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0024 MAPLE AVENUE - Health
24 MAPLE AVENUE Centerville A = 207 — 037 KMEAD Na Z•1S&W UPC 1=4 .mud.mo • Mob In use► .AZN. No. l Fee J-Ds THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippYicatiou for Misposal *pstrm Coustrurtiou Vermit Application for a Permit to Construct( ) Repair( ) Upgrade(�,/Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. j y)1,6-e.• Owner's Name,Address,and Tel.No. � A&oR Ra�2el/ vr(/V Installer's Name,Address,and Tel.No. C o8r- 3� Designer's Name,Address,and Tel.No. sa`� -7 7 S 13 f a-3 -( _ Type of Building: �� Dwelling No.of Bedrooms _ _ of Size t sq.ft. Garbage Grinder Other Type of Building s ���No.of Persons ` Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.re tired) S gpd Design flow provided 5�[� gpd Plan Date _ i a. lilT��1 Number of sheets .: Revision Date Title Size of Septic Tank 15100 Type of S.A.S. 4-S00 Gq 110i, Description of Soil _ _p4 k,' f� G✓�Si{er�( 0 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction grid 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 C4Z Date Application Approved by m G^ � Date Application Disapproved by Date for the following reasons Permit No. — 10314 Date Issued �. 3 h _ No. Fee 6 t Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS , PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTSYes 01pplication for Misposal 6pstem Construction Vermit ,R Application for a Permit to Construct( ) Repair( ) Upgrade -Abandon"( )Y ❑Complete System ❑Individual Components Location Address or Lot No. �,( q,Y•i j„P q1 t^e4 l,(,- Owner's Name,Address,and Tel.No. rr`ac.l ra Assessor's Nlap/Parcel/ Installer's Name,Address,and Tel No. �cS- J&d o d 3 j Designer's Name,Address,and Tel.No. SC) [ tl�Secoj; d� Cc;,'i� 9 ^�� )f ��;n�P �� r� �.of/�� ;,•� � ` I-7/n r�_j/'} Jj �f(j- / V / �ie.l����'�,1�,I.�S"V'�'A 6 �!�'° L I` 4,��"+.✓7 yl,.6�� /'-Type of Building: Dwelling No.of Bedrooms dot Size 1-) 64 t/y_�Z sq.ft. Garbage Grinder Other Type of Building g '51 r1 Ga 1 �' . No.of Persons � Showers( Cafeteria( ) Other Fixtures � Design Flow(min.required) 19 gpd Design flow provided 5G gpd Plan Date 1 .!ltn 1 Gt Number of sheets Revision Date Title ' r Size of Septic Tank I S 06 Type of S.A.S. i4-s�� G 4 ( t) 1 :aC a nGi t �+�a />''J, Description of oil Q • Nature of Repairs or Alterations(Answer when applicable) �,Q.t� �.o�r `/ �,�r., �r ,v (,;,� ;,j X 1 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. % r Signed ,�,�•. Date Application Approved by 11f V �', ,/ Jam- Date Application Disapproved by ® Date for the following reasons Permit No.©��� D�G� Date Issued / ! r - r O µ+ f THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed Repaired Upgraded 6/ ~ Abandoned( ),by ?, i i ,s A rc- h-tyf rC s.,Sj at -A44 / }0�;f O j�04,V-? Ce,14-frLI, J I, aQpeen constructed in accordance" with the provisions of Title 5 and the for Disposal System Construction Permit No.20 '/p -6 1dated Installer �-J J 1(, 13 f d l f`Q/.� C^� �,� Designer #bedrooms Approved design,flow raj _; _ gpd The issuance of this permit fall not be construed as a guarantee that the system will i cti"o as designe U Date < I ( � Inspector VL- --------- - - - - - - - _ - - ---- ------ - --- - - - -- - No-Q. L/ w 3 y Fee 10".------ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS isposal *pstem Construction-Permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( � ) Abandon( ) System located at l.J M�[A) CV t ti L t4 'L q ed- �/tA 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. 6 Provided:Construction mustbe completed within three years of the date of this permit" ' Date Approved by 4 Town of Barnstable Regulatory Services Richard V.Scali,Interim Director . . ,�' Public Health.Division RFD N1 a Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax:_508-790-6304 Installer&Designer Certification Form Date: { � O t Sewage Permit## 1. 2 -�_ 3 Assessor's Map\Parcel o 3 Designer: 'h V'i h-t'erl� Installer: 1 t S � c Cr.=n� Address: j P.'j 5S ,` / � �• 1i1. S CRm Address: On I, Y 1--lb5 FD f-[4 QCA5L1- was issued a permit to install a (date) (installer)- septic stem at r� 's 1 r i P Y �J�LAMci b 1 t A�`�Y1 e�'�-� Cf�h eased on�8�sib drawn by [7zsz�t�'lt .a-ez (address). dated _X .1 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: The suitability of the existing sewer pipe between the house and the sewer connection was not determined by the engineer.The installer considered the existing pipe acceptable subject to the approval of the Board of Health. 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 wag'constructed 11 liance with the terms of the IAA,approval letters(if applicable) Of Mla�ry0� sF pETERT• �tcEN'T Installer's ignature) Ovlt No.35`109 O JZ U � REGISIE�� (Designer's Signature) (Affix DFhp 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\Desin6r Certification Form Rev 8 T4-1;•doc Engineers note.This certi;iMion is limited t 2n ws builE inspec icn of systern corriponen-'s as installed prior to nackiill.The engineer id nat supervise construction of the system i ne in ,ailer assur respa 7eiFty r all na en,! . ::or :rar.,nip cacksiltirg w to ape ified grades tvith proper ccrnpaction and settii 9 rizers.cover5 as sho m on lho design plan: TOWN OF BARNSTABLE LOCATION ��{ M A'y SEWAGE# ao)I`®3 VILLAGE ASSESSOR'S MA1 P,&PARCEL(9�0-2 0 3- INSTALLER'S NAME&PHONE NO. t''Io S�®'�h.f� ©✓tSC�;,a[i',ut`.__ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) 41 66o J eAck (size) 419-1 1�,-1 _ NO.OF BEDROOMS OWNER Ofj rjir Lry } PERMIT DATE:. I' - 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 �. _ 3 Pore-h, b- p�,- 2,0 Town of Barnstable P# al "Department of Regtiiatory Services. 4 1(a Public Health Divisan ' t Uartarw>sr ��� tetaq. Date p i639 .�d� 200 Main Street,Hyannis MA 026.01 Date Scheduled Time Fee Pd. i O Ut coo lay. Soil Suitability assessment jor ,Se gge Disposal Performed By: 1 `ccn+ec Witnessed By: LOCATION& GENERAL INFORMATION Location Address 2 Li r-N cx � C AJ-k Owner's Name - C � 7r't IMgrj`i7_�'o;e v-,+Cry ILC Address Z�-1 MCA,0`C. A.V-0— Assessor's Iota (Parcel: Ver'V=1� M(a QZ�o i P 2_O-7—O 3- Engineer's Name �� �YIy`�2��.� NEW CONSTRUCTION REPAIR Telephone:## 5_0S'—'737-1f_7&K Land Use �Zf A?\p. Slopes(9o) f �. Surface Stones Distances from: Open Water Body NIA ft Possible Wet Area ft Drinking Water Well l�4ft Drainage Way!/A— ft Property Line Sl ft Other ft SKE'TCII:(Street name,dimensions of'lot,exact locations of test holes&peretests,locate.wetlands fn,proxitnity to holes) �Z _ Parent.material(geologic) �V�vvgs� Depth to.Bedrock Depth to Groundwater. Standing Water in Hole: Weeping rrom Pit Pnce Estimated Seasonal High Groundwater ( w ft DETERMINATION FOR SEASONAL.HIGH WATER TABLE Method Used: . Depth Observed standing in obs.hole: __-___ in, Depth td soil mottles: ; in., I-)4"tttb n cL_s.hate: Gt, 11PU.litiWuCEYit(�u3iin.nt �_ l`[, » Index.Well# Readirig Date.—' -Index Well level m Adi,factor "��n_ Adj..'droundwhter Live) .. PERCOLATION TEST ante Time Observation> -� Hole# ► I I Time lit V, Na,Depth of Perc. > l N�J n Time at 6" Stan Pre-soak.Time @ rfd J✓ � Time ff'-V) t End Pre-soak 2A Rate Mini./Inch, y Site Saitability>Assessment: Site`Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to he conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one(1)week prior to beginning. Q:1S EPTIC\PERCFORM.DOC DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure;Stones;Boulders, Consistency.% ravel 1 Z—3 6 (.oalMll 5%wd (o If(Lslfo 2, 7 IVY S-e -I3 8 c I- 5G Z=5`r1(a DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture: Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stenes,:Boulders. Consistency,%Gravel 8 - l3 A S loY/zq/z 32 — cN. 9 -13z Cti M Ld SyviJ f, ` 7/3 DEEP OBSERVATION HOLE LOG r _ Hole# Depth from Soil Horizon Soil Texture: Soil Color Soil "' Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders: onsis e Gravel) DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizop Soil Texture Soil Color Soil Other Surface(in.) " (USDA) (Munsell) Mottling (Structure,Stones,Boulders.. Consistency.%oravell Flood Insurance Rate Man: Above 500 year flood boundary No— Yesy-e Within 500 year boundary No.!Yes Within (00 year flood boundary No l�Yes: Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? S If not,what is the depth of naturally occurring pervious material? _ Certification _ I certify that on l 1 (�q S (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 trainin ,expertise and experience described in 310 CMR 15.017. / Signature a Date 6 (� QAS,EPTIC�PERCPORM.DOC TOWN OF BARNSTABLE LOCATION q Iy4p SEWAGE # VM LAGE ASSESSOR'S MAP &LOT C-9 n7 0 37 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY I t. 00 0 LEACHING FACILITY: (type) SS t— (size) /1 o NO.OF BEDROOMS BUILDER OR OWNER —7)°u C L+-f 1 CAA-- jA_.0- - PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 fee eaching facility) Feet Furnished by 71&ce_� vT �^ r �oF�►�r� Town of Barnstable Barnstable ° Regulatory Services Department AWW1CeC j BAMStA11M "'" i639. Public Health Division ��� m �F8 µAS A 200 Main Street, Hyannis MA 02601 2007 Office: 508-862-4644 Richard V.Scali,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 9224 October 9, 2018 CRABTREE, DOUGLAS R&MARJORIE M 24 MAPLE AVE CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 24 Maple Avenue, Centerville,MA was inspected on 09/26/2018 by Michael DiBuono, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system"Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • The main cesspool located off the driveway is collapsing. - �a(0 You are ordered to repair or replace the septic system within two (2)years from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BO RD OF HEALTH rM Thomas c ean, S., CH0 Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\24 Maple Avenue Centerville.doc Commonwealth of Massachusetts 1 a Y b3 Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments z I� my u 24 Maple Ave .f, Property Address Marjorie Crabtree Owner Owner's Name ' information is required for every Centerville Ma 02632 9/26/18 page. City/Town State Zip Code Date of Inspection r'r^ 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. Inspector Information on the computer, Michael DiBuono use only the tab key to move your Name of Inspector cursor-do not DiBuono Sewer And Drain use the return Company Name key. 35 Content Lane ,Q Company Address Cotuit Ma 02635 City/Town State Zip Code 508-364-9587 SI 13522 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ❑ Passes 2. Conditional) Passes ❑ y 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ® Fails 9/28/18 inspector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP)within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 Commonwealth of Massachusetts I. Title 5 Official Inspection Form ^la Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u/ 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: i I just off the driveway is collapsing. Second Cesspools are functioning however the main cesspool� s y Cesspool Just 12 ft Away has roots growing in through leaching holes. {All pluming ties should be verified prior to instalation of new system } 2) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 2 of 18 i Commonwealth of Massachusetts 1 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. CitylTown State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): x �'❑ 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): i 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: I l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 c Commonwealth of Massachusetts Ip Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Maple Ave v Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than '/z day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is Centerville Ma 02632 9/26/18 required for every page. Cityfrown State Zip Code Date of Inspection C. Inspection Summary (cont.) II� If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes"to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate "yes" or"no"for each of the following for all inspections: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ® ❑ Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] i t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 f Commonwealth of Massachusetts p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 5 Number of bedrooms (actual): 5 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 550 Description: Number of current residents: 1 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ® Yes ❑ No Seasonal use? ❑ Yes ❑ No Water meter readings, if available last 2 ears usage d 158 Gpd 9 ( Y 9 (gp ))� Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is Centerville Ma 02632 9/26/18 required for every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Not provided Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: t5ins .doc rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System.•Page 8 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 24 Maple Ave V� Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) 4. 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): Approximate age of all components, date installed (if known) and source of information: Original Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ® cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments (on condition of joints, venting, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments u% 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank (cont.) Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert 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.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 1 ❑ innovative/alternative system Type/name of technology: t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 13 of 18 Commonwealth of Massachusetts 1p Title 5 Official Inspection Form �o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 inline Depth—top of liquid to inlet invert 18" Depth of solids layer 2" Depth of scum layer Dimensions of cesspool Materials of construction Brick and block Indication of groundwater inflow ❑ Yes ❑ No Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Cesspools are functioning however the main cesspool just off the driveway is collapsing. Second Cesspool has roots growing in through leaching holes. {All pluming ties should be verified prior to instalation of new system } t5insp.doc•rev.7/2 612 0 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 13. Privy(locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 18 Commonwealth of Massachusetts �n Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 24 Maple Ave P Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ® hand-sketch in the area below ❑ drawing attached separately tea, 4 0FIOLa d 9� t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 i Commonwealth of Massachusetts -, Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments emu, 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. CityfTown State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ Observed site (abutting property/observation hole within 150 feet of SAS) ❑ Checked with local Board of Health -explain: ❑ Checked with local excavators, installers-(attach documentation) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: TBD At time of perc Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 117 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form e Subsurface Sewage Disposal System Form - Not for Voluntary Assessments .� .� 24 Maple Ave Property Address Marjorie Crabtree Owner Owner's Name information is required for every Centerville Ma 02632 9/26/18 page. Cityrrown State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ❑ A. Inspector Information: Complete all fields in this section. ❑ B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ❑ C. Inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ❑ D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included I t5insp.doc-rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Engineering Dept. (3rd floor) Map U 7 Parcel ..n '7 ermit# q. House# Date Issued (Olaf 6-1 Board of Health(3rdQoor)(8:15=9:30/1:00-4:3 Conservation Office Qjtf oor)(8:30-9:30/1:00-2:00) dVC�a1� Plannm - - c n. g. SEPTIC SYST EE Defit' ammn rd 19 INSTALLED I NCE WIT " ENVIRONME C�" AN® TOWN OF BARNSTABLETOWN R� N o� Building Permit Application Project Street Address Village Owner I/���G= n- 1�. 1e -c- ,Q'- W4V-t:-<ti t. Address 2 y M,g� �V one __. �70 _?L (w (7 _e%m t Request K( 4 -Lo j _,k r e..L, t � V >C /o ,D.T D ) =First Floor square feet Second Floor square feet .. Y., % T f,1 Construction Type , Estimated Project Cost $ S,J -I-,o Z e,', , b` Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No i Dwelling Type: Single Family U, '1�w'1 Family ❑ Multi-Family(#units) Age of Existing Structure ,�Z -f Historic House ❑Yes To On Old King's Highway ❑Yes Basement Type: ull C yawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing ' 3 New�_ Half: Existing New No.of Bedrooms: Existing �5--�Ne w j Total Room Count(not including bat ): Existing New First Floor Room Count S Heat Type and Fuel: ❑Gases Oil ❑Electric ❑Other Central .Air ❑Yes [�1'Qo Fireplaces: Existing _New Existing wood/coal stove es ❑No Garage: �etached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) f p Barn size ❑None ❑Shed(size) ❑Other(size) i Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use �„<Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# i Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN!TO 17 SIGNATURE C DATE BUILDING PERMIT DENIED PAR THE FOLLOWING REASON(S) j Health Master Detail Page 1 of 1 m,,_ •Health.Master 's.- .' a L _ �. • Logged In As: TOWPAheaith Health Master Detail Tuesday,September.t.t 2018 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well I Fuel Tank Parcel:207-037 Location:24 MAPLE AVENUE,Centerville Owner:CRABTREE,DOUGLAS R&MARJORIE M Show Existing Fuel Tanks Tank I New Fuel Tank... I Tag number: 00064 _ Install date:r Location: B(Below,ground) v 1, Capacity(gallons): __—_-_10001 construction:IS(Steel) R v+ Meets 326-8(d)standards: ❑ Leak detection: ❑ Cathodic detection: ❑ Not in ZOC on Split lot: ❑ Fuel stored: ID(Diesel) --- >! Fuel'storage reason: H(Homeowner Use)y. Removal company: Select company Licensed Site Professional: Select na m e ! Unregistered removal: ❑ Removal date: 5/24/1991 M Removal notification date:I— --+`a Leakage on removal: ❑ Abandon date:�! Abandon status: Select status v_l Variance date:r Variance granted: ❑ Release tracking number: Comments: _ rDelete Tank New Fuel Tank Test... Notification date:� Date Result Select result Comments: :(-` Save Fvel Tank a ;Changes Return to Lookup http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=207037 9/11/2018 ` LEGEND N --98-- EXISTING CONTOUR x 100.98 EXISTING SPOT GRADE Bums River Rd Pie, y 98.80 NI EXISTING WATER SERVICE v0de� y _ G EXISTING GAS SERVICE g �B`\ --&.H.-W- OVERHEAD WIRES a A > N TEST PIT < 7 48'00» W BENCHMARK a /// 96,19 x/ 115.08, 99,29 / LOCUS Church - ! �- �s -9.H•41h ' ' 16.50 Bacon Lane Hill Rd t/ a-aH :F•95.11 . v. ,/.• 98,76 3 o / • I LOCUS MAP / / ?4 o NOT TO SCALE 94.91`O +� :9 ,31 PARCEL ID: 207-037 ;: GENERAL NOTES: N y(��p 29,444 ±SF �� 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL ! ++96,03 BOARD OF HEALTH AND THE DESIGN ENGINEER. t 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS - OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE �as•95e7 - .81 LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: �-- -310 CMR 15.405(1)(b): I 99.57.' 1 �-9e- �� -�� 1) A 3' variance to the 3' maximum cover requirement, for up to -___ 6' of max. cover. S.A.S. shall be H-20 and vented. , }l00.31� - 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 98,5\ x 100,5 SPIKE 1��� / 100.18 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE 59 xis P�P-S` --" x 14rrf/ DESIGN ENGINEER. lol T N O L Sq�•, VENT 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING J ^f. O S.: ..i FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN Q / 101,13* �i O O. x 101.82 34' ENGINEER BEFORE CONSTRUCTION CONTINUES. PK SET / 101.19 01.94.;• 98a9 h' +.' I r"t `' '' 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. • �• f01.13 } ' -_` TP-2 o :•� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF PORCH raw THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF w W � ECK � 102,53 TP-1 `� o HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. (O I /+1o1.s3 z TEIM-2 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. V. OUTSIDE COR./STOOP 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. ��0�` WALK ! 01, _ 2.21 EL.=102.53 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 98,18 99.00 100.34 1 q 1 i DIRECTED BY THE APPROVING AUTHORITIES. 1 I D CK 102.66 102.05 19;. ' 102.03 � 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 98,12 ? ,`:. 9.57 I x 100.87 Z 102.18 ! PROPOSED THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 97.21 d' x loz.2o� SEPTIC TANK CONSTRUCTION. 3'• I 102.14 101'95 S 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS p 100.46 x l0>,79 ioa.'13' : : ':'• `' IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND o o I' x �\ - REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). O 101,45 �, ABM '... �. _. s a I 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE pA �,OR�" ' GARAGE INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. ��lYgy::`: tf .: 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND NOT CONSIDERED TO BE A PROPERTY LINE SURVEY. 101.49 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC N 164'76' 101.60 101.35 10 . 4 I SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. '823'so" x ,°0.83 4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN o PETER T. ✓ W oos9 f McENTEE y FENCE 16.5p. 24 MAPLE AVENUE, CENTERVILLE, MA CIVIL Prepared for: Marjorie Crabtree, Centerville, MA 02632 TBM-1 24 Maple Avenue, No. 35109 EXISTING CESSPOOLS P 1 P OUTSIDE CORNER ,Q£�/SjE�E� c�� TO BE PUMPED, FILLED WITH OWNER OF RECORD BOTTOM STEP Engineering by. SCALE DRAWN JOB. N0. F SAND AND ABANDONED ( CRABTREE, DOUGLAS R I E EL.=102.34 & MARJORIE M Engineering Works, Inc. 1"=30' P.T.M. 265-18 1 X PROPOSED SEWER CONNECTION 24 MAPLE AVENUE 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. Z\ C� ADD CLEANOUT, INV.=99.6f (VERIFY) CENTERVILLE, MA 02635 (508) 477-5313 12/6/18 P.T.M. 1 Of 2 NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:98.0 SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE INSTALL RISERS & COVERS OVER INLET PERIMETER OF THE S.A.S. AND SET TO 6" OF FINISH GRADE. PROPOSED D-BOX PROPOSED S.A.S. INSTALL WATERTIGHT RISER & PROVIDE ONE ACCESS MANHOLE TO WITHIN 3" COVER SET TO 6" GRADE OF FINISH GRADE FOR INSPECTION PURPOSES T.O.F.=102.5t .� V C)�F.G. EL.=102.2t F.G. EL.=102.Of F.G. EL.=102.Ot .102.Ot F.G. EL.=100.5t to ENT Z •p MAINTAIN 2% GRADE (MIN.) OVER S.A.S. DECK L = 41' L = 23' _ 1%5(DM 111 O�O ®'OIN.) S=1% (MIN.) @ S=1% (MIN.) 4"S=SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 6" DECK R ON 14" s� 2' EFF. aaaaaa®a PORCH INV.=98.75 48' LIQUID DEPTH aaaaaaa 0 LEVEL ADD 4' 4.8' 4' 46 S' GAS BAFFLE INV.=97.90 PROPOSED INV:=97.73 ao N o INV.=98.50 A-BOX EFFECTIVE WIDTH = 12.8' c� 1/31 INV.=97.50 PROPOSED SEPTIC TAN 4-500 GALLON LEACHING CHAMBERS I I� O . K I 1 1500 GALLON CAPACITY SURROUNDED WITH STONE AS SHOWN I_ PROPOSED S.A.S. CONNECT TO EXISTING 4" SEWER H-20 RATED OUTSIDE HOUSE: INV.=99.6(VERIFY) TOP CONC. ELEV.= 98.6t BREAKOUT ELEV.= 98.00 Af INV. ELEV.= 97.50 ease SEPTIC LAYOUT NOTES: WHENa eases 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & aBaa eases INVERTS EXITING HOUSE, PRIOR TO INSTALLATION BOTTOM ELEV.= 95.50 4 4 X 8.5'=34.0' 4' AND THAT ALL SEWAGE FROM HOUSE IS DIRECTED TO 4' MIN. OF NATURALLY OCCURRING EFFECTIVE LENGTH = 42.0' THE PROPOSED SEPTIC SYSTEM. PERVIOUS MATERIAL 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND 5' MIN. ABOVE GROUNDWATER LEACHING SYSTEM SECTION =E3 TRUE TO GRADE ON A MECHANICALLY COMPACTED NO G.W., EL.=90.5 - , 37�� SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). 3/4" TO 1-1/2" DOUBLE W ®3) INSTALL INLET & OUTLET TEES AS REQUIRED. WASHED STONE N Z ® 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. 3" LAYER OF 1/8" TO 1/2" SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE (OR APPROVED FILTER FABRIC) 102" SOIL LOG 4" KNOCKOUT DESIGN CRITERIA DATE: NOVEMBER 6, 2018 (REF P 15,824) 20" DIA. COVER SOIL EVALUATOR: PETER McENTEE PEf1SE#1542) NUMBER OF BEDROOMS: 5 BEDROOMS "� WITNESS: DONALD DESMARAIS IRS HEALTH AGENT 4" KNOCKOUT 4" KNOCKOUT 58" SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) ELEv. TP-1 DEPTH ELEV. `TP-2 DEPTH 0 DESIGN PERCOLATION RATE: <2 MIN/IN 102.0 A 0" 102.0 A 0" DAILY FLOW: 550 GPD LOAMY SAND LOAMY SAND 4" KNOCKOUT DESIGN FLOW: 550 GPD 101.0 B10YR 4 2 12" 101.0 B10YR 4 2 12" GARBAGE GRINDER: NO-not allowed with design LOAMY SAND LOAMY SAND 500 GALLON CAPACITY, H-20 LOADING C LEACHING AREA REQUIRED: (550 GPD) = 743.2 SF 99.0 10YR 5/6 36" 99.3 C10YR 5/6 32„ .74 GPD/SF PERC CHAMBERS PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY M-C SAND M-C SAND N.T.S. PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 2.5Y 6/4 2.5Y 6/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 4-500 GALLON LEACHING CHAMBERS IN SERIES 94 7 C2 $$" 94 0 C2 96" SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES MED. SAND MED. SAND 24 MAPLE AVENUE, CENTERVILLE, MA SIDEWALL AREA: 2(12.8' + 42.0') X 2 = 219.2 SF 2.5Y 7/3 2.5Y 7/3 Prepared for: Marjorie Crabtree, 24 Maple Avenue, Centerville, MA 02632 BOTTOM AREA: 12.8' x 42.0' = 537.6 SF Engineering by: SCALE DRAWN JOB. NO. TOTAL AREA:.............................................................. 756.8 S.F. 90.5 138' 90.5 138" Engineering Works, Inc. N.T.S. P.T.M. 265-18 PERC RATE <2 MIN/IN., "C" HORIZONS 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(756.8 SF) = 560.0 GPD NO GROUNDWATER OBSERVED (508) 477-5313 12/6/18 P.T.M. 2 Of 2 I