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HomeMy WebLinkAbout0261 NYES NECK ROAD - Health 261 NYES NECK ROAD Centerville A= 232 - 004 i b I I NA o Fee N Cs`J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppYication for Bisposal 6pstrm Construction i3ermit Application for a Permit to Construct`(. Repair( ) Upgrade( ) Abandon( ) .Complete System ❑Individual Components Location Address or Lot No. 'Z(o( 04613 N 2 GK 12 aA 4 Owner's Name,Address,and Tel.No. GC_nTErt-V,%\e Assessor's Map/Parcel 23 nn iPt J �,O a✓t e j/� Installer's Name,Address,and fel.No. 1'� $ 'l^1 Designer's Name,Address,and Tel.No. Type of Building: q Dwelling No.of Bedrooms 1 Lot Size 2400 k sq.ft. Garbage Grinder( ) Other Type of Building �j �'o�•.L) No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date XAJ'[L 29 . 1_0 g Number of sheets Revision Date 5y 1y 7-2 t o% Title Size of Septic Tank 150 0 q a 1, S•t. 100D QG_ Type of S.A.S. (3 14-1 o Sb0 PC, C,. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 1k-10 l J Q O 4-L S.T• t---to 100-0 iot PC. �5_ -1z Date last inspected: U to 0-41,0,-A� 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 o flealt Signe C Date - s Z O Application Approved by Date sO Application Disapproved by Date for the following reasons Permit No. . s Date Issued a U 1�Z6 N i Fee THE COMMONW .ALTO F MASSACHUSETTS Entered in co put �r �!Q. Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pprication for Misoosal *pstem'Construction Permit Application for a Permit to Construct°(. Repair( ) Upgrade( ) Abandon( ) \k Complete System ❑Individual Components Location Address or Lot No. l S h1 P C IC- 12:A c.) Owner's Name,Address,and Tel.No. G c" �t T is r7_ �J 1 �. 1- i+ .� f�a a✓t t ., Assessor's Map/Parcel IInnjstaller's Name,Address,and Tel.No. �"( } �$ "1"1 Designer's Name,Address,and Tel.No. t` one�l s f'�• l�V 3 C,�� �+C) QA 1�^ �U�1Lc 1k��r� �j c r.,i u-P S Type of Building: �d Dwelling No.of Bedrooms -1 �j 0 Lot Size 4-1 2, sq.ft. Garbage Grinder( ) Other Type of Building r;',n 0r a,R •L1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date-Al Ase-,t„ '1 i "2 o t� Number of sheets 1 Revision Date -TU\\-1 Title Size of Septic Tank 1 T jGOci) Q C Type of S.A.S. C. Description of Soil AV 14 Nature of Repairs or Alterations(Answer when applicable) JA -1 G i,)y J t'r 4 C . t l� fO I uo 0 0 R f t i Date last inspected: U 0 tit.�tn7��n Agreement: , f 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 � ` 2 7 -,/�c�2 j Application Approved by �— f _.._. Date _ Application Disapproved by Date for the following reasons Permit No.'-,-f:)0&%A0 Date Issued - _----- --- -T., y C -7l,f/;o THE COMMONWEALTH OF MASSACHUSETTS 1'' �1 J BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed('y/) Repaired( ) Upgraded( ) Abandoned( )by ,<vv V)P s t d r L (� R.4tiC. at Z(, l N�,s e' 1 10 P Lk i'I v has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No:v�-, "14 dated % g Installer c t('t` C) f C o , Designer {�un l( 'I 9,a P r // C-e C q #bedrooms k"d r p S+T• ,CItp Approved deli .flow f� gpd The issuance of this permit s all not be construed as a guarantee that the system will function as°des g ed: Date Inspector Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS OU Mi8 osal stem Construction Permit � p Permission is hereby granted to Construct V) Repair( ) Upgrade( ) Abandon( ) System located at G�a i l F C ( C- \�- •a r,� G 3 C tZ t.`` Y and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction rust be completed within three years of the date of this per Date / � Approved by , 1 ' , I Town of Barnstable �rttE'oy�� Inspectional Services Public Health Division RAAMA'1= Thomas McKean,Director i6g9• �� ACMI`'tA 200 Main Street,Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Installer& Designer Certification Form Date: 7 10120 Sewage Permit# 2090-116 Assessor's Map\Parcel Designer: Puytkhorv►. ✓vices Installer: Qo1ec 13. our. Address: V0. &,t 483 Address: '963 Wi ;4s -Ut SIA o'ks fAA S. y4eynaaA , MA � n On 712 O _ 1'`g� was issued a permit to install a (date) (installer) septic system at (, /lees AC,i L< Poc—t4 based on a design drawn by (address) �uv►k�iern ry.ces dated 3-u.1y 1.1 266 (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation'of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. I certify that the system referenced above was co dWii ce with the terms of the RA approval letters(if applicable) z� C, O JOHN L G oCHURCCHI L JR. O NO 18 7 ( st er's 651 ure ,� o �s esigeer 's Sig t e) fix B.a..; a Stamp Here) PLE RETURN O BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE F COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. AtoAdeptsViEALMSEWER connecASEPTICOesigner Cenification Form Rev 8.14-13.DOC AS-BUILT SWING-TIES DESCRIPTION HC-1 HC-2 S.T. INLET COVER(1) 47.8' 18.7' S.T.OUTLET COVER(2) 55.4' 14.5' P.C. INLET COVER(3) 59.9' 13.7' P.C.OUTLET COVER(4) 64.5' 14.5' DISTRIBUTION BOX(5) 71.5' 16.2' CHAMBER COVER(6) 83.0' 30.0' AS-BUILT D-BOX CHAMBER COVER(7) 80.8' 23.5' AS-BUILT 1,000 GAL. CHAMBER COVER(8) 79.5' 20.0 PUMP CHAMBER AS-BUILT 1,500 GAL. SEPTIC TANK Benchmark Top of Foundation rry 3) Elev. =41.50' ... 2) 1) N.A.V.D. 88 c"> (8 f' 0 , . 4= ; . 4) A (7 ='' Y 5) B (6 C-2 HC- #261 EXISTING 4-BEDROOM DWELLING TOF=41.50' DECK AS-BUILT(3)500.GAL. LEACHING CHAMBERS WITH SURROUNDING STONE AS-BUILT INVERTS 0 10 20 40 80 FEET DESCRIPTION ELEV. HOUSE INVERT OUT(A) 40.15, GRAPHIC SCALE: 1 INCH 20 FT. HOUSE INVERT OUT(B) 39.52' "AS-BUILT" SEPTIC SYSTEM SEPTIC TANK INLET(A) 38.69' (N OF Mqs. LOCATED AT SEPTIC TANK INLET(B) 38.89' 'y o JOHN L c 261 NYE'S NECK ROAD SEPTIC TANK OUTLET 38.51' CHURCHILLJR. CENTERVILLE, MA o CIVIL -4 PUMP CHAMBER INLET 38.50, v NO. 807 y PREPARED BY: PUMP CHAMBER OUTLET 38.24' QF TE JC ENGINEERING, INC. D-BOX INLET 41.84' �0 2854 CRANBERRY HIGHWAY EAST WAREHAM, MA 02538 D-BOX OUTLETS 41.66' CHAMBER INLETS 41.20' SCALE: 1 INCH = 20 FT. DATE:JULY 20,2020 JCE*5215 Bk 32214 P 131 -37863 08-09-2019 ai 01 = -5rjo rewe+W&M. Hayes ReecL Savuta.Y%a.vv Putftorn services P.O. Box 483 a' South Dennis, MA 02660 '`: Septic System Designs Phone: 508-564-8379 Soil Evaluations E-mail: angus02631@aol.com Sanitary Code Housing Inspections , DEED RESTRICTION As required b the Town of Barnstable Board of Health, the Thomas J. RooneyLiving q Y J Y g Trust of Centerville, MA 02632 hereby acknowledge that the approval by the Town of Barnstable Board of Health for the installation of the Onsite Subsurface Disposal System requires that a permanent deed restriction limiting the number of bedrooms to a maximum of four(4)be placed on record with the Barnstable County Registry of Deeds, in accordance with 310 CMR 15.000: The State Environmental Code,Title 5: Minimum Requirements for the Subsurface Disposal of Sanitary Sewage. Accordingly, we hereby restrict the property, and any dwelling located, constructed, or remodeled thereupon, located at 261 Nyes Neck Road, Centerville, and shown on the plan recorded in Book 24515, page 337 of said Registry, and as shown on the Town of Barnstable Assessors Map 23,Parcel 004,to a maximum of four(4) bedrooms. WITNESS our hands and seals this day of /��y�� � ,2019. Thomas . Rooney,Trustee X Sharon J. Rooney,Trustee 411 COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. On this $ t V tr day of. '_5 _, 2019, the above-named personally appeared before me, the undersigned notary public, and proved to me through satisfactory evidence of identification, to be the person(s) whose name(s) are signed above, and acknowledges to me that they signed the foregoing instrument voluntarily of their own free act and deed. Notary Public My commission Expires: g to+�`��GOM IPf+'''TiT��j► • • ' W NN: m: o o . IV BARNSTABLE REGISTRY OF DEEDS y ^' a ; John F. Meade, Register " �� ''°qr � -�'� IKWE Town of Barnstable Board of Health • aAARNSTAB.e. MASS. $ 200 Main Street,Hyannis MA 02601 1639. �0 Office' 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 John T.Norman Donald A.Guadagnoli,M.D. July 24, 2019 Mr._ Terence M. Hayes, R.S. Punkhorn Services P.O. Box 438 South Dennis, MA 02660 RE: 261 Nyes Neck Road, Centerville, MA A= 232-004 Dear Mr. Hayes, You are granted variances on behalf of your client, Thomas J. Rooney, trustee, to construct a replacement septic system at 261 Nyes Neck Road, Centerville, Massachusetts. The variances granted are as follows: 310 CMR 15.211'. To construct a soil absorption system 4 feet away from a cellar wall, in lieu of the twenty (20) feet minimum setback required. Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system 61.5 feet away from a watercourse, in lieu of the 100 feet minimum setback required. Section 360-1 of the Town of Barnstable Code: To construct a soil absorption system 67.2 feet away from a vegetated wetland, in lieu of the 100 feet minimum setback required Section 397-8(E) of the Town of Barnstable Code: To construct a soil absorption system 101 feet away from a private well, in lieu of the 150 feet minimum setback required. (1) No more than four (4) bedrooms are authorized at this property. Dens, study rooms, offices, finished attics, sleeping lofts, and similar-type rooms are considered "bedrooms" according to the MA Department of Environmental Protection. (2) The applicant shall record a properly worded deed restriction, signed by the owner of the property, at the Barnstable County Registry of Deeds restricting the property to four (4) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. Q:\WPFILES\HayesRooneyNyesNeckRoad2019.docx (3) The septic system shall be installed in strict accordance with the revised engineered plans dated July 22, 2019. (4) The designing registered sanitarian shall supervise the construction of the onsite sewage disposal system and shall certify in writing to the Board of Health that the system was installed in substantial compliance with the revised engineered plans dated July 22, 2019. These variances are granted because the proposed plan appears to meet the maximum feasible design standards contained within the State Environmental Code, Title 5 and local Health Regulations. The designing engineer designed the septic system to be located in an area to attempt to maximize setbacks to wetlands within the available constrained space on this lot. Sincerely yours, r , r Pau . Ca a V m n QAWPFILES\HayesRooneyNyesNeckRoad2019.docx G h 74? h1E f. DATE: q $95.00 FEE*: � MRNSTABLE, � �.d1 163 REC. Town of Barnstable '7yyJ O SCHED.DATE Board of Health 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508-790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi VARIANCE REQUEST FORM LOCATION / Property Address: l �"y S V1Ft A&b, Gxor v,14 Assessor's Map and Parcel Number: Size of Lot: # �j Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: APPLICANT'S NAME: 77��AX F k&YES Phonew 01,14 R'r1 Did the owner of the property authorize you to represent him or her? Yes _ No PROPERTY OWNER'S NAME CONTACT PERSON Name: IJViQ/16V Q72EYJV& JRA57- Name: Address: 041 b yts /v rx�� ,lL�Address: Phone: _ aOV y� Phone: EMAIL: VARIAN E FROM REGULATION(Inc►.Reg.Code ) REASON FOR VARIANCE(May attach separate sheet if ore space needed) SPtS ARCS -r~ 6V,'M�Lj g pF /nzag W.CA� z R ,472 of NATURE OF WORK: House Addition House Renovation LJ Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) Please submit first four on list as S collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters r Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health@town.barnstable.ma us D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). Full menu—Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1)New construction, 2) Septic repairs with increase in flows, and 3)New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a`variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. C:\Users\decol1ik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- 2018.docx r �t4 DATE: $95.00 FEE*: * fARNBTABLE, 1639. � Town of Barnstable REC.BY: SCHED.DATE: ! Board of Health 1:23 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Paul J.Canniff,D.M.D. FAX: 508 790-6304 Donald A.Guadagnoli,M.D. Junichi Sawayanagi ' VARIANCE REQUEST FORM LOCATION Alo Property Address: Av 1 yE5 NECK 00., CP I VjkAF- Assessor's Map and Parcel Number: 9361 Al Size of Lot:_ � � ff ' Wetlands Within 300 Ft. Yes Business Name: No Subdivision Name: 1� �1 APPLICANT'S NAME: I Ei�EAXE��A'agS Phone Did the owner of the property authorize you to represent him or her? Yes X No "AfE c `_� CONTACTPERSON Name: ALGA e- T] R06A)'Ey 4a�ek Name: Po fox �55"cw- e Iu.I 40 Al m Address: p / Ad ess: Phone: o W ' �pZ Phone: R-► I 0 i C1 -rr) EMAIL: VARIANCE FROM REGULATION(Incl.Reg.Code 4) REASON FOR VARIANCE(May attach separate sheet if more space needed) AR OF 7FAC F c&Lisew 41— NATURE OF WORK: House Addition LJ House Renovation X Repair of Failed Septic System Checklist (to be completed by office staff-person receiving variance request application) lease submit first four on list as 5 collated packets. A. Five(5)copies of the completed variance request form B. Five(5)copies of MA DEP approval letters for Innovative/Alternative septic system(when proposing an I/A system or secondary treatment unit(S.T.U.). C. Five(5)hard copies of engineered plan submitted(e.g.septic system plans)and one(1)electronic version submitted to email: health@town.bamstable.ma.us D.Five(5)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)and one(1)electronic version. A completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or R.S. Signed letter stating that the property or business owner authorized you to represent him/her for this request Applicant must notify abutters by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only). i Full menu-Five(5)copies of full menu submitted(for grease trap variance requests only). Fee Submitted*$95.00 for the following variances: 1)New construction, 2) Septic repairs with increase in flows, and 3)New owner/new lessee applying for food, pool or body art variances. Exemptions from Variance Fee: 1) Septic repair without an increase in flow and variances granted at the counter,2)Monitoring Plans,and 3)Temporary Food(not a"variance"). Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Paul J.Canniff,Chairman NOT APPROVED Donald A.Guadagnoli,M.D. C:\Users\deco11ik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\QDLJENHC\VARIREQ Rev APR 4- 2018.docx Town of Barnstable BARNSTAaM Assessing Division MASS. �er i639'0. 367 Main Street,Hyannis MA 02601 FD MAr www.townofbarnstable.us Office: 508-862-4022 Edward F O'Neil,MAA FAX: 508-862-4722 Director of Assessing ABUTTERS LIST CERTIFICATION DATE: June 3, 2019 RE: Abutters List j For Parcel(s) : 232-004 As requested, I hereby certify the names and addresses as submitted on the attached sheet(s) as required under Chapter 40A, Section 11 of the Massachusetts General Laws for the above referenced parcels as they appear on the most recent tax list with mailing addresses supplied. raid Board of Assessors Town of Barnstable r dwry I 5/31/2019 AbutterReport Board of Health Title V Septic Variance Abutter List for �} Map & Parcel(s): '232004' Direct abutters (no set distance) and the properties located across the street. Total Count: 4 Close Map&Parcel Ownerl Owner2 Addressl Address 2 Mailing Country Deed CityStateZip 232003 GANS, DONALD Rik PO BOX 628 270 NYES NECK CENTERVILLE, MA 27799/251 JANICE M ROAD 02632 232004 ROONEY,THOMAS J TOMAS J ROONEY LIV PO BOX 455 CENTERVILLE, MA 24515/337 TR TRUST AGRT 02632 232005 MILLER,JAMIE PITT, ANDREW J TRS-HIRSCH 123 PRATT STREET PROVIDENCE, RI 29611/318 HIRSCH,JEFFREY A& FAM IRREV TR 02906 232006 GANS, DONALD R& PO BOX 628 CENTERVILLE, MA 27799/251 JANICE M 02632 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters.If a certified list of abutters is required,contact the Assessing Division to have this list certified.The owner and address data on this list is from the Town of Barnstable Assessor's database as of 5/31/2019. maps.townofbarnstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 1/1 Town of Barnstable Geographic Information System May 31,2019 {i 233002001 #223 233001 233027 �J #235 N Y 233028 F s N #236 F C - k R O 232 077 rf 52006 o - #2 232078 #99 a" , m '�.'•:::'::i•':2i:'�'.:• ,iiii:i�:?.':':.'[.�i'i':•:..�;.•f.ii:':::;�`:;i{.iii•ii•a�.f;';�;�%:}: �:::.�ii{.f� ;: �s r 79:": 232002 # #301 232007 #310 0 39 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:232 Parcel:004 Board of Health Title V Septic Variance Selected Parcel boundary determination or regulatory interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located 1"=100'may not meet established map accuracy standards. The parcel lines on this map . are only graphic representations of Assessor's tax parcels. They are not true property across the street. Abutters boundaries and do not represent accurate relationships to physical features on the map such as building locations. Buffer Gy I M - o i UVLAJ voew'- ' l -j4 _ f i April 3, 2019 Barnstable Board of Health c/o Punkhorn Services P. O. Box 483 South Dennis,MA 02660 RE: Representation at Board of Health Hearing This letter authorizes Terence M. Hayes of Punkhorn Services to represent me at the Barnstable Board of Health Hearing regarding the proposed septic design variances for my property at 261 Nye's Neck Road,Centerville,MA. Sincerely, ,���/ d dm= Thomas J. Rooney, r of The Thomas J. Rooney Living Trust Agreement 5 Sharon J. Rooney, Tr of The Sh n J. Rooney Living Trust Agreement EXCERPT FROM THE BOARD OF HEALTH MEETING ON JUNE 25, 2019: Variance - Septic A. Terence Hayes, representing Thomas Rooney, ow er - 261 Nyes Neck Road'; Centerville, Map/Parcel 232-004, 47,260 square fee ot, requesting two variances for a failed septic repair (wells, no public wa ilable). Terry Hayes presented the plan to the Board. There is no town water in this area. There was a concern for the 60 feet to the lake. The engineer said the direct of the flow is most likely towards the lake. Mr. Hayes will see if he can turn the soil absorption system (SAS) 90' to gain some distance even though it will move it closer to the wetlands. Upon a motion duly made by John Norman, seconded by Dr. Guadagnoli, the Board voted to continue this item to the July 23, 2019 meeting. (Unanimously, voted in favor.) Q:\MINUTES\EXCERPT OF MINUTES\EXCERPTS\Excerpt BOH Jun 2019 261 Nyes Neck Rd Cent.docx �i L m CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory ti - ,Ja;rr+cHust/ Report Dated: 8/4/2006 Report Prepared For: Order No.: G0637377 Sharon J. Rooney P O Box 455 Centerville, MA 02632 Laboratory ID#: 0637377-01 Description: ater-Drinking Water --- ` Sample#: Sampling cation 261 cek'Rd, erville,MA Collected: 8/2/2006 Collected by: S.Rooney 232 Parcel 004 Received: 8/3/2006 3.2 — Routine Op ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen 0.18 mg/L 0.10 10 EPA 300.0 8/3/2006 LAB: Metals Copper 0.23 mg/L 0.10 1.3 SM 311113 8/4/2006 Iron BRL mg/L 0.10 0.3 SM 311113 8/4/2006 Sodium 9.3 mg/L 1.0 20 SM 311113 8/4/2006 LAB: Microbiology Total Coliform Absent P/A 0 0 309 8/3/2006 LAB: Physical Chemistry Conductance 80 umohs/cm 2.0 EPA 120.1 8/3/2006 pH 5.7 pH-units 0 EPA 150.1 8/3/2006 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: (Lab hector) CIO to W RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 ' .. CERTIFICATE O��''ANALYSIS Page: 1 Barnstable County Health Laboratory y�s�`rt5v Report Prepared For: Report Dated: 12/11/2006 Shaun F. Harrington All Cape Well Drilling Order No.: G0638984 P O Box 126 Brewster, MA 02631 Laboratory ID#: 0638984-01 Description: Water-DA-king Water v ®U Sample#: Sampling Location:r261 Nyes Neck Rd.Barn le,MA'. 23 Collected: 12/6/2006 Collected by: S.F.H. Received: 12/6/2006 Routine +Ammonia ITEM RESULT UNITS RL MCL Method# Tested Ammonia BRL mg/L 0.20 EPA 350.3 12/6/2006 Nitrate as Nitrogen 0.13 mg/L 0.10 10 EPA 300.0 12/6/2006 Copper BRL mg/L 0.10 1.3 SM 3111B 12/7/2006 Iron BRL mg/L 0.10 0.3 SM 311 IB 12/7/2006 Sodium 9.4 mg/L 1.0 20 SM 3111B 12/7/2006 Total Coliform Absent P/A 0 0 SM9223 12/6/2006 Conductance 80 umohs/cm 2.0 EPA 120.1 12/6/2006 pH 6.0 pH-units 0 EPA 150.1 12/6/2006 EPA 524.2- Volatile Organics by GUMS ITEM RESULT UNITS RL MCL Method# Tested Dichlorodifluoromethane BRL ug/L 0.5 EPA 524.2 12/6/2006 Chloromethane BRL ug/L 0.5 EPA 524.2 12/6/2006 Vinyl chloride BRL ug/L 0.5 2.0 EPA 524.2 12/6/2006 Bromomethane BRL ug/L 0.5 EPA 524.2 12/6/2006 1,1,1,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 12/6/2006 1,1,1-Trichloroethane BRL ug/L 0.5 200 EPA 524.2 12/6/2006 1,1,2,2-Tetrachloroethane BRL ug/L 0.5 EPA 524.2 12/6/2006 1,1,2-Trichloroethane BRL ug/L 0.5 5.0 EPA 524.2 12/6/2006 1,1-Dichloroethane BRL ug/L 0.5 EPA 524.2 12/6/2006 1,1-Dichloroethene BRL ug/L 0.5 7.0 EPA 524.2 12/6/2006 1,1-Dichloropropene BRL ug/L 0.5 EPA 524.2 12/6/2006 1,2,3-Trichlorobenzene BRL ug/L, 0.5 EPA 524.2 12/6/2006 1,2,3-Trichloropropane BRL ug/L 0.5 EPA 524.2 12/6/2006 1,2,4-Trichlorobenzene BRL ug/L 0.5 70 EPA 524.2 12/6/2006 1,2,4-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 1,2-Dibr,omo-3-chloropropane BRL ug/L 0.5 EPA 524.2 12/6/2006 1,2-Dibromoethane(EDB) BRL ug/L 0.5 EPA 524.2 12/6/2006 1,2-Dichlorobenzene BRL ug/L 0.5 600 EPA 524.2 12/6/2006 1.,2-Dichloroethane---- BRL ug/L 0.5 5.0. EPA 524.2 12/6/2006 1,2-Dichloropropane . BRL ug/L 0.5 EPA 524.2 12/6/2006 1,3,5-Trimethylbenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 1,3-Dichlorobenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 MCL-=:Maximum Contaminant Level RL = Reporting Limit Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 - 1 < s� CERTIFICATE Or ,ANALYSIS Page: 2 Barnstable County Health Laboratory s¢nrttu5w, Report Prepared For: Report Dated: 12/11/2006 Shaun F. Harrington All Cape Well Drilling Order No.: G0638984 P O Box 126 Brewster, MA 026311 Laboratory ID#: 0638984-01 Description: Water-Drinking Water Sample#: Sampling Location: 261 Nyes Neck Rd.Barnstable,MA Collected: 12/6/2006 Collected by: S.F.H. Received: 12/6/2006 EPA 524.2 - Volatile Organics by GC/MS ITEM RESULT UNITS RL MCL Method# Tested 1,3-Dichloropropane BRL ug/L 0.5 EPA 524.2 12/6/2006 1,4-Dichlorobenzene BRL ug/L 0.5 5.0 EPA 524.2 12/6/2006 2,2-Dichloropropane BRL ug/L 0.5 EPA 524.2 12/6/2006 2-Chlorotoluene BRL ug/L 0.5 EPA 524.2 12/6/2006 4-Chlorotoluene BRL ug/L 0.5 EPA 524.2 12/6/2006 Benzene BRL ug/L 0.5 5.0 EPA 524.2 12/6/2006 Bromobenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 Bromochloromethane BRL ug/L 0.5 EPA 524.2 12/6/2006 Bromodichloromethane BRL ug/L 0.5 EPA 524.2 12/6/2006 Bromoform BRL ug/L 0.5 EPA 524.2 12/6/2006 Carbon tetrachloride BRL ug/L 0.5 5.0 EPA 524.2 12/6/2006 Chlorobenzene BRL ug/L 0.5 100 EPA 524.2 12/6/2006 Chloroethane BRL ug/L 0.5 EPA 524.2 12/6/2006 Chloroform BRL ug/L 0.5 so EPA 524.2 12/6/2006 cis-1,2-Dichloroethene BRL ug/L 0.5 70 EPA 524.2 12/6/2006 cis-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 12/6/2006 Dibromochloromethane BRL ug/L 0.5 EPA 524.2 12/6/2006 Dibromomethane BRL ug/L 0.5 EPA 524.2 12/6/2006 Ethylbenzene BRL ug/L 0.5 700 EPA 524.2 12/6/2006 Hexachiorobutadiene BRL uo/L 0.5 EPA 524.2 12/6,2006 Isopropylbenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 Methylene chloride BRL ug/L 0.5 5.0 EPA 524.2 12/6/2006 Methyl-tert-butyl ether BRL ug/L 0.5 EPA 524.2 12/6/2006 Naphthalene BRL ug/L 0.5 EPA 524.2 12/6/2006 n-Butylbenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 n-Propylbenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 p-Isopropyltoluene BRL ug/L 0.5 EPA 524.2 12/6/2006 sec-Butylbenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 Styrene BRL ug/L 0.5 100 EPA 524.2 12/6/2006 tert-Butylbenzene BRL ug/L 0.5 EPA 524.2 12/6/2006 Tetrachloroethene BRL ug/L 0.5 5.0 EPA 524.2 12/6/2006 Toluene BRL ug/L 0.5 1000 EPA 524.2 12/6/2006 MCL=Maximum Contaminant Level RL = Reporting Limit Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 CERTIFICATE 0 . NALYSIS Page: 3 Barnstable County Health Laboratory Report Prepared For: Report Dated: 12/11/2006 Shaun F. Harrington All Cape Well Drilling Order No.: G0638984 P O Box 126 Brewster, MA 02631 Laboratory ID #: 0638984-01 Description: Water-Drinking Water Sample#: Sampling Location: 261 Nyes Neck Rd.Barnstable,MA Collected: 12/6/2006 Collected by: S.F.H. Received: 12/6/2006 EPA 524.2 - Volatile Organics by GUMS ITEM RESULT UNITS RL MCL Method# Tested Total xylenes BRL ug/L 0.5 10000 EPA 524.2 12/6/2006 trans-1,2-Dichloroethene BRL ug/L 0.5 too EPA 524.2 12/6/2006 trans-1,3-Dichloropropene BRL ug/L 0.5 EPA 524.2 12/6/2006 Trichloroethene BRL ug/L 0.5 5.0 EPA 524.2 12/6/2006 Trichlorofluoromethane BRL ug/L 0.5 EPA 524.2 12/6/2006 Water sample meets the recommended limits for drinking water of all the above tested parameters. Approved By: ( ector) / MCL=Maximum Contaminant Level RL = Reporting Limit Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 a312- 6D Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments C' 261 Nyes Neck Rd Property Address CW Rooney Owner Owner's Name information is 3> required for every Centerville/ Barnstable Ma 8/1/16 page. City/Town State Zip Code Date of Inspectio . I.-A 40 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 Chad Hathaway use the return Name of Inspector key. H.P.S. 41h Company Name P.O.Box151 Company Address rem Forestdale Ma 02644 City/Town State Zip Code 774-274-2581 12866 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 8/1/16 Inspe s Signa a Date The system inspector shall mit a co y of this inspection report to the Approving Authority(Board of Health or DEP)within days of..completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. ""This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 17 119 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 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: ® 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. Comments: 2 cesspools that feed into a 6'x 6' leaching pit (-J24ca a1cSoj 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 a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 261 Nyes Neck Rd Property Address Rooney Owner Owners Name information is required for every Centerville/Barnstable Ma 8/1/16 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•3113 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 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/Barnstable Ma 8/1/16 page. Citylrown 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 '/2 day flow t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered.A copy of the analysis and chain of custody must be attached to this form.] ❑ ❑ The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ❑ The system fails. I have determined that one or more of the above failure criteria exist as described in 310 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 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/Barnstable Ma 8/1/16 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 two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined? (If they were not available note as N/A) ® ❑ Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ® ❑ Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS)on the site has been determined based on: ❑ ® Existing information. For example, a plan at the Board of Health. ❑ ® Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 page. CitylTown State Zip Code Date of Inspection D. System Information Description: 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 Seasonaluse? ❑ Yes ® No Water meter readings, if available(last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: current 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 17 f Commonwealth of Massachusetts Title 5 Official Inspection Form o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/Barnstable Ma 8/1/16 page. City/Town 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: owner 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 Fora o Subsurface Sewage Disposal System Form -Not for Voluntary Assessments �M 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 � page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: unknown Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: 1'feet Material of construction: ❑ cast iron ®40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10, feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: t5ins-3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 17 I Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 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 Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? tape and 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.): pump every 2-3 years as maint. to protect leaching 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 Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 4 M 261 NY es Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/Barnstable Ma 8/1/16 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 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 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: 6'x6' precast leaching chamber has cover at grade. pit has 3'6"of un used reserve capacity t5ins•3/13 Title 5 Official Inspection Forth: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 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/Barnstable Ma 8/1/16 page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ® overflow cesspool number: 2 with precast pit ❑ 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.): PumpRd &y Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 2 cesspools and pit Depth—top of liquid to inlet invert 1st 5"2nd 6" Depth of solids layer 1st 8"2na 4„ 1st 4"2na 21' Depth of scum layer Dimensions of cesspool 1 st 4'w x5't 2nd 5'x5' Materials of construction 1 st rock 2ntl block Indication of groundwater inflow ❑ Yes ® No t5ins•3113 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 , 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/Barnstable Ma 8/1/16 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 W Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 page. CityTrown 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 I C" p A v �Gecc�s� t - B� LA 6It co-yo01 ° 3 a A 3- 3.2 It 13s ' 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 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 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: 10, 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: used GIS from town website and shot elevations with transit from high water line at lake 1 st cesspool 1'3" G/W seperation 2nd Cespool 1'6" G/W seperation leach pit 1' GM seperation Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 261 Nyes Neck Rd Property Address Rooney Owner Owner's Name information is required for every Centerville/ Barnstable Ma 8/1/16 page. Cityrrown 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•3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 No.x,')ao C) 6----O 5 1 Fee----?-- 9�----- BOARD OF HEALTH TOWN OF BARNSTABLE Zpplicat ion-for Vell Con5tructionpermit Application is hereby made for permit to Construct ( ), Alter ( ), or Repair% individual Well at: Location — Address Assessors Map and Parcel Owner Address - - ------------- � ---- __ s � Installer — Driller Address Type of Building Dwelling. ------------------ - --- - Other - Type of Building-----_—__—______ No. of Persons---____._________--_—_--_-- Type of Well — Purpose of Well--- 15 621 Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Application Approved __----_—--- / 1 y A. date Application Disapproved for the following reasons:----------__________---____—_____ - ----— —------------- date Permit No. - W r� — ®J� -- Issued--- `- -/��`__�''---- -- _------------ date BOARD OF HEALTH TOWN OF BARNSTABLE (C ertif icate ®f (Compliance THIS IS TO CE�R�TIFY, That the Individ al Well Constructed ( ), Altered ( ), or Repaired (K- b ---- --------------- n l lns Iler )1 at CVN has been installed in accorda\n4e with the provisions of the Town of Barnstable Board of Health Private Well Protec 'on 05 ( f (P Regulation as described in the application for Well Construction Permit No. ----_-___________Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- - Inspector-- -- --- R' � 6 a 5 I No.-------------------- Fee------- ------------ BOARD OF HEALTH TOWN OF BARNSTABLE App[icationlbrVell ConfStrktioit'Permit i Application is hereby made for a permit to Construct ( ), Alter (. ), or Repair%an individual Well at: Location — Address —-- — ---- Assessors Map and Parcel —^—---- OwnerA ddress Installer — Driller Address Type of Building Dwelling ------ - ---------------------------- Other - Type of Building_________—_____________ No. of Persons--------------------------�_—_______._._. Type of Well Purpose of Well L _—__--_- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Compliance has been issued by the Board of Health. Si e Application Approved B t`7 /__6_ i — -----_---- date ;:. Application Disapproved for the following reasons: Jdate Permit No.� ©S ---- Issued-- 1f - -- -— - --- date -------------------------------------------------------------------------------------------------------- BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of (Compliance THIS IS TO CERTIFY, That the Individu 1 Well Constructed ( ), Altered ( ), or Repaired (K- bY— --�c� - - 'Q 1 ----—--- - - ------------------------------------- In t Iler at------ \ has been installed in accord with the provisions of the Town of Barnstable Board of Health Private Well Protection -- Regulation as described in the application for Well Construction Permit No.�-� fi_�---- �°__ Dated-Z-O-� ___�__ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE—------- -- - Inspector--- - -- BOARD OF HEALTH TOWN OF BARNSTABLE Yell Con0ruct ion Permit No. �. C? ' Fee-- -------- Permission is hereby granted----_—_— —_--�-- ---------------------------____-- to Construct ( ), Alter ), or Re it Individual , el I at No. - U Street as shown on the application for a Well Construction Permit No.-- b "` _— ----- Dated------- --- ----- ------------------- - I � )� J Board of Health DATE ------ ------- TOWN OF BARNSTABLE LOCATION 2(p l N"I C'S �)Cdk SEWAGE# ZO I - 14`p VILLAGE L ASSESSOR'S MAP&PARCEL 1,'3Z - INSTALLER'S NAME&PHONE NO. Robes �,i _ ood U • ;F-,a.c. K'h$S1'7 SEPTIC TANK CAPACITY 160 o 4 a L iA-1 o 5 T. . 10 0© ct pL to p LEACHING FACILITY:(type)(3) 500 6,,n,,L 44-Lp(size) 13A 33 X 7- NO.OF BEDROOMSnr;��d OWNER rR o o Pis e PERMIT DATE: '7 - Z - Z o z O COMPLIANCE DATE: 7- /(o - Z o 7_0 Separation Distance Between the: s Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 7 Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) 16O Feet Edge of Wetland and Leaching Facility(If any wetlands exist within i 300 feet of leaching facility) Feet FURNISHED BY IR o 3. 00(L. CIO . . z 1 I . W.8 16-3 ? $ 81 23.b E-L elo i • I � � • , REP IL 50 r i 3-iV r • FRO I • .t Sol Pali NbS bK 777r7Ca ' U l ® LZ , _ nt4A t t W 14r Lw x•-�•�fP•.S. ' I wa �A Fv 17I I ' 5- �� SOIL TEST ►+� 4" SCHEDULE 40 PVC PIPE t OAM AND 'SEEL% - ---- ! =1_ - - I 1 DATE !1f tiCN1 TF CT JaNr;+AEtti i t,�1i 9 ?;ii-' Of t:.tUNUk J!Uh: 3 �/( F! MINIMUM hF{C�! �:t' At+' Jt2 t:I'tA+1�[, `if'AC:E M{N PITCH i /f1" PER FT. 1 �` L..ti��K t7f' - - - ------ � r _ - - -- � SOIL TEST DONE E3'r � M. ►iAY�51 RS � '� 0 F MINIMUM FROM S. � �----- .{ \ , \' � t/8 TO 1,/2" � WI NESSEU 8) IZ kLtV - 41.50 j 16 1` i. MINIMUM I T. "F ^if t? / 1 1 \ \ \`WASIIAFD TONF PR (NA[)FSr31 \ I i'il1 Psi MINlMi1M -� j EItV. _ I .85 MAX1 l \ Of2 FTI.TFR FAfiRIC ! � A HOLE V _ {J o'` MAr;,_ i 4'± --_ --tom , 1 42.60 MIN. i RFtt+11Pr n A L C;ONCRE ft - x/ i -- - -- - - -- - 36.s5 1 rvfr, Jr, ',t / r \ 01J C+� ( -4 ' t � --- -4 -- - PFPCOLATTC*11 < MIN,,/iNCIi AT 5t LAWNNEG T i tE I t LOW N' i i , , ; ! 41.0 DEPTH - 14CRu 7 TEXTURE COLCiR •Mt;; � 1 i - IiClR4 '1 Ni; 4 �A +J F'�. MAX / 6" MAX -1 i �_. ) -� Q-11" IAp �LOAM'Y SANG / LE4 41.85 I t:;Fs I av�, ; yilrJ!IJI,M - - u ❑ CJ u C i� U ❑ ❑ ❑ C3 l-- - ' 4? UAM S N[) OYR S f c E1 I- - - - � r4., r•,rk, E-T r7 � -rl _.� ,_•� r I -�. .._. - 0 17�`-. _ fl_ _11 !Fi Y A 11 6/ i !4 1� 'C) RI �: g V. jT r 7 (3 1 0" '`()AR F SAND �? I r' r `� !' L ;V ,� `-7 n 17 1:7 n 1 7 1 AA: 2 �Y7 /4 f {`an uc' SLtL�E F-, - - !! I ` E' L ; ° °G° VIPIYI_. �_ _ -_- ---c- ` // L 1- r i 1 T 1 „ �ZAEEL A18aa FILTER { % ! T : l'��[ r Y S+`IMp rt E Y 41.30 1 C," Lt3!E _t,,.fl 1 C0 i� C7 �/_3 7 i.:� C� O F+ iJ C] 0 Z' o }1Q WAtth E_NCOUN IZ !;EC A ----- E LV. - --------- r~ w I 47 I 1 _ II 41- , i1 ,�MIN. E I I ll It ^ C� Or_+ r, r. !^ clOC V. 39tg 1 � r f I r ,, 3a.� DISTRIBUTION - ° _ LE LLcV ------- � SERVAL ���' 2 �.. fiCLE..,, .. E HCRi1 ! TE'r?U{?!. ._ [?R _ { MUTT - OT1•IFR---_ -- - GAS � I i � � V V/� �r 3 tiGQ GA[I(3N GA1 1 E YS W1T�i { �EPTN _ 1 ,TAEfLc - ! i E!-F V. _. 37.00 _- ( ; ! I IO BE WATER itJT1 G STONE IN AN i _� -- �� �- c 36.0 0' 1 lAp CAM _ANCf F.LE'v. - - -- ------ - _ G 'TO BE PLACED ON FIRM BASE) `tv 38.T5 _- CHI- 3%4" TO 1 1/L" CLEAN J i'- 13' Y 33 !� 2 TPFNr`� c!?RMn.T?O f_ f S.1 NL t N A �`�--:- tI OIAM SAND I10YR6;'a � �4n;� f��'+NNtE i 1 ! 5 1 4L" F3 , LIQUID JU{LtT .32.5fl � ___._._ � SO4L ABSORPTION � 4' 1?G" G ti�AE<SE= `ANJ)_,_ i�i�J/ r4. 1. i l i ! JALVE GOUc3LE YttA;�iED SIChE INDEX _---.-____-- ! i 1 ' ,n I _ Tu_ -. F;F F'_p, :La 0f FI;:M !� `�i {I FREE OF TINES & SIL1 AUJUS` - NO WATER FNCO(JNTFPF.r)JAT 12D" ELE:V 5a.n i 4 FEET 14 INCHES ! GALLON j''' $,� I,A'r'ErS SRM 4 SYSTEM '��� � _..-....._. i FEF T 19 INCHES i 1500 GALLON PUI� � , 0 4 HP (MAY �___.. 24 !NcHf q INCH; L3 ;t7R EQUAL) MAXIMUM REGi1LATE:G raFiJ itiATiFt iABi�E ctE'v- �Q '�f�HF` SEPTIC � g 04iSER`dED POND WATER TABLE (1/1./2013) E'E V. t.--tV. •A,I INYi.K 1 1N!L.1 36.6J Pu mp R CdHA BER .A.ALCULATIONS: �,E's'N �ALCULATI®NS f, rti e" , j t- { I LFV AT Al ANM ON T14.,5 PR FILE AT rUMP ON' 3.91 REt IRLL) IiuW PLR , _Li_ .2� t. 4�W - llt) i�Nt.li iL�E A � LSIAL 'SYSTEM �, Fi_� - - T F-1 i n T Pll)MP OFF 3 k VOLUME PLR ' YCLL 11 GAL./'CYCLL / r.48 GAL /CU. t ;. l4�T1_ CU, ! _ VC'[.iJME C)f WATER IN PIPE 3.14 . n ,1,ZF:94 x; --19-- r T• ficilli)M O) INSI0F. PUMP C;HAM[3Ef? �+ TOTAi MINIMUM VC4.UME- PC CYCLE_ _15,12CU. F ~� �T (110 C�_.`8R./DAY X 4 BR.3 44(? BOTTOM lam- OUTSIDE PUMP .HAMbE-R __� �,�,^�,e0rr 1'S..' Ct? FT / 34,67 CU.FT-/FT. fiT (1<X)0 G.S.r ) REQUIRED OPTIC. TANY CAPACITY 8w h+lerlTY ! 440 CAL /D.AY /7.4f? GAt. /CU,FT.;/?4.67 CO.FT./FT. I:T, At-JUAL SI& Uf SEt rk: 'IAlNK. I5 (�AL 1.7L1 tt.t)i.IIKF.i� Zt*) "kC1V{(}E.0 SOIL JESIGIiLP P(' V J IL ; CO TON , 5 I t __ mIN.",IN. I F F!`I,..FIN+ I_.)AUIN�,, RA-!! GAL.CA`!' ` LFACJ1iv^ ::PFA {13X33)+(46X2X2� I c A,_WN! ,1'Y (AREA x RATE) GAL./DA'Y a BOY "��„ U't,d i�A 1LUS� t11.1. iU x ;s. A a � i�, .3:: SERVE LEAti.t4Mtfz A I, GA r,1 i.;la a.1_ )Ij :rQ.J ,i I A,4K .,3 >MLa.:1"v (1 14.�X5547X(32.8--32-50)X622,5 1117 LBS s2.$- 3Z.3r^^)X1 2.5 1232 LBS. ( '1JFIGtIi ;,'hI) [-1 pera•?;,vit +.t "1y? ,rF:? 1,1480 LBS. Wli.!} (A r#'I'l ' "i I-' >dl'.�f' 8JAI ;', ! I XS;fi�) Vt+f,_It,4 1 it t�iI`>f i eEttIA1;(..44 x :f''`i> Wl !,,Aji il+ tAi `It I .' i0tAIION i 1 i 19 i 1 U363 LBS. 6240--1232 7W8 I OS. , x i y J Y i j J I i i ? NGT I"o At1Ct MATERiA;.S 15.�fAd-1- C1iti,+1`L*M TOC, ,e , �T I TTT'Lr 5 ANDcitE TCWi�(��, J�aILF'S AND f�E1�,} A .�'iy^ FOR ------ THE SUBSURFACF CN5430 slt+ OF SEWAGE. \� + 2 AI_I. COVE S TO SAPNI TARY UNITS SY4AI-k. W B-R(- fGFIT 10 *THiN 6" uF FINISHED v(tADE, 3. ALL COMPONENTS 04 THE 'SAN11ARi S- 61Ey4 `sHALI BE CAf'ABil 0" W!THISTAND!NG H -10 LC,AD+NG UNLESS THEY APE UNDER OR Wl'`'HiN 10 FT Of DRivFS OR PARKING ARF A:�. H--20 WADING SHA, i ;9l; f 1h USED CINDER OR W{THIN 10 FT. 0 DRIVES OR PARKING AREAS, $ i •✓ y + \ 1 ANY 1<AASf\NARY i1N!TS lJ1 E G T£i BRING G[)VERS To !"T?ADF. SHA' RF MORTARED IN PI.AGE 5. NO DETIERMINATiuN HAS BEEN MADE AS 10 0jMF'L1AN<.E_ off i" DEEDED OR 40NNG REGULAT1,01IS. G'WNLR / AP `t:ICANT iCIt y � It DeTAIN SUCH DETERMINATION FROM APPROPRLATF AVTi OR! Y. t '' F 3fLs_!_ 1 vTTi TIFS SfIOWtf APE APPROXIMATE ONLY, FXC'AVA.T401`4 TC' G."[' "D!r 0A{-r., AT 1 8BS' ..744 72 , A! ,,-A`>'i 58 1 PRIOR TO rt7MMENG04G WORK ON SITE " \ 41.8 v i CON IRAC VOR IS TU VERIFY GRAIIF.S AND fLF VA IIUNS AS I I. Al,� y 41,9 �' 4 SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE, ANY VARIA', : , IS TO BE [3Ru11GI7T 30 THE ATTcNTJt N TNI GEaIC'N EN{�IttEffr , f{AR CE` 1 I 9 i J uFVW N ON f SCE SSf{RS MAP As R 42 \ ->' 10 PUMP AND ALARM ARE TO BE ON iSEPERATE CIRCUIT'S r 11. ALARM IS To BE. F3()Tf-{ AUDIO AND VISUAL 12. A LABEL A18I'iu" FILTER IS TO BEINSTALLE:`v'. 1 13. AN ELLIC RIC PERM"! IS REOUiRE:G' TU )MRL PUMP AND ALARM t 14 ALL UNSUITABLE TABLE MATERIAL aF, U. B REMOVED FR:344 l#�f�P s4;i' !i Stito �= FO#Z A MIN[MUM OF 5� ARi UND SOI AF35£)R('T1�3t;I S�(EM AhiI1 BE _; PFPLACf'_ W71" ►ATERIAL ' WIE' �310 CMI a I S€1:'TfC TAWANT) PUMP C HAFAH£R ArRE TC' RE L1AT RF'f?€X7#F.£7 AT ` C1t 1r"4 /` THE MANUF AC TUREP,\ f ��1 16, RiE INSIALIER iS TO OVE. TH{_ ENGIINEFR A MINIMUM C* 48 {OURS f G" G t?,, a �`� r a 1`. pox -`�'t 11 � � � 2 WORKING uA r'S) NOTICE. FOR Mil. FINAL {hiSf'ECii v (NUMBER tfrl }Li;. f . .{,i M•'. r - r. ^YL': /' t S"•Y } R`-C^, 4 r, ,',.'- li �- C 1; >' �fJY1NrCr tES { a_,`vi ARE i{) F3� PUMPED SA4ifiT,t�uT) LXt�.r a 'v�,f--- ��,6 �•>I; 40 1i16.1 1 F'!.I'1,+!P _ 1� .-� � rf�f'} �• - �� � ,+ PF D. Jc Grp{ Iw. t?� ? ec s u.t4t \ - f ,F VWYL tHAM{itK ? �\, ` + .._ S. fR(, NG. + r r IA TfPa - f#J�tEFt f 1 M 1 the 1et11 Ili TAPSY F+t`l1�tIT£_f.: �flti.S t I ,,,t}t d •. ,,ff rf f' ,IA.I�!A4bfEj TO Y?3'_E °a AP;Cs BARNST:2£ti_`: R(`fAAA1`l':)N'. / _ } / $-1� _ _ A. S +L_ A�SG7TT1CN S YfTF m !f`.:.t ',f?Ar1 1Na 1->ttM NF TI A M ) . \A; J 1 -IN0' ' FCYN,TaAT►+u? / !Q 04I ASS�PTION SYSTEM _FS� T1 v ,�z• .r.t_ -t:Ai ! F 9 '�tM" AE 'ORPTION SYSTEM I.E.i-, It d 1•�.2 'R;)M A+F.1.L. (V D, NG RESERVE AREA. k f F7` t, ._/..r. \ 1z, 1 y r,. r .� p nt- t•�, pr q,-n e a v^. • ' \ 1 t f ( / 1 1j'7' AL_t 01 7::illi\i;[b At"I[ S ARF TO E :�All'ti,.:.r:i All �1`�is.. 'l:r.....:'.. r ' rW 0,2 i e { } W J 1 �l - I . 'x -. N QF n i TEREtVG` y \ ( HAYESI o, tUo. 919 S-T SS /TAR%i"N ROBIN yGrn WILLIAM WILCOX I t \ %'•�' No. 313410 r o ,. . 3 1 1 , i 6 t s 1 � l 1 � 1 } APPRO VLD. 90. R OF H&EAl T j CENTERVI, PROPOSED SEPTIC �3E CN I , -THOMAS J. ROONEY, TO I i ; L.i% 261 NYE'S NECK RO A } CE RV.TIJsE, IAA wcus -3124-00 .mw.wr.r...•e,en...w.v...-..r..:sa-.�...nwaw..w.vom...w..na:..,..�..s.-. .. j ,.K F'., .. .. rN _, �.... _ .•., k . 5 BLiiMliLi1► Wit- TEST P#1 7 4a4.85 MAX. t ,A �r-y�z �t�rqS44 � - - 1 42.60 MIN, _# „ , iON �l!•lLF N ��� V ri`1 : - : f E r. • 1 1 'F, A . K 4O Mt. i , r - ra .. - 41IANYL ` 41.4 r '; T + UNEEt NO 36.00 DISTRIBUTIO . , CBSEp VAMN HOLE 2 Al in BOX `i00 (,ALl 3N GAL(A Yti E)E t'TE!.. 4+Z I I rLrV i rf yTl IU SE NAitK 1t7fEi) STONE IN AN _ ' i � .�B.C., _- : 38.75 I j tT0 BL PLACED CNJ FilRivt BASE) !I 1UGnirT_I �r i Et LOAMYiAp SAND 4 I 13 X 33 X 2 �F!arT!nN u.- i 51 w _I NfA- A _ - C.AM Nt f Ll rri , CHECK 3%4" iii i 1><✓1" Cif i _ _ _..j � i LONE �I. ' � i �L � � +i b rn E E .1 .t.:ILET L1_._ y VALVE UCJt1BL WASH SFONL ,n ' INDEX ICOARSF SAND �t 'YI r4 § t 32.5U 4 r kEE FI SILT _ _. _._ T1sE... . '" ci, ;;� �.�F �`:EJB I t 1� -T ' �� A �►RPTl �t c F� 14 fNCHES ! 4 M4'PERS SRM I �s f rSAS ! J NO MP'EP ENCOJ.+NTT-RE-n- AT ��� Etly t 1 00 GALLON r� "! 19 INCHES 0.4 HP (MAX.) -- r NJ+\ ( E_1711AL MAXIMUM REGULrA iLi. ! ONG WATER TABLE ELEV. _ _34.il.- - IWCHFSP �'AIWKCI��AIiBR ` , ;t F':htL' .)4 INCHES • v e OBS FVE ' t lAEi'L` (1/I l f<J°CJ) ELEV. _32.2 t{_tv. A- ;NtiI_P? INLE 1 - PUMP CHAMBER CALCULATIONS: DESIGN CALCULATIONS SEWAGE DISPOSAL SYSTEM PROFILE E`LFV AT P AF.'� `'`� -- � �3 _ _ . E:LEV. AT PUMP C)I'J RECiiiiFttu t-LU4Y t'EFc t;1�.Lt .25 >ti _� = 1�4.--. t3Ai_.I�tCi.E �'�` �- VOLUML PER CYCLE= 1!t!_ GAL `t;Y�E /7.48 GAL./CU. 1 1 14 71_ C". i ' ;' ;CLL ;.lr'rta Pt0 NOT TO SCAt-F F!_EV AT POMP OFF _33.48_ VOLUME IP, r 3.14 �X 'J_IJ06Q4 X-+_ f9 _ FT. - 0:41 ±. I T '; 14II GJlL� ZTiMF i '•'''�, _».�.� BOTTOM 32 65. OLIiME 4F W.AT1:F? t.1 PIPE OF INSIDE Pt!MP CHAMBER TOTAL TAL MINiWJM VOL'i'ME PER CYCLE. Y X � OR) 4#0 Ai Etui"Ti)M OF OUTSIDE PUMP Gi-iANAE3Ek _ 3iW.•3�-_ _i�1,� emu. F r DISCHARGE _ 45.1Z- CU FT- / 34.67 CUTT./FT, w --0-43 FT. (10,00 G S.T ; Rf4JiREn ST_Prl(' TANK CAPACI i.Y _ 6A+. SSTORAGF CAPACITY ( . GAL..ji7AY ,i7.48 GAL./CU.I-T. I�4 F'7 Ct),FT EFT. 1.70 FT AGIUAL '-Alf (A S*_PIIC. 1ANK GAI.. I 1.70 RvoiNREf7 _ 2�. PROViL)FTI ::)JL CLn`3S,I,:;A,iGa� D E SIjJ P[-:r aAT"')N RA TTt ._ Mffe "vi. LF At HINC AREA 4:�-..Q� SQ. T LEACHING CAPACITY (AREA X RATE) 453.+82 CAL /D A y BUOYANCY �..�ALCULATI IS. I�t3.00 x Q.74 RFSER'4it LEAC-HING C,AF A' I1'i _fgAtE_ (;H,.,jisA t" I 1O,5X5A7X(3 --32_50)XI52.5 1117 m a 5X4.83X�318--32,32)XS2,5 1232 LEIS. ' WEIGH! Of- I a r sI,_ rt ? 11480 LBS. ATI- N I.;;, .1'` , 8240 LM, ..., ,.,.r 'iTF tvlr^�,i'kiJi� :T',!i'�.F ,�,I U+'� F. " )"r �`� ;rn.; ,�, 01CHT OF OIA r IX�ilS`3 AIL ittI1 10 (:r; P rt (TIA1!t�N 1:. WkIS,f'1' !t) :T! ',t. i LL-U1A1I+:N 11480--1117 i 036 3 LEIS. 8240-1232 7cm L & i p 3 r / t ' NOTES M.,. } 1 LI tI.w'Ki1J�'510P ANO MAT'f"hlAI.-S `,-,H z �siat tJltA+t Ttt ��y t T Lr- A,*3t`) TFII;' Tp`,tdltiJ'S RL►Lc> AND !?fCJt,F3_Ai, `" ;r^P' THE SUPSUPFACE ENSPOSAL OF SEWAGE.. { r `>< 2 A0. COVfRS TO `+ANiTARY UNITS RE, BROUGHT T1. WITHIN 6" (W FIMSHEU GRADE. i. ALL COMPONENTS OF THE: SANIT,Ak f `SYSTEM SHAI-L fat APA( ;if *IHSTAn F1DINC 10 L.?rOtA.CINC UNLESS tHEY APE UNC'l R ft`•I 10 f 1, Of L Eti IT I OR P Ai XINL' ARF AS. 13'-;70 LOAfhtY4- SHALA Hr, { ! ^ USED UNDER OR *THIN 10 FT. OF DRIVES Of? PARKING AREAS. 4. ANY MTASO NARY tINITr U L'D TO t3RINr> CO-VEPS '^ CRAI3f. SHAI;,I. f4F M(3R 1 A PFE) IN P! ACE 5- NU OETT RMNAiiON HAS BEEN MADE AS TO COMPLIANCE V44". I)[-EslEO !PA '0Ni'NC 'E_GUILI A tIONS. OAINCR / Ai' I iS iii 18'iAIFi SiRf H 04 TE-RMINAT€ON FRW APE't' `;Aff_ ALfT IR =Irk 6. iUTIL_-TIES H.O.V° APE APFONLY, F CONTRACTOR I.iC' ` t�E} R TE k t"A "''�f t i '� .J .•. -, I 1-_ !. TO �;A[1_ � O'I' SAff" AT 'XI88� -?s44--721 � 1 xf PRIOR TO COMMENCIN(= WORK ON SITE. A / 4 C jet RAG ION IS 10 VERIFY Y GRAI)f J AND E.I:.E VA II(,'iY, AS WF i L A`, 41.4 '� SITE CONDITIONS PRIOR 10 COMMENCING WORK ON S iE. AN'r VARiAih,'N a iS 110 13L BR ;UGH i TO THE ATTENTION Of IHC DL`rulV Et-4(ti dt_c;R ' g A r ' M K 'I SQfL `�{11I I� 14 I.`i Art Y, I?3 r I CK?C c'fJNE X._..._ / V, .� 9. <_CT `'a SI! ?WF: ON ASSESSORS MAP __?�2_-- AS PARCEL. PEST l_ TEST r �//' '� 42 2 E , 10, PUMP AND Al AP.M ARE TO BE ON SF_REPATE C)Rr.;l:!TS i !/ F ,S x y _ v�✓ f tt Y'C'�- _._..-. - +�-- .;..,�-- y j/ 1 A_A£(All IS To J !�i . !30?-f-i Alt?i(:) Atli) VI�sUAf.: 40.$ 1 1Ie. Ai ZABEL r"A18W FfLiER IS Ti, BE ft+f`STALLLG. 13. .'!i1 ELLt.T`rti:; fst..f�?MIt ,c; f:E.:,I,IF?f_:; Tt) V'�°F'E >:'l#+►P ANi�. A ARM 41 14_ It-SI 'TAll S MATERIAL � B' V;DVEE {� 1`c � .ANC rtfl L.f S t, �' , F F a �s y r. ,."�, L.) / •/�; '\ �I w F()F A M!'�Iti:3ful (1T flAPCLIND t��€l�dl, Ai8�5C�'PTI/ON/tat?SZGEfrvf� AN' i 11 T Vi- J ! ; A ERiA.L A,7 T"'L1.�! I 31 �'4 310 �rMR !._t-255. r F Y t \ i �\ y� R F'!A^c R TF# M T f JV ROIC 15. SF:PT'-Tf^ TANK AND PUMP CHAM8FR ARE' .Il; Hir WA? \ t '� t . y' } ,_i' �• `'` �' THE MANUFACTURER ! ' ('� ,�$1 / T t6. THE U451ALLER IS TO QVE THE tNGiNEEP .A M!NtMUM t�I 48 �#OURs i-- -, �� ,�� {t? ;? _.. R., E2 WORKING BAYS) NOTiC1_ FOR THE FINAL INS"P IiON 'AirJMbEk 8ELow). t Q�r�Nr 1 , t , CF I \.n v�.. P ��'� / y r 7 k i S ? O i. r 11r , t- r -,•R 1 ( "_-�;.., i-).T, I { 49 M!. ' - PUMP / '�. .%• ;,. 4 x,>,lfv ; 1�L> :SF OOL., AI.f z� 3E E'�1l�if'E:1]'ANC c��:CT(,, L_40 L�.:t.F I �saE 1 \ dit�'�L i;fi ifrTtiE:K �__ \ i i j �)�'"i Y C?4F 1 0CAIT-L) WHE- 'i_ 'HL BOX i GOING, 1T cC- T+Y Pa#i�f�£f) AAfC' T ! I LINER � } I•GJtY�.) 7% I�WA _., S�iY1 �.rs.l t"Y II.�E54 F) LIE M V17D A WITI! ANY f-'{at I II I 4 I 1 VARIANCES c L S 4gj - - - ,fr. V>-,#TDANCi:3 TC TITi,E „r A,Jf? r�I:F2N;}TAF3{F f�Fti)i" - A SfML ABSORPTION E At,' :. ', :,. ;.-. �. 1 . ., �• � _'�-- ; ION SYSTEM LESS 3 THAN R'11,A WFr 63 SOIL. ABSORPTION SYSTEM LESS TIIR�! 2*)' F�'t�A f �t.r�ii�A r„;ry yt:•;. i. r ` 1 AR SORPTION rS rM FS iNAN 1 0 rht(3M 1Ni T ti w �SC)+I fl 79�NTil)N S i ,c; ^� { U- i NO RE�t` VE AREA. 'l -r t war ♦R t r C r, L3 r^s h r^ ._ r� `•,.i_+ i. I9. ALL, 0l'S. UWl3f,C, i`1iiL h,:3 ARE,. i V SE S I AG., ..- r�.�t:� (ti i_�V�RTL A LL,. Ve; l t { j TERENCE art+ M. HAYES flu ! , i ROBIN WILLIAM X N WILCO No. 31341 SSI�AL Lk 5J 1 ' 1 R , _ . e✓„ate s N rj1 t 1 1 V I ! s i a I i ' I t 1 i i i t 1 i i ' F ARRRC\+�B: BOAR C� I--�LAL T[l T CENTER LLE, MA PROPOSED SEPTIC DESTI s THOMAS J. .ROONEY, 11t. 261 NYE'S NECK R�►A� I ,►PENT RV=. MA c , ._ 9 LEGEND., ' DAL l 1 f J � I 1lPfV 14-00