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HomeMy WebLinkAbout0060 NYES POINT WAY - Health 60 NYES POINT WAY CENTERVILLE A= 233 - 017 a 313 Commonwealth of Massachusetts Title 5 Official Inspection Form I, I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 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 A. Inspector Information filling out forms S I 4V N on the computer, use only the tab Richard M. Capen key to move your Name of Inspector cursor-do not Robert B. Our CO., INC. use the return Company Name key. 363 Whites Path � Company Address Yarmouth MA 02673 City/Town State Zip Code ic+u� 508-477-8877 SI 13385 Telephone Number License Number B. Certification I certify that: I am a DEP approved system inspector in full compliance with Section 15.340 of Title 5 (310 CMR 15.000); 1 have personally inspected the sewage disposal system at the property address listed above; the information reported below is true, accurate and complete as of the time of my inspection; and the inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. After conducting this inspection I have determined that the system: 1. ® Passes 2. ❑ Conditionally Passes 3. ❑ Needs Further Evaluation by the Local Approving Authority 4. ❑ Fails C-C 6,/2,0 21-10 Inspec or Sig ture Date The system inspector shall submit a copy of this inspection report to the Approving Authority (Board of Health or DEP) within 30 days of completing this inspection. If the system has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original form should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Please note: This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 18 cam, Commonwealth of Massachusetts j Ip Title 5 Official Inspection Form I Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 N_yes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary Inspection Summary: Complete 1, 2, 3, or 5 and all of 4 and 6. 1) System Passes: ® 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: Tight tank is in fine shape at this time. The metal ring and covers are secured. 2) System Conditionally Passes: ❑ One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Check the box for"yes", "no" or"not determined" (Y, N, ND) for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND (Explain below): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 i Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 2) System Conditionally Passes (cont.): ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ 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): 3) Further Evaluation is Required by the Board of Health: ❑ Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. a. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health, safety and the environment: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 18 i Commonwealth of Massachusetts ,p Title 5 Official Inspection Form �= 0 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments u 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) ❑ Cesspool or privy is within 50 feet of a surface water ❑ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh b. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: ❑ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: **This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. c. Other: 4) System Failure Criteria Applicable to All Systems: You must indicate"Yes" or"No"to each of the following for all inspections: Yes No ❑ ® Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ❑ ® Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 0 Subsurface Sewage Disposal System Form - Not for Voluntary Assessments e 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) 4) System Failure Criteria Applicable to All Systems: (cont.) Yes No ❑ ® Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow ❑ ® Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: ❑ ® Any portion of the SAS, cesspool or privy is below high ground water elevation. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public water supply well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for fecal coliform bacteria indicates absent and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000 gpd- 10,000 gpd. ❑ ® The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. 5) Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes" or"no" to each of the following, in addition to the questions in Section CA. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area— IWPA) or a mapped Zone II of a public water supply well t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection C. Inspection Summary (cont.) If you have answered "yes" to any question in Section C.5 the system is considered a significant threat, or answered "yes" to any question in Section CA above the large system has failed. The owner or operator of any large system considered a significant threat under Section C.5 or failed under Section CA shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 6. You must indicate"yes" or"no"for each of the following for all inspections: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® Were any of the system components pumped out in the previous two weeks? ❑ ® Has the system received normal flows in the previous two week period? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ® ❑ Were as built plans of the system obtained and examined? (If they were not available note as N/A) ❑ ® Was the facility or dwelling inspected for signs of sewage back up? ® ❑ Was the site inspected for signs of break out? ® ❑ Were all system components, excluding the SAS, located on site? ® ❑ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum? ❑ ® Was the facility owner(and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: ® ❑ Existing information. For example, a plan at the Board of Health. ® ❑ Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [310 CMR 15.302(5)] t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 6 of 18 c Commonwealth of Massachusetts f Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 2 Number of bedrooms (actual): 2 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 220 Description: Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ® Yes ❑ No If yes, discharges to: Tight Tank 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 years usage (gpd)): N/A Detail: Well Sump pump? ❑ Yes ® No Last date of occupancy: September 2020Date t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts 1p Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments � 60 Nyes Point Way u— Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Water treatment unit present? ❑ Yes ❑ No If yes, discharges to: Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: Last date of occupancy/use: Date Other(describe below): 3. Pumping Records: Source of information: Robert B. Our CO Was system pumped as part of the inspection? ® Yes ❑ No If yes, volume pumped: 1000 gallons How was quantity pumped determined? Site Glass Reason for pumping: Inspection prototcol t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 cam, Commonwealth of Massachusetts Title 5 Official Inspection Form li1. Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 4. Type of System: ❑ Septic tank, distribution box, soil absorption system ❑ Single cesspool ❑ Overflow cesspool ❑ Privy ❑ Shared system (yes or no) (if yes, attach previous inspection records, if any) ❑ Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) and a copy of latest inspection of the I/A system by system operator under contract ® Tight tank. Attach a copy of the DEP approval. ❑ Other(describe).- Approximate age of all components, date installed (if known) and source of information: 3.5 Years Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer(locate on site plan): Depth below grade: 3 feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 25 feet Comments (on condition of joints, venting, evidence of leakage, etc.): Water tight t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 18 c � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: Sludge depth: Distance from top of sludge to bottom of outlet tee or baffle Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 c � Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. CityrFown State Zip Code Date of Inspection D. System Information (cont.) 7. Grease Trap (locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Scum thickness Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle Date of last pumping: Date Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 8. Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: 3' Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain): Dimensions: 4.48x11x6 Capacity: 2000 gallons Design Flow: 220gallons per day t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 11 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form 11 Subsurface Sewage Disposal System Form Not for Voluntary Assessments 60 Nyes Point Way V Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 8. Tight or Holding Tank(cont.) Alarm present: ® Yes ❑ No Alarm level: 3/5ths Alarm in working order: ® Yes ❑ No Date of last pumping: 10/15/2020 Date Comments (condition of alarm and float switches, etc.): All looked good at this time *Attach copy of current pumping contract(required). Is copy attached? ® Yes ❑ No 9. Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 c Commonwealth of Massachusetts Title 5 Official Inspection Form pie Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. CityFrown State Zip Code Date of Inspection D. System Information (cont.) 10. Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): * If pumps or alarms are not in working order, system is a conditional pass. 11. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: Type: ❑ leaching pits number: ❑ leaching chambers number: ❑ leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: ❑ overflow cesspool number: ❑ innovative/alternative system Type/name of technology: t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments I, 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 11. Soil Absorption System (SAS) (cont.) Comments (note condition of soil, signs of hydraulic failure, level of ponding, damp soil, condition of vegetation, etc.): 12. Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration 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 Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 c Commonwealth of Massachusetts �x Title 5 Official Inspection Form ,i� Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 13. Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 18 Commonwealth of Massachusetts ,;, Title 5 Official Inspection Form I _ , Subsurface Sewage Disposal System Form Not for Voluntary Assessments t; 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is Centerville MA 02632 10/15/2020 required for every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 14. Sketch Of Sewage Disposal System: Provide a view of the sewage disposal system, including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: ❑ hand-sketch in the area below ❑ drawing attached separately i A-s % 11S i A—, '3 10 I! ) e ar ii p i 23 � j'. 1 j i i t5insp.doc•rev.7/2 6120 1 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 18 f Commonwealth of Massachusetts �x Title 5 Official Inspection Form iI Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way u— Property Address Shaun A. &Linda M. Buckler Owner Owner's Name information is required for every Centerville MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 15. Site Exam: ® Check Slope ® Surface water ❑ Check cellar ❑ Shallow wells Estimated depth to high ground water: Tank is in 3' of 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: 3/23/2016 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: Design Plans Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 60 Nyes Point Way Property Address Shaun A. &Linda M. Buckler Owner Owner's Name required for is every Centerville required for eve MA 02632 10/15/2020 page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist Complete all applicable sections of this form inclusive of: ® A. Inspector Information: Complete all fields in this section. ® B. Certification: Signed & Dated and 1, 2, 3, or 4 checked ® C. inspection Summary: 1, 2, 3, or 5 completed as appropriate 4 (Failure Criteria) and 6 (Checklist) completed ® D. System Information: For 8: Tight/Holding Tank— Pumping contract attached For 14: Sketch of Sewage Disposal System drawn on pg. 16 or attached For 15: Explanation of estimated depth to high groundwater included t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 I i i down cape engineering, inc, CIVIL�NC41W 5 & LANP 5UWYR5 939 MAIN 5f/ W19 6A YANOUTWOPT, MA 02615 (508) 362-4541 FAX (508) 362-9880 Date: 8-29-2017 i TO: Thomas McKean,RS, CHO,Town of Barnstable Health Director FROM: Daniel A. Ojala,PE,P a�'pvv en .i�. , 'nc. `off DANIEL yv, �AiVIF_t_A. A" OJALA QJALA CIVIL N No.40980 �' 46602 j GQ- l SURVE�o \-- — synNAL RE: #60 Nyes Point Way, Centerville,MA- Gingerich Residence DCE Job#16-022 .I TIGHT TANK CERTIFICATION I This memo is to certify to you that I have inspected the installation of the the Tight Tank at the above referenced site,and that it has been installed in substantial j compliance with the approved plans. The tank was leak tested for over 48 hours and was found to be water tight. The property had the required notice and deed restrictions recorded in DB 30691 PG 202 on 8-11-2017. (2 bedrooms, six month/year occupancy,pump once per year minimum,etc.). Please do not hesitate to contact me with any questions. I i I I f LlMassachusetts Department of Environmental Protection �aixsro� Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability �;► 9 �, _ Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code DA- 16018 A. General Information Important: When filling out From: forms on the Barnstable computer, use Conservation Commission only the tab key to move To: Applicant Property Owner(if different from applicant): your cursor- do not use the William w. Gingerich,Tr., et all -eturn key. Name Name P.O.Box 508 Mailing Address Mailing Address Cummaquid MA 02637 City/Town State Zip Code City/Town State Zip Code m 1. Title and Date (or Revised Date if applicable)of Final Plans and Other Documents: Title 5 Site Plan by Daniel A. Ojala, P.E. (stamped) Revised 3/23/16' Title Date Title Date Title Date 2. Date Request Filed: March 10, 2016 B. Determination Pursuant to the authority of M.G.L, c. 131, §40 and §237-1 to§237-14 Town of Barnstable Code, the Conservation Commission considered your Request for Determination of Applicability,with its supporting documentation, and made the following Determination. Project Description (if applicable): Replace cesspool septic system with tight tank. Project Location: 60 Nyes Point Way Centerville Street Address Village 233 017 Assessors Map Number Assessors Parcel Number wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6/04 Page 1 of 5 LlMassachusetts Department of Environmental Protection o+'Nsro� Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability b;saxrai�s, Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 '°o t,619 ° and § 237-1 to § 237-14 Town of Barnstable Code DA- 16018 B. Determination (cont.) The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands Protection Act and regulations: Positive Determination Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of Resource Area Delineation(issued following submittal of Simplified Review ANRAD)has been received from the issuing authority(i.e.,Conservation Commission or the Department of Environmental Protection). ❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act. Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent. ❑ 2a.The boundary delineations of the following resource areas described on the referenced plan(s)are confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding such boundaries for as long as this Determination is valid. ❑ 2b.The boundaries of resource areas listed below are not confirmed by this Determination, regardless of whether such boundaries are contained on the plans attached to this Determination or to the Request for Determination. ❑ 3. The work described on referenced plan(s)and document(s) is within an area subject to protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work requires the filing of a Notice of Intent. ❑ 4.The work described on referenced plan(s) and document(s) is within the Buffer Zone and will alter an Area subject to protection under the Act. Therefore, said work requires the filing of a Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone). ❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review and approval by: Barnstable Name of Municipality Pursuant to the following municipal wetland ordinance or bylaw: §237-1 to§237-14 Town of Barnstable Code Chapter 237 Name Ordinance or Bylaw Citation wpaform2.doc-Request for Departmental Action Fee Transmittal Form•rev,10/6104 Page 2 of 5 i LlMassachusetts Department of Environmental Protection o Ina toy Bureau of Resource Protection -Wetlands err dog WPA Form 2 — Determination of Applicability I saxa, Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 "°o "6 s. ° and § 237-1 to § 237-14 Town of Barnstable Code DA- 16018 ° ff. B. Determination (cont.) ❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not subject to the Massachusetts Wetlands Protection Act: ❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s) and document(s),which includes all or part of the work described in the Request,the applicant must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more information about the scope of alternatives requirements): ❑ Alternatives limited to the lot on which the project is located. ❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any adjacent lots formerly or presently owned by the same owner. ❑ Alternatives limited to the original parcel on which the project is located, the subdivided parcels, any adjacent parcels, and any other land which can reasonably be obtained within the municipality. ❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate region of the state. Negative Determination Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the Department is requested to issue a Superseding Determination of Applicability,work may not proceed on this project unless the Department fails to act on such request within 35 days of the date the request is post-marked for certified mail or hand delivered to the Department.Work may then proceed at the owner's risk only upon notice to the Department and to the Conservation Commission. Requirements for requests for Superseding Determinations are listed at the end of this document. ❑ 1.The area described in the Request is not an area subject to protection under the Act or the Buffer Zone. ❑ 2. The work described in the Request is within an area subject to protection under the Act, but will not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a Notice of Intent. ® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but will not alter an Area subject to protection under the Act. Therefore, said work does not require the filing of a Notice of Intent, subject to the following conditions (if any). Install erosion control, as indicated on approved plan prior to the start of work. ❑ 4. The work described in the Request is not within an Area subject to protection under the Act (including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent, unless and until said work alters an Area subject to protection under the Act. wpaform2.doc•Request for Departmental Action Fee Transmittal Form•rev.1016/04 Page 3 of 5 � P 1 Massachusetts Department of Environmental Protection o�rNapd� Bureau of Resource Protection -Wetlands WPA Form 2 -- Determination of Applicability f a.t 9x g, I Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code DA- 16018 B. Determination (cont.) ❑ 5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations, no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) ❑ 6. The area and/or work described in the Request is not subject to review and approval by: Barnstable Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. §237-1 to§237-14 Town of Barnstable Code Chapter 237 Name Ordinance or Bylaw Citation C. Authorization This Determination is issued to the applicant and delivered as follows: ❑ by hand delivery on ® by certified mail, return receipt requested on MAR 2 5 2016 Date Date This Determination is valid for three years from the date of issuance(except Determinations for Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not relieve the applicant from complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. This Determination must be signed by a majority of the Barnstable Conservation Commission. A copy must be sent to the appropriate DEP Regional Office(see http://www.mass.gov/dep/about/region.findyour.htm)and the property owner(if different from the applicant). Signatures: ^fit Date wparorm2.doc•Request for Departmental Action Fee Transmittal Form•rev.10/6104 Page 4 of 5 s Massachusetts Department of Environmental Protection o "Eros Bureau of Resource Protection -Wetlands �♦ �,� WPA Form 2 — Determination of ApplicabilityLI _ _ DAA1f9�48L8 .r pA4R Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and § 237-1 to § 237-14 Town of Barnstable Code DA- 16018 D. Appeals _ The applicant,owner,any person aggrieved by this Determination, any owner of land abutting the land upon which the proposed work is to be done, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate Department of Environmental Protection Regional Office(see http://www.mass.gov/dep/about/region.findyour.htm) to issue a Superseding Determination of Applicability. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for { Departmental Action Fee Transmittal Form) as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the objections to the Determination which is being appealed.To the extent that the Determination is based on a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Act or regulations, the Department of Environmental Protection has no appellate jurisdiction. wpaform2.doc-Request for Departmental Action Fee Transmittal Form rev.10I6I04 Page 6 of 6 1- down cape engineering, Inc, CIVIL MINI W5 &LANP 5UMYR5, 939 MAIN 5T/ WM 6A YVM0UfHP0k;r, MA 02615 C5 (508) 362-4 41 PAX (506) 362-9660 i Date: 8-29-2017 TO: Thomas McKean,RS,CHO,Town of Barnstable Health Director FROM:Daniel A. Ojala,PE, P pwnl eF en e- c. ` DANIEL A. i DANIELA vn OJALA OJALA � -IVIL No.40986 u, �P No.46502 lq�oSURVti pQr �C J S 101<1 II I S/�>NAL RE: #60 Nyes Point Way, Centerville, MA- Gingerich Residence DCE Job# 16-022 TIGHT TANK CERTIFICATION This memo is to certify to you that I have inspected the installation of the the Tight Tank at the above referenced site, and that it has been installed in substantial compliance with the approved plans. The tank was leak tested for over 48 hours and was found to be water tight. The property had the required notice and deed restrictions recorded in DB 30691 PG 202 on 8-11-2017. (2 bedrooms, six month/year occupancy, pump once per year minimum, etc.). Please do not hesitate to contact me with any questions. i 1 , Town of Barnstable "E r � Regulatory Services .. Richard V. Scali,Interim Director. BARNSTABLE, 9 MASS. $ Public.Health Division ;6g9. ♦�' ATED MAl A Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form Date! �'2� - 1 Sewage Permit# 2-0 n-Z(o I Assessor's Map\Parcel 3�3c 17 Designer: 1v iA 7 4 C,8 4!4— j d.r�.� Installer: 4 J 2C,);cl6- G,,tc a7 -1.)e s Address: 3 Address: C-o c-kl rn ew, c.c'tq S i On 6 - C -Zo i "tAIJt was issued a permit to install a (date) (installer) septic system at e) t j eo i frr r ��,��{�f�a (fie based on a design drawn by � (address) 6. -e L-rvr .a eeri o c,, dated 3 " Z 3 (designer) T1G T N1K I certify that the.-sre 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 constructed in compliance with the terms of the I\A approval letters(if applicable) <�'✓L1"of Af.4. C. r DANIELA. In a ler's Signatur p OJALA CIVIL q No,46502 ----III w4- (Designer's Signature) (Affix Des l` e S`."' 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 1 �� l �� � v , No. D �� ✓ ��rr Fee J � TH OMMONW EALTH OF MASSA C/SETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS RpPlication for ni,5poal *p5tem comar qtpte exit h � Application for a Permit to Construct( ) Repair ) Upgrade( Abandon( Comple Sy m ❑Individual Components Location Address or Lot No. G® w ies P(5t%YT WAY Owner's Name,Address,and Tel.No. Assessor's Map/Parcel c;t 3 Q(9 Fo B o x s a C� yt��c�� MA Installer's Name,Address,and Tel.No. �g�14-7 Z Designer's Name,Address and Tel.No. Ca ADCCO MC— C-0TIS:kN4ISES DOLOX% (2AVo , Eb•► +c1�756�.tatdC; � C Type of Building: ��, �� Dwelling No.of Bedrooms 0 Lot Size al'S Y5 sq. ft. Garbage Grinder ( ) Other Type of Building 0j�j5(D&XITt No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date q— wo -- .1 0((4 Number of sheets Revision Date 3 —01✓ X0 N9 Title (GCa pot,&P WAN Size of Septic Tank ;L,�C3O GA-c C ®Xls Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) S (_( a_,� ( 1AL0&) TI(-64 ( �� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board ealth. Signe Date �'I Application Approved by Date Application Disapproved b : Date for the following reasons Permit No. �� Date Issued' 7 POP /.2 / �7 Fee COMMONWEALTH OF MASSACHUSETTS THE COMM Entered in computer: 4: PUBLIC HEALTH DIVISION - TOWN"OF BARNSTABLE, MASSACHUSETTS Yes $h Application for Mf!5p0gal �&pgtem cow9tructio n it Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) Com stem t t� p let¢System ❑Individual Components I Location Address or Lot No. // � WO NYC—S r"T o��T w/ y Owner's Name,Address,and Tel.No. dIVr " Wr�uA&A t Gln/G-�Rl�tf A Assessor's Map/Parcel a 3 3 ©(-7 Qo l3 o 5 ag CVdK/M/{Q{J� MA Installer's Name,Address,and Tel.No. O 9-14 Z -t Z gg, + Designer's Name,Address and Tel.No. 57 02 3e,�L_14-s41 CAOCWrvc ' DOLA-S, CAPC- _-�FXAC �S3 CQRAA&i2C1A. Si' P-t,459 0Z 93 MAMA! 5''T YAka.cov'r�CPa- Type of Building: k J Dwelling No.of Bedrooms ���'d r Lot Size 9 5$3 f sq. ft. Garbage Grinder ( ) Other Type of Building 0.63 t DTI No.of Persons Showers( ) Cafeteria ) Other Fixtures" Design Flow(min.required) gpd Design flow provided. gpd Plan Date 'a - ;,(o - a10((a Number of sheets Revision Date 3 -a 3 --XO((e Title (00 fiyES por► :r I.t144 Size of Septic Tank �tdop GA4 6,o1VS Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) X►J E L(,� =fj pr)_ � A,) 't Q H( T V K_ Date last inspected: ! Agreement: The undersigned agrees to'ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of e `A' Compliance has been issued by this Board _Health. Signed ', Date ' F Application Approved by )A,r Date (K_- t Application Disapproved b Date for the following reasons r r Permit No. .+ j 1 Date Issued ! ( � fr THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CER/T�I,FY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) Abandoned( )by �.hP ((�� -yj-Z-fRUISEE " "� at (mod N Y6 S P O j T WA 4 COSIT� lc.G� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. �)G(-7 r dated Q yr Installer C�P ..rC� �'�cJTp2�,t4 Designer #bedrooms. , ��p Approved design flow gpd The issuance of this permit sh 11 not be u c /construed as a guarantee that the system wi11`fti a e ',g ed. Date 75 ��1�/ �� Inspector No. FeeTHE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpoar &p5tem Con5trUction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at Inn 11,J V C S Pot uni— L-" and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title S and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of t"peDate ,f-l V� Approved by '�' P les G `�";r �' �ll�'•�'(r '/'l'P ! `t..p�7.f,�'' TOWN OF BARNSTABLE LOCATION ® NYES POWI rr WAY SEWAGE# -2-0 VI VILLAGE CEk)T6_1,1ffL4,C ASSESSOR'S MAP&PARCEL 3 �f INSTALLER'S NAME&PHONE NO.CAVEWtD6: 6N7Et ' 5®H-q`77-F$7] SEPTIC TANK CAPACITY -`l(&(-d Y TA M K (a 10.6® C L W S) LEACHING FACILITY.(type) (size) NO.OF* BEDROOMS 2 OWNER 1 L.LI 44ol C--L PERMIT DATE: t"7 COMPLIANCE DATE: 'oZ 2-Ol 7 . 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) NIA Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) N Feet FURNISHED.BY CAPEwcDE LtJ—rCW4_1-56 r A-1e If IRV e �' 1 f 08-1 1—'2017 a DEED RESTRICTIONS WHEREAS, William W. Gingerich, Trustee of The William W. Gingerich 2005 M.Trust �C dated sec March 35 recorded nrustee Book Certificate under F. Gingerich, Trustee of the I9$24 Page 160 and Edythe Edythe F. Gin March 5,2005 see gerich 2005 Trust,U/D/T da ec 35 in Trustee Certificate under M.G.L.a. =184 saddressrecorded Box Book 19824 Page 159 having a mailing 508, Cummaquid, MA 02637, are the Owners of 60 NBy instable Way, located in Barnstable (Centerville) , n County, Massachusetts 02632. WHEREAS, William W. Gingerich, Trustee of The William W. Gingerich 2005 Trust and Edythe F. Gingerich, Trustee of the Edythe F. Gingerich 2005 Trust of said property have to agreed with the town the theo numbens off lbedrooms which acan be restrictions as tof included in the home located n o property as a pre-co o s ob ai°ng and usee (3) Variances in connection with installation of a Tight Tank compliance with 310 CMR 15. 000 State disposal permit in Title V, Requirements for the Environmental Code, Subsurface Disposal of Sanitary Sewage; WHEREAS the Town of Barnstable Board of Health, as a , pre-condition to granting a disposal works construction permit for a septic system in compliance with 310 CMm 15.200, State Environmental Code, Title V, Mini Requirements for the Subsurface Disposal of Sanitary Sewage (Tight Tank system) , and authorizing the issuance of three (3) Variances for Tight Tank installation, issued on May is requiring that the agreement for the below 2 2016, restrictions on the e pnumber on house on the to recordom and the use Barnstabie County Registry of Deeds by recording this document. NOW, THEREFORE, William W. Gingerich, Trustee o,f The William W. Gingerich 2005 Trust and Edythe rust does Gingerich, Trustee of the Edythe F. Gingerich 200 hereby place the following restrictions on their above-referenced land in accordance with their agreement with the Town of } t t Barnstable Board of Health, which restrictions shall run with the land and be binding upon all successors in title: 60 Nyes Point Way, Centerville MA is subject to the following restrictions: 1. No more than two (2) bedrooms maximum 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 tight tank shall be installed in strict accordance with the engineered plans. se the 3. The designing engineer shall r vi system and construction of the onsite sewage alth that shall certify in writing to the Botantoal He compliance the system was installed in subs with the submitted plans. useThe 4 . The dwelling is restricted too less seasonal than six. months dwelling shall be occupied f each year. 5. The tight tank, shall be pumped at least once per year. 6. The onsite private well shall be tested for potability for the common parameters: total coliform, nitrate, It is recommended the well pH, sodium, and iron. water should be tested annually. These restrictions shall continue in full force and to effect until such time as the Pre trictionsl shalln ect become Town sewer, at which time, the Res null and void. We the under signed Trustees hereby certify that they are the sole trustee of said trusts; that Trustees are in full force and effect and have not been amended; that The trustees have full authority to execute and deliver this document under terms of each trust . For title of 60 Nyes Point Way see Deed recorded with the Barnstable county Registry of Deeds in Book 19824 Page 165 EXECUTED as a sealed instrument this— of August, 2017 . The William W. Gingerich 2005 Trust BY , Wi liam W. Gingeri h, Trustee Edythe F. Gingerich 2005 Trust By Edyth F4GVI� Trustee i THE COMMONWEALTH OF MASSACHUSETTS i BARNSTABLE, SS. August , 2017 Then personally appeared before me, the undersigned Notary Public, William W. Gingerich, Trustee, aforesaid and Edythe F. Gingerich Trustee aforesaid and proved to me through satisfactory evidence of identification, which- were MA drivers' licenses, to be the person whose names are signed on the preceding document, and acknowledged to me that they signed it voluntarily for its stated purpose as their free act and deed. Theodore A. Schilling Notary Public My commission expires: October 21, 2022 " BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register � I ENVIROTECHLABORATORIES, INC MA CERT. NO.:M MA 063 8 Jan Sebastian Drive Unit 12 Sandwich,MA 02563 �v3 (508)888-6460 1-800-339-6460 FAX(508)888-6446 P wm� r� Client Name Ginghrich, William Location 60 Nyes Pt Way, a� Address PO Box 508 Centerville,MA Cummaquid,MA 02637 "� Sample Date 08/03/17 Collected By Client Sample Time Sample Type Well Date.Received 08/03/17 Lab Order Number DW-1.72786 Well Specs Location Source = Date CollectedF Time Collected ," �` 4 Comments sue' Analysis Requested I Units IRecomisendedLindisAtialpisResuUI Metltod Date Analyze Analyzed By Total Coliform CFU/100mL 0' 0 SM9222B 8/3/2017 RS pH pH units 6.5-8.5 5.85 SM 4500-H-13 8/3/2017 LL Specific Conductancen umhos/cm 500 195 EPA 120.1 8/3/2017 LL Nitrite-N mg/L 1.00 <0.006 EPA 300.0 8/3/2017 LL Nitrate-N mg/L 10.0 <0.01 EPA 300.0 8/3/2017 LL Sodium mg/L 20.0 19 EPA 200.7 8/4/2017 MC Total Iron mg/L 0.3 8.24 EPA 200.7 8/4/2017 MC Manganese mg/L 0.05 0.088 EPA 200.7 8/4/2017 MC Potassiumn mg/L 20.0 2.3 EPA 200.7 8/4/2017 MC Calcium mg/L N/A 6.8 EPA 200.7 8/4/2017 MC Magnesiumn mg/L N/A 5.5 EPA 200.7 8/4/2017 MC Total Hardness; mg/L 50-200 40 EPA 200.7 8/7/2017 MC Alkalinity mg/L 200 17 SM 2320E 8/3/2017 LL Sulfate mg/L 250 31 EPA 300.0 8/3/2017 LL Chloride mg/L 250 36 EPA 300.0 8/3/2017 LL Turbidity NTU 5.0 7.7 SM 2130B 8/3/2017 LL Colorn APC units 15 <5 SM 2120B 8/3/2017 LL Free CO2 mg/L 50 39 Calculation 8R/2017 LL Comments: Low pH indicates high corrosive characteristics. Consult local Board of Health regulations concerning Iron level. Manganese is not a health hazard. Filtering system should be considered. Total Hardness results indicate water is soft. e Date 8/10/2017 R..41L J. S ri Laborato M 'rector BRL=Below Reportable Limits *See Attached Page 1 of 1 aCertification is not available for this analyte for potable water samples.. Town of Barnstable Barnstable ti ' Board of Health AFftedcaChy BAMSTABM v Mass. 200 Main Street,Hyannis MA 02601 1639. �ro �Fp�,tA 2007 Office: 508-862-4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi May 2, 2016 Mr. Daniel Ojala Down Cape Engineering 939 Main Street, Route 6A Yarmouth Port, MA 02675 RE: 60_Nyes.Polrit Way; Centerv111e; MA A= 233=017 Dear Mr. Ojala, You are granted variances on behalf of your client, William Gingerich, to install a tight tank at 60 Nye's Point Way, Centerville, Massachusetts. ` The variances granted are as follows: Section 360 -1 of the Town of Barnstable Code: To install a tight tank fifty- four (54) feet away from a vegetated wetland, in lieu of the minimum 100 feet setback required. Section 397 of the Town of Barnstable Code: To install a tight tank only thirty—seven (37) feet away from an onsite well, in lieu of the 150 feet minimum setback required. Section 397 of the Town of Barnstable Code: To install a tight tank less than 150 feet away from neighbor's wells. This permission is granted with the following conditions: (1) No more than two (2) bedrooms maximum 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. Q:WP/Ojala Gingerich 60 Nyes Neck 2016 [Type text] [Type text] e (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 two (2) bedrooms maximum. A copy of the recorded deed restriction shall be submitted to the Health Agent prior to obtaining a disposal works construction permit. (3) The tight tank shall be installed in strict accordance with the engineered plans. (4) The designing engineer 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 submitted plans. (5) The.dwelling is restricted to seasonal use. The dwelling shall be occupied for less than six months each year. (6) The tight tank shall be pumped at least once per year. (7) The onsite private well._shall be tested for potabilify_for the common ammeters total conform, nitrate, pH, sod um i , and iron It Is ' recommended the well water should be tested annually. These variances•are granted because the physical constraints at the site severely restrict the of an onsite system due to its close proximity to private wells and wetlands. Sinc r ly your fa Waynf Miller, M.D. Chairman Q:WP/Ojala Gingerich 60 Nyes Neck 2016 [Type text] [Type text] 'Ica 'fJ t DATE: �OQ NE Tp . — FEE: --G r— * BARNSPABLE, REC. BY V (-�aa 4(� /,, y totAss. C � ?v i639' ♦� Town of Barnstable w a'► SCHED. DATE: s W Board of Health ® 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Wayne A.Miller,M.D. FAX: 508-790-6304 Junichi Sawayanagi S Paul J.Canniff,D.M.D. VARIANCE REQUEST FORM LOCATION Property Address: 02`^-rk 0,&- Assessor's Map and Parcel Number: Z: ' 1` Size of Lot: f. - ,z- Az--. T— Wetlands Within 300 Ft. Yes Business Name: No ^� Subdivision Name: APPLICANT'S NAME: W rat. C:x 1 c4 Gc-r-- a-VL-tA Phone Did the owner of the property authorize you to represent him or her? Yes < No PROPERTY OWNER'S NAME CONTACT PERSON Name: �4 tvt. " q t ryLFeew c AA .�� Name: ���-e _ - �So-"k �aG 'OL", Address: `-°- (Soy- �o e'j �,o"".,ems : a r2 Address: Phone: Phone: -.09 4 Z ` 5-1+E VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed) ,ice NATURE OF WORK: House Addition ❑ House Renovation ❑ Repair of Failed Septic System ❑ Checklist (to be completed by office staff-person receiving variance request application) Please submit copies in 4 separate completed sets. `�f Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Completed seven(7)page checklist confirming review of engineered septic system plan by submitting engineer or registered sanitarian Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request _ Applicant understands that the abutters must be notified 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 submitted(for grease trap variance requests only) _ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same owner/lessee only], outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems[only if no expansion to the building proposed]) J Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Wayne Miller,Chairman NOT APPROVED Junichi Sawayanagi REASON FOR DISAPPROVAL Paul J.Canniff,D.M.D. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BAJ9P9B7\VARIREQ.DOC 1 tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surveys March 22, 2016 Arne H.Ojala,P.E.,P.L.S. Andrew R.Garulay,R.L.A. structural design Barnstable Board of Health 200 Main Street site planning Hyannis, MA 02601 Re: #60 Nyes Point Way, Centerville sewage system designs Dear Board Members: Inspections Enclosed is a variance filing request for the above-referenced site. On behalf of our client, we are requesting a variance under Town of Barnstable Health Regulations Chapter 360-1: Reduction in setback, septic(tight)tank to the wetland (100'to 54'). We seek approval for permits the use of a tight tank in this unique situation. The site consists of a 0.22 acre lot,improved with a 2 bedroom seasonal cottage and dirt landscape driveway. The area is bordered to the north by an isolated wetland (though hydraulically architecture connected to the Wequaquet Lake system) and to the south by Bearse Pond. No construction work is proposed. The project involves the upgrading of cesspool septic system,which by virtue of it being a single cesspool is considered a failed system by the Health Department. Due to the seasonal nature of the cottage,the fact that the abutters(and locus)are on private wells, p and that there is no lace on the site where a normal Title 5 septic system can be realistically sited due to the proximity to wetlands and private wells,we are proposing a 2000 gallon tight tank. By proposing a tight tank,the cottage will be restricted as to its use to no more than 6 months of the year. A deed restriction will be placed on the property indicating the presence of the tight tank and its associated restrictions. Two seasonal cottages to the west of locus are already on tight tanks,with one installed as recently as 2009. A"Request for Determination" was filed with the Conservation Commission,scheduled to be heard the evening of March 22"d. It is expected to be approved. Due to the extreme site restrictions(2 wetlands and private wells in close proximity)as well as the seasonal nature of the cottage,the proposed tight tank was the logical choice for this situation. In accordance with CMR 15.260,this tight tank system would be abandoned and the dwelling connected to town sewer once sewer is installed in the area. Very truly yours, Daniel A. Ojala, PE, PLS \ ( � Down Cape Engineering, Inc. S tel.(508)362-4541 939 main street rt 6a fax(508)362-9880 yarmouth port mass 02675 down cape engineering, inc land court civil engineers&land surveyors Daniel A.Ojala,P.E.,P.L.S. surreys Arne H.Ojala,P.E.,P.L.S. Andrew R.Garulay,R.L.A. structural design March 22, 2016 site planning Dear Abutter: sewage system designs A public hearing has been scheduled for the Barnstable Board of Health to take action on a request for variances from the Town of Barnstable Regulations for the subsurface disposal of sewage for the proposed Title 5 septic system at#60 Nyes Point Way, Centerville. The inspections variance requested is as follows: Variance requested under Town of Barnstable Health Regulations: Article I,Section 360-1: permits reduction in setback,septic(tight)tank(100'to 54")to wetland. Said hearing wi ll be held in the Se lectmen's Conference Room,South Street, Hyannis,April landscape architecture 12,2016 at 3:00 pm. Plans and the application describing the proposed activity are on i e at the Board of Health office, 200 Main Street, Hyannis. It is recommended to check with the Health Department to confirm date and time if you are interested in attending. Sincerely, °Daniel A.Ojala, PE, PLS Down Cape Engineering, Inc. t cc:Abutters file Barnstable Board of Health Town of Barnstable Geographic Information System March 22, 2016 NYES POINT WAV 2#3a 0 233014 233068 #44 #22 233015 #5 0 ?3 3069 5i 233019': ::.iii:•:':<:t`i ;;t•::•::iii 3 :E-:::i ';:: #11 v 1 ::. 2330 6 233020 233022001 #130 #59 0 25 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:233 Parcel:017 Board of Health boundary determination or regulatory interpretation. Enlargements beyond a scale of Abutter List Type-Direct abutters(no set distance)and the properties located Selected Parcel 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 :tr s,✓,� 1 AbutterReport Page 1 of 1 Board of Health Abutter List for Map & Parcel(s): '233017' Direct abutters(no set distance)and the properties located across the street. Total Count: 4 Close Map&Parcel Owners Owner2 Addressl Address 2 Mailing Country Deed CityStateZip ROSENGREN, CENTERVILLE, 233016 JOANNE E PO BOX 6 MA 02632 28118/292 GINGERICH, WILLIAM W CUMMAQUID, 233017 WILLIAM W TR ET GINGERICH 2O05 P 0 BOX 508 MA 02637 19824/165 AL TRUST HOLMQUIST, MARK HOLMQUIST FAMILY 295 HOLLY POINT CENTERVILLE, 233018 HAYES TR TRUST RD MA 02632 21827/191 233019 ROSENGREN, P O BOX 6 CENTERVILLE, 15255/333 FREDERICK V MA 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 3/22/2016. http://maps.townofbamstable.us/arcims/appgeoapp/AbutterReport.aspx?type=BOH 3/22/2016 Re: 60 Nyes Point Way 7o the Board of Health: I hereby give my permission for Down Cape Engineering, Inc.to represent me at the upcoming public hearings. ` Date / Y _ ik 02 -'-- - - --- - ti 0ka: 1 o r a 1 own oi -sarnstapie Board of Health 200 Main Street Hyannis MA 02�vsrnsre, y 601 MAS& � 1639. AjfD & Offic . 4644 Wayne Miller,M.D. FAX: 508-790-6304 Paul Canniff,D.M.D. Junichi Sawayanagi Public and Environmental Health Program May 15,2014 Policies,Procedures,and Guidelines Holding Tanks/Public Meeting;Process for Seeking Approval;Notification of Abutters No.2014-002 A holding tank should only be considered as a last resort if a septic system with innovative/ alternative technology or secondary treatment is not feasible or cannot be approved and if public sewer is not available. I. Process for Seeking Approval of a Holding Tank from the Board of Health (1) The Board of Health shall review requests for holding tanks at a public meeting of the Board as follows: (a) Every request for a holding tank shall be in writing, (b) Four(4)copies of the engineering plans for the proposed holding tank shall be submitted by the applicant, (c) No application for a holding tank shall be complete until the applicant has notified all abutters within three hundred feet by certified mail at his/her own expense at least ten days before the Board of Health meeting at which the holding tank request will be on the agenda. The notification shall reference the proposed location of the proposed holding tank, an estimate of the frequency of pumping of the holding tank that will be required if the tank is approved, and the date,time and place where the application(public meeting)will be discussed. (2) Any holding tank allowed by the Board of Health shall be in writing. Any denial of a holding tank shall also be in writing and shall contain a brief statement of the reasons for the denial. A copy of each variance shall be available to the public at all reasonable hours in the office of the city or town clerk or the office of the Board of Health while it is in effect. H. Conditioning of Approvals of Holding Tanks (1) The Board of Health may issue approvals subject to such conditions, including,but not limited to submission of copies of pumping contracts with licensed septage haulers, monitoring and reporting requirements, deed recordation requirements, financial assurances or other qualifications on the use of the system, as it deems necessary to protect public health, safety, welfare and the environment. Any conditions shall be expressed in writing in allowing the holding tank approval. (2) Any denial of a holding tank by the Board of Health may direct the applicant to upgrade an existing system consistent with the requirements and standards of 310 CMR 15.404 and 15.405.Failure to do so may be the subject of enforcement action by the Board of Health. I III. Exemption The above requirements do not apply to the replacement of an existing holding tank. Wayne Miller,M.D. Paul Canniff,D.M.D. Junichi Sawayanagi C:\cache\Temporary Internet Files\OLK1B\HoldingTanks.doc CERTIFICATE OF ANALYSIS �,,�„' Page: 1 Barnstable County Health Laboratory vss' Report l'1'reuared For: Report Dated: 7/28/2008 E. F. Winslow Plumbing& Heating Order No.: G0847782 8 Reardon Circle South Yarmouth, MA 02664 Laboratory Ill #: 0847782-01 Description: Water-Drinking Water Sample#: Sampling Location: 60 Nyes Point Way Centerville,MA Collected: 7/14/2008 Collected by: J.Clark Received: 7/14/2008 Test Parameters ITEM RESULT UNITS RL MCL Method# Tested Hardness 19 mg/L as CaCO 0.10 SM 2340B 7/23/2008 iron mg/1- 0.10 SM 311 IB 7/15/2008 Manganese 0.04 mg/L 0.010 SM 311IB 7/15/2008 Sodium 16 mg/1- 1.0 20 SM 311 IB 7/15/2008 pH 6.3 pH-units 0 SM 4500 H-B 7/14/2008 Based on the results of the parameters tested,the water is suitable for drinking,but may present aesthetic problems(taste,odor, staining)due to Iron. Approved By—. — 7 � (Lai' irector) i i t <1 c� GO o > 7X ry c:� w � rTI t ND None Detected RL = Reporting Limit MCI.=MaXimUin Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 W� k � CERTIFICATE OF ANALYSIS Page: 1 Barnstable County Health Laboratory Report Prepared For: Report Dated: 7/28/2008 E. F. Winslow Plumbing&Heating Order No.: G0847782 8 Reardon Circle South Yarmouth, MA 02664 Laboratory ID#: 0847782-01 Description: Water-Drinking Water Sample#: Sampling Location: 60 Nyes Point Way Centerville,MA Collected: 7/14/2008 Collected by: .1.Clark Received: 7/14/2008 Test Parameters ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Tannin& Lignin ND mg/L 0.10 SM 5550s yn 7/23/2008 Based on the results of the parameters tested,the water is suitable for drinking,but may present aesthetic problems(taste,odor, staining)due to Iron. t Approved Byr' y (Labtor)i 1 ��-- /( ND=Nome Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-•6605 CERTIFICATE OF ANALYSIS Page: 1 p- Barnstable County Health Laboratory yrs���jL}c^' Report Prepared For: Report Dated: 6/11/2008 E. F. Winslow Plumbing&Heating Order No.: G0846513 8 Reardon Circle South Yarmouth, MA 02664 Laboratory ID#: 0846513-01 Description: Water-Drinking Water 1 Sample#: Sampling Location: 60 Nyes Point Way,Centerville;MA�.I Collected: 6/4/2008 � Collected by: B.Gingerich Parcel 233-017 Received: 6/4/2008 Test Parameters ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Sulfide ND mg/L 0.20 4500 S2-D TFB 6/5/2008 I I Routine ITEM RESULT UNITS RL MCL Method# Analyst Tested Note Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 LAP 6/4/2008 Copper 0.68 mg/L 0.10 L3 SM 3111 B LAP 6/5/2008 i Iron 7.6 mg/L 0.10 0.3 SM 31 1 113 LAP 6/5/2008 i Sodium 15 mg/L 1.0 20 SM 311113 LAP 6/5/2008 I Total Coliform Absent P/A 0 0 SM9223 AF 6/4/2008 Conductance 140 umohs/cm 2.0 EPA 120.1 DCB 6/4/2008 pH 6.5 pH-units 0 SM 4500 H-B DCB 6/4/2008 I Based on the results of the parameters tested,the water is suitable for drinking,but may present aesthetic problems(taste,odor, staining)due to Iron. Approved By (Lab irector) �.a I �r W ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 NORMAL HIGH WATER LEVEL ALARM NOTES SYSTEM PROFILE (AUDIBLE AND VISUAL) TO BE SET FOR 3/5 OF SYSTEM CAPACITY, ALARM AND WEQ. LAKE' DATUM SYSTEM Rd• PRESS TO SILENCE SWITCH ON PANEL 1. DATUM IS Ser ;�e (NOT TO SCALE) o o NSIDE BUILDING. LOW VOLTAGE FLOATS, SIMPLEX PANELS, MEYERS OR EQUAL. 2. MUNICIPAL WATER IS NOT AVAILABLE FIRST FLOOR EL. 40.0' \ PROP. 24" 0 CAST 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. IRON WATERTIGHT 4. DESIGN LOADING FOR ALL PROPOSED PRECAST INSULATE PIPE WHERE COVER TO GRADE UNITS TO BE AASHO H-2Q Locus ABOVE GRADE MINIMUM .75' OF COVER OVER PRECAST 'J7•5 5. PIPE JOINTS TO BE MADE WATERTIGHT. 77 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE ` INV. IN 35.5' WITH 310 CMR 15.000 (TITLE 5.) ,'.:.. k 21000 GAL. H-20 S/T 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND Wequaquet n BUOYANCY CALCS: / 36.7'* (WONOPOUR) NOT TO BE USED FOR LOT LINE STAKING OR ANY Luke t..� H-20 2000 GAL. ST WEIGHS 25,080 LBS "• OTHER PURPOSE. 3/!5 4.48 x 11 .0 x 6.0 X 62.4 = 18,450 LBS UP (OK) TOTAL CAPACITYALARM ON 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. t USE' WATER ELEVATION OF 33.9 AT BEARSE'S POND 38„ 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF Wequaquet HEALTH AND PERMISSION OBTAINED FROM BOARD Lake EL. 29.42' OF HEALTH. *THE INSTALLER SHALL VERIFY THE LOCATIONS OF 6" CRUSHED STONE OR MECHANICAL ALL UTILITIES AND ALL BUILDING SEWER OUTLETS -COMPACTION. (15.221 [21) CA CONTRACTOR SHALL BE RESPONSIBLE FOR AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION TIGHT TANK CALLING DIGSAFE CATION OF ALL UN AND LOCUS MAP VERIFYING THE LOCATION OF ALL UNDERGROUND &c OF SEPTIC SYSTEM. INVERT OUT OF DWELLING IS 8 5 (NOT-TO SCALE) OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF NOT TO SCALE APPROXIMATE. PLUMBING TO BE RAISED IF ( WATERPROOF/WATERTIGHT NECESSARY. FOUNDATION 14' TIGHT TANK 11. EXISTING LEACHING FACILITY SHALL BE PUMPED ASSESSORS MAP 233 PARCEL 17 AND REMOVED OR PUMPED AND FILLED WITH CLEAN SAND. 12. INSTALLER TO VERIFY THE ELECTRICAL SYSTEMI IS SUITABLE FOR ALARM CONNECTION. ELECTRICAL LEGEND PERMIT REQUIRED. TIGHT TANK NOTES: 13. WETLAND FLAGGED BY BRAD HALL OF BLH DEED RESTRICTION REQUIRED FOR USE OF TIGHT TANK. DWELLING ENVIRONMENTAL CONSULTING. IS SEASONAL USE ONLY AND IS NOT TO BE OCCUPIED FOR MORE 99 EXISTING CONTOUR THAN SIX MONTHS OUT OF THE CALENDAR YEAR. AN OPERATIONS 14. DEWATERING REQUIRED FOR INSTALLATION OF AND MAINTENANCE PLAN WILL BE REQUIRED FOR THE LIFE OF THE X 99•1 EXIST. SPOT ELEV. TIGHT TANK. PROVIDE SILT CONTAINMENT AS SYSTEM. TANKS TO BE PUMPED AS REQUIRED AND ALARM TO BE NECESSARY. INSPECTED 1 TIME PER YEAR. -[99]- PROPOSED CONTOUR TIGHT TANK SHALL BE DESIGNED AND INSTALLED IN ACCORDANCE �98 4 t IST. 15. WHEN SEWER SYSTEM BECOMES AVAILABLE, THIE WITH 310 CMR 15.260, AS AMENDED. PROPOSED SPOT EL. ELL. OWNER SHALL CONNECT TO SEWER WITHIN 30 DAYS 36.06 EXI AND TIGHT TANK SYSTEM SHALL BE TH1 #4�. WE ABANDONED/REMOVED. VARIANCE REQUESTED: TEST HOLE X YY TOWN OF BARNSTABLE REGULATIONS: 360-1: REDUCTION IN 2f SLOPE OF GROUND SETBACK, SEPTIC (TIGHT) TANK TO WETLAND, 100' TO 54' UTILITY POLE \#3 36 ' 35.61 FIRE HYDRANT _ NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING #1 36.13 w �•.. `�` 2 PROP. WORK LIMIT LINE OF SYSTEM DESIGN. SAND 35.37 QO\�1 CB FND. STAKED SILT FENCE #2 0 \3 GARBAGE DISPOSER IS NOT ALLOWED \ 6\5 Bl 135.73\ 33,6.32 36 DESIGN FLOW: 2 BEDROOMS @ 110 GPD = 220 GPD 36.2.3 I\\ � USE A 330 GPD DESIGN FLOW ' \ / 1 \ I CSC /'36.11 36.53 \ 1 \ TIGHT TANK: 330 GPD (5) = 1650 / '� 6.86�F,P .641 ---50' z MIN. 2000 GAL TIGHT TANK CAPACITY REQUIRED B FIND. 37.03 ss \ \ !~ USE (1) H-20 2000 GAL TIGHT TANK BENCHMARK: USE CONC. \1 E\ p -Z4 BOUND AT EL. 37.2' 137.22 , 6.6 A3 , %'7, 36.63 6, 1 / CLGMq 9p / 00, 37.20 \\, /M PLEf tib / I O 14" 1.6 Fi / `- - - 36.76 2 ' 35.80 TREES 94 8 ^I , UNDERGROUND ELECTRIC (APPROX. LOCATION ONLY) 37.81 „37.62 , MA 1 #59 38.26 / c�\79 ��\ APPROVED DATE BOARD OF HEALTH EXIST. \,3 DWELL. _ .81 C? T �_ "' , 7PATI0 i 37. 8 31 35.54 TITLE 5 SITE PLAN � 38.64 / . (TIGHT TANK 30 EXIST. DWELL. :• z. IST. SYSTEM INSTALLED ON POSTS_ OF 2009) FlRST FL ELEV. 40.f \ �7/65 C9 ; 37.8 3��5Q, 7.8 I `' 60 NYES POINT WAY QoFG 90� 6.27 +\ CENTERVILLE MA �9 434.52 I 36.63 < EXIST: ��°� PROP. WORK LIMIT LINE OF ` a V PREPARED FOR .MAP 233 � DECK � � 33.92 Q � OP STAKED SILT FENCE .06 PARCEL 17 Q -© 0.22 AC.f 36 ;r WILLIAM GINGERICH EXIST. WELL I B5 � 40 l,-\ DATE: FEBRUARY 26, 2016 e3 ... '35.22 Q'�P�oQ REV. 3/23/16 (ROTATE TANK) , �? A B75 4 �. , , ITN eF mr,�Ss�"w of n stis " ` �H�F�A�s l�N aF MAss off 508-362-4541 p� CDANIELA > fax 508-362-9880 . yoLANIEL DANIEL ��' I downcape.com OANIELA. G �� �� �»LA 0 AL.A � A,. �`�R /ACP L CIVIL .lA1,A I�� fl Ih0 v 1down cope endiaeeeing Inc. 502 Na.41Jv0 ` ` Ju. o.�#09�'0< s E��G,�` T � � T��� civil engineers Scale: 1 = 20 �a :u �s �� �N ~, ref land surveyors W" 939 Main Street ( Rte 6A) 0 10 20 30 40 50 FEET DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 LICE # > 6-022 16-022 GINGERICH.DWG