•---------------------------•-••-••-•------------
w Design Flow......................3...............gallons per person per day. Total daily flow............2.�_(......................gallons.
WSeptic Tank—Liquid'capacityY9,0(.gallons Length................ Width................ Diameter................. Depth................
x
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft:
Z Other Distribution box Dosing tank (
•-' Date / Z Percolation Test Results Performed by.......................................�' �p. �t/�_.__--_
Test Pit No. 1...C.—e 5 minutes per inch Depth of Test Pit___-_� .._ Depth to ground water.. ky--A,
f%4 Test Pit No. 2----. 'minutes per inch Depth of Test Pit------ ------------- Depth to ground water------�C�
Description of Soil---•-----------------•••• ........ •0.=...I----. - _-ate`+----- �t---
x S
w
r 17�(� -------f-I%k.)•------------------------------------------
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'LITHE 5 of the State Sanitary Code—The undersigned further agree of to place the system in
operation until a Certificate of.Compliance has been issue by the board d�ealth` /
ign ..........•-•. do
----- Y
ate
Application Approved By, = ------..... B 7
........
Application Disapproved t following reasons-----------------------------•---------------------------------•------------------------------------------_...._
------------------------.---•------------------------- ----------------------------------------------
Date
PermitNo.......................................................... Issued_.......................................................
Date
I.
No..+`------------- Fr�s... ...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
� .. ...... ..-..........OF................. .: '. ,!'f S I. _
Appliraiion for Elispoattl Workii Tonstrnrtion trmi#
Application is hereby made for a Permit to Construct ( 3 Repair ( ) an Individual Sewa a Disposal
System at
......... ............... . . ... .. ..ter`.`..-•-• . .... :! .... .... 1�.... i .s,
Location-Address,
r or Lot No.
--
Owner " .+ Address
Installer Address
d Type of Building Size Lot_ .. ___i9,�.. .S feet
�V-, Bedrooms
{� r f W yr q
Dwelling—No. of Bedrooms____________________________________________Expansion Attic (e y)J Garbage Grinder (/4,,))
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures ......................................................------•---------------•-----•-----------------=
W Design Flow.....................< 4»._____.___..__gallons per person per day. Total daily flow............- {L ......................gallons.
Septic Tank—Liquid capacityrf�0� gallons Length................ Width................ Diameter................ Depth................
W Disposal Trench—No..................... IAidth.................... Total Length.................... Total leaching area......... ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( -IT- Dosing tank ( ), r
�" Percolation Test Results Performed by....................E::._� '" 6,'._.F-Vr...__.....___ Date.._._____...............................'
Test Pit No. 1_. _ minutes per inch Depth of Test Pit___._��:_s....... Depth to ground water_,(C�r�;
44 Test Pit No. 2..._:: Y?7. _minutes per inch Depth of Test Pit......
._.r.._.."=____ Depth to ground water..... *!t.c .
= ..l....... l
O ........ .......•-----__-_---
Description of Soil = a
W c
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 TyT`:;.
p 5 of the State Sanitary Code— The undersigned further agre s."ot to.place the system in
operation until a Certificate of Compliance has been issued by the board of health' n
f Signed---------•••.1 =�v,a ,:.. - =� =" ---•-••-- -----=1,0/7( /y
,�
Application Approved By..!.. : A Date/
� • ....-•---•-----•-----............---••- ........
--- < ' h�`�_ '..
��ate
Application Disapproved for the following reasons-------------------------------------•-------------------------•----------•------•---------------------....------
......................................•f..............................................................................................................................................................
Date
PermitNo.......................................................-- Issued•.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i - r
i
.............r°............................OF.................. .. ;........................................................
Cnrr#ifiratle of Tomplianre
THIS IS TO CERTIF�', That the Individual ewage Disposa) System constructed (�) or Repaired ( )
bY..............................•-•-• ` �" :r .- f ' 1 ss f
pp ` Installers
atr . .__...-•--•----._ r s.................... .!f_ r'...-----------��. ..........n. ...i-'fit
has been installed in accordance with the provisions of TAT E._jj o The State Sanitary Codq'as de cribed in the
application for Disposal Works Construction Permit No _-- --_7_______________ dated_eif�%]•l_1.� .....................
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® A GUARANTEE THAT THE
SYSTEM WIL F CTION SATISFACTORY.
DATE....1, :1!.l .................................................... Inspector....._..- `�---•----------•--_____-____----------------
THE COMMONWEALTH OF MASSACHUSETTS
` BOARD OF—H- EALTH
.r„ / 12
'1 f
Nod •• j ,'p J, �,;' fV,1 / T d / ..E� _�•__�._...........
� ff _
t _
Permission Is hereby granted............................ = �-!.................... `'
.. ........ ....
to Construct ( , ) or Repair ( )- an Iidv'vidual Sewage Disposal Systemrn ,
atNo. - _ ---..._..•--•-•...-•• •- ---••------------------•-----••-••--•----•---•---•--••------ • _.._.... ...
Street
as shown on the application for Disposal Works Construction Permit No_________________ _ ......... .............
Ile r
ter' Boardrof Health`-
DATE..... _..--4-- t--- •----- 7•--y .......................
FORM 1255 Hoeeli& WARREN, INC., PUBLISHERS
� }�'f'E. ��:d-IMM�I�.IG ,•TOP�.{�. xF.
/j/ <. Efi�T.COea3E Q L.o
(f(1J ESN OF M,�s E t_ 3-7 06
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ND SURD I
;CANT 18o^R
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LEGEND
- CERTIFIED PLOY PLAN
EXISTING SPOT ELEVATION Ox0` ,�� �0' Mr~�.
EXISTING CONTOUR ---" 0 — — a>� T J 2 Z-1A AI!_
FINISHED SPOT ELEVATION - V/ Z°°-L2 �
FINISHED CONTOUR ® ' ^ 'A ='
"�* Moa�E r I N `vi f
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APPROVED , BOARD OF *HEALTHs , F
P
Aflpc�G!$t �G`�L d9. �� �I AS L 4 ASS* ("
F`sSI gNAt�� /
,s3� e �,�Sv DATE j /v12-1,J a z- I
DATE AGENT _' SCALE
LDREDGE ENGINEERING CO h i CERTIFY THAT THE PROPOSED
X CL IENT .
EGISTERE 10L
OSTIlE® M* dOQ;.N0; ZQ'1l BUILDING SHOWN ON THIS PLAN
CIVIL AND' Y'"' CONFORMS TO THE ZONING LAWS
+f
ENGINEER RVEY "!� c DI�,�Y OF ®ARNSTAB E , SS.
12 MAIN S'TR E zl ;x,w 4
HYANNIS, M49Sry {t �! OF. ' x' A E G. LAND SURVEYOR
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LEGEND CERTIFIED PLOT PLAN
EXISTING SPOT ELEVATION 0x04t�cH
EXISTING CONTOUR.— -- 0 —_.— L/A
FINISHED SPOT ELEVATION" nV7 Eia.V/TIA
FINISHED CONTOUR - 0 MORSE IN i
' No_ius5i o 4
APPROVED , BOARD OF HEALTH,.. A��FG�•..� � {w A ASS*
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DATE AGENT - SCALES / =Sv DATES 16 2.1 ��
;.
LDREDGE ENGINEERING Cat �2P0oi � �
C .IgAlT ._.:. f 'CERTIFY THAT THE PROPOSED K:
EGISTERE REGISTEiRED + V JOQ=NO. . � BUILDING SHOWN ON THIS PLAN
CIVIL LAND' CONFORMS TO THE ZONING LAWS
QR 6Y,° �4:,!y ,
ENGINEER SURVEYOR �- OF BARNSTA LE , ASS.
712 MAIN STREET . .$,' CN.{8Y w %,'!�',C: r
HYANNIS, MASS gHEET'" OF Z -DATE G. LAND SURVEYOR 1
..-+t. .wiR++u.:c.+asa:.w...+as�ksaY' �: tcmv.::wit.:�.,e<.=:.:.o::.'a...,,..:..a,:..:,....:.w.,s..a..:v.,.....:.....,aw,,.......... ..:......._:,. »uu.,..._x._..:............w;...y .-... ... _ .... .,...... . ....,..M ...... ......_... ..t .. .._.. _. ... -.. ._... .�...,,.... .,.,.. .. w«...-...s. ....
2'p'FT. M/IVE/TNER 7,We SEPT/C TANK OR
Z=ACH/ivG P/T ARE MORE 7"NA:^.1 /2-BEI.0JV
/O I7•M/N rRADE� 24'O/AM ETER CONCRETE COVER
}a-- � Sl/ALL BE ,9RDUGHT TO. G/;AOE.�. iN .EXTRA
CONCRCTE 4 PYC P/PS j0EAVY CA ST /A O/Y CO{DER. ,Sf�AL G. QE USEL7
MJN. P/TCN /F/N DR/VEN/A y
EL r li. 4 6 COYERS
2% MiN. CONCRETE
A :?:: G •+oE COVER CLEAN SAN D
2 LAYER
/RON PE / O 0 a a' a o P e v GLF
MIN:P/TGV' CAC., DJS7, o • • • • • • • • • ' �� WASHEO STONE
/4 Pmw J■T,._ SEPTIC . TAAIX . b • • . . . . • , , . . .
_ - BOX o s. . • • 8a • • • • • .•� �
/ 4
_ r EFFECT/VC •
a • r
• 1 • . • • . lV E S a E• DEPTH o AShr D T iY
90
7 r. 1,9 _-7 g :e . • • . • . • . • p� v PRECAS T SEEPAGE
_ �-¢� : s . . • • . • . . • / �. o R/7 OR 4WL//V.i►L104Y
PiT �ciT /
1AlV4wAv7ELEVAT/a/YSa
EL C 36.0
//VYERT.AT Q!J/LDING 43 O FT_
/
INLET SE'P'F'/C '7-.4/VK 4 2 8 FT , k FT.; O/.4J►1:
.O SEE T.gdt/LATJON�
OUTLET SEP.T/C TANK1 .
FT, -* :
1AILET D/SMUS07140M BOX `f 4 CT. SECT/O/V OF, GRO�!NO lt�iTER TALE
OIJTLl�TD/STR/BUT/ON 64X `/z z F
9 SELVAGE 'G/S/P4�SA'L SYSTL�M j h'
/HEFT LEACH 11VA P'/7' FT, r
7, 941LATAO
L EACHI"a Q/T 3,
DES/GN sCAA-Z t�IMENS/ON'. A.:
CR/TER/A /J•fENS/ON $ 6 FT. .ram
NIJMDFR OF BEDRaQMS 3 tl JMENS/CN C- FT. th!
G.•J=eAGEo/sPosAL uw/r N oNc SOIL LOG
TOTAL E3TIMAr,6Z) FLOW 33 J GAL.AOAY SO/L TEST 0/ SO/'L 7L'ST*2 SD/L. TEST
MUMBER QF LfACRING P/73 t fECEK 44.0 I -A-4&l DATE OF SOIL TEST S- 7 g z"
SIDE L.CACHING PER PIT mod' ,S(; 1 ;r ( R G r F�2i-
�- / RESULTS hIITNESSED dY
9orTOML.6r1CN/NGPERPJT 7� Sp. ,tT. Lo��„� PERC0XAr/ON RATE,IE/ Z-d'�S MJAvIJNCH
TOTAL LEACH/NG AREA Z �' 6 SO FT. -ra PIS,v"L R��ICOLAT/oN RATE 2 T-L' MJN.�INGN
RE5EFmvsLE.44rNhY6ARE4 ] SQ. FT.
j110fb sq ��,ai.i ,� -+�, 407 ( Z L�� ram( �/�`/✓ ~
Z, ALB '` . CCl1lTLl�✓/ L E
-' C
AL
cA C3 R`SE 1 5- o
No.1095E••^`
EL DREDGE ENCr/NEED/NG CO,/NC.
JBTE �p� 90 Cis; CL, 3 Z0 71Z M.9/N•5T. , yYA,VNJS, MAss.
hp SUR�� NOGROUNO YVi4TGa•4• -SAICOUA17.5RE0 GR��r/<3��„� CL/E/vT: DATE-!O/z--.t Frz_
Q GM0U/VO I-VA7 AT JOB ND.'=8'2-0 ( 2_
SHEET_0J= Z
JUH-15-06 08 :48 AM P. J. CADYL.LAC, PLS, PS 508 775 9700 P. 01
Notice: 'This Form Is To Be Used For the Repair Of Failed
Septic Systems Only
PERCOLATION TEST AND SOIL EVALlUATION EXEMPTION FORM
>> ..... --- C -,+�>L i ,sic_. ,hereby,certify that the engineered plan signed by me
dated All 2 l (��,� conceming the property located at }
-- i iV!YA �-t`1 W ie3T .wUr L meets all of the
following criteria:
• Two soil evaluations excavated for detailed examination(no hand augering)and two
percolation tests shall be conducted.
• This failed system is connected to a residential dwelling only. There are.no commercial or
business uses associated with the dwelling.
• The soil is classified as CLASS I and the percolation rate is less than or equal to S minutes
per inch.
• There is no increase in flow and/or change in use proposed
• There are no variances requested or necded,
• The bottom of the proposed leaching facility will be located no less than five feet above the
maximum adjusted groundwater table elevation. [Adjust the groundwater table using the
Frimptor method when applicable]
�'Y1ns Zug C/D r �.
Please complete the following:
t �
p) Top of Ground Surface Elevation(using GIS information)
B) G.W. Elevation r r
t� adjustment for k1i�h ti.W.-4 = l b
DIFFERENCE BETWEEN A and 13
SIGNED: DATE:
NOTICE
Based upon the above information,a repair permit will be issued for_ _bedrooms
maximum. No additional bedrooms are authorized in the future without engineered septic systern
plans.
q.Senti�:lpen:exemp.Qoc
9leiw.,.
ALWAYS DIG SAFE PRIOR TO CONSTRUCTION--UTILITY LOCATIONS SHOWN INCOMPLETE. JOB NO. B06-05
CAUTION: THIS IS A SITE PLAN NOTES Heeps.dwg RTE 28
00 SURVEY, AND NOT A PROPERTY 1. LOCUS IS A.M. 167, PARCEL 16-16. y °°a
LINE SURVEY BY THIS OFFICE. 2. ELEVATIONS SHOWN ARE TOWN G.I.S. t0.5'. c
r) 3. LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 2, 1992. 0
Z LOT LINES SHOWN ARE APPROX- 4. ALL PIPES TO BE 4" SCH 40, AND PITCHED AT 1/4" PER FOOT. (UNLESS NOTED)
Q IMATE, AS CONFLICT WAS FOUND 5. MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100' ARE ON TOWN WATER. Ft°°a
a BETWEEN RECORD BOUNDS. 6. COMPONENTS TO BE AASHTO H-10, UNLESS NOTED. River
7. INLET TEE TO PROJECT DOWN 13", OUTLET TEE DOWN 14". 5
cU 8. IF TWO OR MORE LINES, WATER TEST D-BOX FOR EQUAL FLOW
eV
N/F D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET.
9. DEPTH OF COMPONENTS NOT TO EXCEED 3', OR VENTING MUST BE PROVIDED.
SPILLANE BENCH MARK-S.E. CORNER CONC. N/F COVERS: BUILD UP COVERS TO 6" BELOW GRADE--1 ON D-BOX, 1 ON LEACHING NOT TO
BULKHEAD=44.77 TOWN GISt0.5' 10. STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2" WITH 2" MIN. 1/8 TO 1/2" PEA STONE ON TOP. SCALE
SMITH 11. IF UNSUITABLE SOILS, OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, LOCATION MAP
CONTACT THE BOARD OF HEALTH, OR R.J. CADILLAC.
12. IF AN OVERDIG IS CALLED FOR BELOW, FILL MATERIAL FOR 5' AROUND AND UNDER LEACHING
N 87'46'31" E IS TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3).
r/--I-.,48,04 49,7 13. PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL, BLOCK, AND STONE IN TEST HOLE 1
48, 189.05 46 6 LEACH AREA, AND DISPOSE OF AS DIRECTED BY HEALTH AGENT.
I x / 14. ALL CONSTRUCTION TO MEET TITLE 5 AND LOCAL REGULATIONS. DEPTH (inches) ELEV.(feet)
I m rS 6 0 45.3
I I x 4 REDUCE GRADE SLIGHTLY OVER 0 layer
I rr, S.E. CORNER OF LEACHING. TEST HOLE DATE: May 23, 2006 3" A E llanersla0a 3
44 x 4�.'. PERFORMED BY: Ron Cadillac, Soil Evaluator 9"
r---- B layer 10yr 6/8
47 i WITNESSED BY: loamy sand
I M 1 I PERC RATE: <2'-00"/inch (C layer) 36" 42.3
I G- 44 I i 054 SOIL SURVEY(1993): Carver coarse sand
GAG- 1 m GEOLOGIC MAP(1986): Harwich outwash plain deposits a C layer 2.5y 6/4
--�-G 1 m 1 a10 47,1 Invert 42.99 60"
rrl 1 I N Invert 42.05 med. fine sand
46. X 2g' I I Exist. Cast Iron 2 DRY WELLS
46 U I m i Use Gas Baffle
Z - 4,9 1;p 01 �' Invert 41.54
____ Existing
i m vi x 44.2 25, i Proposed 41.5=To Conc.
4 48 0 S=1/2 /ft 9 min. cover p
I N cr = , j rn 41.2=Top Peastone
I I W o O 2 4 1 6 0 Existing S=2 /ft -
/ 44,4 m ♦ -41 Invert 42.30 1000 Gal. S 1 1/2"/ft no water
N O JT / --
_ � I I 45,9 Septic Tank 120" 35.3
W :. 25' I 5 47.0 i Existin9 p ________-- „
t 24
�44. m -�--W�-w 44.1- �: -------------• I T
TH 1 ). 48,1 `Ueck I -44x 5.6412 - - xI Invert 41.71 Invert 40.70 38.7
PAVED DRIVE - 43.8 43,8 i 6" Stone for compact Proposed Proposed 8 4 Bottom S EST HOLE 2
-4-3- - 1
3,44 � 48.1 I 17' 10' -� i 1`? -i N
� - - - - - - - - � �+,�I�87 DEPTH (inches) ELEV.(feet)
{43,74 (D Bottom TH2=30.3 0 42.3
42.5
CD
m 43 / 42'4 44 47.600 LOT 12 DESIGN DATA A/E to/2 Fill
• 17 d loamy sand
/ SPIK SET BEDROOMS: 3 6"
er
m x 41,4 42 0 4�2 0 2 3, 9 9 2± S. F. GARBAGE GRINDER: No LEACH AREA 110yry6/6
40,8 42. d` 49.1 REQUIRED CAPACITY: 330 GPD USE 2 DRY WELLS WITH 4' OF STONE 30" loamy sand _ 39.8
Z 42, ��, EXISTING SEPTIC TANK: 1000 GAL.
TH 2 / 46.4 BOTTOM LEACHING AREA: 325 SF ALL AROUND FOR A 25' LONG BY
[(25' X 13)] 13 WIDE BY 2 DEEP LEACH AREA. g6" 34.3
141. SIDE LEACHING AREA: 152 SF
I / o^ 194 81' [2(13'+ 25') X 2' DEEP)] C layer 2.5y 6/3
I I DESIGN CAPACITY: 352 GPD med. fine sand
9J S 8T46'31" W
I [(325 SF + 152 SF) X .74 GPD/SF]
41 4L3 / 19„ no water
40.93
144" 30.3
N/F
BENCH MARK--TOP OF SPIKE SET CARSON
DOWN 1"=43.17 TOWN GISt0.5'
(29•-11' OFF HOUSE CORN. do 9'-11' BEHIND
RANGE UNE OF REAR OF HOUSE) N/F
PIZZOTTI
INSPECTION SCHEDULE
CALL R.J. CADILLAC TO
INSPECT PRIOR TO BACKFILL.
SITE PLAN
FOR
THIS PLAN A VALID COPY ONLY IF IT BEARS RICHARD A. & SANDRA K . HEEPS, TRS.
AN ORIGINALL RED STAMP AND SIGNATURE.
LEGEND LOT 129 56 LI AM LANE, CEN TER VI LLE, MA
TEST HOLE LOCATION, NUMBER .�jH c ��qss( P�jN of n�q
WATER LINE MARKINGS � ����� I �j�✓ N JU N E 12, 2006 SCALE: 1 =20
OVERHEAD ELECTRIC WIRES (IF SHOWN) `� L i,1 cn
C�- GAS LINE MARKINGS it 1050 ) - of 35779��
9.5 x 8.7 EXISTING & PROPOSED ELEVATIONS ( X rs1
MARKS POINT) �) �G �y `Fss\° 09-
E`
EXISTING CONTOUR S`4 III I �� SUR\1 � RONALD J. CADILLAC, PLS, RS
g--- PROPOSED CONTOUR PROFESSIONAL PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
UTILITY POLE IF SHOWN
( ) P.O. BOX 258
® EXISTING DRAINAGE CATCH BASIN WEST YARMOUTH, MA 02673
x FENCE (IF SHOWN, NOT ALL SHOWN)
0 TREE (IF SHOWN, NOT ALL SHOWN) HEALTH AGENT APPROVAL DATE O (508) 775-9700 PAGE 1 OF 1
C 2004 BY R.J. CADILLAC