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HomeMy WebLinkAbout0062 MONOMOY CIRCLE - Health 62 MONOMOY CIRCLE Centerville III — III 0 o Z UPC 12"3 No.53�_�R -co HASTINGS,61N 0 0 Town of Barnstable Barnstable � °i Regulatory Services Department "�STABM Public Health Division I 1639 ♦� 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# 7012 1010 0000 2851 4075 July 9, 2014, Mr. &Mrs. Erik Broman 62 Monomoy Circle Centerville, MA 02632 The septic system located at 62 Monomoy Circle, Centerville, MA was last inspected on 6/14/2014 by James D. Sears, a certified septic inspector for the State of • Massachusetts. The Health Division has determined that the system "Failed" under the guidelines of the 1995 TITLE 5 (310 CMR 15.00) due to the following: • Pit and cover at 2' below grade. Pit is full, coming out of cover not leaching. Need to replace leaching. • Distribution Box is full, coming out of cover. • Must keep system pumped. You are ordered to repair or replace the septic system within sixty (60) days 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 TH BOARD OF HEALTH s McKean, R.S.,CHO Agent of the Board of Health Q:\SEPTIC\Letters Septic Inspection Failures or Future Eyl\62 Monomoy Circle Cent Jul 2014.doc Town of Barnstable Geographic Information System July 3,2014 190195 190258 190212 0559 #308 P1# 6 190181 #80 190197 #62 G 0A 0� 190198 190180 #cam #79 Ai- 190199 0 21 Fee #42 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:190 Parcel:197 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected P W+ arcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:BROMAN,ERIK&BETSY Total Assessed Value:$263100 are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.39 acres Abutters _ € boundaries and do not represent accurate relationships to physical features on the map Location:62 MONOMOY CIRCLE i F such as building locations. Buffer .Jun 17 14 03:05p p.2 Commonwealth of Massachusetts Title 5. Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments ' 62 Monomoy Circle Property Address Erik Baroman _ Owner Owner's Name information is Centerville MA 02632 6-14-14 required for every page. Cilyrrown State Zip Code Date of Inspection 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 A. General Information ��u+tuuurn��� filling out forms ���.��ZHOFMAr4i,,, on the computer, (n �j ��� `s9 "1 use only the tab 1. Inspector: o� • q�yG 7- keyto move our y ;�: ,LAMES :m cursor-ao not James D.Sears = =-i- use the return o &EA key. Name of Inspector _CapewideEnterpdses,LLC Company Name ... 5 153 Commercial Street �1N Company Address Mashhpee MA 02649 City(rown State Zip Code 508-477-8877 S1623 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. 1 am a DEP approved system inspector pursuant to Section 16.340 of Title 5(310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Evaluation by the Local Approving Authority ink 6-14-14 spector's Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design Flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes'conditions at the time of inspection and under the conditions of use at that time.This Inspection does not address how the system will perform-in the future under the same or different conditions of use. t5ins•W13 Title S official Vispedon Farm:Subsurface Sewage Disposal System•Page 1 of 17 Jun 171403:05p p•3 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owners Name information is required for every Centerville MA 02632 6-14-14 page. CityFFown State Zip Code Date of Inspection B. Certification (cunt.) Inspection Summary: Check A,B,C,D or E I always complete all of Section D A) System Passes: , ❑ 1 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. i Comments: Failed System,,Need to replace leaching. B) System Conditionally Passes: ❑ One or more system components as described in the"Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health,will.pass. Check the box for"yes',"no"or"not determined"(Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): 15ins•.3113 Ti9e 5 Olfldal Inspedion Form:Subsudarz Sewage Disposal System Page 2 of 77 Jun 1714 03:06p p.4 Commonwealth of Massachusetts Title 5 Official Inspection Form is Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is Centerville MA 02632 6-14-14 required for every page. Cityrrown State Zip Code late of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s)are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND(Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3113 1NIe 6 Official Inspection Form:Subsurfa:e Sewage Disposal System•Page 3 0117 Jun 171403:06p p•5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owners Name information is required for every Centerville MA 02632 6-14-14 page. Cityrrown State Zip Code Date of Inspection B. Certification (coat.) 2. System will fail unless the Board of Health(and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ 'The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate"Yes"or"No"to each of the following for all inspections: Yes No ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Liquiddepth in is less than 6" below invert or available volume is less El than 1/2 day flow l'iT 15irs•3113 - Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Jun 1714 03:06p p.6 Commonwealth of Massachusetts Title 5 official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page. Cityrrown Slate Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply_ ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis,performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ z The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails.I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303-, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must.indicateeither"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat, or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner should contact the appropriate regional office of the Department t.5ins-'3113 Title 5 Q16del Impoaon Fcrm:Subsurfooe Sewage Disposal systen-page 5 C1 17 Jun 1714 03:07p p.7 Commonwealth of Massachusetts` Title 5 Official Inspection Form $ Subsurface Sewage Disposal System Form- Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is Centerville MA 02632 6-14-14 required for every _—� _— page. CityfTown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate "yes"or'no" as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health [❑ Were any of the system components pumped out in the previous two weeks? Haslhe 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)1310 CM 15.302(5)) D. System Information Residential Flow Conditions: 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 c51ns•3113 .. Title 5 010081 mspecron Form;suosunace sewage Disposal system•Page a or 77 Jun 1714 03:07p p.g Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system is a 1000 Gal tank D Box and pit. Number of current residents: 3 Does residence have a garbage grinder? ❑ Yes ® No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ® No information in this report.) Laundry system inspected? ❑ Yes ® No Seasonal use? ❑ Yes ® No Water meter readings, if available last 2 ears usage d 2012-53,000Gais g y g (gp �)' 2013-50,000Gal's Detail: Sump pump? ❑ Yes ® No Last date of occupancy: Present Date Commerciallindustrial Flow Conditions: Type of Establishment: Design Flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/personslsq.ft,etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: IS iris 3113 Title 5 official Inspection Form:Subsurface Sewage Disposal System•Pago 7 d 17 Jun 1714 03:07p p,g Commonwealth of Massachusetts -, Title 5 Official Inspection Form �q Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page. Cityrrown Slate Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Fumpirig Records: Source of information: 08113 Was system pumped as part of the inspection? ❑ Yes ® No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ _ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no)(if yes, attach previous inspection records, if any) ❑ Innovative/Altemative 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): f5ins•3113 Title 5 Official Inspection Form:Subsurface Seviage Disposal System-Page S of 17 Jun 171403:08p p.10 Commonwealth of Massachusetts Title 5 Official ,Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is Centerville MA 02632 6-1.4-14 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cunt.) Approximate age of all components, date installed (if known) and source of information: 1976 Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): 1691 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.): Pipeing is 4" PVC SCH 40. Septic Tank(locate on site plan): 6.' 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: 1000 Gal. Precast - - - -2-1 Sludge Sludge depth: t5ins•3/13 TWO 5 orfidal Inspecllen Form.Subsvface Sewage Disposal System•Page 9 of 17 w Jun 17 14 03:08p p.11 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 2' Distance from top of scum totop of outlet tee or baffle OVERr Distance from bottom of scum to bottom of outlet tee or baffle NA How were dimensions determined? Asbuilt-Tape Sludge Judge Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tank and cover's at 6" below grade, in and outlet tee's. Tank is full up into out let line. _ Grease Trap(locate on site plan): Depth below grade; feet Material of construction: El concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle - - - Date of last pumping: Date t5ins•3113 Tile 5 Official kmpection Forth:Subsurface Sewage Disposal System-Page 10 or 17 Jun 1714 03:08p p.12 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form- Not for Voluntary Assessments t., 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information Centerville MA 02632 6-14-14 required for every _ page. CitylT'own State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection)(locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No i tSns-3113 Title 5 Official Inspedlon Form:SLbsurraw Sewage Disposal System•Page 11 or 17 Jun 1714 03:09p p.13 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments _ r 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page, Cityrrown Stale Zip Code Date of Inspection D. System Information (cont.) Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert over 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 is 16"x16"-16" below grade. Box is full,coming out of cover. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System(SAS) (locate on site plan, excavation not required): If SAS not located, explain why: 15ins•3113 Title 5 Official Inspection Form Subsurface Sewage Dispose'System-Page 12 of 17 Jun 17 14 03:09p p.14 Commonwealth of Massachusetts -- Title 5 Officia[ Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number. 1 ❑ leaching chambers number: ❑- leaching gallefies number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Leaching is a 1000 Gal. Precast Pit. Pit and cover at 2' below grade. Pit is full,comeing out of cover not leaching. Need to replace leaching. Cesspools (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 ❑ No isim-3H3 Tills s OAieial Irmpadier,Form:Subwdaoa Sewage Olcposal Svdam•Pm"93 of 17 l Jun 171403:09p p.15 Commonwealth of Massachusetts Title 5 Official Inspection Form 4Y Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page. City/Town Stale Zip Code Date of Inspection D. System Information (cons.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): 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.): t5im•3113 Title 5 OKidal Inspection Form:Subsufiaoa Sewage Disposal System-Page 14 of 17 Jun 1714 03:10p p.16 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below. ® hand-sketch in the area below ❑ drawing attached separately 13 i A '3 _ 0' 3 f�--3 /3-y= s� tSins•3113 _ Tine 5 Official bwWctlon Form:SubsWace Sewage oisposa•.System•Page 15 of 17 Jun 171403:10p p.17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments µ 62 Monomoy Circle Property Address Erik Baroman Owner Owner's Name information is required for every Centerville MA 02632 6-14-14 page. City/Town State Zip Code Date of Inspection D. System Information (cost.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar t . ❑ Shallow wells Estimated depth to high ground water. 41' 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: U.S.G.S. Well SDW 252. You must describe how you-established the high ground water elevation: U.S.G.S. Well SDW 252 at 46'w 5' ADJ. Before filing this Inspection Report, please see Report Completeness Checklist on next page. 15ins•3113 Me 5 0fricial Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 i Jun 17 14 03:10p p.1 g N Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments J 62 Monomoy Circle Property Address Erik Baroman Owner owner's Name information is Centerville required for every MA 02632 6-14-14 page. Cdylrown State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D(System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file 15,.,9-3/13 Title 5 Ofhael Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 TOWN OF BARNSTABLE LOCATION �02 /'7QVI0Q� OY Q i►^C.1e, SEWAGE# a Oi q- a 3 t_ VILLAGE Psi jle, ASSESSOR'S MAP&PARCEL q INSTALLER'S NAME&PHONE NO. lrk-,of -SeS L LC, 50 7iw-8377 SEPTIC TANK CAPACITY ,O00 6.1 LEACHING FACILITY:(type) a1,?r 6<< ( 0-1o)(size) ,& X � NO.OF BEDROOMS 3 OWNER,,&-/'`i k c,,ncA x V /`O ma✓) PERMIT DATE: -7—l — Zr 1 U COMPLIANCE DATE: a f Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility CrCXK1 t4 t1-C_ c e Feet Private Water Supply Well and Leaching Facility(If any wells exist on �a6 site or within 200 feet of leaching facility) ✓l/ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) / Feet FURNISHED BY 3 Peck P6 ►, w/house. o►•e.fha. A—I= 1o•3 q a a- i- 45, 5 A-a=17.5' a=47. A-3=3 O 4 No. �O 1 a Fee l U0 . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ..j / PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Zipplication for Diooml *pgtem (Con!5truction Permit Application for a Permit to Construct( ) Repair A Upgrade( ) Abandon O Complete System ❑Individual Components Location Address or Lot No. (p;I M O i JOMOV C lQ.CeC-' Owner's Name,Address,and Tel.No. CFx1TUlctE ('trt1t 6 3c:r5_l fbvRVMAif Assessor's Map/Parcel i q o /1 ) M(7�.J v &RdC � d 5o2 -417--S�S77 �D �oS-��� �-03 77 Installer's Name,Address,and Tel No. Designer's Name,Address and Tel.No. <w6)(D E Go Tt k-'Z9 L,Lc S c. =Jc- Type of Building: Dwelling No.of Bedrooms Lot Size �10 � sq. ft. Garbage Grinder ( ) Other Type of Building Q6 1OIEVEIA(r No.of Persons Showers( ) Cafeteria( ) Other Fixtures '/ Design Flow(min.required) 330 gpd Design flow provided 3 49,4 gpd Plan Date 1 —91—.?ol Number of sheets I Revision Date Title 6,. M L-2&JnAoy <167L)ISCO G( E— Size of Septic Tank i 000 Type of S.A.S. ' , C6} Description of Soil 111 ) ,t IO- <F (,' 1 -,562-5 21-41V Nature of Repairs or Alterations(Answer when applicable) U$9 EjCI S—C(V C;C (1)00 CAI✓ ls(EFTIC 74)(< ID Q6X> D 500 -later nAJ LamINCH t+ ' a;: 4&ap-c- �c� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by'�'l-lNl, G� Date Application Disapproved by: Date for the following reasons L4 �k, 3 `7 Date Issued 7 --------- ---------------------------- No. 8�_V ,`t J Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS Bigogal *pf�tem Con5trurtton Permit Permission is hereby granted to Construct ( ) Repair ( x ) Upgrade ( ) Abandon ( ) System located at < E6MTEAV l LL'45 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date J1 ( r Approved by / U No. (3 0 1 L) V 3 / t Fee l CJ 0 • THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:. * — PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes J ZIppYication for Digpogar bp5tem Conarnation Permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) IN Complete Sy is eyn'0Individual Components Location Address or Lot No. (pa Mo Nomov C 1P_CLJ;7 Owner's Name,Address,and Tel.No. Cst-MeRVIL(.E ERit eO,O)1AAtf •� Assessor's Map/Parcel ,Ct 0 !1 Q / o� M(�N C��(�y C ".lnstallerZs Name,Address C,and Tel No. `�1 o2 v(4 77 V 92-17 Designer's Name,Address and Tel.No. 508—a 73 `03 77 Type of Building: c I ,s 2 Dwelling' No.of Bedrooms Lot Size 1 t sq. ft. Garbage Grinder ( ) Other Type of Building Qa 1p6kMA( . No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) .330 gpd Design flow provided 3 µ9, gpd Plan Date "' —19 Number of sheets Revision Date I Title (��� T)f;JnMoy CC--yJ7Qt/I LC,� Size of Septic Tank t pQ0 Type of S.A.S.��Z� 500 C-44U- 0 C444{,C AEZS Description of Soil tm (Vw Cewts.5 <R ,��q S�Z PLOW Nature of Repairs or Alterations(Answer when applicable) (>5jZ,� EyfS((OC, ( D 60 6� SETTIG W4 -11D D 6oX -m 500 LOACA Y-IS CtA40%CW LRJ(TA4 Date..last inspected: Agreement: ` f� The undersigned agrees to ensure the construction and maintenance of th afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not,t'o,place•the system.in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by`yj'L a L� G f Date 3 ; Application Disapproved by: `r Date for the following reasons s , Permit No. D ( C4 3 `-7 —Date Issued -7 -- - - - - - - - - - - ----------.---------Z— — THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( x ) Upgraded ( ) ( Abandoned( )by (_4 A P EjA.)j 6 & 4� at M oAlot(p y () (�(,� C'oJ�/�C hasp 'e`n cons cted in acpgrdance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer L` A P C-k)1'D C GWTEkPkL5Es L LC Designer C,_YjE1 1 - ,.Tti c- #bedrooms Approved deli �flow .,( gpd The issuance of this pe s 11 /, ,,eco true as a guarantee that the system u C ion as designed. O G Date X Inspector ._ / �, r Town of Barnstable Regulatory Services 9 Thomas F. Geiler,Director Public Health Division tes' ►`�$ Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office; 508-862-4644 Fax; 508-790-6304 Date: 7"?2"1`� Sewage Permit#aO '� Assessor's Map/Parcel 190/ 117 Installer& Designer Certification Form Designer; SC Ef141i0ee C. Installer: Ca(;eW,&. evlktgcise-s Address: 1t 5`1 C canNoec��K 4-4i v4 Address: 15,5 comale.fc."G( StveM ea-sk ujArZen4;-m. t1a oz IF M,nstiJee- rrnR S:.f 273 0377 On 7`t 2- Cycw,de. was issued a permit to install a (date) (installer) septic system at (oZ N0f10M0 y Ct-rcl a based on a design drawn by (address) 1 C r n 5�oe_2_c c,n5 ; -roc._ . dated 7- 17- 1 Y (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. Stripout (if required) was inspected and the soils were found satisfactory. l 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. Stripout (if required) ns cted and the soils were found satisfactory. TM CJOHNS HURCHIIL n st ler's Sig ture) L ' 4160 esigner s Signature (Affix De gn Here) P ASE RETURN TO ARNSTABLE PUBLIC HEAL 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:loflice fortesWesignercertification roan.doe Town of Barnstable P# Department of Regulatory Services ' Public Health ]Division Date eu MASS.r 200 Main Street,Hyannis MA 02601 Date Scheduled 1- r GC ��I i Time ( '1 Fee Pd. Soil [Suitability Assessment fog- [Sewage Disposal Performed.By: [t�/1Ct�� i Ql�(�/t�ij�Q,�.!:EZ-1 G S C � t Witnessed By: .�(JV1 O COtllh Z( LOCATION& GENERAL INFORMATION Location Address 2 ,_M��o �M C7�1 G: ��'�j� Owner's Name [/L+(C I�Ja•�ua-�+�.4+^ Address Assessor's Map/Parcel: _V�1 tl� Engineer's Name r jC NEW CONSTRUCTION REPAIR Telephone# 5—b IF 7 1 ,. Land Use dale_ oma l� Slopes(%) 0— Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well — ft Drainage Way ft Property Line 7 10 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes) S a Ekoc(nec� e(cn c� -o a - --- - n 00 Parent material(geologic) OUV C, Depth to Bedrock Depth to Groundwater. Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater t 2 4 65 S DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Otreck 6o5aryai iavt Depth Observed standing in obs.hole: 71 L(v In, Depth to soil mottles: in. Depth to weeping from side of obs,hole: in, ©roundwater Adjustment ft. Index Well# Reading Date: Index Well level „ Adj.thetor Adj.Groundwater Level / A PERCOLATION TEST 7_11-iy Observation Hole# Time at 9" 5Y Depth of Pere Time at 6" Start Pre-soak Time @ I I l S4V1� Time;(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) N Original: Public Health Division Observation Hole Data To Be Completed on Back----------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1) week prior to beginning. Q:\S EPTIC\PERCFORM.DOC DEEP.OBSERVATION MOLE LOG Hole# } 2 Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,,Boulders. onsistency.%Graven 6-i 2 - -- rl 12- `( A ZS to ly�3rd 13 �S - 3b- 11-G S 2..5 Y /6 /d-2 0/ Sra-e) S -12r0 C 2- H,S DEEP OBSEI. VATION MOLE LOG Dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten `10 a 41) � - F DEEP OBSERVATION HOLE LOG Mole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Oraven DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. consistency, Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes ._ Within 500 year boundary No✓ Yes _ Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervlqumaterial exist in all areas observed throughout the area proposed for the soil absorption system, 77 If not,what is the depth of naturally occurring pervious material? Ceiiification I certify that on 10 72 7-91 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training,expertise and a erience s ibed in M CMR 15.017. Signature Date 7 1 7 1 Q:\SEPTiC\PERCFORM.DOC TOWN OF BARNSTABLE � LOCATION Qol\)0"N'ctrz- SEWAGE # � I-Ot-zk!, 3� VILLAGE� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONEry,NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) (0609 6(-- NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR QWNER �� (� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: f �� VARIANCE GRANTED: Yes No y i �` . C7 z i ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD PF HEALTH ---------OF.. ... .. .. ........ ... .... ------------------------------------------ �o Appliratiuu -fur Di-gVooat urkii Cnuufitrurtiuu Prruid Aj� Application is hereby made for a Permit to Construct (vj­or Repair ( ) an Individual Sewage Disposal System at: QA Q, ca on-Address or Lot No..-.. Address ........................"------•--•--------- Installer Address U Type of Building, Size Lot----------------------------Sq. feet �-, Dwelling t No. of Bedrooms------------_-"_-3---------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .--------------------------- No. of persons----........................ Showers ( ) — Cafeteria ( ) dOther .�tares ------------------------------•-----------------------------------------------------------...---------•---------------------------------------------- W Design Flow............ .......................gallons per person per day. Total daily flow................... ____-__._...__.._gallons. WSeptic Talik l Liquid capacitvlWO-gallons Length................ Width................ Diameter........._.----- Depth._.."-_-__....,. x Disposal Trench—No-____________________ Width------------------:. of th_ ----------------- SeepageTotal leaching area--------------------sq. ft. Pit No _ `��_____"."__.. Diameter_____If)"_._ Dept be o AE i ______ _________ To al leaching area-------.----------sq. tt. Z Other Distribution box ( ) Dosing tank ( ) a ' �c. 8 ��`r_ 74— aPercolation Test Results Performed by-------s,................................................................ Date-------....---------------------------- Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water..-.___"_.__------.-__-- r3:4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-..--."-___"--_..__.__-- Py-----------�-- - ----------------------- ---- r-- -Z I---- - --- Description of Soil /- U ---�...�•• ----•--•----•.......'-..........--_---------' •-- ---------- ------ U -ss_ �Sl.(s� 'r ¢- -- --`-------'r�------- �' �� , `` s x --- - --- --- 2 ---- - --------- -------- --- ----- ---- V Nature of Repairs or Alterations—Answer when applicable------------------------------_--------------------------------------------- -..._.._.._._-___.. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------. Agreement: ' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha n 'ssued by t oard of health. Si e --------- Date Application Approved By-------- -----'. - ,�.--- . . - '1--- ........................... ----- ......l¢..--"T------- Date Application Disapproved for the following reasons-------------------•---....------------------------.. ..-----------.._...-----------------......-•---------•----- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date Permit No......................................................... Issued. v�-P� -):.....-----------------.....---•---•--• Date y v 7 J� No. - FEE............................. --•- ---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH Applira#ion -fur 11uVuuttl Worko Tonfi#rur#iuu PPruli# Application is hereby made for a Permit to Construct (✓T or Repair ( ) an Individual Sewage Disposal System at: ...............------------------ ....................................3q........... ^'�ca•on-Address or Lot No.-------------------------•------•-•---••.. W Owrl3er Address Installer Address Type of Building 3 Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons_-_____---__-______--_---_- Showers ( ) — Cafeteria ( ) Otherfixtures .........._------------------------------------------- W Design Flow............. .......................gallons per person per day. Total daily flow---------------300------------...-.gallons. WSeptic Tank 1 Liquid capacitvl-0Q0..gallons Length_______________ Width................ Diameter---------------- Depth.--.-------.._- xDisposal Trench—No_ ________________•-_- Width-------------------- Too �I�ei«�---------------- Total leaching area--------------------sq. it. Seepage Pit No_____________________ Diameter.....L040---- Depth below inlet ...... __.._-•-- Total leaching area..----------------sq. it. Z Other Distribution box ( ) Dosing tank ( ) U 4` �` a- -/s- 71— aPercolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------------. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water...---------.--.-..-.--- �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--.-.----.-..---.------. D Description of Soil---------------U --,---�° - . ! C .......... ------� c� ---- -------------------------- - --- ------ -- -------- W ---------------------------'-- ------ -- f .� ----------- U Nature of Repairs or Alterations—Answer when applicable..---------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha n 'ssued by t oard of health. Si ed.0k .- l_u�.:J •--•-------- •-------.. J Date �f ��; r T J Application Approved By--------- ------•----•---. ---- ------------------------- ----- - �- Date Application Disapproved for the following reasons:................................................................................................................ ..-•------------•--------••-•---------•--••--•----------------------•----••-•------•---•-----••••---••--••-----------•----------•--••----••---•---•••--•-•----------•-------•-•---•-•--.....------•----- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS �-� BOARD OF HEALTH .....................OF........... Carr#if ire#r of f�umlittnrr T IS TV TIFY ' hat the Individual Sewage Disposal System constructed (� or Repaired ( ) p V y�, ,� ------------•--------------------- ------ -------------------------------------------------------------------------------------------- 1 Installer at °� �',.._. 1..J2+-F`�r ._<, // ----- '^ ----------------- --------------------------------•---------------......._....--------------------------------- has been installed in accordance w1.ith the provisions of Article XI of The State Sanitary ode as described in the application for Disposal Works Construction Permit No._. 7 :r__."-: f....... dated.... ..-:_�_- ----1_j_ '__.____. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH GC .......... OF........ . ..,..... ............ /� u� No.----------•---------•-- FEE...,[.. ............. Binvuli'o ur ii Ton ixr#ivat �rruti# �• Permission Is hereby granted._..,(:----°----- --------P`-=- b ----`'ay-'----------•--............Y_�_ -------......------•------....----•--•- to Constru (� or Repair ( ) an Individual Se-wage,Disposal System at 41U Street as Shown on the application for Disposal Work Construction Peri-TrA No. -- __ Dated------------------------------------------ � • DATE-------------------------------------------------------------------------------- Board of Health FORM T255 HOBBS & WARREN. INC.. PUBLISHERS � _ t 74 j • s , • v ' i � a, �� SC_ 11•L. t..�l� '. y� 4t�( 1�rMAVtifJ,t%,AAI�k, vVooA M y A M # .FI�.i.. �•i �; UL 4 i F . f'e �' IZ..a�Ar r,!w.},. }M..t �{S"�". �o •' n -�'� -�- �p�U'� „�,,, ,,i+ f�:}1-' � - , = • J rV A tj •" FS,t yN �t4 ee., 4•' T ,.`"•. "'�. { • +; ke S SIN Lta 1/l4 }` - - 5',ttlN IOCR:� ., - ar�M,.J !'�. c• t. - _ dG/\L. _ `��.. ICC ' Qv/0►tr. .+��,�'C ? - v� ':..r.S�1�� cj. y- v A�/`.{t l �.,, s !, r TA1.�9L mac ' >': `ti: ` w aF w o.�: ,j�� ���/ a •p`'.�p'c 1 '" �,.. r -• '^^r di i /�` �'3•.• h�'r Fa `7yY �• �^. •a• - ,._ •,l.t.' r- ;.A�•�° {�„a-•w. .r. .�.s K.� :I ''fie 9 k'L�'�..` 'i F`'�Lj1 • t. •.}. Rom. {.• • r v �` 'y : r� r�. �• _k 1•. ,t ,x,, e . `.r.f '�s� �.,. ; '���sr. Y :: fi-. 4.. .� 1- f . � r �;,, �d At , y r,.t r !{�4 t .�It, � * ..+ � i. �<. l .F� _'' •Jt �.. .r• al•.Lrti - lSy to •`� s; _.:�l,ah, ,.Y ° - pad ! ."P,/M!1'A{!May a .L. a. ° 1 �„ r •t » .+ Z� �y ' a,.'� �T € c?4: , F t r R i- i' `'� .� -��•OC.�N bY�it"TrI QI�` '�� y: - � '.�� �•o/ y �e��_1�.� 'm��•, o.�a "r$ y�.. - d.: ,�• ,t `'$.�,n :-; x ..,. '� r,�ti�•, � - r`S 2t�•,l..�,�2.»W/\"!I<r-s!#_G�'S"�"'?+11�•.. � � ,':aL•:.•. �« '"'."-:t;. sr. ,. W -,,. -.t �- -., .J.r axw,..,e.� § }`'r.• f '6, y!y.° •• o,� p ...♦ 1R' J1 ti }i- ,A �,R'. '�rf✓.'A- ( t:,.•� _ . ^�G '•r.�raY „ ., e � .-I't .t,-, ..'y a� .+�, ,,t' .. .r,_. �� . � � ,,�.I,, `T" -ay ' r' .•k -.t. _,,,r r f }„� 3 � µ. � .t`- �'�' ' ,�{ `r' « , ..��L_. _�'. �,!rr +Tr s•...r �„��.+e,e•-+� p� `��M"at '�`y �G.Al...�rw•.I��F,�'�.t � T . • � 4 v-.' _ "{`. . t s �., 't } 1 -.fit v �„, L �.�. 1P _ t..._ ,! � -•• ',.. , - '7 '�t�r. '.} n'�'r. ,j � ,'t'.,+'�• wt. � '` !'- yT Pa i.. 3. r e .. 1 fi',' ` r titi a (T • r. : . + {ti '6�, j� f" 4�r �..y MI 'r - j- �'.r�sfi.�-.' l q.t s�j� - . -.0 �..f•c •. �� '%,: � ,u � r3�e�r A.".� €yam" ''�y,�sy4,q`►/`�s',,• }� • �7 �, a - r , --:, _ r M+ i ,w ,}...•r �'? 1 •'41<i�l V�r'A'R!t A.•W�•/Y�'.¢ST,-{`tAS:j.P ioo C�r^ �+A .+�F+ ! �' .fir t r - r " r` x s r '.. ', •.x~ w - t /ac K.,t-fib C- _ 1"r�L7G.�4" t e � `.. h s 1• '` - IF ' n # F. F> e .,t• .t r ,� A` SOr �Y CATCH 8Aslht, 17 , +� , a10 y ` aloft Alt t �. ` "► ri 32 x n n S Tt t TaNic PA 1 00 GAL PIT s i rYYI•I/ J , . •�' - - !k a-is ,S fi' 1,f " �• 41 EDWIN A. U0.12134 MAIL �4 _� ,• - �L.EVA'f'10�•1•.�"'R�L��t11...'Cs .. • � "`. r , r l _:l�N\/. rA"i' Rdt�t�iOATI wl 4ti� 9C.,�I i 2..y1,.i./., l NT0' '3E PyT !G '['A�.1 IC' ' 9 G•'C N - s °�` (:N V. ,O`1"r 'G7- �EF?rl'i C�.'"J`;'Ak►1G. � _ ! t , s-'. , �•, �ly��!�{p� �t/�'�' Fa LE Cr /�^ !"I t.77va t"j l.i'F` F �"�`�.+��'1., 4{`, ; t• - - '': }. Ipl+iv, I NTa GI STFi.I St�T/01+i` 1150?� = 9S,S0 D{ST 2:t li3�JT'It.�w�Ir F.IiG�?� — J'Sl.g •. •4.. 1C t1. lGW tY' /v { t° 6. 1 riV: SccLc6� Fair _ AF COD SUGz�/ ( G',i�i.tgUi_TArt.t�`'S - - G M c.f- .4 Dim/l S lCi.J $O 1"ON T,ZV t�Y�.tc>hlSt JL'T'At�CI' t NG . if , T.O.F. EL.= 55.5'± FINISH GRADE OVER D-BOX= 54.4'±' FINISH GRADE OVER CHAMBERS= 54.4' - 54.6 GENERAL NOTES STONE PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. OVER SYSTEM 3/4"TO NE DOUBLE WASHED TO CROWN OF PIPE WITH COVER OVER INLET& RISER TO WITHIN 6"OF FINISHED GRADE 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISH GRADE OUTLET TO WITHIN 6"OF F.G. °4"SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS 2"OF 1/8"TO 1/2" DOUBLE WASHED METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL ±' /° @ FND. EL.= 54.9 F.G. OVER TANK EL. = 54.4'± 5"DIA. OUTLET(S) MIN SLOPE 1 BOX TO F.G. (SEE NOTE#21) STONE OR GEOTEXTILE FILTER FABRIC CODE AND ANY APPLICABLE LOCAL RULES. -- 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 1 DESIGN ENGINEER. TOP OF SAS = 51 ,90' PLACE RISERS ON ALL PROPOSED 4" 9"MIN. CHAMBERS WITH EXISTING =� " 9 MtN. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL SEWER PIPE � SCH. 40 PVC 36 MAX. 51 .07' 36"MAX. BREAKOUT EL= 51 .57� INLET PIPES TO 6"OF SYSTEM UNLESS OTHERWISE NOTED. SEWER PIPE FINISHED GRADE 1 666-" 3" DROP MAX " L=30'± 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 2" DROP MIN 3 9 E4" PVC IN FROM ONVI E WA ERTIGHT o ELEVATION = 51.57' FOR A DISTANCE OF 15'AROUND THE PERIMETER OF THE SAS. UNLESS A MIN.SLOPE @ 1% oSLAB 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 51 .9'± 14" �-*52.6'± PTIC TANK 4" PVC OUT TO 0 O 0 0 o o O D O o:7:� o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. CONTRACTOR TO PROVIDE i O LEACHING FACILITY o0 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. SPECIFIED DROP BETWEEN " oo o o INLET AND OUTLET CONTRACTOR " CONTRACTOR SHALL ' 12 6 2' o o o o� 6: THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL SHALL VERIFY SIZE 48 VERIFY CONDITION OF OUTLET TEE 51 .42 MIN. 51 .25 LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK AND CONDITION OF EXISTING TEES GAS BAFFLE 6"CRUSHED STONE o 0 0 0 o FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS EXISTING SEPTIC AND REPLACE AS OVER MECHANICALLY o0 0 0 o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH TANK NECESSARY COMPACTED BASE AND DESIGN ENGINEER. 5 4.0' 8.5'(TYP) I 4.0 4.0' 4. 4.0' OUTLET DISTRIBUTION BOX 83 8. ELEVATIONS BASED ON APPROXIMATE U.S.G.S. DATUM. BENCHMARK ELEVATION OF TO BE INSTALLED ON A LEVEL STABLE 25.0' (TYP.) 55.34' ESTABLISHED ON CORNER OF CONCRETE PAD AS SHOWN ON PLAN. BASE. FIRST TWO FEET OF OUTLET Id9.OT GROUND WATER ELEV.= < 44.00' 12 83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT CROSS SECTION VIEW EXISTING 1 ,000 GALLON CONCRETE SEPTIC TANK 2 - 500 GALLON CHAMBERS 5'MIN. CHAMBER END VIEW 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TYPICAL CHAMBER PROFILE TO THE DESIGN ENGINEER. 'CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR SEPTIC TANK PROFILE DISTRIBUTION BOX DETAIL CHAMBER DETAILS TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING • pp • ' M • " TEST PIT DATA REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM "`" • • • # ' PERC NO. 14438 APPROPRIATE AUTHORITY. ' * • •• " • • • � '� ' INSPECTOR: Tim O'Connell (BOH) 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS i ; + •• i • i • LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE , . , EVALUATOR: Michael Pimentel, EIT, CSE • " "' . r • THEY SHALL WITHSTAND H-20 LOADING. r i ` • • • ' ' ; • C.S.E. APPROVAL DATE: Oct. 1999 • • . '"" July 11, 2014 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. DATE: • • 14. WHERE REQUIRED CONTRACTOR SHALL REMOVE ALL LOAM SUBSOIL AND UNSUITABLE 4 : ,. ,. TEST PIT#: 1 ' w . MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ` ; �. **'• * . ELEV TOP= 54.50' REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, r •� : y f • !** • ' r ELEV WATER- <44.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). . . . • • • 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN CV i • • PERC RATE _ <2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. LOCUS L1J # ,` • • DEPTH OF PERC= 36"-54" 16. PROPOSED PROJECT IS LOCATED WITHIN: 00 z O • • �•• • ' " { TEXTURAL CLASS: 1 ASSESSOR'S MAP 190 PARCEL 197 MAP 190 n N • %'' ' < OWNER OF RECORD: ERIK W. & BETSY BROMAN PARCEL 196 N • • r • • -- • r m r. •, • •� 'Cra yo ` o" 54.50' ADDRESS: 62 MONOMOY CIRCLE 0k `G� 03 , a rY » •' . ••• •• . Fill CENTERVILLE, MA 02632 O� QJ�, �S8)�8�'V // •• �� •r •'• •• •* • • •r D A 12" Loamy Sand 53.50' •• • 10Yr 3/1 FEMA FLOOD ZONE X • *' • . • 53.33' 14" PROPOSED INSPECTION PORT a # • • COMMUNITY PANEL# FM25001 C0561 J 4� ,. • • ♦ • �' • • • Loamy Sand 17. DEED REFERENCE: BOOK 17824, PAGE 159 MAP 190 PROPOSED 2 - 500 GALLON "` �`� !• + • ' B 10Yr 5/8 PARCEL 197 . . ��`• •,+ ••' ; 54x1'. LEACHING CHAMBERS � �, 18. PLAN REFERENCE: P.B. 272, PG. 58 17,077±S.F. / O WITH AGGREGATE I/ - - �` •! ; * •.: j 36" 51.50' /�� • ( - ••• ' Perc 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. 54xT ish • • '* * t3M 54,, 20. PROPERTY LINE INFORMATION IS ONLY APPROXIMATE. THIS PLAN IS TO BE USED ONLY w / • at r • FOR SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY /`� #62 •, Deft C-1 Medium 2.5Y 6/6e Sand FOR USES OF THIS PLAN OTHER THAN ITS INTENDED PURPOSE. EXISTING ; ; • `- ; ( (10-20%gravel) 21. A 4" PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A U.I'.#1312 GqS ��\ / `� 3-BEDROOM TP 1 MAP 190 - "' - • •' i! 84 47.50 DEPTH OF THE BOTTOM OF THE OAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A DWELLING TP 2 O 54x5' ! REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. PARCEL 181 1 iI p,W TOF = 55.5'± 54x5' 10 ��/ w /QO� BFE = 51.9'± 54x6' 12" / LOCUS PLAN Medium Sand _ C-2 2.5Y 6/6 a/H,W I W �� /H/ S SCALE: 1"= 1000' D/N/ DECK 126" 44.00' i_ PROPOSED DISTRIBUTION BOX � 03�28 CONC. �� 10• I No Mottling, Standing or Weeping Observed rBG�S, SSA PAD 55 4 / 53x6' TEST PIT DATA o DESIGN DATA LEGEND LP 12 ryN oo PERC NO. 14438 C 54xT f oo INSPECTOR: Tim O'Connell (BOH) 500' EXISTING SPOT GRADE q,4A �cv NUMBER OF BEDROOMS (DESIGN) 3 MAP 190 ART I EVALUATOR: Michael Pimentel, ELT, CSE PARCEL 198 C.S.E.APPROVAL DATE: Oct. 1999 DESIGN FLOW 110 GAUDAY/BEDROOM - 50 -- - EXISTING CONTOUR ��� TOTAL DESIGN FLOW 330 GAUDAY DATE: July 11, 2014 , 50 PROPOSED CONTOUR Benchmark F �-EXISTING LEACHING PIT TO BE DESIGN FLOW x 200 % = 660 GAUDAY TEST PIT#: 1 Concr. Comer F% - 1,__ - 50 PROPOSED SPOT GRADE - PUMPED, FILLED WITH CLEAN USE EXISTING 1,000 GALLON SEPTIC TANK ELEV TOP- 54.50' Elev. =55.34' SAS - EXISTING GAS LINE Approx. USGS /c� COARSE SAND &ABANDONED ELEV WATER= <44.00' O/H/W EXISTING OVERHEAD UTILITIES SWING-TIES SCALE: 1"=20' PERC RATE = HC-1 HC-2 EXISTING 1,000 GALLON SEPTIC TANK _ INSTALL 2 - 500 GALLON CHAMBERS DEPTH OF PERC = W W- EXISTING WATER LINE DESCRIPTION TO BE UTILIZED IN THIS DESIGN CORNER OF STONE(1) 31.0' 34.8' SIDEWALL CAPACITY TEXTURAL CLASS: 1 TEST PIT LOCATION CORNER OF STONE(2) 23.0' 27.9' (LENGTH + WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY CORNER OF STONE 3 46.6' 10.5 (25.0'+ 12.83')(2 ) (2' ) (0.74 GPD/S.F.) = 112.0 GAUDAY EXISTING 1,000 GALLON SEPTIC TANK O MAP 190 o° 54.50' CORNER OF STONE (4) 51.1' 23.4' PARCEL 180 BOTTOM CAPACITY Fill ' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE 12" Loamy Sand 53.50 (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY A 10Yr 3/1 13 PROPOSED DISTRIBUTION BOX (25.0'x 12.83') (0.74 GPD/S.F.) = 237.4 GAUDAY 14" 53.33' �O PROPOSED 500 GALLON LEACHING CHAMBER B Loamy Sand TOTALS: 10Yr 5/8 TOTAL NUMBER OF CHAMBERS 2 36" 51.50' REV. DATE BY APP'D. DESCRIPTION J! fHC-2 - _ _ O o TOTAL LEACHING AREA 472.2 SQ.FT. PROPOSED SEPTIC SYSTEM UPGRADE #62 ' 3) ^ C-1 Medium-Coarse Sand ti TOTAL LEACHING CAPACITY 349.4 GAL./DAY 2.5Y 6/6 PREPARED FOR: / z EXISTING ��4) 3-BEDROOM CAPEWIDE ENTERPRISES (10-2 %gravel) DWELLING O � TOF = 555± 84" 47.50' /QO LOCATED AT BFE =51.9'± (2 Nh O Medium Sand 62 MONOMOY CIRCLE DECK 2.8. MISCELLANEOUS NOTES: C-2 2.5Y 6/6 CENTERVILLE, MA 02632 �y CONC. SCALE: 1 INCH = 20 FT. DATE: JULY 17 2014 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC 126" 44.00' IJ'A,� 0 10 20 ao � so FEET PAD HC-1 SYSTEM COMPONENT. No Mottling, Standing or Weeping Observed °F I,.�as, 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED RESERVED FOR BOARD OF HEALTH USE PREPARED BY: GN���' C LEACHING FACILITY TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. GN w`� JC ENGINEERING, INC. 11%0, REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH / NG.a��� 2854 CRANBERRY HIGHWAY RT TEST PIT DATA. � �: EAST WAREHAM, MA 02538 SITE PLAN 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE ESTUARINE WATERSHEDS. '" ' ,� 508.273.0377 SCALE: 1"=20' 1 Drawn By. MCP Designed By:MCP Checked By: JLC JOB No.2830