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HomeMy WebLinkAbout0329 OLD CRAIGVILLE ROAD - Health 329 Old Craigville Road, Centerville A= 1so 'a UPC 12534 ' No.2 115533LL OR � s M�sr�Mos YN f' 5� No �� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Y � 01pplitation for -Misposaf *pstrm Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade(v� Abandon( ) lComplete System ❑Individual Components Location Address or Lot No. Z 9 Q (,`q�9�y��` Qd. Owner's Name,Address,and Tel.No. GtA,er W 1k z, Assessor's Map/Parcel Z,y'; �j(,- I SGo{1' ©o`1+�f Installer's Name,Address,and Tel.No. 1 g 6 f_x(,ovo.V%an Designer's Name,Address,and Tel.No. 1��0.�1�fi� tnvtco, Sos- 4fi7.Ocs53 3-44 Km-e, rSo Sa►c-t4w;G►, PO 60g, 331 HM(Cd.L1, lyw. -vi4- g4o1. itw. Type of Building: Dwelling No.of Bedrooms 3 Lot Size .13 Acfab*I- sew Garbage Grinder(NO) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 O gpd Design flow provided 342 gpd Plan Date 10 I I Sj Zo t0 Number of sheets z Revision Date Title Size of Septic Tank 1500 Type of S.A.S. ('L) S-00 (!hc kkgr. C.1-, CnhfS Description of Soil Sea, 00,n5 Nature of Repairs or Alterations(Answer when applicable) InS♦PAINAr ors 0Q mo I500 AAkkon SdL d- 60)L end (2) 5'O y a^k1d,% W-5 4 n ra fkAaQ. Jro.aad !LA S"61S_ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of alth. Signe OWM Date 10110 Application Approved by Date Application Disapproved by Date for the following reasons Permit No._� 3 6 Date Issued o� TOWN OF BARNSTABLE l� �r...`'y vL � � ; C9 - SEWAGE # � LOCATION 3 ( VILLAGE E Ce- '►— = ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY '3 `s S!� �' t S LEACHING FACILITY: (type) (size) NO.OF BEDROOMS_ BUILDER OR OWNER r PERMIIDATE: COMPLIANCE DATE: Separation Distance Between the:, Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by,---- 3r�E <- -7 49 i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA t1 No Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Ye application for �i8tlo8AY,�pstern Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade(,4 Abandon( ) Complete System ❑Individual Components— Location Address or Lot No. Z 0 Owner's Name,Address,and Tel.No. +. �f A�(t�ds 11c.. 2c1� 1 �. rv,��e.. Assessor's Map/Parcel L; I cl _ - �c-r.4 r Installer's Name,Address,and Tel.No. hj ? (+� x« n Designer's Name,Address,and Tel.No. lc.hc Z SoE c177 - UL`__3 3-q`i E'c. Ac C o Mc"• li qj "O,' - 11(LL Type of Building: Dwelling No.of Bedrooms Lot Size 2 3 l\c re s sq-ft. Garbage Grinder(Nu) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided 3%1 r, gpd Plan Date 1 o I i ti 1 7 n 7_0 Number of sheets Revision Date Title ."Size of Septic Tank 15 Q o Type of S.A.S. Description of SoilL Nature of Repairs or Alterations(Answer when applicable) 6-)(,4'i i,.,k,_, ,;( N", , i<;(s) rr\t 1�d. L"' CJ n Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of alth. Signe '' .. ; Date Application Approved by Date � L Application Disapproved by R Date for the following reasons Permit No. ) Date Issued ----------------------------------------------------------------------------------------------------------------------------' --------- Q � � THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,`MASSACHUSETTS (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired V ) Upgraded(V) Abandoned(s )by , ? ,A , { at - ;"��` ( Q l d c t-r,��,a j 1, ( ,y has been constructed in accordance with the provisions of Title 5 and the for Disposal�System Construction Permit N a ed/ / /} c Installer ( l X(r�.,c\� nr� ins . Designer #bedrooms Approved design flow G n kR i` i f'3 gpd The issuance of this permit shall not be construed as a guarantee that the system will fund as.desi ne ( Date ( D Inspector t F --------------------- ------------------------------------------------- ---------------------------------------------- ------------- No� —� ' Fee ,/( 1 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Q Bis oral stern Construction Permit � p Permission is hereby granted to Construct( ) Repair( ) Upgrade(� Abandon( ) System located at ,, ? 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 must be completed within three years of the date of this pe it. Date Approved by Town of Barnstable Inspectional Services g F Public Health Division MRWAMa Thomas McKean,Director i6Jq.A 200 Main Street,Hyannis,MA 02601 Office: 508-862.4644 , Fax: 508-790-6304 Installer&Designer Certification Form Date: 2 Sewage Pcrmito Assessor's Map\Parcel Designer: Installer: Address-, Address: l y On hZ,1'2 U W was issued a permit to install a at (installer) septic system at37 70 U`j £ 'based on a design drawn by '(address) Q dated 1�20 (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 anycomponent 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 aird the soils were found satisfactory. I certify that the system referenced above was constructed in c Hance with the terms of the 11A►approval letters.(if applicable) iA of rl�s DAVID G D. ( teller's n ^ ) FLAHERTY,JR. N No..1217 Z 0 Ask T�E4f� ,14 A. (Designers Sr aturZLABLE ( tx p Here) PLEASE RETURN T PUBLIC HE TH DIVISION. CEB rIgICATE OF COMPLIANCE WILL NOT BE IS U D UTST BOTH THIS FO AS- BOU CARD ARE RFC IVFD BY THE BARNSTABLE PUjIIJC HEALTH DIVISION. THANK YOU. \\toa\deVWiSALTMSEWER eonneaASEPTICOUlperCeili6cation Fomt Rev W4-13.000 TOWN OF BARNSTABLE LOCATION 329 OLD I IC R4 SEWAGE# ZOZO = 33q VILLAGE t_g_icA 1L ASSESSOR'S MAP&PARCEL Z47- 96- 1 INSTALLER'S NAME&PHONE NO. EJ(Cc LufL4 i ay\ !9 r)9- 0663 SEPTIC TANK CAPACITY /60� LEACHING FACILITY:(type) SOOQa I lrIC (2� (size) 13 x ZSX Z i NO.OF BEDROOMS _3 OWNER ScoJ4 61)'Wal- PERMITDATE: 1 O- 22-Z O COMPLIANCE DATE: /J/ J 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) j Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) } Feet FURNISHED BY i Al-30 AT Zy s - g2• Sy A3' A, M- �ro n� J TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 365-1300 19 Hummel Drive South Dennis,MA 02660 (� �\ COMMONWEALTH OF MASSACHUSETTS `- '�, ��1 f EXECUTIVE OFFICE OF ENVIRONMENTAL A�+IRS In, _��� V DEPARTMENT OF ENVIRONMENTA TECTION ` �,► ONE HINTER STREET. BOSTON, MA 02108 617 ~550ys /P� FC) GoG F.WELD r Yjyg9l 4.9 vernor �. 99� �TR,UDY COXE seCrCtAn ARGEO PAUL CELLUCCI •VID B.STRUHS Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTI M Commissioner PART A CERTIFICATION g CA Property Address: .3-2 `/ ail d Q. )-. C--- (I t . Date of Inspection: NI- 57 Address of Owner: '`" � Name of Inspector. Troy Williams (If differeno y3a S C,—w.9 — if , C I am a DEP approved system inspector pursuant to Section 15.340 of Title S(310 CMR 15.000) Company Name: Troy .Williams Septic InSpeCtionS M` ' Mailing Address: _1Q HUMMPl Drives South DpnnlS , MA 02660 6.2`32 Telephone Number: _I 5 0 8) 3 8 r,-13 0 0 CERTIFICATION STATEMENT 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 inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: asses _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fails Inspector's Signature:, J iw� ` G✓�`�%� Date: 7 r The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, 8, C, or D: Al SYSTEM PASSES: __!L t have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI 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. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If'not determined",explain why not. The septic tank is metal,unless the owner or operator has provided the system inspector W&a copy of a Certificate of Compliance (attached) indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. - (rwiud 04/IS/97) " fag• I of 10 ! i SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 329 Old Craigville Road,Centerville, MA Owner: Ray Cafolla Date of Inspection:Mcember 4, 1997 BI SYSTEM CONDITIONALLY PASSES (continued) N1119 Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if (with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four 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 obstruction is removed Cl FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: A111.9 Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND 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. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IT APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER I (rwlud 04/25/97) Dw• 2 of 10 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 329 Old Craigville Road,Centerville, MA Owner: Ray Caf011a Date of Inspection: December 4, 1997 D) SYSTEM FAILS: You must indicate ei;,.er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 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 Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: N14 You must indicate either "Yes" or "No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: 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) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Page 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST 329 Old Craigville Road,Centerville, MA Property Address:Owner: Ray Cafolla Date of Inspection: December 4, 1997 Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: Yes No Pumping information was provided by the owner, occupant, or Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. �jl As built plans have been obtained and examined. Note if they are not available with N/A. JC/ _ The facility or dwelling was inspected for signs of sewage back-up. The system does not receive non-sanitary or industrial waste flow. The site was inspected for signs of breakout. _ All system components,•excluding the Soil Absorption System, have been located on the site. A/_? The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material-of construction, dimensions, depth of liquid, depth of sludge, depth of scum. / The size and location of the Soil Absorption System on the site has been determined based on: The facility owner(and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. /✓lji Existing information. Ex. Plan at B.O.H. Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) (15.302(3)(b)) (ravia.ad 0{/2S/97) paq• 4 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 329 Old Craigville Road,Centerville, MA Owner: Ray Cafolla Date of Inspection: December 4, 1997 RESIDENTIAL: FLOW CONDITIONS Design flow: L3 �V a.p.d./bedroom for S.A.S. Number of bedrooms: o2 Number of current residents: Garbage grinder (yes or no):_,�2 Laundry connected to system (yes or no):�S Seasonal use (yes or no): /\/- Water meter readings, if available (last t\,%•o (2) year usage (gpd): ` = 73 o0c) zy�/o o� Sump Pump (yes or no): IY' Last date of occupancy: Q c c —r COMMERCIAUINDUSTRIAL• Type of establishment: Design flow:_gallons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no) Non-sanitary waste discharged to the Title S system: (yes or no) Water meter readings, if.available. Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information:L,L� 1oJ i Uh S 1'2 , o✓ et r TYb�a, t O System pumped as part of inspection: (yes or no)`e7 S If yes, volume pumped: 1 oQO t a�llons Reason for pumping: Cb, / !+r 1� 1 71av Ir.,f/a TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool ZOverflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) VA Technology etc. Copy of up to date contract? Other APPROXIMATE AGE I\of all components, date installed (if known) and source of information: !' L S 5 "O o I w Sew+ odors detected when arriving at the site: (yes or no) /V 6 (revised 0{/2S/97) Page 5 Of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 329 Old Craigville Road, Centerville, MA Owner RayCafolla Date of Inspection: December 4, 1997 BUILDING SEWER: (Locate on site plan) Depth below grade: Material of construction: _cast iron _40 PVC_other (explain) Distance from private water supply well or suction line Diameter Comments: (condition of joints, venting, evidence of leakage, etc.) SEPTIC TANK: (locate on site plan) Depth below grade: Material of construction: _concrete _metal _Fiberglass _Polyethylene _other(explain) If tank is metal, list age _ Is age confirmed by Certificate of Compliance _(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 dimensions were determined: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) GREASE TRAP:��/� (locate on site plan) Depth below grade: 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: Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc. (rwls•d 04/25/97) a Page 6 0[ 10 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 329 Old Craigville Road,Centerville, MA Owner: Ray Cdolla Date of Inspection:D=mber 4, 1997 TIGHT OR HOLDING TANK: /v (Tank must be pumped prior to, or 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/day Alarm level: Alarm in working order _ Yes; _ No Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches, etc.) DISTRIBUTION BOX: // (locate on site plan) Depth of liquid level above outlet invert: Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) PUMP CHAMBER: (locate on site plan) Pumps in working order: (Yes or No) Alarms in working order (Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (ravimad 04/25/97) Page 7 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner. 329 Old Craigville Road,Centerville, MA Date of Inspection:Ray Cafolla December 4, 1997 SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number:Qb,< X ,r ,�/d, s Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) 740 CESSPOOLS: (locate on site plan) Number and configuration: 02 v, G s S,�0 o S Depth-top of liquid to inlet invert: Depth of solids layer: " 7;- Depth of scum layer: AlPNl- Ue,71, Dimensions of cesspool: Ght S y S-' rt s X-K- / Materials of construction:_ C r--5 Indication of groundwater: /U 0 A-11--- inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding condition of vegetation, etc.) PRIVY: 1V 141 (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.) (re i..d 04/25/97) Page a of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 329 Old Craigville Road,Centerville, MA Owner: Date of Inspection: Ray Cafolla December 4, 1997 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) .AI ' 0 Z2 y CC�S S�nc�o �• Cr�S fwov f (revised 04/25/97) Page 9 of 10 f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 329 Old Craigville Road,Centerville, MA Owner: Ray Cafolla Date of Inspection: December 4, 1997 Depth to Groundwater Feet adjusted Wgh groundwater level Please indicate all the methods used to determine High Groundwater Elevation: Obtained from Design Plans on record I// Observation of Site (Abutting property, observation hole, basement sump etc.) Determine it from local conditions Check with local Board of health Check FEMA Maps Check pumping records Check local excavators, installers Use USGS Data Describe in your own words how you established the High Groundwater Elevation. (Must be completed) Gc SSA✓0 0 J y �,a c r y "`° 1�L) (revised 04/25/97) Page 10 of 10 II _. d t COVERS'TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE Flaherty Environmental Services TOP OF FOUNDATION BROUGHT TO WITHIN 6" OF FINAL GRADE. (not to scale) EL. 58.0' EL. 56.0' INSR PORT W I 3" OF GRADE CLEAN SAND P.O. Box 331 2" of 1," to b" DOUBLE WASHED � Harwich, MA 02645 8—ti EL. 56.0 PEASTONE OR GEOTEXTILE 774.994.1166 4" CAST IRON or EQUIVALENT FILTER FABRIC MIN. PITCH 1/4" PER FOOT ` 4"SCHEDULE 40 PVC PIPE 4"SCHEDULE 40 PVC PIPE VENT IF REQUIRED FLOW LINE (first2'to be level) V 2.6% __i 5' lob A=EL.55.0' —� — •�.• ` .'.i ®® opo°0p0°c ' B=EL.55.5' 10 � 14" ���LJ��'E; 0000000 00°o°o°e —i' o 0 0 0 0 0 0 0 0 ' EL.53.5' —�- opo°o0o o p pogo op0p0 0pc EL53.25' o00 0 000 �® ®� o0 ooe • EL52.53' 0000 o o000 • + p popo0opop0 0 o0 0o0o0c2.0 EL 5 EL.52.5' o°0°0°000°0°0°0° ®� ®�p� � °o°o°o°oc GAS BAFFLE °0°0°0°0°0 0°0°0° a .' 1 0°0°o°oc t_10'MIN. 2.5% (H-20 D BOX) po00p°p00 0popoo A ..; .. °o°o°o°oc EL.50.5' SOIL ABSORPTION SYSTEM (2) 500 GALLON H-20 CHAMBERS 1500 GALLON SEPTIC TANK WITH 4'STONE AROUND IN A 5.0' (DATUM: ASSUMED) 311 ire 4 to 1Z DOUBLE WASHED STONE 12.83'X 25'X 2 "ELL" CONFIGURATION AS SHOWN EL. 45.5' LOCATION MAP As BOTTOM OF.TEST HOLE EL. 45.5'Built - - - 1500 -GST — - — USGS ADJUSTMENT: N/A N TH GROUNDWATER ELEV: N/A 329 Old CraigvNeRucid 1 A LOCUS Barnstable (Centerville ) MA Fg�H,,,Rd i a TO DECK EXISTING 0o 1 2 3 4 3 3 BR NTS A 30.0' 24.0' 68.0' 66.0' ® DWELLING \OFAkIa L`" B 46,0' S4A' 125.0' 19'6" 'a R. GARAGE ` (SLAB) 3 DATE:111312020 REVISED: LEGEND AS BUZLTR RPLAN FO 6 6 6 6 GAS LINE B& B EXCAVATION, INC./ W W— — W WATER LINE SCOTT QUILTER E 66E E EXIST. ELECTRIC 329 OLD CRAIVILLE ROAD 99 EXIST. CONTOURS (CENTERVILLEI BARNSTABLE, MA ————— 99 PROP, CONTOURS NOT TO SCALE U46 U46 W'6 UNDERGROUND UTIL. REF.'PB 118 PG 133 PAGE 1 OF 1 TOP OF FOUNDATION COVERS TO BE WATERTIGHT AND SEPTIC SYSTEM PROFILE Flahert Environmental Services EL. 58.0 EL. 56.0 BROUGHT TO WITHIN 6" OF FINAL GRADE scale) INSP. PORT W I 3 OF GRADE y (not to �� CLEAN SAND P.O. Box 331 2" of I," to DOUBLE WASHED EL. 56.0' Harwich, MA 02645 4" CAST IRON or EQUIVALENT PEASTONE OR GEOTEXTILE 774.994. 1166 FILTER FABRIC MIN. PITCH 1/4" PER FOOT 4"SCHEDULE 40 PVC PIPE 4"SCHEDULE 40 PVC PIPE VENT IF REQUIRED FLOW LINE (first2'to be level) " 1' 2.6% 5, lob FL.S . a:•. • oe eeeeeeee eeeee A=EL.55.0' . e .. .r o 0 0 o c B=EL.55.5' 10" O 14" i. o o°o �� U0 0°0°00o0c EL. 53.5' �► 000°0°0°0° o o �U O © O�0}�p.- fffl'ElEl C� O °popopope EL.53.25' l o 0 0 0 0 0 �O � � o 0 0 0 ' EL. 52.53' oo° ° 00000000000 O � O C= O O O ® o°o°o°o°c 2.0' EL.52.7' o 0°000000°0°0°o O O O O C� O O o°0°o°o°c— GAS BAFFLE EL. 52.5' o o 0 0 0 0 0 0 �Q ����. Q 0 0 0 0 0 0 0 0 a 0°0°o°o°c pp°ppppp°p p°p°pp .d. .• .�OpppppppC • '/ 10'MIN. 2.5% (H-20 D-BOX) o 0 0 0 0 0 0 • a o 0 0 o EL. 50.5' ,� �,::;... . :••, ; SOIL ABSORPTION SYSTEM ... (2) 500 GALLON H-20 CHAMBERS I500 GALLON SEPTIC TANK 5.0' (DATUM: ASSUMED) WITH 4' STONE AROUND IN A 7 to 1Z" DOUBLE WASHED STONE 12,83'X 25'X 2' "ELL" CONFIGURATION AS SHOWN EL. 45.5' BOTTOM OF TEST HOLE EL. 45.5' LOCATION MAP -As Built - 1500 GST - - USGS ADJUSTMENT: N/A N TH (' GROUNDWATER ELEV: N/A 329 Old Craigville Road 1 ° A 6 LOCUS BarnstableFaIMstable (Centerville , MA H,//Rd TO \aGta,9�o�6 Ra DECK EXISTING o 1 2 3 4 3 3 BR 2: NTS o A 30,0' 24,0' 68,0' 66.0' ® DWELLING �°cHOF B 4 6.0' 5 4,0' 2 5,0' 19'6" B GARAGE fie ' 3 (SLAB) DATE: 111312020 REVISED: LEGEND AS BUILT PLAN FOR -6 6 6 G— GAS LINE B & B EXCAVATION, INC./ W W -v WATER LINE SCOTT QUILTER E EXIST. ELECTRIC 329 OLD CRAIVILLE ROAD 99 EXIST, CONTOURS ———— 99 PROP, CONTOURS NOT TO SCALE (CENTERVILLE) BARNSTABLE, MA r UNDERGROUND UTIL• REF:PB 118 PG 133 PAGE 1 OF 1