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0265 NYE ROAD - Health
265 NYE ROAD Centerville A= 147 -026 EEAD� KEEPING YOU ORGANIZED No. 12534 1 2-153LOR SUS(t FORTESfiRY � MIN.RECYCLED INITIATIVE CONTENT10%® CertifiedF 1.'w-- sfiprog...org POST-CONSUMERmvw. W012W MWE IN USA GET ORGANIZED AT SNIEAD,COM i � a �5 � TOWN OF BARNSTABLE c LOCATION FC�_ IflY e X.0 SEWAGE#2 0/C r-Z-7 VILLAGE "Ik_ ASSESSOR'S MAP&PARCEL"ay r 4/5�/547-C3.2 C INSTALLER'S NAME&PHONE NO. ��t/Sa�evt c ��w P/ SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /�/C �� 5 4*N-C (size) 2F 0_ /2 NO.OF BEDROOMS 3 OWNER 6ffet PERMIT DATE: ��� 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 �19 5 AErG. rn l r0� KE a a3 °* ']Gown of Barnstable Regulatory Services Department Public Health Division 200 Main Street,Hyannis MA'02601 Ofiicc: 508-862-4644 Richard Scab,Dircctar FAX 508-790-6304 Thomas A McKean,CEO Feb 6,2007 Rev. 5111116 DEADLINES TO'REPAIR EAMED.SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) _ An`)'marked in the❑ is the failure criteria and associated repair deadline 60 DAY DEA DLM CRITERIA _ ❑Discharge or ponding of effluent to the surface of the ground ❑Pumping more than 4 times during the last year not due to clogged or obstructed pipe. :. Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ONE(1)YEAR DEADLINE CRITERIA ❑Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ' ❑Any portion of the SAS, cesspool, or privy below high groundwater elevation ❑Any portion of the cesspool within a Zone 1 to a public well ❑Any portion of a cesspool within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2)YEAR DEADLINE CRITERIA q Single Cesspool ❑Any"conditio'nally passed systems" (broken cover,relocation of a pipe,relocation of a driveway due to H-10 components, etc) o Leaching pit or cesspool with high liquid level,<12"below inlet(per Town Code §360-9.1) ❑Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: _ Q:IsEPTIMDEADLINES TO REPAIR FAILED SYSTEMS.doo Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. City/Town 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 filling out forms A. General Information on the computer, use only the tab 1. Inspector: key to move your cursor-do not Michael DiBuono use the return Name of Inspector key. DiBuono Sewer and Drain rep Company Name 35 Content Ln Company Address Cotuit MA 02635 City/Town State Zip Code 508-364-9587 S113522 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000).The system: ❑ Passes ❑ Conditionally Passes ® Fails ❑ Needs Further Eya4u-6tion byLocal-Approving Authority 5/3/18 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 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. )--Ona 6 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 Commonwealth of Massachusetts W - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M •''y 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): C) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form - Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GSM 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: *"This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: D) System Failure Criteria Applicable to All Systems: You must indicate "Yes" or"No"to each of the following for all inspections: Yes No ® ❑ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/z day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 f �1 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ® ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area—IWPA) or a mapped Zone II of a public water supply well If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 1 Commonwealth of Massachusetts W Title 5 Official Inspection Form - r o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityrrown State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes" or"no"as to each of the following: Yes No ❑ ® Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous tIwo 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 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 17 f Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityrrown State Zip Code Date of Inspection D. System Information Description: The system contains a 1000 Gallon septic tank, a distributionbox and two 500 gallon leaching pits. Pits are full to the top and are failed Number of current residents: 2 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 218 Gpd 9 ( Y 9 (gpd))� Detail: Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 265 Nye rd Property Address FRENCH, ROBERT S& DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: Date Other(describe below): General Information Pumping Records: Source of information: P1ot provided Was system pumped as part of the inspection? ❑ Yes ❑ No If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: Type of System: ® Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 8 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 265 Nye rd Property Address FRENCH, ROBERT S& DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known) and source of information: 7/21/95 Were sewage odors detected when arriving at the site? ❑ Yes ❑ No 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.): Septic Tank (locate on site plan): Depth below grade: 2feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) 1000 If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 265 Nye rd Property Address FRENCH, ROBERT S& DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 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 24" Scum thickness 3" Distance from top of scum to top of outlet tee or baffle 42° Distance from bottom of scum to bottom of outlet tee or baffle " Sludge stick How were dimensions determined? Tape Measure Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 17 Commonwealth of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons ' Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth t of Massachusetts W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Under water Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No" Alarms in working order: ❑ Yes ❑ No" Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments ;M 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 2 ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): Pits are full 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 t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments M 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments ,M 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. Cityfrown 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 t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17 Commonwealth of Massachusetts - Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments °M 265 Nye rd Property Address FRENCH, ROBERT S & DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Site Exam: ❑ Check Slope ❑ Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: 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: Tobe determind at time of perc test Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 i 5/3/2018 Assessing As-Built Cards TOWN OF BARNSTABLE LOCATION _SEWAGE k .Z VILLAGE_eeil L/"IJ i 11X ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. �.�? rn I;CDM,b 0/' Sn n ,Lh C SEPTIC TANK CAPACITY I Qn LEACHING FACRM:(type) o Pt�`_S (size) 00 NO.OF BEDROOMS_ BUILDER OR OWNER � � PERMTTDATE: -,7 —j 7—f COMPLIANCE DATE: 7 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �..._ .... _. __........... ......_. —--- --.......... i OLD Nt� http://www.townofbamstable.us/Assessing/HMdisplay.asp?mappar=147026&seq=1 1/2 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments wM 265 Nye rd Property Address FRENCH, ROBERT S& DEBRA J Owner Owner's Name information is required for every Centerville Ma 02632 4/10/18 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ❑ Inspection Summary: A, B, C, D, or E checked ❑ Inspection Summary D (System Failure Criteria Applicable to All Systems) completed ❑ System Information— Estimated depth to high groundwater ❑ Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 _ prodd Y No. 3 Fee C D L ;e- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TO*N.OF BARNSTABLE, MASSACHUSETTS Yes application for his oral 6pstem Construction j3rfmit Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) 9rcomplete System ❑Individual Components Location Address or Lot No. 2C S h r�e 40 L e,t � Owner's Name,Address,and Tel.No. Assessor's Map/Parcel / D G�tR-�P./ut���.- J e ! ��, tr'r /c' C`4 Installer's Name,Address,and Tel.No._Z,�3 !� rj�" Designer's Name,Address,and Tel.No. F,, ,es�W<l e t . n j .,,r l�.•� FAr n Pc..< it / •fhL Type of Building: Dwelling No.of Bedrooms 3 Lot Size r sq.ft. Garbage Grinder(� Other Type of Buildings No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) v gpd Design flow provided 330 gpd Plan Date -2 'I Number of sheets Z Revision Date Title Size of Septic Tank j �d�� Type of S.A.S. t � 9 Description of Soil Nature of Repairs or Alterations(Answer when applicable) G✓ Date last ins•`pected: Z / Agreement{ 0 Tl undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal Signed Date Application Approved by 1,\ R/,�Z4d Date Application Disapproved by Date for the following reasons Permit No. Q �— Date Issued ----------___�___-------_- --------------- - t No.A0I S j ../ p, Fee _ THE COMMONWEALTH.,OF MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION - TOW4"OF"BARNSTABLE, MASSACHUSETTS es f application foris veer �pstetn constructionerrnit Application for a Permit to Construct( ) Repair(V) Upgrade( ) Abandon( ) M/Complete System ❑Individual Components Location Address or Lot No. 2G S�/Y t Cs�- �� Owner's Name,Address,and Tel.No. p /y7 - OZC 60 H.�. j r r r112,!-v�- Aic.7C4 Assessor's Ma /Parcel � Installer's Name,Address,and Tel.No.Zt 3 Designer's Name,Address,and Tel.No. F lcS4-e114/t' n� <cLa v 0_j ofGb ,� ►1�c.J//1� Type of Building: ✓ Dwelling No.of Bedrooms 3 Lot Size 1"?, I_2S sq.ft. Garbage Grinder(A t` Other Type of Building No.of Persons r= Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 ° gpd Design flow provided 330 gpd Plan Date 7 L Number of sheets — Revision Date Title ,p Size of Septic Tank /.sl_�, I d�� Type of S.A.S. i,t4,�2e I li < X �1 Description of Soil 1 Nature of Repairs or Alterations(Answer when applicable) ✓' //��1 �, Date last inspected: ZQ/F Agreement4 t ...• T1,4e undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Heal Signed Date 4 Application Approved by 1ON L f/q A% ,.Op Date ��-'•Q -7 i Application Disapproved by . a .. Date �- for the following reasons Permit No. 'A Q t _ �- Date Issued f / - - -- ----------- . _- -,_ - - __ ___. -- - - - -- -- -- - -- - --------- -------------------- THE COMMONWEALTH OF MASSACHUSETTS 1301 1�' BARNSTABLE,MASSACHUSETTS ' Qtertificate of Compliance THIS'u TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( y j 1 3",ft b Diez 1 at 2�5— '//�� -/e 4 - - has been constructed in accordance with the provisions of, itle 5 the or Disposal System Construction Permit No. dated Installer A/Cll A <_-f' /lJ y et.s Designer A4& #bedrooms Approved design-�ow / gpd The issuance of this permit s�41 npt b�nstrued as a guarantee that the system will nction=as-designed. / // Date /J Inspector t [� --------Fee-----/�--�..... No. t K THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Vsposal *Pete Construction Vermit Permission is hereby granted to Construct( ) Repair(7 Upgrade( ) Abandon( ) System located at 2G Are- A0 Lpand as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with itle 5 and the following local provisions or special conditions. rovided:Cos cation mus be/coo(pieted within three years of the date of this permit ` Date � ( U Approved by l I Town of Barnstable F tllE 1p� L y tio� Regulatory Services Richard V. Scali,Interim Director BAMSPABLE, F x MAS Public Health Division 039. �0 A Thomas McKean, Director 200 Main Street,Hyannis,MA02601 Office: 508-862-4644 1 Fax: 508-790-6304 Installer & Designer Certification Form. Date: 4 Sewage Permit# Assessor's Map\Parcel 4'7 -0Zb Designer: War-ks, inc- Installer: f 13•.I0VX0 S-Q-.-Az 2. �� r•• Address: I W, Ceb Address: 's- CUA. �-Evk4-- Lv-, o e s t,alut� 1�/IlA 6 26�i y �'ar t- 7, A-- M 4 w I- n � � 71��✓l€ � On K �-2. 7�-1 d '/, u a rvo SL_A� was issued a permit to install a (date) (installer) f septic system at ZloS A)y e d�� �e�+en/��Il,e based on a design drawn by (address) i e4-e r i, M c.E.,+4_e 1i L 1 Ev►g i ne—r-nc Wbv-Lu /4 C , dated )?-,k.f, 4 (designer) oL I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral. relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral.relocation of.the SAS or any vertical relocation of any'component of the septic system) but in accordance with State & Loeal Regulations: Plan revision or certified as-built by designer to follow. Strip out (if required)was inspected and the soils were found satisfactory. 1 I certify that the system referenced above was construete nce with the terms of the IAA approval le s(if applicable) ' tHOF PETER T. a WENTEE CIVIL (Installer's Signature) NO.35109 gFG18TERti a (Designer's Signature) (Affix Designer ` amp Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 8-14-13.doc �. �. ��i��� �� � �� ��� �� �� r-,��� -�� � ��'� �...`j. �� � IW7'l Rl,. I :v �� r 1 �, r �! r �//^rry 0] 1 . � , �� -.�_ ^ � 1 r7 _ I �/' -____ -� � _ � � o e �, I 3� � I � 3� ' � � � Town ofBarnstable P# Departimentof Regylatory Services • : PubIie Health Division Hate Z Zo l �A aa39• ,6�. 20o Main Street'Hyannis MA 01601 lEa ) } Date Scledu Time Fee Pd, led i / 7 CJZ� Soil.. Suitability Assessment for ,Se ge Disposal Performed'By:���-C S cs,JS^- 7 �g C Witnessed By; LOCATION& GENERAL INFORMATION Location Address 2 42 T ii *�j JZ.,� Owner's Name RO� ✓l c/tv/t''U, Address Assessor's Map/Parcel: l `'f 7 ^Z (� Engineer's Name (`n �?y :r?� -A NEW CONSTRtn7CtIOTV :REPAIR- Telephone:# So '77'5 3,3 Land Use Slopes(%) 2_ �/ Surface Stones dv?"p— Distances from: Open Water Body 's ft 'Possible Wet Area �3 ft Drinking Water Well-- t_�V ft Drainage Way IJIA, ft Property Line �S Zft Other „ ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&'pert tests,locate wetlands(n proximity to holes) Ilk ................... 04 Parent material(geologic) (I 0J--L0QA Depth to.Bedrock rV a t Depth to Groundwater. Standing Water in Hole: Weeping from Pit Race Estimated Seasonal High Groundwater TIRtl T-e'+ Trr Z DETERNIINA.TION FOR SEASONAL HIGH WATER TABLE Method Used:.. Depth Observed standing in ohs.hole: _ _-- in, Depth td soil mottles: 2 v—in. Depth to weeping from side of obs.hole: in, groundwater Adjustment ft. Index Well# Reading Date: Index'Well level Adl,"ractor _ Adj.Owundwater h.evel i PERCOLATIO.',N T E ST Date-.m A hoe- t Observation Hole# 1 " �2' Time at V, Depth of Pere. L Y V Time at 6" Start Pre-soak Time @ 2 ((Cats Time(9"-6") � , End Prc-soak L A-t Rate Min:/inch, �'Z Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(Y/N) Original: Publicxeahh.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:\SEPTI0FERCFORM.DOQ. DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Suit Other Surface(in.) (USDA): (Munsell) Mottling. (Structure;Stones;Boulders.. Consistengyi% ravel 8-�� A Sq,ncL7 Ldww, Myl-/4g 7� 79 t' DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA). {Hansen) Mottling (Structure,Stones,.Boulders. Consistency,% ravel Ll-3cd Lvam io` a 57,E DEEP OBSERVATION HOLE LOG Hole# Depth.from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Ses,Boulders. Con iste c ton.Gm e . t DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil - Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. • Consi ten ra Flood Insurance.Rate Man: Above 500 year flood boundary No— Yes VvIthin 500 yearboundary No.K,, Yes Within 100 year tlood.boundary No 6� Yes,. Depth of Naturally Occurring Pervious 1Vlaterial 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? __..�. r Certification I certify that on U Q.q t 5_ (date)I have passed the soil evaluator examination,approyed by the Department of EnvironmentoProtection and that the above anal-ysis was:performed by me consistent with . the.required training,expertise and experience described in I (MA 15.017. Signature. Date q\$EF rlCTBRCFORM.DQC Town of Barnstable MASS, Regulatory Services t63p. �0� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 January 4, 2018 Robert& Debra French 265 Nye Road00 Centerville, MA 02632 &/`�_ v NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF HEALTH REGULATIONS. The property owned by you located at 265 Nye Road, Centerville, MA was visited on January 4, 2018 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54 Building and Premises Maintenance were observed: 04-3 (A) Outdoor Storage Multiple items are being stored outdoors on this property which are not screened from public view and are not within an enclosed structure as required by above ordinance. These items include but are not limited to: car parts, trash, garbage, coolers, propane cylinders, shellfish baskets, tools and various types of other assorted debris. You are directed to correct the violations listed above within (15) days of your receipt of this letter by removing said items from property and/or storing them in an enclosed structure • You may request a hearing before the Board of Health if written petition requesting same is received within 10 (10) days after the date the order is served Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the i ection. PER ORDER OF THE OARD OF HEALTH c ean, R.S. Director of Public Health Town of Barnstable I Ci`&en Web Request Page 1 of 3 77 ZI a RAA.*+$TAbLE� *! k ,.y `t +�.c """ MASS, 9. ,M Logged In As: Citizen Request Management Friday, December292017 TOWN\oconnelt Route to Users Search Requests Create Requests Request Information Request ID: 59240 Created: 12/21/2017 3:52:28 PM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office Anonymous: Yes Request Category: Chapter 54-5 : Rubbish and Garbage edit Routine work: No Estimate: No edit Date scheduled: edit Estimated 1/4/2018 Change Estimated Dec January 2018 Feb Completion Completion Date: Date: Sun Mon Tue Wed Thu Fri Sat , 14 15 16 17 18 19 20 211 22 I.23 24 25 26 27 L81 29 110 31 1 2 3 4 5 6 7 8 9 to Created By: Sousa,Vanessa Priority: Medium edit Health Office Citation Numbers: edit 1 Requestor Information. f r Requestor Request DETAILS: LOCATION: 265 NYE ROAD Centerville, Ma 02632 Request Parcel Map: 147 Block: 1026 Lot: 000 Trash in Number driveway. Requestor Parcel Lookup has seen rats there. This has been bad for a couple months now. Email: http://issgl2/internalwrs/WRequest.aspx?ID=59240 12/29/2017 i .r Cit-.zen Web Request Page 2 of 3 Edit Requestor Information Track Request Progress Request Work History: -Internal Note History: Entered on 12/21/2017 3:52:28 PM by Sousa,Vanessa Requestor noted that there is someone living there, however, believe they are being evicted by end of the month. Says it is not a very good house, and there has been some arrests. System entry on 12/21/2017 3:52:29 PM: Assigned to O'Connell,Timothy Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) � s® ..................................... ......_._..... ......... _.. ........ 1 Spell Check Spell Check -Add document or image link: Browse... *You can also type in a folder name to see everything in the folder Current Links: Time worked on request: Response time: IV *Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights,weekends,and holidays in response time for most departments. O Save changes El Check to notify town employee below to O Save changes and notify review this request. citizen* Health Office O Close request Beck, Vanessa �. O Close request and notify citizen* Brief message to reviewer: A *notify works if email address was given Update �.� Spell Check http://issgl2/internalwrs/WRequest.aspx?ID=59240 12/29/2017 Health Master Detail )y Page 1 of 1 J (f .� rr; Logged In As: TOWN\oconnelt Health Master Detail Thursday,January 4 2018 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 147-026 Location: 265 NYE ROAD, Centerville Owner: FRENCH, ROBERT S &DEBRA 7 Business name: Business phone: Rental property: ❑ Deed restricted: ❑ Number of bedrooms : 0� Contaminant released: ❑ Fuel storage tank permit: ❑ Save Parcel Changes j Return to Lookup Parcel Info Parcel ID: 147-026 Developer lot:LOT 49 Location:265 NYE ROAD Primary frontage: 141 Secondary road:DUNCAN LANE secondary frontage:70 Village:Centerville Fire district:C-O-MM Town sewer exists at this address: No Road index: 1110 Asbuilt Septic Scan: 147026 1 Interactive map ERB, Town zone of contribution:GP (Groundwater Protection Overlay District) State zone of contribution:IN Owner Info Owner: FRENCH, ROBERT S & DEBRA I Co-owner: Street1:265 NYE RD Street2: City:CENTERVILLE State:MA zip: 02632 Country: Deed date:6/13/1979 Deed reference:2933/155 Land Info Acres: 0.34 use: Single Fam MDL-01 zoning:RC Neighborhood: 0105 Topography:Level Road:Paved utilities:Public Water,Gas,Septic Location: Construction Info 1BUildinq N ear Buil Gross ArealLiving Are'Bedrooms Bathrooms 1 11980 12520 11267 13 Bedroom 1 Full-0 Half Buildings value:$116,200.00 Extra features: $22,300.00 Land value: $107,700.00 http://issgl2/intranet/healthMaster/Healt'hMasterDetail.aspx?ID=147026 1/4/2018 o '�Z� o . jj No.. .. ..-. 1.... F�$..5..30.00....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration fur Di-nVn!3ul Work.6 Tomitrnrtinn rrrmit Application is hereby made for a Permit to Construct ( ) or Repair X(XX) an Individual Sewage Disposal System at: ........... 205 aye Koac't Centerville ---•--------------------------------------••- -----------------------------------------------------------....................................... Location..\ddress or Lot No. Robert French ......................-.......................................................................... ------------•---•---------•---•-•-••--•---•---•----...........•---•-•----•-------•------.......-- Owner Address aJ.P.Placo.raber Jr. Installer Address UType of Building Size Lot............................Sq. feet Dwelling--X No. of Bedrooms---------2--------------------------------Expansion Attic ( ) Garbage Grinder (10 ) Othei'8•Type of Building 11012------------------ No. of persons._3__--._--___-_-----.-. Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------------------------- ------------ wDesign Flow...........5.5............................gallons per person per day. Total daily flow......av!0---_...........................gallons. WSeptic Tank—Liquid capacit I.Q.00_...gallons Lengthy-'6"_-.-_._ Width4l_v.10"___ Diameter.-.............. Depth.5_'7"_..... x Disposal Trench No. __Q---------------- Width___.-a............ Total Length.---0_------------- Total leaching area---M5..........sq. ft. Seepage Pit No---------1........... Diameter---!............... Depth below inlet_. }O.......... Total leaching area.245..........sq. ft. Z Other Distribution box (1 ) Dosing tank (a ) `-' Percolation Test Results Performed by........_.__f3a ter:- L.i.1y2_-----•-•-•-._•-- --- Date.1C/2/`�2...................... a Test Pit No. 1....2..........minutes per inch Depth of Test Pitll".._............. Depth to ground water-----IV- -.--------. fs. Test Pit No. 2....0---------minutes per inch Depth of Test Pit-------0----------- Depth to ground water....0................. 0 a ----------•---•---•........................ Description of Soil.i`ie1�11111 � risl..to.. i na__cand----------------•---------------------------------------------------------------------- -----•-•----....----- x U -•••--•••••-••••---•---•-•--•-••----•-•...-•----•--•-•-•••----•----•-•-------------------------------•-•------•-------••--•----•-•----------------•................................................... ;4 U Nature of Repairs or Alterations—Answer when applicable.--asidizh_.l_--�L:.'. tzi t_._w ti1...3,-_. tOriO_.all............... xs�und....Rean� exi s-tiag..taaL..bax.._an-d pit a.................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e. issued by the oa of health. Signe ... ...................... 7/17/9.5................... Date Application,Approved By I...... . .............. ------- ... . .. .. ........................................ Date Application Disapproved for the following yea so s r -------------------- Date Permit No. / .........../. Issued I --------------------- ia�%6..e•—^tee _ ,, ".'' I �✓ - Y , No... s. ' THE COMMONWEALTH OF MASSACHUSETTS T .. T BOARD OF HEALTH TOWN OF•BARNSTABLE y Alirtttinn furinttl IVork,i (fanitrnrtion Vrtutit Application is hereby made for a Permit to Construct ( ) or RepairX) an Individual Sewage Disposal > System at: e Road Centerville .7 r .........................Y..... --------------------- Location-Address or Lot No. Robert French Owner Address J.P.Macomber Jr. .. ._•-•--- •-••-•• -••---•----•--•-...••. --•----•--•-•-•--------•--------•-----•---•-•---- --------------------- ------• •---•-. --•--••-----•---••-•---•--•-- Installer Address U '-Type of Building Size Lot__.........................Sq:rfeet, Dwelling YNo. of Bedrooms---------3......................... ......Expansion Attic ( ) Garbage Grinder (10 ) aOther,Type of Building i'1.OXF------------------- No. of persons...*3----- ---------------- Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------- If, Design Flow._... .._.S5....... . ............. gallons per person per day. `Total dailyflow.__...330.....______. p...__._.gallons. W - -- ---• P P 1P 11 Y• � t ' WSeptic Tank—Liquid capacit 00-..-gallons Length_.�____----_ Width�___10...... Diameter................ De th.5_-_�_--.__ x Disposal Trench QI-No. _Q................ Width;.....Q_............ Total Length-__Q... Total leaching area__2 ............... ft. Seepage Pit No---------1----------- Diameter---A ............I Depth below inlet-_4 .____..__ `"Total leaching area.2A5..........sq. ft. z Other Distribution box (� ) Dosing tank ) aPercolation Test Results Performed by.---_--...__Ba .ter. &_.Nye _ Date_10/2/79 . o .. .......- t Test Pit No. ----------minutes per inch Depth of Test Piti�_____ _________ Depth to ground water----- 1.--............. (s, Test Pit No. 2----q.........minutes per inch Depth of Test Pit__`___ ___________ Depth to"ground water__.�..__.._._....__.. ----------------------------------------------------------- -_'...._....---•---•.................•. -----------------------------------:.---••-...._....... D Description of Soil_edituf..BLa?1d.. o..ftne..sani................................... ....: ,- x U .....••-•••--•-•--••----•--•••---•--••••------------•-----•--••----•---•-•--------------•----••---•--•--••----•-••--•--------•. W --- ..----- § ..... =f 1, x - --------------------------------------------------------------------- -I...........----=--------------------------------------------.---•-- U Nature of Repairs or Alterations—Answer when applicable.-addi.ng..1..4-rt_..nt._wi th__3'_-stone.a11............... arouncim...Bpi?t .. r�ciec�.__tQ.. �4istlxt _.tazl)4 bo c-.and pit•-------_----•j--•-•- •--••-- •-----.- �_...... Agreement-. ; The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by,the oar of health. Signe --- -------- --A ---.•.. 7. 17L95.........4 �- ...................... Date Application.Approved By .... .... . ........... . 4......... .. - .... ---------------------------------------- Date Application Disapproved for the following reaso f- ....._------------ ------------------------------------------ -_'"- ............. ....----------------. .......................... ........ . .. .-. - ----------------- ......... .. .......... ................... Dare Permit No. ... ................... � ..... Issued to r . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Terttf rate of Qom}�Itttrtc� ,THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXXX) by -------J..-P-.-Macomber. Jr.. - _.. ......:......... - - -I /' Insr,Jler - --------------.....y_----------------------------------------------------- 65NveRoadCentervile,Naesat .......... --- ... ... l •------------------------- ------_...------ ---------------------- _.... ........- -:.....------------------- has been installed in accordance with the provisions of TITLE o S axe n •ronmental Code as described in the application for Disposal Works Construction Permit No. .... fh�.. dated ....._......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT C.ON l� AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 4; DATE;....... ------ 1 ........ ��... .. .. .. .._. ..._. Inspector ...----- - - - . ------------------------ --------------- R -THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No � ._..� ,... f= $ 30.00 FEE........--••--••---_.... s Mop pat-Vorkg Tonatrurtinn Vamit � Permission is hereby granted---JPMacomber Jr.---"..'--- -----------------•---------------------------------------------------._...............-...---•-•-•-------•--------........... to`Construct ( ) or Re air J�a an Individual Sev�,age Disposal System ` Z6S a Nye Ron Centerville Mass. ;w` =------------------------- ---------------------- Street as shown on the a,plication for Disposal Works Construction rmI o_ __________ _____ ted __ _. -- --...- , ,. ............. -==-s.�r------ 0----- -- ------ Board ealth ~ DATE--------... .. _ ...............................------------ FORM 3650E HOBS 6 WARREN•INC.,PUBLISHERS Lxistin2 D--3ox r New ;Ixi stin,, 4 3 .n ,tnI1P_e To,,`f,eacii pit —Y ExistiIl,� 1000 Jeptic tank Flan 7'sook Page 252 32 10/'2./%9 Robert ;French .o CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, J.P.Macomber Jr. , hereby certify that the application for disposal works construction permit signed by me dated 7/17/95 , concerning the property located at 265 Nye Road Centerville,Mass. meets all of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED : a c DATE: 7/17/95- LICENS SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 2_ [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA ti e l_lb Ate^ l t: E= ,,r l AIL>F1 TiL.I L.`.( F-LC,;-,,,,,, 1 1 O c i C , G•r'.D. u - 60 J(-i_.0 tit QeEA = I 1• ! , Ric?FID fls� -i E U �Lmiw 02 L". !O i4ke4 M'►. j r Ci is JY 54 l r1 _ Tor {•w v o o tco . ,- � � 11_ ,� .� ;, •�-L= - -- r�r:c-.-;�::i::vim, r J'1 S 1r- Di_ 4'yf'� TAT. LA' 2' 'Sox `Z(.,'v SEvnC I N V. A),e Goo t l wv. ►►n'. �AN'J GAL. r Q 1' �u•7 i G p 1.. � T d' tj W ru I I�fa/d I'�z -WASNfcD — C t=CCTtt_tt=u i't✓c>•r L C)C_/i T l _. �lrJ,�ic ►Jo cn>rE_- cAI_t ! 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Gtrl_.C' 1171:r1. 1 .n.I-1 '- r r- AsBuilt Page 1 of 1 TOWN/OF BARNSTABLE LOCATION 26,5 ICE: lam' SEWAGE# VILLAGE C en r ri,I a ASSESSOR'S MAP&LOT I r INSTALLER'S NAME&PHONE NO. .i l C SEPTIC TANK CAPACITY I.Q-)o LEACHING FACILITY: (type) a pe41 (size) DD NO.OF BEDROOMS_ BUILDER OR OWNER ai PERMTTDATE: 7 17- J COMPLIANCE DATE: -7 ' Z I Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private,Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by yl Oro Nth 1 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=147026&seq=1 4/26/2018 TOWN OF BAMSTABLE Q LOCATION �S IA� SEWAGE # /' / VII.LAGE CLOh LifV I at ASSESSOR'S MAP &LOT y INSTALLER'S NAME&PHONE NO. o = M AC©M,�le/ SCE 11 .7h C SEPTIC TANK CAPACITY L� Z� LEACHING FACILITY: (type) a Py (size) 400 NO. OF BEDROOMS BUILDER OR OWNER�C..�f j°APlyw)A 4 PERMITDATE: COMPLIANCE DATE: '� / ✓,E; Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by OLt7 NL-u; . ....8.l/- Fzs .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I[ .. .. ..............OF........ �./ N..�-l`.. . t .��.�.... Appliratiou for Dhipuiial Workii Tomitrurfivit ranfit Ic-. Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........ ... .. ...` ------------------- ----'-------....------....----.....--'----- ------.....---------..........------...... [[ }_ Lof"ion-Address or Lot No. LY7 /�/ � J J? C��1 6..2rv. nM}SS ..........-�..... ^._.._r ... ..............�......... ...1 t_.......... ....... //�� /, /�Iy,�p Owner //�� M�1 Address W ' t-o k Y 13 fr.t G�j�`/ "d.'11�L /�( I ri�..................... 1=i . ...................................................--..._ ................................ ....................................................... Installer Address QType of Building ize Lot.- -5.4.0 ......... feet Dwelling—No. of Bedrooms..................I........................Expansion Attic (�� Garbage Grinder (No) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Pa Other fi tures -----------•--_--• ............. . W Design Flow......... �............................gallons per person per day. Total daily flow-__3. O�......._....................gallons. WSeptic Tank—Liquid capacity._tq'00.gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No_____________________ Width-------Jr----------- Total Length.................... Total leaching area............ ....sq. ft. Seepage Pit No.......I-.._-.--___- iameter--------L-a------- Depth below inlet.....'.__........ Total leaching area.. .....sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by....wv1.4 �: r_� t'RYA...I:►`._...._....�........................ Date..... � 7_ .._.._.._. a Test Pit No. i......../.......minutes per inch Depth of Test Pit.../<.............. Depth to ground water......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... a ------- ---------- ................ t 04 //4 Description of Soil----------�,...'........ '" x U ------------------------------------------------------- .-.-•------------------------------------------------------------------------------------------------- •---------- •------------------------------- W ---••--------------------------•••••--••••-••-•••••••--••--•-•••--•-•••-•-----------------•-•••--•••----•-••---•----------------------••---•-•-••-•••-----•---•-••......-••-•-------................... UNature of Repairs or Alterations—Answer when applicable.-----------------------------------------------------------------...............-............... -----------------------------------------------------------•---------------•-•------•--.....---•-----------...---------------------------------------------------•--------...--........................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i1 T' ' y g g p . y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has be n issued by t e bo d of health. tqSigned .__ ✓�' g �/I V D e Application Approved By--- i% ---------•-••--------------•-----------_-•------ Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------------------------- -•-----•-------------------------•----------•-••-------•-------•-•••--••-•-----•-.....•••---'-----•-----•------------------------------------....------------......------•---------••--••--•----•----_.. Date PermitNo......................................................... Issued -,� �/ P.. ---•...................... ------ Date +h N L.757J...8.11' ..0--S� THE COMMONWEALTH OF MASSACHUSETTS BOARD �OF HEALTH a' 7o.. .ro:.............OF......... ��/41 .111.$. .-4-6r-e_ .......................... Appliration for Binpuaai Workg Tnnitrurtiun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage DI`Sposal System at: /f/ �- ..&9 L........! .....!..11..!................ ---------------------------------------- -------------------------------------------- ...... /� [( Loggation-Address p f or Lot No ��a n t 6! .. � _ ..rb 5...... .tq�i%4 Ir1/4.......In! 'rt.................. Owner 0.. Address r!..., r. ... �=y1d f� a M Installer Address Type of Building (Size Lot-. 5_.(v.3.._._....Sq. feet �-, Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder (Jvc) Other—T e of Building No. of ersons_____________•••-----_______ Showers a YP g --••---------------•-------- P ( ) — Cafeteria ( ) dOther fi:5ures .---•--•••-•-•---------••-••-----•--•-•••---•••-•---•••••....----••-•-----•-----------------•-_..•---•••--•••----••-•-•-•••••-•.................••••- W Design Flow.......... .............••-.___..••_.gallons per person per day. Total daily flow----2 Q_........_._...-..._.._.__.._.gallons. W Septic Tank—Liquid capacity__ _.gallons Length................ Width................ Diameter................ Depth...._........... x Disposal Trench—No...................... Width....... ........... Total Length.................... Total leaching area............ ____sq. ft. Seepage Pit No......._I------____. iameter.__......1.9---__-_ Depth below inlet....�.�..____.__. Total leaching area... ....sq. ft. z Other Distribution box ( -L Dosing tank ( ) aPercolation Test Results Performed r .................................. Date...... >~�?. ....._........ Test Pit No. 1........ ......minutes per inch Depth of Test Pit--__!_I_..-......___ Depth to ground water.......... ........ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O -------- ..................................I.......•-•.?.... / ..I.................. Description of Soil------....Z2. '4.=•.. .. -- L: sE..-•-- r'tr� .t :;.... tr"`x" yt U ................................................................................................................................................. W 1r1 ------•---••-------------------------------•-_-------_----------------------------..•----•----------------------------------------------_------•-------------•--.•---•--_---.-•••-------•--.:........... U Nature of Repair.s or Alterations—Answer when applicable............................................................................................... ------------------------------------------ .............................. Agreement: _ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTT ; p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beefi iisj ued by e bo d of health. Signed p / D.2 Application Approved BY --- —".- 1 ------•---------------------------------------- 11 1 �- e Date.............. Application Disapproved for the following reasons--------------------------------------------------------------------------------•------. _....-•-- ...._....•••-•••-•--........-•----•-••--•••-••-•--•••••-•-•-••-•-•--••....-••••--•-•••--•....••-•--•.....---•-•--••••••••••-•-••-•--------•------••••---------•••••••------------•---------•••--•-.••--- Date PermitNo.......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ©.W..A1.................OF......... `S,t�. .NS..I``1�. :Zr� ............................ Cprrtifiratr of Toutpli anrr THIS IS TO CERTIFY, That the Individual Sewage Disposal-System constructed (1, �or Repaired ( ) by . +4 .............ad.N.1 .. :: -9 Installer w 1 f'J���at---•--�-•�•r----------y-�----•---��''.Lr.--•---R,..��.......----t�_��1!T_.'_S�"1L t,.C•t-------- �-----�-r[----•--------------------------------- has been installed in accordance with the provisions of TITLE: f')T e State Sanitary Coe as described in the 10 application for Disposal Works Construction Permit No.__7`y.............................. dated.-_._, THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TH SYSTEM WILL FUNCTION SATISFACTORY. DATE.............I.`.....Il`.... �-.-----------------------••------........ Inspector......�C� f'u'Z:_ -•••••-•.....••- . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l ��'r0 9 _-.. , + ^. .............OF....... ALf 1 .IYJI.�- �i�-•• ......._.._.._......... FEE... do_ O..... _ i u �a1 orkii C�.>anstrurtion rrutit Permission ,i Hereby granted.....AA_cZX....... ------------•..................................................:..... to Construct ( ) or Re air ( ) an Individual Sewage Disposal System 1 ....... at No.•••••4-6 ......•-•1 • •./li -• • C.� Street } as shown on the application for Disposal Works Construction Permit No.____.__ Dated �� --- ------ ---- �- -•------�_._...--•-•---•-•---• ----------------------•-----••-------•----------........... �' Board of Health ,. DATE.----- -- - FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS - t�c►i.Y r`Lc. Ai = t to 43 = '33o G ry . r'Tt -T'.' ► tC = 33c7 . i=.t? % • 4Si Ci U S ��'• .f�f,�la.f._ FAIT - (�`�,,I� SF 2.s = ,?oGPv. Tcn-,&L_ 6KI 6P-1-->. + a ,yvvS tit -T r'a L- r_.&t L--�-r 6.FD 1� ti + Tor F'wo L,oa.o "f" 7�,,Ccr,�.,;..�►. Q .d IOoO lud. n S�B.Svta.. r fox R(.,G S�r�c IWV.q� I C i;6 �oa0 SAfro GAL_. luv q' 94�Z 'if :A 1_ ►a P T 5 %.v1ru I�/49/4'l'!z W AS►dfE b STo"r- i 2's C4=r-TtT aLD }ILC) T- F'L_ f>ti.j I Gt' I: i tt= `l Tt -(A7 T14C— 'Pou •DA OI� 5tac�.u►J 1�1_ ��t�1 l�i�t' t't: �.iC:C t_ TIA TI-A;: 1►D1~ t_1►-tE. �Or t � AtiJv :t. rt .`�c.i_ 1'r_G,JI�:t Mc:►-lTy O: 7"(Z- (0vj c;= $A _J�A7TLa --5ly; ?L Bv— ZS;z PG 32 I p '1�1_ -T i� ✓ (ZCGI�; l-C-iZi=}7 1&WC--) ,4,1' (�_'..1;✓lea 1 . 'ICJ. ill'. t �..t=L �i=C . n}>I-.4?l_I C�/�.F•J r t ,I_ C',I LJ .i i�, LOCATION , .:}^ J� SEWAGE PERMIT NO• VILLAGE INSTA LLER'S AM i ADDRESS Y C. BUILDER OR OWNER DATE PERMIT ISSUED � �- DAT E COMPLIANCE ISSUED r - � � 2 / !, �� k _ � s S l s c k'a 34-t o f` .t 52` L C v� LOCATIotJ �t�JTE cT-�, A T T 1-1 1-,:' +-r .. S t-Iow U pt_A Q R 1= f�E►.1 C NEiZEoi_1 GCVv%PLl-(S W ITN TUE SINE LI►-�� �� SET23ACK VGQUIkEMc►-1TS OP TNE=: 'jo W U O GATELL . .... -- - L3 Q XT E lZ Q "f A LI 14 1 1 n-r RAL r:rn r]L- i A . I !]S-rV- Ll 11 i r_ i I A �� f.Xk 11 L .. *fx ro yr p S i55 4 rY. f y .. fi k �' ^� $ r a}� 1 Y { pu if 14 m , 4b 3S --- — ----_.. .�........ -..�`•s.¢:si `f:�- =t:�-.......a.,a.•�...,4s _ ,,..s;�...�.,...a.,A�"�`-, �`,�.,°:,Pm.,.=W-ma's ..�. �. k i '� ui Acl 52 50 MCHARD A RAxTER 9� 10? t C r--ZTIF 1 u s ED P LOT LOCATI of-! Cr�rr-�e✓r �CALC �_ 4c7 T3AT� iz-I24'79 C 6 ZZ T i F Y T N A?' T l-I G- �O v I-rD AT"I OQ 5"ow 1J PL. A►J R Z->=E z e► l G& WWr--M4 CO,v Pl-YS W►TN THE SIUE.�.I►-�� AWD SETBACK Fc-4UiQGMEk4TS OF TNT 'jO w U��A(L 0 S 1441` LV, - REGISiL-iZ�D LA► o -SUevi..Yo1ZS T N l 5 C7 L A 64J-l S ►1 OT- -BAS E�. U 6-1 -i�b.l---- —_.. D 5 T E�'V\LLB._. c� ._J A.Sys. ll.lyTF�tJ7V1�t•1 i �,vQv�`f ¢ T.aL UF��, TS �,�1awL1� A I.. . . f ..: ..... ..... To .� a- ermit number .. . .....(9//............ --.- /mil)f ► 4 _^1 B6BB9TADLE, i House number . ... ....... . . ''-'�� ` EMARONMIKAL a 6��...� TOWN REGULATE MPY R TOWN OF BA NSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO I...........................................................t.�.....................�............................................ TYPE OF CONSTRUCTION .......G Il �4�. . :a:. ..Jf.... :.° [i.�`....l.. fk.%rY.......d cuc%1:71. ............................. .................................... .........19........ TO TH.E-I.NSP_ECTOR OF .B.U.LLDI.NGS:The undersigned hereby applies for a permit according t16 the following information: Location ..... ............. ..�.....•�..... ProposedUse ..... lry /.J�:.......1/.+ �"..'I� .... .1.1.f!!�/ ni..................:...................................................................................... ZoningDistrict .........Fire District .............................................................................. Name of Owner ......................................... .........Address ! .. ..a�.!... .. ............ ..1.'.►. ....��(f' {n/ fk��.ho �_Y .............Address �. YJ 1.a1�1:qName of Builder ""' " Nameof Architect .........................................Address .................................................................................... Foundation ...,� ,l::•.. .....:........ � A�7Z Number of Rooms u .............................. Exterior .�x :nd. !.�5...' .1 .�.��..........Roofing ......... 1.?�.:... .'�.j���............... ... Floors ....dC•kr-q f f- /�Z/ ..S4.... Interior ..... .................................................... .......................... ..................... a / yf r �,! ...........Plumbing � Nanfmn .._ .... _. _ __., __. .�fffl�. a lr�f-1 /' ti(!•//•./�- /Jf/fd"T,i/'C�- Fireplace ......��%..'?...:............................................................Approximate Cost .........�1. .... Definitive Plan Approved by Planning Board -----------___—_------------19 Area k` So . .. ........... .................. Diagram of Lot and Building with Dimensions o�) , Fee ...... ......0............... SUBJECT TO APPROVAL OF BOARD OF HEALTH No , I 1. XIJ,r �0il,��. U�VC-`( lu! L� !13no.n:� ..i..r,�A.� i-rar; ,; ., _ _ _ :a:. �s n�- a JI, ro• 'L x 100.98 EXISTING SPOT GRADE —103—— EXISTING CONTOUR EXISTING LEACH PIT N Ra Ra 103 PROPOSED CONTOUR TO BE PUMPED, FILLED WITH ® ceac c G J`\4°ta $i ^ OVERHEAD WIRES SAND AND ABANDONED k V1/ EXISTING WATER SERVICE ;TRIPOU'F BOUN ;��RY--- P�ec;nct Ra 5 Pcecmct Ra o �0 Ra (TO "C' HORIZON) 1 TEST PIT INSTALL A 40 MIL POLY LINER �� k Precinct Rd �30� o re°E�et BENCHMARK Plan Bk 252 - P 32 S. LOCUS �o TOP OF LINER, EL.=98.00 � \ 9 LEGEND BOT. OF LINER, EL.=95.50 \� \ Mer;aeh W -Z Loc\o \ m Jc / \ � o RoseniOr/ `° e(nota Ot titi�o'ro�Ot i o 1 or\ �° a J '1 cos °U t SHED EXISTING SEPTIC TANK TO BE PUMPED, RUPTURED, FILLED / ���.:' •'. 6'• WITH SAND AND ABANDONED LOCUS MAP °'� ' '`��'0� • ''� 9 8T��/ �� NOT TO SCALE '� 00 s GENERAL NOTES:9.2 o'r EXISTING LEACH PIT 96.5�9 j-'�6 �� ��• 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL TO BE PUMPED, FILLED WITH / `�$ -0 BOARD OF HEALTH AND THE DESIGN ENGINEER. SAND AND ABANDONED 0 E 0 xj DECK 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE FE�G� ice/ j, 10 \ / 0 O. 9959 100.40 ��� O� 3 0 CMR LOCAL RUL15.405(1)(b)AND REGULATIONS, EXCEPT AS REQUESTED BELOW: i TP-1 / \� �• BH 100,47 1) A 5' variance, septic tank to cellar wall (bulkead), for a 5' setback. x 100.6 2) A 10' variance, S.A.S. to cellar wall (bulkead), for a 10' setback. /� PRE SE 4Q 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR ` 97,96 917>53-- NEN�98' ' TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE �N l TING '': „ DESIGN ENGINEER. HOUSE(#265) 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING PROPOSED SEPTIC TANK 100,15 :.::.:" '...: INFILTRATOR IM1500 TOF=101.Of �' "'; FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN x -�. . ENGINEER BEFORE CONSTRUCTION CONTINUES. 100.25" " 5. ALL ELEVATIONS BASED ON AN ASSUMED DATUM. x — 99.75 xC`� .' '•": 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 100.27 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF x HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SUPPLY. 100.17 101:y 8. THERE ARE NO POTABLE WELLS WITHIN 150 FT. OF THE PROPOSED x PROPOSED SEPTIC SYSTEM.. \\ 100,50 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS� cam;,"-;.,..:.. \OO,, / x 100,27 �z::;';-•"- AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE 99,71 '`. DIRECTED BY THE APPROVING AUTHORITIES. LOT 49 100.56 CB 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 15,013 S.F.f x THE LOCATION OF ALL UNDERGROUND UTILITIES, .PRIOR TO BEGINNING 26� _� \ 100,44 -,"r: CONSTRUCTION. / \ 131 g3 PARCEL ID: 147-0 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS / : '',`'." IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE N 1�• W - - '1� `''.-' 100.25 OTHERWISE I DF CLEAN SAIRECTED BYNTDHE AP ROV NGAS SPECIFIED AUTHORITYIN 310 . 255(3), OR AS VZA 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 100,74 C6 9 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 1 VEMENT 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 0.00, I EDGE OF PA OF MAS C IS NOT TO BE USED FOR PROPERTY LINE OR ELEVATION CERTIFICATION. ATCH BASIN PROPOSED SEPTIC SYSTEM UPGRADE PLAN l00.82 99,31 O n o PETER T. �+ 265 NYE ROAD CENTERVILLE M R 14 y McENTEE CIVIL A 100.33 y No. 35109 Prepared for: Gerald Reardon, 363 Sea Street, Hyannis, MA 02601 OWNER OF RECORD BENCHMARK SET Engineering by: SCALE DRAWN JOB. NO. GERALD REARDON OUTSIDE COR./BULKHEAD ( / -Engineering Works, Inc. 1"=20' P.T.M. 133-18 363 SEA STREET EL =99 99 PLAN REVISION 4/30/18 I 9 9 HYANNIS, MA 02601 CORRECTION TO S.A.S. SECTION 12 West Cr5.313ld Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. �-� �� (508) 477- 313 4/2/18 P.T.M. 1 of 2 I �t SEPTIC TANK NOTE: TO PREVENT BREAKOUT, INSTALL A 40 MIL INSTALL RISERS & COVERS OVER INLET & POLY LINER AS SHOWN ON SHEET 1. OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX TOP OTTOOF LINER, E .=98.05 INSTALL RISER & WATERTIGHT TLF-G. 1.Ot COVER SET TO 6" OF GRADE .=99.5f PROPOSED S.A.S. F.G. EL.=99.3t F.G. EL.=98.5f INSTALL INSPECTION PORT (MIN.) F.G. EL.=98.6 to 99.0f n MAINTAIN 2% GRADE (MIN.) OVER S.A.S. z+•a.ow u•I.D.as L = 22' 4' DIAM. INSPECTION PORT, S=1% (MIN.) TOP OF TAN ® SI=1% (MIN.) ® St=1% (MIN.) PERFORATED IN S.A.S., SOLID 4"SCH40 PVC WDACOVER 4"SCH40 PVC 4"SCH40 PVC SET ABOVE .A.S.,WITHI WITH OSCREW GRA CAP LINV.=98.40 E. 3 _° CAPPED ENDS 44" LIQUID LEVEL 14" e' ADD I SLOPE OF PERF. PIPE = 0.5% ��INV. EL.=97.30(END) GAS BAFFLE INV.=97.69 PROPOSED 28' EFFECTIVE LENGTH INV.=97.52 EXISTING BOTT. OF TANK=94.04 INV,=97.72 D-BOX SOIL ABSORPTION SYSTEM ( ROFI ) ED 1500 GALLON SEPTIC TANK INV.=97.44 TOR IM1530 GALLON PLASTIC TANK HOUSE(11265) 7 TOF=101.Of' OUTLET ESTABLISH VEGETATIVE COVER I FINISH GRADE I DEC + NOTES: EL.=98.6t I 9 ,'0 5 r� 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE „; APPROVED INVERTS, PRIOR TO INSTALLATION. BREAKOUT EL =97.8 ':� >vV ''V�1"''' `�;�::' '." FILTER FABRIC 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND EL.=97.30 ND) — 64 N A� TRUE TO GRADE ON A MECHANICALLY COMPACTED BOTTOM ELEV.=96.8 3/4"-1 1/2" DOUBLErn �• 1 �^� SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN 3 5' 5' 3' WASHED STONE Cn �� 310 CMR 15.221(2). 5' MIN. SEPARATION TO G.W. 3) INSTALL INLET & OUTLET TEES AS REQUIRED. AND 4' OF NATURALLY 16' EFFECTIVE WIDTH OCCURRING PERVIOUS SOILS 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE SOIL ABSORPTION SYSTEM (SECTION) PROPOSED AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. EST. HIGH G.W. EL: 91.7 .� PROP (REDOX) c�'p,.5 SEPTIC SYSTEM PROFILE N.T.S. SOIL LOG DESIGN CRITERIA DATE: APRIL 5, 2018 (REF. P#15,606) SOIL EVALUATOR: PETER McENTEE SE#1542 NUMBER OF BEDROOMS: 3 WITNESS: DONALD DESMARAIS RS HEALTH AGENT S.A.S. LAYOUT SOIL TEXTURAL CLASS: CLASS I ELEV. TP— 1 DEPTH ELEV. TP—2 DEPTH DESIGN PERCOLATION RATE: <2 MIN/IN 98.1 FILL 0" SANDY LOAM 98.7 A 0" DAILY FLOW: 330 GPD 94.1 48" 1OYR 4/2 A SANDY LOAM 98.3 4"' DESIGN FLOW: 330 GPD 1 OYR 4/2 B SANDY LOAM GARBAGE GRINDER: NO 93.6 B 54" 10YR 5/6 177 LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF SANDY 0YR5/6 M 96 2 C POERC 12 .74 GPD/SF 92.3 C 70" 26"/44" MED. SAND PROPOSED SEPTIC TANK: 1500 GALLON 2.5Y 6/4 MED. SAND PROPOSED D-BOX: 1 INLET, 3 OUTLET (MIN.), H-10 2.5Y 6/4 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 91.6 HIGH R DOX) - 78" 91.7 EDOX) 84„ 265 NYE ROAD, INSTALL AN 16' x 28' LEACH FIELD CENTERVILLE, MA SIDEWALL AREA: NOT APPLICABLE 91.1 STDG. G.W. _ 84" 90.9 STDG. G.W. - 94" Prepared for: Gerald Reardon, 363 Sea Street, Hyannis, MA 02601 88.1 120' 88.7 Engineering by: SCALE DRAWN JOB. NO. BOTTOM AREA: 16' x 28' = 448 S.F. 120' PERC RATE:, <2 MIN./IN. TOTAL AREA:.....................................448 S.F. J� Engineering Works, Inc. . N.T.S. P.T.M. 133-18 STANDING GROUNDWATER, EL.=91.1 12 West Crossfield Road, Forestdole, MA 02644 DATE LEACHING CAPACITY = 0.74 GPD/SF x 448 SF = 331.5 GPD ESTIMATED HIGH G.W. EL.=91.7 (REDOX) CHECKED SHEET (508) 477-5313 2 4/2/18 P.T.M. 2 Of 2