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Home My WebLink About0362 OLD CRAIGVILLE ROAD - Health 362_01d Craigville Road, Centerville — va.mr-nra�ro5c f�5 . Vc l s UPC 12543 a No. 5.._.3 LA R ��s7•CONSO°� HASTINGS, MN t.i r of�►+F rqy Town of Barnstable Inspectional Services Department B"M Public Health Division `i83 �� 9 200 Main Street, Hyannis MA 02601 Office: 508-8624644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7015 1730 0001 4987 9910 December 4, 2020 POZZI, ELEANOR A 362 OLD CRAIGVILLE ROAD CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE,TITLE 5 The septic system located at 362 Old Craigville Road, Centerville, MA was inspected on 11/12/2020 by Christopher Maki, certified Title V Septic Inspector for the State of Massachusetts. The inspection of the septic system showed that the system "Fails" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. PER ORDER OF THE BOARD OF HEALTH Tho c ea , S., CHO Agent of the Board of Health Q:\SEPTIC\Title V Inspection Report Letters Mailing\Failed or Needs Further Evaluation Letters\362 Old Craigville Road Centerville.doc I Town of Barnstable BARNSfABLE, � 039. A Inspectional Services Department prfD MA'S Public Health Division 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO Feb 6, 2007 Rev. 4/26/19 DEADLINES TO REPAIR FAILED SYSTEMS (Town Code §360-44 and Title V: 310 CMR 15.000) An "x" marked in the ❑ is the failure criteria and associated repair deadline 60 DAY DEADLINE CRITERIA ❑ Discharge or ponding of effluent to the surface of the ground ❑ Pumping more than 4 times during the last year not due to clogged or obstructed pipe. ❑ Backup of sewage into the house due to an overloaded or clogged SAS or cesspool ❑ Structurally unsound septic tank or SAS O E 1 YEAR DEADLINE CRITERIA Static liquid level in the distribution box is above the outlet invert due to an overloaded or clogged SAS or cesspool ❑ A portion of the SAS, cesspool, or privy is below the high groundwater elevation ❑ A portion of the cesspool is located within a Zone 1 to a public well ❑ A portion of the cesspool is located within 50 feet of a private water supply well with no acceptable water quality analysis. (This system passes if the water analysis indicates the well is free from pollution). TWO (2) YEAR DEADLINE CRITERIA ❑ Single Cesspool ❑ Any "conditionally passed systems" (broken cover, relocation of a pipe, relocation of a driveway due to H-10 components, etc) ❑ Leaching facility with standing liquid level at or above the invert pipe (per Town Code §360-20 h) OTHER Repair deadline: Q:\SEPTIC\DEADLINES TO REPAIR FAILED SYSTEMS.doc . Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments t 362 OLD CRAIGVILLE ROAD _ Property Address ELEANOR PO_ZZI Owner Owner's Name / information is CENTERVILLE V MA 02632 11/12/2020 required for every � •, page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Please see completeness checklist at the end of the form. Important:When filling out forms A. Inspector Information 51jr— j s ol,E O on the computer, use only the tab Christopher Maki key to move your Name of Inspector cursor-do not Cape Cod Septic Services use the return key. Company Name 350 Main St, Company Company Address W Yarmouth _ MA 02673 City/Town State Zip Code rB 508-775-2825 _SI-14423 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 11/19/2020 Inspector's Sign 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 Commonwealth of Massachusetts s Title 5 Official Inspection Form '•'a la) Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is CENTERVILLE _ required for every MA _02632 11/12/2020 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: ❑ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: 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.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 18 I Commonwealth of Massachusetts Title 5 Official Inspection Form l Subsurface Sewage Disposal System Form -Not for Voluntary Assessments eau/� 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is required for every CENTERVILLE MA 02632 11/12/2020 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 Commonwealth of Massachusetts �. ,p Title 5 Official Inspection Form ii Subsurface Sewage Disposal System Form -Not for Voluntary Assessments W 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is CENTERVILLE _ required for every MA 02632 11/12/2020 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 facilit y or stem p 9 component ® ❑ Y Y p 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 l5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 18 Commonwealth of Massachusetts i Title 5 Official Inspection Form I; Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 362_OLD CRAIGVILLE ROAD Property Address E_LEANOR_POZZ_I Owner Owner's Name information is required for every CENTERVILLE _MA 02632 11/12/2020 _ 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 '/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 15lnsp.doc•rev,7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 18 Commonwealth of Massachusetts �. i Title 5 Official Inspection Form f\. i Subsurface Sewage Disposal System Form - Not for Voluntary Assessments fib..!% 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is required for every _CENTERVILLE _ MA 02632 11/12/2020 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 I Commonwealth of Massachusetts ip Title 5 Official Inspection Form — l'l Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 362_OLD_ CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is required for every CENTERVILLE MA 02632 11/12/2020 page. CitylTown State Zip Code date of Inspection D. System Information 1. Residential Flow Conditions: Number of bedrooms (design): 3 Number of bedrooms (actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Description: Number of current residents: 2 Does residence have a garbage grinder? ❑ Yes ® No Does residence have a water treatment unit? ❑ Yes ® No If yes, discharges to: Is laundry on a separate sewage system? (Include laundry system inspection information in this report.) ❑ Yes ® No Laundry system inspected? ❑ Yes ® No Seasonaluse? ❑ Yes ® No Water meter readings, if available (last 2 years usage(gpd)): Detail: Sump pump? ❑ Yes ® No Last date of occupancy: CURRENT Date 6nsp cloc•rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 7 of 18 Commonwealth of Massachusetts p Title S Official Inspection Form ' ii; Subsurface Sewage Disposal System Form - Not for Voluntary Y ry Assessments c. 362 OLD CRAIGVILLE ROAD u-� Property Address ELEANOR POZZI Owner Owner's Name ion is CENTERVILLE required airedd for every MA 02632 11/12/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 2. Commerc!al/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: N/A Was system pumped as part of the inspection? ❑ Yes ® No � V If yes, volume pumped: gallons How was quantity pumped determined? Reason for pumping: 15insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 18 Commonwealth of Massachusetts �x ,:p Title 5 Official Inspection Form IR la Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 362 OLD C_RAIGVILLE ROAD Property Address ELEANOR P_____0Z Z_I m Owner Owner's Nae reformation is _ _MA 02632 11/12/2020 required for every CENTER---- VILL_E — - .__...------------ 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: 1997 PER BOH Were sewage odors detected when arriving at the site? ❑ Yes ® No 5. Building Sewer (locate on site plan): Depth below grade: 2'4"feet Material of construction: ❑ cast iron ® 40 PVC ❑ other(explain): Distance from private water supply well or suction line: 10+ feet Comments (on condition of joints, venting, evidence of leakage, etc.): LINE CHECKED WITH SEWER CAMERA AND WAS FOUND TO BE CLEAN AND PROPERLY PITCHED t5insp.doc•rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 9 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name ion is _ required uired for every CENTERVILLE MA 02632 11/12/2020 page. City/Town State Zip Code Date of Inspection D. System Information (cont.) 6. Septic Tank (locate on site plan): Depth below grade: 118"feet Material of construction: ® concrete ❑ metal ❑ fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance? (attach a copy of certificate) ❑ Yes ❑ No Dimensions: 1000 GALLON Sludge depth: 4" Distance from top of sludge to bottom of outlet tee or baffle 28" Scum thickness 311 Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle 12" How were dimensions determined? ESTIMATED Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): 1000 GALLON TANK FOUND WITH SIGNS OF BACK-UPS. PVC TEES IN PLACE. TANK AT NORMAL OPERATING LEVEL. t5insp.doc•rev.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 10 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is required for every CENTERVILLE MA 02632 11/12/2020 _ page. City/Town 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: Material of construction: ❑ concrete M ❑ metal polyethylene❑fiberglass ❑ . y ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day 151nsp doc•rev.7126/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•page 11 of 18 r Commonwealth of Massachusetts �x Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -� g p y Not for Voluntary Assessments 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name — ------- -- on is requiredd for every CENTERVILLE MA 02632 11/12/2020 requir 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: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments (condition of alarm and float switches, etc.): Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No 9. Distribution Box (if present must be opened) (locate on site plan): Depth of liquid level above outlet invert EVEN 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.): DISTRIBUTION BOX LEVEL FOUND WITH SIGNS OF SOLID CARRYOVER AND BACK-UPS. t5,nsp ooc•rev 7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 18 Commonwealth of Massachusetts 1►-=- ~;�P Title 5 Official Inspection Forme III Subsurface Sewage Disposal System Form - Not for Voluntary Assessments /r 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is CENTERVILLE MA _02632 11/12/2020 required for every _ page. City/Town 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: 1-6X6 ❑ 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 Tit le 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 a � 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is CENTERVILLE required for every MA 02632 11/12/2020 T„_._. �___.-._._._—_.__-_�_—__�____._,...-- 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.): 1-6X6 FOUND FULL ABOVE THE PIPE DURING INSPECTION 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.7/26/2018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 14 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments 362 OLD CRAIGVILLE ROAD Property Address ELEANOR PO_Z_ZI __ Owner Owner's Name information is required for every CENTERVILLE MA 02632 11/12/2020 _ . 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.): ------------- 4. i5msp doc•rev 712612018 Title 5 Official Inspection Form:Subsurface Sewage Disposal System Page 15 of 18 4 Commonwealth of Massachusetts - ; Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments c� 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POW Owner Owner's Name information is required for every CENTERVILLE MA 02632 11/12/2020 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 t5insp.doc•rev.7/2 612 01 8 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 18 of 18 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntar^ssessments ............ ; � 362 OLD CRAIGVILLE ROAD_ Property Address ELEANOR POZZI Owner Owner's Name information is required for every CENTERVILLE MA 02632 11/12/2020 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: feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ I 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: GROUNDWATER TO BE DETERMINED DURING PERCOLATION TEST FOR NEW SYSTEM 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 1,<N 362 OLD CRAIGVILLE ROAD Property Address ELEANOR POZZI Owner Owner's Name information is required for every CENTERVILLE MA 02632 11/12/2020 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 as completed appropriate P 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 t ire a4, all 3736 s" afr i� a Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye—��- PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS RpPlitation for MispoSal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System /Individual Components Location Address or Lot No.✓�.� 45/mryve§'� le . Owner's Name,Address,and Tel.No.j7�—7 Assessor's Map/Parcel ao Installer's Name,Address,and Tel.No.c5lAe—zr� " Designer's Name,Address,and Tel.No Sow 417--- �.��• -n vs Type of Building: Dwelling No.of Bedrooms Lot Size 7 5`00 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 gpd Design flow provided F — gpd Plan Date Z4/�Cz o Number of sheets _�Z_ Revision Date Title Size of Septic Tank _ /®ag::9 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Pk`s�4'r7m S ✓�� ,G _Z8 2 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by A Date Application Disapproved by Date for the following reasons Permit No. r Date Issued ptJ / f .` . y No� r. Fee / a C THE COMMONWEALTH-OF MASSACHUSETTS Entered in computer: ..�� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppYication for Disposal .6pstrut Construction permit Application for a Permit to Construct( ) Repair(A<`Upgrade( ) Abandon( ) ❑Complete System Vindividual Components �A Location Address or Lot No. ;/? G3/a0' i�4vYk 146 � Owners Name,Address and Tel.No.-f-4 Assessor's Map/Parcel -74 Installer's Name,Address,and Tel.No.55- P zry" c�a s� Designer's Name,Address,and Tel.No:s"L=0'- Type of Building: Dwelling No.of Bedrooms 3 Lot Size 7; S700 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) �-'^gpd Design flow provided _Fz S gpd Plan Date Z �41So "Number of-sheets, --.P— r Revision Date / rrr Title #� 1...•"l. � F •f -T I Size of Septic Tank Type ,+o^f,S.A.S. t�G•,�•�-r� Description of Soil Nature of Repairs or Alterations(Answer when applicable) sr X�`sl.rrra _T�.,�.�// ��.�- •.ram'-�-.�o s�s3 ,� .� — S"r.�a �'�..�� !y'/� �"�r��-errs Date last inspected: *Agreement: G 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 �• Coinpliance`has been issued by this Board of Health. Signed r- - r.�s, � _ Date Application Approved by i � ._ Date Application Disapproved by Date ' for the following reasons ". Permit No.,--r, r- Date Issued -------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS S+ CertiflLate of CDuttlYiauLe THIS IS TO CE,RT�IFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by O' / /�. 'ri G.-'//r '"� ..�r�iK��' ✓. sir'�-.�� at o% /'j �,��1/�,,. ,,� has been constructed in accordance � with the provisions of-Title 5 ands the for Disposal System Construction Permit No ""�7 � dated Installer �y�!' /+/r.�,,. Designer #bedrooms Approved design flow �� %T gpd The issuance of this permit shall not be construed as a guarantee that the system will funetion,as designed. Date Inspector • ;,y W ----------------------------------------------------------------------------------------------------------------------------,-,->--------- No � Fee C/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS bisposal 6pstrm Construction permit , Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) i. System located at 3�" / ,i^^,•-�,�,��,j'/r' �i% � ��-v- c ' k 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 permit. �----. Date f Approved by E Town of Barnstable DFTHE�� y o� Regulatory Services Richard.V. Scali,Interim Director ' BARNSTADLF 63 ,tea Ptitblic Health Division 'TFo(ktA<° Thomas McKean,Director 200 Main Street;Hyannis,MA 02601 Office: SOS-862-4644 Fax: 508-790-6304. Installer&Designer Certification Form Date: Sewage Permit# dU Assessor's Ma `Tarcel �7 'd Z-0 Designer: ~' , b MC, Installer: / Address: Z Wi C. C/ f2-,j Address: �Ct�Wt On aeM� as issued.a permit to install a` (date) (installer) septic system at ( � ,cp, Wt based on a design drawn by (address) LL0,P? l' o,,,1Cr,At< dated (designer) __Z, --I certify that the septic system referenced above was installed substantially to the design, -which may include minor approved changes such as lateral relocation o ation of he 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. $renter than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in.accordance with State &Local Regulations. Plan evision or certified as-built'by designer to follow. Strip out(if required)was inspected and the soils were found satisfactory. 1 certify that the system referenced above was constructed in with the terms of the 11A approval letters (if applicable) PEIC-R c I. Installer's Signature) CIVtL to.35Tog (Designer's Signature) (Affix Designe ere)= PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIMCATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED nV THE BA"RNSTABLE PUBLIC .HEALTH DIVISION, THANK YOU. Q:lScptiC':Uzsigncr.Certification Fon.n Rev 8-14-13.doc Engineers note:This certification is limited to an as-built inspection of system components as installed prior to backfilli The engineer did not supervise construction of the system.,The installer assumes responsibility for all materials,workmanship,backfiliing to specified grades with proper compaction and setting risers/covers zs shown on the design plan. TOWN OF BnnARNSTABLE "LOCATION b(P-d d\a CsC&Wokk2 1° SEWAGE# 2ozo- Yp VILLAGE C rv\-,-\\�Q_ ASSESSOR'S MAP&LOT.?y7- 020 INSTALLER'S NAME&PHONE NO. b.�; _ SEPTIC TANK CAPACITY 1000 LEACHING FACILITY.(type) 4" S 00Q,::?l Q"UAS (size) NO.OF BEDROOMS t BUILDER OR OWNER Eleam r Rae PERMIT DATE: 1 oZ I�a q I'ao aO COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) nif Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnishedby A ( = 4- 3bX !-34 a _ - ' 33 - r - Town of Barnstable Health Inspector pp THE Tp� Office Hours Regulatory Services 8:30—9:30 Thomas F.Geiler,Director 1:00—2:00 saaris Ad" , 9$ ,�� Public Health Division Thomas McKean,Director s a 200 Main Street,Hyannis,MA 02601n s Office: 508-862-4644 - r Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT-SEPTIC QUESTIONNAIRE 1. General Information: Size of Pro erty: f • Address: (rlt/GL Map 1 Parcel�j Name: ZZ i. Phone #: 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms? J If yes, how many? CJ 2c. How many bedrooms total are proposed at this property(including the amnesty unit)? 2d. Please include a copy of the.floor plans for the entire property- showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label . each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO Y�Z�'If theFdwe`l�ng�ts,cbnnecte�i to�ppblic sewer,slap�gnes�ans �hrough`�#9 be�IDw} i.;.> 3 .,.:.;;,� .r �. 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an ONSITE WELL or to (PUBLIC 6. Is a disposal works construction permit on file? YES or NO 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or NO .8. Is there an engineered septic system plan.on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP certified,inspector within the last two years? . YES or NO FOR OFFICE USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: Signed: Date: O;/health/wpfiles/amnestyapp McKean, Thomas From: McKean, Thomas Sent: Wednesday, September 07, 2005 3:22 PM To: Dillen, Elizabeth Subject: Septic System Questionnaire/362 Old Craigville Road/ Pozzi The septic system questionnaire regarding 362 Old Craigville Road is approved for three bedrooms as requested. The approval form will be faxed to your Office this afternoon. 1 �� 1, �. n �� '� �� - � i �'" �� i�� - I d&Z av GRAi�napccc� �, G�iEz<ru�- �t/�i�✓ ��c : � / �� / 4 j i �;��' �� i I I --I�� --- __ �, . I �� 37B- Cap rzm �o, 2�° F�a(� V 5 cq� ......................... r .. G�.. - - r 3 ------ ,l - - . - --- -- - � 4 __..__.. .. ._..__.-...._..__.. ..._ ,...._......._......... _._.-.-_....-. i c IT CLF7-Z'evo - 9 ; I f i a 't[ e .. ..__... ._. _ .. ..._._ ._.._..__ _ Y .__._..... ......_. . . ._. .----..__-_..__._. __._ ____.---------_..._—_ _.._ __.__ ._._-- — - .._.-----..----- ---' --'-- -_.__—._--- k t 4 i -... j 8 9 Commonwealth of Massachusetts /Q1, A. Executive Office of Environmental Affairs JUN Cf��E ' 3 Vol � Department of "0** 199 ' Environmental Protection tyaplrAet� ? N� William F.Weld Gowmw Trudy Cote SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION(FOR Z e�David B.Struhs PART A c4mm4swW' CERTIFICATION Property Address: 362 Old Craigville Road, Centerville, MA Address of Owner: 149 Hathaway St. Date of Inspection: June 18, 1997 (If different) Wareham, MA 02571 Name of Inspector: James M. Ford Company Name,Address and Telephone Number: James M. Ford, P.O. Box 49, Osterville, MA 02655 (508) 775-7927 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: ✓ Passes Conditionally Passes Needs Further Eval tion By the Local Approving Authority Fails Inspector's Signature: Date: June 18 1997 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, B, C, or D: A] SYSTEM PASSES: ✓ I 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. B] SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. 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, 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. (revised 8/15/95) 1 One Winter Street a Boston, Massachusetts 02108 a FAX(617)556-1049 a Telephone(617)292-SSW �, Printed on Recyded Paper 1 ^n !� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A tJ CERTIFICATION (continued) Property Address: 362 Old,Craigville Road, Centerville, MA Owner: Roger A. Mello Date of Inspection: June 18, 1997 Bl SYSTEM .CONDITIONALLY PASSES (continued) 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): 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: 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, IF 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 and 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 is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and 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. DI SYSTEM FAILS: 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. 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. (revised 8115/95) 2 S • SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 362 Old Craigville Road, Centerville, MA Owner: Roger A. Mello Date of Inspection: June 18, 1997 D] SYSTEM FAILS (continued) 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 1 of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. 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: The following criteria apply to large systems in addition to the criteria above: The design flow of system is 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: 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 Welhead 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 8/15/95) 3 x SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 362 Old Craigwlle Road, Centerville, MA Owner: Roger A. Mello Date of Inspection: June 18, 1997 Check if the following have been done: ✓ Pumping information was requested of the owner, occupant, and 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. n/a As built plans have been obtained and examined. Note if they are not available with N/A. ✓ 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. ✓ 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 existing information or approximated by non-intrusive methods. ✓ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of Subsurface Disposal System. (revised 8/15/95) 4 J a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 362 Old Craigville Road, Centerville, MA Owner: Roger A. Mello Date of Inspection: June 18, 1997 FLOW CONDITIONS RESIDENTIAL: Design flow: 330 gallons Number of bedrooms: 3 Number of current residents: n/a Garbage grinder (yes or no): No Laundry connected to system(yes or no): Yes Seasonal use (yes or no): Yes Water meter readings, if available: Usage: 1996 - 130,000 gals.: 1995 - 142 000 gals Last date of occupancy: UMown COMMERCIAL/INDUSTRIAL: 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 5 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: Not outnoed since system was installed -per owner, System pumped as part of inspection (yes or no): No If yes, volume pumped: gallons Reason for pumping: TYPE OF SYSTEM ✓ Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: 6 years old-,Per owner. Sewage odors detected when arriving at the site (yes or no): No (revised 8/15/95) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 362 Old Craigville Road, Centerville, MA Owner: Roger A. Mello Date of Inspection: June 18, 1997 SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 20„ Material of construction: ✓ concrete metal _FRP _other (explain) Dimensions: 8'L X 4'6"W X 5'D - 1000 Gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 11" Distance from bottom of scum to bottom of outlet tee or baffle: 12" 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.) Both inlet and outlet baffles were in good condition. Liquid level was even with outlet invert lib evidence gf leakage. ICI GREASE TRAP: 11bne (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP _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: 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.) (revised 8/15/95) 6 J • SUBSURFACE SEWAGE. DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 362 Old Craigville Road, Centerville, MA Owner: Roger A. Mello Date of Inspection: June 18, 1997 TIGHT OR HOLDING TANK: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP other (explain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm level: 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: Even Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, etc.) Box was level and there were no signs g` solids carryover or leakage PUMP CHAMBER: None (locate on site plan) Pumps in working order(Yes or no): Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/15/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 362 Old Craigville Road, Centerville, MA Owner: Roger A. Mello Date of Inspection: June 18, 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: 1 leaching chambers, number: leaching galleries, number: leaching trenches, number, length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) No signs cf j draulichilure. Grass covers the system. CESSPOOLS: Mnee (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 (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: None (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.) (revised 8/15/95) 8 ti SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 362 Old Craigville Road, Centerville, MA Owner: Roger A. Mello Date of Inspection: June 18, 1997 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent references, landmarks or benchmarks. Locate all wells within 100'. ao' O ag DEPTH TO GROUNDWATER: , Depth to groundwater: 20 +/- feet Method of determination or approximation: Barnstable Water Table MM: USGS Topogrcohic - Hyannis QuWrangle, (revised E/15/95) 9 I T WN OF BARNSTABLE LOC ATION � OP 0—(-A 1 a V o 1 R . SEWAGE# VILLAG ��tdi ASSESSOR'S MAP &LOT 24 ®� INSTALLER'S NAME&PHONE NO. i SEPTIC TANK CAPACITY AM- , j LEACHING.FACILITY: (type) (size) 6K 6' NO.OF BEDROOMS BUILDER OR OWNER f- PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility. / Feet Pcivate.Water Supply'Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) . Feet Edge of Wetland ani'd Leaching Facility(If any wetlands exist , within 300 t of leaching facility) Feet Furnished by i 1 i \ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for Dispngal Works Tnntitrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: e Location-Address or Lot No. ........ ............................................... ........................................... .............................................. j r Address a7--.... •--------- ---... Installer Address d Type of Building Size Lot...Z.�- e-n.._........Sq. feet U Dwelling—No. of Bedrooms------- �----------------------------._...Ex Exp ansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers (Z — Cafeteria ( ) Otherfixtures .........--Y4..k4....-----•------------.---------------------------------------------------•-------....--•--------.....•_••--••-------- W Design Flow......... 't ...3� _.............gallons per person per day. Total daily flow......93.o ......_....................gallons. WSeptic Tank—I.iquid'ca.pacityl.�"' gallons Length------9...... Width....J........ Diameter................ Depth.- "'.-`_,-. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter................_--- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-________-----__-- Depth to ground water........................ f3� Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ 1:4 ----------------------------------••-- .............................................................--.....•------•--•---....-------•---•......•...._...... 0 Description of Soil-----------------------------------------------------------------•--------------------------------------------------•-----------------------------------............- W U .--------------------------•-•-------------•---....---------------------------------------------------------------------------•------•-----------•------------------------------•......-----.........-•-- W -------------------------------------------------------------------------------------------------------------------------------------- ------ U 14 Nature of Repairs or Alterations—Answer when applicable____-_-.i � .-__ ..... ...................................................... •---------------------------•-------------...--------------•--......---........------•--•-•---•-••-------------------- ------------------------------------------•-------------------------••--••------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the !/�9 system in operation until a Certificate of Compliance has been issued by the �ra I DSigned �� --------------------- ../............. Dare Application Approved By ............... V....� T ----..........--- /......-....- Date Application Disapproved for the following reasons: ..:.................... .... ...................... .................. ............... ....1------ --------------- ------ - --------------------------------------- ---------------------------------------- Dare PermitNo. ......�f .-y .................................. Issued ........--.............................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Disposal Works Tongtrurtiou Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: o �.. 0!.. Cra, �I Il.c i2d-- � x,, 7 ..... ............... .......�. 1 ....... ...--ra-e r�' --------•---....... Location.Address or Lot'No. ........�t3�� ................................................ ...........................................................................................«..... Owner �*� Address W ! a ....... ................ ............................................. Installer Address UType of Building Size Lot...7.so.U__.__._._..S feet Dwelling—No. of Bedrooms.......,,3.................................Expansion Attic ( , ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers (Z Cafeteria ( ) Other fixtures ....... Eh W Design Flow......... X5.............gallons per person per day. Total daily flow______.......................................gallons. WSeptic Tank—Liquid capacity. g0O.gallons Length------2...... Width__..S._._.._ Diameter................ Depth_. ..(.� . .. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area•__-._.__•----------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ t Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ w Test Pit No. 2................minutes per inch Depth,of.Test Pit.................... Depth to ground water........................ ----------------------------------------------•---------...-----•-••------........--------•--------...............------....-•-•--------:.......----------- 0 Description of Soil................:. U -••---••-----••••••---•----••---•---------------••-------------•--•--•--•----------•-------•-•--•--......---------•••--------•-------•••-------•---••--••-----------.........-----------•-1------------ w ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V Nature of Repairs or Alterations—Answer when applicable---------- ......86e�............................................ ----------------------------••-•---...---------•-•--•------•-------------------•------......-•------------------•-----------•-•--•-•----•-------....................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of ;ealth� Signed .. 9 ! --... ... :----_------------------ ---------- ----- ' --. Date Application Approved By -----------------�� U_ .< - 'U' ..l,o...- Date?/....--...... Application Disapproved for the following,'reasons- ---------------- -------------------------- ------- -------- ---------------................................................... Date PermitNo. -----r ............................... Issued ----------------------------...................... .......... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tez#iftira e of CIJompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-------- ------------------- ----------------------- ---- d-- o7-....... -----Go _...-... ------------- Installer at .............. .....3-/........A..---------- (..0........�.1.1v..4��'.,144.----- - ..---..........I'�* e arc.��---......-- ------------......------------------------------ has been installed in accordance with the provisib�Is of TITLE 5�,pf The St te Environmental Code as described in the application for Disposal Works Construction Permit No. .... -�-.----.. - PP P y-�:_.�,3------------ dated ------------ ------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. J�,1 DATE..... .......... . Inspector ..... THE �I v V l COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 40 �. .,'No?... -1.. ..t FEE......1.-��. ...... Disposal �arks Tonutrudion rrutit _ , '0AL_aG �G � T Permission is hereby granted............,�`� ------------------ ---- to Construct (>0 or Repair ( ) an Individual Sewage Disposal System at No... ��-o- l � -�--�� r�.0?� �r�p' 11��U ..... ---------- eet �.,,, as shown on the ap licati t n for Disposal Works Construction P rrizi' No.�%kc) Dat -�,.........�................ 0 1��......A ( a .I---•................................... Board of Health DATE..........--- ��--:-(... FORM 36508 HOBBS✓!t WARREN.INC..PUBLISHERS ' /177-°`?��DaZO/ ��-----" WN OF BARNSTABLE LOCATION C �'�.4 �G®C ✓/ iP�SEWAGE # �P/— ycAS— VILLAGE ASSESSOR'S -MAP & LOT�7 D:�o INSTALLER'S NAME & PHONE NO.&O5,C70 OW 60AA7. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) e!�,) (size) r�G�•,-r NO. OF BEDROOMS PRIVATE:WELL O BLIC WATRR BUILDER OR OWNER 0 6,• 5 46 DATE PERMIT ISSUED: D /6 , DATE COMPLIANCE ISSUED: VARIANCE GRANTED: . Yes No w 5 T•WN OF BARNSTABLE LOCATION ��✓��j tc'�L� kd- SEWAGE # V,x LAGEC1P-A1tr L AAAt + ASSESSOR'S MAP & LOT QQQ INSTALLER'S NAME&PHONE NO. f{ SEPTIC TANK CAPACITY 10 ME, LEACHING FACILITY: (type) (size) NO.OF BEDROOMS 3 i BUILDER OR OWNER kei'ee �O�G PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: 'f' 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 4rt of leaching facility) Feet Furnished by ` '�(tm cQ ` Do' o a$ 3 3G` a�7(4S4�OWN OF BARNSTABLE -1�D Ao LOCATION Z1!5r C 1-4 SEWAGE # VILLAGE /��/ / 'dS ASSESSOR'S MAP & LOT, -e,)Q INSTALLER'S NAME & PHONE NO.&O,<t70,�6W 60AA77 1 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL O UBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: D /h _ _ a DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No� I . 04= Ad c.� .Lot 32A Lor 30 I . o aisr Avg ( /o �Ti4PNK •� J R:C � 2y ems, A. 33A v {�RoPmsEp Lor 28A to 2 fgSEN?A�Ly fL�r 455o*60 SCE✓. 47 Mk ttsr ti/ E �Z � I 04.b CZAi6V/ 4.Lr 0 4 P �TWV •g0> ti i2. HENRY F. s�� OC/OT/4�: L�Or -3/IQ PANKOWSKI I/ '2 No. 26638 "'� 040 L'�Wo LL6 jACOIq �P 0/STEQ` ti� JAI .OFFss�i/ 4 4-n, PLC o ReAle tom. e• L`APr J FI - 4111—y7. 29 5p . 3r.- WAGE DISPOSAL 5Y6Tem GR0owv04MZ44 T, &4 Nor ro SCALE D fSIGN DATA d,h «of BEQ�taoMs � �fw j �tNo M HENRY F. �\ ®Orroxi �.5/IGd iAjh AREA ��.3•>/ Sq fr• Ar I. //J./ Ac?"o No. 26638 g PANKO cn) - � 38 .S00 ,Ce^,40141 ARtq /�.d' �9.F9�P.r •`37L.�6.P0.- v��`�,Q/sTe"k4v awj,o i. A,510054L_--- �\410NP��V� jvrAG 04�4.,y!6 441A ZG3,154.FT. ERc � � rr/ArAI dJi Ar idc.�CHr•.o�1.�,dT6 5s oN,g L.,tp c4,At 4 Ar Al/ri1 3'of SfoN� 0*,414 0/040 OL � RA/QV LGE Oq® (,✓ yAy�yrs Poet' IIA65- RoC9�Q � /yIELLo APJ1J,I,0A'1'J ON 1'01i PEEK )LATI UN '1'hb*f JMV U11J1:1<V11'1'J U1V Y1'1'J ION L-OT 31 A O c;> c-,y I�� , sT��L� NO. 3E \t J `ST E--IY tJ lam! 1S'POKT _ DATE_-] - - CANT Eie- M F LLO FEE_ .s _ SS 'rf SOytJ�\/ (F`V� CZp,� TELEPHONE NO. (Non-refundable) EER TDOVV tJ CAS_ -F� -�(f� 1=�1N� _TELEPHONE NO._ SCHEDULED (Applicant' s signature) • • • O • • O,• • O • O O • . O • • V O • • • O • O •'O:O O • • • • • • • • • V • • • • • • • • • • • . . . . . . . . O • V . . . . . . . . . . . . • LOG-- EVISION NAME DATE --ILtLY lz 1985 TIME 3I6N AREA: YES NO _ cODLO .10UC, ENGINEER DATER/PRIVA`i'E WELL ': 31i� Ct�N �oN BOARD OF HEALTH P'1) EXCAVATOR i s (Street name, etc. ' dimensions of 11ot, exp.ct location 'of test holes and percolation tesifs, 1ocate wetlands in proximity to test holes) NOTES:' cro w lJ �o A�) O L.� C l�,r',\ �-�-N/ 40+ r Pere- r 3-('. "0 L-0 ,ATION RATE: L. G l-(-- TOLE NO: ELEVATION-: TEST HOLE N-O_:_ ELEVATION: 1 TOP 1 -tom li;UE s u►1; 2 SU 13 SdI 2 3 -tj!c l u 3 r►r-.t� ry 4 d A, 5 �� so! 4 ------ 5 spit p 6 -'7 _ 7 8 Cn ARLi5E 9 — ENCc>UNYt=..2F p 9 OF t � 10 SPc tj D 10 ARNE H. y�\ _ OJALA 11 11 SftisL7 c� CI1liL -- .. No. 307Q1 12 12 13 13 14 14 15 15 ' 16 16 3LE FOR SUB-SURFACE SEWAGE: LEACHING FIELD�cLEACHING PITS S . LEACHING TRENCHE _ TABLE FOR SU13=SURFACE SEWAGE. REASONS: ENGINEERING PLANS. MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION NAL: COl•1131,1,"IT'D IN El-1 1'I RFTY BY- P . F . AND RETURNED TO BOARD OF HEAI�11I1 i ��• i • LEGEND r Qa - I ——102—— EXISTING CONTOUR �••� � G ' x 100.98 EXISTING SPOT GRADE W EXISTING WATER SERVICECn G 10` G EXISTING GAS SERVICE r oaioo �eRd x¢ CemervfMe 2 —O.H.W.— OVERHEAD WIRES MAMW € ,•. fa TEST PIT ,a�%�`a G~0 DBENCHMARK go100.09 100.27 s Gv P°cement LOCUS MAP C 99.8 gA NOT TO SCALE D 99.71 p,5 t 0 edge 99,44 �N �g GENERAL NOTES: ;.;.:OR%V 1 EWAY.:.; 01.06 . ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL LOT 31A BOARD OF HEALTH AND THE DESIGN ENGINEER. 7,500 ±SF 0 2• ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS O OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE y 10 ,65 LOCAL RULES AND REGULATIONS. ly. 0 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR 100, \ 01.20 '' TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE O Z 'S- 101.2 DESIGN ENGINEER. Cp 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 00, O FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN TING D p ( ENGINEER BEFORE CONSTRUCTION CONTINUES. Oil 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. O+ "100,66`'\ HOUSE(#362) 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF >..:;\ T.O.F.=102.5f' THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF .p �, :•: + 101,33 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 70 - x 1 3 1 <'D \ 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. BH 0 .85 BENCHMARK 8. THERE ARE NO WELLS WITHIN 100' OF THE PROPOSED S.A.S. D >.:... ENCL. COR./BULKHEAD 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS SHED PORCH EL.=101.85 AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE N DECK PATIO DIRECTED BY THE APPROVING AUTHORITIES. 101.46 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY EXISTING SEPTIC TANK 0 101,46 N THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING TOP OF TANK, EL.=99.92 "CIA. �, CONSTRUCTION. INV.(OUT)=98.59t(VERIFY) x 00.9 x,41 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 101 SHED x 1' w IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND c� REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). TP-1 0 4 1.0 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE ,i,�� 1�J• ' INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. PROPOSED S.A.S. TP O' 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 2-500 GALLON CHAMBERS SURROUNDED W/ STONE IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. 100,8 O. p W EXISTING S.A.S. y •Zo5 TO BE REMOVED PARCEL ID. 247-020 Of ,ygss 15 5 �1 SEE NOTE 11 y PROPOSED SEPTIC SYSTEM UPGRADE PLAN PETER T. ! 362 OLD CRAIGEVILLE RD, CENTERVILLE, MA 02632 McENTEE CIVIL "' Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673 o, 35109 ALE DRAWN JOB. NO. REG15f��`�� OWNER OF RECORD Engineering by: SCALE "=20' P.T.M. 319-20 POZZI, ELEANOR A Engineering Works, Inc. 362 OLD CRAIGEVILLE RD 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. CENTERVILLE, MA 02632 (508) 477-5313 12/18/20 P.T.M. 1 Of 2 - s rj Z� f NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:98.0 _ EXISTING SEPTIC TANK FOR A DISTANCE OF 15' AROUND THE PROVIDE RISERS WITH COVERS OVER INLET & PROPOSED D-BOX PERIMETER OF THE S.A.S. OUTLET MANHOLES SET TO 6" OG FINISH GRADE. INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER ONE CHAMBER AND EX/STING T.O.F EL.=102.5f SET TO 3" OF F.G. TO SERVE AS INSPECTION PORT HOUSE(#362) F.G. EL.=101.1f F.G. EL.=101.5t F.G. EL.=101.5t F.G. EL.=101.3f T.O.F.=f02.5f' MAINTAIN 2% SLOPE OVER S.A.S. 3 , . ' L = 3' L = 13' BH ENCL. S=1% (MIN.) p S=1% (MIN. j� • ' 4"SCH40 PVC 4"SCH40 PVC) 2" LAYER OF 1/8" TO 1/2" PORCH 6" w DOUBLE WASHED STONE SHED er 1o"I e' a®a�aa® (OR APPROVED FILTER FABRIC) DECK 14" 2' EFF. aaaaaaa d EXISTING 48" LIQUID DEPTH aaaaaaa ---3/4" TO 1-1/2" DOUBLE M LEVEL ADD GAS INV.=98.37 PROPOSED 3.1' 4.8' 3.1' WASHED STONE BAFFLE INV.=98.20 '- ��' 15 8, D-BOX EFFECTIVE WIDTH = 11' W i INV.=98.59 � � SHED " 3 OUTLETS INV.=97.80 i�� 41.7 \ (k� EXISTING SEPTIC TANK H-20 2-500 GALLON LEACHING CHAMBERS WITH 3.1' 1 OF STONE AROUND AND 4' OF STONE BETWEEN INSTALL PIPE \ / H-10 RATED I BETWEEN CHAMBERS �\ Dow.TOP CONC. ELEV.=98.4t `L \,�� 2� Al BREAKOUT ELEV.=98.3 NOTES: INV. ELEV.=97.80 aaaaB a Bea eases eases aaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE ease aaaaa seas SEPTIC LAYOUT INVERTS, PRIOR TO INSTALLATION. BOTTOM ELEV.=95.80 2) D-BOX SHALL BE SET LEVEL AND TRUR TO 3.1' ENDS 8.5' 4' GRADE ON A MECHANICALLY COMPACTED STABLE 4' R NATURALLY OCCURRING EFFECTIVE LENGTH = 27.2' BASE OR 6" AGGREGATE BASE, AS SPECIFIED PERVIOUS MATERIAL AND 5' IN 310 CMR 15.221(2). ABOVE GROUNDWATER LEACHING SYSTEM SECTION 3) INSTALL INLET & OUTLET TEES AS REQUIRED. NO GROUNDWATER, EL.=86.9 - 3/4" TO 1-1/2" DOUBLEL AEa ®®® 0 4) A GAS BAFFLE SHALL BE INSTALLED ON OUTLET TEE WASHED STONE ®®®®® ® ®®®® 33" AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. _ O:3" LAYER OF 1/8" TO 1/2" Ea SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE N zLT® (OR APPROVED FILTER FABRIC) 102" SOIL LOG DESIGN CRITERIA DATE: DECEMBER 8, 2020 (REF#TPT-20-261) 4" KNOCKOUT SOIL EVALUATOR: CHRISTOPHER McENTEE SE#14012 20" DIA. COVER NUMBER OF BEDROOMS: 3 BEDROOMS WITNESS: DAVID STANTON R.S. HEALTH AGENT SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT / 4" KNOCKOUT 58" DESIGN PERCOLATION RATE: <2 MIN/IN 101.0 ° 100.9 1 ° - 0 DAILY FLOW: 330 GPD FILL FILL DESIGN FLOW: 330 GPD 100.3 A 8" 100.2 A 1 8" 4" KNOCKOUT GARBAGE GRINDER: NO-not allowed with design LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF 10YR 3/1 10YR 3/1 500 GALLON CAPACITY, H-10 LOADING .74 GPD/SF 100° B 12" 99.9 B 12 CHAMBERS EXISTING SEPTIC TANK: 1000 GALLON CAPACITY LOAMY SAND LOAMY SAND PROPOSED D-BOX: 1 INLET, 1 OUTLET (MINIMUM), gg 10YR 5/6 10YR 5/6 N.T.S. 0 C � 36" g7.g G 3s° PROPOSED SEPTIC SYSTEM UPGRADE PLAN USE 2-500 GALLON LEACHING CHAMBERS IN SERIES WITH 3.1' PERC I MEDIUM/ MEDIUM/ OF STONE AROUND AND 4' OF STONE BETWEEN(1 1' x 27.2') COARSE SAND BOTT.=50" COARSE SAND 362 OLD CRAIGEVILLE RD, CENTERVILLE, MA 02632 SIDEWALL AREA: 2(11.0' + 27.2') X 2 = 152.8 SF 10YR 8/4 10YR 8/4 Prepared for: Cape Cod Septic Services, 350 Main St, W. Yarmouth, MA 02673 BOTTOM AREA: 11.0' x 27.2' = 299.2 SF i 87.0 1 1 138" 86.9 138" 9 9 Y'Engineering b SCALE DRAWN JOB. NO. TOTAL AREA:..............................................................452.0 SF PERC RATE <2 MIN/IN. 'C" HORIZON Engineering Works, Inc. N.T.S. P.T.M. 319-20 REFERENCE PERC P-4684, 7/3 85,`A OJALA 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. DESIGN FLOW PROVIDED: 0.74 GPD/SF(452.0 SF) = 334.5 GPD NO GROUNDWATER ENCOUNTERED (508) 477-5313 12/18/20 P.T.M. 2 Of 2